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Physician Mental Workload Scale in China: Development and Psychometric Evaluation.

Chuntao Lu1,2, Yinhuan Hu3, Qiang Fu4

  • 1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

BMJ Open
|October 18, 2019
PubMed
Summary

A new mental workload scale for Chinese physicians demonstrates strong reliability and validity. This validated instrument is effective for assessing physician mental workload in China.

Keywords:
hospitalsmental Healthphysiciansurvey and questionnairesworkload

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Area of Science:

  • Occupational Health
  • Psychometrics
  • Medical Education

Background:

  • Physician mental workload is a critical factor affecting healthcare quality and safety.
  • Existing mental workload assessment tools may not adequately capture the nuances of the Chinese healthcare system.

Purpose of the Study:

  • To develop and validate a culturally relevant mental workload scale for physicians in China.
  • To provide a reliable instrument for assessing physician mental workload in diverse hospital settings.

Main Methods:

  • A three-phase development process including literature review, Delphi consultations, and pilot surveys.
  • Involved 396 physicians from various tiers of public hospitals in China.
  • Assessed reliability using Cronbach's alpha and validity through content validity index, item-total correlations, and confirmatory factor analysis.

Main Results:

  • The final scale comprises six dimensions and 12 items.
  • Demonstrated good internal consistency (Cronbach's α = 0.81) and satisfactory validity indices.
  • Confirmatory factor analysis confirmed the scale's robust structural validity.

Conclusions:

  • The developed mental workload scale exhibits excellent reliability and validity.
  • The instrument is suitable for diagnosing and managing physician mental workload in China.
  • Facilitates targeted interventions to improve physician well-being and patient care.