衡量医疗保健工作相关的上下文因素:麦吉尔大学上下文工具的开发
Aliki Thomas1, Christina St-Onge, Jean-Sébastien Renaud
1Dr. Thomas , Associate Professor, School of Physical and Occupational Therapy, Research Scientist, Institute of Health Sciences Education, McGill University. Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Dr. St-Onge , Professor, Department of Medicine and Center for Health Sciences Education, Université de Sherbrooke. Paul Grand'Maison de la Société des Médecins de l'Université de Sherbrooke-Research Chair in Medical Education, Sherbrooke, Quebec, Canada. Dr. Renaud , Professor, Department of Family and Emergency Medicine, VITAM Research Center, Université Laval, Quebec, Quebec, Canada. Ms. George , School of Physical and Occupational Therapy, Research Scientist, McGill University, Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. Dr. Iqbal , Post-Doctoral Fellow, School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Centre for Interdisciplinary Research in Rehabilitation Montreal, Quebec, Canada. Dr. Brousseau , Professor, Department of Occupational Therapy, Université du Québec à Trois Rivieres, Trois-Rivières, Quebec, Canada. Dr. Dyer , Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal. Groupe interdisciplinaire de recherche sur la cognition et le raisonnement professionnel, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada. Dr. Gallagher , Professor, Faculty of Medecine and Health Sciences. School of Nursing, Université de Sherbrooke, Research Group in Pursuit of Validity, Centre de Recherche Du CHUS, Sherbrooke, Quebec, Canada. Dr. Lacasse, Professor, Département de Médecine Familiale et de Médecine D'urgence, Faculté de Médecine, Université Laval, Quebec, Quebec, Canada. Dr. Ledoux , Associate Professor, Faculty of Medicine and Health Sciences, School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada. Dr. Vachon, Associate Professor, School of Rehabilitation, Faculty of Medicine, Université de Montréal. Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Dr. Rochette , Professor, Occupational Therapy Program, School of Rehabilitation, Université de Montréal. Centre for Interdisciplinary Research in Rehabilitation, Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal (IURDPM), Montreal, Quebec, Canada.
这项研究开发了麦吉尔大学的上下文工具,以测量影响医疗保健专业人员能力的因素. 经过验证的工具为评估领导力,价值观,政策,支持,需求和过度需求提供了可靠的证据.
科学领域:
- 医疗保健的专业发展
- 教育心理学教育心理学
- 组织行为组织行为.
背景情况:
- 背景因素显著影响医疗保健专业人员 (HCP) 的能力.
- 现有的研究缺乏全面的工具来衡量这些有影响力的背景因素.
- 开发一个经过验证的工具对于理解和优化医疗保健人员的专业成长至关重要.
研究的目的:
- 开发和验证一个全面的工具,供医疗保健人员记录上下文因素.
- 评估影响专业能力的维护,发展和部署的因素.
- 为评估医疗保健工作环境提供可靠的工具.
主要方法:
- 利用了DeVellis的规模开发过程和Messick的有效性理论.
- 根据范围审查,创建了一个项目库,分为五个主题:领导和代理,价值观,政策,支持和需求.
- 在试点测试中采用经典测试理论 (n=127) 和第二个版本 (n=581) 的拉什评级尺度模型.
主要成果:
- 最初的试点项目 (117个项目) 改进为一个60个项目工具.
- 拉什分析证实了领导力和机构,价值观,政策和支持等级的单维性.
- 需求尺度被分为两个单维尺度:需求和过度需求.
结论:
- 麦吉尔大学的上下文工具展示了令人鼓舞的内容和内部结构的有效性证据.
- 该工具支持用于评估对HCP能力的上下文影响.
- 未来的研究将专注于进一步的有效性证据和跨文化适应.
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