开发一种心理尺度,用于测量临床医生的破坏性行为
Manabu Fujimoto1, Mika Shimamura2, Hiroaki Miyazaki3
1From the Institute for Teaching and Learning, Ritsumeikan University, Kyoto.
Journal of patient safety
|October 16, 2023
概括
开发了一种新的心理测量尺度,以评估破坏性临床医生的行为所造成的伤害,通过为医疗保健机构提供可靠的得分来提高患者安全.
科学领域:
- 医疗保健管理的管理
- 医学心理学 医学心理学
- 患者安全研究 患者安全研究
背景情况:
- 破坏性临床医生行为会对沟通,团队合作和患者安全产生负面影响.
- 准确评估破坏性行为的危害对于改善医疗保健至关重要.
- 现有的心理测量尺度对这个问题有局限性.
研究的目的:
- 开发一种心理测量尺度,以基于心理范式来评估破坏性临床医生行为.
- 创建一个工具来准确测量破坏性行为所造成的主观伤害.
主要方法:
- 规模开发涉及开放式问卷,内容分析,专家审查和互联网/现场调查.
- 探索性和确认性因子分析用于识别和验证规模因子.
- 评估了诸如难度,辨别力和可靠性 (ω系数) 等心理测量属性.
主要成果:
- 一项开放式调查确定了与破坏性行为相关的9个类别中的47个代码.
- 因子分析揭示了6个因素,在最终模型中进一步细分为10个因素.
- 确认因素分析证实了适合假设模型的好处.
结论:
- 成功开发了一种心理测量尺度,用于测量从事临床医生的破坏性行为带来的主观伤害.
- 该尺度为评估医疗机构中破坏性行为提供了有效和可靠的方法.
- 新的尺度补充了现有的方法,如采访和案例报告,以进行全面的评估.
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