对医学生适应的患者护理所有权规模的心理测量分析
Troy K Kincaid1, Wendy Christensen1, Jennifer E Adams1
1University of Colorado School of Medicine, Aurora, Colorado, US.
Perspectives on medical education
|December 1, 2025
概括
这项研究适应了医学生的患者护理所有权 (PCO) 规模,确定了四个关键因素:倡导,决策,机会和责任. 这些发现突出了本科生和研究生医学实习生之间PCO经验的差异.
科学领域:
- 医学教育研究 医学教育研究
- 心理所有权理论
背景情况:
- 患者护理所有权 (PCO) 对患者和医疗保健提供者来说都至关重要.
- 在实习生中理解PCO是一个新兴的研究领域.
- 现有的PCO尺度适用于研究生医学教育 (GME),需要适应本科医学教育 (UME).
研究的目的:
- 适应和验证一个心理所有权规模的本科医学学生.
- 加强医学生中PCO的测量和推广.
- 将 PCO 在 UME 的发展与 GME 的过渡联系起来.
主要方法:
- 内容专家输入和认知访谈被用来调整Djulbegovic等. 这是PCO尺度.
- 调整后的尺度是给在职后的医学学生使用的.
- 探索性因子分析 (EFA) 和确认性因子分析 (CFA) 用于评估尺度的内部结构.
- 梅西克的有效性框架指导了证据收集.
主要成果:
- 一个16项,7点的利克特风格尺度最终确定.
- 确认因素分析支持医学学生PCO的四因素模型.
- 确定了四个因素,即宣传,决策,机会和责任.
结论:
- 适应的PCO尺度表现出强大的内部结构对医学学生的有效性.
- 在这个人群中,有四个不同的因素导致PCO.
- 在UME和GME实习生之间,PCO经验,特别是"机会"存在差异.
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