开发和验证医学学生叙事能力尺度的发展和验证
Shao-Yin Chu1, Hung-Che Wang2, Bang-Yuan Kuo3
1Department of Medical Education and Paediatrics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Perspectives on medical education
|February 23, 2026
概括
这项研究开发并验证了医学学生叙述能力量表 (NCS-MS). NCS-MS是评估医学教育和实践中叙事能力的可靠工具.
科学领域:
- 医学教育 医学教育
- 叙事医学是一种叙事医学.
- 心理测量 心理测量 心理测量
背景情况:
- 叙事能力提高了医生技能,如同情心和以患者为中心的护理.
- 缺乏系统的研究和可衡量的指标来评估叙事能力.
- 需要一个验证的工具来评估医学学生的叙事能力.
研究的目的:
- 开发和验证医学学生的叙事能力尺度.
- 为评估医学教育中叙事能力提供可衡量的工具.
主要方法:
- 开发了一个57个项目草案尺度,具有4个维度和11个子维度.
- 与11名叙事医学专家一起进行了三轮德尔菲方法.
- 试点测试了200名医学学生,并使用确认因子分析 (CFA) 和Cronbach的alpha进行验证.
主要成果:
- 德尔菲法改进了尺度和次维的定义.
- CFA证实了对四因素模型 (RMSEA=0.055,SRMR=0.045,GFI=0.911,NFI=0.926,IFI=0.971,CFI=0.970) 的良好适应.
- 该尺度表现出极好的内部一致性可靠性 (克朗巴赫的α范围:0.797-0.942,整体α=0.972).
结论:
- 医学学生叙事能力量表 (NCS-MS) 有效评估医学学生的叙事能力.
- 该NCS-MS作为一个有价值的评估工具叙事医学研究和课程开发.
- 促进叙事医学原则融入医学教育和实践.
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