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Development and validation of a questionnaire to evaluate medical students' and residents' responsibility in clinical settings.

Asemani O, Iman MT, Khayyer M, Tabei SZ, Sharif F, Moattari M - J Med Ethics Hist Med (2014)

Bottom Line: Correlations between the four domains of the instrument were also satisfactory (r ≤ 0.47 for most domains).The correlation between each domain and the composite scale was higher than its correlation with other domains (r ≥ 0.79 for most domains).The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs).

View Article: PubMed Central - PubMed

Affiliation: Assistant Professor, Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
There is a shortage of quantitative measures for assessing the concept of responsibility as a fundamental construct in medical education, ethics and professionalism in existing literature. This study aimed to develop an instrument for measuring responsibility in both undergraduate and graduate medical students during clinical training. Instrument content was based on literature review and mainly qualitative data obtained from a published grounded theory research. The draft questionnaire (Persian version) was then validated and revised with regard to face and content validity. The finalized 41-item questionnaire consists of four domains that were identified using factor analysis. Test-retest reliability and internal consistency were also assessed. Test-retest reliability was rather high, ranging between 0.70 and 0.75 for all domains. Cronbach's alpha coefficients were 0.75 - 0.76 for all domains and 0.90 for the composite scale of the whole questionnaire. Correlations between the four domains of the instrument were also satisfactory (r ≤ 0.47 for most domains). The correlation between each domain and the composite scale was higher than its correlation with other domains (r ≥ 0.79 for most domains). The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs).

No MeSH data available.


The scree plot. The curve reaches a fairly stable plateau after five factors
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f1-jmehm-7-17: The scree plot. The curve reaches a fairly stable plateau after five factors

Mentions: Face and content validity were assessed by our expert panel including clinical attending physicians and nurses as well as a number of undergraduates and medical residents. After the process of revision, a 46-item draft questionnaire was developed for factor analysis. In order to ensure construct validity, the questionnaire was administered to 237 MTs (Table 1). Responses were used to assess interpretability, internal consistency, and factor loading. After exploratory factor analysis and by using component matrices and a scree plot (Fig 1), it was decided that four or five components had to be retained. Following a number of successive confirmatory factor analyses, the 41-item instrument was finalized with four domains. In this way, 5 items with low (one item) or negative (two items) factor loadings, and items lacking consistency with the extracted domains were deleted.


Development and validation of a questionnaire to evaluate medical students' and residents' responsibility in clinical settings.

Asemani O, Iman MT, Khayyer M, Tabei SZ, Sharif F, Moattari M - J Med Ethics Hist Med (2014)

The scree plot. The curve reaches a fairly stable plateau after five factors
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263380&req=5

f1-jmehm-7-17: The scree plot. The curve reaches a fairly stable plateau after five factors
Mentions: Face and content validity were assessed by our expert panel including clinical attending physicians and nurses as well as a number of undergraduates and medical residents. After the process of revision, a 46-item draft questionnaire was developed for factor analysis. In order to ensure construct validity, the questionnaire was administered to 237 MTs (Table 1). Responses were used to assess interpretability, internal consistency, and factor loading. After exploratory factor analysis and by using component matrices and a scree plot (Fig 1), it was decided that four or five components had to be retained. Following a number of successive confirmatory factor analyses, the 41-item instrument was finalized with four domains. In this way, 5 items with low (one item) or negative (two items) factor loadings, and items lacking consistency with the extracted domains were deleted.

Bottom Line: Correlations between the four domains of the instrument were also satisfactory (r ≤ 0.47 for most domains).The correlation between each domain and the composite scale was higher than its correlation with other domains (r ≥ 0.79 for most domains).The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs).

View Article: PubMed Central - PubMed

Affiliation: Assistant Professor, Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
There is a shortage of quantitative measures for assessing the concept of responsibility as a fundamental construct in medical education, ethics and professionalism in existing literature. This study aimed to develop an instrument for measuring responsibility in both undergraduate and graduate medical students during clinical training. Instrument content was based on literature review and mainly qualitative data obtained from a published grounded theory research. The draft questionnaire (Persian version) was then validated and revised with regard to face and content validity. The finalized 41-item questionnaire consists of four domains that were identified using factor analysis. Test-retest reliability and internal consistency were also assessed. Test-retest reliability was rather high, ranging between 0.70 and 0.75 for all domains. Cronbach's alpha coefficients were 0.75 - 0.76 for all domains and 0.90 for the composite scale of the whole questionnaire. Correlations between the four domains of the instrument were also satisfactory (r ≤ 0.47 for most domains). The correlation between each domain and the composite scale was higher than its correlation with other domains (r ≥ 0.79 for most domains). The instrument demonstrated good construct and internal validity, and can be suitable for measuring the concept of responsibility in practice in different groups of undergraduate and graduate medical trainees (MTs).

No MeSH data available.