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The Causal Relationship between Interns' Knowledge and Self-Efficacy and Their Value in Predicting the Interns' Communication Behavior with Patients.

Ghaffarifar S, Ghofranipour F, Ahmadi F, Khoshbaten M, Sallis C - Int J Community Based Nurs Midwifery (2015)

Bottom Line: This study aims to explore the predictive value of interns' knowledge and self-efficacy in building effective relationship with patients and determine the causal relationship between interns' knowledge and self-efficacy about effective doctor-patient relationship.Knowledge and self-efficacy, together, explained 23 percent of the variance in interns' communicative behavior. 53 percent of the changes in interns' self-efficacy were attributed to the changes in interns' knowledge.Improving the interns' shared vision can increase the quality of their knowledge and instructional designs based on learning facts, and gaining insights about effective doctor-patient relationship can increase the interns' self-efficacy and consequently improve the interns' communication skills.

View Article: PubMed Central - PubMed

Affiliation: Medical Education Research Center, Tabriz University of Medical Sciences, Tabriz, Iran, Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

ABSTRACT

Background: After many years of teaching, both the efficiency and efficacy of communication skills programs are under question because patients' dissatisfaction with doctors' communication behavior is at the top of the complaint lists. It is assumed that finding the specific role of different determinants of doctors' communication behavior, instructional designers can plan more effective training programs. This study aims to explore the predictive value of interns' knowledge and self-efficacy in building effective relationship with patients and determine the causal relationship between interns' knowledge and self-efficacy about effective doctor-patient relationship.

Methods: In this cross-sectional study, PRECEDE model was applied and the analyzed content from semi-structured interviews with 7 interns and 14 faculty members was combined with the items from literature review. All the emerged items were categorized under eight constructs of social cognitive theory. The validity and reliability of the items of the research questionnaire were examined by 40 interns and an expert panel of 14 faculty members. The questionnaires were completed by 203 medical interns and confirmatory factor analysis (CFA) was done on the items. The data were analyzed by SPSS.21 and LISREL 8.80.

Results: CFA indicated a good fit to the data. Knowledge and self-efficacy, together, explained 23 percent of the variance in interns' communicative behavior. 53 percent of the changes in interns' self-efficacy were attributed to the changes in interns' knowledge.

Conclusion: Improving the interns' shared vision can increase the quality of their knowledge and instructional designs based on learning facts, and gaining insights about effective doctor-patient relationship can increase the interns' self-efficacy and consequently improve the interns' communication skills.

No MeSH data available.


Related in: MedlinePlus

Results of the Confirmatory Factor Analysis (knowledge and self-efficacy are latent variables and the items are observed variables)
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Related In: Results  -  Collection

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Figure 1: Results of the Confirmatory Factor Analysis (knowledge and self-efficacy are latent variables and the items are observed variables)

Mentions: Both the measurement model of the construct of knowledge with 12 items and the measurement model of the construct of self-efficacy with 11 items showed a good fit to the data. figure 1 shows the measurement modeling of the constructs of knowledge and self-efficacy. A good fit to the data was indicated by CFA. T-value between them was 7.73 and it was significant. Fit indices from confirmatory factor analysis were satisfactory as below: the root mean square error of approximation (RMSEA)=0.08, the relative Chi-Square statistic (x2/df)=1.33, Normed Fit Index(NFI)=0.89, Non-Normed Fit Index(NNFI)=0.93, Comparative Fit Index(CFI)=0.93, Incremental Fit Index(IFI)=0.93 and Root Mean Square Residual(RMR)=0.036.


The Causal Relationship between Interns' Knowledge and Self-Efficacy and Their Value in Predicting the Interns' Communication Behavior with Patients.

Ghaffarifar S, Ghofranipour F, Ahmadi F, Khoshbaten M, Sallis C - Int J Community Based Nurs Midwifery (2015)

Results of the Confirmatory Factor Analysis (knowledge and self-efficacy are latent variables and the items are observed variables)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4591573&req=5

Figure 1: Results of the Confirmatory Factor Analysis (knowledge and self-efficacy are latent variables and the items are observed variables)
Mentions: Both the measurement model of the construct of knowledge with 12 items and the measurement model of the construct of self-efficacy with 11 items showed a good fit to the data. figure 1 shows the measurement modeling of the constructs of knowledge and self-efficacy. A good fit to the data was indicated by CFA. T-value between them was 7.73 and it was significant. Fit indices from confirmatory factor analysis were satisfactory as below: the root mean square error of approximation (RMSEA)=0.08, the relative Chi-Square statistic (x2/df)=1.33, Normed Fit Index(NFI)=0.89, Non-Normed Fit Index(NNFI)=0.93, Comparative Fit Index(CFI)=0.93, Incremental Fit Index(IFI)=0.93 and Root Mean Square Residual(RMR)=0.036.

Bottom Line: This study aims to explore the predictive value of interns' knowledge and self-efficacy in building effective relationship with patients and determine the causal relationship between interns' knowledge and self-efficacy about effective doctor-patient relationship.Knowledge and self-efficacy, together, explained 23 percent of the variance in interns' communicative behavior. 53 percent of the changes in interns' self-efficacy were attributed to the changes in interns' knowledge.Improving the interns' shared vision can increase the quality of their knowledge and instructional designs based on learning facts, and gaining insights about effective doctor-patient relationship can increase the interns' self-efficacy and consequently improve the interns' communication skills.

View Article: PubMed Central - PubMed

Affiliation: Medical Education Research Center, Tabriz University of Medical Sciences, Tabriz, Iran, Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

ABSTRACT

Background: After many years of teaching, both the efficiency and efficacy of communication skills programs are under question because patients' dissatisfaction with doctors' communication behavior is at the top of the complaint lists. It is assumed that finding the specific role of different determinants of doctors' communication behavior, instructional designers can plan more effective training programs. This study aims to explore the predictive value of interns' knowledge and self-efficacy in building effective relationship with patients and determine the causal relationship between interns' knowledge and self-efficacy about effective doctor-patient relationship.

Methods: In this cross-sectional study, PRECEDE model was applied and the analyzed content from semi-structured interviews with 7 interns and 14 faculty members was combined with the items from literature review. All the emerged items were categorized under eight constructs of social cognitive theory. The validity and reliability of the items of the research questionnaire were examined by 40 interns and an expert panel of 14 faculty members. The questionnaires were completed by 203 medical interns and confirmatory factor analysis (CFA) was done on the items. The data were analyzed by SPSS.21 and LISREL 8.80.

Results: CFA indicated a good fit to the data. Knowledge and self-efficacy, together, explained 23 percent of the variance in interns' communicative behavior. 53 percent of the changes in interns' self-efficacy were attributed to the changes in interns' knowledge.

Conclusion: Improving the interns' shared vision can increase the quality of their knowledge and instructional designs based on learning facts, and gaining insights about effective doctor-patient relationship can increase the interns' self-efficacy and consequently improve the interns' communication skills.

No MeSH data available.


Related in: MedlinePlus