Department of Pediatrics, University of California Davis, Sacramento, 95817, USA.
Adv Health Sci Educ Theory Pract. 2011 Dec;16(5):579-90. doi: 10.1007/s10459-011-9274-7. Epub 2011 Jan 25.
Self-efficacy is thought to be important for resuscitation proficiency in that it influences the development of and access to the associated medical knowledge, procedural skills and crisis resource management (CRM) skills. Since performance assessment of CRM skills is challenging, self-efficacy is often used as a measure of competence in this area. While self-efficacy may influence performance, the true relationship between self-efficacy and performance in this setting has not been delineated. We developed an instrument to measure pediatric residents' self-efficacy in CRM skills and assessed its content validity, internal structure, and relationship to other variables. After administering the instrument to 125 pediatric residents, critical care fellows and faculty, we performed an exploratory factor analysis within a confirmatory factor analysis as well as a known group comparison. The analyses specified four factors that we defined as: situation awareness, team management, environment management, and decision making. Pediatric residents reported lower self-efficacy than fellows and faculty in each factor. We also examined the correlation between self-efficacy and performance scores for a subset of 30 residents who led video recorded simulated resuscitations and had their performances rated by three observers. We found a significant, positive correlation between residents' self-efficacy in situation awareness and environment management and their overall performance of CRM skills. Our findings suggest that in a specific context, self-efficacy as a form of self-assessment may be informative with regards to performance.
自我效能感被认为对复苏技能的熟练程度很重要，因为它影响相关医学知识、程序技能和危机资源管理（CRM）技能的发展和获取。由于对 CRM 技能的绩效评估具有挑战性，因此自我效能感通常被用作该领域能力的衡量标准。虽然自我效能感可能会影响绩效，但在这种情况下，自我效能感与绩效之间的真实关系尚未确定。我们开发了一种衡量儿科住院医师在 CRM 技能中的自我效能感的工具，并评估了其内容效度、内部结构以及与其他变量的关系。在向 125 名儿科住院医师、重症监护研究员和教员施测该工具后，我们在验证性因素分析中进行了探索性因素分析和已知组比较。分析指定了四个我们定义为：情境意识、团队管理、环境管理和决策制定的因素。儿科住院医师在每个因素中的自我效能感都低于研究员和教员。我们还检查了 30 名住院医师的自我效能感和表现评分之间的相关性，这 30 名住院医师领导了录像模拟复苏，他们的表现由三位观察者进行了评分。我们发现，住院医师在情境意识和环境管理方面的自我效能感与其 CRM 技能的整体表现之间存在显著的正相关关系。我们的研究结果表明，在特定背景下，自我评估形式的自我效能感可能与绩效有关。
