Department of Anaesthesia and Perioperative Medicine, North Shore Hospital, 124 Shakespeare Road, Takapuna, Auckland, 0620, New Zealand.
Institute for Innovation and Improvement, Waitemata District Health Board, Auckland, New Zealand.
Can J Anaesth. 2018 Nov;65(11):1228-1239. doi: 10.1007/s12630-018-1185-0. Epub 2018 Jul 10.
We aimed to develop a contemporary measure for anesthesia teaching and learning in the operating theatre that was applicable to a variety of training jurisdictions, the Measure for the Anaesthesia Theatre Educational Environment (MATE).
A systematic review of the literature and modified Delphi approach was used to identify items for content validity. Reliability and exploratory factor analyses were conducted after a pilot survey of trainees to show construct validity, with removal of redundant items. Item domains were identified through a global assessment of factor structure accuracy and relation to real-world constructs.
Literature review generated an initial 73-item list. A modified Delphi approach with 24 experts identified 44 relevant items. The pilot survey generated 390 responses. Reliability analysis, exploratory factor analysis, and global assessment refined the measure to 33 items. Four domains were identified according to factor structure: teaching preparation and practice, assessment and feedback, procedures and responsibility, and overall atmosphere. The educational environment was rated by trainees at 74.6 ± 15.6% with excellent internal consistency (Cronbach's α = 0.975).
The MATE survey tool generated valid and reliable scores when measuring the educational environment in the operating theatre. Further research is required to investigate possible differences between the training countries and age of junior doctors and the associated underlying factors. Other researchers are invited to administer the survey and share results within a central database.
我们旨在开发一种适用于各种培训司法管辖区的手术室麻醉教学当代衡量标准，即麻醉手术室教育环境衡量标准（MATE）。
采用系统文献回顾和改良 Delphi 方法确定内容效度的项目。在对学员进行试点调查后，进行可靠性和探索性因素分析，以显示构建效度，并删除冗余项目。通过对因子结构准确性和与现实结构的关系进行全面评估，确定项目领域。
文献综述产生了最初的 73 个项目列表。24 名专家的改良 Delphi 方法确定了 44 个相关项目。试点调查产生了 390 个回复。可靠性分析、探索性因素分析和全面评估将该衡量标准精炼至 33 个项目。根据因子结构确定了四个领域：教学准备和实践、评估和反馈、程序和责任以及整体氛围。学员对教育环境的评价为 74.6±15.6%，具有极好的内部一致性（Cronbach's α=0.975）。
当在手术室测量教育环境时，MATE 调查工具可产生有效且可靠的分数。需要进一步研究以调查培训国家和初级医生年龄之间可能存在的差异以及相关的潜在因素。邀请其他研究人员进行调查，并在中央数据库中共享结果。
