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荷兰住院医师教育环境测试:西班牙语版本的结构效度和同时效度验证

The Dutch residency educational climate test: construct and concurrent validation in Spanish language.

作者信息

Dominguez Luis Carlos, Silkens Milou, Sanabria Alvaro

机构信息

Department of Surgery, University of La Sabana, Bogotá, Colombia.

Professional Performance and Compassionate Care research group, Department of Medical Psychology, Amsterdam UMC, Amsterdam, the Netherlands.

出版信息

Int J Med Educ. 2019 Jul 29;10:138-148. doi: 10.5116/ijme.5d0c.bff7.

Abstract

OBJECTIVES

To translate the 35-item version of the Dutch Residency Educational Climate Test (D-RECT), and assess its reliability, construct validity and concurrent validity in the Spanish language.

METHODS

For this validation study, the D-RECT was translated using international recommendations. A total of 220 paper-based resident evaluations covering two Colombian universities were cross-sectionally collected in 2015. A Confirmatory Factor Analysis (CFA) was used to assess the internal validity of the instrument using the Comparative fit index (CFI), Tucker-Lewis index (TLI), Standardized root mean square residual (SRMSR), and Root mean square error of approximation (RMSA). Cronbach's α was used to assess reliability. The concurrent validity was investigated through Pearson correlations with the Spanish version of the Postgraduate Hospital Educational Environment Measure (PHEEM).

RESULTS

The original 9-factor structure showed an appropriate fit for the Spanish version of the instrument (CFI = 0.84, TLI = 0.82, SRMSR = 0.06, and RMSA = 0.06). The reliability coefficients were satisfactory (>0.70). The mean total scores of the D-RECT and the PHEEM showed a significant correlation (r = 0.7, p<0.01).

CONCLUSIONS

This study confirms the validity and reliability of the Spanish version of the Dutch Residency Educational Climate Test, indicating that the instrument is suitable for the evaluation of departments' learning climate in the Spanish context. Future research is needed to confirm these findings in other Spanish speaking countries.

摘要

目的

翻译荷兰住院医师教育氛围测试(D - RECT)的35项版本,并评估其西班牙语版本的信度、结构效度和同时效度。

方法

在这项效度验证研究中,D - RECT依据国际建议进行翻译。2015年,横断面收集了来自两所哥伦比亚大学的220份纸质住院医师评估。采用验证性因素分析(CFA),使用比较拟合指数(CFI)、塔克 - 刘易斯指数(TLI)、标准化均方根残差(SRMSR)和近似均方根误差(RMSA)来评估该工具的内部效度。使用克朗巴哈α系数评估信度。通过与西班牙语版研究生医院教育环境量表(PHEEM)的皮尔逊相关性来研究同时效度。

结果

最初的九因素结构对该工具的西班牙语版本显示出适当的拟合度(CFI = 0.84,TLI = 0.82,SRMSR = 0.06,RMSA = 0.06)。信度系数令人满意(>0.70)。D - RECT和PHEEM的平均总分显示出显著相关性(r = 0.7,p<0.01)。

结论

本研究证实了荷兰住院医师教育氛围测试西班牙语版本的效度和信度,表明该工具适用于评估西班牙语环境下各科室的学习氛围。需要进一步的研究在其他西班牙语国家证实这些发现。

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