Reinders Jan J, Lycklama À Nijeholt Merlijn, Van Der Schans Cees P, Krijnen Wim P
Department of Behavioral and Community Dentistry, Center for Dentistry and Dental Hygiene, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Research Healthy Ageing Allied Health Care and Nursing, Hanze University of Applied Sciences Groningen, Groningen, The Netherlands.
J Interprof Care. 2020 Feb 3:1-13. doi: 10.1080/13561820.2020.1713064.
The purpose of this study was to develop and evaluate an interprofessional identity measurement instrument based on Extended Professional Identity Theory (EPIT). The latter states that interprofessional identity is a social identity superordinate to a professional identity consisting of three interrelated interprofessional identity characteristics: belonging, commitment and beliefs. Scale development was based on five stages: 1) construct clarification, 2) item pool generation, 3) review of initial item pool, 4) shortening scale length (EFA to determine top four highest factor loadings per subscale; 97 dental and dental hygiene students), and 5) cross-validation and construct validity confirmation (CFA; 152 students and 48 teachers from six curricula). Explained variance of the EPIS was 65%. Internal consistency of the subscales was 0.79, 0.81 and 0.80 respectively and 0.89 of the overall scale. CFA confirmed three-dimensionality as theorized by EPIT. Several goodness-of-fit indexes showed positive results: CFI = 0.968 > 0.90, RMSEA = 0.039 < 0.05, and SRMR = 0.056 ≤ 0.08. The factor loadings of the CFA ranged from 0.58 to 0.80 and factors were interrelated. The Extended Professional Identity Scale (EPIS) is a 12-item measurement instrument with high explained variance, high internal consistency and high construct validity with strong evidence for three-dimensionality.
本研究的目的是基于扩展职业认同理论(EPIT)开发并评估一种跨专业认同测量工具。该理论指出,跨专业认同是一种社会认同,它高于由三个相互关联的跨专业认同特征组成的职业认同,这三个特征分别是归属感、承诺和信念。量表开发基于五个阶段:1)构建澄清;2)项目池生成;3)初始项目池审查;4)缩短量表长度(进行探索性因素分析以确定每个子量表中最高的四个因素负荷;97名牙科和口腔卫生专业学生参与);5)交叉验证和结构效度确认(验证性因素分析;来自六个课程的152名学生和48名教师参与)。扩展职业认同量表(EPIS)的解释变异为65%。各子量表的内部一致性分别为0.79、0.81和0.80,总量表的内部一致性为0.89。验证性因素分析证实了EPIT理论所提出的三维性。几个拟合优度指标显示出积极的结果:比较拟合指数(CFI)=0.968>0.90,近似误差均方根(RMSEA)=0.039<0.05,标准化残差均方根(SRMR)=0.056≤0.08。验证性因素分析的因素负荷范围为0.58至0.80,且各因素相互关联。扩展职业认同量表(EPIS)是一个包含12个条目的测量工具,具有高解释变异、高内部一致性和高结构效度,并有强有力的证据支持其三维性。