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学生对跨专业临床教育的认知的简短版修订版(SPICE-R3):验证性因子分析。

The short version of students' perceptions of interprofessional clinical education-revised (SPICE-R3): a confirmatory factor analysis.

机构信息

Bau Institute of Medical and Health Sciences Education, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

出版信息

J Interprof Care. 2022 Jan-Feb;36(1):135-143. doi: 10.1080/13561820.2021.1879751. Epub 2021 Apr 28.

Abstract

The Students' Perceptions of Physician-Pharmacist Interprofessional Clinical Education and its revision (SPICE, SPICE-R) were designed to understand medicine and pharmacy students' perceptions of interprofessional education and collaborative practice in managing complex health problems. The SPICE-R authors, however, suggested for additional items for subscales "roles and responsibilities for collaborative care" and "patient outcomes from collaborative practice". We added two items and introduced SPICE-R3 to differentiate it from the 10-item SPICE-R2 and to adapt the scale to a wider range of healthcare members. We administered the SPICE-R3 to healthcare students at the height of the COVID-19 outbreak in Hong Kong in February 2020. Using data from 225 students from Chinese medicine, medicine, nursing, and pharmacy, confirmatory factor analysis indicated nine items having acceptable item coefficients. Our data obtained a good fit to the three-factor, nine-item model suggesting construct validity. Results of the between-network analysis suggest that the three subscales of SPICE-R3 correlated systematically with other theoretically relevant variables in the nomological network suggesting convergent validity. The SPICE-R3 is a valid measure to examine Hong Kong healthcare students' interprofessional attitudes in online interprofessional education even during the pandemic. Implications and directions for future research are provided.

摘要

《医学生-药剂师跨专业临床教育及其修订版(SPICE、SPICE-R)》旨在了解医学生和药剂学生对管理复杂健康问题的跨专业教育和协作实践的看法。然而,SPICE-R 的作者建议在“协作护理的角色和责任”和“协作实践的患者结果”两个分量表中增加额外的项目。我们添加了两个项目,并引入了 SPICE-R3,以将其与 10 项的 SPICE-R2 区分开来,并使该量表适应更广泛的医疗保健成员。我们在 2020 年 2 月香港 COVID-19 爆发期间向中医药、医学、护理和药剂学的医疗保健学生发放了 SPICE-R3。对来自中医、医学、护理和药学的 225 名学生的数据进行验证性因素分析表明,有 9 个项目具有可接受的项目系数。我们的数据与三因素、九项模型拟合良好,表明具有结构效度。网络间分析的结果表明,SPICE-R3 的三个分量表与其他理论上相关的变量在网络中系统地相关,表明具有收敛效度。即使在大流行期间,SPICE-R3 也是一种有效的衡量香港医疗保健学生在线跨专业教育中跨专业态度的方法。提供了对未来研究的影响和方向。

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