Chang Gung Medical Education Research Centre, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Department of Emergency Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Camillian Saint Mary's Hospital Luodong, Yilan, Taiwan.
Biomed J. 2021 Aug;44(4):495-503. doi: 10.1016/j.bj.2020.04.009. Epub 2020 May 12.
Medical schools prepare undergraduates for clinical practice. Clinical competencies build up gradually and continuously. Existing literature suggests that new graduates are often unprepared for independent practice. This study aims to validate a Chinese version of a Preparedness for Hospital Practice Questionnaire (PHPQ) in a Taiwanese undergraduate cohort.
The original eight-domain English version PHPQ was translated into Chinese and back-translated for expert panel discussion. The eight domains encompass interpersonal skills, confidence, collaboration, management, science, prevention, holistic care, and self-directed learning. Reliability and validity were checked by Cronbach's alpha and by confirmatory factor analysis (CFA), respectively. Participants were divided into higher and lower preparedness groups according to PHPQ results, and compared by age, sex, professional identity, and perception of educational environment.
A total of 129 undergraduate medical students (55% males) participated in the study. The overall Cronbach's alpha was 0.94. Participants were found to be best prepared in the domain of disease prevention (M = 4.37, SD = 0.68) and least prepared in interpersonal skills (M = 2.68, SD = 0.77). A satisfactory goodness of fit data was yield from CFA with a CMIN/DF of 2.02. Higher levels of preparedness are associated with stronger professional identity (p < 0.001) and better perceived learning environment (p < 0.001).
The Chinese version of PHPQ showed good reliability and validity. Preparedness for practice was associated with how learners feel about themselves as doctors and how well they had integrated into medical teamwork.
医学院校为本科生做好临床实践的准备。临床能力逐步且持续地建立。现有文献表明,新毕业生通常对独立实践没有准备。本研究旨在验证台湾本科生群体中准备医院实践问卷(PHPQ)的中文版。
将原始的八个领域的英文 PHPQ 版本翻译成中文,并进行专家小组讨论的回译。这八个领域涵盖了人际交往能力、信心、协作、管理、科学、预防、整体护理和自我指导学习。通过 Cronbach's alpha 分别检查信度和验证性因素分析(CFA)检查效度。根据 PHPQ 结果将参与者分为准备程度较高和较低的两组,并根据 PHPQ 结果、年龄、性别、专业身份和对教育环境的看法进行比较。
共有 129 名本科医学生(55%为男性)参与了研究。总体 Cronbach's alpha 为 0.94。参与者在疾病预防领域的准备程度最高(M=4.37,SD=0.68),而在人际交往能力方面的准备程度最低(M=2.68,SD=0.77)。CFA 产生了令人满意的拟合优度数据,CMIN/DF 为 2.02。较高的准备程度与更强的专业身份(p<0.001)和更好的感知学习环境(p<0.001)相关。
中文版 PHPQ 表现出良好的信度和效度。实践准备与学习者对自己作为医生的感受以及他们与医疗团队融合的程度有关。