Liao Hung-Chang, Huang Cheng-Yi, Wang Ya-Huei
Department of Health Policy and Management, Chung Shan Medical University, Taichung, Taiwan.
Department of Medical Management, Chung Shan Medical University Hospital, Taichung, Taiwan.
J Multidiscip Healthc. 2021 Nov 19;14:3213-3223. doi: 10.2147/JMDH.S334471. eCollection 2021.
This study aimed to develop an appropriate scale accessing healthcare students' and providers' humanistic professional awareness (HPAS-HSP).
Following a literature review, stakeholder interviews, and panel discussions for item generation, 65 items for the HPAS-HSP scale were created based on a nine-point Likert scale, with 9 indicating "strongly agree" and 1 indicating "strongly disagree." A pilot study using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), with seven hundred twenty-five medical care students and providers in Taiwan as the total sample number of the study, was administered to examine the practicability of the HPAS-HSP scale. The statistics software SPSS and AMOS 24.0 were used to examine the psychometric properties of the scale, including internal consistency, convergent validities, discriminant validities, and exploratory and confirmatory factor analysis.
The EFA resulted in 21 items in three factors, with 66.221% of the total variance explained: "personal integrity and accountability" (9 items; 51.763% of the variance explained), "sensitivity to others" (6 items; 8.667% of the variance explained), and "medical professional competence" (6 items; 5.791% of the variance explained). The Cronbach's alphas for the three subscales and the entire questionnaire ranged from 0.892 to 0.949. The CFA results yielded 20 items, with the same three factors, and demonstrated good model fit in the /df ratio (1.130; = 0.140), CFI (0.998), TFI (0.998), and RMSEA (0.013). The composite alphas ranged between 0.900 and 0.969. Convergent and discriminant validity also confirmed the stability and consistency of the scale.
The statistical results demonstrated that the HPAS-HSP scale can be a measure to assess healthcare students' and providers' humanistic professional awareness.
本研究旨在开发一种合适的量表,以评估医学生和医疗服务提供者的人文专业意识(HPAS-HSP)。
在进行文献综述、利益相关者访谈和小组讨论以生成项目后,基于九点李克特量表创建了65个HPAS-HSP量表项目,9表示“强烈同意”,1表示“强烈不同意”。以台湾地区725名医学生和医疗服务提供者为研究总样本数,进行了一项探索性因素分析(EFA)和验证性因素分析(CFA)的预试验,以检验HPAS-HSP量表的实用性。使用统计软件SPSS和AMOS 24.0检验量表的心理测量学特性,包括内部一致性、收敛效度、区分效度以及探索性和验证性因素分析。
探索性因素分析产生了21个项目,分为三个因素,解释了总方差的66.221%:“个人诚信与责任感”(9个项目;解释方差的51.763%)、“对他人的敏感度”(6个项目;解释方差的8.667%)和“医学专业能力”(6个项目;解释方差的5.791%)。三个子量表和整个问卷的克朗巴哈系数在0.892至0.949之间。验证性因素分析结果产生了20个项目,具有相同的三个因素,并在/df比率(1.130;=0.140)、CFI(0.998)、TFI(0.998)和RMSEA(0.013)方面显示出良好的模型拟合度。综合系数在0.900至0.969之间。收敛效度和区分效度也证实了该量表的稳定性和一致性。
统计结果表明,HPAS-HSP量表可作为评估医学生和医疗服务提供者人文专业意识的一种测量工具。