Butterfield P S, Mazzaferri E L, Sachs L A
Division of Research and Evaluation in Medical Education, Ohio State University College of Medicine, Columbus.
J Med Educ. 1987 Oct;62(10):842-9. doi: 10.1097/00001888-198710000-00008.
The reliability of a 13-item questionnaire designed to assess the humanistic behaviors of internal medicine residents and the reliability of nurses as raters of those behaviors were examined. Twenty-five residents were evaluated by 10 or 11 nurses on two general medicine services and on cardiology and hematology-oncology services in a large, highly specialized department of internal medicine. Using an application of generalizability theory, which extends beyond classical test theory to establish estimates of multiple-error sources, the investigators calculated reliability-like coefficients for each of the services. The coefficients were .95 and .85 for the two general medicine services, .67 for cardiology, and .88 for hematology-oncology. These findings indicate that the questionnaire is a reliable instrument for assessing humanistic behavior and identifying reliable raters in groups of nurses.
对一份旨在评估内科住院医师人文行为的13项问卷的可靠性以及护士作为这些行为评估者的可靠性进行了研究。在一个大型、高度专业化的内科科室中，25名住院医师在两个普通内科服务科室以及心脏病学和血液肿瘤学服务科室接受了10名或11名护士的评估。通过运用概化理论（该理论超越了经典测试理论，用于建立多个误差源的估计值），研究人员计算了每个服务科室类似可靠性的系数。两个普通内科服务科室的系数分别为0.95和0.85，心脏病学科室为0.67，血液肿瘤学科室为0.88。这些结果表明，该问卷是评估人文行为以及识别护士群体中可靠评估者的可靠工具。
