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伊朗版医护人员人际沟通技巧量表的验证性因子分析。

A confirmatory factor analysis of the Iranian version of the interpersonal communication skills scale among healthcare professionals.

机构信息

Health Education & Promotion Department, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Master of Science in Health Education & Promotion, Ahvaz West Health Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

BMC Med Educ. 2023 Nov 20;23(1):885. doi: 10.1186/s12909-023-04878-x.

Abstract

BACKGROUND

Identifying healthcare professionals' (HCPs) communication skills is crucial to improving patient outcomes. Iranian HCPs' interpersonal communication skills (ICS) were validated using a culturally appropriate and indigenous scale.

MATERIALS AND METHODS

In November and December 2021, convenience sampling was used to collect data from 170 HCPs. Seven factors were covered by the questionnaire, which consisted of 30 items. In order to validate the scale, first- and second-order confirmatory factor analyses (CFA) were performed. Various indices were used during the CFA, including Goodness of Fit Index (GFI), Adjusted Goodness of Fit (AGFI), Comparative Fit Index (CFI), Normed Fit Index (NFI), Standardized Root Mean Square Residual (SRMR), and Root Mean Square Error of Approximation (RMSEA). The Fornell-Larcker Criterion was used to assess discriminant validity. We analyzed the data in Lisrel 8.8 and SmartPLS 3.2.8.

RESULTS

According to the Q2-index obtained from the blindfold test, the model had 44% predictive power. First-order CFA results showed acceptable indices (χ2 = 767.17; DF = 375; CFI = 0.98; GFI = 0.82; AGFI = 0.80; NFI = 0.97; SRMR = 0.22; RMSEA = 0.068). Furthermore, the second-order measurement model demonstrated adequate and desirable fit indices (χ2 = 797.24; DF = 381; CFI = 0.98; GFI = 0.82; AGFI = 0.78; NFI = 0.97; SRMR = 0.059; RMSEA = 0.068). General and listening skills were ranked highest in the importance-performance map analysis (IPMA).

CONCLUSION

HCPs could benefit from this scale as it can assist them in developing ICS. It is recommended that skills training programs be replicated among different populations to evaluate their effectiveness.

摘要

背景

识别医疗保健专业人员(HCP)的沟通技巧对于改善患者结局至关重要。伊朗 HCP 的人际沟通技巧(ICS)使用文化上适宜和本土的量表进行了验证。

材料和方法

2021 年 11 月至 12 月,采用便利抽样法从 170 名 HCP 中收集数据。问卷涵盖了七个因素,共 30 个项目。为了验证量表,进行了一阶和二阶验证性因素分析(CFA)。在 CFA 中使用了各种指标,包括拟合优度指数(GFI)、调整拟合优度指数(AGFI)、比较拟合指数(CFI)、归一化拟合指数(NFI)、标准化均方根残差(SRMR)和近似均方根误差(RMSEA)。Fornell-Larcker 准则用于评估判别有效性。我们在 Lisrel 8.8 和 SmartPLS 3.2.8 中分析数据。

结果

根据盲测获得的 Q2 指数,该模型具有 44%的预测能力。一阶 CFA 结果显示出可接受的指标(χ2=767.17;DF=375;CFI=0.98;GFI=0.82;AGFI=0.80;NFI=0.97;SRMR=0.22;RMSEA=0.068)。此外,二阶测量模型显示出适当和理想的拟合指标(χ2=797.24;DF=381;CFI=0.98;GFI=0.82;AGFI=0.78;NFI=0.97;SRMR=0.059;RMSEA=0.068)。在重要性绩效图分析(IPMA)中,一般技能和倾听技能的重要性和绩效得分最高。

结论

该量表可帮助 HCP 提高人际沟通技巧,他们可以从中受益。建议在不同人群中复制技能培训计划,以评估其效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3342/10662566/ece16e70701a/12909_2023_4878_Fig1_HTML.jpg

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