Błaszyk Marta A, Kroemeke Aleksandra
Department of Psychology in Wroclaw, SWPS University, Wroclaw, Poland.
Medical Simulation Centre, Wroclaw Medical University, Chalubinskiego 7A, 50-368, Wroclaw, Poland.
Sci Rep. 2024 Aug 8;14(1):18457. doi: 10.1038/s41598-024-69351-1.
Mutual trust is considered one of the critical aspects of building a successful doctor-patient relationship. Albeit patient trust in physicians has been widely explored by researchers, physician trust in patients remains neglected, which is reflected by the lack of existing tools to assess this construct. Therefore, we aimed to validate and adapt Thom's Physician's Trust in the Patient Scale (PTPS) in Polish. We conducted a survey-based study among 307 medical doctors. To determine the factor structure of the scale, both exploratory (EFA) and confirmatory factor analysis (CFA) were performed. The two-factor solution was established for the scale in accordance with the original version. To determine the internal reliability and consistency of the scale, we measured Cronbach's alpha, corrected-item total correlation, and discrimination indices-all of them obtained very good or excellent values. Estimates of convergent and discriminant validity reached all suggested thresholds. The scale also performed well in theoretical validity. Together, these findings suggest that the psychometric properties of the Polish adaptation and validation of PTPS are satisfactory and that the tool can find practical and scientific applications. We believe that the scale can substantially add to our understanding of building trust-based relationships and rapport between patients and physicians.
相互信任被认为是建立成功医患关系的关键因素之一。尽管研究人员对患者对医生的信任进行了广泛探讨,但医生对患者的信任仍被忽视,这体现在缺乏评估这一概念的现有工具上。因此,我们旨在对汤姆的《医生对患者信任量表》(PTPS)进行波兰语的验证和改编。我们对307名医生进行了一项基于调查的研究。为了确定量表的因素结构,我们进行了探索性因素分析(EFA)和验证性因素分析(CFA)。根据原始版本,该量表确定了双因素解决方案。为了确定量表的内部信度和一致性,我们测量了克朗巴哈系数、校正项与总分相关性以及区分指数——所有这些指标都获得了非常好或优秀的值。收敛效度和区分效度的估计达到了所有建议的阈值。该量表在理论效度方面也表现良好。总之,这些发现表明,波兰语版PTPS的改编和验证的心理测量特性是令人满意的,该工具可以找到实际和科学应用。我们相信,该量表可以极大地增进我们对建立患者与医生之间基于信任的关系和融洽关系的理解。