Tasneem Shamila, Mahboob Usman, Baig Lubna Ansari, Khan Rehan Ahmad
Shamila Tasneem, MBBS, FCPS, CMT, MME. Senior Registrar, Department of Obstetrics & Gynecology, Allama Iqbal Medical College, Lahore. University of Lahore, Pakistan.
Usman Mahboob, MBBS, MPH, DHPE (UK), FHEA (UK). Fellow FAIMER (USA), Professor, Institute of Health Professions, Education & Research, Khyber Medical University, Peshawar, Pakistan.
Pak J Med Sci. 2025 Mar;41(3):827-831. doi: 10.12669/pjms.41.3.10906.
To contextualize the Conscientiousness Index and determine the relationship between burnout and the Conscientiousness Index as a measure of professionalism in postgraduate students.
This mixed-method study was done in two phases in Lahore from September 2023 to July 2024. The first phase involved contextualization of the Conscientiousness Index (CI) tool. A literature review, feedback from consultants and staff, identification of data sources, expert validation, and cognitive pretesting were conducted to contextualize the CI tool. In the second phase, a correlational study was done by collecting data using a purposive sampling technique (n=134). The CI scores were calculated from administrative records and clinical staff input. Burnout levels were assessed using the Maslach Burnout Inventory, which has three main constructs: Emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Burnout and CI scores were compiled and analyzed using SPSS v26.0. The t-test, one-way ANOVA, Chi-square test, and Pearson's correlation were used for data analysis.
A six-item CI scale was contextualized with S-CVI (0.89) and CVR >0.62. Mild burnout was found in 63 (47%) participants, while 71 (53%) exhibited moderate-to-severe burnout. The overall mean CI score was 42.1 ± 5.96 (total score: 50). No significant association was found between burnout and CI scores. However, a moderate negative correlation was observed between EE and CI scores (r=-0.69), and a weak positive correlation (0.19) was found between PA and CI scores, which was statistically significant (p = 0.02).
The CI tool had good validity in the local context. There was a high prevalence of burnout among postgraduate students. No statistically significant association was found between burnout severity and CI scores. However, a weak correlation was found between burnout domains and CI scores. Further research is required to understand this weak correlation and validation of CI tool in different settings.
将尽责性指数置于具体情境中,并确定倦怠与尽责性指数之间的关系,以此作为研究生专业素养的一项衡量指标。
这项混合方法研究于2023年9月至2024年7月在拉合尔分两个阶段进行。第一阶段涉及尽责性指数(CI)工具的情境化。通过文献综述、顾问和工作人员的反馈、数据源的确定、专家验证以及认知预测试来对CI工具进行情境化。在第二阶段,采用目的抽样技术(n = 134)收集数据进行相关性研究。CI分数根据行政记录和临床工作人员的输入进行计算。使用马氏倦怠量表评估倦怠水平,该量表有三个主要构成部分:情感耗竭(EE)、去个性化(DP)和个人成就感(PA)。使用SPSS v26.0对倦怠和CI分数进行汇总和分析。采用t检验、单因素方差分析、卡方检验和皮尔逊相关性分析进行数据分析。
一个六项CI量表经S-CVI(0.89)和CVR>0.62进行情境化。63名(47%)参与者存在轻度倦怠,而71名(53%)表现为中度至重度倦怠。CI总分的总体均值为42.1±5.96(总分:50)。未发现倦怠与CI分数之间存在显著关联。然而,观察到EE与CI分数之间存在中度负相关(r = -0.69),PA与CI分数之间存在弱正相关(0.19),具有统计学意义(p = 0.02)。
CI工具在当地背景下具有良好的效度。研究生中倦怠的患病率较高。未发现倦怠严重程度与CI分数之间存在统计学上的显著关联。然而,在倦怠领域与CI分数之间发现了弱相关性。需要进一步研究以了解这种弱相关性以及CI工具在不同环境中的效度验证。