{"title":"土耳其版专业履行指数的验证。","authors":"Merve Eksioglu, Ayca Koca, Burcu Azapoglu Kaymak, Tuba Cimilli Ozturk, Atilla Halil Elhan","doi":"10.5811/westjem.21199","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Clinician burnout represents a significant occupational hazard among physicians, with a notably high prevalence among emergency physicians. The Stanford Professional Fulfillment Index (PFI) was developed to comprehensively assess various aspects of doctors' work experiences, including professional fulfillment. In this study we aimed to validate the Turkish version of the PFI (T-PFI), a 16-item instrument designed to measure physicians' professional fulfillment and burnout.</p><p><strong>Methods: </strong>In this cross-sectional study, we validated the T-PFI in two phases. The initial phase involved translating and culturally adapting the original PFI into Turkish. We evaluated the content validity of the translated version using item and scale content validity indices (I-CVI and S-CVI, respectively). The validated T-PFI was then distributed among a broad cohort of emergency physicians via an online survey to further assess its reliability and validity. The assessment tools included Cronbach α, confirmatory factor analysis, and content validity indices.</p><p><strong>Results: </strong>Of 1,434 physicians who were sent the survey, 425 fully completed it (29.6%). There was an almost equal distribution of 215 females and 210 males. Only 9.6% of the participants reported high levels of professional fulfillment, whereas a significant majority (79.1%) were susceptible to burnout. The Cronbach α values for the professional fulfillment and overall burnout scales were 0.87 and 0.90, respectively. The content validity was confirmed by I-CVI values exceeding 0.80 and an S-CVI/average relevance of 0.92. The confirmatory factor analysis demonstrated an acceptable model fit after adjustments.</p><p><strong>Conclusion: </strong>The T-PFI is a reliable and valid tool for assessing professional fulfillment and burnout among emergency physicians in Turkey. Effective interventions to mitigate burnout are essential to improve physician well-being in Turkish healthcare settings.</p>","PeriodicalId":23682,"journal":{"name":"Western Journal of Emergency Medicine","volume":"25 6","pages":"958-965"},"PeriodicalIF":1.8000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610730/pdf/","citationCount":"0","resultStr":"{\"title\":\"Validation of the Turkish Version of the Professional Fulfillment Index.\",\"authors\":\"Merve Eksioglu, Ayca Koca, Burcu Azapoglu Kaymak, Tuba Cimilli Ozturk, Atilla Halil Elhan\",\"doi\":\"10.5811/westjem.21199\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Clinician burnout represents a significant occupational hazard among physicians, with a notably high prevalence among emergency physicians. 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The assessment tools included Cronbach α, confirmatory factor analysis, and content validity indices.</p><p><strong>Results: </strong>Of 1,434 physicians who were sent the survey, 425 fully completed it (29.6%). There was an almost equal distribution of 215 females and 210 males. Only 9.6% of the participants reported high levels of professional fulfillment, whereas a significant majority (79.1%) were susceptible to burnout. The Cronbach α values for the professional fulfillment and overall burnout scales were 0.87 and 0.90, respectively. The content validity was confirmed by I-CVI values exceeding 0.80 and an S-CVI/average relevance of 0.92. The confirmatory factor analysis demonstrated an acceptable model fit after adjustments.</p><p><strong>Conclusion: </strong>The T-PFI is a reliable and valid tool for assessing professional fulfillment and burnout among emergency physicians in Turkey. 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引用次数: 0
摘要
临床医生职业倦怠是医生中一个重要的职业危害,在急诊医生中发病率尤其高。斯坦福职业实现指数(Stanford Professional Fulfillment Index, PFI)是为了综合评估医生工作经历的各个方面,包括职业实现。在本研究中,我们旨在验证土耳其版的PFI (T-PFI),这是一个16个项目的工具,旨在测量医生的职业成就感和职业倦怠。方法:在横断面研究中,我们分两个阶段验证了T-PFI。最初的阶段包括将原始的PFI翻译并在文化上改编成土耳其语。我们使用项目和量表内容效度指数(分别为I-CVI和S-CVI)来评估翻译版本的内容效度。然后通过在线调查将经过验证的T-PFI分发给大量急诊医生,以进一步评估其信度和效度。评估工具包括Cronbach α、验证性因子分析和内容效度指标。结果:在接受调查的1434名医生中,425名(29.6%)完全完成了调查。215名女性和210名男性的分布几乎相等。只有9.6%的参与者报告了高水平的职业成就感,而绝大多数(79.1%)容易倦怠。职业满足和职业倦怠量表的Cronbach α值分别为0.87和0.90。I-CVI值超过0.80,S-CVI/平均相关性为0.92,证实了内容效度。验证性因子分析表明,调整后的模型拟合是可接受的。结论:T-PFI是评估土耳其急诊医生职业成就感和职业倦怠的可靠和有效的工具。有效的干预措施,以减轻倦怠是必不可少的,以提高医生的福祉在土耳其医疗保健设置。
Validation of the Turkish Version of the Professional Fulfillment Index.
Introduction: Clinician burnout represents a significant occupational hazard among physicians, with a notably high prevalence among emergency physicians. The Stanford Professional Fulfillment Index (PFI) was developed to comprehensively assess various aspects of doctors' work experiences, including professional fulfillment. In this study we aimed to validate the Turkish version of the PFI (T-PFI), a 16-item instrument designed to measure physicians' professional fulfillment and burnout.
Methods: In this cross-sectional study, we validated the T-PFI in two phases. The initial phase involved translating and culturally adapting the original PFI into Turkish. We evaluated the content validity of the translated version using item and scale content validity indices (I-CVI and S-CVI, respectively). The validated T-PFI was then distributed among a broad cohort of emergency physicians via an online survey to further assess its reliability and validity. The assessment tools included Cronbach α, confirmatory factor analysis, and content validity indices.
Results: Of 1,434 physicians who were sent the survey, 425 fully completed it (29.6%). There was an almost equal distribution of 215 females and 210 males. Only 9.6% of the participants reported high levels of professional fulfillment, whereas a significant majority (79.1%) were susceptible to burnout. The Cronbach α values for the professional fulfillment and overall burnout scales were 0.87 and 0.90, respectively. The content validity was confirmed by I-CVI values exceeding 0.80 and an S-CVI/average relevance of 0.92. The confirmatory factor analysis demonstrated an acceptable model fit after adjustments.
Conclusion: The T-PFI is a reliable and valid tool for assessing professional fulfillment and burnout among emergency physicians in Turkey. Effective interventions to mitigate burnout are essential to improve physician well-being in Turkish healthcare settings.
期刊介绍:
WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments.