跨专业共同决策:基于计划行为理论的行为意向评估工具

Q4 Social Sciences Strides in Development of Medical Education Pub Date : 2019-01-29 DOI:10.5812/SDME.65823
F. Keshmiri, Jamileh Salar
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引用次数: 1

摘要

目的:对基于计划行为理论的医护生跨专业共同决策行为意向测量工具进行心理测量评估,并对其进行评估。方法:本研究分为两个阶段进行。第一阶段,基于专家意见对跨专业共享决策(IP-SDM)工具的心理测量特性进行评估。在第二阶段,使用上述问卷评估参与者的行为意向。问卷由认知态度(2项)、情绪态度(2项)、主观规范(3项)、感知行为控制(3项)和使用跨专业共同决策意向(3项)五个领域组成。采用内容效度比(CVR)和内容效度指数(CVI)对问卷的内容效度进行定性和定量评价。采用Cronbach’s alpha系数和类间相关系数(ICC)来确定问卷的信度。第二阶段在SPSS软件中使用描述性统计(均值和标准差)和Pearson相关检验对数据进行分析。结果:根据专家意见,确定了问卷的定性和定量内容效度。基于Cronbach 's alpha系数,该工具的内部一致性为0.92,使用ICC计算该工具的可重复性为0.84。本研究的参与者有意参与跨专业的共同决策。结论:基于计划行为理论的跨专业共同决策行为意向测量工具在伊朗具有良好的效度和信度。针对参与者参与共享决策的行为意愿,建议在教育系统中为卫生团队成员提供合适的共享决策和团队合作平台。
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Interprofessional Shared Decision-Making: Assessment of Behavioral Intention Though a Tool Based on the Theory Planned Behavior
Objectives: The present study was conducted with the aim of psychometric evaluation of a tool measuring behavioral intention in relation to interprofessional shared decision-making based on the theory of planned behavior and its assessment among medical and nursing students. Methods: This descriptive study was carried out in two stages. In the first stage, the psychometric properties of the interprofessional shared decision-making (IP-SDM) tool were evaluated based on experts’ opinions. In the second stage, the participants’ behavioral intention was evaluated using the mentioned questionnaire. The questionnaire consisted of five domains of cognitive attitude (2 items), emotional attitude (2 items), subjective norms (3 items), perceived behavioral control (3 items), and intention to use interprofessional shared decision-making (3 items). Content validity of the questionnaire was evaluated qualitatively and quantitatively (using the content validity ratio (CVR) and content validity index (CVI)). Cronbach’s alpha coefficient and interclass correlation coefficient (ICC) were used to determine the reliability of the questionnaire. In the second stage, the data were analyzed using descriptive statistics (mean and standard deviation) and Pearson’s correlation test in SPSS software. Results: Qualitative and quantitative content validity of the questionnaire was confirmed based on experts’ opinions. The internal consistency of the tool, based on the Cronbach’s alpha coefficient, was 0.92, and the tool’s repeatability was calculated at 0.84 using ICC. Participants in the study intended to participate in interprofessional shared decision-making. Conclusions: The behavioral intention measurement tool in relation to interprofessional shared decision-making based on the theory of planned behavior has good validity and reliability in Iran. Regarding the participants’ behavioral intention to participate in shared decision-making, it is suggested that a suitable platform for shared decision-making and teamwork between health team members be provided in educational systems.
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