目的 为了有效评价中国医师职业精神,引进美国宾州大学职业精神量表,并对其效度和信度进行评价。方法 2016年 11月~2019年2月,通过翻译、回译以及专家咨询,确定中文版美国宾州大学职业精神量表的条目。采用分层抽样方法和整群抽样方法,分别抽取390名和4 100 名综合性三级甲等医院医师进行2轮职业精神态度问卷调查,在第一轮调查中应用验证性因子分析考察量表的结构效度,并对量表进行修订;在第二轮调查中应用验证性因子分析和内部--致性检验对调整后的量表进行信度和效度的评价。结果 在第一轮调查中,验证性因子分析结果表明,数据模型拟合结果不满足可接受的标准,这说明美国宾州大学职业精神量表结构不适用于中国综合性三级甲等医院医师人群,对其进行修改后形成27个条目量表。第二轮调查对修改后的27个条目量表进行验证性因子分析,x2=3 360. 15,df= 309,GFI=0.94,AGFI=0.93,PGFI=0.77,NFI=0. 96,CFI= 0.96,RMSEA=0.05,量表拟合良好。经过一致性检验,第二轮调查中所有维度的克朗巴赫系数均高于0.80,总量表克朗巴赫系数为0.97。结论 27个条目的 中文版美国宾州大学职业精神量表具有良好的信度和效度,可以作为中国综合性三级甲等医院医师职业精神的有效评价工具。
Objective To introduce the Penn State College of Medicine (PSCOM ) Professionalism Questionnaire,and evalueted its reliability and validity.Methods The Chinese version of the PSCOM Professionalism Questionnaire was determined after the translation,retro-translation and expert consultation From November in 2016 to February in 2019.Using stratifed sampling ethod and cluster sampling method,390 and 4 100 general tertiary hospital physicians were selected to complete the questionnaire in two rounds of survey respectively.In the first round of mall sampling survey,confirmatory factor analysis (CFA) was applied to test the structure validity of the original scale,and the scale was revised.In the second round of a large sampling urvey,CFA and internal consistency analysis were used to test the validity and reliability of the modified scale.Results In the small sampling survey,the results of CFA showed that the model failed to meet the acceptable ftting criteria,which indicated that the primitive structure of PSCOM Professionalism Questionnaire was not suitable for Chinese general tertiary hospital physicians,thus leading to a revised 27-item professionalism scale formation.In the large sampling survey,the construct validity of the modifed 27-item questionnaire was confirmned by a good model fit inCFA (x2=3360.15,df=309,P<0.01,GFI=0.94,AGFI=0.93,PGFI=0.77,NFI=0.96,CFI=0.96,RMSEA=0.05).The Cronbach's a coefficient of all dimensions were higher than 0.80,and the Cronbach's a coefficient for the overall scale was 0.97.Conclusions The 27-item Chinese version of PSCOM Professionalism Questionnaire scale has good reliability and validity,and can be used as an effective tool for the evaluation of physician ' s attitude towards professionalism.
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