全科住培医师职业内驱力量表的编制及其信效度评价  

Development of an occupational internal driving force scale for general practitioners receiving residency training and assessment of its reliability and validity

作　　者：施丹丹[1] 徐仲卿[2,3] 密一恺 范晓彧 马骏 Shi Dandan;Xu Zhongqing;Mi Yikai;Fan Xiaoyu;Ma Jun(Department of Teaching,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China;Department of General Practice,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China;Center for Community Health Care,China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai 200336,China;Director's Office,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China)

机构地区：[1]上海交通大学医学院附属同仁医院教学科,上海200336 [2]上海交通大学医学院附属同仁医院全科医学科,上海200336 [3]上海交通大学中国医院发展研究院社区医疗研究所,上海200336 [4]上海交通大学医学院附属同仁医院院长办公室,上海200336

出　　处：《中华医学教育探索杂志》2023年第12期1811-1815,共5页Chinese Journal of Medical Education Research

基　　金：全国医学专业学位研究生教育指导委员会(B-YXGP2021-05-02)。

摘　　要：目的开发全科住培医师职业内驱力测量量表,并检验其信效度。方法结合职业内驱力和全科住培医师发展现状的文献分析和质性访谈结果,构建量表条目池。通过专家德尔菲咨询,形成初版量表。对403名全科住培医师进行问卷调查,检验量表的信效度。结果全科住培医师职业内驱力量表包括11个条目,划分为3个维度;量表的Cronbach’sα系数为0.945;各个维度的Cronbach’sα系数均在0.850以上,KMO系数为0.925。因子分析显示,所有条目的因子载荷均≥0.4,共同性均>0.2,保留11个条目。经因子分析抽取3个公因子进行相关分析提示:量表总分的各公因子之间相关系数大于0,且呈现出显著正相关(P<0.01)。根据各因子所含条目内容、理论研究和专家建议,分别将其命名为学科归属、发展期望、认同需求,分别含3个条目、3个条目和5个条目。结论该研究形成的全科住培医师职业内驱力量表结构合理,具有良好的信效度,适用于全科住培医师职业内驱力测评,为住培医师职业教育提供指引。Objective To develop an occupational internal driving force measurement scale for general practitioners receiving residency training,and to investigate its reliability and validity.Methods A pool of items was constructed for the scale based on the literature analysis and qualitative interview results of occupational internal driving force and the current development status of general practitioners,and then expert Delphi consultation was conducted to form the initial version of the scale.A questionnaire survey was conducted among 403 general practitioners to test the reliability and validity of the scale.Results There were 11 items in the occupational internal driving force scale for general practitioners receiving residency training,which were divided into three dimensions.The scale had a Cronbach'sαcoefficient of 0.945,and each dimension had a Cronbach'sαcoefficient of above 0.850;the KMO coefficient of the Bartlett's sphericity test was 0.925.The factor analysis showed that all items had a factor load of≥0.4 and a commonality of>0.2,and thus 11 items were retained.Three common factors were extracted by the factor analysis and the correlation analysis showed a correlation coefficient of>0 between the common factors of the total score of the scale and a significant positive correlation(P<0.01).Based on the contents,theoretical research,and expert suggestions of each factor,they were named subject affiliation,development expectations,and identification needs,which contained 3 items,3 items,and 5 items,respectively.Conclusions The occupational internal driving force scale for general practitioners receiving residency training has a reasonable structure and good reliability and validity and is suitable for evaluating the occupational internal driving force of general practitioners,which provides guidance for the vocational education of residents.

关 键 词：全科医师 职业内驱力 内驱力量表 

分 类 号：R19[医药卫生—卫生事业管理]