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

Shi Dandan; Xu Zhongqing; Mi Yikai; Fan Xiaoyu; Ma Jun

doi:10.3760/cma.j.cn116021-20230913-01524

您当前的位置：

首页 >

文章列表页 >

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

Teaching Reform Special Column of Shanghai Jiao Tong University School of Medicine | 更新时间：2023-12-26

- Development of an occupational internal driving force scale for general practitioners receiving residency training and assessment of its reliability and validity
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1811-1815(2023)
- 作者机构：
  
  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
- 作者简介：
  
  Ma Jun, Email: majun@shtrhospital.com
- 基金信息：
  
  National Medical Professional Degree Graduate Education Steering Committee(B-YXGP2021-05-02)
- DOI：10.3760/cma.j.cn116021-20230913-01524
  CLC： R19
- Published：20 December 2023，
  
  Received：13 September 2023，
扫描看全文
施丹丹, 徐仲卿, 密一恺, 等. 全科住培医师职业内驱力量表的编制及其信效度评价[J]. 中华医学教育探索杂志, 2023, 22(12): 1811-1815.

Shi Dandan, Xu Zhongqing, Mi Yikai, et al. Development of an occupational internal driving force scale for general practitioners receiving residency training and assessment of its reliability and validity. [J]. Chinese Journal of Medical Education Research 22(12):1811-1815(2023)
施丹丹, 徐仲卿, 密一恺, 等. 全科住培医师职业内驱力量表的编制及其信效度评价[J]. 中华医学教育探索杂志, 2023, 22(12): 1811-1815. DOI： 10.3760/cma.j.cn116021-20230913-01524.

Shi Dandan, Xu Zhongqing, Mi Yikai, et al. Development of an occupational internal driving force scale for general practitioners receiving residency training and assessment of its reliability and validity. [J]. Chinese Journal of Medical Education Research 22(12):1811-1815(2023) DOI： 10.3760/cma.j.cn116021-20230913-01524.

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’s

系数为0.945；各个维度的Cronbach’s

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（

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。

Abstract

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's

coefficient of 0.945

and each dimension had a Cronbach's

coefficient 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 (

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

Keywords

General practitionerOccupational internal driving forceInternal driving force scale

references

姜岳，邱模炎，冯传有，等. 基层中医医师在新型冠状病毒肺炎疫情防控中的作用[J]. 慢性病学杂志， 2021， 22（10）： 1494-1497， 1506. DOI: 10.16440/j.cnki.1674-8166.2021.10.08http://dx.doi.org/10.16440/j.cnki.1674-8166.2021.10.08.

全小庆，周海蓉，高伟良，等. 基层医疗集团体系中全科医生在新型冠状病毒肺炎疫情社区防控中的实践[J]. 现代医院， 2021， 21（6）： 933-935. DOI: 10.3969/j.issn.1671-332X.2021.06.037http://dx.doi.org/10.3969/j.issn.1671-332X.2021.06.037.

段红艳，徐成阳，李明艳，等. 从突发公共卫生事件的应对看全科医学科的职责和定位[J]. 中华全科医学， 2021， 19（5）： 705-708. DOI: 10.16766/j.cnki.issn.1674-4152.001898http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.001898.

陶薇. 老年人学习内驱力来源及赋能：基于奥苏贝尔成就动机内驱力理论视角[J]. 中国成人教育， 2022（8）： 12-15. DOI: 10.3969/j.issn.1004-6577.2022.08.003http://dx.doi.org/10.3969/j.issn.1004-6577.2022.08.003.

张紫毓. 大学生在线学习力量表编制及应用研究[D]. 大连：辽宁师范大学， 2021.

冯华，刘晓丽，林玲旭，等. 四川省6家三级医院ICU医务人员内驱力、工作家庭冲突与职业认同的研究[J]. 职业与健康， 2022， 38（10）： 1337-1341. DOI: 10.13329/j.cnki.zyyjk.2022.0283http://dx.doi.org/10.13329/j.cnki.zyyjk.2022.0283.

张雨晴，李军. 医务人员内驱力量表的验证与信效度分析[J]. 中国医院， 2021， 25（6）： 54-58. DOI: 10.19660/j.issn.1671-0592.2021.6.17http://dx.doi.org/10.19660/j.issn.1671-0592.2021.6.17.

洪梦园. 基层卫生人员职业认同、工作满意度与职业倦怠现状及其关系研究[D]. 合肥：安徽医科大学， 2023.

李姝，张华，马青变，等. 应用改良德尔菲法构建急诊医学专业型研究生课程体系的研究[J]. 中华医学教育探索杂志， 2021， 20（2）： 138-142. DOI: 10.3760/cma.j.cn116021-20200223-00386http://dx.doi.org/10.3760/cma.j.cn116021-20200223-00386.

姜颖，张琼，尚丹，等. 本科实习护生临床归属感与临床实践行为的关系研究[J]. 护士进修杂志， 2017， 32（10）： 942-944. DOI: 10.16821/j.cnki.hsjx.2017.10.030http://dx.doi.org/10.16821/j.cnki.hsjx.2017.10.030.

刘玲，郝玉芳，刘晓虹. 护士职业认同评定量表的研制[J]. 解放军护理杂志， 2011， 28（3）： 18-20. DOI: 10.3969/j.issn.1008-9993.2011.03.006http://dx.doi.org/10.3969/j.issn.1008-9993.2011.03.006.

吴谅谅，李宝仙. 大学毕业生的职业期望及其影响因素研究[J]. 应用心理学， 2001， 7（3）： 18-23. DOI: 10.3969/j.issn.1006-6020.2001.03.004http://dx.doi.org/10.3969/j.issn.1006-6020.2001.03.004.

张雨晴，韩优莉，李军. 医务人员内驱力及其模型构建[J]. 中国医药导报， 2021， 18（20）： 184-187.

张夸夸，翁异静，蒋炳蔚. 当代大学生行为内驱力影响机制研究：基于浙江省5所高校的调查数据[J]. 统计与管理， 2020， 35（8）： 122-128. DOI: 10.16722/j.issn.1674-537x.2020.08.019http://dx.doi.org/10.16722/j.issn.1674-537x.2020.08.019.

汤郁. 基于“内在激励理论”探索职业院校学生管理策略[J]. 教育教学论坛， 2019（14）： 15-16.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Mixed methods research of pediatric professional training for general practitioners: taking Longhua District of Shenzhen as an example

Application of teacher standardized patients combined case-based leaching in the acceptation ability training of general practitioners in medically unexplained physical symptoms

Related Author

Zhang Jiawei

Qi Jianguang

Qi Zhennan

Zhang Miao

Pan Zihan

You Conglei

Chi Chunhua

Liu Ying

Related Institution

Department of General Practice, Peking University First Hospital

Department of Pediatrics, Peking University First Hospital

Department of General Practice, People's Hospital of Longhua

Department of General Practice, The First Affiliated Hospital, Zhejiang University School of Medicine

Training Base of General Medicine Residents, The First Affiliated Hospital, Zhejiang University School of Medicine

⁰