Development and validation of a self-efficacy scale for clinical decision-making in general paediatrics

Dandavino, Mylène; Young, Meredith; Gosselin, Richard A.; Snell, Linda; Bhanji, Farhan

doi:10.1093/pch/18.4.184

Cited by 10 publications

(4 citation statements)

References 29 publications

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“…Previous studies indicate that male residents have higher levels of self-e cacy than women [71], and that senior residents' scores in medical decision-making were higher than those of junior residents [72]. Similar results were found in our study; in terms of self-e cacy to workplace violence, males showed higher selfe cacy in coping with WPV than females did.…”

Section: Discussionsupporting

confidence: 90%

A Combined Behavioural Economics- and Simulation-based Medical Education to Promote Effectiveness among Medical Residents in Coping with Workplace Violence in Northern China: A Quasi-Experimental Study

Liu¹,

Liu²,

Jiao³

et al. 2021

Preprint

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Background: Workplace violence is internationally recognized as a major concern for the workforce, which entails serious consequences, and research shows that medical residents are more likely than other doctors to experience violence in the workplace. This study examines the effectiveness of simulation-based medical education on the one hand, and simulation-based medical education combined with behavioural economics on the other as interventions in medical residents' perception of, attitude toward, and self-efficacy in coping with violence in the workplace. Methods: A quasi-experimental design was used, 190 participants having been randomised into three study groups to respectively test the effect of simulation-based medical education only and simulation-based medical education plus with behavioural economics interventions, compared with a control group. Data were obtained from structured questionnaires, including (1) a perception of aggression scale, a management of aggression and violence attitude scale, a general self-efficacy scale, and (2) sociodemographic characteristics. Results: The results show that the scores attained by simulation-based medical education (SBME) and simulation-based medical education combined with behavioural economics (SBME+BE) interventions for perception, attitude, and self-efficacy were significantly higher than those in the control group (p < .01). The SBME+BE group recorded a higher improvement in perception, which could be ascribed to the behavioural economics effect. In addition, the higher perception of workplace violence is correlated with single residents and those with more work experience, prior experiences of violence in the workplace, and training related to workplace violence. A higher positive correlation of workplace violence was recorded by female and widowed residents; and a higher level of self-efficacy related to violence in the workplace correlated with male, widowed and senior (third-year) residents. Conclusions: This study contributes important evidence regarding changes in the perception, attitude, and self-efficacy of subjects following both the SBME+BE and SBME interventions among medical residents in coping with workplace violence, the highest perception change having been recorded after the SBME+BE intervention, which can be explained by the inclusion of behavioural economics.

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Section: Discussionsupporting

confidence: 90%

A Combined Behavioural Economics- and Simulation-based Medical Education to Promote Effectiveness among Medical Residents in Coping with Workplace Violence in Northern China: A Quasi-Experimental Study

Liu¹,

Liu²,

Jiao³

et al. 2021

Preprint

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“…Longitudinal study for evaluating reproducibility over a long period and sensitivity to actual self-efficacy change in CSESA-J is warranted. 40 , 41 We did not consider particular factors, such as past experiences of OSA treatment, particular interventions for improving self-efficacy, and CPAP treatment adherence of OSA patients. For measuring intervention effects, changing some CSESA-J items may be important.…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a self-efficacy instrument for Japanese sleep apnea patients receiving continuous positive airway pressure treatment

Saito

Kojima

Sasaki³

et al. 2015

NSS

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The purpose of this study was to develop and evaluate a self-efficacy instrument for Japanese obstructive sleep apnea (OSA) patients treated with continuous positive airway pressure (CPAP). Analyzed subjects were 653 Japanese OSA patients (619 males and 34 females) treated with CPAP at a sleep laboratory in a respiratory clinic in a Japanese city. Based on Bandura’s social cognitive theory, the CPAP Self-Efficacy Questionnaire for Sleep Apnea in Japanese (CSESA-J) was developed by a focus group of experts, using a group interview of OSA patients for the items of two previous self-efficacy scales for Western sleep apnea patients receiving CPAP treatment. CSESA-J has two subscales, one for self-efficacy and the other for outcome expectancy, and consists of a total of 15 items. Content validity was confirmed by the focus group. Confirmatory factor analysis showed that the factor loadings of self-efficacy and outcome expectancy were 0.47–0.76 and 0.41–0.92, respectively, for the corresponding items. CSESA-J had a significant but weak positive association with the General Self-Efficacy Scale, and a strong positive association with “Self-efficacy scale on health behavior in patients with chronic disease.” Cronbach’s alpha coefficient was 0.85 for the self-efficacy subscale and 0.89 for the outcome expectancy subscale. The intraclass correlation coefficient using data from the first and second measurements with CSESA-J for a subset of 130 subjects was 0.93 for the self-efficacy and outcome expectancy subscales. These results support CSESA-J as a reliable and valid instrument for measuring the self-efficacy of Japanese OSA patients treated with CPAP. Further studies are warranted to confirm validity for female OSA patients and generalizability.

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“…After completing guide-pin insertion into the specimens using either method, the tester was provided with a confidence rating scale in the form of a short questionnaire and was asked to rate their confidence in guide-pin positioning and insertion pertaining to the method used. Due to a lack of literature on which to base our questions, expert opinion of three experienced shoulder surgeons was sought through an approach that has been used previously in related studies [10][11][12], and a set of four statements was created, which included the following: (1) The planning method helped me find the guide-pin insertion position with ease. (2) The planning method made me feel confident in my guide-pin insertion.…”

Section: A a B B C Cmentioning

confidence: 99%

Mixed reality visualization in shoulder arthroplasty: is it better than traditional preoperative planning software?

et al. 2023

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Background: Preoperative traditional software planning (TSP) is a method used to assist surgeons with implant selection and glenoid guide-pin insertion in shoulder arthroplasty. Mixed-Reality (MR) is a new technology that uses digital holograms of the preoperative plan and guide-pin trajectory projected into the operative field. The purpose of this study was to compare TSP to MR in a simulated surgical environment involving insertion of guide-pins into models of severely deformed glenoids. Methods: Eight surgeons inserted guide-pins into eight randomized three-dimensional-printed severely eroded glenoid models in a simulated surgical environment using either TSP or MR. In total, 128 glenoid models were used and statistically compared. The outcomes compared between techniques included procedural time, difference in guide-pin start point, difference in version and inclination, and surgeon confidence via a confidence rating scale. Results: When comparing traditional preoperative software planning to MR visualization as techniques to assist surgeons in glenoid guide pin insertion, there were no statistically significant differences in terms of mean procedure time (P=0.634), glenoid start-point (TSP = 2.2 ± 0.2 mm , MR = 2.1 ± 0.1 mm; P=0.760), guide-pin orientation (P=0.586), or confidence rating score (P=0.850). Conclusions: The results demonstrate that there were no significant differences between traditional preoperative software planning and MR visualization for guide-pin placement into models of eroded glenoids. A perceived benefit of MR is the real-time intraoperative visibility of the surgical plan and the patient’s anatomy; however, this did not translate into decreased procedural time or improved guide-pin position. Level of evidence: Basic Science Study; Biomechanics

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Development and validation of a self-efficacy scale for clinical decision-making in general paediatrics

Cited by 10 publications

References 29 publications

A Combined Behavioural Economics- and Simulation-based Medical Education to Promote Effectiveness among Medical Residents in Coping with Workplace Violence in Northern China: A Quasi-Experimental Study

A Combined Behavioural Economics- and Simulation-based Medical Education to Promote Effectiveness among Medical Residents in Coping with Workplace Violence in Northern China: A Quasi-Experimental Study

Development and evaluation of a self-efficacy instrument for Japanese sleep apnea patients receiving continuous positive airway pressure treatment

Mixed reality visualization in shoulder arthroplasty: is it better than traditional preoperative planning software?

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