Validation of a self-efficacy instrument and its relationship to performance of crisis resource management skills.
Validation of a self-efficacy instrument and its relationship to performance of crisis resource management skills.
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DOI：
10.1007/s10459-011-9274-7
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发表时间：
2011-12
影响因子：
4
通讯作者：
O'Sullivan, Patricia S.
中科院分区：
文献类型：
--
作者：
Plant, Jennifer L.;van Schaik, Sandrijn M.;Sliwka, Diane C.;Boscardin, Christy K.;O'Sullivan, Patricia S.
关键词：
自我效能感被认为对复苏熟练程度很重要，因为它影响相关医学知识、程序技能和危机资源管理（CRM）技能的发展和获取。由于客户关系管理技能的绩效评估是具有挑战性的，自我效能感经常被用作衡量该领域能力的标准。虽然自我效能感可能会影响绩效，但在这种情况下，自我效能感与绩效之间的真正关系尚未得到描述。本研究开发了一套测量儿科住院医师CRM技能自我效能感的工具，并评估了其内容效度、内部结构以及与其他变量的关系。在对125名儿科住院医师、重症监护研究员和教职员工使用该仪器后，我们在验证性因素分析和已知组比较中进行了探索性因素分析。分析指定了四个因素，我们将其定义为：情况意识、团队管理、环境管理和决策制定。儿科住院医师报告的自我效能在每个因素上都低于研究员和教员。我们还研究了自我效能感与30名住院医生的表现得分之间的相关性，这些住院医生负责录制模拟复苏的视频，并由三名观察员对他们的表现进行评分。我们发现，居民在情境意识和环境管理方面的自我效能感与其客户关系管理技能的整体表现之间存在显著的正相关。我们的研究结果表明，在特定的环境中，自我效能感作为一种自我评估形式可能对表现有帮助。
Self-efficacy is thought to be important for resuscitation proficiency in that it influences the development of and access to the associated medical knowledge, procedural skills and crisis resource management (CRM) skills. Since performance assessment of CRM skills is challenging, self-efficacy is often used as a measure of competence in this area. While self-efficacy may influence performance, the true relationship between self-efficacy and performance in this setting has not been delineated. We developed an instrument to measure pediatric residents’ self-efficacy in CRM skills and assessed its content validity, internal structure, and relationship to other variables. After administering the instrument to 125 pediatric residents, critical care fellows and faculty, we performed an exploratory factor analysis within a confirmatory factor analysis as well as a known group comparison. The analyses specified four factors that we defined as: situation awareness, team management, environment management, and decision making. Pediatric residents reported lower self-efficacy than fellows and faculty in each factor. We also examined the correlation between self-efficacy and performance scores for a subset of 30 residents who led video recorded simulated resuscitations and had their performances rated by three observers. We found a significant, positive correlation between residents’ self-efficacy in situation awareness and environment management and their overall performance of CRM skills. Our findings suggest that in a specific context, self-efficacy as a form of self-assessment may be informative with regards to performance.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
6
作者：
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通讯作者：
Downing, SM
影响因子：
7.6
作者：
Kruger, J;Dunning, D
通讯作者：
Dunning, D