Development and validation of an instrument for assessment of professional behaviour during laboratory sessions

Date of Award

2018

Document Type

Thesis

Degree Name

Master of Science in Health Policy & Management (MSc Health Policy & Mgmt)

Department

Community Health Sciences

Abstract

According to GMC and ACGME, professionalism is an integral, uate medical education. The physiology laboratory provides the most undergraduate and postgrad ectives of this study were conducive authentic surroundings for future clinical practice. The obj to develop an instrument to assess professional behaviour in the physiology laboratory sessions of undergraduate medical students at BUMDC and to determine the validity, reliability, feasibility and acceptability of the developed instrument for assessment of professional n hysiology laboratory sessions among medical students at BUMDC. behaviour i p Methodology: The study consisted of two steps: instrument development and validation. The instrument was minal Group Technique and the instrument was tested for validity, developed through the No reliability, feas ibility and acceptability for all year 1 and 2 students by two assessors through was conducted prior to the validity and reliability statistics through the final study. A pilot study final study with 10 students for face validity and feasibility. 250 students were included for final study and 232 students were present for their assessment. Results: Female students comprised 64.65% and male students comprised 35.34% of the sample size. The combined mean of year 1 and 2 was found to be 8.04 with a variance of 2.47. Bartlett's test and KIM test suggested applicability of Exploratory Factor Analysis. Principal Components Analysis was used for extraction of factors. Varimax Rotation was converged in 3 9, 11, iterations. Two factors were isolated which explained 57.65% of the variation. Items 6, 8, ded on factor 1 with values in the range between 0.5 to 0.9 while items 1, 12, 13 and 14 were loa The magnitude of 2, 4, 5 and 7 were loaded on factor 2 in the range between - 0.5 and 0.8. communalities for retained items was found from 0.3 to 0.8, this is considered moderate to high. ;:The First Factor was labelled as 'practical performance' and factor 2 was labelled as 'personal Interactions'. A final 12 item instrument was retained. Cronbach's alpha was determined to be high as 0.863. Intra Class Correlation was found to be 0.863 with 95% confidence interval, combined for both year 1 and 2. There was no significant difference in the performance between the two genders. Conclusion: Our study suggests that it was possible to develop an instrument for professional behaviour assessment in physiology laboratory skills session which could indicate valid, reliable, feasible and acceptable results. Key Words: Professionalism, professional behaviour, unprofessional behaviour, instrument, physiology laboratory, existing tools for professionalism

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