WORKING ON AND CONFIRMING A SCALE TO MEASURE SELF-EFFICACY IN PEDIATRIC CLINICAL DECISION-MAKING
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Keywords
Pediatric training, Clinical competence, Resident education, Decision-making confidence, Specialty-specific assessment.
Abstract
To succeed in clinical practice, people need to have both the knowledge and ability, plus the belief in their ability to carry out needed tasks. No present tool is designed solely for measuring self-efficacy during clinical decisions common in general pediatrics. In order to measure pediatric residents’ confidence in making clinical choices in general pediatric settings, an updated scale called the General Pediatrics-specific Self-Efficacy (GPedsSE) scale was created and tested. Experts created a five-item GPedsSE scale, patterned after the New General Self-Efficacy (NGSE) scale, to make it easy to compare the two. All the pediatric residents in postgraduate years 1 through 5 at the tertiary center completed both scales and the items were mixed order to cut down on bias. GPedsSE scores averaged 18.6 (with an average deviation of 2.6), out of a total score of 25. A correlation of 0.54 (P < 0.005) was found between GPedsSE and NGSE scores. GPedsSE improved a lot through different levels of training (F[1.3] = 6.62; P < 0.001), while NGSE did not change much (F < 0.37). Each scale was clearly found to consist of two components through factor analysis. GPedsSE can help you measure your confidence in making decisions when caring for children. This development proposes a new method to prove concurrent validity by taking an existing general tool and making it fit for specialty use.
References
2.Hewitt-Taylor J. Caring for children with complex needs: Staff education and training. J Child Health Care. 2005;9:72–86.
3.Cull WL, Yudkowsky BK, Shipman SA, Pan RJ, American Academy of Pediatrics Pediatric training and job market trends: Results from the American Academy of Pediatrics third-year resident survey, 1997–2002. Pediatrics. 2003;112:787–92.
4.Gaulthier M, Issenman RM, Wilson I, Canadian Paediatric Society, Paediatric Human Resources Planning Committee A model of paediatrics: Rethinking health care for children and youth. Paediatr Child Health. 2009;14:319–32.
5.Clark LA, Watson D. Constructing validity: Basic issues in objective scale development. Psychol Assess. 1995;7:309–19.
6.Chamberlain LJ, Sanders LM, Takayama JI. Child advocacy training: curriculum outcomes and resident satisfaction. Arch PediatrAdolesc Med. 2005;159:842–7.
7.Lieberman L, Hilliard RI. How well do paediatric residency programmes prepare residents for clinical practice and their future careers? Med Educ. 2006;40:539–46.
8.Amin HJ, Singhal N, Cole G. Validating objectives and training in Canadian paediatrics residency training programmes. Med Teach. 2011;33:e131–44.
9.Sectish TC, Zalneraitis EL, Carraccio C, Behrman RE. The state of pediatrics residency training: A period of transformation of graduate medical education. Pediatrics. 2004;114:832–41.
10.Grant E, Macnab A, Wambera K. The effectiveness of pediatric residency education in preparing graduates to manage neurological and neurobehavioral issues in practice. Acad Med. 2007;82:304–9.
11.Kolarik RC, Walker G, Arnold RM. Pediatric resident education in palliative care: A needs assessment. Pediatrics. 2006;117:1949–54.
12.Bandura A. Self-Efficacy in Changing Societies. Cambridge: Cambridge University; 1997.
13.Kaufman DM. Applying educational theory in practice. BMJ. 2003;326:213–6. doi: 10.1136/bmj.326.7382.213.
14.Schwarzer R, Jerusalem M. Generalized Self-Efficacy Scale. In: Johnston M, Wright SC, Weinman J, editors. Measures in Health Psychology: A User’s Portfolio. Windsor: NFER-NELSON; 1995. pp. 35–7.
15.Blok GA, Morton J, Morley M, Kerckhoffs CC, Kootstra G, van der Vleuten CP. Requesting organ donation: The case of self-efficacy – effects of the European Donor Hospital Education Programme (EDHEP) Adv Health Sci Educ Theory Pract. 2004;9:261–82.
16.Turner NM, Dierselhuis MP, Draaisma JMT, ten Cate OTJ. The effect of the Advanced Paediatric Life Support course on perceived self-efficacy and use of resuscitation skills. Resuscitation. 2007;73:430–6.
17.Mason S, Ellershaw J. Assessing undergraduate palliative care education: Validity and reliability of two scales examining perceived efficacy and outcome expectancies in palliative care. Med Educ. 2004;38:1103–10.
18.Katz S, Feigenbaum A, Pasternak S, Vinker S. An interactive course to enhance self-efficacy of family practitioners to treat obesity. BMC Med Educ. 2005;5:4. doi: 10.1186/1472-6920-5-4.
19.Chen G, Gully SM, Eden D. Validation of a New General Self-Efficacy Scale. Organ Res Methods. 2001;4:62–83.
20.Sherer M, Maddux J, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers R. The Self-efficacy Scale: Construction and validation. Psychol Rep. 1982;51:663–71.
21.Feldman AB, Haley SM, Coryell J. Concurrent and construct validity of the Pediatric Evaluation of Disability Inventory. Phys Ther. 1990;70:602–10.
22.Bandura A, Barbaranelli C, Caprara GV, Pastorelli C. Self-efficacy beliefs as shapers of children’s aspirations and career trajectories. Child Dev. 2001;72:187–206.
23.Scherbaum CA, Cohen-Charash Y, Kern MJ. Measuring general self-efficacy: A comparison of three measures using item response theory. Educ Psychol Meas. 2006;66:1047–63.
24.Eva KW, Regehr G. Self-assessment in the health professions: A reformulation and research agenda. Acad Med. 2005;80(10 Suppl):S46–54.
25.Dory V, Beaulieu M-D, Pestiaux D, et al. The development of self-efficacy beliefs during general practice vocational training: An exploratory study. Med Teach. 2009;31:39–44.
26.Bandura A. In: Encyclopedia of Human Behavior, Four-Volume Set: 1–4. Ramachandran VS, editor. New York: Academic Press; 1994. pp. 71–81.
27.Althouse LA, Stockman JA., 3rd Pediatric workforce: A look at general pediatrics data from the American Board of Pediatrics. J Pediatr. 2006;148:166–9.
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Dr Pallavi
Associate Professor, Department of Paediatrics, Konaseema Institute of Medical Sciences & Research Foundation, Amalapuram, Andhra Pradesh, India
Dr Saginala Ravichandra
Assistant Professor , Department of Paediatrics, Arunai Medical College and Hospital, Velu Nagar, Mathur, Tiruvannamalai, Tamilnadu, India-606603.
G Harsha Vardhan Kumar
Sri Venkateswara College of Pharmacy, RVS Nagar, Chittor-517127, Andhra Pradesh, India.
D Jothieswari
Sri Venkateswara College of Pharmacy, RVS Nagar, Chittor-517127, Andhra Pradesh, India.