Development and validation of a health education competency scale for clinical physicians
10.3760/cma.j.cn111325-20240509-00363
- VernacularTitle:临床医生健康教育胜任力量表的开发与验证
- Author:
Ying DENG
1
;
Hua YOU
;
Xupeng CHEN
;
Liwen WEI
Author Information
1. 南京医科大学公共卫生学院，南京 211166
- Publication Type:Journal Article
- Keywords:
Health education;
Competence;
Scale development;
Clinical physicians;
Assessment tools
- From:
Chinese Journal of Hospital Administration
2024;40(11):894-900
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop clinical physicians′ health education competency assessment tool, so as to provide reference for competency-based capability enhancement management.Methods:Conduct a literature search using keywords such as " clinical physicians" " competency" " hospital health education" " health education competency" and " health education ability" to retrieve articles published between 2003 and 2023 in the China National Knowledge Infrastructure (CNKI) and PubMed databases. Through literature review, combined with the competency onion model, construct an initial pool of items for the clinical physicians′ health education competency scale (PHECS). From May to September 2023, expert consultation was used to screen items and form a test version of the scale. From November 2023 to January 2024, a purposive sampling method was used to recruit doctors from 2 comprehensive hospitals in Nanjing and 5 community health service centers in each district. A questionnaire survey was conducted using the test version of the scale, and scale validation was performed based on questionnaire data using item analysis and factor analysis, among other methods.Results:The constructed PHECS included three domains: knowledge, skills, and comprehensive quality, as well as ten dimensions: health education knowledge, clinical-related knowledge, health education program development, health education program implementation, health education program evaluation, organization and coordination, communication, personal traits and self-efficacy, motivation, and professional values, totaling 36 items. Confirmatory factor analysis indicated that the model fits well ( χ2/ df=2.438, RMSEA=0.078, CFI=0.937, TLI=0.928), and the PHECS had acceptable internal consistency (Cronbach′s α values range from 0.89 to 0.98) and good convergent validity ( AVE for each factor range from 0.71 to 0.94, and composite reliability ranges from 0.88 to 0.98). Conclusions:The PHECS developed in this study has good reliability, validity, and scientific merit, and can be used for competency-based management to enhance the health education capabilities of clinical physicians.
