scholarly journals Supervisors’ intention to observe clinical task performance: an exploratory study using the theory of planned behaviour during postgraduate medical training

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Laury P. J. W. M. de Jonge ◽  
Ilse Mesters ◽  
Marjan J. B. Govaerts ◽  
Angelique A. Timmerman ◽  
Jean W. M. Muris ◽  
...  
Keyword(s):  
Task Performance ◽  
Exploratory Study ◽  
Theory Of Planned Behaviour ◽  
Medical Training ◽  
Planned Behaviour ◽  
Postgraduate Medical Training

scholarly journals Supervisors’ intention to observe clinical task performance: an exploratory study using the Theory of Planned Behaviour during postgraduate medical training

2020 ◽  
Author(s):  
Laury PJWM de Jonge ◽  
Ilse Mesters ◽  
Marjan JB Govaerts ◽  
Angelique A Timmerman ◽  
Jean WM Muris ◽  
...  
Keyword(s):  
Medical Education ◽  
Task Performance ◽  
Theory Of Planned Behaviour ◽  
Medical Training ◽  
Psychological Theory ◽  
Cultural Barriers ◽  
Hierarchical Regression ◽  
Planned Behaviour ◽  
Direct Observations ◽  
The Impact

Abstract Background Direct observation of clinical task performance plays a pivotal role in competency-based medical education. Although formal guidelines require supervisors to engage in direct observations, research demonstrates that trainees are infrequently observed. Supervisors may not only experience practical and socio-cultural barriers to direct observations in healthcare settings, they may also question usefulness or have low perceived self-efficacy in performing direct observations. A better understanding of how these multiple factors interact to influence supervisors’ intention to perform direct observations may help us to more effectively implement the aforementioned guidelines and increase the frequency of direct observations. Methods We conducted an exploratory quantitative study, using the Theory of Planned Behaviour (TPB) as our theoretical framework. In applying the TPB, we transfer a psychological theory to medical education to get insight in the influence of cognitive and emotional processes on intentions to use direct observations in workplace based learning and assessment. We developed an instrument to investigate supervisors intention to perform direct observations. The relationships between the TPB measures of our questionnaire were explored by computing bivariate correlations using Pearson’s R tests. Hierarchical regression analysis was performed in order to assess the impact of the respective TPB measures as predictors on the intention to perform direct observations. Results In our study 82 GP supervisors completed our TPB questionnaire. We found that supervisors had a positive attitude towards direct observations. Our TPB model explained 45% of the variance in supervisors’ intentions to perform them. Normative beliefs and past behaviour were significant determinants of this intention.Conclusion Our study suggests that supervisors use their past experiences to form intentions to perform direct observations in a careful, thoughtful manner and, in doing so, also take the preferences of the learner and other stakeholders potentially engaged in direct observations into consideration. These findings have potential implications for research into work-based assessments and the development of training interventions to foster a shared mental model on the use of direct observations.

scholarly journals Supervisors’ intention to observe clinical task performance: an exploratory study using the Theory of Planned Behaviour during postgraduate medical training

2020 ◽  
Author(s):  
Laury PJWM de Jonge ◽  
Ilse Mesters ◽  
Marjan JB Govaerts ◽  
Angelique A Timmerman ◽  
Jean WM Muris ◽  
...  
Keyword(s):  
Medical Education ◽  
Task Performance ◽  
Theory Of Planned Behaviour ◽  
Medical Training ◽  
Psychological Theory ◽  
Cultural Barriers ◽  
Hierarchical Regression ◽  
Planned Behaviour ◽  
Direct Observations ◽  
The Impact

Abstract Background Direct observation of clinical task performance plays a pivotal role in competency-based medical education. Although formal guidelines require supervisors to engage in direct observations, research demonstrates that trainees are infrequently observed. Supervisors may not only experience practical and socio-cultural barriers to direct observations in healthcare settings, they may also question usefulness or have low perceived self-efficacy in performing direct observations. A better understanding of how these multiple factors interact to influence supervisors’ intention to perform direct observations may help us to more effectively implement the aforementioned guidelines and increase the frequency of direct observations. Methods We conducted an exploratory quantitative study, using the Theory of Planned Behaviour (TPB) as our theoretical framework. In applying the TPB, we transfer a psychological theory to medical education to get insight in the influence of cognitive and emotional processes on intentions to use direct observations in workplace based learning and assessment. We developed an instrument to investigate supervisors intention to perform direct observations. The relationships between the TPB measures of our questionnaire were explored by computing bivariate correlations using Pearson’s R tests. Hierarchical regression analysis was performed in order to assess the impact of the respective TPB measures as predictors on the intention to perform direct observations. Results In our study 82 GP supervisors completed our TPB questionnaire. We found that supervisors had a positive attitude towards direct observations. Our TPB model explained 45% of the variance in supervisors’ intentions to perform them. Normative beliefs and past behaviour were significant determinants of this intention. Conclusion Our study suggests that supervisors use their past experiences to form intentions to perform direct observations in a careful, thoughtful manner and, in doing so, also take the preferences of the learner and other stakeholders potentially engaged in direct observations into consideration. These findings have potential implications for research into work-based assessments and the development of training interventions to foster a shared mental model on the use of direct observations.

Theory of planned behaviour: general practitioners’ prescribing and referral behaviour

2017 ◽  
Vol 5 (1) ◽  
pp. 75 ◽  
Author(s):  
Katie L Webb
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Theory Of Planned Behaviour ◽  
Mental Health Problems ◽  
Medical Training ◽  
Control Beliefs ◽  
Planned Behaviour ◽  
Course Of Action ◽  
Common Mental Health Problems ◽  
Referral Behaviour

Rationale and aims: The vast majority of patients seen in general practice present with a mental health component to their illness. Despite current clinical guidelines, suggesting referral to psychological-based treatments being a more appropriate course of action, anti-depressant prescription remains high for those suffering common mental health problems (CMHPs). This study aimed to investigate General Practitioners’ (GPs) behaviour regarding the prescription of antidepressants and referral to psychological-based treatment for individuals with CMHPs, using the Theory of Planned Behaviour (TPB).  Method: Online and postal questionnaires were developed in line with the TPB model following consultation, pilot study and cognitive debriefing. Questionnaires were distributed to all working GPs in Wales, UK. Data underwent statistical analysis.Results: Analysis of responses (n=127) showed a GP’s decision to prescribe antidepressants to patients with CMHPs is significantly influenced by both ‘attitude’ and ‘subjective norm’, while perceived behavioural control was non-significant. Over half of the study GPs did not feel in control of prescribing antidepressants to those with CMHPs. GPs’ intention to refer for psychological-based treatment was significantly influenced by attitude, while further analysis showed GPs did not feel in control of referring for psychological-based treatment.Conclusion: Using TPB helped to explain GPs’ antidepressant prescribing and referral to psychological-based treatment behaviours. GPs’ intention to prescribe and refer were shown to be moderated by behavioural and normative beliefs, while control beliefs were non-significant. The presence of personal experience as a predictable feature to prescribing and referral behaviour is something that could figure more prominently within early phases of medical training.

scholarly journals Theory of planned behaviour and parasuicide: An exploratory study

2003 ◽  
Vol 22 (3) ◽  
pp. 196-205 ◽  
Author(s):  
Rory C. O’Connor ◽  
Christopher J. Armitage
Keyword(s):  
Exploratory Study ◽  
Theory Of Planned Behaviour ◽  
Planned Behaviour

Eliciting salient beliefs of engineers in Malaysia on migrating abroad

2017 ◽  
Vol 14 (2) ◽  
pp. 221-236
Author(s):  
Balu Ramoo ◽  
Chong Yee Lee ◽  
Cheng Ming Yu
Keyword(s):  
Qualitative Analysis ◽  
Brain Drain ◽  
Theory Of Planned Behaviour ◽  
Control Beliefs ◽  
Behavioural Intervention ◽  
Planned Behaviour ◽  
Salient Beliefs ◽  
Tpb Model ◽  
And Control

Despite various government efforts incorporating economic, social and political considerations in curbing emigration problem, brain drain remains an issue in Malaysia. This paper examines the determinants of migration from behavioural perspectives. Using Theory of Planned Behaviour (TPB) model, the engineers’ salient beliefs on migrating abroad were elicited using qualitative analysis. A number of new behavioural, normative and control beliefs were identified. The elicitation of the engineers’ salient beliefs is essential in developing appropriate behavioural intervention programmes to reduce their intention to migrate abroad. The methodology developed in this study can also assist future researchers to identify the salient beliefs of people who have high intention to migrate abroad.

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