scholarly journals Self-awareness in the training of health care professionals: Validation of a group self-awareness questionnaire among Balint groups in China

2020 ◽  
Author(s):  
Kurt Fritzsche ◽  
Lili Shi ◽  
Jing Wei ◽  
Yue Sha ◽  
Yongbiao Xie ◽  
...  

Abstract Background Group-related learning processes in relation to oneself and in interaction with others play an important role in the training of health care professionals. However, an instrument to measure self-awareness in professional groups is not yet available in China. The aim of the study is to validate a questionnaire on self-awareness processes among Balint groups in China. Methods After a Balint group session, the participants were asked to fill out a group self-awareness questionnaire (G-SAQ) and two internationally validated instruments to assess group therapy research, namely, the Group Climate Questionnaire (GCQ) and the Group Relationship Questionnaire (GRQ). Results Fully completed questionnaires from n = 650 participants were analysed. Most participants came from Beijing, Guangzhou and Shanghai; most were female; and the average age was 31.3 years old (SD 8.2). The confirmatory and exploratory factor analysis of the G-SAQ did not show good solutions. Therefore, we developed a model with only one general factor and a Cronbach's alpha = .936. Low-to-moderate correlations between the G-SAQ and the previously validated questionnaires (the GCQ and the GRQ) indicated acceptable convergent and discriminant validity. Most of the responses in terms of self-awareness ranged from “something learned” to “relatively a lot learned”. The assessment of the group leaders was correlated with the level of learning effects. Conclusions The Chinese version of the G-SAQ has satisfactory reliability and validity among participants of Balint groups. It could be used as a measure of self-awareness processes in the future.

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Franziska Maria Keller ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Martina Schmiedhofer ◽  
Sonia Lippke

Abstract Background Patient-centered care and patient involvement have been increasingly recognized as crucial elements of patient safety. However, patient safety has rarely been evaluated from the patient perspective with a quantitative approach aiming at making patient safety and preventable adverse events measurable. Objectives The objectives of this study were to develop and evaluate the psychometric properties of a questionnaire assessing patient safety by perceived triggers of preventable adverse events among patients in primary health-care settings while considering mental health. Methods Two hundred and ten participants were recruited through various digital and print channels and asked to complete an online survey between November 2019 and April 2020. Exploratory factor analysis was performed to identify domains of triggers of preventable adverse events affecting patient safety. Furthermore, a multi-trait scaling analysis was performed to evaluate internal reliability as well as item-scale convergent–discriminant validity. A multivariate analysis of covariance evaluated whether individuals below and above the symptom threshold for depression and generalized anxiety perceive triggers of preventable adverse events differently. Results The five factors determined were information and communication with patients, time constraints of health-care professionals, diagnosis and treatment, hygiene and communication among health-care professionals, and knowledge and operational procedures. The questionnaire demonstrated a good total and subscale internal consistency (α = 0.90, range = 0.75–0.88), good item-scale convergent validity with significant correlations between 0.57 and 0.78 (P < 0.05; P < 0.01) for all items with their associated subscales, and satisfactory item-scale discriminant validity between 0.14 and 0.55 (P > 0.05) with no significant correlations between the items and their competing subscales. The questionnaire further revealed to be a generic measure irrespective of patients’ mental health status. Patients older than 50 years of age perceived a significantly greater threat to their own safety compared to patients below that age. Conclusion The developed Perceptions of Preventable Adverse Events Assessment Tool (PPAEAT) exhibits good psychometric properties, which supports its use in future research and primary health-care practice. Further validation of the PPAEAT in different settings, languages and larger samples is needed. The results of this study need to be considered when assessing patient safety in the context of health-care research.


2003 ◽  
Vol 9 (3) ◽  
pp. 68 ◽  
Author(s):  
Kay Coppa ◽  
Frances M Boyle

Self-help groups offer a unique form of support based on mutual understanding and the experiential knowledge of members. They constitute a potentially valuable resource for assisting people to manage chronic illness and its impacts. We conducted in-depth interviews with 15 members and the leaders of five chronic illness-related self-help groups in Newcastle, New South Wales. The focus was on small, voluntary groups with little or no external funding; agencies that are often overlooked in terms of their contribution to the health care system. Those interviewed readily identified benefits relating to quality of life, illness management, and interactions with health care professionals. Increased emotional and social support, access to an expanded information base, a better understanding of their illness, and a greater sense of confidence and control in relation to it seemed to enhance the capacity of members to engage in active self-management of their conditions. Along with such benefits, group leaders also highlighted some of the challenges faced by volunteers who run these agencies. Self-help groups are effective structures that can serve as an adjunct to clinical care and provide tangible benefits to their members. Further investigation and better recognition of these groups is warranted given their potential to assist those with chronic illness and to contribute to national policy objectives for chronic disease management such as those identified in the Sharing Health Care Initiative.


2011 ◽  
Vol 10 (1) ◽  
pp. 3 ◽  
Author(s):  
Athanasios Tselebis ◽  
Tania Anagnostopoulou ◽  
Dionisios Bratis ◽  
Aikaterini Moulou ◽  
Alexia Maria ◽  
...  

2017 ◽  
Vol 76 (6) ◽  
pp. 784-806 ◽  
Author(s):  
Courtney Harold Van Houtven ◽  
Katherine E. M. Miller ◽  
Emily C. O’Brien ◽  
Jennifer L. Wolff ◽  
Jennifer Lindquist ◽  
...  

Despite the important role that family caregivers play managing the care of persons with complex health needs, little is known about how caregivers perceive themselves to be recognized and valued by health care professionals. Our objective was to develop and validate a novel measure, the CAregiver Perceptions About Commun Ication with Clinical Team members (CAPACITY) instrument. Questions focus on perceived quality of communication with the health care team and the extent to which caregivers believe that the health care team considers their capacity and preferences in decision making. A confirmatory factor analysis supported a two-factor solution addressing communication and capacity. Internal consistency reliability was .90 for the communication domain and .93 for the capacity domain. Correlations between these two subscales and individual difference measures provided evidence of convergent and discriminant validity. The CAPACITY instrument may be a useful performance measure that quantifies the extent to which caregivers’ experience person- and family-centered health care.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Li Tian ◽  
Haixia Li ◽  
Bei Dong ◽  
Congyan Xie ◽  
Hong Wang ◽  
...  

Abstract Objective To sinicize the Supportive Supervisory Scale (SSS) and analyze the psychometric properties of the Chinese version of SSS (SSS-C). Methods The SSS (the original English version) was firstly sinicized and adjusted, then its psychometric properties were examined in 300 health care aides from four long-term care (LTC) facilities. SPSS 22.0 was used to process the data and calculate the reliability and validity. Results The 15-item SSS-C had satisfactory internal consistency (Cronbach’s α coefficient = 0.852), split half reliability (Spearman-Brown coefficient = 0.834) and test–retest reliability (Pearson correlation coefficient = 0.784), and three factors were extracted. If the four items with their communality < 0.4 were deleted, the remaining 11 items could explain 55.654% of the total variance. The discriminant validity of the SSS-C varied significantly between sites. Conclusions The Chinese version of SSS can be used to effectively measure the supervisory support of the nurses within the LTC settings.


Author(s):  
Elaine Keane ◽  
Ingrid Provident

PURPOSE: Although international service learning has the capacity to promote a variety of important professional behaviors, merely visiting another country does not automatically result in these benefits. METHODS: This article describes an evidenced-based course which used pre-trip preparation in combination with a nine day service learning trip to Ecuador to develop cultural competence among 6 occupational and 6 physical therapy students. Pre-trip preparation included online and in-person components to increase self-awareness, awareness of other cultures, knowledge about Ecuadorian culture and skill-building. On-site activities included exploration of the physical and social context in addition to providing occupational and physical therapy treatment in a variety of settings. The authors collected qualitative information by reviewing responses to prompts on an online forum. A pre-test/post-test format using the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV) was used to gather quantitative information. RESULTS: A paired-samples t-test was used to compare the group’s pre-test and post-test scores on the IAPCC-SV. There was a statistically significant difference in the scores between the pre-test (M=57.72, SD+ 6.66) and post-test (M=67.54, SD+ 3.55) with the change in mean score of 9.81 resulting in t= -491, df = 10 and p ≤.001. DISCUSSION: The results showed a change in students from the level of culturally aware to culturally competent based on the scale provided in IAPCC-SV. The experience resulted in an increased desire to continue intercultural practice. Health care professionals have a responsibility to be culturally competent. This article will assist health care professionals to reflect on the advantages of joining an international service learning trip to expand their self-awareness and awareness of other cultures. Professors may reflect on how pre-trip preparation may enhance existing service learning experiences.


2021 ◽  
Author(s):  
Li Tian ◽  
Haixia Li ◽  
Bei Dong ◽  
Congyan Xie ◽  
Hong Wang ◽  
...  

Abstract Objective: To sinicize the Supportive Supervisory Scale (SSS) and analyze the psychometric properties of the Chinese version of SSS (SSS-C).Methods: The SSS (the original English version) was firstly sinicized and adjusted, then its psychometric properties were examined in 300 health care aides from four long-term care (LTC) facilities. SPSS 22.0 was used to process the data and calculate the reliability and validity. Results The 15-item SSS-C had satisfactory internal consistency (Cronbach’s α coefficient=0.852), split half reliability (Spearman-Brown coefficient=0.834) and test-retest reliability (Pearson correlation coefficient=0.784), and three factors were extracted. If the four items with their communality <0.4 were deleted, the remaining 11 items could explain 55.654% of the total variance. The discriminant validity of the SSS-C varied significantly between sites.Conclusions The Chinese version of SSS can be used to effectively measure the supervisory support of the nurses within the LTC settings.


2018 ◽  
Vol 54 (2) ◽  
pp. 83-96 ◽  
Author(s):  
Volker Tschuschke ◽  
Guido Flatten

Objective Although effective Balint leadership is viewed as essential for good Balint practice, nearly no quantitative research is available regarding the importance of the person of the group leader in Balint group outcome. This study aims to identify Balint group leaders’ impact on “typical Balint” learning processes in Balint groups. Method A total of 1460 medical doctors in 352 Balint groups in Germany, Austria, and Switzerland were investigated. Based on the three learning dimensions of the Balint Group Session Questionnaire, statistical analyses were conducted to identify differential effectiveness in Balint leadership. Results On the basis of the mean scores of the Balint Group Session Questionnaire items across all group participants of each group leader, the 80 certified Balint group leaders were clustered into two groups of more and less effective leaders by a hierarchichal cluster analysis. Mixed model analyses revealed that the effectiveness of the person of the Balint group leader was the most predictive factor for learning effects. Conclusions Training for Balint group leaders should take into account that effective learning processes in Balint groups are strongly related not only to the method itself but also to the person of the group leader.


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