scholarly journals Classroom Seat Selection from the Perspective of Iranian Medical Sciences` Students and its Relationship with Self-esteem: a Cross Sectional Study

2019 ◽  
Vol 5 (1) ◽  
pp. 26-30
Author(s):  
Mahin Nomali ◽  
◽  
Akram Sanagoo ◽  
Farzaneh Sarayloo ◽  
Leila Mahasti Jouybari ◽  
...  
Keyword(s):  
University Students ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Important Place ◽  
Cronbach's Alpha ◽  
Study Setting

Background: Classroom is an important place for university students. Students do not choose their seat at random and many factors may influence their seat selection. On the other hand, where they choose to seat may have a relationship with their self-esteem. Aims and objectives: Determination of classroom seat selection from the perspective of Iranian medical sciences` students and its relationship with self-esteem was the aim of this study. Study Design: We conducted a cross- sectional study. Setting: Different faculties of Golestan University of Medical Sciences (GoUMS, Gorgan, North of Iran) were our study setting. Materials and Methods: 350 students of both sexes and with different fields of study at GoUMS were included in the study by convenience sampling from September to December in 2016. In order to measure university students` perspective, seat selection questionnaire (Cronbach’s alpha =0.82 ) with 9 multiple choice questions (MCQs) was used which answer to each question has been reported with a frequency and percent. Ten- item Rosenberg Self- Esteem (RSE) scale (Cronbach’s alpha=0.74) consisting 5 negative and 5 positive items with 4- point Likert (score of 0 to 3 from completely agree to completely disagree) were used. Range of score was between 0 to 30. Score lower than 15, between 15-25, and more than 25 indicated low, intermediate, and high self- esteem, respectively. Statistics: We analyzed data by SPSS software version 16. Descriptive statistics such as mean, standard deviation (SD), frequency, and partial frequency percentage were used. In order to test the relationship between place and direction of the seat, and self-esteem, the chi-squared test was used with significance level of less than 0.05. Results: 300 out of 350 medical sciences` students with a mean age of 21.5 (2.4) year completed the study (participation rate = 85.7%). 50.3 % of participants were male, and with nursing field of study (28.7%). Proximity to instructor or board, or projector (48.7%) and personal factors such as eyeglasses/hearing aids (19.3%) were the most and the least important factors influencing students` seat selection. And “inability to see/hear properly” was the most important factor that made students change their seats. The majority of students mentioned that they choose the middle of the classroom (43.3%). Low, intermediate and high self- steam were seen among 5 (1.7%), 290 (96.6%), and 5 (1.7%) of students, respectively, and there was no relationship between classroom seat selection and self-esteem of students. Conclusion: From the perspective of Iranian medical sciences` students, classroom seat selection is affected by many factors. And they usually preferred to sit in the middle of the classroom. However, there was no relationship between students seating preferences and self-esteem. Thus, considering to these factors may help instructors and educational policy makers improving the quality of courses, students` performance, and classroom attractiveness.

Διερεύνηση της σχέσης ανάμεσα στις ανάγκες, την ποιότητα ζωής και την ολική λειτουργικότητα των ψυχικά πασχόντων στην Κύπρο

2019 ◽  
Author(s):  
Ευφροσύνη Κλεάνθους
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha

Η μέτρηση της έκβασης του ασθενούς έχει λάβει εξέχουσα θέση στην αξιολόγηση των συστημάτων υγείας τα τελευταία 30 χρόνια ενώ παράλληλα άρχισε να φαίνεται ότι η φροντίδα της ψυχικής υγείας πρέπει να παρέχεται βάσει των αναγκών των ασθενών, με απώτερο στόχο να βελτιωθεί η ποιότητα ζωής τους. Κύριος σκοπός της παρούσας έρευνας ήταν η αξιολόγηση των αναγκών, της ποιότητας ζωής και της λειτουργικότητας των ψυχικά πασχόντων που λαμβάνουν φροντίδα σε δομές ψυχικής υγείας στην Κύπρο. Επιπλέον, η έρευνα αποσκοπούσε στην διερεύνηση της σχέσης μεταξύ των μεταβλητών που μελετήθηκαν. Μέθοδος: Πραγματοποιήθηκε μια συγχρονική μελέτη (cross-sectional study). Η συλλογή των δεδομένων πραγματοποιήθηκε σε δομές ψυχικής υγείας στην Κύπρο,κοινοτικές αλλά και νοσοκομειακές, με την χρήση ενός ερωτηματολογίου το οποίο περιλάμβανε την ελληνική μετάφραση του εργαλείου Camberwell Assessment ofNeed Short Appraisal Schedule (CANSAS), την Κλίμακα Αξιολόγησης τηςΠοιότητας Ζωής του Παγκόσμιου Οργανισμού Υγείας (WHOQOL-BREF), και τηνΚλίμακα Ολικής Εκτίμησης της Λειτουργικότητας (GAS). Αποτελέσματα: Το δείγμα αποτελείτο από 202 ασθενείς οι οποίοι λαμβάνουν φροντίδα σε εξωτερικές και νοσοκομειακές δομές των Υπηρεσιών Ψυχικής Υγείαςτης Κύπρου. Η μέση ηλικία των ασθενών ήταν 46,4 έτη. Το 53,5% των ασθενών ήταν άνδρες Το 58,4% των ασθενών έπασχαν από ψυχωσικές διαταραχές, το 34,7%έπασχαν από διαταραχές διάθεσης και το 6,9% έπασχαν από αγχώδεις διαταραχές. Ομέσος αριθμός ετών με τη νόσο ήταν 17,1 χρόνια. Ο συντελεστής εσωτερικήςαξιοπιστίας Cronbach’s alpha του ερωτηματολογίου αναγκών του Camberwell στην παρούσα μελέτη ήταν 0,75 γεγονός που δηλώνει αποδεκτή αξιοπιστία. Σε ότι αφορά στις ανάγκες σύμφωνα με το CANSAS, η μέση τιμή των εκλαμβανόμενων συνολικών αναγκών από τους ψυχικά πάσχοντες στην Κύπρο ήταν 9,56, η μέση τιμή των καλυμμένων αναγκών ήταν 4,08 και η μέση τιμή των ακάλυπτων αναγκών 5,51. Στηνπαρούσα έρευνα οι πέντε πιο συχνά αναφερόμενες ακάλυπτες ανάγκες ήταν 1)σεξουαλική έκφραση, 2) ψυχολογική ανησυχία ή ψυχική αναστάτωση, 3) οικείες σχέσεις, 4) συντροφικότητα και 5) καθημερινές δραστηριότητες σε φθίνουσα σειρά.Οι πέντε λιγότερο αναφερόμενες ακάλυπτες ανάγκες ήταν οι ανάγκες για 1)αυτοφροντίδα, 2) στέγαση, 3) χρήση τηλεφώνου, 4) φροντίδα παιδιών, 5) χρήση 7αλκοόλ. Το 18,2% δήλωσαν ότι δεν είναι καθόλου ικανοποιημένοι την ποιότητα ζωής τους γενικά, το 22,7% ότι είναι λίγο ικανοποιημένοι, το 29,3% ότι είναι μέτρια ικανοποιημένοι, το 21,2% δήλωσαν ότι είναι πολύ ικανοποιημένοι και το 8,6% ότι είναι υπερβολικά ικανοποιημένοι. Το 19,9% δήλωσαν ότι δεν είναι καθόλου ικανοποιημένοι με την υγεία τους, το 17,3% ότι είναι λίγο ικανοποιημένοι, το 34,2%ότι είναι μέτρια ικανοποιημένοι, το 18,9% δήλωσαν ότι είναι πολύ ικανοποιημένοι και το 9,7% ότι είναι υπερβολικά ικανοποιημένοι. Οι περισσότεροι ασθενείς είχαν σοβαρή διαταραχή της λειτουργικότητας (42,6%), το 28,7% είχαν μέτρια διαταραχή της λειτουργικότητας, το 19,8% είχαν ήπια διαταραχή της λειτουργικότητας, το 6,9%είχαν βαριά διαταραχή της λειτουργικότητας και το 2% είχαν καλή λειτουργικότητα.Η μείωση της βαθμολογίας των ακάλυπτων αναγκών σχετίζονταν με αύξηση της βαθμολογίας αυτοεκτίμησης της ποιότητας ζωής. Η μείωση της βαθμολογίας των ακάλυπτων αναγκών σχετίζονταν με αύξηση της βαθμολογίας λειτουργικότητας. Η αύξηση της βαθμολογίας των καλυμμένων αναγκών σχετίζονταν με αύξηση της βαθμολογίας ικανοποίησης για την υγεία.Συμπεράσματα: Τα εργαλεία εκτίμησης των αναγκών, της ποιότητας ζωής και της λειτουργικότητας μπορούν να χρησιμοποιηθούν για εκτίμηση της κλινικής αποτελεσματικότητας και του κόστους των παρεμβάσεων, την παρακολούθηση της υγείας του πληθυσμού των ψυχικά πασχόντων, στον σχεδιασμό υπηρεσιών για κάλυψη των αναγκών τους, στην βελτίωση της ποιότητας της παρεχόμενης φροντίδας καθώς και ως ενίσχυση στην διαδικασία λήψης αποφάσεων στην καθημερινή κλινική πρακτική. Η ικανοποίηση των κοινωνικών αναγκών, πέρα από τη μείωση των συμπτωμάτων, φαίνεται να έχει ιδιαίτερη σημασία για την εξασφάλιση καλύτερης ποιότητας ζωής και καλύτερης ψυχοκοινωνικής λειτουργικότητας για τα άτομα με ψυχικές διαταραχές. Τα αποτελέσματα από την χρήση των εργαλείων στον πληθυσμό των ψυχικά πασχόντων στην Κύπρο φαίνεται να συμβαδίζουν με δεδομένα από άλλες διεθνείς έρευνες.

scholarly journals Socio-cognitive Determinants of Plagiarism Intention Among Kermanshah University of Medical Sciences Students: A Cross-sectional Study in 2018

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Cyrus Jalili ◽  
Pedram Rezaei-Zadeh ◽  
Farzad Jalilian
Keyword(s):  
Linear Regression ◽  
University Students ◽  
Behavioral Control ◽  
Cross Sectional Study ◽  
Subjective Norms ◽  
Self Report ◽  
Perceived Behavioral Control ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional

Background: Plagiarism is one of the most common and important misconducts in the educational and research environment. Plagiarism means transcribing the works or ideas of others without authenticating the source and the original author and assigning them to self. Objectives: The current research aimed to investigate the socio-cognitive constructs associated with plagiarism among Kermanshah University of Medical Sciences (KUMS) students using the theory of planned behavior (TPB). Methods: This cross-sectional study was done at KUMS, the west of Iran, among 231 medical university students in 2018, which were selected randomly to participate voluntarily. Students filled out a self-report questionnaire that included the demographics and TPB variables. Data gathered were analyzed by the Statistical Package for Social Sciences (version 16) using a t-test, Pearson correlation, and linear regression. Results: The determinants of attitude, subjective norms (SN), and perceived behavioral control (PBC) accounted for 15% of behavioral intention (BI) to plagiarism. Linear regression showed that SN (beta = 0.229; P = 0.001) and PBC (beta = -0.217; P = 0.001) were the most influential predictors of plagiarism intention. Conclusions: According to the result, it seems that planning programs to increase perceived behavioral control against doing plagiarism and reduce subjective norms encouraging plagiarism may be useful for the prevention and reduction of plagiarism among university students.

scholarly journals A cross-sectional study of relationship between self-esteem and self-concept of students of medical sciences

2018 ◽  
Vol 6 (3) ◽  
pp. 747
Author(s):  
Mehdi Amirkhani ◽  
Fatemeh Habibi ◽  
Azadeh Hakimi ◽  
Majid Najafi Kalyani ◽  
Javad Salami
Keyword(s):  
Standard Deviation ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Male Students ◽  
Self Concept ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean

Background: Identification of the role of factors such as self-esteem and self-efficacy and the investigation of their relationship among students can bring about improvement of educational planning and enhance the teaching outcome. This study aimed at investigating the relationship between self-esteem and self-efficacy among the students of medical sciences.Methods: The present study is an analytical-descriptive which was conducted as a cross-sectional study on 394 students of Fasa University of Medical Sciences in 2016. In order to collect the data two questionnaires were used namely, Coopersmith Self-Esteem Inventory (CSEI) and Rogers Self-concept Questionnaire. The data were analyzed using SPSS 22. The researchers used descriptive and inferential statistics such as t-test, chi-square one-way ANOVA, and correlation to analyze the data.Results: The mean and the standard deviation of self-esteem scores of female and male students were 38.23±6.80 and 37.51±6.67 respectively. The mean and the standard deviation of self-concept scores of female and male students were 9.49±3.53 and 9.43±4.14 respectively. The mean of self-concept scores of students of different majors had statistically significant difference with each other (0.011), whereas there was no statistically significant difference in self-esteem scores among students with different majors (0.442).Conclusions: Considering the statistically significant difference in students’ self-concept scores in different majors, it is suggested that we take right approaches to the improvement and enhancement of individuals’ self-concept and the creation of positive feedback.

scholarly journals Dental Malocclusion among University Students and Its Effect on Self-esteem: A Cross-sectional Study

2014 ◽  
Vol 5 (4) ◽  
pp. 204-208 ◽  
Author(s):  
Arsalan Sheikh ◽  
Thomas Mathew ◽  
Tan Bee Siew
Keyword(s):  
Young Adults ◽  
University Students ◽  
Social Impact ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Class I ◽  
Sectional Study ◽  
Treatment Needs ◽  
Cross Sectional ◽  
Dental Malocclusion

ABSTRACT Introduction Studies on prevalence of malocclusion and self-esteem among young adults are sparse in Malaysia. The objectives of this study were to highlight the type of Angle's malocclusion most commonly prevalent in young adults of International Medical University (IMU) of age 18 to 25 years as well as to assess the social impact of malocclusion in them. Another objective was to identify the young adults’ satisfaction level with the appearance of the teeth and self-perceived orthodontic treatment needs using a questionnaire and to correlate groups of malocclusion with self-esteem. Materials and methods All 142 subjects were randomly selected from the name list of different cohorts of students in IMU. Study information was provided to the subjects along with the consent form and two questionnaires about global self-esteem (GSE) and social impact of malocclusion. Intraoral clinical examination was performed using disposable mouth mirror, probe and metal ruler in presence of artificial illumination. Angle's molar relation and other occlusal characteristics were recorded. Results Angle's class I malocclusion was most prevalent (48.6%), followed by class III (26.8%), class II (16.2%) and normal occlusion (8.5%). Analysis of variance Anova test showed no significant association between Angle's malocclusion and GSE with mean self-esteem score of 14.1, 15.5 and 13.8 for class I, II and III malocclusion respectively. Conclusion The satisfaction with the teeth appearance (0.026) and social impact of malocclusion (0.004) had significant association. How to cite this article Sheikh A, Mathew T, Siew TB. Dental Malocclusion among University Students and Its Effect on Selfesteem: A Cross-sectional Study. World J Dent 2014;5(4):204-208.

scholarly journals Effect of Mother’s Discipline Parenting Pattern on Discipline Character of Kindergarten Children

2017 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Nia Kurniasih ◽  
Dwi Hastuti
Keyword(s):  
Character Development ◽  
Cognitive Appraisal ◽  
Cross Sectional Study ◽  
Kindergarten Children ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Cronbach's Alpha ◽  
Mother’S Age

<p>This research aimed to analyze the effect of maternal discipline on discipline of children at two kindergarten in Bogor City. The research design used was<em> a </em>cross sectional study involving 46 mothers and children, selected by accidental sampling, and the data were collected using a questionnaire. Parenting discipline was measured using a questionnaire of The Dimensions of Discipline Inventory (DDI), which was adapted and modified from Straus and Fauchier (2011) with a Cronbach's alpha value of 0.864, and Character Development Questionnaire Preschooler adapted and modified from Hastuti (2014) with a Cronbach's alpha value of 0649. The results showed that there was a significantly positive correlation between the lenght of education and mother’s implementation of discipline, and there is a significantly positive correlation between marital status with cognitive appraisal of discipline. Cognitive appraisal of discipline is an opinion or judgment against parent parenting discipline either approved or not. Discipline of children was influenced by mother’s  length of education, mother’s age, and  situation in the application of discipline by mother (R<sup>2 </sup>Adjusted= 0.492). The situation in the application of discipline is a state or condition of the mother when applying disciplinary behavior to children.</p><p> </p>

scholarly journals Mother's lifestyle: development of a questionnaire to assess a determinant of children's health. A cross-sectional study

2014 ◽  
Vol 134 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Erica Bezerra Nobre ◽  
Sandra Josefina Ferraz Ellero Grisi ◽  
Alexandre Archanjo Ferraro
Keyword(s):  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Children's Health ◽  
Children’S Health ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Good Reliability ◽  
Cross Sectional ◽  
Pairwise Correlation ◽  
Cronbach's Alpha

CONTEXT AND OBJECTIVE: Lifestyle includes the personal attitudes or behavioral patterns that result in risks or benefits to the individual's own health or that of others. Children's health is particularly determined by their mother's lifestyle. The objective here was to develop and evaluate the reliability of a questionnaire capable of describing the lifestyles of preschoolers' mothers in terms of their activities, interests, opinions and values. DESIGN AND SETTING: Cross-sectional study conducted in a public university. METHODS: This study was conducted between January 2010 and March 2011, among 255 mothers of preschoolers living in the southeastern region of the municipality of São Paulo. A proportional stratified random probabilistic sample with two strata was selected: schools were drawn and then the children. Three instruments found in the literature were used to create the lifestyle questionnaire. The questionnaire was developed in eight stages: preliminary pretest, cultural adaptation, second pretest, pilot study, semantic correction and adaptation, third pretest, final research and final retest. Cronbach's alpha and pairwise correlation coefficients were used. RESULTS: The Cronbach's alpha value in the final version was 0.83 and the pre and post-test pairwise correlation coefficients were greater than 0.5. Factor analysis identified five factors that explained 73.51% of the correlation variance. As a result, seven variables were eliminated from the questionnaire. CONCLUSIONS: The questionnaire described five lifestyle domains, with good reliability, and can be used in combination with preschoolers' health and nutritional outcomes.

Prevalence of burnout in Polish anesthesiologists and anesthetist nursing professionals: A comparative non-randomized cross-sectional study

2016 ◽  
Vol 22 (4) ◽  
pp. 465-474 ◽  
Author(s):  
Aleksandra Misiołek ◽  
Pedro R Gil-Monte ◽  
Hanna Misiołek
Keyword(s):  
Critical Level ◽  
Cross Sectional Study ◽  
Global Score ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Nurses And Physicians ◽  
Polish Adaptation ◽  
Nursing Professionals

The purpose of the study was to assess the burnout levels in nurses ( N = 161) versus physicians ( N = 373). The levels of burnout were evaluated by the Polish adaptation of the Spanish Burnout Inventory (Cronbach’s alpha > .70). High burnout level was found in 18.63 percent nurses and 12.06 percent anesthesiologists, and critical level in 3.74 percent nurses and 5.90 percent anesthetists. There were statistically significant differences in Burnout global score, Enthusiasm toward the job, Psychological exhaustion, and Indolence subscales between nurses and physicians. No significant differences were found between sexes in any variable.

scholarly journals HAPPY MAMA Project (PART 1). Assessing the Reliability of the Italian Karitane Parenting Confidence Scale (KPCS-IT) and Parental Stress Scale (PSS-IT): A Cross-Sectional Study among Mothers Who Gave Birth in the Last 12 Months

2021 ◽  
Vol 18 (8) ◽  
pp. 4066
Author(s):  
Alice Mannocci ◽  
Azzurra Massimi ◽  
Franca Scaglietta ◽  
Sara Ciavardini ◽  
Michela Scollo ◽  
...  
Keyword(s):  
Stress Level ◽  
Self Efficacy ◽  
Maternal Stress ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Maternal Confidence

The purposes of this study were: (1) to adapt two validated questionnaires used to evaluate maternal confidence (KPCS-IT) and maternal stress (PSS-IT) to the Italian context, in order to (2) measure the stress level and the self-efficacy in an Italian sample of mothers. The validation process has provided the construction of an online questionnaire. It was administered on a convenience mothers sample with at least a child aged 0–12 months, twice (T0 and T1) with a two day interval. Assessment of instrument stability over time was estimated by applying test–retest reliability between T0 and T1, and the Cronbach’s alpha coefficient. A cross-sectional study was carried out to assess the second aim. Italian mothers with at least one child living at home aged between 0–12 months were recruited. Statistical reliability methods were applied to assess the internal validity of the two questionnaires. PSS-IT was analyzed using univariate and multivariate statistical analyses in order to study the association between KPCS-IT, demographic and maternal characteristics. Statistical significance was established as p < 0.05. The Cronbach’s alpha reported a good level of internal consistency of the questionnaires: PSS-IT alpha = 0.862; KPCS-IT alpha = 0.801. 32% of the mothers declared low maternal confidence and the mean value of PSS-IT was 35.4 (SD = 8). The significant inverse correlation was found between the PSS-IT and the KPCS-IT (coeff = −0.353; p < 0.001): this means that a high level of perceived self-efficacy reduces the maternal stress level. The study identifies that interventions on maternal confidence can be useful to support mothers in the first months after delivery in order to prevent stress risk: the perceived self-efficacy is as a modifiable factor and the results of the study indicate that it significantly reduces the PSS-IT and EPDS scores. In future, more field trials are necessary in order to assess the realistic and feasible interventions on maternal confidence and competence to prevent maternal distress.

scholarly journals Cross-cultural adaptation of the PatientDoctor Relationship Questionnaire (PDRQ-9) in Brazil

2018 ◽  
Vol 52 ◽  
pp. 71 ◽  
Author(s):  
Lucas Wollmann ◽  
Lisiane Hauser ◽  
Sotero Serrate Mengue ◽  
Rudi Roman ◽  
Christina M Van Der Feltz-Cornelis
Keyword(s):  
Factor Analysis ◽  
Cultural Adaptation ◽  
Professional Training ◽  
Cross Sectional Study ◽  
Cross Cultural ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cross Cultural Adaptation ◽  
Cronbach's Alpha

OBJECTIVE: To describe the process of cross-cultural adaptation of the Patient-Doctor Relationship Questionnaire (PDRQ-9), as well as compare the agreement between two different types of application. METHODS: This is a cross-sectional study with 133 adult users of a Primary Health Service in Porto Alegre, State of Rio Grande do Sul, Brazil. The PDRQ-9 was answered by the participants as a self-administered questionnaire and in an interview. The instrument was also validated by interview, using data from 628 participants of the Mais Médicos Program Evaluation Research, which is a cross-sectional study with a systematic sample of Primary Care Services in all regions of Brazil. We evaluated the semantic, conceptual, and item equivalence, as well as factor analysis and reliability. RESULTS: All items presented factor loading > 0.5 in the different methods of application and populations in the factor analysis. We found Cronbach’s alpha of 0.94 in the self-administered method. We found Cronbach’s alpha of 0.95 and 0.94 in the two different samples in the interview application. The use of PDRQ-9 with an interview or self-administered was considered equivalent. CONCLUSIONS: The cross-cultural adaptation of the PDRQ-9 in Brazil replicated the factorial structure found in the original study, with high internal consistency. The instrument can be used as a new dimension in the evaluation of the quality of health care in clinical research, in the evaluation of services and public health, in health management, and in professional training. Further studies can evaluate other properties of the instrument, as well as its behavior in different populations and contexts.

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