Validation and application of a tool to assess self-confidence to do improvement.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Annette Richardson, Jon Rees
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引用次数: 0

Abstract

Introduction: Increasing improvement capability in the workforce is vital within healthcare. The type of quality improvement training to increase capability varies. One way to measure the impact of improvement training is self-confidence to do improvement.

Objectives: Our objectives were to validate a tool to assess self-confidence to do improvement and to observe the degree of change before and after improvement training. We aimed to assess the degree of impact on self-confidence associated with varying exposure to quality improvement training.

Methods: We used an online 10-item and 4-point scale to assess self-confidence before and after improvement training. Reliability analysis using Cronbach's alpha was performed. The nature of the underlying construct was investigated using exploratory factor analysis and a full set of pre and post measures were used, and to compare individual question changes, a series of paired Wilcoxon tests were performed with Bonferroni post hoc corrections for multiple comparisons. To assess the differing lengths of programmes, individual results from each programme were combined meta-analytically with course duration added as a moderator.

Results: 252 completed questionnaires were analysed at baseline and a full set of pre and post measures were available for 128 participants. Cronbach's alpha for the tool was satisfactory at 0.93 (0.92-0.94) and measured a single underlying construct with an eigenvalue of 6.17. A significant increase in confidence to improve from before to after intervention was found (t(127) = 14.36, p<0.001, d=1.27 (95% CI 1.03-1.50)). Post-testing differences were significant (F(6,125) = 2.89, p=0.02) with shorter courses having significantly smaller increases in confidence.

Conclusions: This manuscript provides a validated self-confidence tool to help assess improvement capability. Our tool offers a way to measure the impact of improvement capability on varying training durations and inform decisions about allocating staff time to this activity.

验证并应用一种评估自信的工具来进行改进。
简介:在医疗保健领域,提高员工的改进能力至关重要。提高能力的质量改进培训的类型各不相同。衡量改进训练效果的一种方法是对改进的自信。目的:我们的目的是验证一种工具来评估自信心进行改进,并观察改进培训前后的变化程度。我们的目的是评估不同的质量改进培训对自信心的影响程度。方法:采用在线10项4分制量表对改进训练前后的自信心进行测评。采用Cronbach’s alpha进行信度分析。使用探索性因子分析和一整套前后测量来调查潜在结构的性质,为了比较个别问题的变化,进行了一系列成对的Wilcoxon检验和Bonferroni事后修正来进行多重比较。为了评估课程的不同长度,每个课程的个别结果与课程时长作为调节因素进行meta分析。结果:252份已完成的问卷在基线时进行了分析,128名参与者获得了全套的前后测量结果。该工具的Cronbach's alpha值为0.93(0.92-0.94),令人满意,并且测量了单个潜在结构的特征值为6.17。干预前后自信心显著增加(t(127) = 14.36)。结论:本文提供了一个有效的自信心工具来帮助评估改善能力。我们的工具提供了一种方法来衡量改进能力对不同培训持续时间的影响,并告知有关将员工时间分配到该活动的决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Open Quality
BMJ Open Quality Nursing-Leadership and Management
CiteScore
2.20
自引率
0.00%
发文量
226
审稿时长
20 weeks
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