医学生职业精神认知测量工具的编制与初步应用

Development and preliminary application of the measurement scale for medical students'professionalism cognition

目的了解医学生职业精神认知现状,为医学人才培养和医学教育提供参考。方法采用整群抽样的方法,对H省某医学院校两所附属医院医学生进行问卷调查。运用SPSS 20.0软件进行探索性因子分析和信效度检验,并对职业精神现状进行描述性分析。采用Amos21.0软件对样本进行验证性因子分析。结果调查工具的信度与效度较好,量表的Cronbach’sα系数为0.901。医学生职业精神总体平均分在80分左右;"身心状况及自我发展能力"维度得分最高,为83.65分;"学术能力"维度得分最低,为72.21分。两所医院的医学生职业精神认知略有差异,"尊重与关怀""责任感"维度的差异有统计学意义。结论初步形成了信度与效度较好的医学生职业精神测量量表。H省某医学院校两所附属医院医学生职业精神整体情况良好,未来医学教育应更加注重医学生基础专业知识与临床实践相结合,转变医学生培养模式;以期提升医学生学术能力,进而提高医学生对职业精神的总体认知水平。

Objective To explore the present situation of medical students'professionalism cognition and provide reference for medical personnel training and medical education.Methods A cross-sectional survey was conducted on medical students among 2 affiliated hospitals of a medical university in H province by cluster sampling.Exploratory factor analysis and reliability and validity test were carried out and a descriptive analysis of the present situation of professionalism was conducted by SPSS 20.0.Amos21.0 software was used for a confirmatory factor analysis on the samples.Results The measurement scale had good reliability and validity,and the Cronbach alpha coefficient of the scale was 0.901.The average professionalism score of the medical students was about 80 points.The score of"physical and mental status and self-development ability"was the highest(83.65 points),and the lowest score was"academic ability"(72.21 points).There was a little difference in the professionalism cognition between the two hospitals,with significant differences between the dimension"respect and care"and"responsibility".Conclusion This study has initially formed a medical professionalism measurement scale with good reliability and validity.The professionalism of medical students in the 2 affiliated hospitals of a medical school in Province H is in good condition as a whole.In the future,medical education should pay more attention to the combination of basic professional knowledge and clinical practice of medical students,and change the training model of medical students in order to improve the academic ability of medical students and medical students'overall cognition of professionalism.