Relationship between physicians self-efficacy assessment and ratings of supervisory physicians performance (work in progress)

Transcription

1 Relatinship between physicians self-efficacy assessment and ratings f supervisry physicians perfrmance (wrk in prgress) Phil Byrne, Ed.D. Children s Mercy Hspital Michael V. Williams, Ph.D. Wales Behaviral Assessment Betsy White Williams, Ph.D., M.P.H. University f Kansas Medical Center

2 Self-efficacy Self-efficacy is a cnstruct develped in Scial Cgnitive thery It has been demnstrated t predict learning in: Children Adlescents; and Adults It has been fund in: Academics Athletics; and Industrial/Wrk settings Amng thers It is amng the mre replicable findings in cgnitin. 2

3 Self-efficacy and Healthcare Self-efficacy has a lng histry f use in healthcare It has been emplyed t Understand cmpliance in drug regimens (O hea, et.al., 2008) Aid adptin f persnal health activities (Schwarzer and Renner, 2000) Increase participatin in health related research (Bakken, et.al., 2010) Mre recently self-efficacy has been shwn t be a useful variable in understanding CME translatin t practice It has been emplyed t Predict adptin f new learning (Petersn, 2006) Mediate the effect f structural barriers t adptin (Williams, et.al.,2013) Mediate the effectiveness f mtivatin t change (Williams, et.al., 2014) Mediate the translatin f knwledge/predispstin t implement CME learnings (Williams, et.al., 2015) 3

4 Why Self-efficacy Self-efficacy is imprtant because: Self-efficacy can be taught using: Mdeling (vicarius learning) Reinfrcement(scial persuasin) Simulatin (perfrmance accmplishments), and Feedback and supervisin (psychlgical and emtinal states). Self-efficacy has been taught in healthcare fr: Training new cmpetencies Training self-care regimens 4

5 Our Interest Our applicatin was fcused n: Team training Leadership training We were interested in assessing training needs in these areas 5

6 Methds As a part f this effrt we gathered data n: Self efficacy, emplying a ten item general self-efficacy scale 3 Cre Cmpetencies emplying a scale develped and validated t measure cre cmpetencies A leadership scale develped fr medical leadership and in the preliminary stages f validatin All physicians in ur department are taking part f this effrt T date we have sme 1700 ratings f and by physicians. 6

7 The 360 Methdlgy In ur versin f the methd, each physician is rated by: Leaders Peers, and Supprt Certain elements f the data are nly gathered frm the physician such as: Burnut Self-efficacy, by its nature, is gathered nly n the respndent 7

8 Data This talk reprts preliminary data gathered n: Raters cncerning their assessment f the physician's Cre Cmpetencies f: Interpersnal and Cmmunicatins Skills System-based Practice and Prfessinalism Leadership Cmpetencies Raters ratings f their wn self-efficacy P-Self efficacy, characteristics f their sense f persnal attributes that supprt self-efficacy and, R-Self efficacy, their sense f their wn, past self-efficacy These were factrs derived frm Schwarzer s 10 item scale fr use in the analysis 8

9 A significant relatinship was fund between R Selfefficacy and Leadership cmpetency: Results 4. Prvides mentring and develpment pprtunities p < Clearly and precisely define the results that are expected p <

10 P Self-efficacy als appears t be significantly related t a Leadership cmpetency: 7. Prvides tactful feedback t ffer a different perspective when in disagreement with clleagues p < Results 10

11 Discussin These results are encuraging: They supprt the ntin that leadership has an active rle in develping their teams skills; They are suggestive that self-efficacy respnds t leadership effrts t guide/teach the team; They are suggestive that different elements f self-efficacy respnd t different leadership skills Many elements f this prject are still in flw: We have apprximately 2/3 f the sample yet t be cllected We are still in the prcess f structuring the final analysis, these numbers are still quite preliminary We have nt begun t explre ther aspects f the data set t illuminate mre cmplex, multi-level relatinships. We have a cuple f ther reprts here that are with the psters, I invite yu t review them and lk frward t yur insights and discussin. 11