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Belonging in Surgery: A Validated Instrument and Single Institutional Pilot.
Acker, Rachael C; Sharpe, James; Shea, Judy A; Ginzberg, Sara P; Bakillah, Emna; Rosen, Claire B; Finn, Caitlin B; Roberts, Sanford E; Ajmera, Sonia; Kelz, Rachel R.
Afiliação
  • Acker RC; Department of Surgery, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA.
  • Sharpe J; Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
  • Shea JA; Department of Surgery, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA.
  • Ginzberg SP; Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
  • Bakillah E; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
  • Rosen CB; Leonard Davis Institute of Healthcare Economics, Wharton School, University of Pennsylvania, PA.
  • Finn CB; Department of Surgery, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA.
  • Roberts SE; Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
  • Ajmera S; Department of Surgery, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA.
  • Kelz RR; Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.
Ann Surg ; 280(2): 345-352, 2024 Aug 01.
Article em En | MEDLINE | ID: mdl-38348669
ABSTRACT

OBJECTIVE:

The aim of this study was to develop and validate an instrument to measure Belonging in Surgery among surgical residents.

BACKGROUND:

Belonging is the essential human need to maintain meaningful relationships and connections to one's community. Increased belongingness is associated with better well-being, job performance, and motivation to learn. However, no tools exist to measure belonging among surgical trainees.

METHODS:

A panel of experts adapted a belonging instrument for use among United States surgery residents. After administration of the 28-item instrument to residents at a single institution, a Cronbach alpha was calculated to measure internal consistency, and exploratory principal component analyses were performed. Multiple iterations of analyses with successively smaller item samples suggested the instrument could be shortened. The expert panel was reconvened to shorten the instrument. Descriptive statistics measured demographic factors associated with Belonging in Surgery.

RESULTS:

The overall response rate was 52% (114 responses). The Cronbach alpha among the 28 items was 0.94 (95% CI 0.93-0.96). The exploratory principal component analyses and subsequent Promax rotation yielded 1 dominant component with an eigenvalue of 12.84 (70% of the variance). The expert panel narrowed the final instrument to 11 items with an overall Cronbach alpha of 0.90 (95% CI 0.86, 0.92). Belonging in Surgery was significantly associated with race (Black and Asian residents scoring lower than White residents), graduating with one's original intern cohort (residents who graduated with their original class scoring higher than those that did not), and inversely correlated with resident stress level.

CONCLUSIONS:

An instrument to measure Belonging in Surgery was validated among surgical residents. With this instrument, Belonging in Surgery becomes a construct that may be used to investigate surgeon performance and well-being.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgia Geral / Internato e Residência Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Ann Surg Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cirurgia Geral / Internato e Residência Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Ann Surg Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos