DESIGN AND EVALUATION OF PSYCHOMETRIC ATTRIBUTES OF THE "PHYSICIANS' ATTITUDES TOWARD ESTABLISHING PERSONAL AND FRIENDLY COMMUNICATION WITH PATIENTS" SCALE

Keywords: Psychometrics, Physicians' attitudes, Physician-patient communication, Iran

Abstract

The physician-patient communication is one of the most important forms of communication in the health system. If this communication loses its moral aspects for different reasons, it will lead to mistrust. Therefore, this research was conducted to design and evaluate the psychometric attributes of the "Physicians' attitudes toward establishing personal and friendly communication with patients" scale. The present methodological research was conducted in three phases. In the first phase, conventional content analysis was used. In the second phase, the terms of the questionnaire were developed using the results of the qualitative part. In the third stage, the psychometric attributes of the questionnaire were determined using face validity, content, and reliability of internal consistency and stability.  The score of all items of the questionnaire using the effective item selection method was more than 1.5. The CVR of 15 items was more than 0.62 and the CVI of all items was higher than 0.79. Cronbach's alpha of 0.749 was obtained to measure the internal consistency of the questionnaire using SPSS-v24 software. The used questionnaire has appropriate internal validity and reliability. Based on the results, there was no comprehensive and unified attitude towards establishing personal and friendly relations between a physician and a patient among experts.

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References

Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J. 2010;10(1):38-43.

Biglu MH, Nateq F, Ghojazadeh M, Asgharzadeh A. Communication skills of physicians and patients' satisfaction. Mater Sociomed 2017;29(3):192-195.

Shomaker TS, Ashburn MA. The legal implications of healthcare communications: what every pain physician needs to know. Pain Med 2000;1(1):89-96.

Aravind V, Krishnaram V, Thasneem Z. Boundary crossings and violations in clinical settings. Indian J Psychol Med 2012;34(1):21-24.

Asemani O. A review of the models of physician-patient relationship and its challenges. J Med Ethics Hist Med 2012;5(4):36-50.

Zamani A, Shams B, Farajzadegan Z, Tabaeian S. The viewpoints of clinical faculty members about teaching communication skills to medical students. J Med Ethics Hist Med 2003;3(1):45-51.

Gadit AAM. Opinion and Debate Should physicians and patients be friends? Can this lead to an ethical dilemma? J Pak Med Assoc 2010;60(10):875-583.

Miech RP. The doctor-patient relationship: friend or adversary? Linacre Q 1995;62(2):13-18.

Shojaei AA. Rite of life (applied ethics) for medical sciences. 1, ed. 1. 2013, Tehran: Maaref Publications.

Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ 2014;23(8):678-689.

Maintaining a professional boundary between you and your patient. [Updated 2013].

SANA JQ. The struggle in a physician-patient communication to not get personal. [Updated 2017].

Bezreh T, Laws MB, Taubin T, Rifkin DE, Wilson IB. Challenges to physician-patient communication about medication use: a window into the skeptical patient's world. Patient Prefer Adherence 2012;6:11-18.

Pellegrino ED. The metamorphosis of medical ethics. A 30-year retrospective. JAMA 1993;269(9):1158-1162.

Association CM. The patient-physician communication and the sexual abuse of patients. CMAJ 1994;150(11):1884A-1884F.

Bolland G, Darken R. Sexual relationships between doctors and patients: ethical issues towards the new millennium. Monash Bioethics Rev 2000;19(1):43-55.

DuBois JM, Walsh HA, Chibnall JT, Anderson EE, Eggers MR, Fowose M. Sexual violation of patients by physicians: a mixed-methods, exploratory analysis of 101 cases. Sex Abuse2019;31(5):503-523.

Farmanbar R, Shirazi M, Ranjbarnejad F. Designing and psychometric assessing of physician-patient communication skills tool. Journal of Research and Health 2020;10(5):329-338.

Colton D, Covert RW. Designing and constructing instruments for social research and evaluation. 1st ed. USA: Jossey-Bass Inc; 2007.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2):105-112.

Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Meas Eval Couns Dev 2014;47(1):79-86.

Lawshe CH. A quantitative approach to content validity. Personnel psychology 1975;28(4):563-575.

Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007;30(4):459-467.

Shahhosseini Z, Simbar M, Ramezankhani A, Majd HA. An inventory for assessment of the health needs of Iranian female adolescents. East Mediterr Health J 2012;18(8):850-856.

Dobash TJ. Physician-patient sexual contact: the battle between the state and the medical profession. Wash Lee Law Rev 1993;50(4):1725-1759.

AbuDagga A, Wolfe SM, Carome M, Oshel RE. Cross-sectional analysis of the 1039 U.S. physicians reported to the National Practitioner Data Bank for sexual misconduct, 2003-2013. PLoS One 2016;11(2):e0147800.

Collier R. When the doctor-patient relationship turns sexual. CMAJ. 2016;188(4):247-248.

Dean G, Kilpatrick PD. Rape and sexual assault. [Updated 1998].

Paul Cerrato M. Exclusive ethics survey: is it ever okay to date a patient? [Updated 2014].

Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ 1995;152(9):1423-1433.

Ridd MJ, Lewis G, Peters TJ, Salisbury C. Patient-doctor depth-of-relationship scale: development and validation. Ann Fam Med 2011;9(6):538-545.

Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, De Beurs E, Van Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. Gen Hosp Psychiatry 2004;26(2):115-120.

Published
2022-11-14
Section
MEDICAL ETHICS. OBSERVATIONAL RESEARCH