Measuring professionalism in medicine and nursing: results of a European survey.

<h4>Background</h4>Leveraging professionalism has been put forward as a strategy to drive improvement of patient care. We investigate professionalism as a factor influencing the uptake of quality improvement activities by physicians and nurses working in European hospitals.<h4>Obje...

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Autores principales:	Kiki M J M H Lombarts, Thomas Plochg, Caroline A Thompson, Onyebuchi A Arah, DUQuE Project Consortium
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/76a621058e7c425b9ab992b71eedca96
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spelling	oai:doaj.org-article:76a621058e7c425b9ab992b71eedca962021-11-18T08:18:24ZMeasuring professionalism in medicine and nursing: results of a European survey.1932-620310.1371/journal.pone.0097069https://doaj.org/article/76a621058e7c425b9ab992b71eedca962014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24849320/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Leveraging professionalism has been put forward as a strategy to drive improvement of patient care. We investigate professionalism as a factor influencing the uptake of quality improvement activities by physicians and nurses working in European hospitals.<h4>Objective</h4>To (i) investigate the reliability and validity of data yielded by using the self-developed professionalism measurement tool for physicians and nurses, (ii) describe their levels of professionalism displayed, and (iii) quantify the extent to which professional attitudes would predict professional behaviors.<h4>Methods and materials</h4>We designed and deployed survey instruments amongst 5920 physicians and nurses working in European hospitals. This was conducted under the cross-sectional multilevel study "Deepening Our Understanding of Quality Improvement in Europe" (DUQuE). We used psychometric and generalized linear mixed modelling techniques to address the aforementioned objectives.<h4>Results</h4>In all, 2067 (response rate 69.8%) physicians and 2805 nurses (94.8%) representing 74 hospitals in 7 European countries participated. The professionalism instrument revealed five subscales of professional attitude and one scale for professional behaviour with moderate to high internal consistency and reliability. Physicians and nurses display equally high professional attitude sum scores (11.8 and 11.9 respectively out of 16) but seem to have different perceptions towards separate professionalism aspects. Lastly, professionals displaying higher levels of professional attitudes were more involved in quality improvement actions (physicians: b = 0.019, P<0.0001; nurses: b = 0.016, P<0.0001) and more inclined to report colleagues' underperformance (physicians--odds ratio (OR) 1.12, 95% CI 1.01-1.24; nurses - OR 1.11, 95% CI 1.01-1.23) or medical errors (physicians--OR 1.14, 95% CI 1.01-1.23; nurses - OR 1.43, 95% CI 1.22-1.67). Involvement in QI actions was found to increase the odds of reporting incompetence or medical errors.<h4>Conclusion</h4>A tool that reliably and validly measures European physicians' and nurses' commitment to professionalism is now available. Collectively leveraging professionalism as a quality improvement strategy may be beneficial to patient care quality.Kiki M J M H LombartsThomas PlochgCaroline A ThompsonOnyebuchi A ArahDUQuE Project ConsortiumPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 5, p e97069 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kiki M J M H Lombarts Thomas Plochg Caroline A Thompson Onyebuchi A Arah DUQuE Project Consortium Measuring professionalism in medicine and nursing: results of a European survey.
description	<h4>Background</h4>Leveraging professionalism has been put forward as a strategy to drive improvement of patient care. We investigate professionalism as a factor influencing the uptake of quality improvement activities by physicians and nurses working in European hospitals.<h4>Objective</h4>To (i) investigate the reliability and validity of data yielded by using the self-developed professionalism measurement tool for physicians and nurses, (ii) describe their levels of professionalism displayed, and (iii) quantify the extent to which professional attitudes would predict professional behaviors.<h4>Methods and materials</h4>We designed and deployed survey instruments amongst 5920 physicians and nurses working in European hospitals. This was conducted under the cross-sectional multilevel study "Deepening Our Understanding of Quality Improvement in Europe" (DUQuE). We used psychometric and generalized linear mixed modelling techniques to address the aforementioned objectives.<h4>Results</h4>In all, 2067 (response rate 69.8%) physicians and 2805 nurses (94.8%) representing 74 hospitals in 7 European countries participated. The professionalism instrument revealed five subscales of professional attitude and one scale for professional behaviour with moderate to high internal consistency and reliability. Physicians and nurses display equally high professional attitude sum scores (11.8 and 11.9 respectively out of 16) but seem to have different perceptions towards separate professionalism aspects. Lastly, professionals displaying higher levels of professional attitudes were more involved in quality improvement actions (physicians: b = 0.019, P<0.0001; nurses: b = 0.016, P<0.0001) and more inclined to report colleagues' underperformance (physicians--odds ratio (OR) 1.12, 95% CI 1.01-1.24; nurses - OR 1.11, 95% CI 1.01-1.23) or medical errors (physicians--OR 1.14, 95% CI 1.01-1.23; nurses - OR 1.43, 95% CI 1.22-1.67). Involvement in QI actions was found to increase the odds of reporting incompetence or medical errors.<h4>Conclusion</h4>A tool that reliably and validly measures European physicians' and nurses' commitment to professionalism is now available. Collectively leveraging professionalism as a quality improvement strategy may be beneficial to patient care quality.
format	article
author	Kiki M J M H Lombarts Thomas Plochg Caroline A Thompson Onyebuchi A Arah DUQuE Project Consortium
author_facet	Kiki M J M H Lombarts Thomas Plochg Caroline A Thompson Onyebuchi A Arah DUQuE Project Consortium
author_sort	Kiki M J M H Lombarts
title	Measuring professionalism in medicine and nursing: results of a European survey.
title_short	Measuring professionalism in medicine and nursing: results of a European survey.
title_full	Measuring professionalism in medicine and nursing: results of a European survey.
title_fullStr	Measuring professionalism in medicine and nursing: results of a European survey.
title_full_unstemmed	Measuring professionalism in medicine and nursing: results of a European survey.
title_sort	measuring professionalism in medicine and nursing: results of a european survey.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/76a621058e7c425b9ab992b71eedca96
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Measuring professionalism in medicine and nursing: results of a European survey.

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