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Published in: BMC Health Services Research 1/2021

Open Access 01-12-2021 | Research article

Development and validation of the medical professionals resilience scale

Authors: Mardhati Ab Rahman, Muhamad Saiful Bahri Yusoff, Nurhanis Syazni Roslan, Jamilah Al-Muhammady Mohammad, Anisa Ahmad

Published in: BMC Health Services Research | Issue 1/2021

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Abstract

Purpose

Most of the resilience scales were developed for the non-medical population, therefore the purpose of this study was developing and validating a resilience scale for medical professionals – namely Medical Professionals Resilience Scale (MeRS).

Methods

A questionnaire development and validation study was conducted. The resilience domains and items were identified and generated through a literature review. The content validation was carried out by content experts and the content validity index (CVI) was calculated. The face validation was performed by medical officers and the face validity index (FVI) was calculated. The final MeRS was administered to 167 medical officers, exploratory factor analysis (EFA) and reliability analysis were performed to assess MeRS’s factorial structure and internal consistency.

Results

Four domains with 89 items of medical professionals’ resilience were developed. Following that, the content and face validation was conducted, and a total of 41-items remained for construct validation. EFA extracted four factors, namely growth, control, involvement, and resourceful, with a total of 37 items. The items’ CVI and FVI values were more than 0.80. The final MeRS’s items had factor loading values ranged from 0.41 to 0.76, and the Cronbach’s alpha values of the resilience domains ranged from 0.72 to 0.89.

Conclusions

MeRS is a promising scale for measuring medical professionals’ resilience as it showed good psychometric properties. This study provided validity evidence in terms of content, response process, and internal structure that supported the validity of MeRS in the measurement of resilience domains among medical professionals.
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Literature
1.
go back to reference Kumar S. Burnout and Doctors: Prevalence, Prevention and Intervention. Healthcare. 2016;4(3):37.CrossRef Kumar S. Burnout and Doctors: Prevalence, Prevention and Intervention. Healthcare. 2016;4(3):37.CrossRef
2.
go back to reference Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–85.CrossRef Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377–85.CrossRef
3.
go back to reference Siau CS, Wee LH, Ibrahim N, Visvalingam U, Ling Yeap LL, Yeoh SH, et al. Predicting burnout and psychological distress risks of hospital healthcare workers. Malaysian J Public Heal Med. 2018;1:125–36. Siau CS, Wee LH, Ibrahim N, Visvalingam U, Ling Yeap LL, Yeoh SH, et al. Predicting burnout and psychological distress risks of hospital healthcare workers. Malaysian J Public Heal Med. 2018;1:125–36.
5.
go back to reference Mills J, McKimm J. Resilience: Why it matters and how doctors can improve it. Br J Hosp Med. 2016;77(11):630–3.CrossRef Mills J, McKimm J. Resilience: Why it matters and how doctors can improve it. Br J Hosp Med. 2016;77(11):630–3.CrossRef
6.
go back to reference Profit J, Sharek PJ, Amspoker AB, Kowalkowski MA, Nisbet CC, Thomas EJ, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806–13.CrossRef Profit J, Sharek PJ, Amspoker AB, Kowalkowski MA, Nisbet CC, Thomas EJ, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806–13.CrossRef
7.
go back to reference Wadi M, Nordin NI, Roslan NS, Yusoff MSB. Reframing Resilience Concept: Insights from a Meta-Synthesis of 21 Resilience Scales. Educ Med J. 2020;12(2):3–22.CrossRef Wadi M, Nordin NI, Roslan NS, Yusoff MSB. Reframing Resilience Concept: Insights from a Meta-Synthesis of 21 Resilience Scales. Educ Med J. 2020;12(2):3–22.CrossRef
8.
go back to reference Deegan PE. The importance of personal medicine: A qualitative study of resilience in people with psychiatric disabilities. Scand J Public Heal Suppl. 2005;66:29–35.CrossRef Deegan PE. The importance of personal medicine: A qualitative study of resilience in people with psychiatric disabilities. Scand J Public Heal Suppl. 2005;66:29–35.CrossRef
9.
go back to reference Doll B, Lyon MA. Risk and resilience: Implications for the delivery of educational and mental health services in schools. School Psych Rev. 1998;27(3):348–63.CrossRef Doll B, Lyon MA. Risk and resilience: Implications for the delivery of educational and mental health services in schools. School Psych Rev. 1998;27(3):348–63.CrossRef
10.
go back to reference Felten BS. Resilience in a multicultural sample of community-dwelling women older than age 85. Clin Nurs Res. 2000;9(2):102–23.CrossRef Felten BS. Resilience in a multicultural sample of community-dwelling women older than age 85. Clin Nurs Res. 2000;9(2):102–23.CrossRef
11.
go back to reference Hegney DG, Buikstra E, Baker P, Rogers-Clark C, Pearce S, Ross H, et al. Individual resilience in rural people: a Queensland study, Australia. Rural Remote Health. 2007;7(4):620.PubMed Hegney DG, Buikstra E, Baker P, Rogers-Clark C, Pearce S, Ross H, et al. Individual resilience in rural people: a Queensland study, Australia. Rural Remote Health. 2007;7(4):620.PubMed
12.
go back to reference Leppin AL, Bora PR, Tilburt JC, Gionfriddo MR, Zeballos-Palacios C, Dulohery MM, et al. The efficacy of resiliency training programs: A systematic review and meta-analysis of randomized trials. PLoS One. 2014;9(10):e111420.CrossRef Leppin AL, Bora PR, Tilburt JC, Gionfriddo MR, Zeballos-Palacios C, Dulohery MM, et al. The efficacy of resiliency training programs: A systematic review and meta-analysis of randomized trials. PLoS One. 2014;9(10):e111420.CrossRef
13.
go back to reference Fisher RFR, Croxson CHD, Ashdown HF, Hobbs FDR. GP views on strategies to cope with increasing workload: A qualitative interview study. Br J Gen Pract. 2017;67(655):148–56.CrossRef Fisher RFR, Croxson CHD, Ashdown HF, Hobbs FDR. GP views on strategies to cope with increasing workload: A qualitative interview study. Br J Gen Pract. 2017;67(655):148–56.CrossRef
14.
go back to reference Jenkins LS, Gunst C, Blitz J, Coetzee JF. What keeps health professionals working in rural district hospitals in South Africa? African J Prim Heal Care Fam Med. 2015;7(1):805. Jenkins LS, Gunst C, Blitz J, Coetzee JF. What keeps health professionals working in rural district hospitals in South Africa? African J Prim Heal Care Fam Med. 2015;7(1):805.
15.
go back to reference Mata DA, Ramos MA, Kim MM, Guille C, Sen S. In their own words: An analysis of the experiences of medical interns participating in a prospective cohort study of depression. Acad Med. 2016;91(9):1244–50.CrossRef Mata DA, Ramos MA, Kim MM, Guille C, Sen S. In their own words: An analysis of the experiences of medical interns participating in a prospective cohort study of depression. Acad Med. 2016;91(9):1244–50.CrossRef
16.
go back to reference Matheson C, Robertson HD, Elliott AM, Iversen L, Murchie P. Resilience of primary healthcare professionals working in challenging environments: A focus group study. Br J Gen Pract. 2016;66(648):507–15.CrossRef Matheson C, Robertson HD, Elliott AM, Iversen L, Murchie P. Resilience of primary healthcare professionals working in challenging environments: A focus group study. Br J Gen Pract. 2016;66(648):507–15.CrossRef
17.
go back to reference Winkel AF, Honart AW, Robinson A, Jones AA, Squires A. Thriving in scrubs: A qualitative study of resident resilience. Reprod Health. 2018;15(1):53.CrossRef Winkel AF, Honart AW, Robinson A, Jones AA, Squires A. Thriving in scrubs: A qualitative study of resident resilience. Reprod Health. 2018;15(1):53.CrossRef
18.
go back to reference Aburn G, Gott M, Hoare K. What is resilience? An Integrative Review of the empirical literature. J Adv Nurs. 2016;72(5):980–1000.CrossRef Aburn G, Gott M, Hoare K. What is resilience? An Integrative Review of the empirical literature. J Adv Nurs. 2016;72(5):980–1000.CrossRef
19.
go back to reference Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9(8):1–18. Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9(8):1–18.
20.
go back to reference Ahern N, Kiehl E, Lou Sole M, Byers J. A review of instruments measuring resilience. Compr Child Adolesc Nurs. 2006;29(2):103–25. Ahern N, Kiehl E, Lou Sole M, Byers J. A review of instruments measuring resilience. Compr Child Adolesc Nurs. 2006;29(2):103–25.
21.
go back to reference Kirch DG. Transforming admissions: The gateway to medicine. JAMA - J Am Med Assoc. 2012;308(21):2250–1.CrossRef Kirch DG. Transforming admissions: The gateway to medicine. JAMA - J Am Med Assoc. 2012;308(21):2250–1.CrossRef
22.
go back to reference Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of burnout among physicians a systematic review. JAMA - J Am Med Assoc. 2018;320(11):1131–50.CrossRef Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, et al. Prevalence of burnout among physicians a systematic review. JAMA - J Am Med Assoc. 2018;320(11):1131–50.CrossRef
23.
go back to reference Runyan C, Savageau JA, Potts S, Weinreb L. Impact of a family medicine resident wellness curriculum: A feasibility study. Med Educ Online. 2016;21:30648.CrossRef Runyan C, Savageau JA, Potts S, Weinreb L. Impact of a family medicine resident wellness curriculum: A feasibility study. Med Educ Online. 2016;21:30648.CrossRef
24.
go back to reference Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J. 2019;11(2):49–54.CrossRef Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J. 2019;11(2):49–54.CrossRef
25.
go back to reference Yusoff MSB. ABC of Response Process Validation and Face Validity Index Calculation. Educ Med J. 2019;11(3):55–61.CrossRef Yusoff MSB. ABC of Response Process Validation and Face Validity Index Calculation. Educ Med J. 2019;11(3):55–61.CrossRef
26.
go back to reference Polit DF, Tatano Beck C, Owen SF. Is the CVI an Acceptable Indicator of Content Validity? Appraisal and recommendations. Res Nurs Health. 2007;23:803–13. Polit DF, Tatano Beck C, Owen SF. Is the CVI an Acceptable Indicator of Content Validity? Appraisal and recommendations. Res Nurs Health. 2007;23:803–13.
27.
go back to reference Field A. Discovering Statistics using SPSS Statistics. 3rd ed. SAGE Publications. Sage Publications; 2009. 866 p. Field A. Discovering Statistics using SPSS Statistics. 3rd ed. SAGE Publications. Sage Publications; 2009. 866 p.
28.
go back to reference Raubenheimer J. An item selection procedure to maximise scale reliability and validity. SA J Ind Psychol. 2004; Raubenheimer J. An item selection procedure to maximise scale reliability and validity. SA J Ind Psychol. 2004;
29.
go back to reference Ebel R. Measuring educational achievement [Internet]. Eaglewood Cliff, United State; 1965. 348–349 p. Available from: Prentice Hall Ebel R. Measuring educational achievement [Internet]. Eaglewood Cliff, United State; 1965. 348–349 p. Available from: Prentice Hall
30.
go back to reference Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166.e7-16.CrossRef Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166.e7-16.CrossRef
31.
go back to reference Creswell JW, Plano Clark VL. Designing and Conducting Mixed Methods Research | SAGE Publications Ltd. SAGE Publications, Inc. 2017. Creswell JW, Plano Clark VL. Designing and Conducting Mixed Methods Research | SAGE Publications Ltd. SAGE Publications, Inc. 2017.
32.
go back to reference Artino AR, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach. 2014;36(6):463–74.CrossRef Artino AR, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach. 2014;36(6):463–74.CrossRef
33.
go back to reference Hinkin TR. A Review of Scale Development Practices in the Study of Organizations. J Manage. 1995;21(5):967–88. Hinkin TR. A Review of Scale Development Practices in the Study of Organizations. J Manage. 1995;21(5):967–88.
34.
go back to reference Raykov T, Marcoulides GA. Introduction to Psychometric theory. Introduction to Psychometric Theory. Routledge/Taylor & Francis Group; 2011. 1–352 p. Raykov T, Marcoulides GA. Introduction to Psychometric theory. Introduction to Psychometric Theory. Routledge/Taylor & Francis Group; 2011. 1–352 p.
35.
go back to reference Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12(2):65–76.CrossRef Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12(2):65–76.CrossRef
36.
go back to reference Richardson GE. The metatheory of resilience and resiliency. J Clin Psychol. 2002;58(3):307–21.CrossRef Richardson GE. The metatheory of resilience and resiliency. J Clin Psychol. 2002;58(3):307–21.CrossRef
37.
go back to reference Rossouw P, Rossouw J. The Predictive 6-Factor Resilience Scale: Neurobiological Fundamentals and The Predictive 6-Factor Resilience Scale: Neurobiological Fundamentals and Organizational Application. Int J Neuropsychother. 2016;4(1):31–45. Rossouw P, Rossouw J. The Predictive 6-Factor Resilience Scale: Neurobiological Fundamentals and The Predictive 6-Factor Resilience Scale: Neurobiological Fundamentals and Organizational Application. Int J Neuropsychother. 2016;4(1):31–45.
38.
go back to reference Oshio A, Nagamine S, Kaneko H, Nakaya M. Construct validity of the adolescent resilience scale. Psychol Rep. 2003;93(3):1217–22.CrossRef Oshio A, Nagamine S, Kaneko H, Nakaya M. Construct validity of the adolescent resilience scale. Psychol Rep. 2003;93(3):1217–22.CrossRef
39.
go back to reference Ryan L, Caltabiano ML. Development of a New Resilience Scale: The Resilience in Midlife Scale (RIM Scale). Asian Soc Sci. 2009;5(11):39–51.CrossRef Ryan L, Caltabiano ML. Development of a New Resilience Scale: The Resilience in Midlife Scale (RIM Scale). Asian Soc Sci. 2009;5(11):39–51.CrossRef
40.
go back to reference Donnon T, Hammond W. A psychometric assessment of the self-reported youth resiliency: Assessing developmental strengths questionnaire. Psychol Rep. 2007;100(3):963–78.CrossRef Donnon T, Hammond W. A psychometric assessment of the self-reported youth resiliency: Assessing developmental strengths questionnaire. Psychol Rep. 2007;100(3):963–78.CrossRef
41.
go back to reference Wagnild G. A review of the resilience Scale. J Nurs Meas. 2009;17(2):105–103.CrossRef Wagnild G. A review of the resilience Scale. J Nurs Meas. 2009;17(2):105–103.CrossRef
42.
go back to reference Evans AW, Leeson RMA, Petrie A. Reliability of peer and self-assessment scores compared with trainers’ scores following third molar surgery. Med Educ. 2007;41(9):866–72.CrossRef Evans AW, Leeson RMA, Petrie A. Reliability of peer and self-assessment scores compared with trainers’ scores following third molar surgery. Med Educ. 2007;41(9):866–72.CrossRef
43.
go back to reference Yusoff MSB. Faking good in personality and emotional intelligent tests: self-enhancement among a cohort of medical school applicants. Educ Med J. 2013;5(2):60–71. Yusoff MSB. Faking good in personality and emotional intelligent tests: self-enhancement among a cohort of medical school applicants. Educ Med J. 2013;5(2):60–71.
44.
go back to reference Sargeant J, Mann K, Van Der Vleuten C, Metsemakers J. Directed self-assessment: Practice and feedback within a social context. J Contin Educ Health Prof. 2008;28(1):47–54.CrossRef Sargeant J, Mann K, Van Der Vleuten C, Metsemakers J. Directed self-assessment: Practice and feedback within a social context. J Contin Educ Health Prof. 2008;28(1):47–54.CrossRef
45.
go back to reference Cassidy S. The Academic Resilience Scale (ARS-30): A new multidimensional construct measure. Front Psychol. 2016;7:1787.CrossRef Cassidy S. The Academic Resilience Scale (ARS-30): A new multidimensional construct measure. Front Psychol. 2016;7:1787.CrossRef
46.
go back to reference Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1(2):165–78.PubMed Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1(2):165–78.PubMed
Metadata
Title
Development and validation of the medical professionals resilience scale
Authors
Mardhati Ab Rahman
Muhamad Saiful Bahri Yusoff
Nurhanis Syazni Roslan
Jamilah Al-Muhammady Mohammad
Anisa Ahmad
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-021-06542-w

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