Development and validation of conflict management attitude questionnaire for medical students

Abstract Background Medical students should effectively manage conflicts in teamwork and communication with other team members. This study aimed to develop and validate a tool to evaluate attitude of medical students and physicians toward conflict management. Method A multi-step process was employed...

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Main Authors: Fatemeh Mohseni, Aeen Mohammadi, Mahboobeh Khabaz Mafinejad, Larry D. Gruppen, Nasim Khajavirad
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03928-0
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author Fatemeh Mohseni
Aeen Mohammadi
Mahboobeh Khabaz Mafinejad
Larry D. Gruppen
Nasim Khajavirad
author_facet Fatemeh Mohseni
Aeen Mohammadi
Mahboobeh Khabaz Mafinejad
Larry D. Gruppen
Nasim Khajavirad
author_sort Fatemeh Mohseni
collection DOAJ
description Abstract Background Medical students should effectively manage conflicts in teamwork and communication with other team members. This study aimed to develop and validate a tool to evaluate attitude of medical students and physicians toward conflict management. Method A multi-step process was employed to develop and validate a Conflict Management Attitude Questionnaire (CMAQ) based on the steps recommended in AMEE Guide No. 87. First, the initial items were obtained from the literature review and focus group. After cognitive interviews with the medical students and revision of the questionnaire, content validity was performed by experts. The construct validity and reliability of the questionnaire were assessed using exploratory Factor Analysis (EFA) and Cronbach’s alpha coefficient, respectively. Results This multi-step process resulted in a 12-item, five-point Likert-type questionnaire with satisfactory construct validity. Exploratory factor analysis revealed three factors, comprising the four items from the "perceived interactions in conflict management" subscale loading on the first factor, and five items from the "perceived value of learning conflict management" subscale loading on the second factor, along with three items from the "perceived application of conflict management" subscale loading on the third factor. All subscales described 56.48% of the variance. Validation results showed that Content Validity Index (CVI) and Content Validity Ratio (CVR) were greater than 0.75. Cronbach's alpha coefficient was 0.791. Conclusion This study showed that CMAQ has valid evidence for assessing the attitude of medical students toward conflict management with favorable psychometric properties and strong evidence of construct validity. However, due to the lack of evidence on any specific questionnaire to evaluate the attitude towards conflict management, future studies should conduct a confirmatory investigation regarding other aspects of medical students' attitudes toward conflict management.
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spelling doaj.art-4edbd16d46b345cdaaba9f10c3fa948c2022-12-22T03:53:31ZengBMCBMC Medical Education1472-69202022-12-012211810.1186/s12909-022-03928-0Development and validation of conflict management attitude questionnaire for medical studentsFatemeh Mohseni0Aeen Mohammadi1Mahboobeh Khabaz Mafinejad2Larry D. Gruppen3Nasim Khajavirad4Department of Medical Education, Tehran University of Medical SciencesDepartment of E-Learning in Medical Education, School of Medicine, Tehran University of Medical SciencesHealth Professions Education Research Center, Education Development Center, Department of Medical Education, Tehran University of Medical SciencesPhD, Department of Learning Health Sciences, University of MichiganDepartment of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical SciencesAbstract Background Medical students should effectively manage conflicts in teamwork and communication with other team members. This study aimed to develop and validate a tool to evaluate attitude of medical students and physicians toward conflict management. Method A multi-step process was employed to develop and validate a Conflict Management Attitude Questionnaire (CMAQ) based on the steps recommended in AMEE Guide No. 87. First, the initial items were obtained from the literature review and focus group. After cognitive interviews with the medical students and revision of the questionnaire, content validity was performed by experts. The construct validity and reliability of the questionnaire were assessed using exploratory Factor Analysis (EFA) and Cronbach’s alpha coefficient, respectively. Results This multi-step process resulted in a 12-item, five-point Likert-type questionnaire with satisfactory construct validity. Exploratory factor analysis revealed three factors, comprising the four items from the "perceived interactions in conflict management" subscale loading on the first factor, and five items from the "perceived value of learning conflict management" subscale loading on the second factor, along with three items from the "perceived application of conflict management" subscale loading on the third factor. All subscales described 56.48% of the variance. Validation results showed that Content Validity Index (CVI) and Content Validity Ratio (CVR) were greater than 0.75. Cronbach's alpha coefficient was 0.791. Conclusion This study showed that CMAQ has valid evidence for assessing the attitude of medical students toward conflict management with favorable psychometric properties and strong evidence of construct validity. However, due to the lack of evidence on any specific questionnaire to evaluate the attitude towards conflict management, future studies should conduct a confirmatory investigation regarding other aspects of medical students' attitudes toward conflict management.https://doi.org/10.1186/s12909-022-03928-0Conflict managementPsychometricMedical studentsDevelopment of questionnaire
spellingShingle Fatemeh Mohseni
Aeen Mohammadi
Mahboobeh Khabaz Mafinejad
Larry D. Gruppen
Nasim Khajavirad
Development and validation of conflict management attitude questionnaire for medical students
BMC Medical Education
Conflict management
Psychometric
Medical students
Development of questionnaire
title Development and validation of conflict management attitude questionnaire for medical students
title_full Development and validation of conflict management attitude questionnaire for medical students
title_fullStr Development and validation of conflict management attitude questionnaire for medical students
title_full_unstemmed Development and validation of conflict management attitude questionnaire for medical students
title_short Development and validation of conflict management attitude questionnaire for medical students
title_sort development and validation of conflict management attitude questionnaire for medical students
topic Conflict management
Psychometric
Medical students
Development of questionnaire
url https://doi.org/10.1186/s12909-022-03928-0
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