The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events
Abstract Background Self-efficacy, as the vital determinant of behavior, influencing clinicians’ situation awareness, work performance, and medical decision-making, might affect the incidence of anesthesia-related adverse events (ARAEs). This study was employed to evaluate the association between pe...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-022-01732-3 |
| _version_ | 1828803726381416448 |
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| author | Feng Xu Linlin Han Shuai Zhao Yafeng Wang Qingtong Zhang Erfeng Xiong Shiqian Huang Guixing Zhang Hong He Shiyu Deng Yingjie Che Yan Li Liping Xie Xiangdong Chen |
| author_facet | Feng Xu Linlin Han Shuai Zhao Yafeng Wang Qingtong Zhang Erfeng Xiong Shiqian Huang Guixing Zhang Hong He Shiyu Deng Yingjie Che Yan Li Liping Xie Xiangdong Chen |
| author_sort | Feng Xu |
| collection | DOAJ |
| description | Abstract Background Self-efficacy, as the vital determinant of behavior, influencing clinicians’ situation awareness, work performance, and medical decision-making, might affect the incidence of anesthesia-related adverse events (ARAEs). This study was employed to evaluate the association between perceived self-efficacy level and ARAEs. Methods A cross-sectional study was performed in the form of an online self-completion questionnaire-based survey. Self-efficacy was evaluated via validated 4-point Likert scales. Internal reliability and validity of both scales were also estimated via Cronbach’s alpha and validity analysis. According to the total self-efficacy score, respondents were divided into two groups: normal level group and high level group. Propensity score matching and multivariable logistic regression were employed to identify the relationship between self-efficacy level and ARAEs. Results The response rate of this study was 34%. Of the 1011 qualified respondents, 38% were women. The mean (SD) age was 35.30 (8.19) years. The Cronbach’s alpha of self-efficacy was 0.92. The KMO (KMO and Bartlett's test) value of the scale was 0.92. ARAEs occurred in 178 (33.0%) of normal level self-efficacy group and 118 (25.0%) of high level self-efficacy group. Before adjustment, high level self-efficacy was associated with a decreased incidence of ARAEs (RR [relative risk], 0.76; 95% CI [confidence interval], 0.62–0.92). After adjustment, high level self-efficacy was also associated with a decreased incidence of ARAEs (aRR [adjusted relative risk], 0.63, 95% CI, 0.51–0.77). In multivariable logistic regression, when other covariates including years of experience, drinking, and the hospital ranking were controlled, self-efficacy level (OR [odds ratio], 0.62; 95% CI, 0.46–0.82; P = 0.001) was significantly correlated with ARAEs. Conclusions Our results found a clinically meaningful and statistically significant correlation between self-efficacy and ARAEs. These findings partly support medical educators and governors in enhancing self-efficacy construction in clinical practice and training. |
| first_indexed | 2024-12-12T07:28:33Z |
| format | Article |
| id | doaj.art-e3e1cd6402214efe80cdcc1cad82105a |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-12T07:28:33Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-e3e1cd6402214efe80cdcc1cad82105a2022-12-22T00:33:05ZengBMCBMC Anesthesiology1471-22532022-06-0122111110.1186/s12871-022-01732-3The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse eventsFeng Xu0Linlin Han1Shuai Zhao2Yafeng Wang3Qingtong Zhang4Erfeng Xiong5Shiqian Huang6Guixing Zhang7Hong He8Shiyu Deng9Yingjie Che10Yan Li11Liping Xie12Xiangdong Chen13Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Anesthesiology, The First Affiliated Hospital, School of Medicine, Shihezi UniversityDepartment of Anesthesiology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Anesthesiology, Taihe Hospital, Hubei University of MedicineDepartment of Anesthesiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s HospitalDepartment of Anesthesiology, The First Affiliated Hospital of Guangzhou Medical UniversityDepartment of Anesthesiology, The Eight Division Shihezi General HospitalDepartment of Anesthesiology, The First Affiliated Hospital, School of Medicine, Shihezi UniversityDepartment of Anesthesiology, The First Affiliated Hospital, School of Medicine, Shihezi UniversityDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Self-efficacy, as the vital determinant of behavior, influencing clinicians’ situation awareness, work performance, and medical decision-making, might affect the incidence of anesthesia-related adverse events (ARAEs). This study was employed to evaluate the association between perceived self-efficacy level and ARAEs. Methods A cross-sectional study was performed in the form of an online self-completion questionnaire-based survey. Self-efficacy was evaluated via validated 4-point Likert scales. Internal reliability and validity of both scales were also estimated via Cronbach’s alpha and validity analysis. According to the total self-efficacy score, respondents were divided into two groups: normal level group and high level group. Propensity score matching and multivariable logistic regression were employed to identify the relationship between self-efficacy level and ARAEs. Results The response rate of this study was 34%. Of the 1011 qualified respondents, 38% were women. The mean (SD) age was 35.30 (8.19) years. The Cronbach’s alpha of self-efficacy was 0.92. The KMO (KMO and Bartlett's test) value of the scale was 0.92. ARAEs occurred in 178 (33.0%) of normal level self-efficacy group and 118 (25.0%) of high level self-efficacy group. Before adjustment, high level self-efficacy was associated with a decreased incidence of ARAEs (RR [relative risk], 0.76; 95% CI [confidence interval], 0.62–0.92). After adjustment, high level self-efficacy was also associated with a decreased incidence of ARAEs (aRR [adjusted relative risk], 0.63, 95% CI, 0.51–0.77). In multivariable logistic regression, when other covariates including years of experience, drinking, and the hospital ranking were controlled, self-efficacy level (OR [odds ratio], 0.62; 95% CI, 0.46–0.82; P = 0.001) was significantly correlated with ARAEs. Conclusions Our results found a clinically meaningful and statistically significant correlation between self-efficacy and ARAEs. These findings partly support medical educators and governors in enhancing self-efficacy construction in clinical practice and training.https://doi.org/10.1186/s12871-022-01732-3Self-efficacySelf-confidenceAnesthesia-related adverse eventsAnesthesiologistAnesthesia |
| spellingShingle | Feng Xu Linlin Han Shuai Zhao Yafeng Wang Qingtong Zhang Erfeng Xiong Shiqian Huang Guixing Zhang Hong He Shiyu Deng Yingjie Che Yan Li Liping Xie Xiangdong Chen The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events BMC Anesthesiology Self-efficacy Self-confidence Anesthesia-related adverse events Anesthesiologist Anesthesia |
| title | The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events |
| title_full | The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events |
| title_fullStr | The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events |
| title_full_unstemmed | The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events |
| title_short | The role of anesthesiologists’ perceived self-efficacy in anesthesia-related adverse events |
| title_sort | role of anesthesiologists perceived self efficacy in anesthesia related adverse events |
| topic | Self-efficacy Self-confidence Anesthesia-related adverse events Anesthesiologist Anesthesia |
| url | https://doi.org/10.1186/s12871-022-01732-3 |
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