| Creation and validation of the PERFECT: a critical incident tool for evaluating change in the practices of health professionals. | |
| | |
MedLine Citation:
|
PMID: 20557418 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
RATIONALE: The critical incident technique provides a means to better understand the reasons behind clinicians' practices and changes in practice. No standardized tool exists to elicit information using this technique. OBJECTIVES: To create and validate a standardized tool that explores change and reasons for change in professional practice. METHOD: Item generation was based on expert consultation and a review of the clinical practice and knowledge translation literature. The draft tool was pilot-tested with a convenience sample of 10 rehabilitation clinicians to receive feedback on its content, clarity, optimal cueing, omissions and ease of recall of critical incidents. RESULTS: The tool was progressively refined and validated according to feedback from both the clinicians and expert reviewers. The final version of the tool includes 33 questions designed to elicit information on change and reasons for change in four areas: problem identification, assessment, treatment and referral practices. In addition, it elicits information on factors that facilitate or hinder change in practice. Cues are included when necessary to clarify questions and facilitate responses. Regarding ease of recall, all clinicians confirmed that beginning with a 6-month recall of practice change and working back to 1 year was a facilitator. All clinicians mentioned that the tool encouraged them to reflect about changes they made in their practice or lack thereof. CONCLUSION: The newly created standardized critical incident tool, named the PERFECT (Professional Evaluation & Reflection on Change Tool) provides an opportunity for widespread applicability to explore change, reasons for change, as well as facilitators and barriers to change in the practices of health professionals. |
| | |
Authors:
|
Anita Menon; Teresa Cafaro; Daniela Loncaric; James Moore; Amanda Vivona; Elizabeth Wynands; Nicol Korner-Bitensky |
Related Documents
:
|
10137568 - A conversation with debra dullinger, pharmd. 8339608 - Doctor and patient characteristics as modifiers of the effect of a changing remuneratio... 23640698 - A national survey of price and affordability of key essential medicines for children in... 19915838 - Clinical impact of (11)c-methionine pet on expected management of patients with brain n... 21425978 - Opinion: direct-to-consumer advertising of prescription medicines: a counter argument. 11392698 - Making it work: planning and executing a successful lis installation. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
|
Languages: eng Pagination: 1170-5 Citation Subset: IM |
Copyright Information:
|
© 2010 Blackwell Publishing Ltd. |
Affiliation:
|
Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. anita.menon@utoronto.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Grant Support | |
ID/Acronym/Agency:
|
//Canadian Institutes of Health Research |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is the test result correct? A questionnaire study of blood collection practices in primary health ca...
Next Document: Neurotoxic mechanisms of DNA damage: focus on transcriptional inhibition.