{"id":117179,"date":"2018-03-11T10:46:37","date_gmt":"2018-03-11T10:46:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validacion-de-un-cuestionario-de-competencias-en-medicina-basada-en-la-evidencia-en-medicos-de-familia\/"},"modified":"2018-03-11T10:46:37","modified_gmt":"2018-03-11T10:46:37","slug":"validacion-de-un-cuestionario-de-competencias-en-medicina-basada-en-la-evidencia-en-medicos-de-familia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/validacion-del-test\/validacion-de-un-cuestionario-de-competencias-en-medicina-basada-en-la-evidencia-en-medicos-de-familia\/","title":{"rendered":"Validacion de un cuestionario de competencias en medicina basada en la evidencia en medicos de familia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Del Carmen Sanchez Lopez <\/strong><\/h2>\n<p>Objetivo: en nuestro entorno se carece de herramientas validadas que permitan la adecuada evaluaci\u00f3n de competencias en medicina basada en la evidencia (mbe). El objetivo de este trabajo es el dise\u00f1o y validaci\u00f3n de un instrumento, en espa\u00f1ol, de evaluaci\u00f3n de competencias en mbe en m\u00e9dicos de familia (mf).   sujetos y m\u00e9todo: el estudio se realiz\u00f3 en tres fases: 1) identificaci\u00f3n, selecci\u00f3n y adaptaci\u00f3n de un conjunto de \u00edtems; 2) pilotaje de las primeras versiones del cuestionario; y 3) evaluaci\u00f3n de las propiedades psicom\u00e9tricas (fiabilidad y validez) del instrumento tras su aplicaci\u00f3n a la poblaci\u00f3n diana (mf con pr\u00e1ctica cl\u00ednica en el servicio murciano de salud).  resultados: el instrumento final, tras los trabajos de an\u00e1lisis y depuraci\u00f3n de los \u00edtems, qued\u00f3 constituido por 31 \u00edtems distribuidos en tres sub-escalas: actitud (14 \u00edtems), conocimientos (8 \u00edtems) y habilidades (9 \u00edtems) hacia la mbe. Se utiliz\u00f3 una escala tipo likert con 5 opciones de respuesta para la medici\u00f3n de los \u00edtems. Los valores de fiabilidad obtenidos para cada una de las sub-escalas fueron: alfa de cronbach 0,863, 0,845 y 0,880. Las distintas pruebas de validez que se llevaron a cabo aseguraron la relevancia y la representatividad de los resultados de la herramienta para el fin con que se pretend\u00eda utilizar. El an\u00e1lisis factorial, con rotaci\u00f3n varimax, de la sub-escala de actitud hall\u00f3 3 factores que explicaban el 49,477% de la varianza total; en el caso de las sub-escalas de conocimientos y habilidades, el an\u00e1lisis factorial revel\u00f3 una estructura monofactorial que explicaba el 40,829% y el 45,223% de la varianza total.  conclusiones: el trabajo realizado ha proporcionado una herramienta de evaluaci\u00f3n de competencias en mbe que ha mostrado tener una excelente fiabilidad, y evidencias de validez que hacen prometedora su aplicaci\u00f3n para los objetivos propuestos. Se trata, adem\u00e1s, de una herramienta de dise\u00f1o sencillo y amigable en la cual el formato de auto-complementaci\u00f3n y de respuestas de opci\u00f3n m\u00faltiple, se estima facilitan su utilizaci\u00f3n.  abstract  objective: in our environment there is a lack of validated tools that allow adequate assessment of skills in evidence based medicine (ebm). The aim of this work is the design and validation of an instrument (in spanish) for competency assessment in ebm in family physicians (mf).  subjects and method: the study was conducted in three phases: 1) identification, selection and adaptation of a set of items; 2) piloting of the first versions of the questionnaire; and 3) evaluation of the psychometric properties (reliability and validity) of the instrument after application to the target population (mf with clinical practice in the murcia health service).  result: the final instrument, through the work of analysis and debugging of the items, was composed of 31 items divided into three subscales: attitude (14 items), knowledge (8 items) and skills (9 items) to the ebm. A likert scale with five response options for the measurement of the items was used. Reliability values obtained for each of the subscales were: cronbach&apos;s alpha 0.863, 0.845 and 0.880. The various tests of validity were conducted ensured the relevance and representativeness of the results of the tool for the purpose for which it was intended use. The factor analysis with varimax rotation of the attitude subscale found three factors that explained 49.477% of the total variance; in the case of the sub-scales of knowledge and skills, the factor analysis revealed a single factor structure that explained 40.829% and 45.223% of the total variance.  conclusions: this research has provided a tool for the evaluation of competence in ebm. The questionnaire has been shown to have excellent reliability and validity evidence that make promising application for the proposed objectives. It is also a tool with simple and user-friendly design in which the format of self-complementarily and multiple choice answers, it is estimated facilitate its use.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validacion de un cuestionario de competencias en medicina basada en la evidencia en medicos de familia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validacion de un cuestionario de competencias en medicina basada en la evidencia en medicos de familia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Del Carmen Sanchez Lopez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/02\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Enrique Aguinaga Ontoso<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Guillen grima <\/li>\n<li>isabel Mar\u00eda Hidalgo garcia (vocal)<\/li>\n<li>Francisco Jos\u00e9 Perez bautista (vocal)<\/li>\n<li>ines Aguinaga ontoso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Del Carmen Sanchez Lopez Objetivo: en nuestro entorno se carece de herramientas validadas que permitan la 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