{"id":63806,"date":"2008-04-04T00:00:00","date_gmt":"2008-04-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-validacion-del-cuestionario-cica-a-para-evaluar-la-comunicacion-cla%c2%adnica-en-consultas-de-medicina-y-enfermeria\/"},"modified":"2008-04-04T00:00:00","modified_gmt":"2008-04-04T00:00:00","slug":"estudio-de-la-validacion-del-cuestionario-cica-a-para-evaluar-la-comunicacion-cla%c2%adnica-en-consultas-de-medicina-y-enfermeria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/dermatologia\/estudio-de-la-validacion-del-cuestionario-cica-a-para-evaluar-la-comunicacion-cla%c2%adnica-en-consultas-de-medicina-y-enfermeria\/","title":{"rendered":"Estudio de la validaci\u00f3n del cuestionario cica a para evaluar la comunicaci\u00f3n cl\u00ednica en consultas de medicina y enfermer\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique David Gavil\u00e1n Moral <\/strong><\/h2>\n<p>Objetivos construir y validar la escala cicaa para valorar la relaci\u00f3n cl\u00ednica (rc) en las consultas de medicina y enfermer\u00eda.  m\u00e9todos tipo de estudio: estudio observacional de validaci\u00f3n de un instrumento de medida. Centros de atenci\u00f3n primaria y hospitalaria. sujetos, muestreo y tama\u00f1o: validaci\u00f3n aparente y consenso: grupo de expertos en rc. Evaluaci\u00f3n de propiedades psicom\u00e9tricas: entrevistas cl\u00ednicas videograbadas de varias submuestras: residencia y m\u00e9dicos de familia, m\u00e9dicos de atenci\u00f3n hospitalaria y enfermeras de atenci\u00f3n primaria; pacientes con patolog\u00eda incidente y cr\u00f3nicos, reales y estandarizados. Muestreo aleatorio de 193 encuentros cl\u00ednicos diferentes. mediciones e intervenciones: elaboraci\u00f3n de una propuesta de cuestionario, basada en un modelo te\u00f3rico, mediante una metodolog\u00eda tipo delphi con expertos. Valoraci\u00f3n por observadores de entrevistas videograbadas para determinar sus propiedades psicom\u00e9tricas: dimensionalidad (an\u00e1lisis factorial exploratorio), consistencia interna (alfa de cronbach), fiabilidad intra e interobservador (\u00edndice kappa, coeficiente de correlaci\u00f3n intraclase-cci-, generalizabilidad, m\u00e9todo de bland y altman), sensibilidad al cambio tras intervenci\u00f3n formativa (t de student) y validez convergente con el cuestionario gatha (coeficiente de pearson-r-). resultados construcci\u00f3n de un cuestionario inicial de 36 items que tras proceso de consenso y refinamiento queda en 26 items. An\u00e1lisis factorial: identificaci\u00f3n de seis factores que explican el 66,0% de la varianza. Consistencia del testo: a = 0,94. Fiabilidad intraobservador: cci=0,94-0,97. Concordancia interobservador global: cci = 0,82-0,90. Sensibilidad al cambio: diferencia de medias (pre-post) = 2,84 (p>0,05). Convergencia con el cuestionario gatha: r=0,67 (p<0,001). conclusiones la escala cicaa posee unas propiedades psicom\u00e9tricas y atributos adecuados que la hacen \u00fatil para la valoraci\u00f3n, con fines de formaci\u00f3n e investigaci\u00f3n, de la rc mantenida entre un profesional sanitario y paciente, al ser factible, fiable, homog\u00e9nea, v\u00e1lida y convergente con otro cuestionario similar previamente validado.\n\n\n\n&nbsp;\n\n\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la validaci\u00f3n del cuestionario cica a para evaluar la comunicaci\u00f3n cl\u00ednica en consultas de medicina y enfermer\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la validaci\u00f3n del cuestionario cica a para evaluar la comunicaci\u00f3n cl\u00ednica en consultas de medicina y enfermer\u00eda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique David Gavil\u00e1n Moral <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/04\/2008<\/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>Roger Ruiz Moral<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Solana lara <\/li>\n<li>Ana Sobrino lopez (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Bosch fontcuberta (vocal)<\/li>\n<li>Manuel De la mata garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique David Gavil\u00e1n Moral Objetivos construir y validar la escala cicaa para valorar la relaci\u00f3n cl\u00ednica (rc) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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