标题：Development and psychometric evaluation of an instrument to measure knowledge, skills, and attitudes towards quality improvement in health professions education: The Beliefs, Attitudes, Skills, and Confidence in Quality Improvement (BASiC-QI) Scale
摘要：Introduction Health professionals are increasingly expected to foster and lead initiatives to improve the quality and safety
of healthcare. Consequently, health professions education has begun to integrate formal quality improvement (QI) training
into their curricula. Few instruments exist in the literature that adequately and reliably assess QI-related competencies in
learners without the use of multiple, trained raters in the context of healthcare. This paper describes the development and
psychometric evaluation of the Beliefs, Attitudes, Skills, and Confidence in Quality Improvement (BASiC-QI) instrument,
a 30-item self-assessment tool designed to assess knowledge, skills, and attitudes towards QI.
Methods Sixty first-year medical student participants completed the BASiC-QI and the Quality Improvement Knowledge
Application Tool (QIKAT-R) prior to and immediately following a QI program that challenged learners to engage QI
concepts in the context of their own medical education. Measurement properties of the BASiC-QI tool were explored
through an exploratory factor analysis and generalizability study. Convergent validity was examined through correlations
between BASiC-QI and QIKAT-R scores.
Results Psychometric evaluation of BASiC-QI indicated reliability and validity evidence based on internal structure.
Analyses also revealed that BASiC-QI scores were positively correlated with the scores from the QIKAT-R, which stands
an indicator of convergent validity.
Conclusion BASiC-QI is a multidimensional self-assessment tool that may be used to assess beliefs, attitudes, skills, and
confidence towards QI. In comparison with existing instruments, BASiC-QI does not require multiple raters or scoring
rubrics, serving as an efficient, reliable assessment instrument for educators to examine the impact of QI curricula on
learners.
关键词：Quality improvement ; Undergraduate medical education ; Measurement
