Volume 16, Issue 51 (2023)                   JMED 2023, 16(51): 24-31 | Back to browse issues page

Ethics code: -IR.KMU.REC.1401.201


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Ahmari Tehran H, Salajegheh M, Kachuie H. Translation and psychometric evaluation of kember's reflective thinking questionnaire in Iranian physicians. JMED 2023; 16 (51) :24-31
URL: http://edujournal.zums.ac.ir/article-1-1601-en.html
1- Qom University of Medical Sciences
2- Kerman University of Medical Sciences , mahla.salajegheh90@gmail.com
3- Shahid Beheshti University
Abstract:   (1654 Views)
Background & Objective: Physicians require to develop some abilities such as self-assessment, critical thinking, self-regulatory learning, and lifelong learning. Reflection is one of the essential educational concepts that make it possible to cultivate and create such abilities in medical students and health professionals. The aim of this study was translation and psychometric evaluation of Kember reflective thinking questionnaire in Iranian physicians.
Materials & Methods: First, the Kember reflective thinking questionnaire was translated according to backward-forward translation procedure. Then, face validity was evaluated by examining the opinion of experts. Next, content validity was assessed by calculating content validity index and content validity ratio. Subsequently, exploratory factor analysis and confirmatory factor analysis was studied among 280 specialist and general physicians. Then, reliability was examined by calculating the intra-class correlation coefficient and investigating Cronbach's alpha coefficient.
Results: Cronbach's alpha coefficient for the whole scale was 0.849 and the intra-class correlation coefficient was 0.714. Content validity index was 0.849 and content validity ratio was 0.825. Exploratory factor analysis and confirmatory factor analysis resulted in a four-factors model including habitual action, understanding, reflection and critical reflection in the Iranian medical community.
Conclusion: The Persian version of Kember reflective thinking questionnaire with four factors has the desired reliability and validity in the Iranian medical community. Due to the appropriate psychometric properties, and ease of implementation, it can be used to evaluate the level of reflection of doctors.
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Article Type : Orginal Research |
Received: 2022/05/14 | Accepted: 2023/05/7 | Published: 2023/08/15

References
1. Karimi S, Haghani F, Yamani N, Najafi Kalyani M. A qualitative inquiry into nursing students’ experience of facilitating reflection in clinical setting. The Scientific World Journal. 2017;2017:1-7. [DOI]
2. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Medical teacher. 2009;31(8):685-95. [DOI]
3. Comer M. Rethinking reflection-in-action: What did Schön really mean? Nurse Education Today. 2016;36:4-6. [DOI]
4. Borduas F, Gagnon R, Lacoursière Y, Laprise R. The longitudinal case study: From Schön's model to self‐directed learning. Journal of Continuing Education in the Health Professions. 2001;21(2):103-9. [DOI]
5. Sargeant JM, Mann KV, Van der Vleuten CP, Metsemakers JF. Reflection: a link between receiving and using assessment feedback. Advances in Health Sciences Education. 2009;14(3):399-410. [DOI]
6. Fragkos KC. Reflective practice in healthcare education: an umbrella review. Education Sciences. 2016;6(3):27. [DOI]
7. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Advances in Health Sciences Education. 2009;14(4):595-621. [DOI]
8. Holmboe ES, Yamazaki K, Edgar L, Conforti L, Yaghmour N, Miller RS, Hamstra SJ. Reflections on the first 2 years of milestone implementation. Journal of Graduate Medical Education. 2015 Sep;7(3):506-11. [DOI]
9. Chan CK, Lee KK. Reflection literacy: A multilevel perspective on the challenges of using reflections in higher education through a comprehensive literature review. Educational Research Review. 2021;32:100376:1-18. [DOI]
10. Ahmed MH. Reflection for the undergraduate on writing in the portfolio: where are we now and where are we going? Journal of Advances in Medical Education & Professionalism. 2018;6(3):97-101. [DOI]
11. Kember D, Leung DY, Jones A, Loke AY, McKay J, Sinclair K, et al. Development of a questionnaire to measure the level of reflective thinking. Assessment & evaluation in Higher Education. 2000;25(4):381-95. [DOI]
12. Lundgren H, Poell RF. On critical reflection: A review of Mezirow’s theory and its operationalization. Human Resource Development Review. 2016;15(1):3-28. [DOI]
13. Pee B, Woodman T, Fry H, Davenport ES. Appraising and assessing reflection in students' writing on a structured worksheet. Medical Education. 2002;36(6):575-85. [DOI]
14. YuekMing H, Abd Manaf L. Assessing learning outcomes through students’ reflective thinking. Procedia-Social and Behavioral Sciences. 2014;152:973-7. [DOI]
15. Peltier JW, Hay A, Drago W. The reflective learning continuum: Reflecting on reflection. Journal of Marketing Education. 2005;27(3):250-63. [DOI]
16. Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross‐cultural health care research: a clear and user‐friendly guideline. Journal of evaluation in clinical practice. 2011;17(2):268-74. [Article]
17. Wilson FR, Pan W, Schumsky DA. Recalculation of the critical values for Lawshe’s content validity ratio. Measurement and evaluation in counseling and development. 2012;45(3):197-210. [DOI]
18. Wynd CA, Schmidt B, Schaefer MA. Two quantitative approaches for estimating content validity. Western journal of Nursing Research. 2003;25(5):508-18. [DOI]
19. Yuen Lie Lim L-A. A comparison of students’ reflective thinking across different years in a problem-based learning environment. Instructional Science. 2011;39(2):171-88. [DOI]
20. Lethbridge K, Andrusyszyn M-A, Iwasiw C, Laschinger HK, Fernando R. Assessing the psychometric properties of Kember and Leung’s Reflection Questionnaire. Assessment & Evaluation in Higher Education. 2013;38(3):303-25. [DOI]
21. Tutticci N, Coyer F, Lewis PA, Ryan M. Validation of a reflective thinking instrument for third-year undergraduate nursing students participating in high-fidelity simulation. Reflective Practice. 2017;18(2):219-31. [DOI]
22. Basol G, Evin Gencel I. Reflective Thinking Scale: A Validity and Reliability Study. Educational Sciences: Theory and Practice. 2013;13(2):941-6. [DOI]
23. Lucas U, Tan P, editors. Assessing levels of reflective thinking: the evaluation of an instrument for use within accounting and business education. Proceeding of the 1st Pedagogic Research in Higher Education Conference; 2006 May 2-3; Liverpool Hope University, Liverpool. [Article]
24. Rostami A, Keshmiri F, Askari R, Jambarsang S, Shafiei M. Validation of Groningen reflection ability scale questionnaire and evaluation of reflection ability level of health care management students. Evidence Based Health Policy, Management and Economics. 2019;3(4):293-302. [DOI]
25. Naeimi L, Abbaszadeh M, Mirzazadeh A, Sima AR, Nedjat S, Hejri SM. Validating self-reflection and insight scale to measure readiness for self-regulated learning. Journal of Education and Health Promotion. 2019;8(150):1-7. [DOI]

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