Table 1 Initial 4 subscales in the Emergency Physicians Professional Identities Value Scale with their respective items’ before and after modification factor loadings
Items Per Subscale | Factor Loading Before Modification | Factor Loading After Modification |
|---|---|---|
Skills Acquisition, Capabilities and Practical Wisdom (SAPW) (12 items) | ||
Includes items reflecting physicians’ values on skills acquisition, competence and ability to handle the most challenging, complex and uncertain aspects of a physicians’ job | ||
1. Managing challenging patients effectively | 0.721 | 0.737 |
2. Handling new work challenges | 0.559 | |
3. Swift decision making around patients’ discharge | 0.697 | 0.729 |
4. Solving clinical problems quickly | 0.83 | |
5. Efficient multitasking | 0.732 | 0.738 |
6. Teamwork to facilitate efficiency of everyday clinical work | 0.444 | |
7. Utilising clinical skills that physicians in other specialties are unfamiliar with | 0.56 | 0.557 |
8. Swift action for stabilising patients | 0.863 | |
9. Diagnosing medical conditions quickly | 0.911 | 0.885 |
10. Reflecting on work experiences for clinical skills improvement | 0.613 | |
11. Maintain standard of care, despite medical disputes | 0.587 | 0.598 |
12. Managing a wide range of medical conditions | 0.692 | 0.67 |
Coping Ability and Resilience (CAR) (8 items) | ||
Includes items that reflect physicians’ values on their coping abilities both at work and outside work, ability to adapt to sudden change, to manage workload, handle pressure and remain calm. | ||
1. Good leadership to facilitate workforce stability | 0.499 | |
2. Swift recovery from upset at work | 0.687 | 0.688 |
3. Prioritising patients for care | 0.544 | |
4. Staying positive when working under pressure | 0.802 | 0.857 |
5. Having the ability to trust colleagues | 0.655 | 0.647 |
6. Effective management of violence in the clinical setting | 0.639 | |
7. Remaining calm when managing sudden events at work | 0.689 | 0.642 |
8. Appropriate remuneration for professional services | 0.449 | |
Professional Recognition and Self-Esteem (PRSE) (10 items) | ||
Includes items associated with physicians’ values around issues of recognition from the public, competence and possession of unique set of skills different from other physicians, and recognition of their contribution to the health care system | ||
1. Playing an important role in society | 0.491 | 0.514 |
2. Gaining pleasure from professional work | 0.607 | 0.656 |
3. Competence as a physician | 0.523 | |
4. Contributing as a good leader in professional teams | 0.613 | 0.613 |
5. Professional associations standing up for its’ members rights | 0.547 | |
6. Organisational recognition around the value of physicians in my specialty | 0.514 | |
7. Public recognition of my specialty as a profession | 0.502 | |
8. Development of professional sub-specialties | 0.595 | 0.659 |
9. Staying positive when facing patients’ complaints | 0.737 | 0.653 |
10. Autonomy in decision making around patient care | 0.57 | |
Well-Being and Quality of Life (WBQL) (7 items) | ||
Includes items related to physicians’ values on finding work-life balance, job satisfaction, finding purpose in their work and pursuit of personal well-being. | ||
1. Having a high level of emotional intelligence for workplace effectiveness | 0.615 | |
2. Utilising personal values and beliefs to sustain professional work | 0.749 | 0.646 |
3. Effective communication with patients | 0.681 | |
4. Having a manageable workload | 0.541 | 0.479 |
5. Happiness in one’s personal life | 0.801 | 0.939 |
6. Engaging in leisure activities outside of work | 0.489 | |
7. A work-life balance | 0.689 | 0.677 |
General (3 Items) | ||
Includes items related to the physicians’ personal assessment of an overall sense of belongingness and fit | ||
1. Taking pride in one’s work | ||
2. I feel that I belong to the emergency medicine profession | ||
3. I feel that I fit my professional role as an emergency physician | ||