Learning climate and work engagement in clinical residents: The relationship with human self-determination
Abstract
Introduction: The learning climate is a factor associated with the clinical resident’s engagement in work activities and the improvement of students’ well-being in the workplace through their self-determination during clinical rotation.
Objective: To determine the relationship between the learning climate measured with the D-RECT 35 scale and residents’ self-determination and commitment to work using the UWES 17 scale.
Materials and methods: We conducted a cross-sectional correlational study with residents of surgical medical specialties in clinical rotation at the practice site and who completed the measurement questionnaires.
Results: We evaluated 188 residents of clinical specialties. The median of the results in the learning climate scale was 3.9/5.0; in the self-determination scale, 4.86/7.0, and in the job engagement scale, 5.0/6.0. The learning climate was considered adequate and a positive relationship was found with self-determination and the residents’ attachment to their activities; these correlations were statistically significant.
Conclusions: Adequate learning climates are positively related to the ability to engage in work activities and the self-determination of clinical residents as they favor collaborative work and access to supervision generating greater autonomy and more enthusiasm and dedication to assigned activities. This can drive improvements in educational programs in clinical departments and translate into safer patient care.
Downloads
References
O’Sullivan PS. What’s in a learning environment? Recognizing teachers’ roles in shaping a learning environment to support competency. Perspect Med Educ. 2015;4:277-9. https://doi.org/10.1007/s40037-015-0234-4
Domínguez LC, Urueña N, Sanabria Á, Pepín JJ, Mosquera M, Vega V, et al. Autonomía y supervisión del residente de cirugía: ¿se cumplen las expectativas en el quirófano? Educ Médica. 2017;19:208-16. https://doi.org/10.1016/j.edumed.2017.03.014
Herrera CA, Olivos T, Román JA, Larraín A, Pizarro M, Solís N, et al. Evaluación del ambiente educacional en programas de especialización médica. Rev Med Chil. 2012;140:1554-61. https://doi.org/10.4067/S0034-98872012001200006
Silkens M, Smirnova A, Stalmeijer R, Ara O, Scherpier A, van der Vleuten C, et al. Revisiting the D-RECT tool: Validation of an instrument measuring residents’ learning climate perceptions. Med Teach. 2016;38:476-81. https://doi.org/10.3109/0142159X.2015.1060300
Lombarts KM, Heineman MJ, Scherpbier AJ, Arah OA. Effect of the learning climate of residency programs on faculty’s teaching performance as evaluated by residents. PLoS ONE. 2014;9:e86512. https://doi.org/10.1371/journal.pone.0086512
Bakker AB, Demerouti E. Towards a model of work engagement. Career Dev Int. 2008;13:209-23. https://doi.org/10.1108/13620430810870476
Bakker AB, Demerouti E. Job demands-resources theory: Taking stock and looking forward. J Occup Health Psychol. 2017;22:273-85. https://doi.org/10.1037/ocp0000056
Ryan RM, Deci EL. The what and why of goal pursuits: Human needs and the self determination of behaviors. Psychological Inquiry. 2000;11:227-68.
Ten Cate TJ, Kusurkar RA, Williams GC. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE Guide No. 59. Med Teach. 2011;33:961-73. https://doi.org/10.3109/0142159X.2011.595435
Domínguez LC, Silkens M, Sanabria A. The Dutch residency educational climate test: Construct and concurrent validation in Spanish language. Int J Med Educ. 2019;10:138-48. https://doi.org/10.5116/ijme.5d0c.bff7
Nordquist J, Hall HA, Caverzagie K, Snell L. The learning clinical environment. Med Teach. 2019;41:366-72. https://doi.org/10.1080/0142159X.2019.1566601
Cruess RL, Cruess SR, Steinert Y. Medicine as a community of practice: Implications for medical education. Acad Med. 2018;93:185-91. https://doi.org/10.1097/ACM.0000000000001826
González P, Aponte C, Góngora S, Leal J, Carrillo D, Díaz L, et al. Comunidades de práctica en educación médica: relación con la enseñanza clínica. Educ Med. 2020. https://doi.org/10.1016/j.edumed.2020.08.007
Boor K, van Der Vleuten C, Teunissen P, Scherpbier A, Scheele F. Development and analysis of D-RECT, an instrument measuring residents’ learning climate. Med Teach. 2011;33:820-7. https://doi.org/10.3109/0142159X.2010.541533
Ryan RM, Deci EL. La teoría de la autodeterminación y la facilitación de la motivación intrínseca, el desarrollo social y el bienestar. Teoría de la autodeterminación. Am Psychol. 2000;55:68-78. https://doi.org/10.1037/0003-066X.55.1.68
Delgado M. Validación de la escala de necesidades psicológicas básicas en el contexto laboral. Nuevo León: Universidad Autónoma Nuevo León; 2015. Fecha de consulta: 15 de marzo de 2021. Disponible en: http://eprints.uanl.mx/11301/
Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire: A cross-national study. Educ Psychol Meas. 2006;66:701-16. https://doi.org/10.1177/0013164405282471
Müller R, Pérez C, Ramírez L. Estructura factorial y consistencia interna de la Utrech Work Engagement Scale (Uwes) 17 entre trabajadores sanitarios de Chile. Liberabit. 2013;19:163-71.
Lases SS, Arah OA, Pierik EG, Heineman E, Lombarts MJ. Residents’ engagement and empathy associated with their perception of faculty’s teaching performance. World J Surg. 2014;38:2753-60. https://doi.org/10.1007/s10459-018-9868-4
Stover J, Bruno F, Uriel F. Teoría de la autodeterminación: una revisión teórica. Perspectivas en Psicología. 2017;14:105-15.
Levesque-Bristol C, Stanek LR. Examining self-determination in a service learning course. Teach Psychol. 2009;36:262-6. https://doi.org/10.1080/00986280903175707
Bakker AB, Demerouti E, Sanz-Vergel AI. Burnout and work engagement: The JD-R approach. Annu Rev Organ Psychol Organ Behav. 2014;1:389-411. https://doi.org/10.1146/annurev-orgpsych-031413-091235
Llera J, Durante E. Correlación entre el clima educacional y el síndrome de desgaste profesional en los programas de residencia de un hospital universitario. Arch Argent Pediatr. 2014;12. https://doi.org/10.5546/aap.2014
Silkens ME, Chahine S, Lombarts KM, Arah OA. From good to excellent: Improving clinical departments’ learning climate in residency training. Med Teach. 2018;4:237-43. https://doi.org/10.1080/0142159X.2017.1398821
Silkens ME, Arah OA, Wagner C, Scherpbier AJ, Heineman MJ, Lombarts KM. The relationship between the learning and patient safety climates of clinical departments and residents’ patient safety behaviors. Acad Med. 2018;93:1374-80. https://doi.org/10.1097/ACM.0000000000002286
Smirnova A, Ravelli AC, Stalmeijer RE, Arah OA, Heineman MJ, van Der Vleuten CP, et al. The association between learning climate and adverse obstetrical outcomes in 16 nontertiary obstetrics-gynecology departments in the Netherlands. Acad Med. 2017;92:1740-8. https://doi.org/10.1097/ACM.0000000000001964
Some similar items:
- Luis Carlos Domínguez, Neil Valentín Vega, Erick Leonardo Espitia, Álvaro Enrique Sanabria, Claudia Corso, Adriana Margarita Serna, Camilo Osorio, Impact of the flipped classroom strategy in the learning environment in surgery: A comparison with the lectures , Biomedica: Vol. 35 No. 4 (2015)
- Guido Bendezu-Quispe, Brenda Caira-Chuquineyra, Daniel Fernandez-Guzman, Reggie Casanova-Pérez, Andrés Guido Bendezú-Martínez, Massive open online courses: learning opportunities about global health for Latin American countries , Biomedica: Vol. 43 No. 2 (2023)
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
