Changing Professional Behaviors in the Digital World Using the Medical Education e-Professionalism (MEeP) Framework—A Mixed Methods Multicentre Study

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background:

There is increasing evidence on the exponential use of technology-based social media in medical field that has led to a proliferation of unprofessional behaviors in digital realm. Educating, training, and changing the behaviors of healthcare professionals are essential elements to restrain the rising unprofessional incidents. Therefore, this research was designed to determine the impact of an interventional workshop on the medical and dental students in improving their professional behaviors in the digital world using the newly developed medical Education e-Professionalism (MEeP) framework.

Methods

We adopted the Theory of Planned Behavior (TPB) as a benchmark reference which explores constructs intertwined with the mission-based MEeP framework; values (whistleblowing-raising concerns), behaviors (being responsible in the digital world) and identity (reflective practice in the digital world). A multicentre 3-phased mixed-method study was conducted using a pre-workshop survey, an online interventional workshop, and a post-workshop survey. SPSS and NVivo were the tools used for the data analysis.

Results

A total of 130 students registered for workshop out of which 120 completed the pre-workshop survey, 62 joined the workshop and 59 completed the workshop and post-workshop survey. From the whistleblowing – raising concern perspective, we found that attitudes and perceived behavioral control had a significant relationship. While for responsible in digital world category, attitude and perceived behavioral control had a significant bearing on the intentions. Third, for reflective practice, attitude and subjective norms significantly enhanced the intention of participants. A multi layered thematic analysis yielded four overarching themes of attitudes, subjective norms, perceived behavioral control and intentions. Most students showed positive attitudes of being reflective, self-directed, and humane. Students realized the subjective norms had made them conscientious, self-aware and conformative. While perceived behavioural control manifested as identity and Intentions were heavily reliant on self-actualization.

Conclusion

Our mixed method study found that the interventional workshop using MEeP framework significantly improved attitudes, subjective norms, perceived behavioral control, and intentions. This study provides valuable evidence of MEeP framework evaluation using the theoretical underpinning of TPB by reporting positive changes in professional values, behaviors, and identities of undergraduate medical and dental students.

Related collections

Most cited references 59

Record: found
Abstract: not found
Article: not found

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

Li‐tze Hu, Peter M. Bentler (1999)

0 comments Cited 12552 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The theory of planned behavior

Icek Ajzen (1991)

Organizational Behavior and Human Decision Processes, 50(2), 179-211

0 comments Cited 9384 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Comparative fit indexes in structural models.

P. M. Bentler (1990)

Normed and nonnormed fit indexes are frequently used as adjuncts to chi-square statistics for evaluating the fit of a structural model. A drawback of existing indexes is that they estimate no known population parameters. A new coefficient is proposed to summarize the relative reduction in the noncentrality parameters of two nested models. Two estimators of the coefficient yield new normed (CFI) and nonnormed (FI) fit indexes. CFI avoids the underestimation of fit often noted in small samples for Bentler and Bonett's (1980) normed fit index (NFI). FI is a linear function of Bentler and Bonett's non-normed fit index (NNFI) that avoids the extreme underestimation and overestimation often found in NNFI. Asymptotically, CFI, FI, NFI, and a new index developed by Bollen are equivalent measures of comparative fit, whereas NNFI measures relative fit by comparing noncentrality per degree of freedom. All of the indexes are generalized to permit use of Wald and Lagrange multiplier statistics. An example illustrates the behavior of these indexes under conditions of correct specification and misspecification. The new fit indexes perform very well at all sample sizes.

0 comments Cited 2466 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Shaista Salman Guraya: URI : http://loop.frontiersin.org/people/1347593/overview

Muhamad Saiful Bahri Yusoff: URI : http://loop.frontiersin.org/people/1347180/overview

Fiza Rashid-Doubell: URI : http://loop.frontiersin.org/people/1719486/overview

Suhail H. Al-Amad: URI : http://loop.frontiersin.org/people/1718531/overview

Salim Fredericks: URI : http://loop.frontiersin.org/people/1064097/overview

Natasya Abdullah: URI : http://loop.frontiersin.org/people/1677917/overview

Jessica Atef Nassef Sefen: URI : http://loop.frontiersin.org/people/877320/overview

Salman Yousuf Guraya: URI : http://loop.frontiersin.org/people/1406601/overview

Journal

Journal ID (nlm-ta): Front Med (Lausanne)

Journal ID (iso-abbrev): Front Med (Lausanne)

Journal ID (publisher-id): Front. Med.

Title: Frontiers in Medicine

Publisher: Frontiers Media S.A.

ISSN (Electronic): 2296-858X

Publication date (Electronic): 28 March 2022

Publication date Collection: 2022

Volume: 9

Electronic Location Identifier: 846971

Affiliations

[1] ¹Royal College of Surgeons Ireland, Medical University of Bahrain , Busaiteen, Bahrain

[2] ²Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia , Kelantan, Malaysia

[3] ³Faculty of Medicine and Health Sciences, Royal College of Surgeons Ireland, University of Medicine and Health Sciences , Dublin, Ireland

[4] ⁴College of Dental Medicine, University of Sharjah , Sharjah, United Arab Emirates

[5] ⁵Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia , Nilai, Malaysia

[6] ⁶Department of Surgery, American Hospital Dubai , Dubai, United Arab Emirates

[7] ⁷Clinical Sciences Department, College of Medicine, University of Sharjah , Sharjah, United Arab Emirates

Author notes

Edited by: Jacqueline G. Bloomfield, The University of Sydney, Australia

Reviewed by: Dianne Reidlinger, Bond University, Australia; Gohar Wajid, World Health Organization, EMRO, Egypt

*Correspondence: Shaista Salman Guraya ssalman@ 123456rcsi.com

This article was submitted to Healthcare Professions Education, a section of the journal Frontiers in Medicine

†ORCID: Shaista Salman Guraya orcid.org/0000-0003-2903-8697

Salman Yousuf Guraya orcid.org/0000-0001-5183-023X

Fiza Rashid-Doubell orcid.org/0000-0002-2624-5888

Article

DOI: 10.3389/fmed.2022.846971

PMC ID: 9004460

PubMed ID: 35425778

SO-VID: 003273dc-80db-416a-9bf0-b5bfdeaf9056

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

History

Date received : 31 December 2021

Date accepted : 04 March 2022

Page count

Figures: 4, Tables: 6, Equations: 0, References: 59, Pages: 14, Words: 10193

Comments

Comment on this article

scite_

Smart Citations

Citing PublicationsSupportingMentioningContrasting

View Citations

See how this article has been cited at scite.ai

scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

Cited by 10

See all cited by

Most referenced authors 947

See all reference authors

Changing Professional Behaviors in the Digital World Using the Medical Education e-Professionalism (MEeP) Framework—A Mixed Methods Multicentre Study

Read this article at

Abstract

Background:

Methods

Results

Conclusion

Related collections

NeuroImaging Methods

Most cited references 59

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

The theory of planned behavior

Comparative fit indexes in structural models.

Author and article information

Contributors

Journal

Affiliations

Author notes

Article

History

Page count

Categories

Comments

Comment on this article

Similar content 171

Cited by 10

Most referenced authors 947