Résumés
Abstract
Preparing students to deal with and tolerate uncertainty or ambiguity is a major issue in medical education. There are many English-language scales to assess tolerance of uncertainty and ambiguity but no French-language scale has ever demonstrated validity evidence for its scores. We selected the Tolerance of Ambiguity in Medical Students And Doctors (TAMSAD) scale. Through a structured process, the original questionnaire was translated, culturally adapted, and assessed after being administered to a sampling of medical students. Test-retest reliability was verified by presenting the questionnaire to the students again after two months. The assessment of internal consistency revealed satisfactory value. Test-retest reliability is assessed by intraclass correlation that presents good reproducibility of scores obtained by students in first completion and second completion. These results indicate that the French version of the TAMSAD scale can be used to assess French medical students’ tolerance to ambiguity.
Keywords:
- tolerance of ambiguity,
- uncertainty,
- TAMSAD rating scale,
- medical pedagogy,
- epistemology
Résumé
La formation à la gestion et à la tolérance à l’incertitude ou à l’ambiguïté dans le soin est un enjeu pédagogique majeur des études médicales. S’il existe de nombreux outils en anglais permettant l’évaluation de cette dimension, aucun questionnaire en français n’a jusqu’à présent fait l’objet d’une évaluation de ses preuves de validité. L’objectif de ce travail est de produire une version en français de l’échelle Tolerance of Ambiguity in Medical Students And Doctors (TAMSAD) et de présenter les preuves de validité sur les scores obtenus avec cette échelle. Le questionnaire original a d’abord été traduit, puis adapté culturellement. Cette version en français a été soumise à un échantillon d’étudiants en médecine afin de réaliser une analyse psychométrique reposant sur l’évaluation de la consistance interne. Le questionnaire a été passé à deux reprises par les mêmes étudiants afin de tester la stabilité test-retest. Les alphas de Cronbach, mesurés au test et au retest, reflètent une bonne consistance interne. La stabilité test-retest est vérifiée par des corrélations intraclasses dont les résultats sont en faveur d’une bonne reproductibilité des résultats à la première et à la seconde passations. Nos résultats indiquent que notre version en français de la TAMSAD peut être utilisée pour évaluer la tolérance à l’ambiguïté des étudiants en médecine.
Mots-clés :
- tolérance à l’ambiguïté,
- incertitude,
- échelle d’évaluation TAMSAD,
- pédagogie médicale,
- épistémologie
Resumo
A formação na gestão e na tolerância da incerteza ou ambiguidade no cuidado é um grande desafio pedagógico nos estudos médicos. Embora existam muitas ferramentas em inglês que permitem avaliar esta dimensão, nenhum questionário em francês foi até agora objeto de avaliação de sua validade. O objetivo deste trabalho é produzir uma versão francesa da escala Tolerance of Ambiguity in Medical Students And Doctors (TAMSAD) e apresentar as evidências de validade dos resultados obtidos com esta escala. O questionário original foi primeiramente traduzido e depois adaptado culturalmente. Esta versão francesa foi submetida a uma amostra de estudantes de medicina para a realização de uma análise psicométrica baseada na avaliação da consistência interna. O questionário foi aplicado duas vezes pelos mesmos estudantes para testar a estabilidade teste-reteste. Os alfas de Cronbach, medidos no teste e reteste, refletem uma boa consistência interna. A estabilidade teste-reteste é verificada por correlações intraclasse, cujos resultados suportam boa reprodutibilidade dos resultados na primeira e segunda rondas. Os nossos resultados indicam que a nossa versão francesa do TAMSAD pode ser usada para avaliar a tolerância à ambiguidade de estudantes de medicina.
Palavras chaves:
- tolerância à ambiguidade,
- incerteza,
- escala de classificação TAMSAD,
- pedagogia médica,
- epistemologia
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