Reflective Thinking Scale for Healthcare Students and Providers—Chinese version

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Hung-Chang Liao
Ya-huei Wang
Cite this article:  Liao, H.-C., & Wang, Y.-h. (2019). Reflective Thinking Scale for Healthcare Students and Providers—Chinese version. Social Behavior and Personality: An international journal, 47(2), e7671.


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We developed the Reflective Thinking Scale for Healthcare Students and Providers (RTS-HSP) in Chinese by conducting a systematic literature review and consulting with a panel of experts. Participants were 579 randomly selected healthcare students and professionals from Taiwan. Using exploratory factor analysis we developed 22 items rated on a 9-point Likert scale, and extracted 4 factors: reflective skepticism (6 items explaining 29.48% of the variance), self-examination (6 items explaining 11.41% of the variance), empathetic reflection (5 items explaining 8.96% of the variance), and critical open-mindedness (5 items explaining 6.81% of the variance). Cronbach’s alpha reliability values for the 4 dimensions and the overall scale ranged from .77 to .87. An assessment of the RTS-HSP’s concurrent validity with the Questionnaire for Reflective Thinking also supported our scale’s external validity. Thus, the RTS-HSP can be considered a reliable instrument for measuring reflective thinking among healthcare students and professionals.

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