title: Critically reflective work behavior of health care professionals.
abstract: BACKGROUND
  Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals.
  
  
  METHODS
  A survey, developed to measure CRWB and its predictors, was distributed to veterinary professionals. The authors specified a model relating CRWB to a Perceived Need for Lifelong Learning, Perceived Workload, and Opportunities for Feedback. Furthermore, research utilization was added to the concept of CRWB. The model was tested against the data, using structural equation modeling (SEM).
  
  
  RESULTS
  The model was well represented by the data. Four factors that reflect aspects of CRWB were distinguished: (1) individual CRWB; (2) being critical in interactions with others; (3) cross-checking of information; and (4) openness to new findings. The latter 2 originated from the factor research utilization in CRWB. The Perceived Need for Lifelong Learning predicts CRWB. Neither Perceived Workload nor Opportunities for Feedback of other practitioners was related to CRWB.
  
  
  CONCLUSIONS
  The results suggest that research utilization, such as cross-checking information and openness to new findings, is essential for CRWB. Furthermore, perceptions of the need for lifelong learning are more relevant for CRWB of health care professionals than qualities of the workplace.
authors.affiliation: Faculty of Veterinary Medicine, Utrecht University. e.degroot@uu.nl
authors.forename: Esther de
authors.initials: Ed
authors.lastname: Groot
authors.forename: Debbie
authors.initials: D
authors.lastname: Jaarsma
authors.forename: Maaike
authors.initials: M
authors.lastname: Endedijk
authors.forename: Tim
authors.initials: T
authors.lastname: Mainhard
authors.forename: Ineke
authors.initials: I
authors.lastname: Lam
authors.forename: Robert-Jan
authors.initials: RJ
authors.lastname: Simons
authors.forename: Peter van
authors.initials: Pv
authors.lastname: Beukelen
mesh_terms: D002983:Clinical Competence; D030881:Disclosure; D004502:Education, Medical, Continuing / Q000379:methods / Q000592:standards*; D055317:Evidence-Based Practice / Q000379:methods; D005163:Factor Analysis, Statistical; D030141:Feedback, Psychological; D006801:Humans; D007400:Interprofessional Relations; D017145:Models, Educational; D009426:Netherlands; D018794:Problem-Based Learning / Q000706:statistics & numerical data; D020377:Self Efficacy; D013192:Staff Development / Q000379:methods*; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D018634:Veterinarians / Q000523:psychology* / Q000706:statistics & numerical data; D016526:Workload / Q000523:psychology*