Table 2.
Factor Analysis Results*
| Factors analyzed | Factor loading |
|---|---|
| Clinical experience (Cronbach’s alpha = 0.79) | |
| Compliance with the work hour rules resulted in delays in reviewing my patient’s test results† | 0.8799 |
| Compliance with the work hour rules limited the thoroughness of my patient workups† | 0.7247 |
| Compliance with the work hour rules limited the time I had to teach other team members† | 0.5409 |
| Too much attention is directed at complying with the work hour rules† | 0.5022 |
| I am able to provide a level of care to my patients that satisfied me.‡ | 0.4716 |
| How often did delays in patient care occur due to multiple physician handoffs?§ | 0.4603 |
| Patient care and safety (Cronbach’s alpha = 0.81) | |
| How does restricting resident work hours affect patient safety?§ | 0.8428 |
| How does restricting resident work hours affect patient care?§ | 0.8034 |
| Doing what is best for my patients and complying with the work hour rules often conflict.† | 0.4376 |
| Communication (Cronbach’s alpha = 0.66) | |
| How often did consult services have difficulty locating the primary team?¶ | 0.6866 |
| How often did nurses have difficulty loading the appropriate member of the primary team?¶ | 0.6860 |
| How often did work hour limitations impair communication between physicians and patients/families?¶ | 0.5393 |
| Satisfaction with Training (Cronbach’s alpha = 0.77) | |
| How does restricting resident work hours affect your job satisfaction?‡ | 0.7481 |
| Compliance with the work hour rules has limited my ability to learn what I need to know to be an excellent physician.† | 0.7023 |
| Compliance with the work hour rules limited my attending physician’s ability to teach my team.† | 0.4510 |
| Restricting resident work hours is a good idea.‡ | 0.4404 |
| How does restricting resident work hours affect resident education?‡ | 0.4177 |
| Work-Rest Balance (Cronbach’s alpha = 0.61) | |
| I have adequate time away from the hospital.‡ | 1.0253 |
| I am well rested during my call months on the wards.‡ | 0.4179 |
*Factor loadings >0.4 were included. Higher factor loadings indicate a stronger correlation with the underlying domain.
†Scored “Strongly agree” = 1, “Agree” = 2, “Disagree” = 3, “Strongly Disagree” = 4
‡Scored “Strongly disagree” = 1, “Disagree” = 2, “Agree” = 3, “Strongly Agree” = 4
§Scored “Negatively” = 1, “Somewhat negatively” = 2, “Not at all” = 3, “Somewhat positively” = 4, “Positively” = 5
¶Scored “Frequently” = 1, “Occasionally” = 2, “Rarely” = 3, “Never” = 4