scieee Science in your language
[en] (orig)

Developing and validating a questionnaire for evaluation faculty members' retention in medical science universities

Abstract

Background & Objective: Due to individual and organizational reasons, the retention of faculty members in medical science universities has become a critical challenge. Identifying and prioritizing the factors influencing faculty retention is essential. This study aimed to develop and validate a questionnaire designed to assess faculty retention at medical science universities. Materials & Methods: This psychometric study, employing a multi-phase instrument development approach, was conducted in 2023 in Iran. The study consisted of two main phases: item generation and psychometric evaluation. A 25-item preliminary questionnaire was developed based on qualitative interviews with faculty members from several medical sciences universities. In the psychometric phase, face and content validity were assessed using expert judgment, and the Content Validity Index and Content Validity Ratio were calculated based on Lawshe's method. Construct validity was examined using exploratory factor analysis and confirmatory factor analysis. Reliability was evaluated through internal consistency (Cronbach's alpha) and stability (test-retest method using Spearman-Brown coefficient). The sample consisted of 351 faculty members selected through convenience sampling. Results: The final questionnaire included 21 items across three domains: individual factors, institutional factors, and socio-political factors. The CVI and CVR values were 0.91 and 0.84, respectively. EFA revealed a three-factor structure that explained 64% of the total variance. The results of the Confirmatory Factor Analysis (CFA) indicated that the fit indices for the questionnaire's three-factor structure were appropriate. Cronbach's alpha for the total scale was 0.80, and domain-specific alphas ranged from 0.78 to 0.82. The stability assessment indicated acceptable reliability (Spearman-Brown coefficient = 0.78). Conclusions: The developed questionnaire demonstrates acceptable validity and reliability for assessing factors related to faculty retention in medical science universities. Further validation in diverse academic contexts is recommended to enhance generalizability.

Read accessible full text

Developing and validating a questionnaire for evaluation faculty members' retention in medical science universities

Author: Mohammadi, Elaheh; Salajegheh, Mahla
Publisher: Zenodo
DOI: 10.61882/edcj.18.2.121
Source: https://zenodo.org/records/17255518/files/article-1-2436-en.pdf
Copy igh © 2025 Zanjan Uni e si y o Medical Sciences. Published by Zanjan Uni e si y o Medical Sciences.
This wo k is licensed unde a C ea i e Commons A ibu ion-NonComme cial 4.0 In e na ional license (h ps://c ea i ecommons.o g/licenses/by-
nc/4.0/). Noncomme cial uses o he wo k a e pe mi ed, p o ided he o iginal wo k is p ope ly ci ed.
De eloping and alida ing a ques ionnai e o e alua e acul y
membe s’ e en ion in medical sciences uni e si ies
Elaheh Mohammadi1, Mahla Salajegheh2*
1 Depa men o Medical Educa ion, Heal h P o essions Educa ion Resea ch Cen e , Educa ional De elopmen Cen e , Teh an Uni e si y o
Medical Sciences, Teh an, I an
2 Depa men o Medical Educa ion, Medical Educa ion De elopmen Cen e , Ke man Uni e si y o Medical Sciences, Ke man, I an
A icle in o Abs ac
In oduc ion
Nowadays, he human wo k o ce is conside ed he mos
aluable asse in any o ganiza ion, and he p ima y ocus
o in es men s is di ec ed owa ds human esou ces [1].
The p oduc i i y and p o i abili y o o ganiza ions
depend on he e en ion and loyal y o hei human
wo k o ce [2]. O ganiza ional e en ion e e s o he
abili y o e ain human esou ces o an ex ended pe iod
h ough a ious s a egies ha encou age indi iduals o
emain wi h he o ganiza ion. This leads o indi iduals
wi hin an o ganiza ion u ilizing hei ull po en ial o
achie e o ganiza ional goals and engaging
en husias ically in hei wo k [4]. O ganiza ions incu
signi ican cos s in a ac ing, aining, and enhancing he
skills o indi iduals, so he depa u e o alen ed and
expe ienced indi iduals esul s in he loss o aluable
esou ces [1].
A icle his o y:
Recei ed 2 Ma . 2025
Accep ed 23 Jun. 2025
Published 13 Jul. 2025
Mohammadi e al. J Med Edu De . 2025; 18(2): 121-128 Jou nal o Medical Educa ion De elopmen
Backg ound & Objec i e: Due o indi idual and o ganiza ional easons, he e en ion o
acul y membe s in medical science uni e si ies has become a c i ical challenge. Iden i ying
and p io i izing he ac o s in luencing acul y e en ion is essen ial. This s udy aimed o
de elop and alida e a ques ionnai e designed o assess acul y e en ion a medical science
uni e si ies.
Ma e ials & Me hods: This psychome ic s udy, employing a mul i-phase ins umen
de elopmen app oach, was conduc ed in 2023 in I an. The s udy consis ed o wo main phases:
i em gene a ion and psychome ic e alua ion. A 25-i em p elimina y ques ionnai e was
de eloped based on quali a i e in e iews wi h acul y membe s om se e al medical sciences
uni e si ies. In he psychome ic phase, ace and con en alidi y we e assessed using expe
judgmen , and he Con en Validi y Index and Con en Validi y Ra io we e calcula ed based on
Lawshe's me hod. Cons uc alidi y was examined using explo a o y ac o analysis and
con i ma o y ac o analysis. Reliabili y was e alua ed h ough in e nal consis ency
(C onbach's alpha) and s abili y ( es - e es me hod using Spea man-B own coe icien ). The
sample consis ed o 351 acul y membe s selec ed h ough con enience sampling.
Resul s: The inal ques ionnai e included 21 i ems ac oss h ee domains: indi idual ac o s,
ins i u ional ac o s, and socio-poli ical ac o s. The CVI and CVR alues we e 0.91 and 0.84,
espec i ely. EFA e ealed a h ee- ac o s uc u e ha explained 64% o he o al a iance. The
esul s o he Con i ma o y Fac o Analysis (CFA) indica ed ha he i indices o he
ques ionnai e's h ee- ac o s uc u e we e app op ia e. C onbach's alpha o he o al scale was
0.80, and domain-speci ic alphas anged om 0.78 o 0.82. The s abili y assessmen indica ed
accep able eliabili y (Spea man-B own coe icien = 0.78).
Conclusion: The de eloped ques ionnai e demons a es accep able alidi y and eliabili y o
assessing ac o s ela ed o acul y e en ion in medical science uni e si ies. Fu he alida ion
in di e se academic con ex s is ecommended o enhance gene alizabili y.
Keywo ds: acul y, acul y e en ion, psychome ics, medical educa ion, o ganiza ional loyal y,
ques ionnai es
*Co esponding au ho :
Mahla Salajegheh, Depa men o
Medical Educa ion, Medical
Educa ion De elopmen Cen e ,
Ke man Uni e si y o Medical
Sciences, Ke man, I an.
Email: ma yama [email protected]
O iginal A icle
How o ci e his a icle:
Mohammadi E, Salajegheh M.
De eloping and alida ing a
ques ionnai e o e alua e acul y
membe s’ e en ion in medical
sciences uni e si ies. J Med Edu De .
2025; 18(2): 121-128.
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
1 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
122 Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025
Medical uni e si ies ely on mo i a ed and compe en
acul y membe s as hei mos essen ial human esou ce
o deli e ing heal hca e se ices, educa ing s uden s,
and enhancing he quali y o educa ion and heal h
ou comes [5]. Consequen ly, medical uni e si ies in es
signi ican ly in he de elopmen and empowe men o
young acul y membe s, and ea ly depa u e o hese
indi iduals becomes cos ly o he o ganiza ion.
The e o e, he e en ion o hese aluable asse s in
medical uni e si ies is highly impo an [6]. Howe e ,
due o bo h pe sonal and o ganiza ional ac o s, e aining
acul y membe s—who a e he ounda ion o medical
sciences in uni e si ies—has become inc easingly
challenging. Some o hese indi iduals end o lea e he
medical uni e si y sys em.
The esul s o Nade i Ana i indica ed he in luence o job
sa is ac ion and o ganiza ional commi men among
eache s [7]. Bibi e al. demons a ed ha imp o ing
o ganiza ional suppo , add essing subop imal wo king
condi ions, and enhancing job sa is ac ion can inc ease
eache s' o ganiza ional commi men . Thei esea ch also
e ealed ha a dec ease in commi men can hu he
o ganiza ion, educa o s, and s uden s [8]. The indings o
Zhang indica ed ha academics' emo ions in eaching
made a signi ican di e ence o o ganiza ional
commi men [9]. Selesho and Naile. examined ac o s
ha in luence he poo e en ion a e o academic s a in
Sou h A ica. They disco e ed job sa is ac ion as he
main ac o keeping academic s a in hei p o ession.
They also iden i ied se e al ex insic ac o s, including
sala y, hea y wo kload, challenges in mee ing p omo ion
equi emen s, and inadequa e men o ing and
p o essional de elopmen , as easons o acul y
membe s lea ing he o ganiza ion [10].
Se e al ins umen s ha e been de eloped o measu e
aspec s ela ed o employee e en ion, o ganiza ional
commi men , and job sa is ac ion. Fo example, he
O ganiza ional Commi men Ques ionnai e (OCQ)
de eloped by Mowday e al. [11], he Job Sa is ac ion
Su ey (JSS) by Spec o [12], and he Tu no e In en ion
Scale by Hom e al. [13]. Al hough hese ools a e use ul,
hey p ima ily a ge gene al wo kplace se ings and do
no speci ically add ess he mul i ace ed con ex o
acul y e en ion in medical science uni e si ies. When
we ini ially a emp ed o use exis ing ins umen s, we
encoun e ed se e al issues. Fi s , a ailable ools lacked
i ems speci ically ailo ed o he academic and clinical
en i onmen s o medical uni e si ies. Second, many
ools measu ed only one o wo aspec s o e en ion-
ela ed ac o s, such as sa is ac ion o mo i a ion, a he
han p o iding a comp ehensi e e alua ion ac oss
o ganiza ional, p o essional, and pe sonal domains.
These limi a ions highligh ed he need o a dedica ed
ool.
As one o he cu en challenges in uni e si ies is he
depa u e o acul y membe s, i is necessa y o examine
he ac o s ela ed o acul y e en ion and p io i ize hem
acco dingly. When we decided o de elop a new ool, we
encoun e ed se e al key challenges: i s , he absence o
a comp ehensi e concep ual amewo k speci ic o
acul y e en ion in medical uni e si ies made i em
gene a ion complex. Second, acul y e en ion is
in luenced by mul iple o e lapping domains—pe sonal,
ins i u ional, and socio-poli ical—which equi e
balancing b oad co e age wi h i em cla i y and ocus.
Thi d, achie ing con en ele ance ac oss a ious
academic anks, depa men s, and ins i u ional cul u es
equi ed ex ensi e expe in ol emen and i e a i e
e inemen . Finally, ensu ing he ool's cul u al and
con ex ual app op ia eness o he I anian academic
en i onmen equi ed ca e ul linguis ic alida ion and
sensi i i y o local academic alues.
Al hough he e has been limi ed esea ch on acul y
e en ion in medical uni e si ies and he ac o s
in luencing i wi hin hose o ganiza ions, no eliable and
alid ools ha e been iden i ied o examine he ac o s
ela ed o acul y e en ion. The e o e, designing and
alida ing such a ool o u he in es iga e and p io i ize
he ac o s ela ed o acul y e en ion is necessa y. This
esea ch aimed o de elop and alida e a ques ionnai e
o assessing acul y e en ion in medical science
uni e si ies.
Ma e ials & Me hods
Design and se ing(s)
The esea ch was a psychome ic s udy employing a
mul i-phase ins umen de elopmen app oach
conduc ed a he Teh an Uni e si y o Medical Sciences
in I an be ween Feb ua y and Augus 2023. The s udy
included i em gene a ion, con en , and ace alida ion,
cons uc alida ion h ough explo a o y and
con i ma o y ac o analyses, and eliabili y assessmen .
Pa icipan s and sampling
The da a we e collec ed om 351 acul y membe s a
medical sciences uni e si ies in I an who pa icipa ed in
he s udy using a con enience sampling me hod.
Pa icipan s we e selec ed in di e en phases, and
sample sizes we e de e mined based on he s anda ds
equi ed o each psychome ic p ocedu e. Ten expe s
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
2 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025 123
pa icipa ed in con en alida ion using pu posi e
sampling, while 351 acul y membe s pa icipa ed in
cons uc alida ion h ough con enience sampling.
The inclusion c i e ia equi ed pa icipan s o exp ess an
in e es in he s udy and o ha e expe ience as acul y
membe s a medical sciences uni e si ies.
The e was no es ic ion on minimum o maximum wo k
expe ience, as we aimed o include a di e se ange o
academic p o iles. The exclusion c i e ion was applied
o ques ionnai es ha had mo e han 10% o he
ques ions unanswe ed. Pa icipan s we e selec ed om
a ious acul ies, such as medicine, den is y, pha macy,
nu sing, and allied heal h sciences, ep esen ing 12
di e en uni e si ies ac oss I an. Sampling and da a
collec ion we e conduc ed elec onically ia Google
Fo ms, and he ques ionnai e link was dis ibu ed
h ough o icial uni e si y mailing lis s and academic
g oups on social media pla o ms.
I em de elopmen
The i ems in he ques ionnai e we e de eloped based on
a quali a i e s udy conduc ed by he esea ch eam,
which explo ed he pe spec i es o 22 acul y membe s
om a ious uni e si ies in I an on he ac o s a ec ing
e en ion. This s udy has been published and is ci ed in
e e ences [14]. The quali a i e da a analysis yielded
h ee main ca ego ies and en subca ego ies. Th ee main
ca ego ies we e iden i ied as ac o s in luencing acul y
o ganiza ional e en ion: indi idual ac o s, ins i u ional
ac o s, and socio-poli ical ac o s. A di ec ed con en
analysis app oach was used o analyze he quali a i e
da a, guided by he G aneheim and Lundman me hod
[15]. In e iews we e ansc ibed e ba im and coded
line-by-line, and codes we e g ouped in o subca ego ies
and ca ego ies h ough consensus discussion among
esea che s. To inalize he i ems o he ques ionnai e, a
panel o expe s discussed he ac o s a ec ing he
e en ion o acul y membe s in medical sciences
uni e si ies. An expe panel session in ol ing ou key
in o man s was conduc ed o iden i y he essen ial
ac o s ela ed o acul y e en ion in medical science
uni e si ies. The g oup membe s p oposed hese ac o s
based on he quali a i e da a h ough an induc i e
b ains o ming p ocess.
Following his s ep, he i ems o he ques ionnai e we e
de eloped.
Con en alida ion
The con en alidi y o he ini ial ques ionnai e was
in es iga ed bo h quali a i ely and quan i a i ely by
expe opinion. Ten acul y membe s om medical
science uni e si ies we e ec ui ed o e alua e each i em
based on he c i e ia o "essen ial," " ele ance," "cla i y,"
and "simplici y." Each i em was assessed using he Like
scale. Addi ionally, he expe s we e in i ed o p o ide
eedback on he "simplici y" o each i em in e ms o
luency and he use o s aigh o wa d, unde s andable
language, as well as sugges ions o he mos app op ia e
placemen and o de o he i ems. We assessed con en
alidi y by compu ing he Con en Validi y Ra io (CVR)
and Con en Validi y Index (CVI) using a ings o i em
ele ance p o ided by con en expe s. Gi en he en
expe s who e alu-a ed he i ems, he minimum
accep able amoun o CVR was 0.62 based on he
Lawshe able [16]. The o mula o calcula ing he CVI
using Wal z and Bausell's me hod is as ollows: he o al
numbe o esponden s who a ed he i ems as " ele an ,"
"clea ," and "simple" is di ided by he numbe o expe s
who assigned a sco e o 3 o 4 on he co esponding
ques ion wi hin each c i e ion. In his o mula, i an i em
has a sco e o mo e han 0.79, ha i em is e ained in he
ques ionnai e. I CVI is be ween 0.70 and 0.79, he i em
is ques ionable and needs co ec ion and e ision.
Fu he mo e, i he alue is less han 0.70, he i em is
unaccep able and mus be dele ed [17]. The expe s'
cons uc i e commen s ega ding he wo ding o i ems—
such as luency, he use o simple and unde s andable
language, and app op ia e wo d placemen —we e aken
in o accoun .
Face alida ion
Facul y opinions we e solici ed o assess he ace alidi y
o he ques ionnai e. In his p ocess, in e iews we e
conduc ed wi h en acul y membe s using concu en
e bal p obing and a hink-aloud p o ocol. The
ques ionnai e i ems we e examined in e ms o luency,
app op ia e ph asing, a oiding specialized wo ds, and
po en ial ambigui y. In addi ion o quali a i e
assessmen , quan i a i e ace alidi y was calcula ed
using he i em impac me hod. I ems wi h an impac
sco e ≥1.5 we e e ained.
Cons uc alida ion
The modi ied ques ionnai e, based on con en and ace
alida ion, was dis ibu ed o 351 acul y membe s ia
Google Fo ms. The link was sen ou h ee imes o e he
cou se o one mon h, and eminde s we e sha ed ia
social media. An Explo a o y Fac o Analysis (EFA) was
i s conduc ed using LISREL so wa e ( e sion 8.8) o
iden i y he unde lying ac o s uc u e. P incipal axis
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
3 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
124 Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025
ac o ing wi h P omax o a ion was used. The Kaise -
Meye -Olkin (KMO) es and Ba le 's es o sphe ici y
we e pe o med o ensu e sampling adequacy. A e
con i ming he ac o s uc u e, a Con i ma o y Fac o
Analysis (CFA) was conduc ed o e i y he i o he
model.
Fi indices included Compa a i e Fi Index (CFI),
Goodness o Fi Index (GFI), Adjus ed GFI (AGFI),
S anda dized Roo Mean Squa e Residual (SRMR), and
Roo Mean Squa e E o o App oxima ion (RMSEA)
[18].
Reliabili y assessmen
In e nal consis ency was examined using C onbach's
alpha; alues abo e 0.70 we e conside ed accep able.
C onbach's alpha was calcula ed o each subscale and
he en i e ques ionnai e using da a om 351 pa icipan s.
S abili y was e alua ed h ough es - e es eliabili y.
Ten acul y membe s comple ed he ques ionnai e wice,
wi h a 7-day in e al be ween adminis a ions. The
In aclass Co ela ion Coe icien (ICC) was used o
assess es - e es eliabili y. An ICC ≥ 0.70 was
conside ed accep able.
S a is ical analysis
All s a is ical analyses we e conduc ed using SPSS
e sion 26 and LISREL e sion 8.8. No mali y was
checked using he Kolmogo o –Smi no es . Be o e
EFA, assump ions o sampling adequacy and
ac o abili y we e es ed using KMO and Ba le 's es .
Resul s
All 10 expe s comple ed he con en alida ion o m.
Ten acul y membe s also pa icipa ed in he ace alidi y
phase. Th ee hund ed i y-one acul y membe s
pa icipa ed in in es iga ing cons uc alidi y. O hese,
202 we e emale (57.5%) and 149 we e male (42.5%).
Mos pa icipan s we e assis an p o esso s (71.9%,
n=252). In e ms o depa men al a ilia ion, 201
pa icipan s (57.3%) belonged o clinical depa men s,
while he emaining 150 (42.7%) we e om basic
sciences. Rega ding academic expe ience, 252
pa icipan s (71.7%) had 1–5 yea s o expe ience, 65
pa icipan s (18.5%) had 6–10 yea s, and 34 (9.8%) had
o e 10 yea s o expe ience. The sample size was
de e mined based on he ecommenda ion o
con i ma o y ac o analysis, which sugges s using 5 o
10 pa icipan s pe pa ame e es ima e in he
measu emen model [19]. Du ing he eliabili y
assessmen phase, we included 10 pa icipan s,
comp ising six emales and ou males. Se en we e
assis an p o esso s, and h ee we e associa e p o esso s.
Six pa icipan s we e om clinical depa men s, and ou
we e om basic sciences. All pa icipan s had be ween 3
o 12 yea s o expe ience as acul y membe s.
The o e all CVR was 0.82, which was accep able. The
CVI o all i ems was 0.87 by using he Wal z and Bau-
sell me hod. Fi e i ems wi h CVR ˂0.70 we e emo ed
as hey we e iden i ied as being ague o simila o o he
i ems. One i em was added based on he expe s'
sugges ions, and ambigui ies we e co ec ed in six i ems.
The sco ing o each i em o CVR and CVI was done
using a 4-poin Like scale, and he inal decision o
i em e en ion ollowed Lawshe's c i e ia.
Based on he acul y's eedback du ing he ace alidi y
p ocess, all ansla ed i ems we e clea and
accep ed. Quan i a i e ace alidi y was also assessed
using he i em impac sco e index. The impac sco e o
each i em was calcula ed as Impac Sco e = F equency
(%) × Impo ance. All i ems had impac sco es g ea e
han 1.5 and we e he e o e e ained in he ques ionnai e.
The esul s o he CFA indica ed app op ia e i indices
o he ques ionnai e's h ee- ac o s uc u e: RMSEA =
0.064, NFI = 0.90, NNFI = 0.93, CFI = 0.94, SRMR =
0.060, GFI = 0.89, and AGFI = 0.86.
The measu emen model, along wi h he s anda dized
ac o loadings o each i em, is depic ed in Figu e 1. All
i ems, excep o i em PF3, exhibi ed ac o loadings
highe han 0.4 and we e s a is ically signi ican (T- alue
> 1.96).
Howe e , i em p 3 demons a ed a ela i ely weak ac o
loading (0.35). Gi en he signi ican ac o loading o
his i em (T- alue = 4.77), i was decided o e ain i
a he han exclude i .
The e was consis ency be ween he quali a i e hemes
iden i ied du ing he i em de elopmen phase, and he
ac o s uc u es e ealed h ough CFA. This suppo s
he heo e ical amewo k es ablished om he
quali a i e da a.
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
4 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025 125
Figu e 1. Measu emen model, s anda dized ac o loadings, and e o a iances o he ques ionnai e i ems.
C onbach's alpha coe icien o he en i e ques ionnai e
was 0.80. Fo indi idual subscales, C onbach's alpha
was: "indi idual ac o s" = 0.80, "ins i u ional ac o s" =
0.82, and "socio-poli ical ac o s" = 0.78, all indica ing
accep able in e nal consis ency.
Tes - e es eliabili y was e alua ed by adminis e ing he
ques ionnai e o 10 acul y membe s a a 7-day in e al.
The Spea man-B own coe icien was 0.78, con i ming
he ins umen 's s abili y. The ICC was also calcula ed
and was 0.76.
A e in es iga ing eliabili y and alidi y, he inal
ques ionnai e was de eloped o e alua e ac o s ela ed
o acul y membe s' e en ion in medical science
uni e si ies, consis ing o 21 i ems ac oss h ee domains:
"indi idual ac o s" (9 i ems), "ins i u ional ac o s" (9
i ems), and "socio-poli ical ac o s" (3 i ems). (Each i em
was sco ed using a 5-poin Like scale anging om 1
(s ongly disag ee) o 5 (s ongly ag ee). Highe o al
sco es indica e s onge pe cep ions o e en ion ac o s).
Discussion
This s udy desc ibed he de elopmen and psychome ic
es ing o he i s ins umen o e alua e acul y
membe s' e en ion in medical science uni e si ies. The
ini ial ques ionnai e included 25 i ems, and a e con en
alida ion, 21 i ems we e e ained. Fu he analyses
showed accep able in e nal consis ency and eliabili y
o he ques ionnai e. The esul s o he EFA indica ed
ha he h ee- ac o model p o ided a easonable i o
he da a. These ca ego ies included "indi idual ac o s",
"ins i u ional ac o s", and "socio-poli ical ac o s".
Al hough we did no ind any s udies epo ing he
de elopmen and alidi y e idence o a ques ionnai e
speci ically designed o e alua e ac o s ela ed o
acul y e en ion in medical science uni e si ies, ou
esul s a e closely aligned wi h p e iously published
wo k on he concep ualiza ion o o ganiza ional loyal y
[14]. The i ems in his ques ionnai e aim o ede ine
o ganiza ional loyal y in he con ex o medical science
uni e si ies as he acul y's in en ion o desi e o main ain
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
5 / 8

Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
126 Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025
hei membe ship, ac i ely pa icipa e, and wo k
diligen ly owa d he uni e si y's goals [4].
The "indi idual ac o s" domain ocused on he
in ellec ual, pe sonal, and inancial demands, as well as
acul y membe s' digni y and s a us wi hin he
ins i u ion, as c ucial elemen s de e mining acul y
e en ion in he o ganiza ion. The domain o
"ins i u ional ac o s" encompasses issues such as
o ganiza ional s uc u e and cul u e, e alua ion
mechanisms o acul y, and he acili ies and equipmen
p o ided by he uni e si y ha ela e o he acul y's
wo k en i onmen . The "socio-poli ical ac o s" domain
e e s o he socio-poli ical con ex o bo h he
uni e si ies and he b oade coun y.
Ou esul s in he "indi idual ac o s" domain a e
consis en wi h hose o p e ious s udies, wi h a
pa icula emphasis on he impac o pe sonal, academic,
and inancial needs on employee e en ion wi hin he
o ganiza ion.
Vuong e al in es iga ed he ac o s a ec ing doc o s'
sa is ac ion and loyal y in Vie nam and ound ha
income, including bo h sala y and bonuses, plays a
signi ican ole in employee loyal y [4]. The e is a c i ical
need o pay a en ion o he ole o acul y p o essional
alues and adminis a i e a angemen s. The
misalignmen be ween he alues and he o ganiza ion's
adminis a i e p ac ices has been iden i ied as a c ucial
ac o in acul y dissa is ac ion and e en ion. The lack o
alignmen be ween acul y p o essional alues and he
o ganiza ion's adminis a i e a angemen s signi ican ly
con ibu es o he wo k dissa is ac ion o acul y
membe s [20].
The indings ela ed o he "ins i u ional ac o s" domain
ha e been discussed in p e ious s udies on employee
e en ion. Mea and Se. explo ed how wo k-li e balance,
job sa is ac ion, and he wo k en i onmen impac he
loyal y o emale lec u e s. They e ealed ha he wo k
en i onmen has a posi i e and signi ican e ec on he
loyal y o emale lec u e s [21].
Human ela ions wi hin he ins i u ion, depa men , o
college play a c ucial ole in e aining acul y membe s
a he uni e si y. These ela ions e e o he p ocess o
sha ing in o ma ion, ideas, and eedback wi hin an
o ganiza ion, os e ing a anspa en and collabo a i e
wo king en i onmen . Nguyen and Ha . examined he
ole o in e nal communica ion in os e ing employee
loyal y wi hin highe educa ion ins i u ions in Vie nam
and ound a signi ican ela ionship be ween in e nal
communica ion and employee loyal y. They also
emphasized he ole o manage s in enhancing
o ganiza ional engagemen , which, in u n, a ec s
membe s' loyal y o he o ganiza ion [22].
Ou indings unde sco ed he acul y membe s' need o
access o he bes and mos e ec i e acul y de elopmen
p og ams. The e alua ion o acul y de elopmen
e lec s hei desi e and commi men o s aying cu en in
he ield o medical educa ion and o explo e a ious
a eas o medical educa ion [23].
The esul s om he "socio-poli ical ac o s" domain
align wi h p io s udies. Madu ani and Pasa ibu.
e ealed a di ec consequence o alen managemen on
he e en ion o o ganiza ional membe s, wi h an indi ec
e ec media ed by o ganiza ional jus ice [24].
The esul s showed in e nal consis ency, wi h a
C onbach's alpha coe icien o 0.80 o all i ems and
0.80, 0.82, and 0.78 o he espec i e ca ego ies,
indica ing accep able le els o eliabili y. The accep able
C onbach's alpha alues indica e good in e nal
consis ency and con i m he alidi y o he h ee- ac o
model de i ed om he EFA. The esul s om he es -
e es me hod and he calcula ion o he Spea man-
B own coe icien indica ed ha he ool's s abili y was
accep able. The e o e, gi en ha he C onbach's alpha
coe icien exceeded 0.7, he eliabili y o he
ques ionnai e was deemed sui able, con i ming he
esul s o he EFA. The s udy has some limi a ions. All
e alua ions a e based on he iewpoin s o acul y
membe s, which is a po en ial sou ce o bias abou
o ganiza ional loyal y. We he e o e ecommend
u ilizing o he insigh s, such as hose om human
esou ces manage s and policymake s. Fo use in o he
con ex s, he ques ionnai e equi es u he alida ion
among g oups speaking di e en languages, om
a ious cul u es, and in o he uni e si ies. Addi ionally,
he e a e cu en ly no o he ques ionnai es a ailable o
e alua ing ac o s ela ed o acul y e en ion in medical
science uni e si ies, making i impossible o alida e he
new ques ionnai e agains a gold s anda d o assess
c i e ion alidi y. Fu u e esea ch could in es iga e how
ins i u ions can bene i om u ilizing his ques ionnai e
o enhance acul y e en ion wi hin hei o ganiza ions.
Conclusion
This is he i s ques ionnai e designed o e alua e ac o s
ela ed o acul y e en ion in medical science
uni e si ies, and i is a alid and eliable ins umen o
measu ing acul y membe 's commi men o he
o ganiza ion. The ques ionnai e was de eloped and
e alua ed psychome ically by a a ie y o me hods. All
con en alida ion and es - e es eliabili y assessmen s
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
6 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025 127
we e ound o be app op ia e. The esul s o he EFA
indica ed ha he h ee- ac o model i s he da a
easonably well. This s udy is expec ed o con ibu e o
he heo e ical amewo k and enhance ou
unde s anding o he a ious mechanisms in ol ed in
acul y e en ion a medical science uni e si ies.
E hical conside a ions
The E hical Re iew Boa d o he Na ional Agency o
S a egic Resea ch in Medical Educa ion app o ed he
s udy (IR.NASRME.REC.1402.097).
The pa icipan s did no ecei e any incen i es, and
pa icipa ion was olun a y. The pa icipan s we e also
assu ed o he con iden iali y o hei in o ma ion, and i
was explained ha he esul s would only be used o
esea ch objec i es.
A i icial in elligence u iliza ion o a icle
w i ing
None.
Acknowledgmen
We hank he acul y who pa icipa ed o hei suppo
and in ol emen in he s udy.
Con lic o in e es s a emen
The e is no con lic o in e es .
Au ho con ibu ions
MS and EM o mula ed he esea ch idea. MS and EM
ga he ed da a. MS and EM pe o med he analysis o he
da a. MS w o e he manusc ip . EM edi ed he d a o
he pape . All au ho s app o ed he inal manusc ip .
Suppo ing esou ces
This s udy was unded by he Na ional Agency o
S a egic Resea ch in Medical Educa ion in Teh an, I an
(G an No. 4010117). The unding body con ibu ed by
p o iding suppo o da a collec ion and analysis.
Da a a ailabili y s a emen
The da ase s used and/o analyzed du ing he cu en
s udy a e a ailable om he co esponding au ho upon
easonable eques .
Re e ences
1. Tabouli EM, Hab oo NA, Nashie SM. The impac o
human esou ces managemen on employee
pe o mance: o ganiza ional commi men media o
a iable. Asian Social Science. 2016;12(9):176-92.
[h p://dx.doi.o g/10.5539/ass. 12n9p176]
2. Mihaylo a T, Dimi o T, G adina o a N, Todo o a
D. Cha ac e is ics o human esou ce planning in
heal hca e. Jou nal o IMAB–Annual P oceeding
Scien i ic Pape s. 2018;24(1):1953-6.
[h ps://doi.o g/10.5272/jimab.2018241.1953]
1. Scheue mann TS, Cla k L, Sul ana N, e al. Race,
gende , and acul y e en ion in academic medicine.
JAMA Ne wo k Open. 2024;7(11):e2445143.
[h ps://doi.o g/10.1001/jamane wo kopen.2024.45143]
2. Vuong B, Tung D, Tusha H, Quan T, Giao H.
De e minan s o ac o s in luencing job sa is ac ion and
o ganiza ional loyal y. Managemen Science Le e s.
2021;11(1):203-12.
[h ps://doi.o g/10.31219/os .io/nuag ]
3. Gonzalo JD, Ahluwalia A, Hamil on M, Wol H,
Wolpaw DR, Thompson BM. Aligning educa ion wi h
heal h ca e ans o ma ion: iden i ying a sha ed men al
model o “new” acul y compe encies o academic
acul y. Academic Medicine. 2018;93(2):256-64.
[h ps://doi.o g/10.1097/ACM.0000000000001895]
4. Salajegheh M, Hekma SN, Macky M. Challenges and
solu ions o he p omo ion o medical sciences acul y
membe s in I an: a sys ema ic e iew. BMC Medical
Educa ion. 2022;22(1):1-9.
[h ps://doi.o g/10.1186/s12909-022-03451-2]
5. Ana i NN. Teache s: emo ional in elligence, job
sa is ac ion, and o ganiza ional commi men . Jou nal o
Wo kplace Lea ning. 2012;24(4):256-69.
[h ps://doi.o g/10.1108/13665621211223379]
6. Bibi A, Khalid MA, Hussain A. Pe cei ed
o ganiza ional suppo and o ganiza ional commi men
among special educa ion eache s in Pakis an.
In e na ional Jou nal o Educa ional Managemen .
2019;33(5):848-59. [h ps://doi.o g/10.1108/IJEM-12-
2017-0365]
7. Zhang L- . Do academics’ emo ions in eaching a ec
hei o ganiza ional commi men ? Jou nal o
Educa ional Psychology. 2019;111(7):1317.
[h p://dx.doi.o g/10.1037/edu0000344]
8. Selesho JM, Naile I. Academic s a e en ion as a
human esou ce ac o : uni e si y pe spec i e.
In e na ional Business & Economics Resea ch Jou nal.
2014;13(2):295-304.
[h ps://doi.o g/10.19030/ibe . 13i2.8444]
9. Mowday RT, S ee s RM, Po e LW. The
measu emen o o ganiza ional commi men . Jou nal o
Voca ional Beha io . 1979;14(2):224-47.
[h ps://doi.o g/10.1016/0001-8791(79)90072-1]
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
7 / 8
Mohammadi e al
.
: E alua ing Facul y Re en ion in Medical Uni e si ies
128 Jou nal o Medical Educa ion De elopmen ¦ Volume 18 ¦ Issue 2 ¦ 2025
10. Spec o PE. Measu emen o human se ice s a
sa is ac ion: de elopmen o he job sa is ac ion su ey.
Ame ican Jou nal o Communi y Psychology.
1985;13(6):693. [h ps://doi.o g/10.1007/BF00929796]
11. Hom PW, G i e h RW, Sella o CL. The alidi y o
Mobley's (1977) model o employee u no e .
O ganiza ional Beha io and Human Pe o mance.
1984;34(2):141-74. [h ps://doi.o g/10.1016/0030-
5073(84)90001-1]
12. Mohammadi E, Salajegheh M. Explo ing he
iewpoin o acul y membe s o medical sciences
uni e si ies abou e ec i e ac o s on hei
o ganiza ional e en ion: a quali a i e s udy. BMC
Medical Educa ion. 2023;23(1):725.
[h ps://doi.o g/10.1186/s12909-023-04707-1]
13. G aneheim UH, Lundman B. Quali a i e con en
analysis in nu sing esea ch: concep s, p ocedu es and
measu es o achie e us wo hiness. Nu se Educa ion
Today. 2004;24(2):105-12.
[h ps://doi.o g/10.1016/j.ned .2003.10.001]
14. Wilson FR, Pan W, Schumsky DA. Recalcula ion o
he c i ical alues o Lawshe’s con en alidi y a io.
Measu emen and E alua ion in Counseling and
De elopmen . 2012;45(3):197-210.
[h ps://doi.o g/10.1177/0748175612440286]
15. Wynd CA, Schmid B, Schae e MA. Two
quan i a i e app oaches o es ima ing con en alidi y.
Wes e n Jou nal o Nu sing Resea ch. 2003;25(5):508-
18. [h ps://doi.o g/10.1177/0193945903252998]
16. Schmi TA. Cu en me hodological conside a ions
in explo a o y and con i ma o y ac o analysis. Jou nal
o Psychoeduca ional Assessmen . 2011;29(4):304-21.
[h ps://doi.o g/10.1177/0734282911406653]
17. Wol EJ, Ha ing on KM, Cla k SL, Mille MW.
Sample size equi emen s o s uc u al equa ion models:
an e alua ion o powe , bias, and solu ion p op ie y.
Educa ional and Psychological Measu emen .
2013;73(6):913-34.
[h ps://doi.o g/10.1177/0013164413495237]
18. Vican S, F iedman A, And easen R. Me ics, money,
and manage ialism: acul y expe iences o compe ing
logics in highe educa ion. The Jou nal o Highe
Educa ion. 2020;91(1):139-64.
[h ps://doi.o g/10.1080/00221546.2019.1615332]
19. Mea MH, Se H. Wo k-Li e Balance, Job Sa is ac ion,
and Wo k En i onmen In luences on Educa o s’
Loyal y. InIn e na ional Con e ence on Business,
Accoun ing, Banking, and Economics (ICBABE 2022)
2023 May 22 (pp. 3-13). A lan is P ess.
[h ps://doi.o g/10.2991/978-94-6463-154-8_2]
20. Nguyen CM, Ha MT. The in e play be ween in e nal
communica ion, employee engagemen , job sa is ac ion,
and employee loyal y in highe educa ion ins i u ions in
Vie nam. Humani ies and Social Sciences
Communica ions. 2023;10(1):1-3.
[h ps://doi.o g/10.1057/s41599-023-01806-8]
21. Haas M, T iems a J, Tam M, e al. A decade o
acul y de elopmen o heal h p o essions educa o s:
lessons lea ned om he Macy acul y schola s p og am.
BMC Medical Educa ion. 2023;23(1):1-12.
[h ps://doi.o g/10.1186/s12909-023-04256-7]
22. Madu ani DN, Pasa ibu M. The e ec o alen
managemen on employee e en ion media ed by
o ganiza ional jus ice and alen pe cep ion cong uence.
In7 h S iwijaya Economics, Accoun ing, and Business
Con e ence (SEABC 2021) 2022 Ma 8 (pp. 228-246).
A lan is P ess.
[h ps://doi.o g/10.2991/aebm .k.220304.031]
[ DOI: 10.61882/edcj.18.2.121 ] [ Downloaded om edujou nal.zums.ac.i on 2025-10-03 ]
Powe ed by TCPDF (www. cpd .o g)
8 / 8