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The University of Hull and The University of York

Assessing professionalism for the selection of mental health clinicians: the development and validation of a situational judgement test

Abstract

dc:description.abstract

Patients using mental health services are vulnerable to abuse and exploitation, yet there is no consensus on assessment for values-based recruitment (VBR) in this setting. VBR requires evaluating attitudes, knowledge and traits relevant to the delivery of professional and effective care. Structured interviews are one approach to VBR but are resource intensive to deploy. In contrast, situational judgement tests (SJT) are generally valid predictors of job performance and can be delivered more cost-effectively, and at scale. This project developed and validated a SJT that aimed to assess one’s knowledge of professionalism in a mental health services context.A mixed methods programme of work was conducted, incorporating a rapid systematic review to define professionalism in mental health services, a qualitative study exploring stakeholder perspectives, and a quantitative study that assessed the criterion-related validity of the resulting SJT. The literature review included 70 articles and resulted in two operational definitions of professionalism. The subsequent qualitative study incorporated interviews and focus groups with 56 patients, carers and staff members from a range of professions, who facilitated the development of the SJT. Finally, a pilot study, which involved 170 mental health professionals, was conducted to evaluate the validity of the SJT.The SJT scores validly predicted workplace supervisor ratings of professionalism and effectiveness for nurses and allied health professionals. Its predictive ability was comparable to that previously reported for face-to-face interviews. In conclusion, the SJT can be reliably deployed in mental health services to assist values-based recruitment by identifying candidates who are unable to demonstrate reasonable levels of knowledge related to professional behaviours. This novel tool can support our efforts to reduce the risk of patient abuse and reported instances of malpractice in mental health services.

Degree

thesis:*
Name dc:type.qualificationname
PhD
Level dc:type.qualificationlevel
Doctoral
Grantor dc:publisher.institution
The University of Hull and The University of York
Year dc:date.issued
2022

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Aylott, Lauren Margaret Ellen

Rights

Language dc:language
en

Identifiers

dc:identifier.*
Identifier
oai:hull-repository.worktribe.com:4192760
OAI identifier oai:identifier
oai:hull-repository.worktribe.com:4192760

Chain of custody

source
Harvested from
University of Hull
Base URL
hull-repository.worktribe.com/oaiprovider
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
related terms
citation

Aylott, Lauren Margaret Ellen. Assessing professionalism for the selection of mental health clinicians: the development and validation of a situational judgement test. Doctoral thesis, The University of Hull and The University of York, 2022. https://hull-repository.worktribe.com/4192760/1/Thesis