Brown William E, Margolis Gregg, Levine Roger
National Registry of Emergency Medical Technicians, Columbus, Ohio 43229, USA.
Prehosp Disaster Med. 2005 Mar-Apr;20(2):107-14. doi: 10.1017/s1049023x00002284.
Professional behavior is one of the cornerstones of effective emergency medical services (EMS) practice and is a required part of the National Standard Curricula for advanced levels of EMS education. However, peer rating of emergency medical technicians with respect to the 11 categories of professional behavior never has been quantified. This study uses a peer evaluation methodology to assess the affective competencies of practicing EMS providers.
A professional behavior evaluation form was included as part of a survey that was sent to 2,443 randomly selected, nationally registered emergency medical technicians (EMTs). Participants were asked to rate the EMT partner with whom they worked most closely in the past year using 11 different categories of professional behavior using a Likert scale.
One thousand, five hundred, ten (61.8%) surveys were returned and analyzed. Both nationally registered EMTs at the Basic and Paramedic levels rated their partners with respect to 11 categories of professional behavior. The overall average score was 0.68 on a 0-1 scale, with one being the highest. The rating of each of the categories was: (1) integrity (0.77); (2) appearance/personal hygiene (0.74); (3) patient advocacy (0.73); (4) empathy (0.72); (5) self-confidence (0.70); (6) careful delivery of service (0.70); (7) respect (0.65); (8) communication skills (0.64); (9) time management skills (0.63); (10) teamwork/diplomacy skills (0.62); and (11) self-motivation (0.61). Overall, the NREMT-Paramedics rated their partners significantly lower than did the NREMT-Basics (p = 0.0156) and experienced EMT-Basics rated their partners significantly lower than did the newer EMT-Basics (p = 0.0002). Those EMTs who indicated high satisfaction with their current EMS assignment rated their partner more highly on professional behaviors than did those EMTs who were not as satisfied.
Overall, EMTs peer evaluation of professional behavior was "good." The behaviors most highly rated were integrity and appearance/personal hygiene. The behaviors rated lowest were self-motivation and team work/diplomacy. It appears that paramedics are more critical of their colleagues than are EMT-Basics, that experienced EMT-Basics are harsher critics than are newer EMT-Basics, and that there is a relationship between job satisfaction and peer evaluation.
职业行为是有效的紧急医疗服务（EMS）实践的基石之一，也是高级EMS教育国家标准课程的必要组成部分。然而，从未对急救医疗技术人员在11类职业行为方面的同行评价进行过量化。本研究采用同行评估方法来评估在职EMS提供者的情感能力。
一份职业行为评估表作为调查问卷的一部分，发送给2443名随机挑选的、在全国注册的急救医疗技术人员（EMT）。参与者被要求使用李克特量表，根据11种不同的职业行为类别，对他们在过去一年中合作最密切的EMT搭档进行评分。
共收回并分析了1510份（61.8%）调查问卷。基础水平和护理人员水平的全国注册EMT都对他们的搭档在11类职业行为方面进行了评分。在0至1的量表上，总体平均得分为0.68，1分为最高分。各行为类别的评分如下：（1）正直（0.77）；（2）外表/个人卫生（0.74）；（3）患者权益倡导（0.73）；（4）同理心（0.72）；（5）自信（0.70）；（6）谨慎提供服务（0.70）；（7）尊重（0.65）；（8）沟通技巧（0.64）；（9）时间管理技巧（0.63）；（10）团队合作/外交技巧（0.62）；（11）自我激励（0.61）。总体而言，护理人员水平的国家注册EMT对其搭档的评分显著低于基础水平的国家注册EMT（p = 0.0156），经验丰富的基础水平EMT对其搭档的评分显著低于新入职的基础水平EMT（p = 0.0002）。那些表示对当前EMS工作高度满意的EMT在职业行为方面对其搭档的评分高于那些不太满意的EMT。
总体而言，EMT对职业行为的同行评价为“良好”。评分最高的行为是正直和外表/个人卫生。评分最低的行为是自我激励和团队合作/外交。护理人员似乎比基础水平的EMT对同事更为挑剔，经验丰富的基础水平EMT比新入职的基础水平EMT批评更为严厉，并且工作满意度与同行评价之间存在关联。
