Department of Anaesthesia and Perioperative Medicine, Monash Medical Centre, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia.
Br J Anaesth. 2011 Sep;107(3):372-7. doi: 10.1093/bja/aer152. Epub 2011 Jun 14.
The aim of this study was to explore anaesthetists' perceptions and experience of the implementation of multi-source feedback (MSF) for their performance review.
Twelve semi-structured thematic interviews were conducted with staff anaesthetists and their director to explore the perceptions of, and responses to, the MSF system, the feedback given, and their work context. An inductive thematic cross-comparative analysis of the interview data was conducted.
The themes that emerged clustered around the anaesthetists' understanding of MSF, the facilitation process, and the value anaesthetists placed on feedback from the different professional groups available as actual and potential sources of feedback data.
The anaesthetists interviewed in this study accepted performance review and the role of MSF in it. Anaesthetists thought anonymity an important feature of MSF, and viewed the process as an opportunity for self-improvement. To the extent that MSF was viewed by the anaesthetists as surveillance by management, this was seen as being largely benign. Rather a view of the acceptance of self-responsibility for using the information gathered to improve their own performance was held by the majority of those interviewed. While broad sampling of sources within and outside anaesthesia was desired, most value was placed on feedback from both nurses and trainees within anaesthesia. The value of feedback from surgeons was contentious, and this may reflect underlying issues with this important relationship that are yet to be explored.
本研究旨在探讨麻醉医师对多源反馈（MSF）在其绩效评估中实施的看法和经验。
对 12 名工作人员麻醉师及其主任进行了 12 次半结构化主题访谈，以探讨他们对 MSF 系统、反馈的看法和反应，以及他们的工作背景。对访谈数据进行了归纳主题交叉比较分析。
出现的主题围绕着麻醉师对 MSF 的理解、促进过程以及麻醉师对来自不同专业群体的反馈的重视，这些反馈是实际和潜在的反馈数据来源。
在这项研究中接受采访的麻醉师接受绩效评估和 MSF 在其中的作用。麻醉师认为匿名是 MSF 的一个重要特征，并将该过程视为自我提升的机会。在一定程度上，MSF 被麻醉师视为管理层的监督，这被认为是主要是良性的。相反，大多数受访者认为，接受自我负责使用收集到的信息来提高自己的绩效是一种自我责任感。虽然希望在麻醉内外广泛抽样，但大多数人都重视来自麻醉护士和学员的反馈。来自外科医生的反馈具有争议性，这可能反映了这种重要关系中尚未探讨的潜在问题。
