Department of Emergency Medicine, Research Center, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada; Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada; Research Center, Institut de Cardiologie de Montréal, Montréal, Quebec, Canada.
Ann Emerg Med. 2019 Nov;74(5):660-669. doi: 10.1016/j.annemergmed.2019.05.019. Epub 2019 Jul 4.
Multisource feedback is a process through which different members of the care team assess and provide feedback on residents' competencies, usually those that are less often addressed by traditional assessment methods (ie, communication, collaboration, and professionalism). Feasibility and reliability of multisource feedback have been addressed in previous research. The present study explores emergency residents' perceptions of multisource feedback provided by teaching physicians, nurses, and patients they have worked with during a rotation in an emergency department (ED).
A multisource feedback intervention was proposed to residents during 9 months in the ED of a tertiary care university hospital. Residents distributed feedback questionnaires to physicians, nurses, and patients that focused on competencies (collaboration, communication, and professionalism) from the CanMEDS framework. Responses were compiled and reported to participating residents. To assess residents' perceptions of multisource feedback, semistructured group and individual interviews were held 3 months after the intervention. Transcripts were analyzed qualitatively, following Miles and Huberman's method for intrasite case analysis.
According to residents (n=10), each source (physicians, nurses, and patients) provided relevant comments that differed significantly in their content. Physicians focused primarily on medical expertise; nurses addressed competencies related to leadership, collaboration, and communication; and patients commented on the competencies of professionalism and communication. Residents concluded that obtaining feedback from nurses and patients was acceptable and useful. They reported modifying certain behaviors after receiving the multisource feedback.
Residents perceived the multisource feedback to be acceptable and useful for the assessment of medical competencies such as communication, collaboration, professionalism, and leadership.
多源反馈是一个过程，通过该过程，护理团队的不同成员评估并提供对居民能力的反馈，这些能力通常是传统评估方法（即沟通、协作和专业精神）较少涉及的。多源反馈的可行性和可靠性已在先前的研究中得到解决。本研究探讨了急诊住院医师对教学医师、护士和他们在急诊部（ED）轮转期间合作过的患者提供的多源反馈的看法。
在一家三级护理大学医院的 ED 中，向住院医师提出了多源反馈干预措施。住院医师向医生、护士和患者分发了重点关注协作、沟通和专业精神等能力（协作、沟通和专业精神）的反馈问卷，这些能力来自 CanMEDS 框架。对参与的住院医师进行了编译和报告。为了评估住院医师对多源反馈的看法，在干预 3 个月后进行了半结构化小组和个人访谈。根据 Miles 和 Huberman 的方法进行了站点内案例分析，对转录本进行了定性分析。
根据住院医师（n=10）的说法，每个来源（医生、护士和患者）提供的意见都有所不同，其内容也大不相同。医生主要关注医学专业知识；护士解决与领导力、协作和沟通相关的能力；患者对专业精神和沟通能力发表了评论。住院医师得出的结论是，从护士和患者那里获得反馈是可以接受和有用的。他们报告在收到多源反馈后修改了某些行为。
住院医师认为多源反馈可接受且有助于评估沟通、协作、专业精神和领导力等医疗能力。
