Division of Prehospital Care, Department of Emergency Medicine, Mayo Clinic, Rochester, MinnesotaUSA.
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MinnesotaUSA.
Prehosp Disaster Med. 2021 Aug;36(4):486-494. doi: 10.1017/S1049023X21000601. Epub 2021 Jul 1.
Performance feedback on clinical care and patient outcomes is a cornerstone of medical education, yet it remains lacking in the prehospital environment. Research seeking to establish the quantity of feedback provided to Emergency Medical Services (EMS) has been limited and studies focused on complimentary feedback or how feedback relates to EMS job satisfaction are lacking. The objectives of this study were to measure the frequency and nature of feedback received by EMS agencies and to identify the importance of receiving feedback as it relates to EMS job satisfaction.
This was an anonymous, survey-based study of twenty-nine Basic Life Support (BLS) and fifteen Advanced Life Support (ALS) agencies located in Southeastern Minnesota (USA). Descriptive statistics and Fisher exact tests were used. The study was deemed exempt by the Mayo Clinic Institutional Review Board.
Ninety-four responses were included from nineteen different EMS agencies, including sixty-one (64.9%) paramedics and thirty-three (35.1%) emergency medical technicians (EMTs). One-half of all respondents reported that they had not received any type of feedback in the past 30 days, while another 43.6% of respondents indicated that they had only received feedback one to three times in the same time period. Twenty (60.6%) EMTs reported receiving no feedback in the past 30 days, compared with twenty-seven (44.3%) paramedics (P = .123). Of respondents receiving feedback, 65.9% reported never or rarely receiving positive reinforcing feedback and 60.6% reported never or rarely receiving constructive criticism or feedback regarding something that did not go well with patient care or transport. The majority of respondents were dissatisfied with the quantity (86.1%) and quality (73.4%) of feedback received. An overwhelming majority (93.6%) indicated that feedback on patient care or outcomes was important in influencing their overall job satisfaction. This high importance was maintained across all demographic groups.
Within the cohort of survey respondents, a paucity of feedback received by EMS personnel is a source of dissatisfaction for EMS providers. Feedback on patient care strongly relates to overall job satisfaction. These findings suggest system-wide opportunities for structured feedback processes, focusing upon both quality and quantity of delivered feedback, to improve both patient care and staff satisfaction.
临床护理和患者结局的绩效反馈是医学教育的基石，但在院前环境中仍存在不足。旨在确定向紧急医疗服务（EMS）人员提供反馈数量的研究有限，而专注于补充反馈或反馈与 EMS 工作满意度之间关系的研究则缺乏。本研究的目的是测量 EMS 机构收到的反馈频率和性质，并确定收到反馈的重要性，因为这与 EMS 工作满意度有关。
这是一项针对位于美国明尼苏达州东南部的 29 个基础生命支持（BLS）和 15 个高级生命支持（ALS）机构的匿名调查研究。采用描述性统计和 Fisher 精确检验。该研究被梅奥诊所机构审查委员会视为豁免。
来自 19 个不同 EMS 机构的 94 份回复包括 61 名（64.9%）护理人员和 33 名（35.1%）急救医疗技术员（EMT）。一半的受访者表示在过去 30 天内没有收到任何类型的反馈，而另外 43.6%的受访者表示在同一时期内只收到了一到三次反馈。20 名（60.6%）EMT 在过去 30 天内没有收到反馈，而 27 名（44.3%）护理人员收到反馈（P =.123）。在收到反馈的受访者中，65.9%表示从未或很少收到积极的强化反馈，60.6%表示从未或很少收到关于患者护理或转运中出现问题的建设性批评或反馈。大多数受访者对收到的反馈数量（86.1%）和质量（73.4%）不满意。绝大多数（93.6%）表示，对患者护理或结果的反馈对影响他们的整体工作满意度很重要。这种高度重视在所有人口统计学群体中都得到了维持。
在调查受访者队列中，EMS 人员收到的反馈不足是 EMS 提供者不满的一个来源。对患者护理的反馈与整体工作满意度密切相关。这些发现表明，在系统范围内有机会建立结构化的反馈流程，重点关注提供反馈的质量和数量，以改善患者护理和员工满意度。
