Department of Psychology, University of Balearic Islands, 07122 Palma, Spain.
Experimental Psychology Department, Universidad de Sevilla, 41018 Sevilla, Spain.
Int J Environ Res Public Health. 2021 Aug 30;18(17):9137. doi: 10.3390/ijerph18179137.
Physicians and other health sciences professionals need continuous training, not only in technical aspects of their activity but also in nontechnical, transversal competencies with a cost-efficient impact on the proper functioning of healthcare. The objective of this paper is to analyze the behavioral change among health professionals at a large public hospital following a training intervention on a set of core nontechnical competencies: Teamwork, Adaptability-Flexibility, Commitment-Engagement, Results Orientation, and Leadership Skills for Supervisors. The 360° Multisource Feedback (MSF) model was applied using three sources of information: supervisors, co-workers, and the workers themselves (self-assessment). A quasi-experimental pretest-post-test single-group design with two points in time was utilized. The training intervention improved the scores of only one of the trained competencies-the "Results Orientation" competency-although the scores were slightly inflated. Moreover, significant discrepancies were detected between the three sources, with supervisors awarding the highest scores. The magnitude of behavioral change was related to certain sociodemographic and organizational variables. The study was not immune to the ceiling effect, despite control measures aimed at avoiding it. The empirical evidence suggests that the 360° MSF model must be maintained over time to enhance and reinforce an evaluation culture for better patient care.
医生和其他健康科学专业人员需要不断培训，不仅要培训其活动的技术方面，还要培训对医疗保健的正常运作具有成本效益的非技术、横向能力。本文的目的是分析一家大型公立医院的卫生专业人员在接受了一系列核心非技术能力（团队合作、适应灵活性、承诺投入、结果导向和主管领导技能）培训干预后的行为变化。使用三种信息来源（主管、同事和员工自身（自我评估））应用了 360°多源反馈（MSF）模型。采用了具有两个时间点的准实验前后测试单组设计。培训干预仅提高了培训的一项能力——“结果导向”能力的分数，尽管分数略有膨胀。此外，在三个来源之间发现了显著的差异，主管给予的分数最高。行为变化的幅度与某些社会人口学和组织变量有关。尽管采取了控制措施来避免，但该研究仍无法避免上限效应。实证证据表明，必须随着时间的推移保持 360°MSF 模型，以加强和强化评估文化，从而更好地为患者提供护理。
