A NEW RATING FORM FOR USE BY NURSES IN ASSESSING RESIDENTS HUMANISTIC BEHAVIOR

被引:44
作者
BUTTERFIELD, PS
MAZZAFERRI, EL
机构
[1] Department of Internal Medicine, The Ohio State University, Columbus, Ohio, 43210-1228, 2 East Means Hall
关键词
RESIDENT EVALUATION; HUMANISTIC BEHAVIOR; EVALUATION FORMS; NURSES;
D O I
10.1007/BF02598316
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To determine the reliability and validity of an evaluation form for assessing the bumanistic behavior of internal medicine (IM) housestaff. The form is for use by nurses. Design: Evaluations were gathered three times during the 1987-88 academic year. Generalizability coefficients (interpreted like traditional reliability coefficients) were generated to establish the form's reliability, while data from attending physicians and from housestaff evaluation committee members were used to help establish its validity. Setting: There hospitals in central Ohio: a large university tertiary care center, a large private hospital, and an urban community hospital. Participants: The nurse raters were volunteers solicited by their bead nurses. The criteria governing their participation were two years of postgraduate experience in nursing and regular contact with residents, which was self-determined. All IM residents who had worked on a medicine inpatient service at least once during the months under study were included. A total of 493 nurses and 116 residents participated. Results: Sixty-four percent of the generalizability coefficients were 0.90 or higher, and 82% were above 0.75, indicating stable, reliable ratings. The nurses' ratings were positively and significantly correlated with attending faculty's and evaluation committee members' ratings (r = 0.38, p < 0.01; r = 0.49, p < 0.001). Conclusions: The evaluation form and the nurses provided consistent, reliable information about medical residents' humanistic behavior; data from five to six nurses should provide statistically reliable ratings using this form. Also, nurses' data yielded information somewhat different from those provided by physicians, suggesting that the form is a useful instrument for assessing this dimension of residents' performance.
引用
收藏
页码:155 / 161
页数:7
相关论文
共 11 条
  • [1] Butterfield P.S., Mazzaferri E.L., Sachs L., NUrses as evaluators of medical residents’ humanistic behavior, J Med Educ, 62, (1987)
  • [2] WJ, BMDP statistical software, (1981)
  • [3] Crick J.E., Brennan R.L., Manual for GENOVA: a generalized analysis of variance system, (1983)
  • [4] Abbott L.C., A study of humanism in family physicians, J Fam Pract, 16, (1983)
  • [5] Merrill J.M., Boisaubim E.V., Laux L., Lynch E.C., Roessler R., Thornby J.I., Measuring ‘humanism’ in medical residents, South Med J, 79, (1986)
  • [6] Linn L.S., DiMatteo R.M., Cope D.W., Robbins A., Measuring physicians’ humanistic attitudes, values, and behaviors, Med Care, 25, (1987)
  • [7] Shatney C.H., Friend B.E., Potential role of nurses in assessing house officer performance in the critical care environment, Crit Care Med, 12, (1984)
  • [8] Blurton R.R., Mazzaferri E.L., Assessment of interpersonal skills and humanistic qualities in medical residents, J Med Educ, 60, (1985)
  • [9] Tintinalli J.E., Evaluation of emergency medicine residents by nurses, Acad Med, 64, pp. 49-50, (1989)
  • [10] Linn L.S., Oye R.K., Cope D.W., DiMatteo, Use of nonphysician staff to evaluate humanistic behavior of internal medicine residents and faculty members, J Med Educ, 61, (1986)