THE USE OF NURSES TO EVALUATE HOUSE-OFFICERS HUMANISTIC BEHAVIOR

被引：24

作者：

KAPLAN, CB

CENTOR, RM

机构：

[1] General Medicine and Primary Care, Richmond, 23298, VA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 05期

关键词：

houseofficers; humanistic behavior; nurses; performance assessment; physician-patient communication;

D O I：

10.1007/BF02599428

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：

Objectives:1) To determine whether nurse evaluations of humanistic behavior discriminate between houseofficers in an internal medicine training program, and 2) to compare nurse and attending physician evaluations. Design:Prospective, six-month comparison of nurse and attending ratings of houseofficer humanistic behavior. Procedure:Using a six-item, Likert-scale bumanistic behavior rating form, nurses and ward attendings evaluated 76 PGY-1, PGY-2, and PGY-3 houseofficers over a six-month period. Nurses and attendings voluntarily evaluated houseofficers on all inpatient units in both university and Veterans Administration teaching hospitals. Measurements and main results:Nurse ratings discriminated residents from one another throughout the six months of the study and over all units in both hospitals. Attending physician ratings were only moderately correlated with nurses' and were significantly more lenient. Exploratory analyses of the nursing evaluations revealed that female houseofficers received significantly more favorable evaluations than did men and that ward nurses were significantly more lenient than were critical care nurses. Nurse ratings did not differ by hospital, training year, or month of evaluation. Conclusions:Nurses can provide information about humanistic behavior that will allow program directors to discriminate among different levels of houseofficer behavior. Information from nurses differs from that provided by attending physicians. Nurse ratings are affected by gender and by the type of unit from which they are obtained. © 1990 Society of General Internal Medicine.

引用

页码：410 / 414

页数：5

共 17 条

[1]

German P.S., Compliance and chronic disease, Hypertension, 11, pp. II56-II60, (1988)

[2]

Becker M.H., Patient adherence to prescribed therapies, Med Care, 23, pp. 539-55, (1985)

[3]

Hall J.A., Roter D.L., Katz N.R., Meta-analysis of correlates of provider behavior in medical encounters, Med Care, 26, pp. 657-75, (1988)

[4]

Cotock L.M., Hooper E.M., Goodwin J.M., Goodwin J.S., Physician behaviors that correlate with patient satisfaction, J Med Educ, 57, pp. 105-12, (1982)

[5]

Mattern W.D., Weinholtz D., Friedman C.P., The attending physician as teacher, N Engl J Med, 308, pp. 1129-32, (1983)

[6]

Shatney C.H., Friend B.E., Potential role of nurses in assessing houseofficer performance in the critical care environment, Crit Care Med, 12, pp. 117-20, (1984)

[7]

Butterfield P.S., Mazzaferri E.L., Sachs L.A., Nurses as evaluators of humanistic behavior of internal medicine residents, J Med Educ, 62, pp. 842-9, (1987)

[8]

Blurton R.R., Mazzaferri E.L., Assessment of interpersonal skills and humanistic qualities in medical residents, J Med Educ, 60, pp. 648-50, (1985)

[9]

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, pp. 918-20, (1986)

[10]

Siegel S., Nonparametric statistics for the behavioral sciences, (1956)

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