Comparison of self, nurse, and physician assessment of residents rotating through an intensive care unit.
Compare resident evaluations by self, nurses, and attending physicians.
University intensive care unit.
End-rotational evaluation using a standardized, multiple-choice examination and one of two subjective instruments, Global Rating Scale and Behaviorally Anchored Rating Scale.
Measurements and Main Results
Means for overall competence, using both the Behaviorally Anchored Rating Scale and the Global Rating Scale clustered between 3 to 4 on a 5-point scale.
Physicians'evaluations correlated with the multiple-choice test scores (Spearman's rhô 0.3082, p=005, n=82), whereas neither self-evaluation (Spearman's rhô 0.1124, p=65, n=42) nor nurses'evaluations (Spearman's rhô 0.2060, p=069, n=79) had a significant correlation with test scores.
Spearman's correlations were not significant for either overall competence or specific medical knowledge by any category of evaluator using the Global Rating Scale.
Spearman's rhô correlations and kappa statistic between the three types of evaluators (physicians, nurses, and self) for each criterion of the Behaviorally Anchored Rating Scale demonstrated significant correlations between the ratings of physicians and nurses, except for the assessment of humanistic qualities.
Pooled clinical skills-history taking (b=0.277, p<. 009), humanistic qualities (b=0.607, p<. 000), and professional attitudes and behavior (b=0.488, p<. (...)
Mots-clés Pascal : Formation professionnelle, Etudiant, Réanimation, Soin intensif, Evaluation professionnelle, Infirmier, Médecin, Etude comparative, Echelle évaluation, Enseignement professionnel
Mots-clés Pascal anglais : Occupational training, Student, Resuscitation, Intensive care, Professional evaluation, Nurse, Physician, Comparative study, Evaluation scale, Occupational education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0023053
Code Inist : 002B30A09. Création : 31/05/1999.