Evidence map›Paper›PMID 37817838›Full record

ArticleAEM education and training2023

Trends in nursing feedback for emergency medicine residents: A mixed-methods survey analysis of national practices.

Alina Tsyrulnik, Alex Fleming-Nouri, Suzette Ikejiani, Cassandra Bradby, Ryan F Coughlin, Jessica Bod, David Della-Giustina, Katja Goldflam

Abstract read
In one paragraph

Article in AEM education and training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alina TsyrulnikYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0003-4322-5069
Alex Fleming-NouriYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-8507-361X
Suzette IkejianiYale University School of Medicine New Haven Connecticut USA.
Cassandra BradbyThe Brody School of Medicine at East Carolina University Greenville North Carolina USA.ORCID https://orcid.org/0000-0002-4514-5524
Ryan F CoughlinYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-5511-7482
Jessica BodYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-8418-9901
David Della-GiustinaYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0003-0471-3780
Katja GoldflamYale University School of Medicine New Haven Connecticut USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: Feedback is critical for physician development. Multisource feedback is especially important in a team-based specialty such as emergency medicine (EM) and is required by the Accreditation Council for Graduate Medical Education. Nursing assessments provide a unique perspective, but little is known about the current national patterns of their collection and use in EM. Methods: We surveyed EM program directors using a mixed-methods approach to explore the use of nursing assessment of EM residents. Descriptive data were reported as absolute numbers and percentages. An adjunct analysis of free-text responses was done using the framework method. Results: The response rate for our survey was 63% (190 responses), of which 84% currently collect nursing feedback. Respondents from 94% of programs agreed that nursing feedback is useful in assessing professionalism and respondents from 92% of programs agreed that nursing feedback is useful in assessing communication and interpersonal skills, while 44% agreed that it is useful in informing resident medical knowledge. Forty-two percent reported that nursing feedback did not directly influence residents' progression through their training, while 2% indicated that such feedback played a significant role in leading to dismissal or probation. The majority of programs (64%) that do not collect feedback from nurses have done so in the past and hope to do so in the future. Qualitative analysis revealed themes of logistic challenges with data collection, concern regarding quality of feedback, and retributive or gender-disparate feedback. Conclusions: Nursing assessments of EM residents were collected by most responding programs and majority of those who do not collect them presently wish to do so in the future. They were considered particularly useful in the assessment of interpersonal skills, communication, and professionalism. However, lack of uniform methods for collecting assessment that meaningfully informs resident development and progression represents a challenge and direction for future inquiry.

Identifiers

PMID37817838
PMCPMC10560748

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.