STUDY OF CORRELATION BETWEEN ASSESSMENT OF RESIDENTS BY FACULTY AND BY NURSES.

Corresponding Author:
Dr. Shaurya Bajpai,
CH-127, Scheme No. 74
Vijay Nagar, Indore (M. P.)
E-mail: shauryabajpai3@gmail.com

ABSTRACT

BACKGROUND

Indian healthcare is facing severe resource shortage, which can only be overcome by innovative solutions. To understand the possibility of expanding the role of nurses in primary healthcare, we correlated the ability of senior nurses to assess residents’ performance with residents’ assessment by Faculty. We also identified the residents’ opinion of senior nurses’ advice in critical care to support our results.

The purpose of this study is to evaluate senior nurses’ ability to assess a resident’s performance, compare it with Faculty’s assessment and identify the residents’ opinion of senior nurses’ advice.

MATERIALS AND METHODS

An observational study conducted from January 20 to February 11, 2018, including 27 residents and 4 faculty members of Department of General Surgery and 3 ICU senior nurses at a tertiary healthcare centre. Clinical Handover Assessment Tool (CHAT) was used to evaluate resident’s performance. Residents were provided with a customised questionnaire to evaluate the senior nurses.

RESULTS

We found a strong, positive and statistically significant correlation between nurses’ overall rating and the consultants’ overall rating for the residents. Spearman rho rank correlation was statistically significant (r= 0.923; 0.929; 0.953 for the three surgery department units respectively with P= 0.000). Kendall tau-b was found to be statistically significant (t= 0.866, 0.817, 0.880) for the three department units with P= 0.002; 55.6% residents in unit 1, 66.7% in unit 2 and 44.4% in unit 3 rated strong dependence on senior ICU/ ECU nurses for decision making and procedure learning in first 8 months of residency. 88.9% residents in unit 1 and 66.7% residents in unit 2 and 3 felt more confident in the presence of a Senior Nurse while performing emergency procedures.

CONCLUSION

The present study shows that nurses have a similar cognisance, if not equal, to faculty in assessing a resident’s performance in a clinical setting and residents have a positive outlook towards nursing advice in critical care.

KEYWORDS

Resident Performance Assessment, Senior Nurses, Faculty, Nursing Advice, Role of Nurses.