Background
Methods
Theoretical framework
Study setting
Participants
Intervention description
Data collection
Outcome measures
Statistical analysis
Results
Characteristic | Value* |
---|---|
Gender | |
Male | 41 (56.9) |
Female | 31 (43.1) |
Mean age in years (SD) | 47.1 (8.9) |
Mean clinical experience in years (SD) | 24.0 (10.0) |
Discipline | |
ICU nurse | 28 (38.8) |
Intensivist | 25 (34.7) |
Manager | 6 (8.3) |
Other (e.g. quality officer) | 13 (18.1) |
Coordinating function | 37 (51.4) |
Time spent on direct patient care | |
< 25% | 20 (27.8) |
25–50% | 7 (9.7) |
50–75% | 14 (19.4) |
> 75% | 31 (43.1) |
Clinical performance perceptions and improvement intentions before receiving feedback
All quality indicators (n = 288) | Measuring pain (n = 72) | Acceptable pain scores (n = 72) | Repeating pain measurements (n = 72) | Normalised pain scores (n = 72) | |
---|---|---|---|---|---|
Actual performance and recommendations
| |||||
Performance, median (IQR) | 41.4 (11.4–82.6) | 66.2 (55.7–83.8) | 84.9 (82.4–89.6) | 12.9 (4.6–22.2) | 9.3 (4.1–21.1) |
Top 10% peer performance, median (IQR) | 74.5 (38–92.4) | 91.2 (89.6–95.2) | 92.5 (90.8–94) | 38 (38–52.5) | 31.7 (30.8–42.3) |
Improvement recommendation | |||||
Good performance, n (%) | 71 (24.7%) | 15 (20.8%) | 40 (55.6%) | 8 (11.1%) | 8 (11.1%) |
Room for improvement, n (%) | 112 (38.9%) | 28 (38.9%) | 30 (41.7%) | 26 (36.1%) | 28 (38.9%) |
Improvement recommended, n (%) | 105 (36.5%) | 29 (40.3%) | 2 (2.8%) | 38 (52.8%) | 36 (50%) |
Perceived performance and improvement intentions
| |||||
Perceived performance, median (IQR) | 70 (50–85) | 86.5 (70–95.8) | 75 (60–80) | 60 (40–80) | 60 (40–80) |
Perceived peer performance, median (IQR) | 70 (60–80) | 80 (70–85) | 75 (60–80) | 60 (50–80) | 62.5 (50–80) |
Target [before feedback], median (IQR) | 90 (80–95) | 90 (88.8–95) | 87.5 (80–95) | 90 (80–100) | 80 (75–90) |
Target [after feedback], median (IQR) | 90 (75–90) | 90 (90–95) | 90 (85–90.6) | 80 (60–90) | 70 (50–90) |
Intention to improve [before feedback], n (%) | 230 (79.9%) | 49 (68.1%) | 58 (80.6%) | 62 (86.1%) | 61 (84.7%) |
Intention to improve [after feedback], n (%) | 239 (83%) | 58 (80.6%) | 43 (59.7%) | 69 (95.8%) | 69 (95.8%) |
Correspondence of clinical performance perceptions and improvement intentions with actual performance and improvement recommendations
Intentions corresponding with improvement recommendations | Absolute risk difference | Odds ratio* (95% CI) | p value | ||
---|---|---|---|---|---|
Before feedback | After feedback | ||||
All quality indicators (n = 288) | 197 (68.4%) | 230 (79.9%) | 11.5% | 2.41 (1.53 to 3.78) | < 0.001 |
Improvement recommendation | |||||
Good performance (n = 71) | 19 (26.7%) | 31 (43.7%) | 17.0% | 3.88 (1.39 to 10.87) | 0.010 |
Room for improvement and improvement recommended (n = 217) | 178 (82.0%) | 199 (91.7%) | 9.7% | 4.36 (1.94 to 9.79) | < 0.001 |