We have located links that may give you full text access.
The Association Between Residency Learning Climate and Inpatient Care Experience in Clinical Teaching Departments in the Netherlands.
Academic Medicine 2018 October 17
PURPOSE: To examine the association between residency learning climate and inpatient care experience.
METHOD: The authors analyzed 1,201 evaluations of the residency learning climate (using the Dutch Residency Educational Climate Test questionnaire) and 6,689 evaluations of inpatient care experience (using the Consumer Quality Index Inpatient Hospital Care questionnaire) from 86 departments across 15 specialties in 18 hospitals in the Netherlands between 2013 and 2014. The authors used linear hierarchical panel analyses to study the associations between departments' overall and subscale learning climate scores and inpatient care experience global ratings and subscale scores, controlling for respondent- and department-level characteristics and correcting for multiple testing.
RESULTS: Overall learning climate was not associated with global department ratings (b = 0.03, 95% confidence interval -0.17 to 0.23) but was positively associated with specific inpatient care experience domains, including communication with doctors (b = 0.11, 0.02 to 0.20) and feeling of safety (b = 0.09, 0.01 to 0.17). Coaching and assessment was positively associated with communication with doctors (b = 0.22, 0.08 to 0.37) and explanation of treatment (b = 0.22, 0.08 to 0.36). Formal education was negatively associated with pain management (b = -0.16, -0.26 to -0.05), while peer collaboration was positively associated with pain management (b = 0.14, 0.03 to 0.24).
CONCLUSIONS: Optimizing the clinical learning environment is an important step toward ensuring high quality residency training and patient care. These findings could help clinical teaching departments address those aspects of the learning environment that directly affect patient care.
METHOD: The authors analyzed 1,201 evaluations of the residency learning climate (using the Dutch Residency Educational Climate Test questionnaire) and 6,689 evaluations of inpatient care experience (using the Consumer Quality Index Inpatient Hospital Care questionnaire) from 86 departments across 15 specialties in 18 hospitals in the Netherlands between 2013 and 2014. The authors used linear hierarchical panel analyses to study the associations between departments' overall and subscale learning climate scores and inpatient care experience global ratings and subscale scores, controlling for respondent- and department-level characteristics and correcting for multiple testing.
RESULTS: Overall learning climate was not associated with global department ratings (b = 0.03, 95% confidence interval -0.17 to 0.23) but was positively associated with specific inpatient care experience domains, including communication with doctors (b = 0.11, 0.02 to 0.20) and feeling of safety (b = 0.09, 0.01 to 0.17). Coaching and assessment was positively associated with communication with doctors (b = 0.22, 0.08 to 0.37) and explanation of treatment (b = 0.22, 0.08 to 0.36). Formal education was negatively associated with pain management (b = -0.16, -0.26 to -0.05), while peer collaboration was positively associated with pain management (b = 0.14, 0.03 to 0.24).
CONCLUSIONS: Optimizing the clinical learning environment is an important step toward ensuring high quality residency training and patient care. These findings could help clinical teaching departments address those aspects of the learning environment that directly affect patient care.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app