title: From the eye of the nurses: 360-degree evaluation of residents.
abstract: BACKGROUND
  Evaluations from the health care team can provide feedback useful in guiding residents' professional growth. We describe the significance of 360-degree evaluation of residents by the nursing staff.
  
  
  METHODS
  A retrospective analysis of 1642 nurses' anonymous evaluations on 26 residents from 2004 to 2007 was performed. Nurses' evaluations of residents on communication with patients, interactions with peers, and professionalism were compared to faculty evaluations and standard medical examination scores. Data were analyzed with the use of the chi-square test, the t test, analyses of variance (ANOVAs), and Spearman's correlation. A P value of <.05 was considered significant.
  
  
  RESULTS
  Strong correlations were noted between nursing evaluation categories (r = 0.74-0.80, P < .001), whereas weak correlations occurred between nursing and faculty evaluations (r = 0.065-0.119, P < .001). There were weak negative correlations between nursing evaluations and standard medical examination scores (r = -0.08 to -0.10, P < .001). Specific graduating resident classes, the obstetrical rotation, and senior or male residents were significantly associated with negative nursing evaluations.
  
  
  CONCLUSIONS
  Nursing staff can assess residents on the competencies of interpersonal and communication skills and professionalism. These evaluations provide different perceptions of residents' behavior, which can be useful for formative feedback in residents' development.
authors.affiliation: Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA 90048, USA. ogunyemid@cshs.org
authors.forename: Dotun
authors.initials: D
authors.lastname: Ogunyemi
authors.forename: Gustavo
authors.initials: G
authors.lastname: Gonzalez
authors.forename: Alex
authors.initials: A
authors.lastname: Fong
authors.forename: Carolyn
authors.initials: C
authors.lastname: Alexander
authors.forename: David
authors.initials: D
authors.lastname: Finke
authors.forename: Tyrone
authors.initials: T
authors.lastname: Donnon
authors.forename: Ricardo
authors.initials: R
authors.lastname: Azziz
mesh_terms: D005246:Feedback; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D024802:Nurse's Role; D009741:Nursing Staff, Hospital; D019370:Observation; D010348:Patient Care Team; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D011795:Surveys and Questionnaires