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Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review

BACKGROUND: Multisource feedback (MSF) is currently being introduced in the UK as part of a cycle of performance review for doctors. However, although it is suggested that the provision of feedback can lead to a positive change in performance and learning for medical professionals, the evidence supp...

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Autores principales: Ferguson, Julie, Wakeling, Judy, Bowie, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011765/
https://www.ncbi.nlm.nih.gov/pubmed/24725268
http://dx.doi.org/10.1186/1472-6920-14-76
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author Ferguson, Julie
Wakeling, Judy
Bowie, Paul
author_facet Ferguson, Julie
Wakeling, Judy
Bowie, Paul
author_sort Ferguson, Julie
collection PubMed
description BACKGROUND: Multisource feedback (MSF) is currently being introduced in the UK as part of a cycle of performance review for doctors. However, although it is suggested that the provision of feedback can lead to a positive change in performance and learning for medical professionals, the evidence supporting these assumptions is unclear. The aim of this review, therefore, was to identify the key factors that influence the effectiveness of multisource feedback in improving the professional practice of medical doctors. METHOD: Relevant electronic bibliographic databases were searched for studies that aimed to assess the impact of MSF on professional practice. Two reviewers independently selected and quality assessed the studies and abstracted data regarding study design, setting, MSF instrument, behaviour changes identified and influencing factors using a standard data extraction form. RESULTS: A total of 16 studies met the inclusion criteria and quality assessment criteria. While seven studies reported only a general change in professional practice, a further seven studies identified specific changes in behaviour. The main professional behaviours that were found to be influenced by the feedback were communication, both with colleagues and patients and an improvement in clinical competence/skills. The main factors found to influence the acceptance and use of MSF were the format of the feedback, specifically in terms of whether it was facilitated, or if narrative comments were included in the review, and if the feedback was from sources that the physician believed to be knowledgeable and credible. CONCLUSIONS: While there is limited evidence suggesting that MSF can influence professional performance, the quality of this evidence is variable. Further research is necessary to establish how this type of feedback actually influences behaviours and what factors have greatest influence.
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spelling pubmed-40117652014-05-07 Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review Ferguson, Julie Wakeling, Judy Bowie, Paul BMC Med Educ Research Article BACKGROUND: Multisource feedback (MSF) is currently being introduced in the UK as part of a cycle of performance review for doctors. However, although it is suggested that the provision of feedback can lead to a positive change in performance and learning for medical professionals, the evidence supporting these assumptions is unclear. The aim of this review, therefore, was to identify the key factors that influence the effectiveness of multisource feedback in improving the professional practice of medical doctors. METHOD: Relevant electronic bibliographic databases were searched for studies that aimed to assess the impact of MSF on professional practice. Two reviewers independently selected and quality assessed the studies and abstracted data regarding study design, setting, MSF instrument, behaviour changes identified and influencing factors using a standard data extraction form. RESULTS: A total of 16 studies met the inclusion criteria and quality assessment criteria. While seven studies reported only a general change in professional practice, a further seven studies identified specific changes in behaviour. The main professional behaviours that were found to be influenced by the feedback were communication, both with colleagues and patients and an improvement in clinical competence/skills. The main factors found to influence the acceptance and use of MSF were the format of the feedback, specifically in terms of whether it was facilitated, or if narrative comments were included in the review, and if the feedback was from sources that the physician believed to be knowledgeable and credible. CONCLUSIONS: While there is limited evidence suggesting that MSF can influence professional performance, the quality of this evidence is variable. Further research is necessary to establish how this type of feedback actually influences behaviours and what factors have greatest influence. BioMed Central 2014-04-11 /pmc/articles/PMC4011765/ /pubmed/24725268 http://dx.doi.org/10.1186/1472-6920-14-76 Text en Copyright © 2014 Ferguson et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ferguson, Julie
Wakeling, Judy
Bowie, Paul
Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title_full Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title_fullStr Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title_full_unstemmed Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title_short Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
title_sort factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011765/
https://www.ncbi.nlm.nih.gov/pubmed/24725268
http://dx.doi.org/10.1186/1472-6920-14-76
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