BACKGROUND: Residency training programs use the night float system increasingly to meet the new resident work hour regulations. OBJECTIVE: To assess and compare residents', attendings', and nurses' perceptions of the night float system. DESIGN: A survey study. PARTICIPANTS: One hundred and seven residents, 48 attendings, and 69 nurses in a university-based multicenter internal medicine residency program. MEASUREMENTS: Perceived impact on patient care, resident training, and resident performance. RESULTS: The overall response rate was 75%. In general, more residents than both attendings and nurses had positive opinions regarding the night float system, particularly in relation to patient care. Only a small proportion of residents and attendings thought positively about the night float's impact on training quality (29.9%; 18.2%), daily feedback (23.0%; 9.1%), and end of rotation evaluation (21.8%; 6.1%). Less than half of the nurses had positive perceptions of the night residents' performance in terms of promptness (40.9%), physical availability (38.6%), familiarity with the patients' cases, and management plans (15.9%), communication of management plans to nurses (36.4%), professional respect and trust (43.2%), and teamwork (45.5%). CONCLUSIONS: Residents had more positive perceptions than attendings and nurses. Nurses, in particular, had negative perceptions of resident performance in the setting of the night float system.
BACKGROUND: Residency training programs use the night float system increasingly to meet the new resident work hour regulations. OBJECTIVE: To assess and compare residents', attendings', and nurses' perceptions of the night float system. DESIGN: A survey study. PARTICIPANTS: One hundred and seven residents, 48 attendings, and 69 nurses in a university-based multicenter internal medicine residency program. MEASUREMENTS: Perceived impact on patient care, resident training, and resident performance. RESULTS: The overall response rate was 75%. In general, more residents than both attendings and nurses had positive opinions regarding the night float system, particularly in relation to patient care. Only a small proportion of residents and attendings thought positively about the night float's impact on training quality (29.9%; 18.2%), daily feedback (23.0%; 9.1%), and end of rotation evaluation (21.8%; 6.1%). Less than half of the nurses had positive perceptions of the night residents' performance in terms of promptness (40.9%), physical availability (38.6%), familiarity with the patients' cases, and management plans (15.9%), communication of management plans to nurses (36.4%), professional respect and trust (43.2%), and teamwork (45.5%). CONCLUSIONS: Residents had more positive perceptions than attendings and nurses. Nurses, in particular, had negative perceptions of resident performance in the setting of the night float system.
Authors: Catherine B Barden; Michelle C Specht; Martin D McCarter; John M Daly; Thomas J Fahey Journal: J Am Coll Surg Date: 2002-10 Impact factor: 6.113
Authors: Alisa Khan; Jennifer Baird; Jayne E Rogers; Stephannie L Furtak; Kathryn A Williams; Brenda Allair; Katherine P Litterer; Meesha Sharma; Alla Smith; Mark A Schuster; Christopher P Landrigan Journal: Acad Pediatr Date: 2017-01-29 Impact factor: 3.107
Authors: Kathlyn E Fletcher; Siddhartha Singh; Jeff Whittle; Vishal Ratkalkar; Alexis M Visotcky; Purushottam Laud; Andrew Kordus; Marilyn M Schapira Journal: J Grad Med Educ Date: 2015-12
Authors: Alisa Khan; Stephannie L Furtak; Patrice Melvin; Jayne E Rogers; Mark A Schuster; Christopher P Landrigan Journal: Hosp Pediatr Date: 2017-08-02
Authors: Benjamin Yong-Qiang Tan; Nicholas Jinghao Ngiam; Zi Yun Chang; Sandra Ming Yien Tan; Xiayan Shen; Shao Feng Mok; Srinivas Subramanian; Shirley Beng Suat Ooi; Adrian Chin-Leong Kee Journal: Korean J Med Educ Date: 2019-08-26