Related Experiment Video
Updated: Jun 28, 2026
10:07
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Application and Evaluation of a Formative Feedback Rubric on Nontechnical Skills Using Retrospective SIMPL App Data
Madeline R Cloonan1, Elizabeth R Maginot1, Kelsey R Tieken1
1Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Journal of Surgical Education
|June 26, 2026
Summary
Nontechnical skills (NTS) feedback in surgical residency is infrequent and often ineffective. Improving NTS feedback requires structured prompts and faculty development for better surgical education.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Communication
Background:
- Effective feedback is crucial for resident development in surgery.
- Nontechnical skills (NTS) are essential for patient safety and surgical outcomes.
- Current methods of feedback delivery may not adequately address NTS.
Purpose of the Study:
- To quantify the frequency of NTS feedback provided by attending surgeons.
- To evaluate the effectiveness of this feedback using a validated rubric.
- To identify factors influencing the provision of effective NTS feedback.
Main Methods:
- Retrospective analysis of 1880 operative assessments from a general surgery residency program.
- Narrative comments were coded for NTS, technical skills, or both.
- A validated rubric assessed feedback clarity, specificity, actionability, and tone.
Main Results:
- Only 23.6% of narrative comments included NTS feedback.
- Just 20% of NTS feedback met the criteria for effectiveness.
- Technical skills feedback was rated as more clear, specific, and actionable than NTS feedback.
Conclusions:
- NTS feedback in surgical training is infrequent and lacks effectiveness.
- Current feedback practices prioritize technical skills over NTS.
- Structured feedback tools and faculty development are needed to enhance NTS feedback.
Related Concept Videos
01:14SBAR II: Application of SBAR
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
01:25Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations: