+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Putting performance in context: the perceived influence of environmental factors on work-based performance

Putting performance in context: the perceived influence of environmental factors on work-based performance

Perspectives on Medical Education 4(5): 233-243

Context shapes behaviours yet is seldom considered when assessing competence. Our objective was to explore attending physicians' and trainees' perceptions of the Internal Medicine Clinical Teaching Unit (CTU) environment and how they thought contextual factors affected their performance. 29 individuals recently completing CTU rotations participated in nine level-specific focus groups (2 with attending physicians, 3 with senior and 2 with junior residents, and 2 with students). Participants were asked to identify environmental factors on the CTU and to describe how these factors influenced their own performance across CanMEDS roles. Discussions were analyzed using constructivist grounded theory. Five major contextual factors were identified: Busyness, Multiple Hats, Other People, Educational Structures, and Hospital Resources and Policies. Busyness emerged as the most important, but all factors had a substantial perceived impact on performance. Participants felt their performance on the Manager and Scholar roles was most affected by environmental factors (mostly negatively, due to decreased efficiency and impact on learning). In complex workplace environments, numerous factors shape performance. These contextual factors and their impact need to be considered in observations and judgements made about performance in the workplace, as without this understanding conclusions about competency may be flawed.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 058666454

Download citation: RISBibTeXText

PMID: 26458930

DOI: 10.1007/s40037-015-0209-5

Related references

The influence of perceived stress and musculoskeletal pain on work performance and work ability in Swedish health care workers. International Archives of Occupational and Environmental Health 87(4): 373-379, 2014

Putting executive performance in a theoretical context. Otjr 31(1): S3-S7, 2011

Influence of causal dimension orientation on persistence performance and expectations of performance during perceived failure. Journal of Human Movement Studies 15(5): 215-228, 1988

Environmental factors affecting human work performance. Current Science (Bangalore) 55(6): 298-299, 1986

Environmental factors and work performance of foundry workers. Journal of Human Ergology 6(2): 159-166, 1977

Putting to a bigger hole: golf performance relates to perceived size. Psychonomic Bulletin & Review 15(3): 581-585, 2008

Effect of environmental factors on biological cycles and performance of work. K: Haefer, Editor. Man S Dependence On The Earthly Atmosphere. A Symposium. 381-387, 1962

Do perceived high performance work systems influence the relationship between emotional labour, burnout and intention to leave? A study of Australian nurses. Journal of Advanced Nursing 68(7): 1567-1578, 2012

Genetic and environmental factors influencing calf performance in pedigree beef cattle in Britain. 1. The influence of environmental effects on birth, 200-day and 400-day weights. Animal Production 24(1): 29-39, 1977

The influence of dietary factors on performance of muscular work. Arhiv Za Higijenu Rada 5(2): 225-248, 1954

Influence of some environmental factors on the performance of ewes. 1971

Environmental factors which influence the performance of acifluorfen. Proceedings of the 32nd Annual Meeting of the Southern Weed Science Society: 63, 1979

Environmental factors which influence the performance of difenopenten. Proceedings 34th Annual Meeting Southern Weed Science Society: 100, 1981

Environmental factors that influence herbicide performance. 1991