Development and Implementation of Nurse Performance Appraisal Tools in a State Hospital

Abstract

This one-cycle action research was conducted to develop and implement appraisal tools for the assessment of nurse performance. This study was conducted in four stages at a 336-bed public hospital employing 239 nurses in one province in the central Anatolia region of Turkey. In the first stage of the study, a list of the tasks performed by nurses and the key points of nurse performance were created through job analysis and observations. The opinion and expectation form applied in the second stage showed that 76.4% of the nurses wanted an open evaluation by their unit nurse manager, and 94.7% thought that nurses in different units should be evaluated with different criteria. In addition, nurse performance evaluation tools were developed at this stage. These nurse performance appraisal tools included nine key performance standards for staff nurses and seven for nurse managers. The content validity index of the tools was calculated as .99–1.00 and intraclass correlation coefficients were found .85–.93. During the third stage, the nurses were evaluated by the unit nurse managers and the unit nurse managers were evaluated by the executive nurse with the performance appraisal tools. In the last stage, the satisfaction of nurses and nurse managers with the performance evaluation system was measured and they expressed that they were satisfied.