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NURSING EVALUATIONS Christi Renner & Jamie Saltkill
BEFORE THE EVALUATION Peer reviews No surprises Have documentation of incidents on hand and review before the evaluation Use a clear rating system Review ratings with your immediate supervisor to make sure they are justifiable and fair
ERRORS IN EVALUATION Contrast Error First Impression Error Recency Effect Halo & Devil Effects Similar-to-Me Effect Central Tendency Negative & Positive Leniency
PROVIDING NEGATIVE FEEDBACK T—Think before you speak. A—Apologize quickly if you make a mistake. C—Converse, do not patronize or be sarcastic T—Time your comments carefully. F—Focus on behavior, not on personality. U—Uncover hidden feelings. L—Listen for feedback.
TIPS FOR A SUCCESSFUL EVALUATION Evaluate objectively Maintain a positive focus Be professional Acknowledge nervousness Provide recognition for accomplishments Involve the nurse, invite questions & discussion Emphasize that you will be working together towards a solution
TIPS FOR A SUCCESSFUL EVALUATION Maintain good communication during the evaluation period Explain what was evaluated Ensure that the nurse knows how they are being evaluated and understands the rating system being used
WHAT WILL HAPPEN DURING THE EVALUATION Manager Explains Purpose to Nurse Manager Reviews Evaluation w/ Nurse Explains rating system when used Nurse Gives Input/Reflection on Evaluation Compares Performance to Expectations Manager and Nurse Set Goals Manager and Nurse Decide on Actions to Achieve Goals Manager and Nurse Set A Time for Progress Review
PURPOSE OF EVALUATION Actual vs. Expected Performance Critical incidents & specific behaviors Identify Strengths & Weaknesses Promotion vs. Demotion
REVIEWING THE EVALUATION Time spent looking back vs. looking forward 20-30% - reflection, 70-80% on projection Stay positive Therapeutic communication Provide recognition Show confidence
NURSE’S INPUT ON EVALUATION Self-Evaluation strengths/weaknesses overallperformance perceived problem areas Response to Evaluations valid reasons for poor performance
SETTING GOALS Keep it SMART Simple Measurable Attainable Realistic Time Mutual agreement –discuss and come to a mutual agreement on goals for improvement.
“INTERVENTIONS” FOR SUCCESS Providing tools for meeting goals May include… Education/Inservices Counseling Supplies/Equipment Staffing Communication
EVALUATING PROGRESS Set a time to review progress towards goals Make consequences of continued poor results clear (discipline, demotion, termination)
EXAMPLES OF PHRASES FOR EVALUATIONS Dedication to Job/Work Outstanding Is self-motivated, taking on projects without being asked Works overtime whenever asked Exceeds Expectations Assumes personal responsibility Studied lab values to further own understanding Meets Expectations Dedicated to goals Obeys policies Needs Improvement Leaves work for the next shift Frequently engages in personal phone calls Unacceptable Missed 5 out of 10 team meetings Charting is very slow and inaccurate
EXAMPLE EVALUATION TOOLS Click the links below to see samples of very different types of nursing evaluation tool! Both are in PDF form. Tool 1 Tool 2
IN CONCLUSION… Nursing evaluation is a lot like nursing process Objectivity Positivity Reaching Goals Therapeutic Communication and Listening Evaluations don’t have to be stressful
REFERENCES Max, D., & Bacal, R. (2003). Perfect phrases for performance reviews. Madison, WI: McGraw Hill. Payne, O., & Payne, S. (1998). Adams management basics, the how-to guide for managers. Adams Media. UM health system - human resources:UMHHC performance management system. (2011). Retrieved from http://www.med.umich.edu/umhshr/ supervisor/performance-planning.html Whitehead, I. K., Weiss, S. A., & Tappen, R. M. (2009). Essentials of nursing leadership and management. (pp. 82-89). F A Davis Co.