Bir Devlet Hastanesinde Hemşire Performans Değerlendirme Araçlarının Geliştirilmesi ve Uygulanması

Year 2023, , 447 - 460, 29.12.2023

Ebru Aydemir Gedük , Aytolan Yıldırım , Ülkü Baykal , Emine Türkmen

https://doi.org/10.56061/fbujohs.1250089

Abstract

Bu eylem araştırması, hemşire performansının değerlendirilmesine yönelik değerlendirme araçlarının geliştirilmesi ve uygulanması amacıyla yapılmıştır. Bu çalışma, Türkiye'nin orta Anadolu bölgesinde yer alan bir ilde, 239 hemşirenin çalıştığı 336 yataklı bir devlet hastanesinde dört aşamada gerçekleştirilmiştir. Çalışmanın ilk aşamasında iş analizleri ve gözlemler ile hemşirelerin yaptıkları işlerin listesi ve hemşire performansının kilit noktaları oluşturulmuştur. İkinci aşamada uygulanan görüş ve beklenti formu, hemşirelerin %76,4’ünün birim hemşire yöneticisi tarafından açık değerlendirme yapılmasını istediğini, %94,7’sinin ise farklı birimlerdeki hemşirelerin farklı kriterlerle değerlendirilmesi gerektiğini düşündüğünü göstermiştir. Ayrıca bu aşamada hemşire performans değerlendirme araçları geliştirilmiştir. Hemşire performans değerlendirme araçları, hemşireler için dokuz, servis sorumlu hemşireleri için yedi temel performans standardını içermektedir. Araçların kapsam geçerlilik indeksi .99-1.00 olarak hesaplanmış ve sınıf içi korelasyon katsayıları .85-.93 olarak bulunmuştur. Üçüncü aşamada performans değerlendirme araçları (7 adet) kullanılarak hemşireler birim hemşire yöneticileri tarafından, birim hemşire yöneticileri ise bakım hizmetleri müdürü tarafından değerlendirilmiştir. Son aşamada, hemşireler ve yönetici hemşirelerin performans değerlendirme sisteminden memnuniyetleri ölçülmüş ve memnun olduklarını ifade etmişlerdir.

Keywords

Çalışan performans değerlendirme, hemşire, çalışan geliştirme, iş performansı.

Thanks

Karadeniz Ereğli Devlet Hastanesi Hemşireleri ve Yöneticilerine sonsuz teşekkürler.

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.

Keywords

Employee Performance Appraisal, Nurses, Staff Development, Work Performance

References

• Aeyels, D., Bruyneel, L., Seys, D., Sinnaeve, P. R., Sermeus, W., Panella, M., & Vanhaecht, K. (2019). Better hospital context increases success of care pathway implementation on achieving greater teamwork: A multicenter study on STEMI care. International Journal for Quality in Health Care, 31(6), 442-448. https://doi.org/10.1093/intqhc/mzy197
• Ahluwalia, S. C., Damberg, C. L., Silverman, M., Motala, A., & Shekelle, A. G. (2017). What defines a high-performing health care delivery system: A systematic review. Joint Commission Journal on Quality and Patient Safety, 43(9), 450-459. http://dx.doi.org/10.1016/j.jcjq.2017.03.010
• Akdag, R. (2012). Turkey Health Transformation Program assessment (2003–2011). Ankara, Turkey: T. C. Ministry of Health. Retrieved September 9, 2022, from https://ekutuphane.saglik.gov.tr/Yayin/452
• Aly, N. A. E. F. M., & El-Shanawany, S. M. (2016). The influence of performance appraisal satisfaction on nurses' motivation and their work outcomes in critical care and toxicology units. European Scientific Journal, 12(20), 119-135. http://dx.doi.org/10.19044/esj.2016.v12n20p11
• American Nurses Association (ANA). (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: ANA. Retrieved June 7, 2020, from https://www.nursingworld.org/~4af71a/globalassets/catalog/book-toc/nssp3e-sample-chapter.pdf
• American Organization of Nurse Executives (AONE). (2015). AONE nurse manager competencies. Chicago, IL: AONE. Retrieved July 8, 2022 from https://www.aonl.org/sites/default/files/aone/nec.pdf
• Anderson, J. E., Robert, G., Nunes, F., Bal, R., Burnett, S., Karltun, A., Sanne, J., Aase, K., Wiig, S., Fulop, N. J., & QUASER team (2019). Translating research on quality improvement in five European countries into a reflective guide for hospital leaders: The 'QUASER Hospital Guide'. International Journal For Quality In Health Care : Journal Of The International Society For Quality In Health Care, 31(8), G87–G96. https://doi.org/10.1093/intqhc/mzz055
• Aydemir Gedük E. (2020). Dünya’da ve türkiye’de hemşirelik hizmetlerinde performans değerlendirme. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 23(4), 540-545. https://doi.org/10.17049/ataunihem.525433
• Becker, H., Meraviglia, M., Seo, J. E., Ndlovu, C., Kimmel, L., & Rowin, T. (2018). The appraisal of nursing practice: Instrument development and initial testing. Journal of Nurse Administration, 48(1), 44-49. https://doi.org/10.1097/NNA.0000000000000569.
• Bussin, M. (2017). Performance management REBOOT: Fresh perspectives for the changing world of work. e-book. Randburg: KR Publishing.
• Dost, A. (2016). Hemşirelik hizmetleri yönetiminde performans değerlemenin önemi. Çankırı Karatekin Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 7(2), 228-238.
• Dubois, C. A., D'amour, D., Brault, I., Dallaire, C., Déry, J., Duhoux, A., Lavoie-Tremblay, M., Mathieu, L., Karemere, H., & Zufferey, A. (2017). Which priority indicators to use to evaluate nursing care performance? A discussion paper. Journal of Advanced Nursing, 73(12), 3154–3167. https://doi.org/10.1111/jan.13373
• Fawzy Zaki, I., Ezz-Eldin Fekr, N., & El-Hamed, M. A. (2018). Developing performance appraisal system for staff nurses at selected hospitals in El-Minya Governorate in Egypt. International Journal of Research in Applied, Natural and Social Sciences, 6(1), 33-46.
• Gunawan, J., Aungsuroch, Y., & Fisher, M. L. (2019) Competence‐based human resource management in nursing: A literature review. Nursing Forum, 54(1), 91‐101. https://doi.org/10.1111/nuf.12302
• Hamdeen, M. S., Elewa, A. H., & Mohamed, S. A. (2022). Staff nurse’s perception about performance-appraisal fairness and its relation to their work engagement. Egyptian Nursing Journal, 19(1), 71-78. https://doi.org/10.4103/enj.enj_53_21.
• Ibrahim, I. A., & Abdelaziz, H. G. (2019) Nurses’ perception of performance appraisal and its effect on their work outcomes. International Journal of Novel Research in Healthcare and Nursing, 6(2), 1700-1710.
• Issen, L., Woodcock, T., McNicholas, C., Lennox, L., & E Reed, J. (2018) Criteria for evaluating programme theory diagrams in quality improvement initiatives: a structured method for appraisal. International Journal for Quality in Health Care, 30(7), 508-513. https://doi.org/10.1093/intqhc/mzy063
• Javidmehr, M., & Ebrahimpour, M. (2015). Performance appraisal bias and errors: The influences and consequences. International Journal of Organizational Leadership, 4, 286-302. http://dx.doi.org/10.33844/ijol.2015.60464
• Kahraman, B. & Baykal, Ü. (2009, 21-23 May). Yönetici hemşirelerin hemşirelik hizmetleri personelini yönetirken yaşadıkları İKY’ne ilişkin sorunlar ve bu sorunlara karşı alınan önlemler [Paper presentation]. Eskişehir Osmangazi Üniversitesi İşletme Bölümü 17. Ulusal Yönetim ve Organizasyon Kongresi, Eskişehir, Türkiye.
• Kahya, E., & Oral, N. (2018). Measurement of clinical nurse performance: Developing a tool including contextual items. Journal of Nursing Education and Practice, 8(6), 112-123. https://doi.org/10.5430/jnep.v8n6p112
• Karadağ, M., Akman, N., & Demir, C. (2013). Hemşirelik hizmetlerinde yönetsel ve örgütsel sorunlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(1), 16-26.
• Madlabana, C. Z., Mashamba-Thompson, T. P., & Petersen, I. (2020). Performance management methods and practices among nurses in primary health care settings: A systematic scoping review protocol. Systematic Reviews, 9(40), 1-9. https://doi.org/10.1186/s13643-020-01294-w
• Nikpeyma, N., Abed-Saeedi, Z., Azargashb, E., & Alavi-Majd, H. (2014). Problems of clinical nurse performance appraisal system: A qualitative study. Asian Nursing Research, 8(1), 15-22. http://dx.doi.org/10.1016/j.anr.2013.11.003 Nursing Regulation. (2010). Legal Gazette (No. 27515) https://www.mevzuat.gov.tr/Metin.Aspx?
• MevzuatKod=7.5.13830&MevzuatIliski=0&sourceXmlSearch=hem%C5%9Firelik%20y Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia: Wolters Kluwer Health.
• Pulakos, E. D., Hanson, R. M., Arad, S., & Moye, N. (2015). Performance management can be fixed: An on-the-job experiential learning approach for complex behavior change. Industrial Organizational Psychology, 8(1), 51-76. https://doi.org/10.1017/iop.2014.2
• Rapin, J., Pellet, J., Mabire, C., Gendron, S., & Dubois, C. (2019). How does feedback shared with interprofessional healthcare teams shape nursing performance improvement systems? A rapid realist review protocol. Systematic Reviews, 8(182), 1-10. https://doi.org/10.1186/s13643-019-1097-2
• Regulation on Amending the Regulation on Complaints and Applications of Civil Servants and the General Regulation on the Training of Candidate Civil Servants and the Repeal of Some Regulations. (2011). Legal Gazette (No. 2011/1837). https://www.resmigazete.gov.tr/eskiler/2011/06/20110615-6.htm
• Regulation on Amendments to the Nursing Regulation. (2011). Legal Gazette (No. 27910). https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeliginde-degisiklik-yapilmasina-dair-yonetmelik.html
• Schleicher, D. J., Baumann, H. M., Sullivan, D. W., & Junhyok, Y. (2019). Evaluating the effectiveness of performance management: a 30- year integrative conceptual review. Journal of Applied Psychology, 104(7), 851-887. https://doi.org/10.1037/apl0000368
• Schub, E., & Mennella, H. (2018). Employee performance appraisals: conducting. In D. Pravikoff (Ed.), Nursing Practice & Skill. Glendale, CA: Cinahl Information Systems. Retrieved June 6, 2022, from https://www.ebscohost.com/assets-sample_content/NRCP_Conducting_Employee_Performanc_Appraisals_NPS.pdf
• Sepahvand, F., Mohammadipour, F., Parvizy, S., Zagheri Tafreshi, M., Skerrett, V., & Atashzadeh Shoorideh, F. (2020) Improving nurses’ organizational commitment by participating in their performance appraisal process. Journal of Nursing Management, 28(3), 595-605. https://doi.org/10.1111/ jonm.12961
• The King’s Fund. (2012). Employee engagement and NHS performance, England. Retrieved June 11, 2022, from https://www.kingsfund.org.uk/sites/default/files/employee-engagement-nhs-performance-west-dawson-leadership-review2012-paper.pdf
• West M, Armit K, Loewenthal L, Eckert R, West, T., & Lee, A. (2015). Leadership and Leadership Development in Healthcare: The Evidence Base. London: Faculty of Medical Leadership and Management. Retrieved June 11, 2022, from https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/leadership-leadership-development-health-care-feb-2015.pdf