EFFECTS OF THE PERFORMANCE-BASED REMUNERATION SYSTEM: WHAT DO NURSES THINK?

Abstract

Performance-based remuneration system has come into use widely in the affiliated institiutions of the Ministry of Health of the Republic of Turkey since 2004. In this system, all working personnel benefit from extra pay whereas only the activities performed and finalized by physicians are scored. The activities conducted by non-physician personnel including nurses are not scored. This study intends to determine nurses’ views concerning the performance-based remuneration system and its effects. The questionnaire developed by researchers for this purpose was responded by 149 nurses working in a public hospital in the province of Konya (Turkey). According to the findings, the performance-based remuneration system increases the workload of nurses, forces nurses to fulfill the duties that are not included in their job description, makes physicians financially more privileged, has negative effects on the quality of patient care and the relationships between nurse-physician, nurse-patient, nurse-family and causes nurses to experience professional burnout syndrome. The majority of nurses (80.5%) want the direct performance-based remuneration system that is applied to physicians to be also applied to nurses.
Keywords : Ministry of health, performance, remuneration system, nurses, hospitals
JEL Classification : I18, I19, M21

Keywords

• Ministry of health,performance,remuneration system,nurses,hospitals

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