Asian Nurs Res.  2014 Mar;8(1):15-22.

Problems of Clinical Nurse Performance Appraisal System: A Qualitative Study

• Nikpeyma N
• Abed_Saeedi Z
• Azargashb
• Alavi_Majd H

Abstract

PURPOSE
The purpose of this study is to explore problems of clinical nurse performance appraisal system.
METHODS
This study employed a descriptive qualitative approach. The participants were purposively selected from clinical nurses working across all of the hospital units in a large metropolitan teaching hospital in Tehran, Iran in 2012. Data were collected using five focus group interviews, which were audio taped. The number of participants in each group ranged from 7 to 10. The semi-structured interviews were guided by a set of nondirective questions, and continued until the data reached saturation. Data were analyzed using framework analysis.
RESULTS
Four major themes regarding the problems of clinical nurse performance appraisal system emerged from the analysis of textual data. These themes were contextual problems, problems related to performance appraisal structure, problems related to performance appraisal process and those related to performance appraisal results.
CONCLUSION
The findings of this study reveal that the nurse performance appraisal system confronts with various problems. Some of these problems are related to organizational context while the others concerned structure, process and results of the performance appraisal system. In order to achieve high quality of patient care as the final goal of performance appraisal, changing and revision of this system is necessary.

Keyword

employee performance appraisal; nurses; qualitative research

MeSH Terms

Adult
*Clinical Competence
Employee Performance Appraisal/*standards
Female
Focus Groups
Humans
Iran
Male
Middle Aged
Nurse Clinicians/*standards
*Nursing Methodology Research
Nursing Staff, Hospital/*standards
Qualitative Research