Measurement of clinical performance of nurses: a literature review.
ABSTRACT Despite a 40-year history of researching and developing an instrument for measurement of clinical competence in nursing, there are none that are universally accepted for this purpose. This article presents a critical review of the research, which has been carried out to explore the measurement of nurses' clinical performance. To search the literature in a systematic manner, the criteria stipulated by the Cochrane Research Database were applied. The review showed that assessment tools have been developed using a variety of different methods and several instruments were found to have been developed but nothing that is universally accepted. However, the authors found that the pathway for instrument generation suggested by Smith and Kendall (1963) offers a robust approach to the generation of such a tool regardless of the practice setting. Other methods identified in this literature review also offer interested researchers an opportunity to explore the current role of the nurse, as well as the possibility of developing tools for assessing the performance of students at various stages in their education and nurses at various times after qualification.
- Value in Health 01/2011; 14(7). · 2.19 Impact Factor
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ABSTRACT: Measuring nurse performance is deemed important for the enhancement of clinical practice. In turn, this requires development of reliable, commonly acceptable measurement instruments. Unfortunately, the literature indicates that there is yet no universally adopted nurse performance instrument. The ultimate aim of this study is to investigate nurses’ views regarding the design and mechanism of the instrument from a systems perspective. The need is to investigate the possible approaches that enable generating performance instruments. Interviews were held with 43 nurses in nurse manager positions in three hospitals, located in an Arabian Gulf country, which are soon to become accredited by an international body. Findings: There clearly is no wide, common clear agreement among nurse managers for what should be a comprehensive set of assessment items. Designing a nurse performance instrument needs considering a number of issues including possibility of employing systems analysis in generating the assessment items, looking into the formulation of assessment items in terms of detail level, as well as tailoring of performance appraisal to each unit/ward.international Journal of healthcare management. 08/2012; 5(3):117-128.