EVALUATION TOOL FOR STAFF APPRAISAL:

EVALUATION TOOL FOR STAFF APPRAISAL (IN NURSING SERVICE)

Name of the staff:
Department:.

Rating code:
3- function independently without supporting cues
2- function with supervision, requiring occasional supporting cues.
1- Function with assistance, requiring frequent verbal and occasional physical directives cues
0- function dependently requiring continuous verbal and physical cues.

Pass: rating of 2.0 or above in each behavior in each category by mid clinical an final evaluation.
No pass: rating of less than 2.0 in any behavior in each category by mid-clinical and final
evaluation.

EVALUATION TOOL FOR STAFF APPRAISAL:

Name:.
Designation.
Qualification..
Professional experience
Date and time period..
By the faculty supervisor

S.NO

Items
to
evaluated

be Excellent
5

1
2
3
4
5
6
7
8
9
10

Very good

Average

Fair

Poor

Job knowledge
Quality of work
Positive attitude
Initiative
Ability to work
independently
Co-operative and
coordination
Record keeping
Efficient use of
time
Willingness
to
work flexible hours
Quality of overall
performance
Total

Comments:.

Signature of the supervisor:..

EVALUATION TOOL FOR STAFF APPRAISAL

NAME:..
DESIGNATION:
QUALIFICATION:.
DATE AND TIME PERIOD:.
Professional experience:-------------------------------------Responsibility:------------------------------------------------

a) Describe your duties:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------b) Describe the degree of independence with which you carry out work:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------c) Do you supervise others?------------------ how many?------------------------------

Professional growth:

a) Attend ended any work shops/conferences------------------ how many----------------b) Additional courses/work training---------------------------------------------------------

c) Learned new techniques or procedures-------------------------------------------------d) What have been your main achievements since the last review:-----------------------------------------------------------------------------------------------------------------------e) What do you think are your key skills and strength:---------------------------------------------------------------------------------------------------------------------------------------

f) How do you think your skills might be better used:--------------------------------------------------------------------------------------------------------------------------------------g) What part of your job do you think that you do best:-------------------------------------------------------------------------------------------------------------------------------------h) What part of your job do you think that you do least well-------------------------------------------------------------------------------------------------------------------------------i) What do you feel would help you to do your job better or make it easier:-------------------------------------------------------------------------------------------------------------j) What development do you feel that you need to further your career in the future:
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Signed:

Appraise------------------------------------------------ date--------------------------------------

Appraiser 1-------------------------------------------- Date -------------------------------------

Appraiser 2 --------------------------------------------Date ------------------------------------------

S.no

Activity

1.0

CRITICAL THINKING

1.1

Uses nursing and other appropriate theories and models and an

appropriate ethical frame work

1.2

Apply comprehensive knowledge of health problems and cultural

diversity in performing nursing interventions

1.3

Uses clinical judgment and decision-making skills to solve

problems

2.0

COMMUNICATION

2.1

Communication shows sensitivity to sociocultural needs of client

2.2

Ethics and clarifies patient preferences and values

2.3

Communicates care, consideration, and privacy to the client at all

times

2.4

Uses language expected of a professional when communicating

with other professional

2.5

Uses therapeutic communication strategies when communicating

with clients

2.6

Adapts communicating methods as appropriate to specific client

situations

2.7

Maintains client confidentiality

2.8

Presents an ideas(s) in a logical,clear,concise and accurate manner,

both written and oral

2.9

Communicates appropriate and critical information to faculty and

staff in a timely manner

2.10 Documents nursing assessments , interventions, and outcomes in an

accurate manner
3.0

ASSESSMENT AND ANALYSIS

3.1

Collects
comprehensive
data
appropriate
client(individual,family,group,or population)

to

the

3.2

Conducts thorough assessment in a professional, organized, and

timely manner

3.3

Analyzes all assessment information to develop appropriate nursing

diagnosis

3.4

Prioritizes nursing diagnosis

3.5

Incorporates evidence based findings and standards of care in the

collection and analysis of data

4.0

PLANNING

4.1

Uses principles, established protocols and practice standards to plan

nursing care.

4.2

Considers developmental physical, psychological,socio-cultural and

spiritual needs of clients in nursing care.

4.3

Plans interventions based on assessment and nursing diagnosis

4.4

Establish outcome criteria that are measurable

5.0

IMPLEMENTATION

5.1

Implements client care with in a timely manner

5.2

Organizes time, resources and self in the delivery of care

5.3

Maintains safe client environment

5.4

Provides client with relevant and sensitive health education

information and counseling

5.5

Practices standard safety precautions

6.0

EVALUATION

6.1

Determines actual client out comes

6.2

Evaluate effectiveness of nursing interventions

6.3

Uses scientific data and standards of care to evaluate outcomes of

client care

6.4

Modifies plan of care based on outcomes allowing for the revision

of actions and goals

7.0

ROLE DEVELOPMENT

7.1

Assumes a leadership role with in ones scope of practice

7.2

Incorporate principles of quality management and out come

effectiveness

7.3

Is honest and demonstrates personal integrity

7.4

Prepares for clinical experience by acquiring the knowledge ,skills

and equipment needed for client care

7.5

Behaves and dresses professionally

7.6

Arrives in the clinical area on time and prepared

7.7

Demonstrate self motivation for professional learning

7.8

Practices competently depending on level in programme

8.0

SPECIFIC BEHAVIOUR

COMMENTS