PURPOSES OF SELF EVALUATION

1. To encourage continuing self-evaluation and reflection performance and to promote an

ongoing, innovative approach.
2. To encourage individual professional growth in areas of interest to the employee
3. To improve morale and motivation by treating the employee as a professional in charge
of his or her own professional growth.
4. To encourage collegiality and discussion about practices among peers in an
organisation
5. To support employees as they experiment with approaches that will move them to
higher levels of performance.

BENEFITS OF SELF EVALUATION

1. Increased confidence in their own learning, in trying out new ideas, in changing their
practice and in their power to make a difference.
2. Enthusiasm for collaborative working, despite initial anxieties about being observed
and receiving feedback
3. Improved team-work and greater flexibility in their use of their skills
4. Increased awareness of new techniques and greater insight into thinking
5. Enhanced planning skills to ensure more effective task management.

TOOLS FOR SELF EVALUATION

 Staff annual professional review procedures
 Peer support
o Coaching
o Joint preparation of materials
o Planning
o Team building
 Observation can involve experts, can be informal or formal procedures. Feedback from
such observation is very valuable, but must be handled sensitively.
 Audit checklist

PEER EVALUATION

INTRODUCTION
In response to the public's clamor for improved care quality, some nursing organizations
instituted peer review as one method for increasing nurses' accountability for effective
decision-making and interventions. It is a mechanism for developing faculty leaders who can
meet the challenges posed by public demands for accountability in healthcare management.
DEFINITION
Peer review is a process by which employees of the same rank, profession, and setting evaluate
one another's job performance against accepted standards.
 O' Loughlin and Kaulbach

THE SUCCESS OF PEER EVALUATION DEPENDS ON

 Short but objective method
 Trained observers
 Constructive feedback for faulty development
 Open communication and trust
METHODS OFPEER EVALUATION
 Direct observation
 Videotaping
 Evaluation of course materials
 Analysis of portfolios

PROCESS OF PEER REVIEW

I. Establish a policy requiring peer reviews
II. Establish criteria for peer evaluation
III. Procedure for conducting peer evaluation
a. Faculty chosen to conduct peer evaluation shall be tenured and hold on
academic rank higher than that of the faculty member being evaluated.
b. A written report, addressing the criteria, shall be prepared and signed by the
evaluator.
c. The department shall archive the written evaluation for use in future evaluations
d. One copy of the peer evaluation shall be placed in the permanent personnel file
of the person being evaluated
e. All reports of peer evaluations shall be Included in the tenure file, and are to be
carefully reviewed at the department.

PATIENT SATISFACTION

INTRODUCTION
Consumers of health care services demand quality care. Patient satisfaction has been used as
an indicator of quality services provided by health care personnel. The most important predictor
of patients overall satisfaction with hospital care is particularly related to their satisfaction with
nursing care . In recent years , the focus on consumerism in a highly competitive environment
has led to increased interest in measuring patient satisfaction with health care.
DEFINITION
Patient satisfaction is defined as a health care recipients reaction to salient aspects of the
context, process, and result of their service experience.
- Pascoe (1983)
''Patient satisfaction is defined as the extent of the resemblance between the expected quality
of care and the actual received care ."
- Scarding (1994)

NEED FOR EVALUATING PATIENT SATISFACTION

 Data about patient satisfaction equips nurses with useful information about the
structure, process and outcome of nursing care
 It is a requirement for therapeutic treatment and is equivalent to self-therapy. Satisfied
patients help themselves get healed faster because they are more willing to comply with
treatment and adhere to instructions of health care providers, and thus have a shorter
recovery time.

METHODS OF MONITORING PATIENT SATISFACTION

 Medical audit
 Quality assurance committee reviews
 Indices of nursing performances
 Judgemental method

COMPONENTS OF EVALUAT ION OF PATIENT SATISFACTION

1. Evaluation of the programs and activities of various departments including
outpatient care, inpatient care, overall health education activities of the hospital
2. Evaluation of the various resources available in the hospital for effective health care
3. Evaluation of effectiveness of hospital personnel including medical, paramedical,
nursing as well as non-medical employees of the hospital.
4. Services are relevant to the needs of the population it serves.
Patient satisfaction with nursing care is important for any health care agency
because nurses comprise the majority of health care providers and they provide care
for patients 24 hours a day
ULITILISATION REVIEW
The utilisation review program includes determining appropriate hospital length of stay and
necessary treatments for various illnesses and conditions and reviewing patient medical records
on admission and at intervals during hospitalisation to ensure that the patient receives
appropriate care.
AIMS AND OBJECTIVES:
1. The main aim is to curb the exploding health care costs with conservative use of
hospitalisation and expensive diagnostic and treatment procedure.
2. They work in liason with a business organisation to provide healthcare services to the
organisation’s employees at discounted rate.
3. Cost containment to limit each patient’s diagnosis and treatment measures to the fewest,
least expensive procedures that will relieve patient symptoms, avert costly
complication, and return the patient to fullest possible function in the shortest time
possible.
UTILISATION REVIEW NURSE
 A utilization review nurse is a registered nurse who reviews individual medical cases
that they are getting the most appropriate care.
 They can work for insurance companies determining whether or not care should be
approved in specific situation and they can also work in hospitals.
 Members of this profession do need to possess compassion, but they also need to be
able to review situations dispassionately to make decisions which are fair, even if they
may be uncomfortable.
 At a hospital, a utilization review nurse examines patient cases if the hospital feels that
a patient may not be receiving the appropriate treatment.
 In an insurance company, the utilization review nurse inspects claims to determine
whether or not they should be paid.
 The nurse weighs the patient's situation against the policy held by the patient, the
standards of the insurance company, and the costs which may be involved in treatment.
 To work in this field, it is usually necessary to hold current nursing license and to have
experience in the field.