Controlling

 An on-going function of management which occurs during planning, organizing, and

directing activities.

Evaluation principles

1. Must be based on behavioral standards of performance

2. There should be enough time to observe employee’s behavior
3. The employee should be given a copy of the job description, performance standards, and
evaluation form before the scheduled evaluation conference
4. The employee’s performance should include both satisfactory and unsatisfactory results
5. Areas needing improvement must be prioritized to help the worker upgrade his/her
performance
6. The evaluation conference should be scheduled and conducted

Characteristics of an evaluation tool:

1. Objective
2. Reliable
3. Sensitive

Measuring Actual Performance

 An on-going, repetitive process with the actual frequency dependent on the type of
activity being measured

 Measurements may be scheduled in advance, may be done at periodic but unannounced

intervals or may occur at random

Comparing Results of Performance with Standards and Objectives

 One of the easiest steps in controlling

 If performance matches the objectives and standards, then the needs of the patients are
met

 If performance is contrary to the objectives and standards, then necessary action should
be taken

Responsibility of the Head/Senior Nurses

  Head or Senior Nurses are in the best position to know whether their staff nurses perform
satisfactory at their work

 Have the responsibility to instruct subordinates regarding the appropriate methods and
procedures in providing nursing care

 Should inform the staff of the likely causes of errors or defects and the preventive
measures necessary

 Should initiate and/or facilitate any steps necessary to improve methods, equipments,
materials, and conditions in the work area for which they are responsible

 Should instill to their staff the feeling of responsibility to render quality performance for
them to follow agreed upon written procedures and use materials and equipment correctly
as instructed

 Assist in training new staff particularly by setting good examples

Performance Appraisal

 A control process in which employee’s performance is evaluated against standards

 Most valuable tool in controlling human resources and productivity

Methods of measuring performance

1. Standards on structure
2. Process Standards
3. Outcome Standards

Quality assurance and principles:

Quality Assurance – process of evaluation that is applied to the health care system and the
provision of health care services by the health care workers.

4 Main Principles of CQI:

- customer focus
 - the identification of key processes to improve quality

-the use of quality tools and statistics

-the involvement of all people in problem solving

DISCIPLINE

A constructive & effective means by which employees take personal responsibility for their own
performance and behavior. This is termed as SELF-DISCIPLINE.

Factors that influence self-discipline:

• A strong commitment to the vision, philosophy, goals and objectives of the institution.

• Laws that govern the practice of all professionals and their respective CODES of
CONDUCT

• Understanding the rules and regulations of the agency

• An atmosphere of mutual trust and confidence

• Pressure from peers & organization

Disciplinary approaches

A sound disciplinary program must be tailored to the objectives of the institution. This should
include a set of disciplinary policies and procedures, a uniform application of discipline rules, a
disciplinary committee, & an orientation program for all new employees where expectations of
appropriate performance & behavior are emphasized.

Successful implementation of disciplinary action is characterized by promptness, fairness,

impartiality, nonpunitiveness, advance warning & follow-through