SELF EVALUATION PEER EVALUATION PATIENT SATISFACTION UTILIZATION REVIEW & APPLICATION TO NURSING SERVICE

EVALUATION
The term evaluation is derived from the word valoir which means to be worth. Evaluation is the process of judging the value or worth of an individuals achievements or characteristics. Evaluation is a decision making process that leads to suggestions for actions to improve participants

SELF EVALUATION
Self evaluation is defined as judging the quality of ones work, based on evidence and explicit criteria, for the purpose of doing better work in the future. It is one of the best method of performance appraisal, if it can systematically introduce. Self evaluation is the way in which an individual views himself.

To encourage continuing selfevaluation and reflection and to promote an ongoing, innovative approach. To encourage professional growth in interest to the employee individual areas of

To improve morale and motivation by treating the employee as a professional in charge of his or her own professional growth.

CONTD.
To

encourage collegiality and discussion about practices among peers in an organization support employees as they experiment with approaches that will move them to higher levels of performance

To

BENEFITS OF SELF EVALUATION

Increased

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

Enthusiasm

Improved

Increased

Enhanced

TOOLS FOR SELF EVALUATION

Staff annual professional review procedures Peer support

Coaching Joint preparation of materials Planning Team building

Observation can involve experts, can be informal or formal procedures. Feedback from such observation is very valuable. Audit checklist

PEER EVALUATION

Peer review/Evaluation is a process by which employees of the same rank, profession and setting evaluate one anothers job performance against accepted standards.
O Loughlin and Kaulbach

METHODS OF PEER EVALUATION

Direct

observation of course

Videotaping Evaluation

materials
Analysis

of portfolios

PROCESS OF PEER REVIEW

I. II. III. o.

Establish a policy requiring peer reviews Establish criteria for peer evaluations Procedure for conducting peer evaluations Faculty chosen to conduct peer evaluations shall be tenured and hold on academic rank higher than that of the faculty member being evaluated written report, addressing the criteria, shall be prepared and signed by the evaluator

o. A

CONTD..
o

The department shall archive the evaluations for use in future evaluations

written

One copy of the peer evaluation shall be placed in the permanent personnel file of the person being evaluated All reports of peer evaluations shall be included in the tenure file, and are to be carefully reviewed at the department

PATIENT SATISFACTION
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 dened 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 is a requirement for therapeutic treatment and is equivalent to self therapy. Satised 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.

It

METHODS OF MONITORING PATIENT SATISFACTION

Medical Quality

audit assurance committee of method nursing

reviews
Indices

performances
Judgemental

COMPONENTS OF EVALUATION OF PATIENT SATISFACTION

Evaluation

of the programs and activities of various departments including outpatient care, inpatient care, overall health education activities of the hospital of the various resources available in the hospital for effective health care of effectiveness of hospital personnel including medical, paramedical, nursing as well as nonmedical employees of the hospital. are relevant to the needs of the population it serves.

Evaluation Evaluation

Services


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

The

main aim is to curb the exploding health care costs with conservative use of hospitalisation and expensive diagnostic and treatment procedures. work in liaison with a business organisation to provide healthcare services to the organisations employees at discounted rates. containment to limit each patients diagnostic and treatment measures to the fewest, least expensive procedures that will relieve patient symptoms, avert costly complications, and return the patient to fullest possible function in the shortest time possible.

They

Cost

UTILISATION REVIEW NURSE

A

utilization review nurse is a RN who reviews individual medical cases to confirm that they are getting the most appropriate care. can work for insurance companies, determining whether or not care should be approved in specific situations, and they can also work in hospitals. 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. a hospital, a utilization review nurse examines patient cases if the hospital feels that a patient may not be receiving the appropriate treatment.

They

Members

At

CONTD.

In an insurance company, the utilization review nurse inspects claims to determine whether or not they should be paid. 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. work in this field, it is usually necessary to hold a current nursing license, and to have experience in the field.

The

To

APPLICATION TO NURSING SERVICES

NEED FOR EVALUATION According to WHO, Evaluation of Health services, is the systematic process of determining the extent to which an action or sets of actions were successful in the achievement of predetermined objectives. It involves measurement of adequacy, efficacy, effectiveness and efficiency of the service being evaluated. It renders possible the reallocation of priorities, changes in the assessment of needs, the planning and implementation of care and the management of resources.

ASPECTS OF EVALUATON
Patient

Outcomes

Evaluation Evaluation Recording

of the Competence of the worker of Resources and Classification Systems

Purposes of Evaluation
Clarify

and define objectives. the improvement programme.

Facilitate

Determine Facilitates Motive

participants progress towards the achievement of the goals of the programme. the maintenance of strength and elimination of weakness on the part of participants. the participants. sense of accomplishments (psychological security) for the participants and consumer.

Provide

Develop

CONTD.

more reliable and valid instruments for measurement. the overall value (eg: cost, efficiency) of undertaking for both participants and consumer immediately over long period. and maintain standards to meet legal, professional and academic credentials.

Determine

Establish

TYPES OF EVALUATION
Summative

evaluation: It evaluates the progress towards an established outcomes. The summative evaluations focus on the achievements or lack of achievement of outcomes. A Summative Evaluation, on the other hand, looks at more than one learner's performance to see how well a group did. evaluation: It analyzes the response to a specific intervention. Formative evaluations look at the particular pieces of the action plan and the relative importance to the whole. It is therefore tend to focus on the process of carrying out the action plan.

Formative

MODEL OF EVALUATION PROCESS

Observing Measuring Programme actions Describing Information Relevance Relatedness Analysing Accountability

Monitoring Development

Synthesizing

Validity of goods Worth of actions

Recommending

Evaluation

Support& Constraints

Principles of Performance Evaluation

Assess

performance in relation to behaviorally stated work goals. a representative sample of employees total work activities . supervisors evaluation with employees self evaluation. specific examples of satisfactory and unsatisfactory performance

Observe

Compare

Cite

CONTD
Indicate

which job areas have highest priority for improvement. conference should be held in good atmosphere. purpose of evaluation is to improve work performance and job satisfaction.

Evaluation

The

Tools of Performance Appraisal

Trait Job

rating scales (TRS) anchored rating scales

dimension scales(JDS)

Behaviorally

(BARS)
Checklists Essays Self

appraisals. by objectives.

Management Peer

review-performance carried out by peers.

Evaluation as a function of Nursing Management :

Fayol

defined as verifying whether everything occurs in conformity with the plan adopted, the instructions issued and principles established. It has for its object to point out weakness and error in order to rectify them and prevent recurrence. defines controlling or evaluating as seeing that everything is being carried out in accordance with the plan which has been adopted, the orders which have been given and the principles which have been laid down.

Urwick

Controlling /Evaluating Techniques

Nursing Nursing Gantt

Rounds Operating Instructions

Charts Control Points and Milestones

Critical

Program

Evaluation and Review Technique (PERT) Control Plan Management

Benchmarking Master

Evidence-Based

Eg: Gannt chart

Eg: PERT

Eg: Benchmarking