What supervisors should know about discipline.
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Four components form the base for a performance evaluation system. A discussion of management/organizational shortcomings creating performance problems is followed by a focus on the importance of an ongoing discussion of goals between the manager and the subordinate. Six components that impact performance are identified, and practical suggestions are given to increase motivation. A coaching analysis process, as well as counseling and disciplining models, define the steps for solving performance problems.
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An amnesty on errors? A few hospitals are declaring one, finding that it actually helps reduce mistakes. "This is a very hard sell," acknowledges one nursing executive. "But once people trusted they wouldn't be disciplined for reporting mistakes, we were able to look at systems and solve problems."
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Although the Canadian Human Rights Act was enacted in 1977 and The Charter of Rights and Freedoms was introduced in 1981, a paucity of Canadian literature regarding their implications for nursing managers is apparent. The modern nursing unit manager is faced with a variety of decisions pertaining to employment, performance evaluations, and delegation of responsibilities, which if not sensitively and fairly handled may expose the manager and the organization to non-defensible vulnerabilities. This paper briefly reviews pertinent human rights issues in the nursing setting and the effect of human rights considerations on the management of a nursing unit. Discrimination, harassment, the hiring process, performance appraisal and discipline are discussed along with recommendations regarding mandatory inservices for managers.
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