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The remedial evaluation instrument. A new approach.

This article proposes a different approach to address a reality of the nursing world: that of the Registered Nurse displaying cumulative technical performance deficiencies. This situation, with its accrued practical, intellectual, moral and emotional costs, deserves closer examination and careful reflection. To rehabilitate or to dismiss--two dissenting viewpoints implying ambiguity and distress. The dramatic universal nursing shortage tempts one to override or suppress this problem as does human reluctance to make judgements regarding dismissal. However, the importance of maintaining performance standards is crucial to the well-being of our ultimate consumer--the patient. The authors wish to explore issues surrounding, and the implementation of, one instrument designed to challenge the use of a conventional Employee Performance Appraisal Evaluation. The Remedial Evaluation Instrument (R.E.I.) as proposed in this article, may aid in resolving the problem of substandard employee performance.

Clinical Competence

Performance appraisal.

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Employee Performance Appraisal

Rating nursing performance based on behaviors.

If used effectively, performance appraisal systems keep employees focused on the vision and mission of the organization. Appraisal tools firmly grounded in desired behaviors can be effective in improving performance. The authors describe the steps and development of a Behavior Anchored Rating Scale (BARS) for registered nurses and give readers information for developing behaviorally based evaluation tools.

Behavior