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Journal of Nursing Education and Practice 2018, Vol. 8, No. 6 ORIGINAL RESEARCH Measurement of clinical nurse performance: Developing a tool including contextual items Emin Kahya * 1 , Nurten Oral 1,2 1 Eskisehir Osmangazi University, Meselik Campus, Eskisehir, Turkey 2 Eskişehir Osmangazi Hospital, Eskişehir, Turkey Received: November 7, 2017 Accepted: December 28, 2017 Online Published: January 20, 2018 DOI: 10.5430/jnep.v8n6p112 URL: A BSTRACT Assessment of nurse performance plays an important role in guaranteeing high quality clinic care to achieve desired patient outcomes. Many tools measuring nurse performance in clinical settings have different dimensions of nurse skills. The objective of this research is to develop and test a new performance assessment tool incorporating applicable task and contextual performance items to measure clinical nurse’s performance. Thirty-eight performance items were derived from previously cited literature and some tools that were in use. A questionnaire containing all items under eight categories was designed to reveal the appropriateness levels of the items. It was distributed to 233 clinical nurses from different hospitals in one city, who were asked to score them on a seven-point scale. The results indicate that although clinical skill and professional skill are the most important categories, the most scored item is “Working systematically” (mean = 6.07, s.d. = 0.89) in contextual category. Key Words: Nurse performance, Nursing competency, Task performance, Contextual performance, Tool 1. I NTRODUCTION Assessment of nurse performance plays an important role in guaranteeing high quality clinic care to achieve desired patient outcomes. The search for valid and reliable method to access the clinical performance of nurses has a long history and remains a matter of concern. [1] One of the major diffi- culties in developing a desirable tool is to select items which provide the most accurate and representative description of effective nurse performance. Competence and competency have been used in the litera- ture to describe various clinical skills as related to nurses’ performance, including quality of care and productivity. [2] The relationship between these terms is unclear [3] not only in nursing but also in other fields of health. Past studies [4,5] have comprehensively explored the concept of these terms within nursing. Competence is defined as the ability to per- form a task with desirable outcomes. [6] Competence has been recognized as a core component of professional stan- dards. [7] It is an effective application of knowledge and skills. Performance is clearly concerned with demonstrated ability to do something, a method of measuring achievement of competency. The effectiveness of performance evaluations therefore depends on the competencies that are chosen.
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