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Clinical Governance, Performance Appraisal and Interactional and Procedural Fairness at a New Zealand Public Hospital

Abstract
This paper explores the conduct of performance appraisals of nurses in a New Zealand hospital, and how fairness is perceived in such appraisals. In the health sector, performance appraisals of medical staff play a key role in implementing clinical governance, which, in turn, is critical to containing health care costs and ensuring quality patient care. Effective appraisals depend on employees perceiving their own appraisals to be fair both in terms of procedure and interaction with their respective appraiser. We examine qualitative data from interviews and focus groups, involving 22 nurses in a single department, to determine whether perceived injustices impact on the effective implementation of the appraisal system. Our results suggest that particular issues had been causing some sense of injustice, and most of these were procedural. Potential solutions focus on greater formalisation of the performance appraisal process, and more training for appraisers and appraisees.
Type
Journal Article
Type of thesis
Series
Citation
Clarke, C., Harcourt, M. & Flynn, M. (2012). Clinical governance, performance appraisal and interactional and procedural fairness at a New Zealand public hospital. Journal of Business Ethics, published online 17 November 2012.
Date
2012
Publisher
Springer
Degree
Supervisors
Rights
Publisher version