Comparison of the Perceptions of Managers and Nursing Staff Toward Performance Appraisal

Tahere Moradi, Marzieh Adel Mehraban, Mahin Moeini


Background: Performance appraisal is an essential component of health care organizations for the improvement in quality of patients’ care. Awareness of managers’ and employees’ perception of performance appraisal can lead to improved performance appraisal quality. The purpose of this study was to compare the perception of performance appraisal among managers and
nursing staff of hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran.
Materials and Methods: This descriptive‑analytical and cross‑sectional study was conducted among 75 managers and 313 nurses in 2014. The participants were selected through a two‑stage quota‑random sampling. Data were collected using two researcher‑made questionnaires (nursing managers and nurses’ questionnaires). Data were analyzed using descriptive and statistical tests using the Software Package for the Social Sciences software.

Results: The mean score of managers’ and nurses’ perception of the current performance appraisal was 56.8 (14.2) and 51.4 (14.5), respectively. A significant difference was observed between managers’ and nurses’ perception of performance appraisal (P = 0.004). The participants’ perception was examined in terms of performance appraisal method, the consequences of performance appraisal, and the necessity of performance appraisal. In general, perception of managers was more positive than employees.

Conclusions: The evaluation of the perception of nurses revealed deficiencies in the process of performance appraisal. Moreover, managers had a more positive perception than employees toward the current pattern of performance
appraisal. The results of this study can be effective on the decisions of authorities in this field.


Performance appraisal; nurse managers; nursing staff; Iran

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Giangreco A, Carugati A, Sebastiano A, Al Tamimi H. War outside, ceasefire inside: An analysis of the performance appraisal system of a public hospital in a zone of conflict. Eval Program Plann 2012;35:161‑70.

Bekele AZ, Shigutu AD, Tensay AT. The Effect of Employees’ Perception of Performance Appraisal on Their Work Outcomes. International Journal of Management and Commerce Innovations 2014;2:136‑73.

Haji Nabi K, Reisi P, Ojagh NS. Relationship between Talent Management and Nursing Employee Performance in Hospitals of Karaj City. Health Information Management 2014;10:971.

Torabi A, Setodeh S. Employees ’Attiude the Annual Performance Evaluation of Faculties Affiliated to Ahvaz University of Medical Sciences in 2007, Iran. Journal of Health Administration 2010;12.

Emamzadeh Ghasemi H, Vanaky Z, Dehghan Nayeri N, Salehi T, Salsali M, Faghihzadeh S. Management by Objective approach in nursing performance appraisal and its impact on quality of nursing. Hayat 2007;13:5‑15.

Redshaw G. Improving the performance appraisal system for nurses. Nursing Times 2008;104:30.

Isfahani HM, Aryankesal A, Haghani H. The relationship between the managerial skills and results of “performance evaluation” Tool Among Nursing Managers in Teaching Hospitals of Iran University of Medical Science. Glob J Health Sci 2015;7:38‑43.

Nikpeyma N, Abed‑Saeedi J, Azargashb E, Alavi MH. Nurses’ perceptions of the justice in performance appraisal: A qualitative study. Iranian Journal of Nursing Research 2014;6:1‑16.

Akhtar T, Khattak S. Employee Acceptability of Performance Appraisals: Issues of Fairness and Justice. World Appl Sci J 2013;24:507‑18.

RihamMahmoud R. An Analysis of the Employee Performance Appraisal System in the Millennium School. Thesis (M.S.). University of Louisville. 2010.

Nikpeyma N, Abed‑Saeedi J, Azargashb E, Alavi MH. A review of nurses’ performance appraisal in Iran. Journal of Health Promotion Management 2014;3:74‑83.

Ansari Tabar A, Charkhajy Kashani A, Sarafraz Z. Staff attitudes toward annual evaluation of Kashan University of Medical Sciences. Homaye Saadat 2010;41.

Keramati M, Gorbani S, Lazemi M, Bardbar A, Javid KH. The difference of opinion about the existing system of evaluation performance system for teachers. Journal of Educational Research. Islamic Azad University Bojnoord 2007;11.

Hajiaghajani S, qorbany R. Study on attitude in personnel of semnan University of Medical Sciences about annual evaluation. Teb va tazkieh 2005;14:37‑43.

Chuluunkhuu E. Effectiveness of Performance Appraisal. National College of Ireland. Dissertation for MA. 2010.

Ikramullah M, Shah B, Hassan F, Zaman T, Shah IA. Performance appraisal fairness perceptions in supervisory and non–supervisory employees: A case of civil servants in district Dera Ismail Khan, Pakistan. Business and Management Review 2011;1:37‑45.

Ghamari Zare Z, Purfarzad Z, Anoosheh M, Seraji A, Ghorbani M. The correlation between qualities of performance appraisal and job satisfaction of nurses. Middle East J Sci Res 2013;1:18‑27.

Long CS, Kowang TO, Ismail WK, Rasid SZ. A review on performance appraisal system: An ineffective and destructive practice. Middle East Journal of Scientific Research 2013;14:887‑91.

Jahangiri S. Review the status of existing performance evaluation of personnel of Ardabil University of Medical Sciences and Health Services and the staff familiar with it (MSc thesis). Public administration: Tehran University. 2000.

Dehghan Nayeri M, Salehi T. Fundamentals of Nursing Management. Tehran Boshra Press 2009;175‑8.

Marquis BL, Huston CJ. Leadership roles and management functions in nursing: Theory and application. 7th ed. Lippincott Williams & Wilkins; 2012.

Akbari Haghighi F, Zeraati H, Karimi S, Arab M, Akbari Mousiabadi M. The Role of Training Managers and Decision‑Making Network in Evaluating the New Appraisal System of Government Employees in Isfahan Hospitals. Health Information Management 2011;8:689.

Taghavi Larijani T, Parsa Yekta Z, Kazemnejad A, Mazaheri A. Outcomes of the performance appraisal and its relation with nurses’ job motivation. Hayat 2006;12:39‑46.

Hamidi Y, Najafi L, Vatankhah S, Afkar A. The impact of performance appraisal outcomes on job motivation and development of Toyserkan health network employee. Nezame Salamat 2009;1:41‑8.


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