Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit

Ibrahim H. Osman, Lynn N. Berbary, Yusuf Sidani, Baydaa Al-Ayoubi, Ali Emrouznejad

Research output: Contribution to journalArticle

Abstract

The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career development plans as well as improvement in health care quality services, increase in job satisfaction and use of cost-effective resources. In this paper, a data envelopment analysis (DEA) model is proposed for the appraisal and relative performance evaluation of nurses. The model is validated on thirty-two nurses working at an Intensive Care Unit (ICU) at one of the most recognized hospitals in Lebanon. The DEA was able to classify nurses into efficient and inefficient ones. The set of efficient nurses was used to establish an internal best practice benchmark to project career development plans for improving the performance of other inefficient nurses. The DEA result confirmed the ranking of some nurses and highlighted injustice in other cases that were produced by the currently practiced appraisal system. Further, the DEA model is shown to be an effective talent management and motivational tool as it can provide clear managerial plans related to promoting, training and development activities from the perspective of nurses, hence increasing their satisfaction, motivation and acceptance of appraisal results. Due to such features, the model is currently being considered for implementation at ICU. Finally, the ratio of the number DEA units to the number of input/output measures is revisited with new suggested values on its upper and lower limits depending on the type of DEA models and the desired number of efficient units from a managerial perspective.
Original languageEnglish
Pages (from-to)1039-1062
Number of pages24
JournalJournal of Medical Systems
Volume35
Issue number5
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Employee Performance Appraisal
Intensive care units
Data envelopment analysis
Intensive Care Units
Nurses
Health care
Job satisfaction
Clinical Governance
Lebanon
Benchmarking
Aptitude
Job Satisfaction
Quality of Health Care
Social Responsibility
Standard of Care
Practice Guidelines
Health Services
Motivation
Teaching

Keywords

  • checklist
  • employee performance appraisal
  • humans
  • intensive care units
  • hospital nursing staff

Cite this

Osman, Ibrahim H. ; Berbary, Lynn N. ; Sidani, Yusuf ; Al-Ayoubi, Baydaa ; Emrouznejad, Ali. / Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. In: Journal of Medical Systems. 2011 ; Vol. 35, No. 5. pp. 1039-1062.
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Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. / Osman, Ibrahim H.; Berbary, Lynn N.; Sidani, Yusuf; Al-Ayoubi, Baydaa; Emrouznejad, Ali.

In: Journal of Medical Systems, Vol. 35, No. 5, 10.2011, p. 1039-1062.

Research output: Contribution to journalArticle

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