Performance Discussion – Nursing staff

Employee’s Name: …………………………………………………………………………………………………………… Employee Number

Position: ……………………………………………………………………………………………………………………………………

CN/CM Name: ……………………………………………………………………………………………………………… Date: ……………………………………………………………………………………………

Communication and Teamwork

Effectiveness in listening to others; expressing ideas (both orally and in writing); and My Reflections
providing relevant and timely information to management, co-workers and patients; respond
to patient/relatives questions; keep patients/relatives/family informed about the progress of Examples of how / when I do this in my day-to-day nursing practice,
their care. Contributes to a sense of team; treat colleagues fairly and with respect; shows a what was the impact and what would/could I do differently
cooperative spirit.
Reflect on how you demonstrate up to 3 of the following:
Working collaboratively and in respectful partnerships to achieve person centred practice
Building mutual trust and understanding through good communication
Treating each person as an individual
Respecting people’s ownership of their health information, rights and preferences while
protecting dignity and empowering choice
Showing sensitivity to a person’s situation and using skills of compassion and kindness
Recognising and respecting professional boundaries
Providing support and direct people to resources to optimise health related decisions
Fostering a culture of workplace safety and learning

Manager / Clinical Nurse’s Comments:

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Performance Discussion – Nursing staff

Clinical Practice
Nurses as regulated health professionals are responsible and accountable for ensuring they
are safe, and have the capability for practice. Agreed plans are developed that are based on
the evaluation of comprehensive, relevant information and evidence that is documented and
communicated.
My Reflections
Examples of how / when I do this in my day-to-day nursing practice,
what was the impact and what would/could I do differently

Reflect on how you demonstrate up to 3 of the following:

Providing safe, appropriate and responsive quality nursing practice
Conducting comprehensive assessments
Developing a plan for nursing practice and communicate this effectively
Accessing information and making judgments to translate the best available evidence into
safe, quality practice
Maintaining accurate and comprehensive documentation
Contributing to the clinical learning and training of other nurses
Accepting accountability for my decisions, actions, behaviours and responsibilities
Seeking and responding to clinical practice feedback
Actively engaging with the broader nursing profession

Manager / Clinical Nurse’s Comments:

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Performance Discussion – Nursing staff

Critical Thinking
Nurses use a variety of thinking strategies and the best available evidence in making My Reflections
decisions and providing safe, quality nursing practice that is person-centred and evidence
based. Examples of how / when I do this in my day-to-day nursing practice,
what was the impact and what would/could I do differently
Reflect on how you demonstrate up to 3 of the following:
Thinking critically about my nursing practice and identify how and where I can improve
Evaluating patient outcomes to inform my nursing practice
Reflecting on experiences, knowledge, feelings, actions and beliefs
Respecting all cultures and people’s different experiences
Complying with policies, procedures, guidelines and other requirements relevant to practice
when making decisions
Contributing to quality improvement initiatives and programs
Participating in relevant research
Appropriately use the Hospital’s processes to identify and report where clinical practice may
be below the expected standard or where system issues arise

Manager / Clinical Nurse’s Comments:

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Performance Discussion – Nursing staff

Time Management
Examples: Time management; effectiveness in resolving problems and making timely, My Reflections
practical decisions
Examples of how / when I do this in my day-to-day nursing practice,
Reflect on how you demonstrate up to 3 of the following: what was the impact and what would/could I do differently
Participating in appropriate handover (time management and tasks)
Giving medication on time
Maintaining accurate, comprehensive and timely documentation
Completing rounding (checks) on time
Taking breaks and returning from breaks on time
Utilising the nursing team to support the delivery of quality patient care
Completing all required assessments and competencies on time
Preparing patients/equipment for procedures/transport on time
Arriving and commencing duties on time
Communicating changes in a timely manner

Manager / Clinical Nurse’s Comments:

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Performance Discussion – Nursing staff

Training and Professional Development

Registered Nurses are responsible for their professional development and contribute to the My Reflections
development of others. They are also responsible for providing information and education to
enable people to make decisions and take action in relation to their health. Examples of how / when I do this in my day-to-day nursing
practice, what was the impact and what would/could I do
Reflect on how you demonstrate up to 3 of the following: differently
Taking responsibility for my own professional development
Completing mandatory training within required time frames
Attending and participating with in-service education
Attending and participating in internal clinical education workshops / seminars
Seeking opportunities to continue to develop my clinical skills and knowledge
Attending other relevant non-clinical skill development seminars / workshops e.g. manager
toolkit sessions; leadership development

*Please bring a list of your CPD over the previous 12 months (including evidence of
completed mandatory trainin)g. Your CM or HR can assist if you do not have this
documented.

Manager / Clinical Nurse’s Comments:

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Performance Discussion – Nursing staff

Summary of My Performance

Briefly summarise your thoughts after completing the preceding sections:

1. What are your strengths? What have you accomplished that you are most proud about?

2. How could you improve or further develop your skills, knowledge and/or contribution to the team?

Training and Development

Given the answer in Q2 above, What training or professional development is a priority for you over the next 12 months?
This may be clinical skills/knowledge, other skills such as IT (Excel, Word, Power Point, TrakCare, Emails) or leadership skills/knowledge

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Performance Discussion – Nursing staff

Continuous Improvement

Briefly summarise your thoughts after completing the preceding sections:

1. What aspects of your job are working well?

2. What aspects of the job could be improved?

3. What could be changed to improve effectiveness of your work area/ward?

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 Performance Discussion – Nursing staff

___________________________________________________________________________________________________________
Employee – Further comments (if required)

____________________________________________________________________________________________________________
CN/CM - Overall Summary (or attach document)

CN/ CM signature: _______________________________________________________ Date: ___________________________

ADON Initials

Employee signature: _____________________________________________________ Date: ___________________________

Employee & Manager receive a copy. Original is sent to ADON then Human Resource Division for addition into the personnel file
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