Journal of Nursing Theory and Practice

[Efficient employee performance appraisal systems]

SÁRGA Norbert Zétény1,2

FEBRUARY 28, 2019

Journal of Nursing Theory and Practice - 2019;32(01)

[A well-functioning performance appraisal system and information obtained from it will provide support for executive decisions. Developing the performance appraisal system, not only the definition of performance is a key factor, but also the steps to be taken to shape it; such as the purpose for which the performance appraisal system is to be used, the method of evaluating who the members of the evaluation system are. This paper presents the various evaluation techniques and methods; the importance and effective application of the written and oral evaluations as well as the evaluation interview. Furthermore, the difficulties encountered in the evaluations and the evaluation mistakes are described. ]


  1. Nagykőrösi Rehabilitációs Szakkórház és Rendelőintézet
  2. Semmelweis Egyetem Mentális Egészségtudományok Doktori Iskola, 4/3 Doktori Program



Further articles in this publication

Journal of Nursing Theory and Practice

[Faces from the Hungarian Nursing Hall of Fame: the exemplary career of Katalin Durgó recipient of the Henry Dunant Meda]

BOROS Károlyné, FEDINECZNÉ VITTAY Katalin, PERKÓ Magdolna, SÖVÉNYI Ferencné

[In this part of their series on outstanding figures in Hungary’s nursing history authors present the life of Ms. Katalin Durgó, a Red Cross volunteer nurse-midwife, whose lifelong services to promote the humanitarian cause of the Red Cross were acknowledged by awarding to her, at the age of 83 years, the Henry Dunant Medal, the highest award of the Red Cross Movement. Ms. Durgó was the 5th awardee globally, the first ever Hungarian recipient and the second person to have been decorated in their lifetimes. Following her self-sacrificing and fearless work in the war theatres of WWI, Ms. Durgó worked as a local midwife in rural Hungary delivering one thousand babies as testified by her Midwife’s birth logbook. She carried out her work with a strong sense of conscientiousness, punctuality, untiring diligence, devotion and solid professional knowledge and skills; her personal and professional lives are shining examples for today’s nursing generation. ]

Journal of Nursing Theory and Practice

[Focus on quality of life: Reconstruction in Vascular Surgery ]


[The aims of the study: The aim of our research was to gain deeper insight into the quality of life of patients after reconstructive vascular surgery of the lower limb. Material and method: The Vascuqol questionnaire survey was performed at the PTE KK Vascular Surgery Clinic on the day before the surgery and 3-6 weeks after surgery (N=54). Statistical analysis was carried out with Microsoft Office Excel 2013. Results: In summary it can be stated that following surgical intervention the quality of life of patients significantly improved, this finding ephasises the importance of invasise therapy. As the extent of pain decreased after surgery, patients’ ability to walk started to improve, as well as their overall physical state and ability to carry out certain household activities. There was also an improvement in their social life, more time was spent with family and friends. Conclusions: Although the VascuQoL-25 questionaire is senstivie device to measure quality of life, it is difficult to apply in clinical practice beacause of its length.]

Journal of Nursing Theory and Practice

[Who helps the caregivers? - Psychosocial characteristics of nurses in dementia care ]


[The aim of the study: Studies underline the increasing burden of dementia people. Hungarian social care system is also facing dementia care challenge. In case of developing of social sector, it is beneficial to research the psychosocial status of nurses working in dementia care. Material and method: N=130 professional caregivers in dementia care filled out self- administered questionnaires. Standardized health-psychological scales were evaluated: SWLS, Rahe’s Life Meaning, Beck’s Inventory of Measuring Depression, Maastricht Vital Exhaustion, Freudenberger’s Burn Out Inventory. Results: Caregivers have fatigue, dissatisfaction and tendency of quitting profession. Scales show high burn-out, exhaustion and depression and show correlations. Depression correlates with vital exhaustion (r=0.549), depression moves with burn out r=0,528. SWLS correlates opposite with Vital Exhaustion: r = - 366. Coherence and SWLS shows statistically significance correlation: r=0,455. Conclusion: Indicators apply nurses are in risk conditions. More focus on workplace satisfaction, psychosocial care and stress management training is essential. .]

Journal of Nursing Theory and Practice

The issue of social inclusion of the Roma minority in the Czech Republic from the viewpoint of the Model of the culturallyminded and adapted care


Objective: The aim of the research was to map out the area of social inclusion of the Roma minority according to the Model of culturally-minded and adapted care. Above all to find out the subjective opinion of the Roma on their lives in the Czech Republic, the distribution of family roles or the respect of Roma traditions and customs. Methods: Data collection was carried out using a quantitative survey, in the form of a non-standardised questionnaire. The research group consisted of 600 members of the Roma minority across the Czech Republic. Results: The results show that the Roma minority feels some intolerance, in some cases even discrimination from the majority of society. Although in a Roma family the traditional division of the roles of the mother - maternal role, the father - the family breadwinner persists, these roles change slightly depending on the style of family upbringing and cohabitation with the older generations. The life of a Roma according to Roma traditions and customs subsides slightly into the background. Younger and single Roma no longer follow traditions like their parents. Therefore, there is an obvious large influence from the majority of society towards the Roma minority. Conclusion: The Roma minority is a group of people with many specifics. To coexist with a majority society, therefore, there is a need for understanding and tolerance on both sides. For a better understanding of this minority, the conceptual model of the following authors J. N. Giger and R.E. Davidhizar can help us, as it complexly approaches the specific needs of an individual with a different culture or religion.

Journal of Nursing Theory and Practice

[A less known problem: Incontinence-Associated Dermatitis ]

KÓSZÓ Lilla, NAGY Erika, PAPP Anita Tímea

[Background: Incontinence-Associated Dermatitis (IAD) is a tissue integrity problem receiving more and more attention in the last 10 years. The number of incontinent patients is increasing. In this group IAD prevalence is high. In most cases patient sacquire IAD during their hospital care. However, diagnosis with IAD appears to be difficult due to its symptomal similarities with pressure ulcer, often leading to suboptimal nursing. Objectives: This rewiew is based on the latest studies and was written for nurses in order to clarify IAD definitions, causes and preventions, and therapial alternatives in Hungarian language. Results: The definition and the patomechanism of IAD is given. The study introduces the newest classification system, and the main points that help nurses in differentiating IAD from pressure ulcer. Prevention and therapy are also integral parts of thereview.]

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[Safe Handover - Opportunities to improve Patient Handover]

SINKA Lászlóné Adamik Erika, BÖCSKEI Anna, VASS Zsolt, GÖBÖLY Ágnes

[Mistakes, errors made in the patient handover process can result in severe outcomes, but with appropriate measures it is possible to decrease their numbers. Therefore, we considered it important to develop a methodology which would help us analysing our internal processes. Getting to know the current situation well provides the opportunity to implement those changes into our daily work which focus on the actual problems, and which could lead to measurable improvements in our everyday work processes. ]

Hypertension and nephrology

[About the care of patients with hyperuricaemia and gout]

[This consensus document is intended to provide guidance for the effective and efficient treatment of asymptomatic individuals with high uric acid levels and gout patients.]

Clinical Neuroscience

[The role of sleep in the relational memory processes ]

CSÁBI Eszter, ZÁMBÓ Ágnes, PROKECZ Lídia

[A growing body of evidence suggests that sleep plays an essential role in the consolidation of different memory systems, but less is known about the beneficial effect of sleep on relational memory processes and the recognition of emotional facial expressions, however, it is a fundamental cognitive skill in human everyday life. Thus, the study aims to investigate the effect of timing of learning and the role of sleep in relational memory processes. 84 young adults (average age: 22.36 (SD: 3.22), 21 male/63 female) participated in our study, divided into two groups: evening group and morning group indicating the time of learning. We used the face-name task to measure relational memory and facial expression recognition. There were two sessions for both groups: the immediate testing phase and the delayed retesting phase, separated by 24 hours. 84 young adults (average age: 22.36 (SD: 3.22), 21 male/63 female) participated in our study, divided into two groups: evening group and morning group indicating the time of learning. We used the face-name task to measure relational memory and facial expression recognition. There were two sessions for both groups: the immediate testing phase and the delayed retesting phase, separated by 24 hours. Our results suggest that the timing of learning and sleep plays an important role in the stabilizing process of memory representation to resist against forgetting.]

Lege Artis Medicinae

[Second game, 37th move and Fourth game 78th move]

VOKÓ Zoltán

[What has Go to do with making clinical decisions? One of the greatest intellectual challenges of bedside medicine is making decisions under uncertainty. Besides the psychological traps of traditionally intuitive and heuristic medical decision making, lack of information, scarce resources and characteristics of doctor-patient relationship contribute equally to this uncertainty. Formal, mathematical model based analysis of decisions used widely in developing clinical guidelines and in health technology assessment provides a good tool in theoretical terms to avoid pitfalls of intuitive decision making. Nevertheless it can be hardly used in individual situations and most physicians dislike it as well. This method, however, has its own limitations, especially while tailoring individual decisions, under inclusion of potential lack of input data used for calculations, or its large imprecision, and the low capability of the current mathematical models to represent the full complexity and variability of processes in complex systems. Nevertheless, clinical decision support systems can be helpful in the individual decision making of physicians if they are well integrated in the health information systems, and do not break down the physicians’ autonomy of making decisions. Classical decision support systems are knowledge based and rely on system of rules and problem specific algorithms. They are utilized widely from health administration to image processing. The current information revolution created the so-called artificial intelligence by machine learning methods, i.e. machines can learn indeed. This new generation of artificial intelligence is not based on particular system of rules but on neuronal networks teaching themselves by huge databases and general learning algorithms. This type of artificial intelligence outperforms humans already in certain fields like chess, Go, or aerial combat. Its development is full of challenges and threats, while it presents a technological breakthrough, which cannot be stopped and will transform our world. Its development and application has already started also in the healthcare. Health professionals must participate in this development to steer it into the right direction. Lee Sedol, 18-times Go world champion retired three years after his historical defeat from AlphaGo artificial intelligence, be­cause “Even if I become the No. 1, there is an entity that cannot be defeated”. It is our great luck that we do not need to compete or defeat it, we must ensure instead that it would be safe and trustworthy, and in collaboration with humans this entity would make healthcare more effective and efficient. ]