This appraisal includes feedback and a performance rating by both the peer group and the manager. The appraisal also includes a self-assessment and performance plan by the nurse, who completes a portfolio that provides examples of the implementation of clinical guidelines, patient outcomes, and documentation. The portfolio includes goals set by the nurse and an action plan for accomplishing these as well. The peer group reviews this portfolio and confers with the nurse. The group uses methods of inquiry to stimulate a discussion of the quality of the nurse's professional practice.
Peers give feedback to the individual nurse and rate performance.
The nurse rates her own performance using the same tool as the peers and manager. The nurse and the manager meet to discuss performance and review the portfolio. The manager then rates the nurse's performance. The final rating is reached by averaging the rating of the peers, the nurse, and the manager. Each nurse completes her competency portfolio requirement throughout the year using the TEAM concept.