Framework RN Peer Tool for Annual Evaluation: Professional Relationships Peer feedback for (RN name): Directions: Evaluatee to send behavior portions to peers who you would like feedback from Clinical Skills and Knowledge is to be completed by another RN Peers should indicate within the last column the level they feel is appropriate for the Evaluatee on each row are encouraged to support their views with concrete examples should complete the peer review within 7 Days and return electronically to the Manager/Designee and Evaluatee DOMAIN: Professional Relationships: An intentional interactive relationship with the health care team that is marked by mutual regard, and active engagement. A C D E Peer should designate appropriate level below Collaboration with the Health Care Team Recognizes role of each member of the health care team Aware of importance of team collaboration and with guidance begins to initiate collaborative communication. Initiates referrals Recognizes the impact of one’s behavior on others Initiates, recognizes and values professional collaborative communication and the positive effect on patient outcomes Identifies and utilizes collaborative resources. Monitors referrals Is sought out by members of the health care team. Frequently initiates consults with health care team Actively collaborates with health professionals in delivering care Recognizes need and calls for team conference Acts as resource to nursing and health care team Through shared values and a professional identity, demonstrates and role models an interdisciplinary collaborative approach to patient care Participates and/or leads team care conference. Valuing Teams/Teamwork Identifies self as member of nursing and health care teams Begins to generate trust, respect, and compassion within the workgroup Takes responsibility for developing beginning team relationships Seeks assistance with resolving conflict Meets professional commitments consistently Functions as an independent and supportive team member Provides assistance to others Demonstrates empathy and compassion in interactions with team members Approaches conflict situations in a constructive manner Fosters mutual regard, respect, and Demonstrates flexibility Creates conditions and relationships that promote creative, innovative, and positive processes and outcomes Role models behaviors that demonstrate compassion and caring Fosters other’s development of Demonstrates team values that orient people to care performance and success of others Recognizes of conflict in individual and organization learning and growth
Asks for and accepts help when needed Acknowledges when conflict exists conflict resolution skills Demonstrates active engagement to enhance patient care and promote a positive workplace Valuing of Diversity in Team of and values diversity in all members of the health care team Recognizes own biases and begins to demonstrate empathy as a member of the health care team to learn about and optimize the unique contribution inherent in the diversity and culture of each individual on the health care team. Role models and helps to establish group norms that promote valuing of all health care team members Depends on diversity of workforce to enrich and build great places to work. Delegation Functions as part of nursing team; able to describe and begin to use 5 Rights of Delegation when delegating to UAP: - Right task - Right circumstances - Right person - Right communication - Right supervision and Evaluation Recognizes value of nurse-to-nurse delegation Readily able to delegate to UAP according to the 5 Rights of Delegation. Facilitates continuity of care and nursing workflow through nurse-to-nurse delegation. Recognizes and values interdependent relationships. Recognizes strengths of other team members that would benefit the patient and the team—aligns skill sets of individual nurses/UAP to specific patients Successfully organizes and coordinates multiple activities, requests, and needs Develops work process that maximize team work Adaptable, flexible, and consistently effective in delegation Demonstrates foresight in anticipating and planning to meet patient and family concerns Please describe a time when you saw me at my very best. What qualities did I display in this domain? Please provide your regarding opportunities for my personal and/or professional growth