Question

What is the purpose of performance appraisals?

How would you measure a nurse’s productivity?

Discuss the multiple forms that violence can take within the workplace. Why is violence prevalent in a health care environment?

Answer 1

# Performal appraisal is the evaluation or assessment of the work done of the employees. Performance appraisal evaluates the skills, performance and growth the employees through various tools. Performance appraisal is important to identify and determine the overall contribution of an individual towards the growth and development of the organisation.
Performance appraisal also helps identify those that did not show any improvement or growth and did not prove beneficial for organisation.
Performance appraisal is usually carried out by the team manager. The rewards or awards given to the employees are based on performance appraisal.
# A nurse is a very important part of healthcare team and provides services to care for the patient. It is important to evaluate and measure nurse's productivity. Some of the common methods to measure nurse productivity are:

- counting the number of working hours for the nurse to patients per day.
- evaluating the nurse's adherence to standards of care.
- patient feedback also helps evaluate the nurse performance and help measure her productivity.
- evaluation of how efficiently the nurse delivers care to the patient also helps measure the nurse productivity.
- evaluation of how efficiently the nurse uses the available resources also help measure nurse productivity.
# Violence at workplace can take place either between the employees or client and the employees. Violence can be verbal or physical. Verbal violence often includes use of abusive language, life threats, sexual harassment, bullying, gender inequality.   
Physical violence mostly occurs in the form of assault.
Some of the factors causing violence in healthcare environment are :

- stress : patients and the family are often stressed due to disease or loss of the loved one which often results in blaming of the healthcare workers and violence.
- Overload and work stress : as healthcare workers constantly work under pressure and are overworked, high pressure often results in violence.
- patients with psychiatric diseases are often agitated and aggressive resulting in violence.
- dispute among the family members also results in violence sometimes.
- disagreement between the healthcare workers and the patient and his family can also result in violence.
- lack of training of the employees to de-escalate the issues can lead to violence.
- unrestricted public access to the healthcare also results in violence.