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. Peer should designate A C D E appropriate level below Collaboration with the Health Care Team Recognizes role of Initiates, recognizes Is sought out by Through shared each member of the and values members of the values and a health care team professional health care professional identity, Aware of importance collaborative team. demonstrates and of team collaboration communication and Frequently initiates role models an and with guidance the positive effect on consults with health interdisciplinary begins to initiate patient outcomes care team collaborative collaborative Identifies and utilizes Actively collaborates approach to patient communication. collaborative with health care Initiates referrals resources. professionals in Participates and/or Recognizes the impact Monitors referrals delivering care leads team care of one’s behavior on Recognizes need and conference. others calls for team conference Acts as resource to nursing and health care team Valuing Teams/Teamwork Identifies self as Functions as an Fosters mutual regard, Demonstrates team member of nursing independent and respect, and values that orient and health care teams supportive team Demonstrates people to care Begins to generate member flexibility performance and trust, respect, and Provides assistance to Creates conditions and success of others compassion within the others relationships that Recognizes of workgroup Demonstrates promote creative, conflict in individual Takes responsibility for empathy and innovative, and and organization developing beginning compassion in positive processes and learning and growth team relationships interactions with team outcomes Seeks assistance with members Role models behaviors resolving conflict Approaches conflict that demonstrate Meets professional situations in a compassion and caring commitments constructive manner Fosters other’s consistently development of
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
rn_Framework_Peer_Feedback_Professional_Relationships.docx