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Email: [email protected]
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ÏÍ Ʊřźƿř ƽŹŚŤſźě ƶƿźƄƳ
ÎÐÕÕ ƵŚƯŶƴƠſř / ÓÏ ƵŹŚưƃ /ÏÏ ƵŹƹŵ
Iran Journal of Nursing (IJN)
2010, 22(62):8-21
The Effect of Peer Review Evaluation on Quality of Nurse's
Performance and Patient's Satisfaction
Ghamari-Zareh, Z MSc1
* Anoosheh, M PhD2
3
Hagi Zadeh, E PhD4
Vanaki, Z PhD
Abstract
Background and Aim: Nurses as the biggest group of caregivers provide patients with continuous
caring services. The effect of these services on health care quality and also, patient's satisfaction is
obvious. Regarding the key role nurse play in health care team, it is up to the manager to plan for
improving nurse's knowledge and practical skills. Peer review process is seen as an approach of authority
delegation by managers for nursing quality assurance. The aim of the study was to examine the effect of
peer review process on quality of nurse's performance and patient satisfaction in cardiac care units in
governmental hospitals located in the city Arak, Iran.
Material and Method: This was a quasi-experimental study in which four cardiac units (CCU and
PCCU) in two governmental hospitals in Arak city were selected as the study environment. The staff
nurses of two units with higher number of nurses (n= 25) were selected as experimental group and the
nurses of the other two units (n= 19) were selected as control group. The study tools were the quality of
nurse's performance checklists and patient satisfaction questionnaire. Before intervention, checklists of
quality of nurse performance were completed by co-researcher based on nursing care observations in
every group. The patient satisfaction checklists (35 checklists) were completed by patients or by the
interview. After the intervention (2 months duration) and supervision by the researcher without any
intervention (1 months duration), the study tools were completed again for every group.
Results: Both groups were similar in terms of their demographics (age, years of study, the level of
living welfare, and…). Chi-square and paired t-test did not show any statistically significant difference
between two groups, before and after the intervention. Also, there was not found any statistical significant
relationship between nurse's demographic variables and their performance. There was a statistically
significant relationship between patients’ satisfaction and their age and level of living welfare in control
group before the intervention and the same was true for patients’ satisfaction and their level of living
welfare in experimental group after the intervention. Mann-whitney U test showed a statistically
significant difference for quality of nurse's performance between two groups after the intervention (P <
0.001). Also, there was a statistically significant difference in patient's satisfaction between two groups
after the intervention (P < 0.001).
Conclusion: The results of the study showed that the peer review process has effects on quality of
nurse's performance and patient's satisfaction.
Keywords: Peer review evaluation - Quality of nurse's performance - Patient's
satisfaction.
Received: 22 Oct, 2008
Accepted: 18 Jan, 2010
This article has been excerpted from a dissertation
1
Msc Graduate in Nursing, Tarbiat Modares University, Tehran, Iran
2
Associate professor, Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran,
Iran (*Corresponding Author) Tel: 02182883813
Email:[email protected]
3
Associate professor, Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran,
Iran
4
Associate professor, Biostatistics Department, Faculty of Medical Sciences, Tarbiat Modares University,
Tehran, Iran
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