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Clinical Governance, Performance Appraisal and Interactional and Procedural Fairness at a New Zealand Public Hospital

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  • Carol Clarke
  • Mark Harcourt
  • Matthew Flynn

Abstract

This paper explores the conduct of performance appraisals of nurses in a New Zealand hospital, and how fairness is perceived in such appraisals. In the health sector, performance appraisals of medical staff play a key role in implementing clinical governance, which, in turn, is critical to containing health care costs and ensuring quality patient care. Effective appraisals depend on employees perceiving their own appraisals to be fair both in terms of procedure and interaction with their respective appraiser. We examine qualitative data from interviews and focus groups, involving 22 nurses in a single department, to determine whether perceived injustices impact on the effective implementation of the appraisal system. Our results suggest that particular issues had been causing some sense of injustice, and most of these were procedural. Potential solutions focus on greater formalisation of the performance appraisal process, and more training for appraisers and appraisees. Copyright Springer Science+Business Media Dordrecht 2013

Suggested Citation

  • Carol Clarke & Mark Harcourt & Matthew Flynn, 2013. "Clinical Governance, Performance Appraisal and Interactional and Procedural Fairness at a New Zealand Public Hospital," Journal of Business Ethics, Springer, vol. 117(3), pages 667-678, October.
    • Handle: RePEc:kap:jbuset:v:117:y:2013:i:3:p:667-678
    DOI: 10.1007/s10551-012-1550-9
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    Citations

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    Cited by:

    1. Jonathan Farrar & Steven E. Kaplan & Linda Thorne, 2019. "The Effect of Interactional Fairness and Detection on Taxpayers’ Compliance Intentions," Journal of Business Ethics, Springer, vol. 154(1), pages 167-180, January.
    2. Professor. Nader Abu Shiekhah & Assistant Professor. Nael Sarhan & Associate Professor. Muneer Abbad & Rasha M. S. Istaiteyeh, 2015. "The Impact of Personal Characteristics and Employees Perception towards the Objectivity of Performance Appraisal," Business and Economic Research, Macrothink Institute, vol. 5(2), pages 170-190, December.
    3. Margaret Brunton, 2017. "Risking the Sustainability of the Public Health System: Ethical Conundrums and Ideologically Embedded Reform," Journal of Business Ethics, Springer, vol. 142(4), pages 719-734, June.

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