Performance Appraisal Format for Nursing Faculty

PERFORMANCE APPRAISAL: NURSING FACULTY

I. GENERAL INFORMATION

• Faculty Name: [___________________________]
• Employee ID: [___________________________]
• Department/School: [___________________________]
• Academic Rank: [___________________________]
• Appraisal Period: From [//] to [//]
• Evaluator Name & Title: [___________________________]
• Date of Appraisal Meeting: [//____]

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II. PERFORMANCE CATEGORIES Please rate each category on a scale of 1 to 5 (1=Unsatisfactory, 2=Needs Improvement, 3=Meets Expectations, 4=Exceeds Expectations, 5=Outstanding).

1. Teaching & Pedagogy

• Effectiveness in classroom and clinical instruction.
• Development of evidence-based nursing curricula.
• Utilization of simulation and modern clinical technologies.
• Rating: [_____] | Comments: [___________________________________________]

2. Clinical Competence & Practice

• Maintenance of active nursing licensure and certifications.
• Integration of current clinical research into nursing practice.
• Supervision and safety standards in clinical rotations.
• Rating: [_____] | Comments: [___________________________________________]

3. Scholarship & Research

• Quality and frequency of peer-reviewed publications.
• Grant writing success and involvement in funded research.
• Dissemination of findings at professional conferences.
• Rating: [_____] | Comments: [___________________________________________]

4. Service & Professional Engagement

• Participation in faculty committees and institutional governance.
• Mentorship of nursing students and junior faculty.
• Engagement with external professional nursing organizations.
• Rating: [_____] | Comments: [___________________________________________]

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III. GOAL SETTING (UPCOMING PERIOD)

• Objective 1: [_________________________________________________________]
• Objective 2: [_________________________________________________________]
• Objective 3: [_________________________________________________________]

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IV. SUMMARY & DEVELOPMENTAL PLAN

• Overall Performance Summary: [__________________________________________________________________________]
• Identified Training/Professional Development Needs: [__________________________________________________________________________]
• Required Resources/Support: [__________________________________________________________________________]

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V. FORMAL ACKNOWLEDGMENT

By signing below, the parties confirm that this performance appraisal has been discussed in detail. The employee’s signature acknowledges receipt of this document and does not necessarily indicate agreement with the content.

Evaluator Signature: ___________________________ Date: [//__] Printed Name: [_________________________]

Faculty Member Signature: ___________________________ Date: [//__] Printed Name: [_________________________]

Department Head/Dean Signature: ___________________________ Date: [//__] Printed Name: [_________________________]

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Confidentiality Notice: This document contains sensitive personnel information and must be filed in accordance with institutional human resources policies and relevant privacy laws (e.g., FERPA, HIPAA where applicable).

Template Document: Performance Appraisal Format for Nursing Faculty

• Purpose: This standard operating procedure establishes a structured evaluation process for nursing faculty performance across teaching, clinical practice, research, and service.
• Scope: This procedure applies to all full time and part time nursing faculty members and department administrators within the nursing school.
• Document owner: [Department Chair]
• Effective date: [Date]
• Version: [Version number]
• Applies to: [Nursing Faculty and Evaluators]

Roles and responsibilities

Procedure

1. Initiate the appraisal cycle by notifying the faculty member of the upcoming review period by [Date]. (Responsible: Evaluator)
2. Compile teaching portfolios, clinical logs, research publications, and service records into [Portfolio System]. (Responsible: Faculty Member)
3. Conduct a peer observation of classroom or clinical teaching and submit the observation report to [Evaluator Name]. (Responsible: Peer Reviewer)
4. Complete initial scoring across all four performance categories using the rubric scale from [Number] to [Number]. (Responsible: Evaluator)
5. Schedule the formal appraisal meeting to discuss performance ratings at [Location or Room] by [Date]. (Responsible: Evaluator)
6. Meet with the faculty member to review ratings, discuss professional development goals, and sign the draft document. (Responsible: Evaluator)
7. Submit any written comments or disagreements regarding the appraisal score within [Number] days of the meeting. (Responsible: Faculty Member)
8. Finalize the appraisal document and route it to the department chair for administrative review and signature. (Responsible: Evaluator)
9. Archive the completed and signed performance appraisal document within the secure faculty records database at [Database Name]. (Responsible: Department Chair)

Records and revision

• Prepared by: [Full name]
• Reviewed by: [Full name]
• Date completed: [Date]
• Signature: ______________________
• Date signed: [Date]