Developing A Performance Appraisal Scoring System for Nurse Clinical Instructors Using Mogan and Warbinek Observation Tool

The purpose of was to develop a performance appraisal scoring system for nurse clinical instructor in the Faculty of Nursing,Cairo University .The sample of the study consisted of 34 clinical instructors. They were divided into four groups ;namely appointed (B.Sc. holder) and those enrolled in the Master's degree program(1st 2nd and 3rd semester, constitute second ,third and fourth group respectively). Tools utilized to collect data were divided into two main parts. Part one; a questionnaire sheet was used to collect demographic data of the clinical instructors. The Observation of Nursing Teacher in Clinical Setting (ONTICS) sheet developed by Mogan and Warbinek in 1994 constituted part two. Its main purpose was to observe the clinical setting through nine categories namely: questioning method, responding style, method of giving feedback teaching skill, method of demonstration, interaction with patient\family, interaction with health team, undesirable teaching behavior and undesirable questioning\ responding method. Results of the study revealed that the mean score of clinical performance of level of performance while working with the student nurses in the clinical area. The findings indicated significant relations between some of the nine categories of the clinical performance and demographic variables of the study, Specially sounded to be the most significant variable affecting the clinical instructors' performance. It was significantly related to most of the performance categories. Such categories were, "Method of giving feedback" (F=4.1700, p<0,01), "Interaction with health team" (F=5.8990, p<0,01) ," Interaction with patient\family"(F=2.7840, p<0,05), avoiding "undesirable teaching behavior" (F=5.8520, p<0,01) and "undesirable questioning\responding "(F=6.2180, p<0,01). Next to specialty were years of experience and level of education, which were significantly related to "questioning method" (F=21.1880, p<0,000, F=5.7644, p<0,01, respectively) and "Interaction with health team" (F=3.9512, p<0,05, (F=3.2814, p<0,05, respectively) Furthermore, clinical instructors who were placed in different specialties according to their graduation score and with their own choice had higher performance scores( mean 58.2±3.4) than those were placed according to their graduation score only (mean 50.3±4.9) with a t-test 5.6,p=