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Nursing Peer Feedback (Leadership and Support, LBJ)

1.Please select name of employee being evaluated(Required.)
2.Consider the evidence statements for each competency area
and the extent to which the employee demonstrates the
evidence as a whole. Please select rating for each assessment
below:(Required.)
1-Does Not
Meet
Expectations
2-Somewhat
Meets
Expectations
3-Meets
Expectations
4-
Somewhat
Exceeds
Expectation
5-Exceeds
Expectations
Assures
departmental
plans are
consistent with
Harris Health
System,
Nursing
Service, and
pavilion
strategic
initiatives and
supports
attainment of
identified
supporting
goals.
Actively
participates in
and supports
programs and
activities that
foster personal
and
professional
development
including but
not limited to
communities of
practice,
committee
work, policy /
procedure
development
and
implementation,
and quality and
patient safety
initiatives.
Role models
effective
communication,
conflict
management,
problem
identification
and solving,
negotiation,
change
management
and leadership
skills
3.Please list three (3) strengths:(Required.)
4.Please list three (3) areas for improvement:(Required.)
5.Additional Comments:
6.Please select name of person completing assessment
evaluator (YOU):(Required.)