Assessing the Relative Performance of Nurses Using Data Envelopment Analysis Matrix (DEAM)


Assessing employee performance is one of the most important issue in healthcare management services. Because of their direct relationship with patients, nurses are also the most influential hospital staff who play a vital role in providing healthcare services. In this paper, a novel Data Envelopment Analysis Matrix (DEAM) approach is proposed for assessing the performance of nurses based on relative efficiency. The proposed model consists of five input variables (including type of employment, work experience, training hours, working hours and overtime hours) and eight output variables (the outputs are amount of hours each nurse spend on each of the eight activities including documentation, medical instructions, wound care and patient drainage, laboratory sampling, assessment and control care, follow-up and counseling and para-clinical measures, attendance during visiting and discharge suction) have been tested on 30 nurses from the heart department of a hospital in Iran. After determining the relative efficiency of each nurse based on the DEA model, the nurses’ performance were evaluated in a DEAM format. As results the nurses were divided into four groups; superstars, potential stars, those who are needed to be trained effectively and question marks. Finally, based on the proposed approach, we have drawn some recommendations to policy makers in order to improve and maintain the performance of each of these groups. The proposed approach provides a practical framework for hospital managers so that they can assess the relative efficiency of nurses, plan and take steps to improve the quality of healthcare delivery.

Publication DOI:
Divisions: College of Business and Social Sciences > Aston Business School > Operations & Information Management
College of Business and Social Sciences > Aston Business School
Additional Information: © 2018 Springer Publishing. This is a post-peer-review, pre-copyedited version of an article published in Journal of Medical Systems. The final authenticated version is available online at:
Uncontrolled Keywords: Data Envelopment Analysis ,Data Envelopment Analysis Matrix ,Healthcare services ,Performance assessment ,Relative efficiency of nurses
Publication ISSN: 1573-689X
Last Modified: 16 Apr 2024 07:14
Date Deposited: 20 Aug 2018 07:33
Full Text Link:
Related URLs: https://link.sp ... 0916-018-0974-x (Publisher URL)
PURE Output Type: Article
Published Date: 2018-07-01
Published Online Date: 2018-05-31
Accepted Date: 2018-05-18
Authors: Vafaee Najar, Ali
Pooya, Alireza
Alizadeh Zoeram, Ali
Emrouznejad, Ali (ORCID Profile 0000-0001-8094-4244)



Version: Accepted Version

| Preview

Export / Share Citation


Additional statistics for this record