A revision of a job evaluation system

Area of Science:

• Healthcare Management
• Nursing Administration
• Job Evaluation Systems

Background:

• The UK's National Health Service (NHS) Job Evaluation System was developed in 2003-2004.
• Previous research primarily focused on system implementation, not factor proficiency.
• A gap existed in evaluating the system's factors and level definitions.

Purpose of the Study:

• To revise the NHS Job Evaluation System.
• To test the revised system's applicability in Turkish hospitals.
• To assess the system's performance in evaluating clinical nursing management roles.

Main Methods:

• The original system's factors (Knowledge, Training & Experience, Working Conditions) were redefined into five factors: Knowledge, Experience, Education, Environmental Conditions, and Hazards.
• A factor-based questionnaire was developed, incorporating demographic information and 19 variables.
• The revised system was applied to eight clinical nursing management jobs across four Turkish hospitals, with 57 supervisor nurses participating in 2005.

Main Results:

• Job scores varied significantly based on clinical settings.
• The revised system produced a broader score range (363-586 points) compared to the original NHS system's bands (VI-VII).
• The evaluated jobs spanned from band V to band VIIIa, indicating a wider distribution than initially anticipated.

Conclusions:

• The revised NHS Job Evaluation System demonstrated adaptability in a Turkish healthcare context.
• The study suggests the need for two new job classifications within the NHS system to accurately represent roles in intensive care and emergency units.
• Further research is recommended to refine the system for diverse clinical nursing management positions.