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Introduction Most top multi-level and multi-nation organizations have performance appraisals as their essential factors in order to achieve goals (Shahriari,, et al. 2013). These performance appraisals are in line to ensure that competent staff are selected and trained to meet the mission of the organization. The key customers of the organization are also taken into consideration to assess employee strength and weaknesses (Shahriari,, et al. 2013). As per recent norms, nurses should be held responsible for any deficient in the healthcare system with respect to any setting. Furthermore, nurses in hospitals are also responsible for the overall patient outcomes ...