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Background: Performance evaluation is a continuous process. In nursing, clinical performance encompasses more than just cognitive skills; it also requires skills from affective and psychomotor domains. The aim of this study was to evaluate the staff performance that had been trained within an environment of "everything is new to everyone." Methods: A comparative descriptive study was conducted on 113 nurse graduates with 33 head nurses as first evaluator, and seven nurse managers as second evaluator. The instrument used is consisted of 33 items with six domains of performance: punctuality, physical appearance, attitude and commitment to work, service excellence, positive relationship & communication skills, and leadership skills; together with three sets of open-ended structured questions. Results: Eighty six (76.10%) graduates were rated as "excellent" and 20 (17.69%) were rated as "very good". Thus, 106 (93.8%) of the nurse graduates had performed well if the two groups "excellent" and " very good" were to be put together as one. Conclusion: The performance evaluations by both evaluators were found to be consistent meanwhile personal qualities such as wisdom and reflection were found to be important in determining an erratic staff performance evaluation

Background: Maternal mortality reduction remains a world health priority. One of the causes of maternal death is bleeding after childbirth. However, little is known regarding barriers to reporting for postpartum hemorrhage care among postnatal women in Nigeria. Objective: This research aimed to understand the perceived barriers to reporting postpartum hemorrhage care experienced by women and healthcare workers in Birnin Kebbi, North west-Nigeria. Methods: Qualitative case research was employed in this study with face-to-face interviews among ten postnatal women who experienced bleeding and six healthcare workers. Data were collected from September to November 2021. The interviews were all audio-taped, transcribed verbatim, and analyzed using thematic analysis. NVivo Pro Version 12 was applied to organize further and manage the data. Results: Six themes were developed: (1) knowledge deficit, (2) poor attitudes, behaviors, and performances, (3) low socioeconomic status, (4) lack of healthcare personnel, (5) cultural norms, and (6) lack of access to healthcare facilities. Conclusion: The study findings might serve as input for healthcare policymakers and healthcare workers to improve health and reduce maternal mortality. Enhancing knowledge and awareness about reporting process is necessary to improve reporting for postpartum hemorrhage care among women. Training and continuous professional development of health care workers are also highly suggested to enhance the quality of care.