The face-to-face performance review is one part of performance management. Observing an employee, and then sitting down to discuss areas of strength and need is intended to produce constructive outcomes. Yet, too frequently, the reality falls far short. When considering performance reviews, “positive” or “negative” does not refer to the substantive evaluation but to how the information is presented and discussed. For example, in a “positive” performance review, negative information is not avoided and, significantly, not communicated in a punitive way or as a reflection on employee character. Rather, negative information is detailed as an opportunity for improvement. POST THE FOLLOWING: A brief description of factors that contribute to generating fear in employee performance reviews in a healthcare setting. Include examples from your own experience, and/or those of colleagues and other acquaintances, of positive or negative performance reviews. Explain strategies to eliminate fear and to develop and implement constructive reviews that improve performance. Support your post with the Learning Resources or current literature. For this Discussion, you will reflect on circumstances and behaviors that can lead performance reviews awry, and how to support a review process with constructive outcomes.