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ABSTRACT
Introduction: Performance assessment instrument will be problematic when it is not representative in describing the
competency because it is not obvious indicators and inappropriate performance standard to nursings task. The purpose of
this study is to develop nurses performance assessment instrument based on the web from multi sources assessment
inpatient unit at SMC Hospital. Methods: This study had two phases. The first phase was an explanatory overview of the
performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive
sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson
Product Moment Correlation and reliability of instruments was tested by alpha Cronbach. The second phase was
socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and
recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance
assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid
and reliable. The quality of nurses performance assessment instruments based on the web was a good category, which was
functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70. Results: The result was a
web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a
multisource evaluator, the development of performance graph, and confidentiality of data on the database server.
Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the
supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result.
Keywords: assessment instrument, nurses performance, web
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Jurnal Ners Vol. 12 No. 1 April 2017: 108-112
error manually. People nowadays use the Group Discussion (FGD). Validity was tested
internet to obtain information, it is supported by Pearson Product Moment Correlation and
by the development of mobile devices such as reliability was tested by Alpha Cronbach. The
tablets and smartphones which make people second round was socialization, mentoring,
easier to perform Web-based activities and testing of the instrument by the user from
(Richwandi 2015). the administrator, head of nurses, nurses, and
The concept of nurse performance patients. The final result of the instrument
assessment instrument using an approach is testing was evaluation instrument quality and
carried out by several sources. The assessment recommendation based on the evaluation.
using the web aims to protect confidentiality Sample and participant were selected by
and accessed restrictions reports. Graph of purposive sampling technique. The first round
performance assessment is expected to map of this study was selected 53 samples and 6
out the nurse work performance. The respondents for discussion. The second round
performance indicators in this research are was 47 samples and six respondents for
developed with basic competencies (behaviors discussion.
work and personal character) stated in
Government Regulation Number 46 of 2011, RESULTS
and professional performance standard of
Evaluation of the nurse performance
nurses in the patient satisfaction views
assessment system was conducted by using a
according to Nursalam (2014). Instruments
questionnaire to 53 sample of nurses in child
quality will be assessed by software standards
care unit, maternal care unit, ICU, NICU/
of ISO 9126. Validity and reliability of the
PICU, a maternity room, surgery room and
instrument are tested before it was put in the
newborn nursery unit. Thirty-one nurses
web application.
(58.49%) found had moderate performance, 20
nurses (37.74%) had good performance and 2
MATERIALS AND METHODS
nurses (3.77%) still had poor performance in
This research design was an explanative doing an assessment to patients. The
survey to describe nurses performance component of the assessment performance
assessment and construct a development of described in Table 1.
performance instrument used with Focus
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Development of Performance Assessment Instrument (Aprilia Nuryanti et.al)
Table 2. Quality Value of Nurses Performance Assessment Instrument based on the web (N=47)
No Component Categories Total
Good Moderate Poor f (%)
f (%) f (%) f (%)
1 Functionality 38 (80,85) 9 (19,15) 0 47 (100)
2 Realiability 30 (63,83) 17 (36,17) 0 47 (100)
3 Usability 35 (74,47) 12 (25,53) 0 47 (100)
4 Efficiency 33 (70,21) 14 (29,79) 0 47 (100)
5 Portability 34 (72,34) 13 (27,66) 0 47 (100)
Focus group discussion was conducted moderate category. The most contributing
by the policy makers to discuss the issue and proportion of satisfaction with the system was
make recommendations for the development good. The source of the assessment methods
of the instrument. Validity and reliabilitys was self-assessment supervisor (SA-PA).
instrument content tested, either the institution Performance evaluation practices have a
evaluation or the patient assessment, showed positive influence on employee performance
valid and reliable for all questions. (Gyensare & Asare 2012).
In the second round, socialization and Development of instruments in this
mentoring during instrument testing in the study was the structure of the instrument and
adult patient unit 1, 2 and 3, conducted by the the content of the assessment criteria. One of
researcher to help user system, provide manual the main parts of the implementation was
book user for the instrument based on the web, performance measurement. It was influenced
provide contact number which can be reached by factors such as perspective assessment of
anytime if facing obstacles. During the trial, if decision makers, data source, the focus of
an error occurred, the researcher would measurement, the achievement of development
communicate to the web developer for targets, types of indicator, data and
instrument recovering. investigation types. Performance assessment
The instrument was applied to 47 users using this web allows structures to start
(1 administrator, 3 nurse unit managers, 29 measurement and qualitative types of indicator
nurses and 14 patients). The result for all that provide a view of the professional
quality indicators was good with the behavior performance of nurses, the
functionality (81.60); reliability (78.16); development of each work behavior
efficiency (80.85); usability (81.70), and assessment indicator can be used as a material
portability (81.70). FGD conducted by users for the supervisor to supervise its nurse
did observe the evaluation during the subordinates. The data type uses a Likert scale
instrument trial and made recommendations (1-5), which allows comparing the
for its further development. measurement values with the numerator and
The development of nurses performance denominator defined. Three of the eight stages
assessment instrument was basic competencies performance assessment according to Olabode
assessment indicator. The scoring system was et al. (2013) can be provided by a web-based
originally used 1a, 1b, 2a, 2b, 3a, 3b, 4a and performance assessment instruments: 1)
4b (score 1-8) with a maximum value of the Ratings. This stage involves documenting the
acquisition of 8, while the development of performance by observing, reminding,
instrument using a Likert scale with scoring evaluating, communicating, assessment and
(1-5) according to the indicator denominator. analysis of data. This stage is putting together
SA-PA assessor source was developed with a record of votes. The information technology-
peer and patient assessment rating. The based applications usage enables the
database was provided safely on the server. acceleration of the conventional paper-based
The web-based instrument could be modified assessment and mathematical calculation
according to hospital needs. performance score manually; 2) Feedback.
After the stage of formal assessment, feedback
DISCUSSION sessions is done as willingness. This session
The majority of evaluation of the should involve verbal communication,
performance assessment system was a listening, problem-solving, negotiation,
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Jurnal Ners Vol. 12 No. 1 April 2017: 108-112
compromising, conflict resolution, and from head, peer and patients were valid and
agreement; 3) Decision-making. Results of the reliable; 4) Socialization and mentoring to
assessment and feedback will lead many users of instrument was based on the web
decisions made for example of the award during trial and there was manual book for
(promotions, incentives, etc.) and penalties application users; 5) Nurse performance
(e.g., demotion). assessment instrument was based on web
Web quality assessment instruments assessed by all user levels (admin, head of the
indicators are functionality, reliability, nurse, nurses, and patients), they showed good
efficiency, usability, and portability. Good was category for all indicators (functionality,
the highest percentages of functionality (web reliability, efficiency, usability dan portability)
capability assessment of performance in 6) FGD with users made recommendations
meeting user needs in its function to measure that needed socialization and training
the performance of nurses). The concept of the performance assessment instrument user who
instrument characteristics was in accordance was specifically set by hospital, the
with the characteristics of software quality by registration should be done independently by
ISO 9126 (International Organization for entering nurses email which managed by
Standardization), in this study are based administrator. In developing the content of
assessment from the point of view (user's assessment indicators, they did similar
view). Functionality is the ability to provide additional indicators with technical
the satisfaction of user needs. Reliability is the competence assessment.
ability of the software to treat level of Recommendations of this study for the
performance. Usability is the ability associated hospital is to invest in IT engineering, and also
with the use of the software. Efficiency is the it should involve another profession (doctor,
ability associated with physical resources that physiotherapist, nutritionist, etc.) as an
are used when the software is run. Portability assessor, makes policies about the final score
is the ability associated with software of nurse assessment from multi-sources and
capabilities that are sent to different increase internet network bandwidth in the
environments. An instrument is a tool or a hospital. For managers and nursing committee,
means by which to measure the level of they should formulate a fair scoring in the
scientific work, official documents and legal assessment of the nurse's performance. For the
form, can be used for research tools and results head nurse, they should continue motivating
of data collection used as an ingredient in nurses in using the web to provide its
achieving objectives or specific policy. assessment evaluation instrument for the next
development. For further research should
CONCLUSIONS develop the web with quantitative indicators
for nurses assessment.
The conclusion of this study 1) Nurses
performance assessment system in SMC
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