Nurses’ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study


  • Aisyah Supri Hasanuddin University
  • Rini Rachmawaty Universitas Hasanudin
  • Syahrul Syahrul Universitas Hasanudin



Clinical authority, hospital information system, nursing management, nurse performance assessment, nursing staff


Background: One of nursing management functions is organizing nursing staff through assessing their working performances. Managing nursing staff in order to improve their working performance is vital. Thus, it needs to be well-designed to meet the patients’ expectation on health care quality. Nurses’ performance is defined as the action, achievement, or fulfillment of nurses’ responsibilities based on their tasks that have been assigned to them.

Purpose: The aim of this study was to describe the nurses’ performance assessment and the nurse activities based on nursing clinical authority at the Dr. Wahidin Sudirohusodo hospital Makassar.

Methods: This research is a qualitative descriptive study. Data were gathered from Focus Group Discussion (FGD), individual interviews, and document analysis.

Results: The study results showed that generally the assessment of the nurses’ performances at the Dr. Wahidin Sudirohusodo hospital has been conducted since 2015. However, there were still some areas that need to be improved, such as the quantity indicator assessment that is currently not developed based on the nursing clinical authority. In fact, the assessment of nurses' performance for quantity indicators should be adjusted to the nursing clinical authority that has been assigned to them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter.

Conclusion: The assessment of nurses’ performance should be adhered to the nursing clinical authority and it is better if hospital managers may synchronize the nursing clinical authority with the online nursing logbook provided in the Hospital Information System


Download data is not yet available.


Aiken, L., Cimioti, J., Sloane, D., Smith, H., Flynn, L., & Neff, D. F. (2011). Effects of nurse staffing and nurse education on paitent deaths in hospitals with differnt nurse work environment. Medical Care, 49(12), 1047–1053.
Bonenberger, M., Aikins, M., Akweongo, P., & Wyss, K. (2014). The effects of health worker motivation and job satisfaction on turnover intention in Ghana?: a cross-sectional study. Human Resources For Health, 1–12.
Gillet, N., Colombat, P., Michinov, E., Pronost, A., & Fouquereau, E. (2013). Procedural justice, supervisor autonomy support, work satisfaction, organizational identification and job performance: the mediating role of need satisfaction and perceived organizational support. Journal Of Advance Nursing.
Huber, D. L. (2010). Leadership and Nursing Care Management. Saunders Elsevier (Vol. Fourth Edi).
Joint Commission International. (2017). Standar Akreditasi Rumah Sakit Joint Commission International, Termasuk Standar Untuk Rumah Sakit Pendidikan. PT. Trans Medical International, Jakarta pusat.
KARS. (2017). Standar Nasional Akreditasi Rumah Sakit Edisi 1.
Landrigan, C. P., Parry, G. J., Bones, C. B., Hackbarth, A. D., Goldmann, D. A., & Sharek, P. J. (2010). Temporal Trends in Rates of Patient Harm Resulting from Medical Care. New England Journal of Medicine, 363(22), 2124–2134.
Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan., Pub. L. No. 49, 1 (2013). Jakarta, Indonesia.
Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia, Pub. L. No. 56 (2014). jakarta, Indonesia.
Menteri Pemberdayagunaan Aparatur Negara Dan Reformasi Birokrasi. Peraturan Menteri Pemberdayagunaan Aparatur Negara Dan Reformasi Birokrasi Republik Indonesia., Pub. L. No. 25 (2014). Jakarta, Indonesia.
Needleman, J., Dittus, R. S., Pittman, P., Spetz, J., & Newhouse, R. (2014). Nurse credentialing research frameworks and perspectives for assessing a research agenda.
Nikpeyma, N., Saeedi, Z. A., Azargashb, E., & Majd, H. A. (2014). Problems of Clinical Nurse Performance Appraisal System?: A Qualitative Study. Asian Nursing Research., 8.
PPNI Prov.Sulawesi Selatan, Fakultas Keperawatan Universitas Hasanuddin, RSP Universitas Hasanuddin, & RSUP Dr. Wahidin Sudirohusodo. (2018). Buku Putih 33 Area Keperawatan (RS Universitas Hasanuddin & RSUP Dr. Sudirohusodo). Makassar-Sulawesi Selatan: PT Isam Cahaya Indonesia.
Rachmawaty, R. (2015). The Development Of The Electronic Nursing Record System (ENRS) In The Hospital Setting: An Integrative Literature Review. American Journal of Health Sciences., 6(1), 1–6.
Samson, R. (2009). Leadership And Management in Nursing Practice and Education. New Delhi: Jaypee Brothers Medical Publisher (P) Ltd.
Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and safety: The QSEN competencies redefine nurses’ roles in practice. Journal of Nursing Administration, 44(10), 15–22.
Wang, J., & Grossman, H. T. (2006). Electronic Versus Paper-Based Nursing documentation Systems: The Cargivers Weight In.
Zhang, Z. X., Luk, W., Arthur, D., & Wong, T. (2001). Nursing competencies: Personal characteristics contributingto effective nursing performance. Journal of Advanced Nursing, 33(4), 467–474.



How to Cite

Supri, A., Rachmawaty, R., & Syahrul, S. (2019). Nurses’ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study. Journal Of Nursing Practice, 2(2), 80-90.