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Systematic Review of Nurse Performance Appraisal Instruments: Validity, Reliability, and Implications for Nursing Practice Deltario Novian Joko Sucipto; Purwaningsih Purwaningsih; Nuzul Qur’aniati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52048

Abstract

Accurate assessment of nurse performance is essential to improving healthcare quality, patient outcomes, and organizational effectiveness. Despite the development of various performance appraisal instruments, concerns persist regarding their validity, reliability, fairness, and alignment with clinical practice. This systematic review, conducted following PRISMA guidelines, analyzed studies published between 2020 and 2025 from PubMed, Scopus, ProQuest, and Sage Journals that discussed the development, evaluation, or implementation of nurse performance appraisal tools. From 226 identified articles, 13 met the inclusion criteria. The instruments reviewed ranged from self-assessment and peer/supervisor evaluation to empowerment-based and theoretically grounded models such as self-efficacy and the balanced scorecard. Findings revealed that most instruments positively influenced job satisfaction, empowerment, organizational commitment, and patient outcomes. However, persistent challenges include subjectivity, inconsistent benchmarks, limited validation, and poor communication between appraisers and appraisees. Instruments integrating multiple perspectives and theoretical foundations demonstrated greater comprehensiveness and acceptance. Therefore, future development should prioritize standardization, validity, reliability, fairness, and alignment with organizational goals, positioning performance appraisal as a strategic mechanism to enhance nursing performance and healthcare quality rather than merely an administrative requirement.
Effectiveness of Interventions to Improve Preceptor Performance in Nursing Student Competencies Ummi Kulsum; Rizki Fitryasari; Nuzul Qur’aniati
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4141

Abstract

Perceptors need to be proficient in clinical teaching and assessment in reaching learning objectives while handling client caseload and delivering safe and efficient care. However, evidence to inform best practices for mentor development is limited, as is evidence regarding the efficacy of programs for the mentor role. This study aims to analyse interventions to improve preceptor performance on nursing student competencies. Methods: This study employs a systematic review, with study literature gathered from multiple electronic databases, including Pubmed, Science Direct, ProQuest, and SAGE using a PRISMA flow guidline. Data was collected by searching for research for 2019-2024 and searches were conducted until March 4, 2024. The keywords used are "Intervention" "Improve" "Preceptor" "Student Nursing Performance". Eligible studies require the use of quasi-experiments to identify interventions to improve preceptor performance in the competence of nursing students in different data base sources. Results: A total of 12 articles were analyzed because they provide information about interventions to improve preceptor performance in the competence of nursing students. Five articles on Randomized Controlled Trials, 7 articles using Quasi-experimental design. This article recommends an intervention clinical teaching on One Minute Preceptor because it is effective and can be used in a limited time. Conclusions: Overall, research shows that nursing education should improve recent graduates' readiness to achieve competence. Nurse educators should facilitate comprehensive assistance in order to enable students to acclimatise to the nursing profession’s culture before beginning their clinical education.
The Influence of Resilience and Nurse Motivation on Job Stress in Hospital: A Systematic Review Maria Silveira De Jesus; Mira Triharini; Nuzul Qur’aniati
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5588

Abstract

This study aims to analyse the influences of resiliences and nurse motivation on job stress. This study was conducted because nursing is a profession that is often faced with stressful and environments work situations, and nurses also often involve interactions with patients who are suffering or dying, which can affect their mental health. Without resilience and motivation, they may feel overwhelmed, anxious, or even experience burnout (emotional exhaustion). Method: The method used was a systematic review sourced from journals searched through the Scopus, Science Direct, and Pubmed databases published in less than the last 5 years (2019-2024) This systematic review follows the PRISMA. by using four databases in journal searches. This research uses the PEOS framework to determine the criteria. Based on the results of the literature search that has been examined, and in accordance with the eligibility criteria, 10 articles were obtained that can be used in this systematic review. Results Based of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Based on the results of the review carried out, it can be concluded that nurses who have a good level of resilience will easily adapt and can control stress caused by work fatigue and burnout. Of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Conclusion The purpose of this research is to assess how resilience being important to mannage stress and burnout for a health workers especially nurses.
Effectiveness of Clinical Nursing Supervision to Improve Nursing Performance for Safety Nurse Care: A Literature Review Masrifah Masrifah; Purwaningsih Purwaningsih; Nuzul Qur’aniati
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5814

Abstract

Nurses require supervision as a crucial leadership skill when working within a nursing team. The entire health team, including nurses, must provide high-quality, safe, and comprehensive health services due to the rapid development of technology and information. This study aims to assess the effectiveness of clinical nursing supervision in enhancing nursing performance for safe nurse care. The method used was a literatur review of journal databases within the last eight years (2016-2024). Search terms were constructed in collaboration with an academic librarian and were based on a PICOS structured question. Keywords adjusted to Medical Subject Heading (Mesh) phrases, namely “Clinical Supervision OR Supervision AND Nursing AND Performance”. All keywords were used in each database. Articles or journals there were included in the inclusion criteria were limited by year and language used according to the inclusion criteria. Online databases searched included Science Direct, Pubmed, WoS, and SAGE.. Studies were included in the review if they reported clinical nursing supervision to improve nursing performance for safety nurse care with quasy experiment or Experiment design. . Study show that six studies according to the specified inclusion criteria. Analysis of the results of this study using the Joanna Briggs Institute (JBI) tool. The review results indicate that effective clinical nursing supervision can enhance safety, serve as an educational model in conjunction with supervision to enhance nurses' performance in patient care, and improve the utilisation of the nursing process. It can be concluded that clinical nursing supervision can enhance patient safety and improve nurses' performance in patient care.
Self-Regulation Based on the Meaning of Life and Its Effects on the Psychological Well-Being of Nursing Student Facing A Quarter Life Crisis: A Systematic Review Hilda Octri Nurahmah; Ah Yusuf; Nuzul Qur’aniati
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.474

Abstract

Quarter-Life Crisis is a psychological crisis period marked by identity confusion, job suitability concerns, social pressures, and relationship challenges. This crisis is influenced by personal and social factors. Failure to pass the identity crisis phase can lead to a quarter-life crisis, which can ultimately worsen self-regulation and impact psychological well-being. This systematic review was conducted to determine how effective self-regulation based on meaning of life and its effects on psychological well-being in nursing student facing a quarter life crisis. The method used was a systematic review sourced from journals searched through the Sage Journals, Science Direct, CINAHL and ProQuest. Included studies (2020–2025). The PICOS framework was used to determine criteria. From this systematic review, of the 1.847 identified articles, ten studies met the criteria for further analysis. This systematic review evaluates the effectiveness of life meaning-based self-regulation on the psychological well-being of nursing students facing a quarter-life crisis. Self-regulation, including emotional regulation, learning motivation, and self-efficacy, plays a crucial role in managing academic stress and clinical practice pressures. Students with a strong understanding of life meaning tend to have better self-regulation and higher psychological well-being. Self-regulation based on the meaning of life effectively enhances psychological well-being in nursing students facing a quarter life crisis. A clear sense of life purpose supports emotional regulation, stress management, and resilience against academic, clinical, and personal pressures during quarter life crisis.