Nurse Performance in Hospital Inpatient Wards: A Descriptive Cross-Sectional Study
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Abstract
Background: Nursing performance encompasses the execution of fundamental clinical and professional duties that directly determine the standard of hospital care. Suboptimal nursing performance remains a critical challenge in clinical settings, demanding systematic baseline assessment to identify areas for institutional workforce improvement.
Objectives: This study aimed to identify and analyze the overall profile of nurse performance in hospital inpatient wards based on socio-demographic and occupational characteristics
Methods: A quantitative descriptive study with a cross-sectional design was conducted among all 96 inpatient nurses across eight inpatient wards selected via total sampling. Data were collected using a structured closed-ended questionnaire adapted from the Indonesian National Nurses Association (PPNI) standards, evaluating behavior, professional competence, and the nursing process (Cronbach's α=0.89). Data were analyzed using univariate descriptive statistics to calculate absolute frequencies (n) and percentages (%).
Results: The majority of respondents were female (92 [95.8%]), aged 29–35 years (47 [49.0%]), held a Diploma in Nursing (73 [76.0%]), had 1–5 years of clinical tenure (43 [44.8%]), and were employed under contract/honorary status (87 [90.6%]). Regarding clinical performance, 92 respondents (95.8%) demonstrated poor performance, 3 respondents (3.1%) showed fair performance, and 1 respondent (1.0%) demonstrated very poor performance, with none achieving good or very good performance.
Conclusion: Clinical nurse performance in inpatient wards remains predominantly poor, highlighting critical vulnerabilities across behavioral, professional, and clinical care process competencies. Strategic hospital human resource initiatives must focus on structured clinical supervision, targeted continuous professional training, and equitable incentive systems.
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