Performance appraisal is problematic if it does not describe competence. Design of the research was explorative descriptive research with a research and development approach. The sample was 110 nurses obtained by cluster sampling based on inclusion criteria. Data were then analyzed using descriptive analysis. Development of instruments based on Focus Group Discussion and expert discussion. The result show evaluation of components in the nurse performance appraisal system when viewed according to its indicators, most are rated in the sufficient category. Assessment criteria and performance records get enough categories in the highest percentage of 76.4%, evaluation of the standard components of work behavior assessment is mostly not done with percentages above 20%, performance appraisal instruments do not describe the performance of nurses and do not conform to standards.

Abstract Background: The level of independence among schizophrenia patients is still a problem that must be resolved. The development of appropriate relevant instruments is needed. This study aims to develop a nursing rehabilitation therapy instrument to increase the independence of schizophrenia patients in the hospital setting. Methods: This study used a research and development study design. The study was conducted in a Psychiatric Hospital in Surabaya, Indonesia from August to December 2020. The total sample in this study consisted of 100 nurses determined by a simple random sampling technique. In addition, 50 medical records were observed. The inclusion criteria were nurses who cared for patients with schizophrenia with a minimum work experience of 1 year. Respondents were excluded from the study if they did not follow the study through to completion. The data collection process was done online by filling in a Google form. The data was analysed using descriptive statistics and a FGD followed with 10 nurses to discuss the new instrument. Results: The data found that a rehabilitation therapy instrument is not currently available (53%). The FGD results show that it is necessary to develop the nurse’s knowledge and to provide adequate facilities and rooms, as well as to develop instruments to use as measuring tools in order to evaluate the rehabilitation therapy given. Conclusion: Rehabilitation therapy instruments are important to develop for schizophrenia patients. It is hoped that the development of the instrument in this study will optimise the rehabilitation of schizophrenia patients.