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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Nurse Media Journal of Nursing Jurnal Kedokteran Brawijaya JAM : Jurnal Aplikasi Manajemen Jurnal NERS Jurnal Ilmiah Teknik Mesin Public Health of Indonesia Majalah Kesehatan FKUB Jurnal Kesehatan Mesencephalon MEDICA MAJAPAHIT JSFK (Jurnal Sains Farmasi & Klinis) Journals of Ners Community Care : Jurnal Ilmiah Ilmu Kesehatan Eksakta : Berkala Ilmiah Bidang MIPA Journal of Health Sciences Jurnal Riset Kesehatan Poltekkes Depkes Bandung Atfaluna: Journal of Islamic Early Childhood Education Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Aisyah : Jurnal Ilmu Kesehatan Heart Science Journal Jurnal Health Sains Media Gizi Kesmas Jurnal Mandala Pengabdian Masyarakat Indonesian Academia Health Sciences Journal Rainstek : Jurnal Terapan Sains dan Teknologi Journal of Applied Nursing and Health Jurnal Impresi Indonesia COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Journal of Community Health and Preventive Medicine (JOCHAPM) Media Kesehatan Politeknik Kesehatan Makassar Jurnal Kesehatan Metro Sai Wawai Poltekita: Jurnal Ilmu Kesehatan Bilancia : Jurnal Studi Ilmu Syariah dan Hukum Jurnal Info Kesehatan JI-KES (Jurnal Ilmu Kesehatan)
Ahsan Ahsan
Jurusan Ilmu Keperawatan Fakultas Kedokteran Universitas Brawijaya Malang
Religion Agriculture, Biological Sciences & Forestry Humanities Astronomy Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Identifying Facilitators and Barriers of Electronic Medical Record (EMR) Implementation in Hospitals: a Scoping Review Hayati, Fitria -; Ahsan, Ahsan; Fevriasanty, Fransiska Imavike
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8357

Abstract

Electronic Medical Records (EMR) as a form of healthcare digitalization, aim to improve the effectiveness, efficiency, and quality of healthcare. However, the transition from paper-based systems remains limited in many countries and continues implementation challenges. review aims to identify facilitators and barriers of EMR implementation among healthcare workers in hospitals settings. The study design used was a scoping review. A comprehensive search was conducted using the PCC (Population-Concepts-Context) strategy, using terms related to factors influencing the implementation of EMR by healthcare workers in hospitals, in four databases (ProQuest, ScienceDirect, PubMed, and Google Scholar) for studies from 2020 - 2025. Article selection was performed using the PRISMA-ScR guidelines. A total of twenty-eight studies met the inclusion criteria. The findings indicate that facilitators and barriers of EMR implementation emerge from the interaction between staff-related, organization, and technological factors. Key facilitators include digital literacy, organizational training support, and system quality. Major barriers involve low staff readiness, insufficient organizational support, and technology quality and complexity issues. Most studies conducted in low- and middle-income countries (LMICs) reported staff-related factors as facilitators and barriers of EMR implementation. Thus, effective implementation strategies need to be designed contextually through the simultaneous strengthening of human resource capacity, organizational support, and technological quality.
Nurse Credentialing, Work Motivation, and Performance: A Cross-Sectional Mediation Study Ahsan, Ahsan; Wokas, Deyfi Christine; Yuliatun, Laily
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.524

Abstract

Background: Nurse credentialing is intended to ensure professional competence, improve performance, and enhance work motivation. However, despite its widespread implementation, evidence regarding its actual impact on nurses’ motivation and performance remains inconsistent and inconclusive. This inconsistency reflects an unresolved gap in understanding whether credentialing directly influences nurse performance or operates indirectly through work motivation. This study aimed to examine the relationship between credentialing, work motivation, and nurse performance, with work motivation tested as a mediating variable. Methods: This quantitative cross-sectional study followed the STROBE reporting guideline. The population comprised all inpatient nurses at Dr. Sam Ratulangi Tondano Regional General Hospital (N = 176). Using purposive sampling, 122 nurses were selected based on inclusion criteria of at least one year of work experience and direct involvement in nursing care; nurses on leave were excluded. Credentialing level (PK0–PK3) was the independent variable, nurse performance the dependent variable, and work motivation the mediating variable. Motivation and performance were measured using validated Likert-scale questionnaires, while credentialing data were obtained from institutional records. Structural Equation Modeling–Partial Least Squares (SEM-PLS) was used to test direct and mediating effects. Results: Credentialing showed a negligible and non-significant effect on nurse performance (β = 0.002; p = 0.979) and work motivation (β = 0.027; p = 0.683). Conversely, nurse performance had a strong and significant effect on work motivation (β = 0.768; p < 0.001). Work motivation did not mediate the credentialing–performance relationship. Conclusion: Credentialing alone does not significantly influence nurse performance or motivation. Integrating credentialing with performance management and continuous professional development systems is essential to enhance its effectiveness
Co-Authors Abdul Rohim Tualeka Abdul Rokhman Adine Yenie Cahyaning Pradyanti, Adine Yenie Afnuhazi, Ridhyalla Ah Yusuf, Ah Ainan, Shafa Amaliya, Gita Rizki Anggraini, Dewi Cindy Putri Annisa Rahmania Arifin, Mohammad Ariningpraja, Rustiana Tasya Asmaidar, Asmaidar Ayu, Ayu Azizah , Intan Rismatul Buhaerah Buhaerah, Buhaerah Carla Wulandari Sabandar Debora, Oda Dharma, I Dewa Gede Candra Dima, Niko Dimi, Neni Haqnanda Dinda, Dinda Dudella Desnani Firman Yasin, Dudella Desnani Firman Dwi Indah Iswanti Dwioktaviani, Indri Putri Effendy, Nuraeni Efris Kartika Sari, Efris Kartika Faizah, Melida Nur Fajrillah Kolomboy Fanani, Qori Febriano, Luis Figo Fitri Wahyuni Fortuna, Fithrotunnada Fransiska Imavike Fevriasanty Hadrawi, Hadrawi Haiya , Nutrisia Nu'im Handayani, Nurul Nisya Hardianti, Anugerah Hargono , Rachmat Hasana, Hasana Hasanah, Nikmatun Hayati, Fitria - Hayati, Yati Sri Hediturmudi, Asep Hendrawati Hendrawati Heni Dwi Windarwati Heri Kristianto Hidaayah, Nur Hm, Safika Idrus, Fitriyanti N Ilmy, Ahofi Khaqul Iwan Ardian, Iwan Jalaludin, Juliana Jenny Primanita Diningrum, Jenny Primanita Karisma Putri, Frizki Rana Kartikawatiningsih, Dewi Khulud, Khoiron Kristianingrum, Niko Dima Kumboyono Kumboyono Kurnia Widyaningrum Laily Yuliatun Laily, Laily Lande, Hasriadi Lilik Supriati, Lilik Lukitasari, Mifetika Mahjum, Moh Melliza, Nur Misutarno, Misutarno Moecharam, Moecharam Mohammad Saifur Rohman Mu'awanah, Siti Muhammad Rodli Mukuan, Carlina Musfayu, Musfayu Musfira, Musfira Nia Agustiningsih, Nia Noeroel Widajati Noviyanti, Linda Wieke Nursalam Nursalam Peter Ian Limas Prasetiyo, Ari Prasetyo, Yoyok B. Prasiska, Ni Luh Putu Ayu Primanoviasari, Titis Sukma Purnamasari, Devi Putra, Muhammad G A Putri Andayani, Rifka Rachmat Hargono Racmawati, Septi Dewi Rani Rakhmawati, Rani Renny Nova, Renny Retno Lestari Rinik Eko Kapti, Rinik Eko Rismaina Putri Rismayanti, I Dewa Ayu Rodli, Muhammad Rofiyati, Winda Rosyida, Ratna Wirawati Saba, Hafiz Saifudin, I Made Moh. Yanuar Saputra, Ahyar Satrijo, Budi Setiawan, Doni Elwin Setyoadi Setyoadi Sinta, Lydia Elsa Soekerno, Nany Sugiarto S Sunadi, Apri Tengku Isni Yuli Lestari Putri Tintin Sukartini Sukartini, Tintin Sukartini Triyono, Heru Ginanjar Ulpianti, Ulva Ulubiah, Siti Marifatul Windarwati, Heni Wisnasari, Shila Wokas, Deyfi Christine Yatulaini, Fitri Yoyok Bekti Prasetyo Zaenab Zuhroh, Fifi Kurnaini