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The Effect of Electronic Health Record (EHR) Implementation on Collaboration, Documentation and Quality of Nursing Services at Mitra Keluarga Gading Serpong: Descriptive Analysis Fenty Efendy; Muhammad Hadi; Melati Fajarini; Fitri Arofiati; Tini Suminarti
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 15 No 02 (2025): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 15 Number 02 June 2025
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v15i02.3898

Abstract

Background: The Hospital Management Information System (SIMRS) is an information technology that integrates all hospital service processes through a network of coordination, reporting, and administrative procedures to produce accurate and timely information. The implementation of the Electronic Health Record (EHR) is a digital innovation in healthcare that supports improved service quality, patient data integration, and the direction of national health development policies that emphasize technology-based promotive and preventive efforts. Objectives: This study aims to determine the effect of EHR implementation on collaboration, documentation, and service quality at Mitra Keluarga Gading Serpong Hospital. Methods: This study used a descriptive design with stratified random sampling with proportional strata. The sample consisted of 97 nurses with more than six months of service. Data analysis was conducted using the Partial Least Squares (PLS) method to test the research hypotheses. Results: The analysis results show that there is a significant effect of EHR implementation on collaboration with a p value of 0.000 < 0.05. EHR implementation also affects documentation with a p value of 0.000 < 0.05. In addition, there is a significant effect of EHR implementation on service quality with a p value of 0.000 < 0.05. Conclusion: These findings indicate that EHR implementation can enhance collaboration among healthcare professionals, improve the quality of nursing documentation, and enhance overall service quality. Data integration and easy access to information through the EHR have had a positive impact on the service process at Mitra Keluarga Gading Serpong Hospital. Keywords: Collaboration, Documentation, EHR, Quality of Service
Nurses' Performance Based on Performance Determinants in Several Type C Hospitals: A Comparative Study Lina Maesaroh; Muhammad Hadi; Melati Fajarini; Fitri Arofiati; Tini Suminarti
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.3917

Abstract

Background: This research is motivated by data on nurse performance and data on nurses resigning in 2020 and 2021 increasing every year in Type C Hospitals, the determinant of performance is an assessment that can affect the performance of nurses. Objectives: To determine the performance of nurses based on performance determinants in several type C hospitals. Methods: This comparative study was conducted on nurses at Mekar Sari Hospital, Cilincing Regional General Hospital and Dik Pusdikkes Hospital TNI AD totaling 96 respondents in May 2022 and randomly selected based on the inclusion criteria. The performance questionnaire as many as 41 questions and the performance determinant questionnaire as many as 36 questions, were given directly to nurses to get an overview of performance. Data were analyzed using Multiple Logistics Regression. Results: Nurse performance at Mekar Sari Hospital was 78.9%, Cilincing Hospital was 96.4% and Dik Pusdikkes Hospital was 70.0%. There is a difference in the description of the performance of nurses at Mekar Sari Hospital, Dik Pusdikkes Hospital with Cilincing Regional General Hospital with P < 0.05, There is no difference in the description of the performance of nurses at Mekar Sari Hospital and Dik Pusdikkes Hospital with P > 0, 05. Motivation, work ability, compensation and tenure are the most dominant factors influencing performance in several type C hospitals. Conclusion: The performance of nurses at Cilincing Hospital is higher than the performance of nurses at Mekar Sari Hospital and Dik Pusdikkes Hospital. Motivation, work ability, compensation and tenure affect performance. Keywords: Nurse Performance, Performance Determinants, Performance Appraisal
Challenges in clinical training for professional nurse students: A qualitative study Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2700

Abstract

Introduction: Clinical training is a cornerstone of nursing education, equipping students with the practical competencies required for professional practice. However, professional nursing students often face significant obstacles, including limited supervision, communication barriers, emotional strain, and resource constraints that hinder their clinical learning. Despite these concerns, few studies in Indonesia have systematically explored these challenges, creating a gap in understanding the specific contextual factors shaping clinical training experiences. Objective: This study aimed to explore the challenges experienced by professional nursing students during clinical training in Indonesia. Methods: A qualitative descriptive study was conducted using semi-structured interviews with 25 professional nursing students from accredited nursing programs in Indonesia. Data collection occurred between March and June 2025 to provide temporal context. Participants were purposively sampled to ensure diverse experiences. Thematic analysis followed Braun and Clarke’s six-step framework, and NVivo software supported data management. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Analysis revealed five central themes: (1) Inadequate clinical supervision, characterized by limited instructor availability and insufficient feedback; (2) Communication barriers, including hierarchical dynamics, medical jargon, and language differences; (3) Emotional and psychological strain, stemming from high workloads and performance anxiety; (4) Resource constraints, such as limited access to modern tools and simulation facilities; and (5) Interpersonal challenges, involving peer competition and difficulties in collaborative learning. These issues were further influenced by Indonesia’s cultural and institutional context. Conclusion: Overcoming these barriers requires a holistic strategy encompassing improved student-to-instructor ratios, enhanced communication training, stress management initiatives, investment in educational resources, and fostering positive peer relationships. Institutional dedication to these interventions is critical to advancing clinical training outcomes and cultivating competent nursing professionals.
Cross-Border Nursing: Analyzing Learning Methods in ASEAN Nursing Colleges for Global Readiness Workforce Christina Yeni Kustanti; Fitria Endah Janitra; Nur Aini; Melati Fajarini
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.788

Abstract

Introduction: Indonesia has an overabundance of nurses in demand by developed nations, despite the 2030 global demand for 15 million nurses. Nursing education programs must offer internationally standardized curricula to compete in the global job market. This study investigates ASEAN nursing school curricula and teaching methods, focusing on graduates' global employment prospects and experiences. It also examines institutional efforts to prepare a global workforce. Method: The research employs a qualitative research approach to investigate the perspectives, experiences, and implementations of participants in the design and application of nursing curricula in their respective countries. It employs a narrative review approach and in-depth interviews with representatives from ASEAN countries, as well as five alumni who are currently working abroad, to serve as data triangulation. NVivo software is employed to conduct thematic analysis. Results: Four themes are deduced from context, input, process, and product evaluations. Context evaluation includes cultural competency, communication, adaptation, and collaboration. Input evaluation emphasizes the need for real-world, trust-based curriculum. Process evaluation produces hybrid learning and supportive environments, which are considered as important to help graduates working overseas. Problem-Based Learning and ethics (soft skills) are beneficial for international migration-related jobs. Conclusions: Foreign language fluency is essential for international jobs. Soft skills are extremely important for job advancement and worldwide prospects. Alumni need soft skills to promote critical thinking, cultural appreciation, adaptability, ethics, and confidence. Curricula must be evaluated and reformed to develop institutions as trustworthy sources of graduates who can compete globally.