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Implementation of Digital based Handover as an Effort to Improve Safety and Continuity of Patient Care Susanti, Ni Luh Putu Dina; Wahyuningsih, Luh Gde Nita Sri; Parwati, Putu Atika; Jiyestha Aji Dharma Aryasa
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.999

Abstract

Background: Digital-based handover systems have emerged as an innovative approach to standardize communication, support clinical decision-making, and enhance the integration of patient information across shifts and care units. Purpose: this study was to evaluate the implementation of a digital weighing system as an effort to improve safety and continuity of service for patients. Methods: This study used a non-experimental quantitative design with a cross-sectional approach. The sample for this study was the entire population, consisting of 220 respondents. Data collection was conducted using a standardized questionnaire with a Cronbach's alpha value of 0.88 and a Likert scale of 1–5. The data were then analyzed using descriptive statistics, normality tests, Pearson's correlation test, and simple/multiple linear regression to see the strength of the relationship and the contribution of independent variables to the dependent variable. Results: Base on result the implementation of digital weighing, the higher the safety and continuity of patient care. The r value is in the strong relationship category, indicating that the variables in this study have a strong relationship. Conclusion: The implementation of a digital-based handover system is not only a technological innovation, but also a strategic intervention in efforts to improve patient safety and continuity of service.
Nursing Supervision and Electronic Medical Record Documentation Quality among Practicing Nurses: A Cross-Sectional Study Wahyuningsih, Luh Gde Nita Sri; Susanti, NLP Dina; Wulandari, Sarah Kartika
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.v8i1.509

Abstract

Background: Digital transformation in healthcare has promoted the use of Electronic Medical Records (EMR) as the standard for nursing documentation. Supervision is a key managerial strategy influencing its successful implementation among practicing nurses. However, empirical evidence on how supervision components affect the quality of electronic nursing documentation in low- and middle-income countries remains limited. Therefore, this study aims to analyze the strategic role of nursing supervision in strengthening EMR documentation. Methods: This analytical cross-sectional study examined the relationship between the role of supervision and the strengthening of electronic medical records. The sample included 352 practicing nurses selected through total sampling. Data were collected using a validated and reliable structured questionnaire (Cronbach’s alpha > 0.60). Analysis was conducted using Spearman’s rank correlation and binary logistic regression to assess the relationship and influence of supervision on documentation quality. Results: The results showed that the supervision variable (planning, coordination, control, monitoring, and feedback) was significantly related to electronic medical record documentation (p < 0.001), with feedback being the most dominant factor (Exp(B)=233.049; 95% CI: 15,606–3480.287). Conclusion: Nursing supervision plays a strategic role in strengthening the implementation of Electronic Medical Record documentation. From a managerial and policy perspective, these findings confirm that strengthening the supervision system, primarily through standardized and continuous feedback mechanisms, should be a priority for nursing leaders and hospital management.