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All Journal Jurnal Ilmiah Keperawatan Babali Nursing Research
Amrullah, Achmad Efrizal
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Dentistry Health Professions Nursing Public Health Veterinary

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Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S) Astutik, Emi Eliya; Budiman, M. Elyas Arif; Amrullah, Achmad Efrizal; Yuwanto, Mahmud Ady
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62489

Abstract

Backgroud: Nursing documentation is an important aspect of the nursing care workflow. Ineffective nursing documentation practices have been reported to negatively impact patient outcomes and health worker efficiency. Providing training for nurses will create positive attitudes and improve nurses' knowledge of nursing documentation. The purpose of this study was to determine the effectiveness of documentation training based on SDKI, SLKI and SIKI (3S) on the the quality of documentation of independent practice nurses. Method: The research design used in this study was a pre-experiment with a one group pre-test-post-test design. The population was independent practice nurses with a sample size of 63 nurses recruited using the total sampling technique. The instrument used is a checklist of nursing care documentation. The data analysis test uses the calculation of the Wilcoxon Paired test. Result: The results showed that the quality of nursing documentation before the intervention was in the less good category at 77.8% and the quality of documentation after the intervention was in the good category at 70.3%. Wilcoxon test results show a p value of 0.000 which indicates that there is an effect of documentation training based on SDKI, SLKI and SIKI (3S) on the quality of documentation of independent practice nurses. Conclusion: Nursing care documentation training helps improve documentation practices in the nurse's independent practice area and improve the quality of nursing services.
Pengaruh Pelatihan Berbasis 3S ( SDKI , SLKI , SIKI ) Terhadap Pengetahuan Perawat Tentang Pendokumentasian Asuhan Keperawatan Praktik Mandiri Astutik, Emi Eliya; Budiman, M. Elyas Arif; Putri, Prestasianita; Amrullah, Achmad Efrizal
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 20 No 2 (2025): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v20i2.424

Abstract

Introduction:The documentation is a comprehensive record of the patient’s condition and can be used as evidence of accountability. In Indonesia, many nurse do not document nursing orphanage properly. Implementation of nursing documentation is due to various factors, one which is knowledge. One of factor in improving the knowledge of nurses in documenting nursing orphanages is through training Objectives:  This study aims to find out the impact of 3S based training (SDKI, SLKI, SIKI) on nurses knowledge of documentation of nursing care independent practice Methods: The method used is quantitative research, pre-esperimental research design with one-group pretest-posttest research design using Wilcoxon test. The population used in this research was 54 independent practice nurses from DPK PPNI Tanggul. The sample for this research consisted of 15 respondents who had been selected using purposive sampling in accordance with the inclusion criteria, namely nurses who were present and committed to participating in the training and mentoring process. Results:In the study showed before given training , knowledge of nurses category good is 2 respondents (13.3%). After conducting the training , knowledge of nurse category good as 11 respondents (73.33%). The Wilcoxon test results obtained a p-value of 0.003 ≤ 0.05 which means there is a difference between the pre-test and post- test results Conclusions:  The importance of training for nurses is to increase their knowledge in nursing documentation, so that nurses are expected to be able to implement related nursing documentation.
Co-Authors Astutik, Emi Eliya Budiman, M. Elyas Arif Prestasianita Putri