Journal of Telenursing (JOTING)
Vol 6 No 2 (2024): Journal of Telenursing (JOTING)

Faktor-faktor yang Mempengaruhi Kelengkapan Dokumentasi Asuhan Keperawatan dalam Rekam Medis Elektronik

Mardianti, Alis (Unknown)
Budiman, Budiman (Unknown)
Oyoh, Oyoh (Unknown)



Article Info

Publish Date
31 Dec 2024

Abstract

The aim of this study is to identify the factors that influence the completeness of nursing care documentation in electronic medical records in the inpatient ward of Sumber Waras Hospital Cirebon. This research was conducted in the inpatient ward of Sumber Waras Hospital Cirebon. The research method used is descriptive correlational with a cross-sectional approach. The sample size for this study was 107 nurses using purposive sampling technique. Data collection was conducted using questionnaires and checklists. Univariate analysis was presented in frequency distribution tables, bivariate analysis using chi-square test, and multivariate analysis using logistic regression. The results of the study showed that most respondents had good knowledge (54.2%), strong motivation (96.3%), light workload (50.5%), effective electronic medical record format design (51.4%), and adequate head nurse supervision (61.7%). The analysis of the relationship between knowledge, motivation, workload, and head nurse supervision with the completeness of nursing care documentation showed p-values of 0.788 (knowledge), 0.248 (motivation), 0.407 (workload), and 0.322 (supervision), indicating no significant relationship. In contrast, the relationship between the design of the electronic medical record format and the completeness of nursing care documentation showed a p-value of 0.008 (<0.05), indicating a significant relationship. In conclusion, the analysis of the relationship between knowledge, motivation, workload, and head nurse supervision with the completeness of nursing care documentation showed no significant relationship. On the other hand, the design of the electronic medical record format proved to have a significant relationship with the completeness of nursing care documentation. Keywords: Knowledge, Motivation, Workload, Supervision, Electronic Medical Records, Nursing Care Documentation

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Journal Info

Abbrev

JOTING

Publisher

Subject

Health Professions Nursing

Description

Journal of Telenursing (JOTING) accepts articles in quantitative, qualitative, mixed method approaches related to nursing field, such as pediatric nursing, management of nursing, medical surgical nursing, maternity nursing, psychiatrics nursing, community nursing, emergency nursing, gerontology ...