Jurnal Gema Keperawatan
Vol 18, No 1 (2025): Jurnal Gema Keperawatan

Analisis Kinerja Perawat Pelaksana dalam Melaksanakan Dokumentasi Asuhan Keperawatan

Afriyanti, Desi (Unknown)



Article Info

Publish Date
02 Jul 2025

Abstract

One standard for evaluating nurses' performance in implementing nursing care is assessing nursing care documentation. This objective assessment covers the following areas: assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. Nursing care documentation is an important part of the ongoing nursing care process. Accurate and complete documentation ensures continuity of patient care, serves as a communication tool among healthcare professionals, provides legal accountability, and enables evaluation of the quality of healthcare services. This study aims to describe executive nurses' performance in implementing nursing care documentation. The research design is descriptive. The study population consists of 227 respondents, and a sample of 145 was selected using probability sampling techniques, specifically stratified proportional random sampling. This study uses a nursing performance questionnaire to measure nurses' performance in implementing nursing care documentation. The results indicate that executive nurses perform well in implementing nursing care documentation in inpatient wards, with an average score of 53.82. The study concludes that nurses perform well in implementing nursing care documentation.

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Journal Info

Abbrev

JGK

Publisher

Subject

Description

Jurnal Gema Keperawatan dengan ISSN : 2620-8695 (Online - Elektronik) & 2088-7493 (Cetak - Cetak) diterbitkan oleh Jurusan Keperawatan Politeknik Kesehatan Denpasar merupakan jurnal ilmiah yang bertujuan menyebarluaskan berbagai tulisan ilmiah untuk meningkatkan kesehatan masyarakat, khususnya ...