International Journal of Nursing and Health Services (IJNHS)
Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)

IMPROVEMENT LEGAL ASPECTS AND COMPLETENESS OF DOCUMENTATION USING RECORD: A REPORT OF STUDY: DOI: https://doi.org/10.35654/ijnhs.v1i2.46

Rr.Tutik Sri Hariyati (Basic and Fundamental of Nursing Department, Faculty of Nursing, Universitas Indonesia)
Krisna Yetti Malawat (Basic and Fundamental Nursing Department Faculty of Nursing Universitas Indonesia)
Retno Purwandari (Basic and Fundamental Nursing, Faculty of Nursing, University of Jember)
Effy Afifah (Basic and Fundamental Nursing Department Faculty of Nursing Universitas Indonesia)



Article Info

Publish Date
03 Jan 2019

Abstract

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation. Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39% (43,00 to 49,00) after used of a system. Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care. Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.

Copyrights © 2018






Journal Info

Abbrev

ijnhs

Publisher

Subject

Health Professions Nursing Public Health Social Sciences

Description

International Journal of Nursing and Health Service is a refereed international publication that provided a venue for nursing scholar and others related health to publish the updating information. We aim to highlight research on nursing science, public health, public health nursing, and other health ...