Hubungan Sistem Pendokumentasian Keperawatan Berbasis Elektronik dengan Kinerja Perawat di Unit Rawat Jalan Dua RSUD

  • Rahayu Rahayu Universitas Muhammadiyah Kalimantan Timur
  • Maridi Marsan Dirdjo Universitas Muhammadiyah Kalimantan Timur
  • Ulfatul Muflihah Universitas Muhammadiyah Kalimantan Timur
Keywords: Nurse performance, Nursing Documentation, Manual, Electronic

Abstract

Documentation about of activities carried out starting from assessments, diagnoses, action plans, nursing actions and evaluations that are recorded both electronically and manually and can be accounted for. Electronic documentation greatly influences nurse performance because nurses are able to maximize the time they provide nursing care to patients. Quality electronic nursing care documentation is also influenced by the performance of nurses who are competent in providing documentation. Objective To determine the relationship between the electronic-based nursing documentation system and the performance of nurses in the outpatient unit of two hospitals. This type of research is descriptive correlation using a cross sectional approach. Sampling was done by Total Sampling method 71 respondens. Data collection techniques using electronic nursing documentation research questionnaires and nurse performance. Data analysis used bivariate analysis with the person product moment correlation coefficient test. The results  that the Pearson product moment analysis obtained an r value of 0.682 which means that it has a strong relationship, indicating a positive direction and with a P-value of 0.000, it means that there is relationship between the electronic based nursing documentation system and the performance of nurses in the outpatient units of two hospitals.This research concludes that there is a relationship between an electronic-based nursing documentation system and the performance of nurses in the outpatient units of two regional hospitals. It is hoped that this research will be a reference for further researchers regarding electronic documentation systems and nurse performance.

Downloads

Download data is not yet available.

References

Fukuda K. Science, technology and innovation ecosystem transformation toward society 5.0. Int J Prod Econ. 2020;220:107460.

Silalahi, R. D., & Utara US. Model komputerisasi yang digunakan saat ini mencatat manual dan memaksimalkan upaya yang dilakukan untuk melakukan pelayanan denga. 2019. 2019;

Gavurová B, Balloni AJ, Tarhaničová M, Kováč V. Information and communication technology in the role of information system of healthcare facility in the Slovak Republic. Economies. 2018;6(3):47.

Keshta I, Odeh A. Security and privacy of electronic health records: Concerns and challenges. Egypt Informatics J. 2021;22(2):177–83.

Mulyani I, Zamzami EM, Zendrato N. Pengaruh Sistem Teknologi Informasi Pada Manajemen Data Dan Informasi Dalam Layanan Keperawatan: Literature Review. Inspir J Teknol Inf dan Komun. 2019;9(2):137–42.

Hertzum M, Ellingsen G, Cajander Å. Implementing large-scale electronic health records: experiences from implementations of epic in Denmark and finland. Int J Med Inform. 2022;167:104868.

Marwanah A, Marianna S. Peningkatan Kinerja Perawat dalam Pendokumentasian Asuhan Keperawatan Melalui Supervisi Kepala Ruang di Instalasi Rawat Inap Rumah Sakit Royal Progress Jakarta. J Kesehat Saelmakers PERDANA. 2021;4(2):261–8.

Swedarma E, Dwidasmara D. Peran Sicantik dalam Meningkatkan Kinerja Perawat di Rumah Sakit. J Keperawatan Raflesia. 2019;1(1):1–10.

Kurniasari E, Ilham MIA. Hubungan Pengetahuan dan Sikap terhadap Kinerja Perawat dalam Pendokumentasian ASKEP di RSUD I Lagaligo Wotu. Nutr Sci Heal Res [Internet]. 2022;1(1):36–50. Available from: https://ojs.unsulbar.ac.id/index.php/nutrition/article/view/1821

Fithriyani F, Putri ME. Hubungan Peran Ketua Tim dengan Kinerja Perawat dalam Dokumentasi Asuhan Keperawatan di Rumah Sakit Jiwa Provinsi Jambi. J Akad Baiturrahim Jambi. 2021;10(1):196.

Vallennia, Atikah A. Pengaruh Disiplin Kerja Terhadap Kinerja Karyawan (Studi Kasus PT.SINAR SOSRO Rancaekek). J Equilib Manag [Internet]. 2020;6(2):1–11. Available from: http://jurnal.manajemen.upb.ac.id

Permenkes. Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 TAHUN 2022 [Internet]. Jakarta: Kementrian Kesehatan RI; 2022. 1–20 p. Available from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjansyppM3_AhX_RWwGHRzfCEUQFnoEC
A8QAQ&url=https%3A%2F%2Fyankes.kemkes.go.id%2Funduhan%2Ffileunduhan_1662611251_882318.pdf&usg=AO
vVaw2KPhb56g7AGJg0FZAIi6Q3&opi=89978449

Zaman N, Goldberg DM, Kelly S, Russell RS, Drye SL. The relationship between nurses’ training and perceptions of electronic documentation systems. Nurs Reports. 2021;11(1):12–27.

Nursalam D. Manajemen Keperawatan" Aplikasi dalam Praktik Keperawatan Profesional. Salemba Medika; 2014.

Sugiharto S, Agushybana F, Adi MS. Faktor-faktor yang Mempengaruhi Penggunaan Rekam Medis Elektronik Rawat Jalan oleh Perawat. J Ilmu Kesehat Masy. 2022;11(02):186–96.

Mathar, I., & Igayanti IB. Manajemen Informasi Kesehatan (Pengelolaan Rekam Medis) Edisi Revisi [Internet]. Deepublish; 2021. Available from: https://doi.org/https://books.google.co.id/books?id=WmtgEAAAQBAJ

Bachrulli Wildan Bari Ukn. Pengaruh Kualitas Aplikasi E-Rm Terhadap Kinerja Petugas Poli Rawat Jalan Di Rumah Sakit. 2023;15(September):1433–44.
Published
2024-12-31
How to Cite
Rahayu, R., Dirdjo, M., & Muflihah, U. (2024). Hubungan Sistem Pendokumentasian Keperawatan Berbasis Elektronik dengan Kinerja Perawat di Unit Rawat Jalan Dua RSUD. Jurnal Sehat Mandiri, 19(2), 29-36. https://doi.org/https://doi.org/10.33761/jsm.v19i2.1066