The Effect of Nursing Care Documentation Training Based on Indonesian Nursing Standards
Abstract
Background: Maintain accurate and full nursing documentation to meet patient safety criteria. Evidence links nurse documentation to the hospital setting. Nursing documentation is impacted by patient load, lack of time, and skill and training.
Purpose: This study examines the effectiveness of nursing documentation training based on Indonesian Nursing Standards (Diagnosis, Outcome, and Intervention) on nurses' knowledge.
Methods: The research method is quasi-experimental with a pre-test post-test design for a single group. Participants in this study are 150 nurses from state-owned hospitals in Jember Regency, East Java. Total sampling was employed as the sampling approach. Data were analyzed using univariate frequency distribution, and bivariate analysis using paired t-test.
Results: The average pre-test knowledge was 37.95 and the average post-test knowledge was 66.51. The p-value for the t-test analysis of the data was 0.000 (< 0.05).
Conclusions: Effective nursing documentation training enhances nurses' abilities to document nursing care in accordance with the Indonesian Nursing Standards (diagnosis, outcome, and intervention).
Keywords
Full Text:
PDFReferences
Tasew H, Mariye T, Teklay G. Nursing documentation practice and associated factors among nurses in public hospitals, Tigray, Ethiopia. BMC research notes. 2019 Sep 23;12(1).
Kebede M, Endris Y, Zegeye DT. Nursing care documentation practice: The unfinished task of nursing care in the University of Gondar Hospital. Informatics for Health and Social Care. 2017 Jul 3;42(3):290–302.
PPNI TPSD. Standar Intervensi Keperawatan Indonesia (SIKI). 1st ed. Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia; 2018.
Agustina AM, Pranatha A, Puspanegara A. Faktor Faktor yang Berhubungan dengan Pelaksanaan Asuhan Keperawatan Berbasis SDKI SLKI dan SIKI di Rumah Sakit KMC Kabupaten Kuningan Tahun 2021. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal. 2021 Dec 2;12(2):149–59.
Ayele S, Gobena T, Birhanu S, Yadeta TA. Attitude Towards Documentation and Its Associated Factors Among Nurses Working in Public Hospitals of Hawassa City Administration, Southern Ethiopia. SAGE open nursing. 2021;7:23779608211015364.
Zeru T, Berihu H, Gerensea H, Teklay G, Teklu T, Gebrehiwot H, et al. Assessment of knowledge and attitude towards palliative care and associated factors among nurses working in selected Tigray hospitals, northern Ethiopia: a cross-sectional study. The Pan African medical journal. 2020;35.
Etafa W, Wakuma B, Fetensa G, Tsegaye R, Abdisa E, Oluma A, et al. Nurses’ knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study. PLoS ONE. 2020 Oct 1;15 (10 October).
Awaliyani A, Pranatha A, Wulan N, Kuningan S. Pengaruh Penggunaan Buku SDKI, SLKI dan SIKI terhadap Peningkatan Pengetahuan Perawat dalam Membuat Dokumentasi Keperawatan Berbasis SDKI, SLKI DAN SIKI di Rumah Sakit KMC Kun2021. Journal of Nursing Practice and Education. 2021 Dec 2;2(1):22–32.
Adubi IO, Olaogun AA, Adejumo PO. Effect of standardized nursing language continuing education programme on nurses’ documentation of care at University College Hospital, Ibadan. Nursing open. 2017 Jan 1;5(1):37–44.
DOI: https://doi.org/10.31983/jnj.v7i2.9809
Article Metrics
Refbacks
- There are currently no refbacks.
License URL: https://www.creativecommons.org/licenses/by-sa/4.0
JENDELA NURSING JOURNAL is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.