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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) LINK Jurnal Kesehatan Andalas Jurnal NERS Jurnal The Messenger UNEJ e-Proceeding Jurnal Kesehatan KOLEGIAL : Jurnal Manajemen, Bisnis, dan Akuntansi Jurnal Penelitian Kesehatan Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Mesencephalon Belitung Nursing Journal Jurnal Kesehatan Komunitas Jurnal Kesehatan Medika Saintika JMM (Jurnal Masyarakat Mandiri) CARADDE: Jurnal Pengabdian Kepada Masyarakat Indonesian Journal for Health Sciences (IJHS) Jurnal Keperawatan Komprehensif Jurnal Hilirisasi IPTEKS (JHI) Buletin Ilmiah Nagari Membangun NERS Jurnal Keperawatan Care : Jurnal Ilmiah Ilmu Kesehatan Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Real in Nursing Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks JURNAL KESEHATAN SAMODRA ILMU Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Riset Informasi Kesehatan HUMANIORASAINS
Hema Malini, Hema
Departement Nursing Andalas University
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : JURNAL KESEHATAN SAMODRA ILMU

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Gambaran Kelengkapan Pendokumentasian Catatan Perkembangan Pasien Terintegrasi (CPPT) di Rumah Sakit X Kota Padang Nopan Saputra; Hema Malini; Mira Susanti
JURNAL KESEHATAN SAMODRA ILMU Vol 12 No 2 (2021): JURNAL KESEHATAN SAMODRA ILMU
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (444.62 KB) | DOI: 10.55426/jksi.v12i2.155

Abstract

ABSTRAK Latar Belakang : Pendokumentasian catatan perkembangan pasien terintegrasi (CPPT) merupakan alat komunikasi dalam asuhan terintegrasi yang dilakukan oleh professional pemberi asuhan (PPA) dalam memberikan pelayanan kesehatan kepada pasien. Dokumentasi tidak lengkap akan membentuk kerangka kerja yang tidak baik yang akan memperburuk kerangka kerja PPA, karena dokumentasi penting kaitannya dengan praktek professional baik tenaga dokter, perawat, apoteker dan nutrisionist untuk menghindari kejadian tak diharapkan (KTD), medication error dan intervention error. Tujuan Penelitian : Penelitian ini bertujuan untuk melihat faktor yang paling mempengaruhi PPA dalam pendokumentasian catatan perkembangan pasien terintegrasi (CPPT) di Ruang Rawat Inap RS X Kota Padang. Metode Penelitian : Rancangan penelitian adalah non eksperimen atau survey analitik dengan pendekatan cross sectional. Yang dilakukan pada bulan Mei 2018. Populasi dalam penelitian ini adalah Profesional pemberi asuhan (PPA) terdiri dari dokter, perawat, apoteker dan ahli gizi. Teknik pengambilan sampel penelitian ini adalah proportional random sampling dengan jumlah sampel 57. Analisa data yang digunakan adalah Chi Square. Hasil Penelitian : gambaran hasil penelitian ini menjukkan bahwa penelitian yang dilakukan RS X didapatkan kelengkapan CPPT oleh 4 profesional pemberi asuhan (PPA) masih ditemukan pengisian CPPT yang tidak lengkap 73.7% Kesimpulan : Didapatkan kelengkapan pendokumentasian catatan perkembangan pasien terintegrasi (CPPT) di RS X Padang tidak lengkap. ABSTRACT Background : Documentation of integrated patient progress notes (CPPT) is a communication tool in integrated care carried out by professional care providers (PPA) in providing health services to patients. Incomplete documentation will form an unfavorable framework that will worsen the PPA framework, because documentation is important in relation to the professional practice of doctors, nurses, pharmacists and nutritionists to avoid unexpected events (KTD), medication errors and intervention errors. Aims: This study aims to examine the factors that most influence PPA in the documentation of integrated patient development records (CPPT) in the Inpatient Room of RS X Padang City. Methods: The research design was a non-experimental or analytic survey with a cross sectional approach. Which was conducted in May 2018. The population in this study was Professional Care Providers (PPA) consisting of doctors, nurses, pharmacists and nutritionists. The sampling technique of this study was proportional random sampling with a sample size of 57. The data analysis used was Chi Square. Results: the description of the results of this study shows that the research conducted by RS X obtained completeness of CPPT by 4 professional care givers (PPA) still found incomplete filling of CPPT 73.7% Conclusion: It was found that the documentation of integrated patient development records (CPPT) at RS X Padang was incomplete.
Co-Authors Abdullah, Khatijah Lim Adang Bachtiar Agus Susilawati Agus Susilawati Ainul Fitria Akbar, M. Agung Alex Contesa Amalia Amalia Anggra Trisna Ajani Banowo, Agus Sri Basmanelly Basmanelly Buanasari, Andi Budi, Hendri Chong Mei Chan Dally Rahman Dally Rahman Defrin Defrin Delvi Sri Hayati Desti Kurnia Utami Devia Putri Dewi Eka Putri Dewi Kurnia Putri Dilya Eka Saputri Dwi Nurul Salmi Ega Silvia Roza Elsa Sylvia Emil Huriani Erni Forwaty Esi Afriyanti Fauziah Qifti Fauziah Qifti Febi Sagitaria Feni Betriana Feri Fernandes Fitra Yeni Fitrayeni Fitrayeni Fitri Mailani Fitria Dila Sari Freska, Windy Ginna Morgan Van FC Gusri Rahayu Hacidira Vichalova Hadeci Lovenda Putri Hardisman Hastoro Dwinantoaji Heppi Sasmita Hidayatul Rahmi Hidayatul Rahmi Hilda Yetti Ilfa Khairina Indah Purnama Sari Januar Ramadhan Krisdianto, Boby Febri Lenggogeni Hidayatul Rahmi Lenggogeni, Devia Putri Leni Rozani Lenny Hasan, Henny Sjafitri, Nelharosma, M. Arif Gunawan Mahathir Mahathir Maisa, Esthika Ariany Masrul Masrul Megawati Sinambela Merdawati, Leni Miftah Khairunnisa Mira Susanti Mudjiran Mudjiran Muliantino, Mulyanti Roberto Natasyah Natasyah Netrida, Netrida Netrida, Netrida Nopan Saputra Novi Yulianti Novita Simbolon Nursyirwan Effendi, Nursyirwan Okky Adelirandy Oktarina, Elvi Pardomuan Robinson Sihombing Pratiwi, Cindy Ayu Putri Indah Permata Rahmat Hidayatullah Rahmi Wati Raveinal Raveinal Reni Prima Gusty Ricca Andriani Rika Fatmadona Rika Sarfika Rini Apriyani Rini Ariani Roby Yansyah Rozzano Locsin Safaruddin Sekani Niriyah Selvi Marcellia Shinta Herlina Siti Lioni Rahmah Sovia Susianty Sri Muharni Sri Yulia Sumarsih, Gusti Taufik Febriyanto Tetsuya Tanioka Veralia Veralia Veralia Veralia Wenny, Bunga Permata Yafi Sabila Rosyad Yafi Sabila Rosyad Yance Komela Sari Yanti, Rina Herni Yanti, Rina Herni Yoga Taufik Ramadha Yopi Yunsepa Yulia Yasman Yuna Fitri Yusrawati Yusrawati Yusvita Walia ZULAIKA HARISSYA