Journal of Midwifery and Nursing
Vol. 1 No. 2 (2019): Health Science

FAKTOR-FAKTOR YANG MEMPENGARUHI DOKUMENTASI TERHADAP KELENGKAPAN ASUHAN KEPERAWATAN OLEH PERAWAT PELAKSANA DI RUANGAN IGD RSU ANUTAPURA PALU: FAKTOR-FAKTOR YANG MEMPENGARUHI DOKUMENTASI TERHADAP KELENGKAPAN ASUHAN KEPERAWATAN OLEH PERAWAT PELAKSANA DI RUANGAN IGD RSU ANUTAPURA PALU

Dwi Fatmawati (STIKES Widya Nusantara Palu)
Ismawati Ismawati (STIKES Widya Nusantara Palu)
Nelky Suriawanto (STIKES Widya Nusantara Palu)



Article Info

Publish Date
16 Apr 2019

Abstract

Nursing documentation that done is still incomplete, especially in evaluation notes and nurses notes. Incomplete patient file will have an impact on the quality of hospital services and legal ethical issues the purpose of this study is to obtain factors of documentation of the completeness of nursing care that done by staff nurse in the emergency room of Anutapura General Hospital Palu. This type of research is quantitative, with observational analytic cross sectional approached. Sampling numberwas total of population about 31 staff nurse. Data analysed by used chi-squer test with Fisher's Exact Test alternative test at significante level (? <0.05). The results of the research on the level of good knowledge with the complete documentation category 91.3%, the level of poor knowledge category of incomplete 75.0%. and high workload with a complete documentation category about 40.0%, low workload with a complete documentation category about 9.5%. knowledge with the completeness of nursing care as a result of Fisher’s Exact Test alternative test results obtained P-value 0.015 (p <0.05), and workload with complete documentation of the results of Fisher’s Exact Test alternative test obtained P-value 0.002 (p <0.05). conclusion there is a relationship between workload, knowledge with the completeness of nursing care. Suggestions for the hospital to evaluate the workload efforts experienced by nurses in the emergency room so that documentation of nursing care conld be qualified for patient services.

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Journal Info

Abbrev

JMN

Publisher

Subject

Health Professions

Description

Journal of Midwifery and Nursing Published by iocscience.org. iocscience is an Institute of computer Science Research institute engaged in public research in the fields of health, politics, social, economics, law and ...