Optimalisasi Penyusunan Dokumentasi Asuhan Keperawatan bagi Perawat Kalimantan Barat
Optimizing the Preparation of Nursing Care Documentation for West Kalimantan Nurses
DOI:
https://doi.org/10.33084/pengabdianmu.v7i4.2889Keywords:
Nurse, Nursing Documentation, Nursing Standart DiagnosisAbstract
Nursing is a profession for health workers to maintain the quality of health services. The nursing profession makes efforts to develop professional service quality, one of which is regarding nursing care standards, namely documentation. Quality documentation is handy for hospitals in increasing accreditation, communication between professions, indicators of quality services, and a research facility. Nursing documentation, one of them is that diagnosis is an essential aspect of nursing practice. Standard Diagnosis Keperawatan Indonesia, Standart Luaran Keperawatan Indonesia, and Standard Intervensi Keperawatan Indonesia have been compiled by the PPNI professional organization and are expected to improve the quality of Indonesian nursing care documentation. Therefore, there is a need for comprehensive socialization for nurses; the activities carried out were attended by 210 nurses and conducted virtually through zoom meetings. During the activity, pretest and posttest were carried out to determine participants' level of knowledge about SDKI. From the results of the tabulation of participants, it was found that most of the participants were educated professional nurses (70%) and primary nurses (51.90%). The results of the analysis of the results of the pretest-posttest obtained a p-value = 0.000, which indicates a significant difference in nurses' knowledge. The results of this pretest-posttest show that nurses' knowledge can be increased by providing socialization of nursing diagnosis standards. It is expected that hospitals can routinely provide knowledge stimulation, especially about nursing care documentation.
Downloads
References
Brown, L.R. 2016. Nursing’s Contribution to Clinical Documentation Integrity Efforts. Nursing Management. 47(3):51–53. https://dx.doi.org/10.1097/01.NUMA.0000480758.91922.46
Damanik, M., Fahmy, R., Merdawati, L. 2020. Gambaran Keakuratan Dokumentasi Asuhan Keperawatan. Jurnal Kesehatan Andalas. 8(4):138-144. https://doi.org/10.25077/jka.v8i4.1131
De Groot, K., Triemstra, M., Paans, W., Francke, A.L. 2019. Quality Criteria, Instruments, and Requirements for Nursing Documentation: A Systematic Review of Systematic Reviews. Journal of Advanced Nursing. 75(7):1379-1393. https://doi.org/10.1111/jan.13919
Kartikasari, F., Yani, A., Azidin, Y. 2020. Pengaruh Pelatihan Pengkajian Komprehensif Terhadap Pengetahuan Dan Keterampilan Perawat Mengkaji Kebutuhan Klien Di Puskesmas. Jurnal Keperawatan Suaka Insan. 5(1):79-89. https://doi.org/10.51143/jksi.v5i1.204
Merdekawati, Y. 2013. Tanggung Jawab Pidana Perawat Dalam Melakukan Tindakan Keperawatan Berdasarkan Undang-Undang Nomor 36 Tahun 2009 Tentang Kesehatan (Studi Di Rumah Sakit Umum Santo Antonius Pontianak). Jurnal Nestor Magister Hukum. 3(5):1-27.
Müller-Staub, M. 2009. Evaluation of the implementation of nursing diagnoses, interventions, and outcomes. International Journal of Nursing Terminologies and Classifications. 20(1):9-15. https://doi.org/10.1111/j.1744-618x.2008.01108.x
Muryani, Pertiwiwati, E., Setiawan, H. 2019. Kualitas Pendokumentasian Asuhan Keperawatan Di Ruang Rawat Inap (Studi di RSUD Kalimantan Tengah). Nerspedia. 2(1):27–32.
Nadila, Setiawan, H., Rizany, I. 2020. Beban Kerja Dengan Kualitas Pendokumentasian Asuhan Keperawatan Sesuai SNARS. Jurnal Kepemimpinan dan Manajemen Keperawatan. 3(2):62-71. https://doi.org/10.32584/jkmk.v3i2.598
Notoatmodjo, S. 2018. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.
Siswanto, L.M.H., Hariyati, R.T.S., Sukihananto. 2013. Faktor-Faktor Yang Berhubungan Dengan Kelengkapan Pendokumentasian Asuhan Keperawatan. Jurnal Keperawatan Indonesia. 16(2):77–84. http://dx.doi.org/10.7454/jki.v16i2.5
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Any article on the copyright is retained by the author(s).
- Author grant the journal, right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share work with acknowledgment of the work authors and initial publications in this journal.
- Authors are able to enter into a separate, additional contractual arrangements for non-exclusive distribution of published articles of work (eg, post-institutional repository) or publish it in a book, with acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their websites) prior to and during the submission process, as can lead to productive exchanges, as well as earlier and greater citation of published work.
- The article and any associated published material is distributed under the Creative Commons Attribution-ShareAlike 4.0 International License