Hubungan Dokumentasi Keperawatan Elektronik Dengan Mutu Handover
DOI:
https://doi.org/10.59680/ventilator.v2i1.1011Keywords:
Electronic Documentation, Nursing Care, Handover QualityAbstract
As technology develops in health, hospitals are using electronic health records. SOAP method nursing documentation is an important element in nursing services, one of the documentation that uses electronics is nursing documentation regarding handover. The aim of this research is to determine the relationship between electronic nursing documentation and handover quality. This type of quantitative research is Analytic Correlation using a cross sectional design. The population in this study was 69 nurses. Sampling used a total sampling technique so that a sample of 69 respondents was obtained. The research instrument is an observation sheet. The statistical test in this study used the Chisquare test. The results of the research obtained an overview of the relationship between the completeness of electronic nursing documentation and the quality of handover. Of the 20.3% of incomplete nursing documentation, 5.8% had good handover quality, and for complete nursing documentation 26.1% had good handover quality of 47.8%. In the chi-square analysis, the significance was p < 0.002. So Ha is accepted, meaning there is a relationship between the completeness of nursing documentation and the quality of electronic-based handover. In conclusion, the results obtained from electronic nursing documentation were mostly complete, and the quality of handover was mostly good. So it can be concluded that there is a relationship between the completeness of electronic documentation and the quality of handover.
References
Araujo, O. de J., Triharini, M., & Krisnana, I. (2022). Efektivitas Komunikasi Perawat Terhadap Serah Terima Pasien. Journal of Telenursing, 4(8.5.2017), 2003–2005. https://doi.org/https://doi.org/10.31539/joting.v4i2.4084
Atik, A., Chandra, N. P., & Novita, N. (2022). Implementasi dan Prosedur Hand Over oleh PPJA untuk Memberikan Mutu Layanan dan Keamanan Pasien. Jurnal Ilmiah Ilmu Pendidikan, 5(4), 1214–1219. https://doi.org/10.54371/jiip.v5i4.548
Bawuno, V. V., Erika, K. A., & Syam, Y. (2023). Dampak Penggunaan Dokumentasi Keperawatan Elektronik terhadap Keselamatan Pasien. Jurnal Keperawatan, 15(2), 661–670. https://doi.org/10.32583/keperawatan.v15i2.825
Davin, M., & Meliala, A. (2020). Pengembangan Sistem Informasi Manajemen Sebagai Pendukung Perencanaan Distribusi dan Mutasi Sumber Daya Manusia Kesehatan. Journal of Information Systems for Public Health, 5(1).
Fatrida, D., & Nuriman, D. I. (2020). Hubungan Tanggung Jawab, Komunikasi, Dan Dokumentasi Dengan Pelaksanaan Handover. Jurnal ’Aisyiyah Medika, 4, 147–156. https://doi.org/10.36729/jam.v4i2.215
Haryono, M. H., Nursalam, N., & Hasinudin, M. (2019). Developing Sbar Effective Communication Instrument in Emergency Handover at Emergency Department of Hajj Hospital in Surabaya. Indian Journal of Public Health Research and Development, 10(10), 688–691. https://doi.org/10.5958/0976-5506.2019.02893.6
Hidayat, A. A. (2021). Dokumentasi Keperawatan; Aplikasi Praktik Klinik. Health Books Publishing.
Kemenkes RI. (2018). Permenkes RI Nomor 4 Tahun 2018 Tentang Kewajiban Rumah Sakit dan Kewajiban Pasien (Vol. 17, Issue 1, pp. 1–14).
Maameah, M., Rumayar, A. A., & Mandagi, C. K. F. (2022). Gambaran Mutu Pelayanan Kesehatan di Puskesmas Bailang Kota Manado. Jurnal KESMAS, Vol. 11, N(4), 1–5.
Marpaung, D., Asrianti Utami, T., & Surianto, F. (2023). Hubungan Pengetahuan Perawat Dengan Kelengkapan Pendokumentasian Asuhan Keperawatan Berbasis Elektronik. Jurnal Keperawatan Cikini, 4(1), 52–61. https://jurnal.akperrscikini.ac.id/index.php/JKC
Nursalam, N. (2017). Manajemen Keperawatan. Salemba Medika.
Nursapriani, N., Ameliyah, A. R., & Amalia, M. (2023). Hubungan Handover Perawat dengan Pelaksanaan Sasaran Keselamatan Pasien Di Rawat Inap. Public Health and Medicine Journal, 32–39. https://doi.org/https://doi.org/10.59583/pama.v1i2.40
Passya, P., Rizany, I., & Setiawan, H. (2019). Hubungan Peran Kepala Ruangan dan Supervisor Keperawatan dengan Motivasi Perawat dalam Melakukan Dokumentasi Keperawatan. Jurnal Keperawatan Raflesia, 1(2), 99–108. https://doi.org/10.33088/jkr.v1i2.409
Puspitaningrum, I., Supriatun, E., & Putri, S. D. (2023). Dokumentasi keperawatan berbasis elektronik meningkatkan keselamatan pasien dan mutu asuhan keperawatan. DIAGNOSA: Jurnal Ilmu Kesehatan Dan Keperawatan, 1(3), 255–267.
Rahmi, U. (2019). Dokumentasi Keperawatan. Bumi Medika.
Rosdiana, Y., Maemunah, N., & Ka’arayeno, A. J. (2021). Efektivitas Penerapan Timbang Terima, Preconference, Postconference Sesuai Dengan Sop Di Ruangan Unit Stroke Dan Yosep Paviliun Rumah Sakit. Jurnal Salingka Abdimas, 1(2), 74–77. https://doi.org/10.31869/jsam.v1i2.2943
Saputra, C., Arif, Y., & Yeni, F. (2020). Andra’s Nursing Informatic System Application (Annisa) dalam Upaya Meningkatkan Pengetahuan Perawat tentang Dokumentasi Keperawatan. Jurnal Keperawatan Silampari, 4(1), 20–30. https://doi.org/10.31539/jks.v4i1.1281
Sari, P. E., Dwiantoro, L., & Johan, A. (2022). Pengaruh Metode Evaluasi Berbasis Elektronik (G-Spreadsheet) Terhadap Kelengkapan Dokumentasi Keperawatan. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 10(2), 255–259. https://doi.org/10.20527/dk.v10i2.38
Solehudin, & Syabanasyah, I. (2023). Pengaruh Kualitas Pelayanan dan Kepuasan Terhadap Loyalitas Pasien. Jurnal Ilmu Kesehatan Dan Keperawatan, 6(6), 1025–1032. https://doi.org/10.56338/mppki.v6i6.3256
Sudresti, N., Mustriwati, K. A., Oka, M., & Kamayani, A. (2017). Hubungan Penggunaan Komunikasi Sbar Dengan Kualitas Pelaksanaan Bedside Handover. Community of Publishing in Nursing, 5(2), 73. https://ojs.unud.ac.id/index.php/coping/article/view/51347
Sulastri, S., & Sari, N. Y. (2018). Metode Pendokumentasian Elektronik dalam Meningkatkan Kualitas Pelayanan Keperawatan. Jurnal Kesehatan, 9(3), 497–502. https://doi.org/https://doi.org/10.26630/jk.v9i3.987
Talibo, A. (2021). Hubungan Penggunaan Metode Komunikasi SBAR Dengan Kualitas Pelaksanaan Handover. Jurnal Informasi, Sains Dan Teknologi, 4(2), 1–10. https://doi.org/https://doi.org/10.55606/isaintek.v4i2.141
Trinesa, D., Arif, Y., & Murni, D. (2020). Faktor – Faktor yang Berhubungan dengan Pelaksanaan Handover Perawat. Jurnal Endurance?: Kajian Ilmiah Problema Kesehatan, 5(3), 448–457. https://doi.org/http://doi.org/10.22216/jen.v5i3.5283
Wardani, I. G., Kurniati, T., & Sulaeman, S. (2022). Kompetensi Perawat, Sarana Prasarana terhadap Dokumentasi Keperawatan Elektronik, Dampaknya pada Patient Safety. Jurnal Keperawatan, 14(3), 567–574. http://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/408%0Ahttp://journal2.stikeskendal.ac.id/index.php/keperawatan/article/download/408/297
Wulandari, D. F., & Handiyani, H. (2019). Pengembangan Dokumentasi Keperawatan Berbasis Elektronik Di RS X Kota Depok Dengan Menggunakan Teori Perubahan Lewins. Urnal Keperawatan Global, 4(1), 55–64. https://doi.org/10.37341/jkg.v4i1.66
Wulandari, R. Y., Elasari, Y., Nugroho, T. A., & Kusnita, F. E. (2023). Hubungan Fungsi Manajemen Kepala Ruangan Dengan Pelaksanaan Handover Menggunakan Komunikasi SBAR di RSUD Pringsewu The Relationship between the Head of Room Management Function and the Implementation of Handover Using SBAR Communication at Pringsewu Regio. Profesional Islam: Media Publikasi Penelitian, 21(1), 1–7. https://doi.org/https://doi.org/10.26576/profesi.v21i1.187