scholarly journals The Influence of In-House Training Towards The Accuracy of Nursing Care Documentation

2020 ◽  
Vol 9 (2) ◽  
pp. 523-527
Author(s):  
Sr Felisitas A Sri S ◽  
Emy Sutiyarsih

Nursing documentation can be used as legal evidence if there are lawsuits. Therefore, nursing documentation must be done systematically and continuously.  The aim of this study was to analyze the effect of in-house training about nursing care documentation to the accuracy of documenting nursing care at X hospital. This study was a quasi-experimental study with one group post-test design. The population of nurses at X hospital. The respondents were nurses that were randomly selected from all wards at X hospital. The ANOVA test was used for data analysis. The results of this study stated that there was a significant influence of in-house training on the accuracy of documentation of nursing care, with p-value = 0.000 < 0.05. In conclusion, the findings highlight that continuous training in nursing care process will be able to improve the quality of nursing care documentation. However, it is recommended to conduct an ongoing evaluation.

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Ardhiles Wahyu Kurniawan

Abstract : The complex IGD work environment will affect the quality of care, health care, including inaccurate or incomplete documentation. Incomplete nursing documentation indicates that the nursing care process is not working properly and continuously. Intentionin documenting can predict the appearance of person behavior including the behavior of nurses, especially in documenting nursing care. The purpose of this study was to analyze correlation intention with nurse behavior in documenting nursing care in Emergency Installation. The research design used correlational analysis with cross sectional approach. The sample in this research is part of nurse of executing at IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan and IGD RS Islam Malang. The sample of 45 nurses IGD and 341 documents were selected according to inclusion and exclusion criteria. The result of statistical analysis of gamma that there is a significant correlation between intention and nursing documentation behavior evidenced by value of p = 0,000, positive correlation direction and strong correlation value is proved by r = 0,739. Hospital and nurse IGD is expected to develop a good intention then formed good nursing documenting behavior as well.Keywords : Nurse IGD, Intention, Nursing Documentation. Abstrak: Lingkungan kerja IGD yang kompleks akan mempengaruhi kualitas perawatan, pelayanan kesehatan, termasuk dokumentasi yang dilakukan tidak tepat atau tidak lengkap. Dokumentasi keperawatan yang tidak lengkap menunjukkan proses asuhan keperawatan tidak berjalan dengan baik dan berkesinambungan. Intensi dalam pendokumentasian dapat memprediksi munculnya perilaku seseorang termasuk perilaku perawat khususnya dalam pendokumentasian asuhan keperawatan. Tujuan penelitian ini untuk menganalis hubungan intensi dengan perilaku perawat dalam pendokumentasian asuhan keperawatan di Instalasi Gawat Darurat. Desain penelitian menggunakan analysis correlationaldengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian perawat pelaksana di IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan Malang dan IGD RS Islam Malang. Sampel berjumlah 45 perawat IGD dan 341 dokumen dipilih sesuai dengan kriteria inklusi dan ekslusi. Hasil analisis statistik uji gammamenunjukkan terdapat hubungan signifikan antara intensi dengan perilaku pendokumentasian keperawatan dibuktikan dengan nilai p = 0,000, arah korelasi positif, dan nilai korelasi kuat dibuktikan dengan nilai r = 0,739. Rumah Sakit dan perawat IGD diharapkan mengembangkan intensi yang baik sehingga diharapkan terbentuk perilaku pendokumentasian keperawatan yang baik pula. Kata Kunci : Perawat IGD, Intensi, Dokumentasi Keperawatan.


2020 ◽  
Vol 3 (1) ◽  
pp. 17-23
Author(s):  
Ni Kadek Erna ◽  
Ni Luh Putu Thrisna Dewi

Introduction: Nurses' lack of understanding and non-compliance in nursing documentation resulted in low quality of documentation and nursing services. One of factors which affects nursing documentation is self-efficacy. The purpose of this study was to know the correlation of self-efficacy and the compliance of nurses in the nursing documentation. Methods: This research used cross-sectional design with the descriptive documentation approach. The sample of the study was 23 nurses in a hospital recruiting with a nonprobability technique type i.e. total sampling. The inclusion criteria in this study were nurses who were willing to be respondents and had at least a diploma in nursing education. The instrument used was a self-efficacy questionnaire and the nursing care documentation compliance observation sheet. Data analysis used Rank Spearman test with the meaning level 0.05. Results: Most of nurses had high self-efficacy (69.9%) and majority nurse obey in nursing care documentation (73.9%). The statistic test showed p value = 0.000 < (0.05) with r = 0.898. Conclusion: This result confirmed that there is a relation between self-efficacy and the compliance of nurses in nursing documentation at hospital.


2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.


2020 ◽  
Vol 12 (4) ◽  
pp. 118
Author(s):  
Agustina Boru Gultom ◽  
Indrawati Indrawati

The survival of cancer patients is often short despite receiving therapy, but it really depends on various things including those that play an important role is the ability of patients to improve their life status in dealing with illnesses and therapy through increased self-efficacy because self-efficacy of cancer patients often experience reduction due to cancer and the therapy it undergoes. The pre&ndash;test and&nbsp; the first post -test and also&nbsp; the second post-test research design in the form of self-efficacy training of cancer patients undergoing chemotherapy used&nbsp; a quasi-experimental design without a control group. Data analysis used dependent t test and repeat ANOVA test. There were significant effects and differences in self-efficacy training on the quality of life of cancer patients undergoing chemotherapy with the&nbsp; p value dependent test was 0,000 and the repeat ANOVA test was p value 0,000. The uses of structured self-efficacy training be one of the considerations of nursing interventions to improve the quality of life of cancer patients undergoing chemotherapy.


2020 ◽  
Vol 4 (1) ◽  
pp. 40-47
Author(s):  
Yessi Fadriyanti ◽  
Zulharmaswita Zulharmaswita ◽  
Yosi Suryarinilsih ◽  
Heppi Sasmita ◽  
Defiaroza Defiaroza

This study aimed to determine the effect of caring training on the behavior of providing nursing care to students of the Poltekeks Kemenkes Padang. The design used in this study was a quasi-experimental pre-post test control group. The results showed that knowledge's p-value, affective, and psychomotor variables = 0.000 (p <0.05). In conclusion, caring training can improve students' experience, affective, and psychomotor in providing nursing care.   Keywords: Nursing Care, Caring


2019 ◽  
Vol 5 (2) ◽  
pp. 15-20
Author(s):  
Kencho Zangmo ◽  
Tshering Dema ◽  
Bhagawat Acharya ◽  
Sonam Sonam ◽  
Tshering Choden ◽  
...  

Introduction: Whether it is a written documentation or an oral communication, the practice and delivery of healthcare is debated to be critically dependent on effective and efficient communication. Nursing documentation is one of the principal sources of information about patient care and an important tool for communication. This descriptive study assessed both quantitative completeness and quality of nursing documentation by major in-patient units of Jigme Dorji Wangchuck National Referral Hospital. Methods: This cross-sectional study used D-catch tool. Data of randomly selected 317 patient records from six major in-patient units were entered into EpiData file. Using STATA version IC/14, descriptive statistics and multi variable analysis were carried out. Results: Overall quantitative completeness (M-3.4, SD-.59) of the nursing documentation was higher compared to the quality of the documents maintained (M-2.8, SD-.79). The basic and less time-consuming information such as admission data and vital signs charting are documented better compared to the more time consuming and complex documentation such as nursing care process. Conclusion: Systems should not only be in place to enhance documentation quantitatively but also consider uplifting the quality of the documents maintained. Initiating centralized admission system in the hospital may reduce nurses’ burden of clerical documentation, which will allow them to focus on quality nursing documentation and overall nursing care of patients.


Author(s):  
Kihye Han ◽  
Heejeong Hwang ◽  
Eunyoung Lim ◽  
Mirang Jung ◽  
Jihye Lee ◽  
...  

Scheduled naps in the workplace are an effective countermeasure to drowsiness in safety-sensitive industries. This quasi-experimental study with a one-group, pre- and post-test design aimed to examine the effects of scheduled naps on nurses working 12-h shifts. Nurses in two pediatric intensive care units at a tertiary hospital were provided 30-min scheduled nap opportunities during their shifts. A total of 38 nurses completed pre- and post-test work diaries for sleepiness, fatigue, work demands and pace, and quality of nursing care at the end of each shift. The drowsiness of 13 nurses was continuously assessed during their shifts using infrared reflectance oculography. Nurses who reached naps reported improved levels of fatigue on the first night shift and better quality of nursing care the second night and day shifts post-test, while nurses who did not reach naps showed no significant improvements. The oculography successfully assessed drowsiness during 73% and 61% of the pre- and post-test total work hours, respectively. The total cautionary and cautionary or higher levels of drowsiness decreased. Nurse managers should consider scheduled naps in clinical settings to improve nurses’ alertness during their shifts.


2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  


2017 ◽  
Vol 9 (1) ◽  
pp. 81
Author(s):  
Khadijeh Panahi Dorche ◽  
Seyed Ali Kimiaei ◽  
Melika Ghahramanzadeh

This study investigated the effect of solution-focused counseling on improving the quality of marital relationships on childless couples. This study is a quasi-experimental using pre-test, post-test with a waiting list control group. Sample population of this study was visiting in a Welfare and Education center in city of Eafahan. Fourteen couples were selected randomly through stratified random sampling method and were equally assigned to experimental and waiting list control groups. They completed the Dyadic Adjustment Scale (DAS). The results showed that solution-focused counseling not only significantly increases the quality of marital relationship but also improve dyadic consensus, affective expression, dyadic cohesion and marital satisfaction.


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