The Analysis of Nurse Compliance in Documenting of Nursing Care in Islamic Hospital Palembang
Nurses’ obedience in implementing the nursing care documentation is still a phenomenon that occurs in several hospitals in Indonesia. This study attempts to analyze the nurses’ obedience in documenting the nursing care. This quantitative study used a correlation method with a cross-sectional approach, samples from 63 implementing nurses and 63 of the nursing care documentation obtained by using proportionate random sampling technique. The results showed the highest proportion were age <35 years (73.02%), women (93.65%) with vocational education (95.24%), Length of employment ≥2 years (96.83%) with permanent employee status (95.24%) and most of the nurse disobedience in documenting the nursing care (98.41%). There was no correlation among Age (p-value = 0.270), Gender, Education, Length of employment, Staffing Status (p-value = 1.000). The researcher suggested that the Palembang Islamic Hospital to conduct a review of the nursing care format form and SPO the nursing care documentation including the SPO implementation, then conduct periodic internal audits, provide training or include nurses in training in filling the nursing care documentation used in the Palembang Islamic Hospital that also needs to be done, as well as optimizing the reward and punishment system for nurses related to the implementation of the nursing care documentation.