Perilaku Kontrol yang Dirasakan Perawat dalam Pendokumentasian Asuhan Keperawatan
Abstract
Background : Nursing documentation is an important aspect of nurse profesionalism. Therefore each nurses should write down their activity properly according their role. However, to keep nurse documenting their prefossional behavior have been challanging according to studies. Objective: This study aims to portray how nurses perceived behavior control toward nursing documentation in hospital. Method: an observational study was conducted to investigate perceived behavior control among nurses working in ward setting. A total sampling technique was applied to recruite 47 nurses work in pediatric ward. Univariate analysis was utilized. Results: Most respondents were female, age 37.9 (7.5) years old on average, with undergraduate in nursing education background. Currently nurses were qualified for the first level of clinical nurse’s career path (PK 1), and working as associate nurses. The average score of nurses’ perceived control behavior over nursing care documentation was 68.59 (5.13). Conclusion: Nurses perceived behaviors control over nursing care documentation were slighty over the mediocre values, Nurses tend to have positive perception on their control over documenting nursing care.
References
Ajzen, I. 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 50(2):179–211. DOI: https://doi.org/10.1016/0749-5978(91)90020-T.
Amalia, E, Herawati, L & Nofiadi, N. 2018. Faktor-Faktor Kelengkapan Pendokumentasian Asuhan Keperawatan di Instalasi Rawat Inap RSUD Lubuk Sikaping. In: Prosiding Seminar Kesehatan Perintis. V. 1.
Arizal, A, Budiharto, I & Nurfianti, A. 2019. Analisis rencana penerapan sistem informasi dalam pendokumentasian asuhan keperawatan di Rumah Sakit Universitas Tanjungpura. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia). 7(2):19–29.
Bandura, A. 1997. Self-efficacy: The exercise of control. New-York: W.H. Freeman and Company.
Bandura, A. 1999. Social Learning Theory New Jersey: Prentice Hall
Benner, P. 1982. From novice to expert.. The dreyfus model of skill acquisition. American Journal of Nursing. 82(2):402–407.
Benoit, K & Wiesehomeier, N. 2009. Expert Judgments. In: Methoden der vergleichenden Politik- und Sozialwissenschaft: Neue Entwicklungen und Anwendungen. S. Pickel, G. Pickel, H.-J. Lauth, & D. Jahn, Eds. Wiesbaden: VS Verlag für Sozialwissenschaften. 497–516. DOI: https:// doi.org/10.1007/978-3-531-91826-6_25.
Bosnjak, M, Ajzen, I & Schmidt, P. 2020. The theory of planned behavior: Selected recent advances and applications. Europe’s Journal of Psychology. 16(3):352.
Daerina, SRF, Mursityo, YT & Rokhmawati, RI. 2018. Evaluasi peranan persepsi kegunaan dan sikap terhadap penerimaan sistem informasi manajemen rumah sakit (SIMRS) di rumah sakit daerah Kalisat. Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer e-ISSN. 2548:964X.
Flury, BK & Riedwyl, H. 1986. Standard distance in univariate and multivariate analysis. The American Statistician. 40(3):249–251.
Guile, D. 2002. Skill and work experience in the European knowledge economy. Journal of Education and Work. 15(3):251–276. DOI: https://doi.org/10.1080/1363908022000012058-1.
Handayani, S. 2018. Perlindungan hukum terhadap Dokter dalam pembukaan rekam medik pasien Human Immunodeficiency Virus/Acquired immunodeficiency syndrome. Jurnal Idea Hukum. 4(1).
Hasibuan, AS & Malau, G. 2019. Ketidak Lengkapan Dokumen Rekam Medis Rawat Inap pada Pasien Diabetes Mellitus di RSU Imelda Medan. Jurnal ilmiah perekam dan informasi kesehatan imelda. 4(2):675–679.
Karami, Abbas., Jamileh Farokhzadian., GForoughameri. 2017. Nurses’ professional competency and organizational commitment: Is it important for human resource management? Journal Pone. 12(11):1–15. DOI: https://doi.org/10.1371/journal.pone.0187863.
Keliat, BA. 2019. Model praktik keperawatan profesional jiwa. EGC.
Kohen, SA & Nair, R. 2019. Improving hospital-based communication and decision-making about scope of treatment using a standard documentation tool. BMJ Open Quality. 8(2):e000396.
Kusniawati, K & Susanti, RA. 2019. Hubungan peran perawat dalam response time dengan tingkat kepuasan pelanggan di IGD Rumah Sakit Umum Kabupaten Tangerang. Jurnal Medikes (Media Informasi Kesehatan). 6(2):225–238.
Majid, A & Sani, A. 2016. Pengaruh pelatihan dan supervisi kepala ruangan terhadap kinerja perawat pelaksana di ruang rawat inap bedah Rumah Sakit TK. II Pelamonia Makassar. Jurnal Mirai Management. 1(2):310–412.
Menteri Kesehatan RI. 2017.Peraturan Menteri Kesehatan Republik Indonesia tentang Jenjang Karir Perawat
Ni Chroinin, D, Neto, HM, Xiao, D, Sandhu, A, Brazel, C, Farnham, N, Perram, J, Roach, TS, et al. 2016. Potentially inappropriate medications (PIMs) in older hospital in‐patients: Prevalence, contribution to hospital admission and documentation of rationale for continuation. Australasian journal on ageing. 35(4):262–265.
Potter, PA, Perry, AGE, Hall, AE & Stockert, PA. 2010. Fundamentals of nursing. Elsevier mosby.
PPNI. 2016. Standar Diagnosis Keperawatan Indonesia. Jakarta: PPNI.
PPNI. 2019a. STandar Luaran Keperawatan Indonesia, Jakarta: PPNI
PPNI. 2019b. Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan.
Prayoga, G. 2009. Kesetaraan gender perawat laki-laki dan perawat perempuan dalam pelayanan kesehatan (Studi deskriptif kualitatif tentang Kesetaraan Gender Antara Perawat Laki-laki dan Perawat Perempuan dalam Pelayanan Kesehatan di Rumah Sakit Soeradji Tirtonegoro Klaten.
Purbobinuko, ZK, Prahesti, R & Ningsih, KP. 2021. Upaya Meningkatkan Kepatuhan Profesional Pemberi Asuhan Pasien Dalam Dokumentasi Rekam Medis. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda. 6(2):205–212.
Republik Indonesia. 2014. Undang-Undang Kesehatan Republik Indonesia no 23
Saputra, JR, Rini, MT & Fari, AI. 2022. Adaptasi Mahasiswa Baru Terhadap Pembelajaran Daring Selama Pandemi dengan Pendekatan Teori Adaptasi Calista Roy. Jurnal Keperawatan Florence Nightingale. 5(1):14–19.
Sartika, E. (2020). Faktor-Faktor Yang Mempengaruhi Pendokumentasian Asuhan Keperawatan Di Ruang Rawat Inap Rumah Sakit Universitas Tanjungpura Pontianak. Tanjungpura Journal of Nursing Practice and Education, 2(1).
Seni, NNA & Ratnadi, NMD. 2017. Theory of planned behavior untuk memprediksi niat berinvestasi. E-Jurnal Ekonomi dan Bisnis Universitas Udayana. 12(6).
Siswanto, L. H., Hariyati, R. T. S., & Sukihananto, S. (2013). Faktor-Faktor yang berhubungan dengan kelengkapan pendokumentasian asuhan keperawatan. Jurnal Keperawatan Indonesia, 16(2), 77-84. Sitorus, R. 2006. Model praktik keperawatan profesional di rumah sakit. Jakarta: EGC.
Fitriana, SR 2006. Upaya peningkatan kualitas dokumentasi asuhan keperawatan di rawat jalan Rumah Sakit Islam Achmad Yani Surabaya. Universitas Airlangga.
Sudono, B., Arumawati, D.S., Haris, R.A. 2017. Gambaran Kemampuan Berfikir Kritis Perawat Primer Dalam Pelaksanaan Asuhan Keperawatan Di Rumah Sakit Islam Surakarta. Jurnal Ilmiah Ilmu Keperawatan. 10(1).
Suryaningsih, D & Dwiantoro, L. 2017. Model supervisi klinis yang dapat meningkatkan mutu pelayanan keperawatan. Semin Nas dan Call Pap. 203–211.
Unsoed. 2016. Kurikulum S1 Keperawatan.
Wati, NL & Ernawaty, J. 2011. Analisa pelaksanaan pemberian pelayanan keperawatan di Ruang Murai II RSUD Arifin Achmad Provinsi Riau. Jurnal Ners Indonesia. 1(2):11–20.
Zelauskas, B & Howes, DG. 1992. The effects of implementing a professional practice model. The Journal of Nursing Administration. 22(7–8):18–23
Copyright (c) 2023 Silvia Batulingas, Wastu Adi Mulyono, Eni Rahmawati
This work is licensed under a Creative Commons Attribution 4.0 International License.
.png)
