Patient Care Delivery: Electronic Nursing Documentation in Malaysia

Background: The evolution of nursing documentation from paper to electronic format aims to improve patient safety and care quality. This study aimed to determine the knowledge and attitudes of registered nurses toward electronic nursing process documentation. Methods: This cross-sectional study w...

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Main Authors: Siti Zuhaida Hussein, Norazilah Khalip, Rosnita Hashim, Rohaizah Harun, Nor Fazlina Fazilah, Norazilah Mat Shah
Format: Article
Language:English
Published: Universitas Indonesia 2021-08-01
Series:Makara Journal of Health Research
Subjects:
Online Access:https://scholarhub.ui.ac.id/mjhr/vol25/iss2/5/
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author Siti Zuhaida Hussein
Norazilah Khalip
Rosnita Hashim
Rohaizah Harun
Nor Fazlina Fazilah
Norazilah Mat Shah
author_facet Siti Zuhaida Hussein
Norazilah Khalip
Rosnita Hashim
Rohaizah Harun
Nor Fazlina Fazilah
Norazilah Mat Shah
author_sort Siti Zuhaida Hussein
collection DOAJ
description Background: The evolution of nursing documentation from paper to electronic format aims to improve patient safety and care quality. This study aimed to determine the knowledge and attitudes of registered nurses toward electronic nursing process documentation. Methods: This cross-sectional study was conducted among 189 registered nurses who work in medical wards at a teaching hospital in Kuala Lumpur. Simple random sampling was used. Respondents’ knowledge of electronic nursing documentation was measured using a questionnaire developed by Guedes, and their attitudes toward electronic nursing documentation were measured using a questionnaire developed by Hagos. Data analysis was performed using Statistical Package for the Social Sciences Statistics 26.0 for Windows and p < 0.05 was considered significant. Results: In this study, 50.8% of the respondents have a low knowledge level of electronic nursing documentation, and 89.4% have a positive attitude toward electronic nursing documentation. No significant relationship was found between sociodemographic factors, such as age, education level, working experience, knowledge level, and attitude, and electronic nursing documentation. Conclusions: Nurses had a higher knowledge level of and positive attitudes toward electronic nursing documentation. A longitudinal and comparative study was suggested for further research.
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spelling doaj.art-5ccab658d3994fca9759a39203d2a4ea2023-02-21T04:04:00ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562021-08-0125210110610.7454/msk.v25i2.1288Patient Care Delivery: Electronic Nursing Documentation in MalaysiaSiti Zuhaida Hussein0Norazilah Khalip1Rosnita Hashim2Rohaizah Harun3Nor Fazlina Fazilah4Norazilah Mat Shah5Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaDepartment of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaDepartment of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaDepartment of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaDepartment of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaDepartment of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras 56000, MalaysiaBackground: The evolution of nursing documentation from paper to electronic format aims to improve patient safety and care quality. This study aimed to determine the knowledge and attitudes of registered nurses toward electronic nursing process documentation. Methods: This cross-sectional study was conducted among 189 registered nurses who work in medical wards at a teaching hospital in Kuala Lumpur. Simple random sampling was used. Respondents’ knowledge of electronic nursing documentation was measured using a questionnaire developed by Guedes, and their attitudes toward electronic nursing documentation were measured using a questionnaire developed by Hagos. Data analysis was performed using Statistical Package for the Social Sciences Statistics 26.0 for Windows and p < 0.05 was considered significant. Results: In this study, 50.8% of the respondents have a low knowledge level of electronic nursing documentation, and 89.4% have a positive attitude toward electronic nursing documentation. No significant relationship was found between sociodemographic factors, such as age, education level, working experience, knowledge level, and attitude, and electronic nursing documentation. Conclusions: Nurses had a higher knowledge level of and positive attitudes toward electronic nursing documentation. A longitudinal and comparative study was suggested for further research.https://scholarhub.ui.ac.id/mjhr/vol25/iss2/5/electronic health recordsmalaysiamedical nursing
spellingShingle Siti Zuhaida Hussein
Norazilah Khalip
Rosnita Hashim
Rohaizah Harun
Nor Fazlina Fazilah
Norazilah Mat Shah
Patient Care Delivery: Electronic Nursing Documentation in Malaysia
Makara Journal of Health Research
electronic health records
malaysia
medical nursing
title Patient Care Delivery: Electronic Nursing Documentation in Malaysia
title_full Patient Care Delivery: Electronic Nursing Documentation in Malaysia
title_fullStr Patient Care Delivery: Electronic Nursing Documentation in Malaysia
title_full_unstemmed Patient Care Delivery: Electronic Nursing Documentation in Malaysia
title_short Patient Care Delivery: Electronic Nursing Documentation in Malaysia
title_sort patient care delivery electronic nursing documentation in malaysia
topic electronic health records
malaysia
medical nursing
url https://scholarhub.ui.ac.id/mjhr/vol25/iss2/5/
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AT norfazlinafazilah patientcaredeliveryelectronicnursingdocumentationinmalaysia
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