What is the problem with nursing documentation? Perspective of Indonesian nurses
Background: Nursing documentation reflects the quality in patient care. It promotes effective communication between caregivers. However, although its significance has been discussed in numerous articles, nursing documentation remains problematic in Indonesia. Objective: This research was the first o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-01-01
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| Series: | International Journal of Africa Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214139117301208 |
| _version_ | 1818119871484919808 |
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| author | Hajjul Kamil R. Rachmah Elly Wardani |
| author_facet | Hajjul Kamil R. Rachmah Elly Wardani |
| author_sort | Hajjul Kamil |
| collection | DOAJ |
| description | Background: Nursing documentation reflects the quality in patient care. It promotes effective communication between caregivers. However, although its significance has been discussed in numerous articles, nursing documentation remains problematic in Indonesia. Objective: This research was the first of its kind in Indonesia which aim to identify issues with nursing documentation. Method: A qualitative approach through focus group discussions (FGD) with head nurses and staff was conducted to identify problems that hinder nurses’ abilities to follow proper documentation procedure in an urban hospital in Indonesia. The nurses who have more than one year work experience were recruited through simple random technique. There were 35 participants involved. The open-ended questions regarding the nursing documentation process were administered. The group discussions were held two times on each teams and conducted separately between the head nurses and their staff. The data for this descriptive qualitative study were recognized through content analysis methods. Results: The results of the study were captured in three themes: (1) Inadequate supervision for nurses on nursing documentation; (2) Competency issues in documentation; (3) Lack of confidence and motivation on documentation. Conclusion: Education is amongst the top listed contributing factors for quality nursing documentation. This is confirmed with this research. The findings of the study suggest the need for continuous support and educational intervention to ensure adherence to the nursing documentation procedure. Keywords: Indonesia, Nursing documentation, Nurses competency, Patient report, Quality |
| first_indexed | 2024-12-11T05:17:05Z |
| format | Article |
| id | doaj.art-b528697ac5d14f72b1063dcfb9d8d53e |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-12-11T05:17:05Z |
| publishDate | 2018-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-b528697ac5d14f72b1063dcfb9d8d53e2022-12-22T01:19:48ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912018-01-019111114What is the problem with nursing documentation? Perspective of Indonesian nursesHajjul Kamil0R. Rachmah1Elly Wardani2Nursing Leadership and Management Department, Faculty of Nursing, Syiah Kuala University, Jalan Tengku Tanoh Abee Darussalam, 23111 Banda Aceh, IndonesiaNursing Leadership and Management Department, Faculty of Nursing, Syiah Kuala University, Jalan Tengku Tanoh Abee Darussalam, 23111 Banda Aceh, IndonesiaCorresponding author.; Nursing Leadership and Management Department, Faculty of Nursing, Syiah Kuala University, Jalan Tengku Tanoh Abee Darussalam, 23111 Banda Aceh, IndonesiaBackground: Nursing documentation reflects the quality in patient care. It promotes effective communication between caregivers. However, although its significance has been discussed in numerous articles, nursing documentation remains problematic in Indonesia. Objective: This research was the first of its kind in Indonesia which aim to identify issues with nursing documentation. Method: A qualitative approach through focus group discussions (FGD) with head nurses and staff was conducted to identify problems that hinder nurses’ abilities to follow proper documentation procedure in an urban hospital in Indonesia. The nurses who have more than one year work experience were recruited through simple random technique. There were 35 participants involved. The open-ended questions regarding the nursing documentation process were administered. The group discussions were held two times on each teams and conducted separately between the head nurses and their staff. The data for this descriptive qualitative study were recognized through content analysis methods. Results: The results of the study were captured in three themes: (1) Inadequate supervision for nurses on nursing documentation; (2) Competency issues in documentation; (3) Lack of confidence and motivation on documentation. Conclusion: Education is amongst the top listed contributing factors for quality nursing documentation. This is confirmed with this research. The findings of the study suggest the need for continuous support and educational intervention to ensure adherence to the nursing documentation procedure. Keywords: Indonesia, Nursing documentation, Nurses competency, Patient report, Qualityhttp://www.sciencedirect.com/science/article/pii/S2214139117301208 |
| spellingShingle | Hajjul Kamil R. Rachmah Elly Wardani What is the problem with nursing documentation? Perspective of Indonesian nurses International Journal of Africa Nursing Sciences |
| title | What is the problem with nursing documentation? Perspective of Indonesian nurses |
| title_full | What is the problem with nursing documentation? Perspective of Indonesian nurses |
| title_fullStr | What is the problem with nursing documentation? Perspective of Indonesian nurses |
| title_full_unstemmed | What is the problem with nursing documentation? Perspective of Indonesian nurses |
| title_short | What is the problem with nursing documentation? Perspective of Indonesian nurses |
| title_sort | what is the problem with nursing documentation perspective of indonesian nurses |
| url | http://www.sciencedirect.com/science/article/pii/S2214139117301208 |
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