NURSE CHARACTERISTICS AGAINST COMPLETENESS OF DOCUMENTATION: A CROSS-SECTIONAL STUDY AMONG NURSING LEADER AND STAFF

Articles in Press

Document Type : Short Report

Authors

Nursing of Department, Health Polytechnic of Jambi, Indonesia

10.22038/ebcj.2024.71589.2864

Abstract

Incomplete documentation of nursing care may be related to individual characteristics, including age, length of work, education, and supervision. The current research aims to determine the determinants of documentation of nursing care on the ward. This type of research is an analytic observational using a cross-sectional design involving 105 ward nurses. Data collection using checklist form including translated MCSS-26 and nursing documentation checklist created by the authors. Data analysis used the chi-square test. In the chi-square test, it was found that there was a relationship between gender and nursing documentation (P<0.002), education (P<0.017), supervision with a (P<0.003). The correlation test using the t-test showed that there was no relationship between age and nursing care documentation (P > 0.688), nor between work length and nursing care documentation (P > 0.516). This study has identified the shortcomings and weaknesses of the nurse documentation system in the nursing wards. This has implications for increasing nurse and patient satisfaction and can also increase hospital accreditation and improve the quality of nursing services.

Keywords

Main Subjects

Evidence Based Care

Articles in Press, Accepted Manuscript
Available Online from 21 August 2024

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