Analisis Penerapan Standar Dokumentasi Keperawatan dengan Kualitas Pelayanan Keperawatan di Ruang Rawat Inap RSUD Gambiran

Charging nursing documentation that does not comply with the standards may lead to differences in the action by another nurse, causing a decline in service quality. The purpose of this study was to analyze the relationship of standard implementation of nursing documentation with quality nursing care in patient room of hospitals Gambiran. The study design was a cross sectional correlation. Population studied all nurses in inpatient hospitals Gambiran Kediri, amounting to 259 people, with a purposive sampling technique was obtained samples are 54 respondents. Independent variable is the standard implementation of nursing documentation, while the dependent variable is the quality of nursing care. Analysis of data using phi correlation test. mentation, ie 40 respondents (74.1%) and the majority of respondents rate the quality of nursing services in both categories, namely 36 respondents (66.7%). Nursing documentation influence on the speed of service, but not many patients are aware of this condition, so there are few respondents who did not properly apply the nursing documentation but can lead to patient satisfaction, although not having a strong relationship but implementation remains documentation standards implemented as a means of communication for nurses and responsibilities and legal proo

Perbedaan Tingkat Kualitas Dokumentasi Proses Keperawatan Sebelum Dan Sesudah Penerapan NANDA-I, NIC, Dan NOC

Improving the quality of nursing can be obtained if the nurses were able to carry out nursing care standards, ranging from assessment through the following evaluation with documentation. Standardized language in describing the problems of patients is needed. Standardization of classification in nursing care is very important. The purpose of research are identifying the differences between the quality of nursing documentation before and after implementation of NANDA-I, NIC, and NOC in a hospital Anthurium PTPN X Jember. The study used a Quasi Experiment Design in the form of One Group Pretest-posttest. Sampling was carried out with total sampling method. Based on Wilcoxon Signed Rank Test, showed p value is 0.000, Research shows that there are differences in the level of quality documentation before and after implementation of standardized nursing language using NANDA-I, NIC, and NOC. The quality of the documentation before applying NANDA-I, NIC, and NOC mostly medium category (89.3%). Quality of documentation after implementation of NANDA-I, NIC, and NOC are good category (57.1%). Implementation of NANDA-I, NIC, and NOC can improve the quality of nursing documentatio