The Impact of Nursing Care Management Implementation on the Improvement of a Centralized Nursing Information System
https://doi.org/10.33860/jik.v18i3.3926
Keywords:
nursing diagnosis, nursing documentation, nursing careAbstract
Nursing care management improves the centralized nursing information system by ensuring accurate documentation, efficient workflows, and better technology training, as well as supporting clinical decision-making with quality data. This study aims to assess the impact of nursing care management implementation on the improvement of the centralized nursing information system at IS Makassar Hospital in 2023. A quasi-experimental design with pretest and posttest was used, involving a control group, with a sample size of 110 nurses from 4 inpatient wards participating in the study through total sampling. Data were analyzed using the Wilcoxon test and independent paired t-test. The results showed a significant impact of nursing care management implementation on the centralized nursing information system. The intervention group had a p-value of 0.002, and the difference between the intervention and control groups showed a p-value of 0.0002. These findings indicate that structured nursing care management improves nurses' documentation skills and knowledge. It is recommended to explore the optimization of continuous training for nurses in the use of the centralized nursing information system, and to conduct a long-term evaluation of the impact of nursing care management implementation on the quality of documentation.
References
Hong WHS, Lundeen SP. Using ACHIS to analyze nursing health promotion interventions for vulnerable populations in a community nursing center: A pilot study. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2019;3(3):130–8. Tersedia pada: http://dx.doi.org/10.1016/S1976-1317(09)60024-4
Ryu JI, Kim K. The influence of nursing care integration services on nurses’ work satisfaction and quality of nursing care. J Nurs Manag. 2019;26(8):1024–32.
Siokal B. Effectiveness of Computer-Based Nursing Documentation in Nursing Care Hospital – A Literature Review. 2021;2(2):6. Tersedia pada: https://pasca-umi.ac.id/index.php/jmch/article/view/502
Strauss B. The Patient Perception of the Nurse-Patient Relationship When Nurses Utilize an Electronic Health Record Within a Hospital Setting. CIN - Comput Informatics Nurs. 2019;31(12):596–604.
Taylor DN. A Literature Review of Electronic Health Records in Chiropractic Practice : Common Challenges and Solutions. J Chiropr Humanit [Internet]. 2019;24(1):31–40. Tersedia pada: https://doi.org/10.1016/j.echu.2016.12.001
Tubaishat A. Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of Technology Acceptance Model. Informatics Heal Soc Care. 2019;43(4):379–89.
Wang N, Yu P, Hailey D. Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities. Int J Med Inform [Internet]. 2019;82(5):313–24. Tersedia pada: http://dx.doi.org/10.1016/j.ijmedinf.2012.11.011
Zadvinskis IM, Chipps E, Yen P yin. Exploring nurses ’ confirmed expectations regarding health IT : A phenomenological study. Int J Med Inform [Internet]. 2019;83(2):89–98. Tersedia pada: http://dx.doi.org/10.1016/j.ijmedinf.2013.11.001
Vabo G, Science N, Science N, Fossum M, Science N, Science N, et al. Participants’ perceptions of an intervention implemented in an Action Research Nursing Documentation Project. Nurs Clin NA. 2019;(4604).
Siokal B, Amiruddin R, Abdullah T, Thamrin Y, Syam Y, Palutturi S, et al. Improving the Quality of Assessment and Diagnosis in Nursing Care: A Literature Review. Pharmacogn J. 2023;15(4):703–6.
Siokal B, Wahyuningsih. Potensi Profesional Kesehatan Dalam Menjalankan Interprofessional Collaboration Practice Di Rumah Sakit Universitas Hasanuddin. Bina Gener J Kesehat. 2019;11(1):13–20.
Siokal B, Amiruddin R, Abdullah T, Thamrin Y, Palutturi S, Ibrahim E, et al. The Influence of Effective Nurse Communication Application on Patient Satisfaction: A Literature Review. Pharmacogn J. 2023;15(3):479–83.
Moy AJ, Schwartz JM, Chen RJ, Sadri S, Lucas E, Cato KD, et al. Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review. J Am Med Informatics Assoc. 2021;28(5):998–1008.
Ranjbar K, Sabetsarvestani R, Oghlaee H, Sarvestani PS, Dehghan A, Shirazi ZH. Using Electronic Software for Nursing Documentation in Nursing Students. Florence Nightingale J Nurs. 2021;29(2):128–36.
Shafiee M, Shanbehzadeh M, Nassari Z, Kazemi-Arpanahi H. Development and evaluation of an electronic nursing documentation system. BMC Nurs. 2022;21(1):1–12.
Reynolds SS, Woltz P, Keating E, Neff J, Elliott J, Hatch D, et al. Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implement Sci. 2021;16(1):1–16.
Moldskred PS, Snibsøer AK, Espehaug B. Improving the quality of nursing documentation at a residential care home: a clinical audit. BMC Nurs. 2021;20(1):1–7.
Marci Holub. Decreasing the Nursing Documentation Burden During the Covid-19 Surge. Nurseleader. 2020;(January).
Lindsay MR, Lytle K. Implementing Best Practices to Redesign Workflow and Optimize Nursing Documentation in the Electronic Health Record. Appl Clin Inform. 2022;13(3):711–9.
Wahyuningsih W, Bukhari A, Juliaty A, Erika KA, Pamungkas RA, Siokal B, et al. Stunting Prevention and Control Program to Reduce the Prevalence of Stunting: Systematic Review Study. Open Access Maced J Med Sci. 2022;10(F):190–200.
Kodama K, Konishi S, Manabe S, Okada K, Yamaguchi J, Wada S, et al. Impact of an Electronic Medical Record–Connected Questionnaire on Efficient Nursing Documentation: Usability and Efficacy Study. JMIR Nurs. 2023;6(1):1–14.
Kleib M, Jackman D, Wisnesky UD, Ali S. Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study. JMIR Nurs. 2021;4(2):1–14.
Gesner E, Dykes PC, Zhang L, Gazarian P. Documentation Burden in Nursing and Its Role in Clinician Burnout Syndrome. Appl Clin Inform. 2022;13(5):983–90.
Kernebeck S, Busse TS, Jux C, Dreier LA, Meyer D, Zenz D, et al. Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach. Int J Environ Res Public Health. 2022;19(6).
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