Volume 21, Issue 1 (4-2024)                   J Res Dev Nurs Midw 2024, 21(1): 2-5 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ramadhansyah Purnomo I, Mudatsir M, Marthoenis M. Factors associated with the implementation of nursing documentation in a psychiatric hospital. J Res Dev Nurs Midw 2024; 21 (1) :2-5
URL: http://nmj.goums.ac.ir/article-1-1582-en.html
1- Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia , purnomo@mhs.usk.ac.id
2- Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
3- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia
Abstract:   (1077 Views)
Background: Nurses constitute a significant portion of the health care workforce, playing a crucial role in enhancing the quality of hospital services, particularly in the context of nursing documentation to ensure the precise recording of patient information in accordance with established standards. This study examines the factors associated with implementing nursing documentation in a psychiatric hospital.
Methods: This cross-sectional study was conducted in June 2023 in a psychiatric hospital in Indonesia. A convenience sampling method was employed to recruit 144 nurses working in the hospital. Data collection methods encompassed supervision questionnaires, Unified Motive Scales (UMS), and observation sheets used for recording nursing care activities. Data analysis involved the chi-square test and multiple logistic regression. Data analysis was performed with a significance level set at 0.05 and a CI of 95%, utilizing STATA 13.
Results: We found significant associations between nursing documentation and supervision techniques (p = 0.01), need for power (p = 0.001), and need for affiliation (p = 0.002). Notably, the need for power emerged as the most influential factor in nursing documentation (odds ratio [OR] = 8.46; 95% CI, 3.53-20.28).
Conclusion: These findings underscore the importance of supervision techniques, power needs, and affiliated needs in the context of nursing documentation. The statistically significant associations between these factors emphasize their role in ensuring accurate and comprehensive record-keeping within health care settings. Particularly noteworthy is the substantial influence of the need for power, with a high OR, suggesting that addressing power dynamics may be an essential strategy for improving nursing care documentation practices.

 
Full-Text [PDF 371 kb]   (396 Downloads) |   |   Full-Text (HTML)  (166 Views)  
perspective: Original Article | Subject: Nursing

References
1. Asmirajanti M, Hamid AYS, Hariyati RrTS. Nursing care activities based on documentation. BMC Nurs. 2019;18(1):32. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Kamil H, Rachmah R, Wardani E. What is the problem with nursing documentation? Perspective of Indonesian nurses. Int J Afr Nurs Sci. 2018;9:111-4. [View at Publisher] [DOI] [Google Scholar]
3. De Groot K, De Veer AJE, Munster AM, Francke AL, Paans W. Nursing documentation and its relationship with perceived nursing workload: a mixed-methods study among community nurses. BMC Nurs. 2022;21(1):34. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Abdallah KF, Ebraheim MN, Aziz Elbakry MRA. Nurses' Performance toward Quality Documentation for Patients in ICU: Suggested Guidelines. Egypt J Health Care. 2020;11(4):15-31. [View at Publisher] [DOI] [Google Scholar]
5. Seidu AA, Abdulai A, Aninanya GA. Factors Influencing Documentation in Nursing Care by Nurses at the Tamale Teaching Hospital, Ghana. UDS Int J Dev. 2021;8(1):540-58. [View at Publisher] [DOI] [Google Scholar]
6. Bolado GN, Ayalew TL, Feleke MG, Haile KE, Geta T. Documentation practice and associated factors among nurses working in public hospitals in Wolaita Zone, Southern Ethiopia. BMC Nurs. 2023;22(1):330. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Saumalina S, Marlina M, Usman S. The Related Factors to Nursing Documentation at General Hospital Dr. Zainoel Abidin Banda Aceh. Int J Nurs Educ. 2023;15(1):89-94. [View at Publisher] [DOI] [Google Scholar]
8. Sihotang H, Santosa H, Salbiag S. Relationship Between the Function of Supervision of Nursing Chief and Work Productivity of Nurse Practitioners at dr. pirngadi Regional General Hospital Medan. Idea Nurs J. 2016;7(1):13-9. [View at Publisher] [Google Scholar]
9. Monalisa I, Hilmy MR, Anindita R. The Role of Motivation, Competence, and Workload for Completeness of Nursing Process Documentation At Class B Private Hospital In Jakarta. Int J Nurs Health Servic. 2023;6(3):178-83. [View at Publisher] [DOI] [Google Scholar]
10. Vi D, Suharsono T, Kristianingrum ND. The relationship between nurses' motivation and electronic nursing care documentation in a hospitalinpatient unit. Clin Med. 2020;07(05). [Google Scholar]
11. Nyarmi N, Wahyuni ED, Ni'mah L. The Affecting Factors of Nurses' Compliance in Nursing Documentation. Int J Psychosoc Rehabil. 2020;24(02):4098-105. [View at publisher] [DOI] [Google Scholar]
12. Arango P. Motivation: Introduction to the Theory, Concepts, and Research. In: Orellana García P, Baldwin Lind P, editors. Reading Achievement and Motivation in Boys and Girls: Field Studies and Methodological Approaches [Internet]. Cham: Springer International Publishing; 2018. p.1-28. [View at publisher] [DOI] [Google Scholar]
13. McClelland DC. Achieving Society. Simon and Schuster; 1961. 536p. [View at publisher] [DOI] [Google Scholar]
14. Kline R. Leadership in the NHS. BMJ Lead. 2019;3(4). [View at publisher] [DOI] [Google Scholar]
15. Norouzi Z, Ashktorab T, Pazokian M, Nasiri M. Quality of Nursing Documentation Based on Standard Criteria in Coronary Care Unit. J Adv Pharm Edu Res. 2018;8(S2):98-103. [View at publisher] [Google Scholar]
16. Instefjord MH, Aasekjær K, Espehaug B, Graverholt B. Assessment of quality in psychiatric nursing documentation - a clinical audit. BMC Nurs. 2014;13(1):32. [View at publisher] [DOI] [PMID] [Google Scholar]
17. Kurniawandari E, Fatimah FS. Implementation of Documentation of Nursing Care in Wates Hospital. J Ners Dan Kebidanan Indones. 2018;6(2):152-9. [View at publisher] [DOI] [Google Scholar]
18. Siswanto LMH, Hariyati RTS, Sukihananto S. Faktor-Faktor Yang Berhubungan Dengan Kelengkapan Pendokumentasian Asuhan Keperawatan (Factors Associated with Completeness of Nursing Care Documentation). J Keperawatan Indones. 2013;16(2):77-84. [View at publisher] [DOI] [Google Scholar]
19. John SK, Bhattacharya C. Documentation guidelines based on expectation of documentation helps accurate documentation among nurses in psychiatric settings. Asian J Nurs Educ Res. 2016;6(2):260-4. [View at publisher] [DOI] [Google Scholar]
20. Nurhanifah N, Kamil H, Syahrul S, Marlina M, Marianthi D. The Relationship between Nurse's Characteristics and Motivation with the Implementation of International Patient Safety Goal. Media Karya Kesehat. 2021;4(2). [View at publisher] [DOI] [Google Scholar]
21. Schönbrodt FD, Gerstenberg FXR. An IRT analysis of motive questionnaires: The Unified Motive Scales. J Res Personal. 2012;46(6):725-42. [View at publisher] [DOI] [Google Scholar]
22. Nursing Division of RSUDZA & Nurse Specialist of Faculty of Nursing. Nursing Process Evaluation Instrument (Initial Assessment) and Integrated Patient Progress Notes (Re-Assessment) and Inpatient Room Documentation. 2019.
23. StataCorp. Stata Statistical Software: Release 13. Collage Station, TX: StataCorp LP. 2013. [View at publisher] [Google Scholar]
24. Tamir T, Geda B, Mengistie B. Documentation Practice and Associated Factors Among Nurses in Harari Regional State and Dire Dawa Administration Governmental Hospitals, Eastern Ethiopia. Adv Med Educ Pract. 2021;12:453-62. [View at publisher] [DOI] [PMID] [Google Scholar]
25. Blair W, Smith B. Nursing documentation: Frameworks and barriers. Contemp Nurse. 2012;41(2):160-8. [View at publisher] [DOI] [PMID] [Google Scholar]
26. López-Ibort N, Cañete-Lairla MA, Gil-Lacruz AI, Gil-Lacruz M, Antoñanzas-Lombarte T. The Quality of the Supervisor-Nurse Relationship and Its Influence on Nurses' Job Satisfaction. Healthc Basel Switz. 2021;9(10):1388. [View at publisher] [DOI] [PMID] [Google Scholar]
27. Montani F, Courcy F, Giorgi G, Boilard A. Enhancing nurses' empowerment: the role of supervisors' empowering management practices. J Adv Nurs. 2015;71(9):2129-41. [View at publisher] [DOI] [PMID] [Google Scholar]
28. Vermeir P, Degroote S, Vandijck D, Mariman A, Deveugele M, Peleman R, et al. Job Satisfaction in Relation to Communication in Health Care Among Nurses: A Narrative Review and Practical Recommendations. Sage Open. 2017;7(2):2158244017711486. [View at publisher] [DOI] [Google Scholar]
29. Chang WP, Wang CH. Factors Related to Nurse Satisfaction with Supervisor Leadership. Int J Environ Res Public Health. 2023;20(5):3933. [View at publisher] [DOI] [PMID] [Google Scholar]
30. Królewiak K. Need for Power. In: Zeigler-Hill V, Shackelford TK, editors. Encyclopedia of Personality and Individual Differences [Internet]. Cham: Springer International Publishing; 2017. p.1-3 [View at publisher] [DOI]
31. McClelland DC, Burnham DH. Power Is the Great Motivator. In: Leadership Perspectives. Routledge; 2003. [View at publisher] [Google Scholar]
32. Hajizadeh A, Zamanzadeh V, Kakemam E, Bahreini R, Khodayari-Zarnaq R. Factors influencing nurses participation in the health policy-making process: a systematic review. BMC Nurs. 2021;20(1):128. [View at publisher] [DOI] [PMID] [Google Scholar]
33. Xu X, Xu Y, Mellor D, Duan L. Motivation and social contexts: a crossnational pilot study of achievement, power, and affiliation motives. Int J Psychol J Int Psychol. 2012;47(2):111-7. [View at publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb