Application of family nursing documentation in Tarakan City, Indonesia

Submitted: 21 October 2023
Accepted: 18 March 2024
Published: 7 May 2024
Abstract Views: 207
PDF: 83
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Documentation of nursing care is authentic proof of nursing service activities, serving as the basis for fulfilling nurses' responsibilities and accountabilities. Family nursing documentation holds distinct characteristics compared to other nursing practice settings. The Indonesian nursing professional organization has established three standards for nursing care: diagnosis, intervention, and outcome. This research aimed to understand how the implementation of family nursing care documentation is conducted by community nurses in Tarakan City. The research was a correlational study with a cross-sectional approach. The study population consisted of all the nurses working in Community Health Centers in Tarakan City, totaling 80 individuals. The sample was selected using total sampling. The research variables included demographic factors, nurses' knowledge about the documentation concept, and the application of family nursing documentation; these were measured using a modified researcher-made questionnaire and declared valid and reliable. The analysis of research data used descriptive analysis and the Spearman Rank correlation test. This research identified that the majority of community nurses in Tarakan City did not implement family nursing documentation, and the level of knowledge regarding nursing documentation concepts was low. The Spearman's rank correlation test yielded a p-value of 0.874, indicating no significant correlation between the level of knowledge and the implementation of family nursing documentation. The inhibiting factors for the implementation of family nursing care documentation primarily included a high workload, a limited number of health center nurses, motivation, and the lack of clear and uniform documentation guidelines.

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Halimatussakdiah H, Arifin H, Haryati W, Alhuda A, Asiah N. Shariah models-based on ethics innovation in nursing documentation. J Glob Pharma Technol 2020;12:130–9.
Supriyanto, Hamid AYS, Rosyada D, Mansyur M, Efendi F. Nurse’s competence in supporting the spiritual-religious needs of patients in Indonesia. Indian J Public Heal Res Dev 2019;10:604–8. DOI: https://doi.org/10.5958/0976-5506.2019.00567.9
Wahyuni ED, Nursalam, Dewi YS, Kamel AD. The Implementation of Theory of Planned Behavior in Identifying Behavioral Models of Nursing Documentation in “X” Hospital. J Int Dent Med Res 2021;14:1694–700.
Nyarmi, Wahyuni ED, Ni’mah L. The affecting factors of nurses’ compliance in nursing documentation. Int J Psychosoc Rehabil 2020;24:4098–105. DOI: https://doi.org/10.37200/IJPR/V24I2/PR200731
Nova Scotia College of Nursing. Documentation for nurses. 2022;1–16.
Wahyuni ED, Nursalam, Dewi YS, Susiana E, Asmoro CP, Kamel AD. Nurse’s individual factor may influence quality of nursing documentation in the inpatient room. J Pak Med Assoc 2023;73:S88–91. DOI: https://doi.org/10.47391/JPMA.Ind-S2-21
Aini NF, Nursalam N, Widyawati IY, Nugroho EGZ, Fadhilah N. The effect standardized nursing terminology education program on quality of nursing documentation: a systematic review. Malaysian J Med Heal Sci 2023;19:125–34.
Schaffer M, Strohschein S. Public health interventions: Applications for public health nursing practice, 2nd ed. 2019;8–248.
Widodo H, Nursalam N, Wahyuni ED. Analysis of implementation of perioperative care instrument based on standards of nursing diagnosis, intervention and outcomes in Indonesia. J Ners 2020;15:57–62. DOI: https://doi.org/10.20473/jn.v15i1Sp.18911
Nuritasari RT, Rofiqi E, Fibriola TN, Ardiansyah RT. The Effect of clinical supervision on nurse performance. J Ners 2019;14:161–4. DOI: https://doi.org/10.20473/jn.v14i3.16956
Nursalam N, Widodo H, Wahyuni ED, Efendi F. Development of perioperative care instruments based on SDKI SLKI SIKI in operating room. Syst Rev Pharm 2020;11:1029–35.
Tasew H, Mariye T, Teklay G. Nursing documentation practice and associated factors among nurses in public hospitals, Tigray, Ethiopia. BMC Res Notes 2019;12:612. DOI: https://doi.org/10.1186/s13104-019-4661-x
Saraswasta IWG, Hariyati RTS. The implementation of electronic based nursing care documentation to EFETEC; A literature review. Int J Nurs Heal Serv 2018;1:19–31. DOI: https://doi.org/10.35654/ijnhs.v1i2.23
Zwicky A, Thaqi Q, Hediger H, Naef R. The influence of nurse characteristics on practice skills and attitudes towards working with families in critical care: A regression analysis. Intensive Crit Care Nurs 2022;72:103261. DOI: https://doi.org/10.1016/j.iccn.2022.103261
Kurniawati A, Indracahyani A, Yatnikasari A. The analysis of nursing care documentation in outpatient units. Int J Nurs Heal Serv 2019;2:89–99. DOI: https://doi.org/10.35654/ijnhs.v2i3.97
Siokal B, Keperawatan B. Effectiveness of computer-based nursing documentation in nursing care in hospital - a literature review. J Muslim Community Heal 2021;2:15–23. DOI: https://doi.org/10.52103/jahr.v2i1.305
British Columbia College of Nurses and Midwives. Nurse practitioners and registered nurses: Professional standards. BCCNM 2020;November:2–19.
Montañés Muro MP, Ayala Calvo JC, Manzano García G. Burnout in nursing: A vision of gender and “invisible” unrecorded care. J Adv Nurs 2023;79:2148–54. DOI: https://doi.org/10.1111/jan.15523
Niyigena A, Girukubonye I, Barnhart DA, et al. Rwanda’s community health workers at the front line: a mixed-method study on perceived needs and challenges for community-based healthcare delivery during COVID-19 pandemic. BMJ Open 2022;12:e055119. DOI: https://doi.org/10.1136/bmjopen-2021-055119
Assunção AÁ, Pimenta AM. Job satisfaction of nursing staff in the public health network in a Brazilian capital city. Cien Saude Colet 2020;25:169–80.
Thürlimann E, Verweij L, Naef R. The implementation of evidence-informed family nursing practices: a scoping review of strategies, contextual determinants, and outcomes. J Fam Nurs 2022;28:258–76. DOI: https://doi.org/10.1177/10748407221099655
Chilton S, Bain H. A Textbook of Community Nursing. Routledge; 2018. DOI: https://doi.org/10.1201/9781315157207
Pusa S, Isaksson U, Sundin K. Evaluation of the Implementation Process of a Family Systems Nursing Approach in Home Health Care: A Mixed-Methods Study. J Fam Nurs 2021;27:235–49. DOI: https://doi.org/10.1177/10748407211000050
De Groot K. Notes on Nursing Documentation: Quality criteria and views of nurses and patients. PhD Thesis, University of Amsterdam.
Swan MA, Eggenberger SK. Early career nurses’ experiences of providing family nursing care: perceived benefits and challenges. J Fam Nurs 2021;27:23–33. DOI: https://doi.org/10.1177/1074840720968286
Laitinen H, Paavilainen E. The invisibility of the patient’s family in nursing documentation: An integrative review. Clin Nurs Stud 2017;5:54. DOI: https://doi.org/10.5430/cns.v5n3p54
Mileski M, McClay R, Heinemann K, Dray G. Efficacy of the use of the calgary family intervention model in bedside nursing education: a systematic review. J Multidiscip Healthc 2022;15:1323–47. DOI: https://doi.org/10.2147/JMDH.S370053
Oster CA, Braaten JS, eds. High Reliability Organizations. A Healthcare Handbook for Patient Safety. Sigma Theta Tau International; 2016. DOI: https://doi.org/10.1016/S2155-8256(17)30162-X
Kamil H, Rachmah R, Wardani E. What is the problem with nursing documentation? Perspective of Indonesian nurses. Int J Africa Nurs Sci 2018;9:111–4. DOI: https://doi.org/10.1016/j.ijans.2018.09.002
Rattray J, Jones MC. Essential elements of questionnaire design and development. J Clin Nurs 2007;16:234–43. DOI: https://doi.org/10.1111/j.1365-2702.2006.01573.x
Yen PY, Kellye M, Lopetegui M, et al. Nurses’ time allocation and multitasking of nursing activities: a time motion study. AMIA Annu Symp Proc 2018;2018:1137.
General Department of Nursing. Family Nurse Practitioner overview Clinical Practice Guideline. 2021;1–25.
Quad Council Coalition Competency Review Task Force. Community/Public Health Nursing Competencies. 2018. Available from: https://www.cphno.org/wp-content/uploads/2020/08/QCC-C-PHN-COMPETENCIES-Approved_2018.05.04_Final-002.pdf
Comm A, Nuriyanto A, Rahayuwati L. Family nursing as an improvement strategy of family health index in Indonesia: a literature review. Asian Community Heal Nurs Res 2019;2019:7–7. DOI: https://doi.org/10.29253/achnr.2019.1721

How to Cite

Sulidah, S., & Listya Hananti, W. (2024). Application of family nursing documentation in Tarakan City, Indonesia. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.11949