Hubungan Beban Kerja dengan Kelengkapan Pendokumentasian Asuhan Keperawatan di RSIA Moelia Muara Bungo Tahun 2024

Penulis

  • Restu Fitra Mulya S1 keperawatan. Fakultas Ilmu kesehatan. Universitas dharmas indonesia
  • Candra Syah Putra Fakultas Ilmu Kesehatan, Universitas Dharmas Indonesia
  • Costarin Enopadria Fakultas Ilmu Kesehatan, Universitas Dharmas Indonesia

DOI:

https://doi.org/10.56667/jikdi.v5i1.1742

Kata Kunci:

asuhan keperawatan, beban kerja, pendokumentasian

Abstrak

This study aimed to analyze the relationship between workload and the completeness of nursing care documentation at RSIA Moelia Muara Bungo. The research employed a cross-sectional design with a total sampling of 33 respondents. Data collection utilized workload questionnaires and documentation completeness observation sheets. The results showed that the majority of respondents had moderate workload (57.6%) and performed incomplete documentation (72.7%). Bivariate analysis using the Spearman Rho test revealed a significant relationship between workload and nursing care documentation completeness (p=0.006; r=0.466). Higher workload correlated with more incomplete documentation. The imbalance in the nurse-patient ratio and task complexity were the main factors contributing to this phenomenon. Optimization of workload through adjustment of healthcare personnel ratios and implementation of electronic documentation systems is recommended to improve the quality of nursing care documentation.

Referensi

Almenyan, A. A., Albuduh, A., & Al-Abbas, F. (2021). Effect of nursing workload in intensive care units. Cureus, 13(1), 1–5. https://doi.org/10.7759/cureus.12674

Anila, A., Kusumajaya, H., & Maryana, M. (2023). Faktor-faktor yang berhubungan dengan ketidaklengkapan dokumentasi asuhan keperawatan di ruang rawat inap. Jurnal Penelitian Perawat Profesional, 5, 627–636. https://doi.org/10.37287/jppp.v5i2.1531

Apriliani Dwi Wahyuningsih, Sri Muharni, & Utari Christya Wardhani. (2024). Hubungan beban kerja dengan kelengkapan dokumentasi asuhan keperawatan ruang rawat inap Rumah Sakit Bakti Timah Karimun tahun 2023. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(2), 57–70. https://doi.org/10.61132/protein.v2i2.201

Bakhoum, N., Gerhart, C., Schremp, E., Jeffrey, A. D., Anders, S., France, D., & Ward, M. J. (2021). A time and motion analysis of nursing workload and electronic health record use in the emergency department. Journal of Emergency Nursing, 47(5), 733–741. https://doi.org/10.1016/j.jen.2021.03.007

De Groot, K., De Veer, A. J. E., Munster, A. M., Francke, A. L., & Paans, W. (2022). Nursing documentation and its relationship with perceived nursing workload: A mixed-methods study among community nurses. BMC Nursing, 21(1), 1–12. https://doi.org/10.1186/s12912-022-00811-7

Erna, N. K., & Dewi, N. L. P. T. (2020). Kepatuhan perawat dalam melakukan dokumentasi asuhan keperawatan. Holistic Nursing and Health Science, 3(1), 17–23.

Ernawati, D., Huda, N., Arini, D., & O.P, E. (2020). Hubungan beban kerja perawat dan pelaksanaan dokumentasi asuhan keperawatan metode emr (electronic medical record) di ruang rawat inap RS Premier Surabaya. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(2), 199–204. https://doi.org/10.33023/jikep.v6i2.601

Hermawan, E. (2022). Analisis pengaruh beban kerja, konflik pekerjaan- keluarga dan stres kerja terhadap kinerja Pt. Sakti Mobile Jakarta. Jurnal Ilmu Manajemen Terapan, 3(4), 372–380. https://www.dinastirev.org/JIMT/article/view/939

Jaya, K., Mien, Rasmiati, K., & Suramadhan. (2019). Gambaran pendokumentasian asuhan keperawatan. Jurnal Keperawatan, 02(03), 27–36.

Liljamo, P., Kinnunen, U. M., & Saranto, K. (2020). Assessing the relation of the coded nursing care and nursing intensity data: Towards the exploitation of clinical data for administrative use and the design of nursing workload. Health Informatics Journal, 26(1), 114–128. https://doi.org/10.1177/1460458218813613

Mahawati, E., Yuniwati, I., Ferinia, R., Rahayu, P. F., Fani, T., Sari, A. P., Setijaningsih, R. A., Fitriyanur, Q., Sesilia, A. P., & Mayasari, I. (2021). Analisis Beban Kerja dan produktivitas kerja. Yayasan Kita Menulis.

Nadila, N., Setiawan, H., & Rizany, I. (2020). Beban kerja dengan kualitas pendokumentasian asuhan keperawatan sesuai SNARS. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 3(2), 62. https://doi.org/10.32584/jkmk.v3i2.598

Nursalam, D. (2014). Manajemen Keperawatan" Aplikasi dalam Praktik Keperawatan Profesional. Salemba Medika.

Pérez-Francisco, D. H., Duarte-Clíments, G., Del Rosario-Melián, J. M., Gómez-Salgado, J., Romero-Martín, M., & Sánchez-Gómez, M. B. (2020). Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: Integrative review. Healthcare (Switzerland), 8(1), 1–14. https://doi.org/10.3390/healthcare8010012

Putria Carolina, Melisa Frisilia, & Diana Oktavia. (2024). Hubungan beban kerja perawat dengan kelengkapan pendokumentasian asuhan keperawatan di ruang rawat inap infeksi dan non infeksi RSUD dr. Murjani Sampit. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(2), 220–231. https://doi.org/10.61132/protein.v2i2.271

Sugiyono. (2020). Metodologi Penelitian Kuantitatif, Kualitatif dan R & D.unknown

Suharsimi, A. (2006). Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Rineka Cipta

Trovó, S. A., Cucolo, D. F., & Perroca, M. G. (2020). Time and quality of admissions: nursing workload. Revista Brasileira de Enfermagem, 73(5), 1–7. https://doi.org/10.1590/0034-7167-2019-0267

Waryantini, & Maya. (2020). Hubungan beban kerja dengan kinerja perawat dalam melakukan asuhan keperawatan di ruang rawat inap rumah sakit. Healthy Journal, 8(1), 49–57. https://ejournal.unibba.ac.id

Washilah, W., Suhartini, T., Hadi, W. N., Hafshawaty, S., Zainul, P., Probolinggo, H., Stikes, W. W., Pesantren, H., Hasan, Z., & Email, P. (2023). Analisis faktor yang mempengaruhi kualitas dokumentasi keperawatan. Media Husada Journal of Nursing Science, 4(1), 36–42. https://mhjns.widyagamahusada.ac.id

Diterbitkan

2025-06-30

Cara Mengutip

Fitra Mulya, R., Putra, C. S., & Enopadria, C. (2025). Hubungan Beban Kerja dengan Kelengkapan Pendokumentasian Asuhan Keperawatan di RSIA Moelia Muara Bungo Tahun 2024. Jurnal Ilmu Kesehatan Dharmas Indonesia, 5(1), 10–18. https://doi.org/10.56667/jikdi.v5i1.1742

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