Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
Dublin Core
Title
Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
Subject
nursing
documentation,
independent
practice nurse,
training
documentation,
independent
practice nurse,
training
Description
Introduction: Nursing documentation is an important aspect of the nursing
care workflow. Ineffective nursing documentation practices have been
reported to impact patient outcomes and health worker efficiency
negatively. Providing training for nurses will create positive attitudes and
improve nurses' knowledge of nursing documentation. This study aimed
to determine the effectiveness of documentation training based on SDKI,
SLKI, and SIKI (3S) in improving independent practice nurses'
documentation quality.
Methods: The research design used in this study was a pre-experiment with
a one-group pre-test-post-test design. The population consisted of
independent practice nurses, and a sample size of 63 nurses was recruited
using the total sampling technique. The instrument used is a checklist of
nursing care documentation. The data analysis test uses the calculation of
the Wilcoxon Paired test.
Results: The results showed that the quality of nursing documentation
before the intervention was in the less good category at 77.8%, and the
quality of documentation after the intervention was in the good category
at 70.3%. Wilcoxon test results show a p-value of 0.000, indicating an effect
of documentation training based on SDKI, SLKI, and SIKI (3S) on
independent practice nurses' documentation quality.
Conclusion: Nursing care documentation training helps improve
documentation practices in the nurses' independent practice area and
improves the quality of nursing services.
care workflow. Ineffective nursing documentation practices have been
reported to impact patient outcomes and health worker efficiency
negatively. Providing training for nurses will create positive attitudes and
improve nurses' knowledge of nursing documentation. This study aimed
to determine the effectiveness of documentation training based on SDKI,
SLKI, and SIKI (3S) in improving independent practice nurses'
documentation quality.
Methods: The research design used in this study was a pre-experiment with
a one-group pre-test-post-test design. The population consisted of
independent practice nurses, and a sample size of 63 nurses was recruited
using the total sampling technique. The instrument used is a checklist of
nursing care documentation. The data analysis test uses the calculation of
the Wilcoxon Paired test.
Results: The results showed that the quality of nursing documentation
before the intervention was in the less good category at 77.8%, and the
quality of documentation after the intervention was in the good category
at 70.3%. Wilcoxon test results show a p-value of 0.000, indicating an effect
of documentation training based on SDKI, SLKI, and SIKI (3S) on
independent practice nurses' documentation quality.
Conclusion: Nursing care documentation training helps improve
documentation practices in the nurses' independent practice area and
improves the quality of nursing services.
Creator
Emi Eliya Astutik1*, M. Elyas Arif Budiman1, Mahmud Ady Yuwanto1, & Achmad
Efrizal Amrullah1
Efrizal Amrullah1
Source
https://doi.org/10.37363/bnr.2025.62489
Date
24 February 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Emi Eliya Astutik1*, M. Elyas Arif Budiman1, Mahmud Ady Yuwanto1, & Achmad
Efrizal Amrullah1, “Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S),” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/11896.