Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)

Backgroud: Nursing documentation is an important aspect of the nursing care workflow. Ineffective nursing documentation practices have been reported to negatively impact patient outcomes and health worker efficiency. Providing training for nurses will create positive attitudes and improve nurses�...

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Main Authors: Emi Eliya Astutik, M. Elyas Arif Budiman, Achmad Efrizal Amrullah, Mahmud Ady Yuwanto
Format: Article
Language:English
Published: Babali Health 2025-04-01
Series:Babali Nursing Research
Subjects:
Online Access:https://babalinursingresearch.com/index.php/BNR/article/view/489
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author Emi Eliya Astutik
M. Elyas Arif Budiman
Achmad Efrizal Amrullah
Mahmud Ady Yuwanto
author_facet Emi Eliya Astutik
M. Elyas Arif Budiman
Achmad Efrizal Amrullah
Mahmud Ady Yuwanto
author_sort Emi Eliya Astutik
collection DOAJ
description Backgroud: Nursing documentation is an important aspect of the nursing care workflow. Ineffective nursing documentation practices have been reported to negatively impact patient outcomes and health worker efficiency. Providing training for nurses will create positive attitudes and improve nurses' knowledge of nursing documentation. The purpose of this study was to determine the effectiveness of documentation training based on SDKI, SLKI and SIKI (3S) on the the quality of documentation of independent practice nurses. Method: The research design used in this study was a pre-experiment with a one group pre-test-post-test design. The population was independent practice nurses with a sample size of 63 nurses 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. Result: 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 which indicates that there is an effect of documentation training based on SDKI, SLKI and SIKI (3S) on the quality of documentation of independent practice nurses. Conclusion: Nursing care documentation training helps improve documentation practices in the nurse's independent practice area and improve the quality of nursing services.
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language English
publishDate 2025-04-01
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series Babali Nursing Research
spelling doaj-art-f43d4a0f12604bcdae12658ed3e48d1e2025-08-20T03:52:38ZengBabali HealthBabali Nursing Research2776-69932721-59892025-04-016210.37363/bnr.2025.62489Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)Emi Eliya Astutik0M. Elyas Arif Budiman1Achmad Efrizal Amrullah2Mahmud Ady Yuwanto3Universitas dr. Soebandi, Jember, IndonesiaUniversitas dr. Soebandi, Jember, IndonesiaUniversitas dr. Soebandi, Jember, IndonesiaUniversitas dr. Soebandi, Jember, Indonesia Backgroud: Nursing documentation is an important aspect of the nursing care workflow. Ineffective nursing documentation practices have been reported to negatively impact patient outcomes and health worker efficiency. Providing training for nurses will create positive attitudes and improve nurses' knowledge of nursing documentation. The purpose of this study was to determine the effectiveness of documentation training based on SDKI, SLKI and SIKI (3S) on the the quality of documentation of independent practice nurses. Method: The research design used in this study was a pre-experiment with a one group pre-test-post-test design. The population was independent practice nurses with a sample size of 63 nurses 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. Result: 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 which indicates that there is an effect of documentation training based on SDKI, SLKI and SIKI (3S) on the quality of documentation of independent practice nurses. Conclusion: Nursing care documentation training helps improve documentation practices in the nurse's independent practice area and improve the quality of nursing services. https://babalinursingresearch.com/index.php/BNR/article/view/489Nursing DocumentationIndependent Practice NurseTraining
spellingShingle Emi Eliya Astutik
M. Elyas Arif Budiman
Achmad Efrizal Amrullah
Mahmud Ady Yuwanto
Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
Babali Nursing Research
Nursing Documentation
Independent Practice Nurse
Training
title Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
title_full Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
title_fullStr Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
title_full_unstemmed Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
title_short Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S)
title_sort development of a nursing care documentation module based on sdki slki siki 3s
topic Nursing Documentation
Independent Practice Nurse
Training
url https://babalinursingresearch.com/index.php/BNR/article/view/489
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