The THE IMPLEMENTATION OF ELECTRONIC-BASED NURSING CARE DOCUMENTATION ON QUALITY OF NURSING CARE: A LITERATURE REVIEW

DOI: https://doi.org/10.35654/ijnhs.v1i2.23

  • I Wayan Gede Saraswasta i.wayan77@ui.ac.id
  • Rr. Tutik Sri Hariyati rrtutik@ui.ac.id
Keywords: electronic health record, nursing care documentation, quality of nursing care

Abstract

ABSTRACT

In last two decades most of the tasks performed by nurses have not been directly related to patient care. Nurses spend more time on writing documentation or medical records of patients. Implementation of electronic medical record can reduce the time used for documentation or in other hand will increase the time for nurses to interact with patients then eventually can improve the quality of nursing care. Purpose of this literature review is to find out the implementation of electronic-based nursing care documentation (EHR) in improving the quality of nursing care in terms of EFETEC aspects. Method used by author is a literature review. Database used is Science Direct, PROQUEST, Scopus, Ebscho and Scholar Article with the keywords; electronic health record, EHR, Documentation in nursing, Quality of nursing care. Implementation of electronic nursing care documentation can improve the service quality. Improvement of the quality of service is reviewed with EFETEC which consists of efficient, focus for patient, effective, time discipline, equality, confidentiality. In the era of health workers 4.0 the utilization of electronic nursing care documentation requires continuous development in order to improve the quality of service for patients.

 KEYWORDS: electronic health record, nursing care documentation, quality of nursing care

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Author Biography

Rr. Tutik Sri Hariyati, rrtutik@ui.ac.id

Associate Professor at the Fundamental of Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java

Published
2019-01-03