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Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” Indonesia

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Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” Indonesia International Journal of Caring Sciences May-August 2018 Volume 11 | Issue 2| Page 1034 Original Article Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” Indonesia Tutik Sri Hariyati, PhD Associate Professor at Faculty of Nursing, Basic and Fundamentals Nursing Department. University of Indonesia, Jakarta, Indonesia Nami Kobayashi, PhD Professor Family Nursing Department, Kitasato University, Japan Junaiti Sahar, PhD Associate Professor at Faculty of Nursing, Community Health Nursing Department, University of Indonesia, Jakarta, Indonesia Tuti Nuraini, PhD A Lecturer at Faculty of Nursing, Basic and Fundamentals Nursing Department, University of Indonesia, Jakarta, Indonesia Jajang Rahmad Solihin, MSc at Faculty of Nursing University of Indonesia, Jakarta, Indonesia and Public Health Office, Jakarta, Indonesia Correspondence: Tutik Sri Hariyati, Associate Professor Faculty of Nursing University of Indonesia, Jakarta, Indonesia E-mail: [email protected], [email protected] Abstract Nursing information system is an important part on nursing process. Appropriate information system will improve continuity of care and nursing care quality. Information system which is applied on Public Health Center “X” is manually operated, since that human error was possibly occurred, important data were loose and continuity of care was disturbed. This research developed computer-based nursing information system, then exploring nurse ‘satisfaction of that new system, to compare between before and after satisfaction on application computer-based information system. The number of nurses who are involved 27 people, by filling up questionnaire instrument. The result shows improvement on satisfaction of simplicity and completeness of nursing process after using computer-based nursing information system. Simplicity not statistically significant (p=0.73) and completeness of nursing process satisfaction is significant improved (p=0.019). Research result recommends for implementing nursing information system on the whole Public Health Center in Indonesia and improved nurse education for improving quality of documentation. Key words: Nursing information system, Satisfaction, Simplicity, Public Health Center Introduction The use of nursing management information system in hospital and public health services Nursing information system is a combination of will improve the effectiveness and efficiency of computer science, information science, and nursing services through the standardization of nursing science which designed to assist the nursing care such as reporting systems of management and process of nursing data, clinical data standards so that it will be more information, and knowledge to support nursing easy to use and quickly known (Scherb, 2003). practice and nursing care delivery (Saba & Moreover, it can improve the quality of patient Cormick, 2001; Staggers & Thompson, 2002). www.internationaljournalofcaringsciences.org International Journal of Caring Sciences May-August 2018 Volume 11 | Issue 2| Page 1035 information and simultaneously increase the time communication and technology (ICT) will of nurses to focus on care delivery. In addition, contribute to gain health literacy among the nursing management information system community population that will encourage maintains the accessibility and legality, so nurses desirable health behaviors and will reduce high will easily get information about the patient with medical cost (Waneka & Spetz, 2010). full responsibility (Hariyati, Yani, Eryando, Multimanda, Hariyati and Afifah, (2018) also Hasibuan & Milanti, 2016). stated the benefit using electronic nursing documentation, ”SIMPRO,” at out patient that Nursing management information system based SIMPRO can improve completeness of nursing on information technology also help nurses to documentation. improve nursing care because it reduces human error, improve human behavior, improve a The effectiveness and efficiency on patient safety and enhance the role of nurses so implementing information nursing system that nurses can improve care with high affected by some factors, such as nurse staff, competency supported which by high organization, and technical factor (Brender, technology (Yu, 2006). 2006). Organization and management support on implementing nursing information system really In Indonesia, nursing management information affect effectiveness and efficiency, so does system at Public Health Center is still on the way infrastructure preparedness, either software, of developing (Hariyati, Mulyono & hardware and inter-connectivity (Brender,2006). Delimayanti, 2011). Nursing care at public health center, such as assessment of the patient's Nursing factor is the important component on condition, planning and implementation for implementing nursing information system. health promotion has not been worked optimally. Education background, knowledge, and skill This condition caused by incomplete become predisposition factor which affect quality standardization of health care at public health of implementation nursing information system center. On the other hand, nurses and other (Abdrbo, 2007). Furthermore, motivation factor, health provider are still lack of knowledge about adaptation, and satisfaction of system are really what to be documented and how to make a right influence continuity on implementation nursing documentation (Hariyati, 2004). information system (Layman, 2009). Current nursing information systems mainly Nurses’ satisfaction on nursing information using paper documentation should be improved system affects effectiveness and efficiency to electronic documentation systems and system, vice versa, information system affects telenursing to produce effective continuity of nurses’ satisfaction. Nurses are generally care and sharing the valid data; for example, satisfied with health information technology and discharge planning, supporting family caregivers have positive attitudes about it. Nurses’ and holistic team approach (Yu, 2006) . satisfaction as an information system user will contribute on improvement and development Hariyati, Mulyono and Delimayanti (2010) and nursing information system (Kuck, Dudeck & continued by Hariyati and Sahar, (2011) had Stepwise, 2009). developed prototype of Nursing Information System in Public Health Center. The test result of This research conducted to identify nurses’ this prototype shows the system could be used to satisfaction in Public Health Center “X” on using record documentation and record patient nursing management information system. Public conditions (Hariyati, Mulyono & Delimayanti, Health Center “X” is one of role-model Public 2010). This new system will contribute to Health Center in Jakarta, Indonesia. Before decrease the risk of mistakes by nurses and implementation of nursing information system, enhance quality of life of patients and families. documentation activity was manual-based. Nurses' effective use of health information Most of documentation activities on nursing technology has potential to produce a positive process in Indonesia do not run well, so Public impact on nursing-sensitive patient outcomes, Health Center “X” officer make a policy that patient safety, and quality of care (Ruland& documenting nursing process is a duty for every Ravn, 2003; Waneka & Spetz, 2010) . In addition, nurse. Every nurse should make nursing process offering health data using information www.internationaljournalofcaringsciences.org International Journal of Caring Sciences May-August 2018 Volume 11 | Issue 2| Page 1036 documentation at least two patient monthly. Method and Research Design Complaints more often come because it was so This research was conducted by Cross-Sectional manual-based that make the nurse really approach descriptive method. Research was burdening and nurses often hard to find started by identifying problems related to appropriate nursing diagnosis and intervention. implementation of nursing information system in Based on that problem, communication Public Health Center “X”. The researcher information technology based- nursing explored available nursing information system, information system solution is introduced so that nurses’ satisfaction of the system and factors nurses are helped to make appropriate nursing which affecting nurses’ satisfaction score. After documentation. that, there was computer-based nursing Research Purpose: information system try out. On the last evaluation, quality of nursing documentation and 1. To identify nurse characteristic based on nurses’ satisfaction related to computer-based gender, age, educational background and skill on nursing information system would be evaluated. using computer technology. In this term, researcher is not focus on nursing 2. To identify nurse characteristic based on information system development, but on user’s experience of nursing documentation training satisfaction. On the last step, the researcher using and computer training. pre and post design without control group to 3. To identify difference quality of nursing compare beginning satisfaction to nursing documentation before and after using computer- documentation before computer-based nursing based nursing information system. information system was introduced and after 4. To identify difference satisfaction before nursing information implemented. and after using computer-based nursing information system. Whole research design shown as in Figure 1 below NIS Pre: Post: Quality of
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