The Relationship between Level of Knowledge, Attitude, and Workload of Nurses with Completeness of Nursing Care Documentation

Putri Linda Utami; Jesica Yudita Melia

doi:10.5281/zenodo.12506410

Authors

Putri Linda Utami D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia
Jesica Yudita Melia D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia

DOI:

https://doi.org/10.5281/zenodo.12506410

Keywords:

Knowledge Level, Attitude, Workload, Nursing Care

Abstract

Objective: Nursing care documentation is a crucial element in the accountability of the nursing profession. Incomplete documentation can reduce the quality of service in the hospital. This study aims to evaluate the relationship between the level of knowledge, attitude, and workload of nurses with the completeness of nursing care documentation in the Emergency Room Hospital, with a more comprehensive approach than previous studies.
Methods: A cross-sectional survey was conducted on all nurses assigned to the Emergency Room of Sanglah Hospital, Denpasar. Interviews with nurses were conducted to collect data on knowledge, attitudes, and workload. Completeness of nursing care documentation was measured through observation method.
Results: Completeness of nursing care documentation was significantly associated with the level of knowledge and attitude of nurses. Multivariate analysis showed that knowledge level had the greatest influence on the completeness of nursing care documentation. This finding suggests that increasing nurses' knowledge can substantially improve the completeness of nursing care documentation.
Conclusion: Completeness of nursing care documentation is significantly associated with nurses' knowledge level. This study introduces a new approach in examining factors affecting the completeness of nursing documentation, providing important insights for improving the quality of care in hospital.

Author Biographies

Putri Linda Utami, D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia

Putri Linda Utami
D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia
Jesica Yudita Melia, D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia

Jesica Yudita Melia
D3 Nursing Study Program, College of Health Sciences, Hang Tuah Surabaya, Surabaya, Indonesia

References

Andersson, Anna, Ulla Hällgren Graneheim, and Maria Skyvell Nilsson. 2022. “Newly-Graduated Nurses’ Work-Integrated Learning: A Qualitative Study from an Educational and Occupational Perspective.” Nurse Education in Practice 59:103290. doi: https://doi.org/10.1016/j.nepr.2022.103290.

Asmirajanti, Mira, Achir Yani S. Hamid, and Rr. Tutik Sri Hariyati. 2019. “Nursing Care Activities Based on Documentation.” BMC Nursing 18(1):32. doi: 10.1186/s12912-019-0352-0.

Assefa, Abreham, Dinkalem Getahun, Nathan Desalegn, Etenesh Kefelew, Wondwosen Molla, Dawit Getachew Assefa, and Mesfin Abebe. 2022. “Perception of Caring Behavior and Associated Factors among Nurses and Midwives Working in Public Hospitals in Southern Ethiopia.” International Journal of Nursing Sciences 9(4):490–95. doi: https://doi.org/10.1016/j.ijnss.2022.09.014.

Boman, Erika, Elisabeth Duvaland, Kim Gaarde, Alison Leary, Auvo Rauhala, and Lisbeth Fagerström. 2021. “Implementation of Advanced Practice Nursing for Minor Orthopedic Injuries in the Emergency Care Context: A Non-Inferiority Study.” International Journal of Nursing Studies 118:103910. doi: https://doi.org/10.1016/j.ijnurstu.2021.103910.

Cantonnet, María Luisa, Juan Carlos Aldasoro, and Jon Iradi. 2019. “New and Emerging Risks Management in Small and Medium-Sized Spanish Enterprises.” Safety Science 113:257–63. doi: https://doi.org/10.1016/j.ssci.2018.11.032.

Carvalho, Roberto, Mariana Lobo, Mariana Oliveira, Ana Raquel Oliveira, Fernando Lopes, Júlio Souza, André Ramalho, João Viana, Vera Alonso, Ismael Caballero, João Vasco Santos, and Alberto Freitas. 2021. “Analysis of Root Causes of Problems Affecting the Quality of Hospital Administrative Data: A Systematic Review and Ishikawa Diagram.” International Journal of Medical Informatics 156:104584. doi: https://doi.org/10.1016/j.ijmedinf.2021.104584.

Chaboyer, Wendy, Emma Harbeck, Bih-o Lee, and Laurie Grealish. 2021. “Missed Nursing Care : An Overview of Reviews.” (September 2020):82–91. doi: 10.1002/kjm2.12308.

Dehghan-Nayeri, Nahid, Mahboobeh Shali, Nasrin Navabi, and Fatemeh Ghaffari. 2018. “Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: A Qualitative Study.” Asia-Pacific Journal of Oncology Nursing 5(3):327–36. doi: https://doi.org/10.4103/apjon.apjon_6_18.

Fan, Ying-Li, Rui Zhan, Yi-Fei Dong, Lei Huang, Xi-Xin Ji, Peng Lu, Jian Liu, Ping Li, and Xiao-Shu Cheng. 2018. “Significant Interaction of Hypertension and Homocysteine on Neurological Severity in First-Ever Ischemic Stroke Patients.” Journal of the American Society of Hypertension 12(7):534–41. doi: https://doi.org/10.1016/j.jash.2018.03.011.

Liu, Xu, Jing Zheng, Ke Liu, Judith Gedney Baggs, Jiali Liu, Yan Wu, and Liming You. 2018. “Hospital Nursing Organizational Factors, Nursing Care Left Undone, and Nurse Burnout as Predictors of Patient Safety: A Structural Equation Modeling Analysis.” International Journal of Nursing Studies 86:82–89. doi: https://doi.org/10.1016/j.ijnurstu.2018.05.005.

Meri, Ahmed, M. K. Hasan, Mahmoud Danaee, Mustafa Jaber, Mu’taman Jarrar, Nurhizam Safei, Mohammed Dauwed, Sura K. Abd, and Mohammed Al-bsheish. 2019. “Corrigendum to ‘Modelling the Utilization of Cloud Health Information Systems in the Iraqi Public Healthcare Sector’ [Telematics and Informatics, 36 (2019) 132–146](S0736585318304465)(10.1016/j.Tele.2018.12.001).” Telematics and Informatics 39(November 2018):101. doi: 10.1016/j.tele.2019.03.004.

Nguyen, Mimi, and Céline Mougenot. 2022. “A Systematic Review of Empirical Studies on Multidisciplinary Design Collaboration: Findings, Methods, and Challenges.” Design Studies 81:101120. doi: https://doi.org/10.1016/j.destud.2022.101120.

Reid, Carol, Lee Jones, Cameron Hurst, and Debra Anderson. 2018. “Examining Relationships between Socio-Demographics and Self-Efficacy among Registered Nurses in Australia.” Collegian 25(1):57–63. doi: https://doi.org/10.1016/j.colegn.2017.03.007.

Saar, Lili, Maria Unbeck, Stefanie Bachnick, Beatrice Gehri, and Michael Simon. 2021. “Exploring Omissions in Nursing Care Using Retrospective Chart Review: An Observational Study.” International Journal of Nursing Studies 122:104009. doi: https://doi.org/10.1016/j.ijnurstu.2021.104009.

Shala, Danielle Ritz, Aaron Jones, Greg Fairbrother, and Duong Thuy Tran. 2021. “Completion of Electronic Nursing Documentation of Inpatient Admission Assessment: Insights from Australian Metropolitan Hospitals.” International Journal of Medical Informatics 156:104603. doi: https://doi.org/10.1016/j.ijmedinf.2021.104603.

Vincelette, Christian, Maureen Thivierge-Southidara, and Christian M. Rochefort. 2019. “Conceptual and Methodological Challenges of Studies Examining the Determinants and Outcomes of Omitted Nursing Care: A Narrative Review of the Literature.” International Journal of Nursing Studies 100:103403. doi: https://doi.org/10.1016/j.ijnurstu.2019.103403.