Faktor-Faktor Penentu Kinerja Perawat Dalam Dokumentasi Keperawatan
DOI:
https://doi.org/10.51771/jintan.v6i2.2302Keywords:
perawat pelaksana, faktor-faktor kinerja, dokumentasi keperawatanAbstract
The completeness and accuracy of nursing care documentation are essential components in ensuring the quality of healthcare services and promoting patient safety. Nurses' performance in documenting nursing care is influenced by various factors, including individual characteristics and organizational conditions within the healthcare setting. This study aimed to examine the influence of age, educational level, and the role of the team leader on staff nurses' performance in nursing care documentation. A quantitative study with a cross-sectional design was conducted. A total of 55 staff nurses who met the inclusion criteria were recruited using a total sampling technique. Data were collected through a structured questionnaire that demonstrated acceptable validity (r > 0.333) and excellent reliability (Cronbach's α = 0.939). Data analysis was performed using the Chi-square test to examine the relationships between variables, followed by binary logistic regression to identify the most influential determinant of documentation performance. The findings revealed a statistically significant association between the team leader's role and nurses' performance in nursing care documentation (p = 0.017; OR = 12.228). In contrast, age (p = 0.239) and educational level (p = 0.800) were not significantly associated with nurses' documentation performance. Multivariate analysis further identified the effectiveness of the team leader's leadership as the strongest predictor of high-quality nursing care documentation. These findings suggest that improvements in nursing documentation quality depend more on effective leadership, supervision, and continuous professional support within the workplace than on nurses' demographic characteristics. Therefore, strengthening team leaders' leadership competencies and implementing sustainable supervisory systems should be considered key strategies for improving the quality of nursing care documentation and overall nursing services.
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