The effect of increasing knowledge and motivation of nurses on completeness of soap documentation during handover at x hospital, bogor district

Abstract

Nurses have an obligation to make documentation of the nursing care actions they do in the form of SOAP. The purpose of this study was to determine the effect of increasing knowledge and motivation of nurses on the completeness of SOAP documentation during handovers at Hospital X Bogor Regency with a quantitative pre-experimental one group pretest and posttest research design. The sample of this study amounted to 53 people according to the inclusion criteria. The intervention carried out was training on SOAP documentation. The data collection tool is a questionnaire. Data analysis using SPSS with Wilcoxon test and che square test. The result of this research is the description of the characteristics of nurses with the largest percentage aged >35 years 50.9%, D3 nursing education 84.9%, and working period >5 years 62.3%. a description of the knowledge level of 84.9%, good motivation of 86.8%, an overview of the completeness of SOAP documentation after training of 45.2%. The results of the analysis of differences in nurses' knowledge about SOAP documentation, P value of 0.000 means that there is a significant difference between the level of knowledge and the completeness of filling out SOAP documentation during handover before and after training. The results of the analysis of the effect of increasing knowledge on increasing the completeness of SOAP documentation. P value > 0.05, which means that there is no significant effect of increasing knowledge on the completeness of SOAP documentation during handover. Suggestions need to supervise and assist in filling the completeness of SOAP documentation continuously and evaluate the incompleteness of SOAP documentation.

References

1. Artanti, E., Handian, F. I., & Firdaus, A. D. (2020). The relationship between nurses' motivation and the completeness of nursing assessment documentation in the inpatient installation of the Baptist Batu Hospital. Journal of Nursing Research, 6(2), 70-80.
2. Astuti, R., & Lesmana, O. P. A. (2019). The Effect of Motivation and Workload on Nurse Performance at Mitra Medika General Hospital Medan. Journal of Science: Journal of Management Science.
3. Budiyanto, & Mastini. (2019). Inclusive Education Training Module. Jakarta: Ministry of National Education.
4. Christensen & Kenney. (n.d.). Nursing process conceptual model application (4th ed.). Jakarta: EGC.
5. Devi, et al. (2019). The relationship between nurses' knowledge about medical records and nursing documentation with the completeness of recording nursing documentation at the MTA Surabaya clinic.
6. Evalina, L. (2020). Factors Affecting the Completeness of Nursing Documentation Writing.
7. Fatmawati, D., Ismawati, & Suriawanto, N. (2019). Factors Affecting Documentation on the Completeness of Nursing Care by Implementing Nurses in the Emergency Room of Anutapura Hospital Palu. Journal Of Midwifery And Nursing, 1(2), 35-36.
8. Hidayat, A. A. (2017). Nursing Research Methods And Data Analysis Techniques. Jakarta: Salemba Medika.
9. Indonesian Ministry of Health. (2017). Regulation of the Minister of Health Number 34 of 2017 concerning Accreditation.
10. Kimalaha, N., Mahfud, & Anggraini, A. N. (2018). Knowledge and Workload of Nurses Related to Completeness of Documentation of Nursing Care in Internal Medicine and Surgery Wards. Indonesian Journal of Hospital Administration, 1(2), 79-81.
11. Kimalaha, N., Mahfud, & Anggraini, A. N. (2019). Nurse knowledge and workload are related to the completeness of nursing care documentation in the Internal Medicine and Surgery Ward. Indonesian Journal of Hospital Administration, 1(2), 79-88.
12. Hospital Accreditation Commission. (2019). Hospital Accreditation Standards: Edition 1.1. Jakarta: KARS.
13. Koto, A. H. H. (2020). The importance of nurse knowledge in the completeness of nursing documentation in hospitals.
14. Kurniadi, A. (2018). Nursing Management and Its Prospective Theories, Concepts, and Applications. Jakarta: FKUI Publishing Agency.
15. Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application. Philadelphia: Lippincott Williams & Wilkins.
16. Nursalam. (2017). Nursing management application in nursing practice. Jakarta: Salemba Medika.
17. Potter, P., & Perry, A. (2019). The basics of nursing Potter (Vol. 2). Elsevier.
18. Rangkuti, N. A. (2020). Effect of Nurse Training and Knowledge in Nursing Documentation. Nursing Journal.
19. Ratminto & Winarsih. (2014). Management of health services. Yogyakarta: Student Library.
20. Sudibyo. (2016). Health research methodology.
21. Regards, S. (2018). Analysis of Factors Associated with Completeness of Nursing Care Documentation by Implementing Nurses in the Igd Room of Rsu. Anutapura Palu and Rsu. Undata Palu. [Doctoral dissertation, Universitas Brawijaya].
22. Salim, A. (2020). Factors related to the completeness of the documentation of the outpatient assessment at the early bros hospital, batam in 2016. Journal of Hospital Administration and Management, 1(1), 1-7.
23. Sinlaeloe, R. (2020). The relationship between knowledge and attitudes of nurses to the completeness of documentation of nursing care in the inpatient ward of the Prof. Dr. WZ Johannes Kupang. CHMK Nursing Scientific Journal, 4(3), 268-277.
24. Sitompul. (2020). The relationship between nurses' knowledge in documentation completeness. Journal of Nursing.
25. Susana, I., & Arum Pratiwi, S. K. (2021). The relationship between nurse characteristics, motivation, and supervision with the quality of nursing care documentation at RSU PKU Muhammadiyah Jatinom Klaten. [Thesis, University of Muhammadiyah Surakarta].
26. Indonesia. (2014). Law Number 38 concerning Nursing.
27. Wijaya, L. (2021). The relationship between nurses' motivation and the completeness of nursing assessment documentation. Journal of Health and Development, 11(22), 127-136.

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