Electronic Theses and Dissertation

Pengaruh pelatihan proses keperawatan dan dokumentasi terhadap pelaksanaan dokumentasi proses keperawatan versi standar nasional akreditasi rumah sakit (snars) edisi 1 di rumah sakit kabupaten bireuen jumiati npm. 1712201010022 komisi pembimbing: dr. said usman, m. kes dr. hajjul kamil, s. kp., m. kep abstrak dokumentasi merupakan aspek penting dalam praktik keperawatan. standar nasional akreditasi rumah sakit (snars) edisi 1 mempersyaratkan bahwa rencana asuhan setiap individu pasien dibuat dan didokumentasikan, dan bukti pendokumentasian dapat dilihat pada rekam medis pasien. banyak kendala yang dihadapi perawat dalam melaksanakan dokumentasi proses keperawatan dengan baik, diantaranya yaitu kurangnya kompetensi perawat dan kurangnya pelatihan dalam pendokumentasian proses keperawatan. tujuan penelitian ini adalah untuk menilai pengaruh pelatihan proses keperawatan dan dokumentasi terhadap pengetahuan perawat tentang proses keperawatan dan pelaksanaan dokumentasi proses keperawatan berdasarkan instrument standar nasional akreditasi rumah sakit (snars) edisi 1. jenis penelitian ini adalah penelitian kuantitative dengan one group pre and post test design. sampel perawat berjumlah 68 perawat yang diambil secara purposive sampling sesuai kriteria yang ditetapkan peneliti. sampel dokumentasi rekam medis pasien diambil pada ruang yang sama dengan ruang sampel perawat, berjumlah 68 rekam medis. data dianalisa dengan paired t-test untuk membandingkan nilai pre test-post test pengetahuan dan pre test-post test pelaksanaan dokumentasi pada kelompok sampel yang sama. korelasi pearson product moment dilakukan untuk mengetahuihubungan antar variabel. hasil penelitian menunjukkan bahwa terjadi peningkatan yang bermakna pengetahuan perawat tentang proses keperawatan dan dokumentasi sebelum dan sesudah pelatihan proses keperawatan dan dokumentasi (p-value=0,000), terjadi peningkatan yang bermakna pelaksanaan dokumentasi proses keperawatan sebelum dan sesudah pelatihan proses keperawatan dan dokumentasi (p-value=0,000). ada hubungan antara pengetahuan perawat dengan pelaksanaan dokumentasi proses keperawatan versi snars edisi 1(p-value=0,002), dengan keeratan hubungan yang rendah (r = 0,372). kesimpulan penelitian ini adalah bahwa pelatihan proses keperawatan dan dokumentasi dapat meningkatkan pengetahuan perawat tentang proses keperawatan dan dokumentasi, dan dapat meningkatkan pelaksanaan dokumentasi proses keperawatan. hubungan pengetahuan perawat tentang proses keperawatan dan dokumentasi dengan pelaksanaan dokumentasi proses keperawatan memiliki keeratan hubungan yang rendah. kata kunci : pelatihan, proses keperawatan, dokumentasi daftar bacaan : 18 buku, 20 jurnal the influence of nursing process and documentation training in implementing nursing process documentation based on national accreditation standart (snars) 1st edition in hospital of kabupaten bireuen jumiati npm. 1712201010022 supervisors: dr. said usman, m.kes dr. hajjul kamil, s.kp., m.kep abstract documentation is an essential aspect of nursing process. national standart of hospital accreditation (snars) edition 1 requires each individual patient's care plan is created and documented, then documentary evidence can be reviewed in the patient's medical record. many problems faced by nurses in implementing nursing process documentation properly, such as lack of competence of nurses and less of training in documenting nursing process. this study aims to assess the influence of nursing process and documentation training in implementing nursing process documentation based on instrument of national standards of hospital accreditation (snars) first edition. this research was a quantitative study with one group pre and post test design. samples of nurses amounted to 68 nurses taken by purposive sampling according to criteria established by researchers. the sample documentation of the patient's medical record was taken in the same room as the nurse's sample room, totaling 68 medical records. data were analyzed by paired t-test to compare the value of pre-test post-test knowledge and pre-test post-test implementation of documentation in the same sample group. pearson product moment correlation was done to determine the relationship between variables. the results of this study indicate that there were a significant increase in nurses’ knowledge before and after nursing process and documentation training (p-value = 0,000), there were a significant increase in implementing nursing process documentation before and after training (p-value = 0,000). there was a correlation between nurse's knowledge in implementating nursing process documentation snars first edition 1 (p = 0.002) with a low correlation (r = 0.372). the conclusion of this research that the training about nursing process and documentation enhances nurses' knowledge and improves the implementation of nursing process documentation. the influence between nurses’ knowledge about nursing process and documentation and implementation of the nursing process documentation has a low correlation. keywords: training, nursing process, documentation reading lists: 18 books + 20 journals