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Hubungan Tingkat Pengetahuan Perawat dengan Pelaksanaan Dokumentasi Proses Keperawatan di RSUP Sanglah Denpasar

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Nursing Documentation is otenticrecord about nursing process that is done to the patient. It has important to legal aspect, communication tool between team work education and researches. Recently, nurse haven’t had homogeneity yet in documentation, so more than 60% nursing data was not recorded. This research describe the nursing document related to implementation of nursing process in Sanglah Central Hospital with cross sectional approach. Its use purposive sampling that every patient are going to home and been hospitalized for 3 days will be the samples. Data process was done bay calculate the percentage until get percentage from each of nursing process. The result find nursing document that 40% still less tan should be in essessment step. Almost (37%) have good category in formulating nursing diagnosis, 83,3% have good category in documenting intervention, 78,3% have enough in implementation and almost (52%) have good category in evaluation. Nurse still focused only in biologic needs assessment. The problem that related to social and spiritual needs almost never be assessed. This condition very influence the patient satisfaction in hospitalization.

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Detail Information

Series Title

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Call Number

Gempar; 2(1): 1-6

Publisher

Denpasar : Jurusan Keperawatan Politekes Depkes Denpasar., 2009

Collation

6p.

Language

ISBN/ISSN

0853-2419

Classification

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Content Type

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Media Type

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Carrier Type

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Edition

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Subject(s)

KNOWLEDGE
Nursing Process

Specific Detail Info

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Statement of Responsibility

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