Hubungan Beban Kerja dan Supervisi Kepala Ruangan dengan Kelengkapan Pengisian Formulir Pengkajian Awal Rawat Jalan Elektronik di RS Azra Bogor
DOI:
https://doi.org/10.57214/jasira.v4i4.437Keywords:
Completeness of Documentation, Electronic Medical Record, Head Nurse Supervision, Initial Assessment, Nursing WorkloadAbstract
Complete documentation of the initial outpatient assessment is a key indicator of nursing care quality and patient safety. A preliminary study at Azra Hospital Bogor found that six of ten electronic initial assessment forms were incompletely filled. This study aimed to analyse the relationship between nursing workload and head nurse supervision and the completeness of the electronic outpatient initial assessment form. A quantitative correlational analytic design with a cross-sectional approach was applied to 30 outpatient nurses selected through total sampling. Data were collected using a 13-item workload questionnaire, a 16-item head nurse supervision questionnaire, and a 10-component observation checklist of the electronic medical record, then analysed using Spearman rank correlation and multiple linear regression. Most nurses reported a moderate workload (40.0%), perceived supervision as sufficient (43.3%), and 63.3% of the forms were complete. Workload was significantly and negatively related to completeness (rho = -0.664; p = 0.000), whereas supervision was significantly and positively related (rho = 0.508; p = 0.004). Simultaneously, both variables explained 42.8% of the variance in completeness (F = 10.105; p = 0.001), with workload as the dominant predictor. Hospitals therefore need to balance nursing workload and strengthen scheduled supervision to improve documentation completeness.
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