ANALYSIS OF AFFECTING FACTORS COMPLETENESS OF AS KEP DOCUMENTATION IN THE INPATITION ROOM PANDAN HOSPITAL

Abstract

Legal proof of the implementation of services at the hospital can be seen through documentation.
Incomplete medical documentation has a negative impact on clients because important information
regarding their care and health condition is ignored. Factors that influence the completeness of nursing
care documentation are internal factors including knowledge, attitudes and motivation and external factors
such as workload, work environment, supervision. The aim of the research is to analyze the factors that
influence the completeness of documentation in the Inpatient Room. Cross sectional research. The sample
Consisted of 64 nurses and 64 nursing care documents. Stratified random sampling technique. The results
of the research show that there is a relationship between knowledge with ap value of 0.014. Attitude p value
0.000. Motivation p value 0.000. Workload p value 0.030. Supervision p value 0.000 with complete
professional documentation in the inpatient room. There is no significant relationship between the work
environment variable and the completeness of the civil service documentation with a value of 0.959 > 0.05.
Conclusion: Knowledge, attitude, workload, motivation, supervision influence the completeness of nursing
care documentation in the Inpatient Room