Penerapan Prinsip Etik dalam Dokumentasi Elektronik Asuhan Keperawatan sebagai Upaya Peningkatan Mutu Asuhan Keperawatan: Literature Review

Robertha Eka Woro Astuti; Catharina Dwiana Wijayanti

doi:10.31539/5dvmqm15

Authors

Robertha Eka Woro Astuti STIK SINT Carolus jakarta
Catharina Dwiana Wijayanti STIK SINT Carolus Jakarta

DOI:

https://doi.org/10.31539/5dvmqm15

Keywords:

etika keperawatan, rekam medis elektronik, sistem informasi keperawatan, dokumentasi elektronik, privasi pasien, kualitas perawatan keperawatan, PRISMA, tinjauan sistematis

Abstract

This systematic literature review aims to synthesize evidence regarding the role of ethical nursing practices in electronic documentation and their impact on enhancing the quality of nursing care. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 protocol was applied. Databases searched included PubMed, CINAHL, Scopus, Web of Science, and the Cochrane Library. Inclusion criteria covered peer-reviewed studies published between 2020 and 2025 that addressed the ethical dimensions of electronic nursing documentation and care quality outcomes. Of the 1,285 records initially identified, 20 studies met the inclusion criteria. Four key thematic areas emerged: (1) data privacy, confidentiality, and informed consent; (2) documentation accuracy, integrity, and accountability; (3) ethical barriers and facilitators in Nursing Information System (NIS) implementation; and (4) the relationship between ethical documentation and patient safety outcomes. In conclusion, ethical electronic nursing documentation is a crucial determinant of nursing care quality. Institutional policies, ongoing ethics education, and robust Nursing Information System (NIS) design are essential to bridging ethical gaps in clinical settings.

Keywords: Electronic Documentation, Electronic Health Records, Nursing Ethics, Nursing Information Systems, Nursing Quality Of Care, Patient Privacy, PRISMA, Systematic Review.

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