Faktor Individu, Organisasi, dan Sistem Teknologi terhadap Persepsi Perlindungan Hukum Tenaga Keperawatan dalam Implementasi Dokumentasi Asuhan Keperawatan Elektronik

Authors

  • Uneri Uneri Universitas Strada Indonesia
  • Sentot Imam Suprapto Universitas Strada Indonesia
  • Novita Ana Anggraini Universitas Strada Indonesia

DOI:

https://doi.org/10.31539/v3v16441

Abstract

This study aims to analyze the influence of individual, organizational, and technological system factors on the perception of legal protection for nursing staff in the use of electronic nursing care documentation. This research method used a quantitative analytical design with a cross-sectional design and a correlational approach. The results showed that partially, individual factors (t=2.260; p=0.026), organizational factors (t=2.327; p=0.022), and technological systems (t=2.422; p=0.018) significantly influenced perceptions of legal protection. Simultaneously, these three factors contributed 40.9% to the perception of legal protection for nursing staff. This indicates that the safety of the nursing profession is highly dependent on the synergy between individual competence, organizational support, and the reliability of technological systems. In conclusion, improvements to hospital management information systems (SIMRS), strengthening standard operating procedures (SOPs), and ongoing training are needed to ensure patient safety and legal protection for nursing staff in the digital era.

 

Keywords: Electronic Documentation, Individual Factors, Organization, Legal Protection, Technological Systems

References

Aini, L. N., Maryan, S. (2024). Hubungan Pengetahuan Perawat tentang SDKI SIKI dan SLKI dengan Kepatuhan Pendokumentasian di Rumah Sakit Dr. Soedarsono Pasuruan. Jurnal Ilmiah Kesehatan Mandira Cendikia, 3(1), 39–49. https://journal.mandiracendikia.com/index.php/JIK-MC/article/view/800

Alobayli, F., O'Connor, S., Holloway, A., & Cresswell, K. (2023). Electronic Health Record Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review. Digital Health, 9, 20552076231220241. https://doi.org/10.1177/20552076231220241

Alshumaymiri, S., Asiri, E., Ali, K., Assiri, E., Alqahtani, A., Alshahrani, Alshumaymiri, S. N., Asiri, E. H., Assiri, K. S. A. E., Alqahtani, A. M., Alshahrani, A. A., Asiri, J. A., Al Mathool, N. E., Mufarih, B. E., Alarafi, E. A., Almathool, S. E., Asiri, B. A. H., Assiri, T. H. A., Assiri, S. H., Aldafirai, A. S. A., & Aldhafeeri, E. M. Z. (2024). The Importance of Documentation: Best Practices for Medical Nurses. Power System Technology, 48(4). https://doi.org/10.52783/pst.1015

Dewi, N., Ricky, A. V. (2025). Analisis Penerapan Audit Trail pada Rekam Medis Elektronik di Rumah Sakit X Jawa Tengah. Jurnal Ners, 9(3), 4228-4236. http://journal.universitaspahlawan.ac.id/index.php/ners

Ghazali, I., & Peristiowati, Y. (2024). Faktor Human, Organisasi dan Teknologi terhadap Kelengkapan Pengisian Dokumentasi Asuhan Keperawatan Melalui Rekam Medis Elektronik. Journal of Telenursing (JOTING), 6(2). https://doi.org/10.31539/joting.v6i2.12253

Gorean, G. I., Hariyati, R. T. S., & Handiyani, H. (2023). Pendokumentasian Keperawatan Berbasis Elektronik: Literature Review. Jurnal Ilmiah Perawat Manado (Juiperdo), 11(2), 120-124. https://doi.org/10.47718/jpd.v11i2.2166

Hidayat, A. A., Rahmad, N. N., Hartono, D. (2025). Hubungan Beban Kerja Perawat dengan Kelengkapan Pendokumentasian Asuhan Keperawatan Berbasis Rekam Medis Elektronik di Klinik Jember. Health Research Journal, 3(02), 102-113. https://ejournal.dpdppnikabprobolinggo.org/index.php/health-research-journal/article/view/96

Ma, J., Wang, P., Li, B., Wang, T., Pang, X. S., & Wang, D. (2025). Exploring User Adoption of ChatGPT: A Technology Acceptance Model Perspective. International Journal of Human–Computer Interaction, 41(2), 1431–1445. https://doi.org/10.1080/10447318.2024.2314358

Masamah, S., DR. F., R. S. N., Safenti, K., Rianjani, R. (2023). Audit Dokumentasi Asuhan Keperawatan. The Horunal of Hospital Accreditation, 5(01). https://doi.org/10.35727/jha.v5i01.124

Mayenti, F., Meri, D., Efliani, D., Amin, S., Rahmadhani, D. Y. (2025). Pengaruh Pelatihan Proses Keperawatan terhadap Pendokumentasi Asuhan Keperawatan. Jurnal Abdimas Kesehatan, 7(3). https://doi.org/10.36565/jak.v7i3.982

Puspita, D., Wijayanti, E., & Jaeni, A. (2024). Tanggung Jawab Hukum Perawat pada Pendokumentasian Asuhan Keperawatan dalam Rekam Medis Elektronik (RME). Jurnal Syntax Imperatif : Jurnal Ilmu Sosial dan Pendidikan, 5(5), 1074–1082. https://doi.org/10.36418/syntaximperatif.v5i5.520

Ramadhani, S. O., Nurul, E., Aulia, L. N., NurFadilah, S. D., Ridwan, H. (2025). Tinjauan Literatur Sistematis: Dampak Pendokumentasian Berbasis Elektronik terhadap Beban Kerja Perawat. Jurnal Kesehatan Tambusai, 6(2). https://doi.org/10.31004/jkt.v6i2.44349

Ramoo, V., Kamaruddin, A., Nawawi, W. N. F., Che, C. C., & Kavitha, R. (2023). Nurses' Perception and Satisfaction Toward Electronic Medical Record System. Florence Nightingale Journal of Nursing, 31(1), 2–10. https://doi.org/10.5152/FNJN.2022.22061

Ranjbar, K., Sabetsarvestani, R., Oghlaee, H., Sarvestani, P. S., Dehghan, A., & Shirazi, Z. H. (2021). Using Electronic Software for Nursing Documentation in Nursing Students. Florence Nightingale Journal of Nursing, 29(2), 128–136. https://doi.org/10.5152/FNJN.2021.20077

Resty, D. E., Hariyati, Rr. T. (2024). Evaluasi Penerapan Electronic Medical Record oleh Perawat dalam Pendokumentasian Asuhan Keperawatan dan Dampaknya terhadap Kepuasan Perawat: A Literature Review. MANUJU: Malahayati Nursing Journal, 6(3). https://doi.org/10.33024/mnj.v6i3.12943

Samani, S., Rattani, S. A. (2023). Fostering Patient Safety: Importance of Nursing Documentation. Open Journal of Nursing, 13(7), 411-428. https://doi.org/10.4236/ojn.2023.137028

Setyowato, S., Daeli, W., Suryadi, B. (2025). Hubungan Penerapan Dokumentasi Keperawatan Elektronik terhadap Peningkatan Pendokumentasian Asuhan Keperawatan. Jurnal Intelek Insan Cendekia, 2(5). https://jicnusantara.com/index.php/jiic/article/view/3301

Soekerno, N., Ahsan, A., & Laily, L. (2025). Internal and External Determinants of Nursing Care Documentation: A Scoping Review in Inpatient Settings. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 17(2). https://doi.org/10.34011/juriskesbdg.v17i2.2943

Urbaningrum, V. (2023). Beban Kerja dengan Pendokumentasian Asuhan Keperawatan di Ruangan Rawat Inap RSUD Torabelo Kabupaten Sigi. Jurnal Skolastik Keperawatan, 9(1). https://doi.org/10.35974/jsk.v9i1.3095

Yuliastanti, Y., & Wulandari, C. I. (2025). Analisis Faktor yang Mempengaruhi Kualitas Dokumentasi Keperawatan: Literature Review. Prepotif: Jurnal Kesehatan Masyarakat, 9(1), 1637–1648. https://doi.org/10.31004/prepotif.v9i1.43388

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Published

2026-04-30

How to Cite

Faktor Individu, Organisasi, dan Sistem Teknologi terhadap Persepsi Perlindungan Hukum Tenaga Keperawatan dalam Implementasi Dokumentasi Asuhan Keperawatan Elektronik. (2026). Journal of Telenursing (JOTING), 8(2), 364-372. https://doi.org/10.31539/v3v16441