FACTORS RELATED TO DOCUMENTING NURSING PERIANESTESI DI HOSPITAL PROF DR MARGONO SOEKARJO PURWOKERTO AND RS PKU MUHAMMADIYAH IN YOGYAKARTA

2017-09-01

en

Thesis

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Negligence nurses consistently appear in the medical records of the cases ended in convictions, among others; incompleteness initial history and physical examination, failed to assess and take the appropriate action, incompleteness, or the inadequate documentation.This study aims to determine the factors associated with nursing care documentation perianestesi in Hospital Prof Dr Margono Soekarjo Purwokerto and PKU Muhammadiyah Hospital in Yogyakarta.This study design was observational analytic. Using a cross sectional study design. The population in the study were nurse anesthetist who worked in Hospital Prof Dr Margono Soekarjo Purwokerto, RS PKU Muhammadiyah Hospital in Yogyakarta and Bantul Muhammadiyah PKU totaling 30 people. Sampling by total sampling obtained 5630 votes. Data were analyzed using chi-square test.Respondents who did well educated documentation D4 / S1 and that 11 (36.7%) attended training 7 (23.3%), has a complete facility that is 15 people (50%) and do documentation of less than or equal to 30 min of 15 people (50%).Factors associated with nursing care documentation perianestesi is education (p = 0.006) and training (p = 0.007). Factors not related to nursing care documentation perianestesi is the means (p = 0.547) and time (p = 0.161). Key words: documentation of nursing care perianestesi