Candra Saputra(1*), Yulastri Arif(2), Fitra Yeni(3)

(2) STIKes Payung Negeri Pekanbaru
(3) STIKes Payung Negeri Pekanbaru
(*) Corresponding Author


Nurses have an important role in improving the completeness of nursing documentation. Increasing the completeness of nursing documentation can be done through changing paper-based documentation to electronic-based with the development of ANNISA applications. The ANNISA application developed is oriented to NNN Linkage nomenclature. The purpose of this study was to determine the effectiveness of ANNISA development on the completeness of nursing documentation. This study conducted using a quantitative research with a quasy experimental design and a Time Series Non Equevalent Control Group Design approach. The sampling technique used was proportional random sampling with a total sample of 96  nurses in health center Pekanbaru City. The results showed that there were differences in the measurement  Completeness of nursing documentation between pretest and postest measurement in the intervention group (p Value = 0,000 <α = 0.05) and there were differences in completeness of nursing documentation between the intervention group and the control group in the pretest, postest-1  and postest-2 measurement  (p Value = 0,000 <α = 0.05). there was an increase in differences Completeness of nursing documentation from pretest , posttest-1  and postest-2 measurements after ANNISA model development in the intervention group and the control group (p Value = 0,000 <α = 0.05). It is expected that the health center can use the ANNISA application as an alternative in solving the problem of completing nursing documentation carried out by nurses in the Health Center Pekanbaru City


ANNISA, Nursing Documentation, Completeness

Full Text:



Abebe, N., Abera, H., & Ayana, M. (2014). Nursing & Care The Implementation of Nursing Process and Associated Factors among Nurses. J Nurse Care, 3(2). https://doi.org/10.4172/2167-1168.1000149149

Alkouri, O. A., Just, T., & Kawafhah, M. (2016). Importance And Implementation Of Nursing Documentation: Review Study. European Scientific Journal, 12(3), 101–106. https://doi.org/10.19044/esj.2016.v12n3p101

Allred, S. K., Smith, K. F., & Flowers, L. (2015). Electronic Implementation of National Nursing Standards — NANDA , NOC and NIC as an Effective Teaching Tool. Journal of Health Care Informatic Management, 18(4), 56–60.

Ardenny, & Hirzal. (2016). Efektivitas Format Pendokumentasian Keperawatan Model Problem Oriented Record ( Por ) Terhadap Kemudahan Penggunaannya Oleh Perawat. Jurnal Kesehatan, 366–376.

Azwar, S. (2000). Reliabilitas dan Validitas. Yogyakarta: Pustaka Belajar.

Blair, W., & Smith, B. (2012). Nursing documentation: Frameworks and barriers. Contemporary Nurse, 41(2), 160–168. https://doi.org/10.5172/conu.2012 .41.2.160

Chand, S. (2014). Electronic nursing documentation. International Journal of Information Dissemination and Technology, 4(4), 328. Retrieved from http://search.proquest.com/openview/d6d55f2afd6a05546fe10097d559980a/1?pq-origsite=gscholar

Darmer, M. R., Ankersen, L., Nielsen, B. G., Lippert, E., & Egerod, I. (2006). Nursing documentation audit – the effect of a VIPS implementation programme in Denmark. Journal of Clinical Nursing.

Dharma, K. K. (2011). Metodologi Penelitian Keperawatan. Jakarta; Trans Info Media.

Firouzeh, M., Jafarjalal, M., Ezzat, Emamzadeh Ghasemi, H. S., Bahrani, N., & Sardashti, S. (2017). Evaluation of vocal-electronic nursing documentation: A comparison study in Iran. Informatics for Health and Social Care, 42(3), 250–260. https://doi.org/10.1080/17538157.2016.1178119

Firouzeh, M. M., Jafarjalal, E., Emamzadeh, H. S., Bahrani, N., & Sardashti, S. (2016). Evaluation of vocal-electronic nursing documentation : A comparison study in Iran. Informatics for Health and Social Care, 8157(June). https://doi.org/10.1080/17538157.2016.1178119

Hastono, P. S. (2011). Statistik Kesehatan. Edisi VI. Jakarta : PT. Raja Grafindo Persada.

Haycock-Stuart, E., & Kean, S. (2012). Does nursing leadership affect the quality of care in the community setting? Journal of Nursing Management, 20(3), 372–381. https://doi.org/10.1111/j.1365-2834.2011.01309.x

Joo, J. Y., & Huber, D. L. (2014). Evidence-based nurse case management practice in community health. Professional Case Management, 19(6), 265–273. https://doi.org/10.1097/NCM.0000000000000058

Kim, H., Dykes, P. C., Thomas, D., Winfield, L. A., & Rocha, R. A. (2011). A closer look at nursing documentation on paper forms: Preparation for computerizing a nursing documentation system. Computers in Biology and Medicine, 41(4), 182–189. https://doi.org/10.1016/j.compbiomed.2010.08.006

Park, H. J. (2010). NANDA-I , NOC , and NIC linkages in nursing care plans for hospitalized patients with congestive heart failure. University of Iowa.

Pérez-rivas, F. J., Martín-iglesias, S., Javier, F., Rivas, P., Martín-iglesias, S., & Luis, J. (2016). Effectiveness of Nursing Process Use in Primary Care. International Journal of Nursing Knowledge, 27(February). https://doi.org/10.1111/2047-3095.12073

Polit, D. F., & Beck, C. T. (2003). Nursing Research principles and method. Nursing Research Principles and Method, 310.

Yu, P. (2006). Electronic versus paper-based nursing documentation systems: The caregivers weigh in [7]. Journal of the American Geriatrics Society, 54(10), 1625–1626. https://doi.org/10.1111/j.1532-5415.2006.00904.x


  • There are currently no refbacks.

Copyright (c) 2020 CANDRA - SAPUTRA

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Online ISSN : 2460-5611 | Print ISSN : 1979-9292

Publish by LLDIKTI Wilayah X (Sumatera Barat, Riau, Jambi dan Kepulauan Riau)

Jl. Khatib Sulaiman No 1 Kota Padang. Kode Pos 25144. Telp 0751-7056737. Fax 0751-7056737. Website:http://www.kopertis10.or.id

Web Analytics Made Easy - StatCounter View My Stats

Creative Commons License 

This work is licensed under a Creative Commons Attribution 4.0 International License.