Implementation Nursing Documentation based on 3S (SDKI, SIKI, SLKI) Based Evidence Based Practice (EBP) on the Quality of Nursing Services

Abstract

Complete documentation can improve the quality of nursing services. The Indonesian National Nurses Association Organization (INNA) has issued standards that can be used as a reference in the official nursing process, namely 3S including the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI) and Indonesian Nursing Outcomes Standards (SLKI) which are adapted to cultural differences. in Indonesia. Knowing the application of 3S (SDKI, SIKI, and SLKI) in nursing documentation is the goal of this research. Quantitative research method with quasi-experimental design, with a research sample of 72 nurses who provide and write nursing care in the form of nursing documentation. The results of this study showed that there were significant differences in the completeness of nursing documentation based on the 3S (SDKI, SIKI, SLKI) based on Evidence Based Practice (EBP) before and after mentoring (P < 0.005). The application of 3S (SDKI, SIKI, SLKI) based on Evidence-based Practice (EBP) to the quality of nursing services before and after assistance has a unidirectional relationship showing a perfect positive relationship (P <0.005) If 3S (SDKI, SIKI, SLKI) is based on Evidence-based Practice (EBP) is implemented properly, the quality of nursing services is increasing. In the application of nursing documentation based on 3S (SDKI, SIKI, SLKI) based on Evidence Based Practice (EBP), supporting factors are needed so that it can be applied properly.