The Implementation of Electronic Medical Records on Performance through Nurses' Workload and Completeness of Nursing Care Documentation
Abstract
Effective nursing care services are an indicator of healthcare service quality. The use of electronic medical records (EMRs) plays a crucial role in improving the quality of nursing care services. Complete and accurate nursing care documentation has significant implications for the quality of nursing care provided. Objective: This study aims to analyze the impact of implementing electronic medical records on nurses' performance through nurses' workload and the completeness of nursing care documentation. Method: This study employed a quantitative research design with a cross-sectional approach. A total sampling technique is applied involving 85 respondents as the sample. Data analysis was conducted using path analysis to determine the relationships between research variables. Results: Statistical regression tests (Model 1 and Model 2) showed that the implementation of electronic medical records significantly affects nurses' workload, the completeness of nursing care documentation, and nurses' performance. Path analysis results indicated that electronic medical records have a direct impact on nurses' performance (0.225). Additionally, the effect of electronic medical records on nurses' performance through workload was 0.178, while its effect on performance through the completeness of nursing care documentation was 0.108. Conclusions: The study concludes that there is no significant indirect effect of electronic medical record implementation on nurses' performance through workload and completeness of nursing care documentation.
References
Adelia, T., Hamid Halin, & Emilda. (2024). Pengaruh Stress Kerja, Beban Kerja, Dan Lingkungan Kerja Terhadap Kinerja Perawat Pada Rs Ak Gani Palembang. JEMSI (Jurnal Ekonomi, Manajemen, Dan Akuntansi), 10(2), 1282–1291. https://doi.org/10.35870/jemsi.v10i2.2307
Astuti, M. D. (2016). Tinjauan Ketepatan Waktu Pengembalian Rekam Medis Rawat Jalan di Rumah Sakit Jiwa Dr. Soeharto Heerdjan Tahun 2016. In Repository Universitas Esa Unggul.
Basalamah, F. F., Ahri, R. A., & Arman, A. (2021). Pengaruh Kelelahan Kerja Stres Kerja, Motivasi Kerja dan Beban Kerja Terhadap Kinerja Perawat Di RSUD Kota Makassar. An Idea Health Journal, 1(2), 67–80.
Bossen, C., Jensen, L. G., & Udsen, F. W. (2013). Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: Approach, results, and success factors. International Journal of Medical Informatics, 82(10), 940–953. https://doi.org/10.1016/j.ijmedinf.2013.05.010
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006). Systematic Review : Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care. Annals of Internal Medicine, 144(10).
Damanik, Rani, K. (2020). Pengembangan Desain Sistem Informasi Manajemen. Keperawatan. Ahlimedia Press.
Darsini, Fahrurrozi, & Cahyono, E. A. (2019). Pengetahuan ; Artikel Review. Jurnal Keperawatan, 12(1), 97.
Devhy, N. L. P., & Widana, A. A. G. O. (2019). Analisis Kelengkapan Rekam Medis Rawat Inap Rumah Sakit Ganesha Di Kota Gianyar Tahun 2019. Jurnal Rekam Medis Dan Informasi Kesehatan, 2(2), 106. https://doi.org/10.31983/jrmik.v2i2.5353
Gultom, A., Rumengan, G., & Trigono, A. (2023). Implementasi Sistem Informasi Manajemen Rumah Sakit Terhadap Kinerja Pelayanan Kesehatan Di Rumah Sakit Umum Universitas Kristen Indonesia Jakarta Tahun 2023. Jurnal Manajemen Dan Administrasi Rumah Sakit Indonesia (MARSI), 7(3), 227–235. https://doi.org/10.52643/marsi.v7i3.3384
Hakman, Suhadi, & Nani, Y. (2021). Pengaruh Beban Kerja , Stres Kerja , Motivasi Kerja Terhadap Kinerja. Nursing Care and Health Technology Journal, 1(2), 47–54.
Hamizar, A. (2020). Pengaruh Beban Kerja Terhadap Kinerja Pegawai Studi Kasus pada BPS Maluku. Journal of Islamic Economic and Business (JIEB), 2(1), 52–63.
Hati, V. I., Noviantoro, D., & Yolanda, V. (2024). Pengaruh Beban Kerja Dan Budaya Kerja Terhadap Kinerja Perawat Ruang Inap Di RS Islam Siti Khadijah Palembang Dengan Kepuasan Kerja Sebagai Variabel Intervening. Jurnal Ilmiah Ekonomi Dan Bisnis Universitas Multi Data Palembang Pengaruh, 14(1), 137–156.
Herlina, E. (2023). Dampak Penggunaan Rekam Medis Elektronik terhadap Beban Kerja Perawat di Rumah Sakit Prikasih. Journal of Management Nursing, 2(4), 253–260. https://doi.org/10.53801/jmn.v2i4.134
Herlina, Rusman, A. D. P., Marlina, & Suwardoyo, U. (2022). Penerapan Sistem Informasi Berbasis IT Pengolahan Data Rekam Medis untuk peningkatan Pelayanan di Rumah Sakit. NEM (Nasya Expanding Management). Pekalongan.
Hoerbst, A., & Schweitzer, M. (2015). A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings. Yearbook of Medical Informatics, 10(1), 79–89. https://doi.org/10.15265/IY-2015-018
Irawan, I. (2019). Evaluasi Penerapan Sistem Rekam Medik Elektronik Berdasarkan Benefit Realization Plan RSI Jemursari Surabaya. Repository University of Nahdhatul Ulama Surabaya.
Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https://doi.org/10.1016/j.eij.2020.07.003
Kumajas, F. W., Warou, H., & Bawotong, J. (2014). Hubungan Karakteristik Individu dengan Kinerja Perawat di Ruang Rawat Inap Penyakit Dalam RSUD Datoe Binangkang Kabupaten Bolaang Mongondow. Jurnal Keperawatan, 2(2), 1–8. https://doi.org/https://doi.org/10.35790/jkp.v2i2.5304
Mashoka, R. J., Murray, B., George, U., Lobue, N., Mfinanga, J., Sawe, H., & White, L. (2019). Implementation of electronic medical records at an Emergency Medicine Department in Tanzania: The information technology perspective. African Journal of Emergency Medicine, 9(4), 165–171. https://doi.org/10.1016/j.afjem.2019.07.002
Mathar, I., & Igayanti, I. B. (2021). Manajemen lnformasi Kesehatan (Pengelolaan Dokumen Rekam Medis). In CV BUDl UTAMA (Edisi Revi).
Niartiningsih, A., Munsir, N., Nur, N. H., Jannah, N. M., Paradilla, M., & Nurfitriani. (2023). Korelasi beban kerja dengan kinerja perawat. Jurnal Olahraga Dan Kesehatan Indonesia (JOKI), 3(2), 132–138.
Pasaribu, M. D., Lumbanraja, P., & Rini, E. S. (2021). Analisis Beban Kerja Dan Dukungan Sosial Terhadap Kinerja Perawat Rumah Sakit Umum Bethesda Gunungsitoli Dengan Kejenuhan Perawat Sebagai Variabel Intervening. Jurnal Manajemen Terapan Dan Keuangan, 10(03), 606–618. https://doi.org/10.22437/jmk.v10i03.13988
Putra, I. P. S., Nursari, M., & Muliawati, N. K. (2016). Literatur Review : Kelengkapan Dokumentasi Asuhan Keperawatan Pasien Rawat Inap Di Rumah Sakit Dan Faktor Yang Mempengaruhi Dokumentasi. Wira Medika Journal, 1(1), 1–14. https://repository.stikeswiramedika.ac.id/23/1/I Putu Suartama Putra.pdf
Rahayu, Dirdjo, M. M., & Muflihah, U. (2024). Hubungan Sistem Pendokumentasian Keperawatan Berbasis Elektronik Dengan Kinerja Perawat Di Unit Rawat Jalan Dua RSUD. Jurnal Sehat Mandiri, 19(2), 29–36.
Salleh, M. I. M., Abdullah, R., & Zakaria, N. (2021). Evaluating the effects of electronic health records system adoption on the performance of Malaysian health care providers. BMC Medical Informatics and Decision Making, 21(1), 1–13. https://doi.org/10.1186/s12911-021-01447-4
Santosa, I. V., Subekti, M. N., Jagaddhito, G. S., & Susanti, A. D. (2023). Analisis Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) dalam Meningkatkan Pengelolaan Rumah Sakit yang Efisien di Rumah Sakit Umum Daerah Surakarta. Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri, 3(1), 189–197. https://doi.org/10.58192/sejahtera.v3i1.1716
Semachew, A. (2018). Implementation of nursing process in clinical settings: The case of three governmental hospitals in Ethiopia, 2017. BMC Research Notes, 11(1), 4–8. https://doi.org/10.1186/s13104-018-3275-z
Siagian, S. (2016). Analisis Ancaman Keamanan Pada Sistem Informasi Manajemen Di Rumah Sakit Rimbo Medica Jambi 2015 Analysis of Security Threat of Management Information System in Rumah Sakit Rimbo Medica Jambi 2015. Scientia Journal Stikes Prima Jambi, 4(4), 371–375.
Swedarma, E., & Dwidasmara, D. (2019). Peran Sicantik dalam Meningkatkan Kinerja Perawat di Rumah Sakit. Jurnal Keperawatan Raflesia, 1(1), 1–10. https://doi.org/10.33088/jkr.v1i1.395
Syah, M. (2020). Pentingnya Perawat Mengetahui Tentang Kelengkapan Pendokumentasian Dalam Keperawatan. OSF Preprints, 1–9.
Tajirian, T., Stergiopoulos, V., Strudwick, G., Sequeira, L., Sanches, M., Kemp, J., Ramamoorthi, K., Zhang, T., & Jankowicz, D. (2020). The influence of electronic health record use on physician burnout: Cross-sectional survey. Journal of Medical Internet Research, 22(7). https://doi.org/10.2196/19274
Copyright (c) 2025 Indonesian Journal of Global Health Research

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



