Manfaat dan Hambatan dalam Pelaksanaan Sistem Informasi Keperawatan

Penulis

  • Ahmad Dahlan Syam Universitas Indonesia

DOI:

https://doi.org/10.30651/jkm.v4i2.2203

Kata Kunci:

Nursing Information system

Abstrak

Pendahuluan: Sejak tahun 1980 peran Teknologi Informasi dan Komunikasi (TIK) dalam praktik keperawatan telah berkembang. Untuk sebagian besar perawat, penggunaan TIK telah memberikan semangat baru melalui pengenalan catatan pasien elektronik serta sumber daya klinis yang memerlukan penggunaan komputer bangsal atau perangkat digital lainnya. Evaluasi teknologi informasi (TI) dalam keperawatan  relevan karena cepatnya implementasi sistem TI dalam perawatan kesehatan.

Metode: Metode yang digunakan penulis adalah literatur review. Database yang digunakan penulis adalah PROQUEST,Ebsco dan Science Direct dengan menggunakan kata kunci nursing informatic, Health Information System. Keperawatan

Hasil : Terdapat beberapa kata kunci yang dapat  diambil dari manfaat yang dirasakan oleh perawat dalam penggunaan sistem infomasi keperawatan, yakni merasa lebih banyak waktu yang digunakan untuk bersama dengan pasien, mengurangi kertas (kehilangan data kertas), kontrol kesalahan mudah dicapai, tersedianya data yang dapat digunakan untuk penelitian, serta tersedianya data sebagai landasan perlindungan hukum bagi perawat. Selain itu, dengan sistem yang terintegrasi, komunikasi antar interprofesional dirasakan meningkat, sebab data dapat diakses dengan mudah oleh tenaga kesehatan. Disamping manfaat yang didapatkan tersebut, juga ditemui beberapa kendala yang menjadi penghambat penggunaan sistem informasi dalam keperawatan, sebagaimana dalama kajian literatur ditemukan beberapa kendala, yakni sistem perangkat yang dimana tidak semua perawat mampu mengoperasikan sistem yang ada, kemudian dengan sistem sendiri yang tak kala menemui malah seperti proses yang lambat sehinggamembutuhkan lebih banyak waktu, kerahasian data pasien yang dirasakan kurang terjaga dengan adanya sistem ini, dan dengan adanya sistem ini perawat terkadang merasa kehilangan kemampuan untuk berpikir kritis, sebab kemampuan menyimpulkan diagnosa dan intervensi dirumuskan langsung oleh sistem yang ada.

Kesimpulan: Pengaplikasian sistem informasi keperawatan dirasakan memberikan manfaat bagi perawat dan juga pasien, namun manfaat tersebut belum sempurna karena adanya hambatan dan kendala dalam pengaplikasian sistem tersebut yang menjadikan manfaat yang dirasakan belum begitu maksimal.

Kata kunci: nursing informatic, Health Information System. Keperawatan

Referensi

Adams, J. M. (1998). Health information systems: improving nursing care and cutting costs. MedSurg Nursing, 7(5), 308-309.

Allen, D., Davis, M. (1992 ). A computerized CIS enhances bedside intensive care. Journal of excellence in nursing leadership, 23(7).

Axford, RL., Carter, BE., (1996) Impact of clinical information systems on nursing practice: nurses’ perspective. Computers in Nursing 14, 156–163.

Balka E. (2003) Getting the big picture. The macro-politics of information system development (and failure) in a Canadian hospital. Methods in Information in Medicine 21 (4), 324– 330.

Berg, M., (2001) Implementing information systems in health care organisations: myths and challenges. International Journal of Medical Informatics 64, 143–156.

Boonchai.K, Supasit.P, Stuart.M.S. (2009). Factors in?uencing health information technology adoption in Thailand’s community health centers:Applying the UTAUT model. International journal of medical informatics 78, 404-416.

Bowles, KH., (1997) The barriers and benefits of nursing information system. Computers in Nursing 15, 191–196.

Brooks, BA., Massanari, K., (1998) Implementation of NANDA nursing diagnoses online. Computers in Nursing 16, 320–326.

Chaudhry, B. W. (2006). Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann. Intern. Med., 742-752

Cornelia, M., Elske, A., Andreas, W., Angelika, T., Torsten, H., Bettina, H., et al. (2007). Effects of a Computer-based Nursing Documentation System on the Quality of Nursing Documentation. Journal of Medical Systems, 31(4), 274-282.

Dennis, KE., Sweeney, PM., Macdonald, LP., Morse, NA.,(1993) Point of care technology: impact on people and paperwork. Nursing Economics 11, 229–237, 248.

Edward, E.H. (1995). The computer-based patient record vision contrasted with HIS/MIS. International Journal of Bio- Medical Computing, 39, 19-23

Emspak, F., Trimborn, S. (1998). The Nursing Information Systems: Collaborative Design of Healthcare Information Systems. AI & Soc, 12: 64-70

Fraenkel, D., Cowie, M., Daley, p. (2003). Quality benefits of an intensive care clinical information system. Critical Care Medicine, 31 (1), 120-125.

Foster, J., & Bryce, J. (2009). Australian nursing informatics competency project. Stud. HealthTechnol. Inform., 556-560.

Getty, M., Ryan, AA., Ekins, ML., (1999) A comparative study of the attitudes of users and non-users towards computerized care planning. Journal of Clinical Nursing 8, 431–439.

Gül, A., Teke Gençtürk, N., (2004). Investigation of Computer and Internet Use Frequency among Nurses. Journal of Anatolia Nursing and Health Sciences , 8-18

Hoo, W., & Parisi, L. (2005). Nursing informatics approach to analyzing staffing effectiveness indicators. J. Nurs. Care Qual., 215-21

Häyrinena, K., Lammintakanenb, J., & Sarantob, K. (2010). Evaluation of electronic nursing documentation—Nursing process model and standardized terminologies as keys to visible and transparent nursing. International journal of medical informatics 79 (1), 554-564.

Johansson P., Petersson G. Nilsson G. (2011) Experience of using a personal digital assistant in nursing practice – a single case study. Journal of Nursing Management 19 (7), 855–862.

Jooste K. (2011) Current nursing practice: challenges and successes. Journal of Nursing Management 19 (7), 833–836.

Kaushal, R., Shojania, R., & Bates, D. (2003). Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Archive of Internal Meicine., 1409-1416.

Kurihara Y, Kusunose T, Okabayashi Y, Nyu K, Fujikawa K, Miyai C & Okuhara Y (2001) Full implementation of a computerized nursing records system at Kochi Medical School Hospital in Japan. Computers in Nursing 19, 122–129.

Lammintakanena, J., Sarantoa, K., & Kivinenb, T. (2010). Use of electronic information systems in nursing management. International journal of medical informatics, 79 (1), 324331.

Lee T. (2004) Nursesadoption of technology: application of Rogers innovation-diffusion model. Applied Nursing Research 17 (4), 231–238.

Lee, T. (2005). Nurses' concerns about using information systems: analysis of comments on a computerized nursing care plan system in Taiwan. Journal of Clinical Nursing, 344-353.

Lippeveld, T. (2000). Approaches to strengthening health information systems. Eds.: Lippeveld, T., Sauerborn, R., Bodart, C. Design and implementation of health information systems. Geneva, WHO, pp. 243-252

Mahler, C., Ammenwerth, E. & Wagner, A. (2007). Effect of Computerbased Nursing Documentation System on the Quality of Nursing Documentation. J Med Syst, 31: 274-282

Malliarou, M., Zyga, S., (2009). Advantage of Information Systems in Health Services. SMIJ. Vol. 5

Malliarou, M., Damigou, D. (2007). Information Systems in nursing practice. Health Review. Sciences Technology Policy, 18(108): 37-41

Nilsson L., Eriksen S. & Borg C. (2014) Social challenges when implementing Information Systems in everyday work in a nursing context. Computers, Informatics, Nursing 32 (9), 442–450.

Oroviogoicoechea, C., Elliot, B., & Watson, R. (2008). Review: evaluating information systems in nurisng . Journal of clinical nurisng, 17(5):565-575

Pabst MK, Scherubel JC & Minnick AF (1996) The impact of computerized documentation on nurses’ use of time. Computers in Nursing 14, 25–30.

Paul, B., Anna, S., June, B., & Eileen, B. (2004). The feasibility and potential of organisational peer review audit in community nursing: an example of record keeping. Quality in Primary Care, 12 (2), 109 – 117.

Scheel, Elisabeth, M., Birthe D. Pedersen & Rosenkrands, V., (2008). Interactional nursing–a practice-theory in the dynamic ï¬eld between the natural, human and social sciences. Scandinavian Journal of Caring Sciences 22.4 (2008): 629–636.

Smedley, A. (2005). The importance of informatics competencies in nursing: an australian perspective. Comput. Inform. Nurs., 106-110

Staggers, N., & Parks, P. (1993). Description and initial applications of the Stafers & Parks nurse-computer interaction frameworks. Computers in Nursing, 11 (6), 282

Stamouli, M. & Mantas, J. (2001). Development and Evaluation of a Nursing Service Management and Administration Information System at District Hospital, Eds.: V. Patel et al: MEDINFO 2001, Amsterdam, IOS Press

Tiina, M., Tarja, S., Paula, A., Marianne, M., & Ilmari, R. (2009). The outcomes of regional healthcare information systems in healthcare: A review of research literature. International journal of medical informatics, 78 (11), 757

Urquhart, C., & Curall, R. (2005). Reviewing the evidence on nursing record systems. Health Informatics J, 33-44

Van der Meijden MJ, Tange HJ & Hasman A (2003) Determinants of success of inpatient clinical information systems: a literature review. Journal of American Medical Informatics Association 10, 235–243.

Wilson R & Fulmer T (1997) Introduction of wireless, pen-based computing among visiting nurses in the inner city: a qualitative study. Journal of Community Health Nursing 14, 23–27.

Unduhan

Diterbitkan

2019-07-11

Terbitan

Bagian

Artikel