Relationship of Work Motivation with Nursing

Care Documentation in the Hospital

Endang Sihaloho¹, Yosafat Barus²

Lecture of Nusantara 2000 Midwifery College, Jl Prof Dr TB Simatupang, Sunggal, Medan

Lecture of WiraHusadaNursing College, Jl Prof Dr TB Simatupang, Sunggal, Medan

Keywords: Work Motivation, Documentation of Nursing Care

Abstract: Motivation is an effort that someone does to do his job. Documentation of nursing care is the result of

recording events that are considered important and can be used as evidence. This study aims to identify the

relationship between nurses' work motivation and documentation of nursing care. This study uses

descriptive correlative design. The population in this study were 125 nurses, and 205 documentation. The

sample was taken by simple random sampling technique. In this study there were 55 nurses and 67

documentation. The Cronbach Alpha test results developed by researchers were 0.738 for work motivation

questionnaires. The results showed intrinsic motivation in the low category (70.9%), while extrinsic

motivation in the high category (59.7%) and documentation of nursing care in the category of adequate

(52.2%). Based on the Spearman correlation test, motivation has a correlation value (r = 0.407). From the

results of the study it can be concluded that motivation has a sufficient relationship with documenting

nursing care. For this reason it is suggested that motivation needs to be improved to provide quality for

documenting nursing care.

1 INTRODUCTION

Documentation aspects are very important in all

stages of the nursing process. Documentation is the

writing and recording of a particular event or

activity legally (legal). It is believed that much of

the information and client data that nurses must

record in official and legal documents from

institutions with the aim of documenting the client's

health status can be used as an effective

communication tool in the health team, basic data

for research, sources of information learned for

education, for details financing, legal legality and

medical history for the benefit of long-term client

data (Nursalam, 2007).

The phenomenon that occurs in the field is that

nursing documentation is diverse, complicated and

takes from 35 to 40 minutes for recording per shift.

Although the quantity of nursing documentation has

improved steadily over the years, the quality of the

documented information is not good. Missing or

incomplete documents often cause current problems

for McConnel's organization (2003). Hospitals in

small towns have used computerized systems for 2

years. The system turned out to be a source of staff

stress and dissatisfaction , then the head of the room

made an effective and efficient system for

documentation also prepared data to monitor the

nursing process, results of care and staff

performance (Arisanti, 2011).

Based on the results of an initial survey

conducted in the inpatient roo, from the observation

of 4 different rooms with nursing care at 8 clients,

each of the clients was handled by 8 nurses on duty,

the results were not all documentation done well, in

the study no past medical history was included and

the average did not record the intervention as well as

the nursing diagnosis was not included in the cause,

the number of implementing nurses was 103 people

in which nursing graduates were 2 people, nursing

academics as many as 38 people and health care

schools as many as 63 people. This study aims to

identify the work motivation of nurses and

documentation of nursing care in the inpatient room.

2 METHODS

In this study, researchers used a descriptive

correlation research design with cross sectional

design that aims to identify and identify the

152

Sihaloho, E. and Barus, Y.

Relationship of Work Motivation with Nursing Care Documentation in the Hospital.

DOI: 10.5220/0008395800002442

In Proceedings of the Aceh International Nursing Conference (AINC 2018), pages 152-155

ISBN: 978-989-758-413-8

relationship between one single variable and other

variables in a sample group (Burn & Grove, 2001).

The population of this study were all nurses a total

of 125 people Data collection tools in this study are

in the form of questionnaires used to measure

motivation, and observation notes to measure

documentation of nursing care in the inpatient room

in Hospital.

3 FINDINGS

The distribution of nurses in wards, nursing care

documents in inpatient wards, characteristics of

respondents, and nurses’ work motivation are shown

in the following tables

Table 1: Distribution of Executing Nurses in Ward (n= 125).

Unit Number of nurse population Number of nurses sample

Rose Ward (internal woman) 15 5

Jasmine (internal male) Ward 14 5

tulip (child) Ward 10 5

Carnation Ward (surgery) 12 6

Amethyst (pulmonary) chamber 15 5

Flamboyant Ward (class) 11 5

Diamond Ward (old VIP) 14 4

Pearl Ward (VIP children) 11 5

Zamrut Ward (New VIP) 13 5

Table 2: Distribution of Number of Nursing Care Documents in Inpatient ward (n=125).

Inpatient Room Number of Nursing Care

Nursing Population

Sample Nursing

Rose ward (internal woman) 25 8

Male (internal) ward 24 8

Tulip ward (child) 17 5

Carnation ward (surgical) 27 9

Amethyst (pulmonary) chamber 30 10

Flamboyant ward (class) 31 10

Diamond ward (old VIP) 20 7

Pearl ward (VIP children) 12 4

zamrut ward (New VIP) 19 6

Table 3: Frequency Distribution and Percentage of Characteristics of Respondents (n = 55).

Characteristics of f %

Age of Respondents

21 – 30 years 7 12,7

31 – 40 years 14 25,5

>40 years 34 61,8

Education of espondents

SPK 12 21,8

D III 41 74,5

S 1 2 3,6

Nursing care training

0-1 4 7,3

2 41 74,5

3 10 18,2

Working

< 5 years 13 23,6

>5 years 42 76,4

Relationship of Work Motivation with Nursing Care Documentation in the Hospital

153

Table 4: Frequency Distribution and Percentage of Work Motivation for Executing Nurses (n = 55).

Work Motivation f %

Height 2 3,0

Enough 52 77,6

Low 1 1,5

Table 5: Distribution of Frequency and Percentage of Documentation of Nursing Care in the Inpatient Room (n = 67).

Nursing Care Documentation f %

Complete 19 28,4

Enough 35 52,2

Less 13 19,4

Table 6: Correlation Statistics Test Results Extrinsic Motivation of Work with Documentation of Nursing Care in Inpatient

(n=55).

Independent variable Dependent variable ρ p-value

Work Motivation Documentation of nursing care 0,407 0,001

The results of this study indicate that the majority of

documentation of nursing care carried out is

sufficient, namely 35 documentation (52.2%), the

complete one is only 19 documentation (28.4%) and

the lack is 13 documentation (19.4%). The

frequency distribution of the level of documenting

nursing care can be seen in table 5.

The results of this study indicate that the

correlation number is 0.407 with a significant value

of 0.001, there is a relationship between work

motivation and documentation of nursing care.

4 DISCUSSION

According to the assumption of the researcher, when

viewed from the age of the respondent, the average

age > 40 years is 34 (61.8%) nurses. The level of

education in the inpatient ward of showed that most

nurses, namely 41 nurses (74.5%) had a D III

education level (diploma 3 nursing), SPK numbered

12 nurses (21.8%) and nursing S1 only 2 nurses

(3.6%). These results indicate that nurses in the

inpatient ward are skilled and professional staff so

that they are expected to be able to document

nursing care well.

Based on the characteristics of the training, the

results of the unvariat analysis showed that most of

the nurses in the inpatient ward had 2 times attended

the training, namely 41 nurses. This shows that there

is an effort to improve the quality of documenting

nursing care in hospitals. Each implementing nurse

has the right to take part in the training but with

conditions based on policy from the head of the

room and by alternating from each room.

Based on the characteristics of the service period,

the results of the univariate analysis showed that

most nurses in the inpatient room had a service

period of> 5 years. This shows that the

implementing nurses who work in the inpatient ward

are nurses who have long enough experience in

documenting nursing care.

The success of an employee can be seen from the

achievements he achieved (Kasmi Z, 2011). In order

for an employee to succeed in carrying out his work,

the head of the room must know the characteristics

of his subordinates ( Margaret, 2011) and his work

by providing an opportunity (Farren C, 2008) for his

subordinates to try to achieve good results. If the

subordinates succeed in doing the work, the leader

must declare that success (Hasibuan, 2008).

The results of statistical analysis in this study

that extrinsic motivation and documentation of

nursing care are positively related to a fairly strong

relationship (ρ = 0.407). The results of the analysis

of the relationship has a significant value of 0.001 so

it can be concluded that the research hypothesis is

accepted that there is a relationship of work

motivation with documenting nursing care

(Benjamin, 2012).

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5 CONCLUSIONS

Based on the results of the study showed that, the

majority of respondents aged> 40 years were 34

respondents (61.8%), with the education level of

nursing DIII 41 respondents (74.5%), training in

documenting nursing care 2 times, namely 41

respondents (74 , 5%) and working time> 5 years is

42 respondents (76.4%), the majority of nurses have

sufficient motivation that is 52 respondents (77.6%),

a high 2 respondents (3.0%) and a low 1 respondent

(1.5%), the documentation of the completeness of

nursing care was sufficient, namely 35 (52.2%),

while the complete 19 respondents (28.4) and the

incomplete 13 (13%), work motivation has a

significant relationship with documenting nursing

care that is 0.407 with a significant level of 0.001.

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