RELATIONSHIP BETWEEN THE USE OF ELECTRONIC MEDICAL RECORDS (E-MR) AND NURSING CARE DOCUMENTATION AMONG NURSES AT RSJ TAMPAN, RIAU PROVINCE

Abstract

The implementation of electronic medical records (e-MR) in hospitals in Indonesia is a significant step forward in creating more effective, safe, and integrated healthcare services. Electronic nursing documentation offers various benefits, such as reducing the risk of recording errors and improving efficiency, but a deeper understanding of the true impact of this technology is still needed. Therefore, the researcher is interested in conducting research on the relationship between the use of electronic medical records (e-MR) and the use of nurse documentation. This study uses a quantitative approach with a cross-sectional correlation design, involving a total of 112 nurses working in the inpatient wards of RSJ Tampan, Riau Province, and utilizing the chi-square test. The statistical results obtained were a p-value of

0.298 > 0.05, which means H0 is accepted. Therefore, it can be concluded that there is no relationship between the use of electronic medical records (e-MR) and the documentation of nursing care plans among nurses at RSJ Tampan in Riau Province. Regarding nurses' understanding of digital documentation, specifically the use of electronic medical records (e- MR)