Nurses’ obedience in implementing the
nursing care documentation is still a phenomenon that
occurs in several hospitals in Indonesia. This study
attempts to analyze the nurses’ obedience in
documenting the nursing care. This quantitative study
used a correlation method with a cross-sectional
approach, samples from 63 implementing nurses and 63
of the nursing care documentation obtained by using
proportionate random sampling technique. The results
showed the highest proportion were age <35 years
(73.02%), women (93.65%) with vocational education
(95.24%), Length of employment ≥2 years (96.83%)
with permanent employee status (95.24%) and most of
the nurse disobedience in documenting the nursing care
(98.41%). There was no correlation among Age (p-value
= 0.270), Gender, Education, Length of employment,
Staffing Status (p-value = 1.000). The researcher
suggested that the Palembang Islamic Hospital to
conduct a review of the nursing care format form and
SPO the nursing care documentation including the SPO
implementation, then conduct periodic internal audits,
provide training or include nurses in training in filling
the nursing care documentation used in the Palembang
Islamic Hospital that also needs to be done, as well as
optimizing the reward and punishment system for
nurses related to the implementation of the nursing care
documentation.
Keywords : Obedience, Documentation, Nursing Care.