Publisher

UNIGRESUNIGRES

Journal Journals of Ners CommunityJournals of Ners Community Abstract

The implementation of Electronic Nursing Care (ENC) as part of the digital transformation of health in health centers faces various obstacles that need to be identified to ensure its success and sustainability. This study aims to identify and analyze challenges in the implementation of ENC in the City X Health Center and formulate strategic recommendations to overcome them. This descriptive qualitative research used purposive and snowball sampling techniques to recruit 15 nurses from various health centers. Data was collected through in-depth interviews, participant observations, and document reviews, then analyzed using thematic analysis. The research reveals three main challenge themes: (1) Technical and infrastructure challenges (unstable internet connectivity, limited hardware, system frequent errors); (2) HR challenges (digital competency gap, inadequate training, resistance to change, double workload); (3) Organizational challenges (suboptimal management support, unclear policies, limited technical support). These challenges have an impact on reducing service quality and increasing the workload of nurses. The implementation of ENC at the City X Health Center faces multidimensional obstacles that are interrelated. A comprehensive approach that includes infrastructure improvements, human resource capacity building, and strengthening organizational support is needed to ensure the success of digital transformation in the primary health sector.

Conclusion

This study concludes that the implementation of Electronic Nursing Care (ENC) in City X Health Centers faces multi-dimensional and interrelated challenges.These challenges encompass technical and infrastructure limitations, human resource gaps in digital competency and training, and organizational issues related to management support and policy clarity.These obstacles were perceived to negatively impact service quality and contribute to increased stress among nurses.Addressing these challenges requires a holistic strategy, including infrastructure upgrades, continuous training programs, clear policy formulation, strengthened leadership commitment, and adequate budget allocation to ensure the sustainability and success of ENC implementation.

Future Research

Berdasarkan hasil penelitian ini, terdapat beberapa saran penelitian lanjutan yang dapat dilakukan untuk memperdalam pemahaman mengenai implementasi Electronic Nursing Care (ENC) di fasilitas kesehatan primer. Pertama, penelitian kuantitatif berskala besar perlu dilakukan untuk mengukur dampak ENC terhadap indikator kualitas layanan klinis, seperti tingkat kesalahan pengobatan, kepuasan pasien, dan efisiensi alur kerja. Kedua, studi longitudinal diperlukan untuk melacak perubahan kompetensi digital perawat dari waktu ke waktu setelah mengikuti pelatihan ENC, serta mengidentifikasi faktor-faktor yang memprediksi keberhasilan adopsi teknologi jangka panjang. Ketiga, penelitian kualitatif mendalam dapat dilakukan untuk mengeksplorasi pengalaman perawat dalam menggunakan ENC dari perspektif ergonomi dan usability, dengan tujuan merancang antarmuka dan fitur sistem yang lebih intuitif dan sesuai dengan kebutuhan pengguna. Penelitian-penelitian ini diharapkan dapat memberikan bukti empiris yang lebih kuat untuk mendukung pengembangan strategi implementasi ENC yang efektif dan berkelanjutan, serta meningkatkan kualitas layanan kesehatan di fasilitas kesehatan primer.

Metadata

File size	292.89 KB
Pages	11
DMCA	Report