Challenges Faced by Health Center Nurses in the Implementation of Electronic Nursing Care (ENC): Qualitative Descriptive Analysis in City X
DOI:
https://doi.org/10.55129/jnerscommunity.v15i2.3182Kata Kunci:
Electronic Nursing Care;, implementation challenges;, health centers;, health information systems;, nurses;, digital transformationAbstrak
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.
Referensi
Abdullah, F., & Ward, R. (2016). Developing a general extended technology acceptance model for E-learning (GETAMEL) by analysing commonly used external factors. Computers in Human Behavior, 56, 238–256.
Andriyani, F., Setyawan, F. B., & Lestari, R. (2022). Challenges of implementing health information systems at community health centers in East Jakarta. Jurnal MKMI, 18(2), 45-56.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340.
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18.
Kementerian Kesehatan Republik Indonesia. (2021). Buku saku sistem informasi kesehatan (SIK) untuk Puskesmas. Kementerian Kesehatan RI.
Abdullah, F., & Ward, R. (2016). Developing a general extended technology acceptance model for E-learning (GETAMEL) by analysing commonly used external factors. Computers in Human Behavior, 56, 238–256.
Andriyani, F., Setyawan, F. B., & Lestari, R. (2022). Challenges of implementing health information systems at community health centers in East Jakarta. Jurnal MKMI, 18(2), 45-56.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340.
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18.
Kementerian Kesehatan Republik Indonesia. (2021). Buku saku sistem informasi kesehatan (SIK) untuk Puskesmas. Kementerian Kesehatan RI.
Kowitlawakul, Y., Chan, M. F., Tan, S. S. L., Soong, A. S. K., & Chan, S. W. C. (2017). Exploring the use of electronic health records to support the implementation of evidence-based practice in nursing. CIN: Computers, Informatics, Nursing, 35(7), 355–363.
Mulyati, S., Yusuf, A., & Haryanto, J. (2023). Faktor yang berhubungan dengan burnout pada perawat Puskesmas. Jurnal Keperawatan Soedirman, 18(1), 45–58.
Nursalam, N., Efendi, F., & Pradanie, R. (2020). The role of transformational leadership in the success of health information system implementation in public hospitals. Jurnal Ners, 15(1), 1–8.
Sarosa, S. (2021). Tantangan implementasi sistem informasi kesehatan di fasilitas kesehatan primer di Indonesia [Pidato pengukuhan guru besar]. Universitas Indonesia.
