Academic journal article The South East Asian Journal of Management

The Role of Leadership Style of Head of Ward, Electronic Documenting, and Nurses' Performance in Service Innovation in Meuraxa Hospital

Academic journal article The South East Asian Journal of Management

The Role of Leadership Style of Head of Ward, Electronic Documenting, and Nurses' Performance in Service Innovation in Meuraxa Hospital

Article excerpt

Innovation of nursing services can be developed using computer aids document nursing care. Increased availability of Electronic Health Records (EHR) for documenting patient disease provides an opportunity for hospitals to create models of service mapping using electronics (Aiken, Sloane, Clarke, Poghosyan, Cho, You, & Aungsuroch, 2011; Amrita, Garg, & Khera, 2014). One of the development of nursing services in Indonesia is the use of computers. The use of computer can overcome the problems of nursing services including health service documentation (Barros, Werner, Thomson & Varkevisser, 2015). This computer technology is needed because consumers are keep growing and they may differ from the aspect of education, demands, rights and law, and demands increasingly critical (Campos & Gillard, 2010).

Nursing services in hospitals require appropriate programs and analysis in organizing management systems (Dunbar, Watson, Boudreau, 2007; Cunha, 2004). Healthcare information management systems can reduce retention of health information management systems which is beneficial for managers in the preparation of reports, and may be adopted by consumers who need data (Crevani, palm, & Schilling, 20I1).

About 74 to 85% of patient health data in developed countries are documented using the internet, and 80% of patients seek information about health services (Hoffman, Volk, Saarimaki, Stirling, Li, Härte, Kamath, & Thomas, (2013). In general, patients seek information through the internet related to the decisions that will be made regarding treatment of the disease with which they have been diagnosed. The dominant service data documented (80%) was gathered by the nurses, as 80% of the patient care staff in the hospital were nurses (Kane, 2007; Westbrook, Duffield, Ling & Creswick, 2011). In addition, nurses provide almost 90% of all services to patients (Pollak & Lorch, 2001).

Research results show the there was increase in health care output in the United States is 7.5% since the early 1990s due to improper leadership and minimal health care facilities (Davis, 2007). This situation contributes to trauma for patients, decreased quality of care and increased costs which is estimated about $ 500 billion per year (Davis, 2007). This figure is equivalent to 30% of all health care costs in America (Donner, 2004). It means that leadership style and health care facilities play important role in reducing costs for health care.

Strong leadership is the driving force behind the innovation of care services and changing culture (Crevani, Palm, & Schilling, 20I1). Nursing leadership requires self-changing and be able to make positive steps to improve workplace conditions and the use of appropriate technology (Jones, 2014). The use of computerization as a clinical decision support system can improve diagnosis sustainability, chronic disease management, reduce stress, and improve nursing skills (Fentianah, 2012). However, there are limitations on nurses' ability to realize these potentials of computer assistance in care because of inadequacies in the computer software (Hernández, Hurtig, Dahlblom & Sebastian, 2015).

Experts estimate that 100,000 deaths can be prevented by professional recording (Hsiao, Hing, Socey, & Cai, 2011). Electronic documentation program will make it easier for the executing nurse, low level manager (head of the room), middle level manager (head of care), and top level manager (Director) to conduct supervision (Jones, 2014). Statistically, the causes of inefficiency of care and less than optimal care services include financial factors, technology, time and autonomy changes (Kowitlawakul, Chan, Pulcini, Wang, 2015). The United States Department of Health and Human Services could save up to $140 billion annually with the use of Electronic Health Record Systems (HER) technology (Hsiao, Hing, Socey & Cai, 2011).

The cost of care services can be cut more than 60% and the quality of service can be improved if the documentation system used in hospitals is supported by operational standards (SOP), information technology, and good management quality by the head of the ward (Peisl, Reger, & Schmied, 2009; Stevenson, Nilsson, Petersson & Johansson, 2010

In the practical development of professional nursing, the role and function of the head of ward is very important; therefore, leadership and management competence are absolutely necessary. …

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