EFFECTIVENESS OF 3S-BASED NURSING DOCUMENTATION TRAINING (SDKI, SLKI, SIKI) ON NURSES’ KNOWLEDGE, PERFORMANCE, AND DOCUMENTATION SKILLS
DOI:
https://doi.org/10.33862/jnsr.v2i1.589Keywords:
Documentation Skills, Nurse Knowledge, Nurse Performance, Nursing Documentation, 3S Model (SDKI, SLKI, SIKI)Abstract
Accurate and comprehensive nursing documentation is essential for ensuring continuity of care, legal accountability, and quality outcomes. However, many nurses face challenges in implementing standardized documentation practices. The 3S-based framework comprising SDKI (Standar Diagnosis Keperawatan Indonesia), SLKI (Standar Luaran Keperawatan Indonesia), and SIKI (Standar Intervensi Keperawatan Indonesia) has been developed to enhance the quality and consistency of nursing records. This study aimed to evaluate the effectiveness of 3S-based nursing documentation training on nurses’ knowledge, performance, and documentation skills. A quasi-experimental design with a pretest-posttest approach was conducted at two hospitals: RSUD Sungaililin in December 2024 and RSUD Bayung Lencir in April 2025. A total of 80 nurses participated, with 40 respondents from each hospital. The intervention consisted of structured training sessions on the 3S documentation model. Data were collected using validated questionnaires and observation checklists, and were analyzed using paired and independent t-tests to assess changes before and after the intervention. The findings showed a significant improvement in nurses’ knowledge, performance, and documentation skills following the training (p < 0.05). Both hospitals demonstrated consistent positive outcomes, indicating the effectiveness of the 3S-based training regardless of setting. The 3S-based documentation training significantly enhances nurses’ competencies in recording patient care. These results support the integration of structured documentation models into nursing education and hospital in-service training programs to improve care quality and documentation practices.
Downloads
References
Ackley, B. J. (2024). Nursing Diagnosis Handbook; An Evidence-Based Guide to Planning Care-12th Edition Revised Reprint with 2021-2023 NANDA (M. Z. Betty J. Ackley, Gail B. Ladwig, Mary Beth Flynn Makic, Marina Reyna Martinez-Kratz (Ed.); 12th ed.). Elsevier.
Ambarwati, D. R., Kurniawati, N. D., Airlangga, P. S., Hulam, A., Airlangga, U., & Airlangga, U. (2019). Development of 3S-Based Nursing Care Instruments (SDKI, SLKI, SIKI) in Patients winth Ventilators. Indonesian Journal of Global Health Research, 2(4), 205–212. https://doi.org/10.37287/ijghr.v2i4.250
Berman, A., Frandsen, G., & Snyder, S. (2021). Kozier & Erb’s Fundamentals of Nursing?; Concepts, Process and Practice (S. J. Snyder & G. Frandsen (Eds.); Tenth). Julie Levin Alexander.
Boswell, & Cannon (Eds.). (2018). Introduction to Nursing Research (5th ed.). Bulington: Jones & Bartlett Learning.
Doengoes, M. E., & Moorhouse, M. F. (2019). Nursing Care Plans; Guidelines For Individualizing Client Care Across The Life Span (A. C. Murr (Ed.); 10th ed.). F.A Davis Company.
Gray, J. R., & Grove, S. K. (2021). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (9th ed.). St. Louis, Missouri?: Elsevier Health Sciences.
Grove, S. K., & Gray, J. R. (2019). Understanding Nursing Research
Building an Ecidence-Based Practice (7th ed.). St. Louis, Missouri?: Elsevier Inc.
Hidayat, A. A. (2021). Nursing Process NANDA, NIC, NOC, and SDKI Approaches (N. A. Aziz (Ed.); Pertama).
Jane Flanagan, C. T. B. (2024). Polit & Beck’s Nursing Research; Generating and Assessing Evidence for Nursing Practice (J. Flanagan (Ed.); 12th ed.). Wolters Kluwer Health. https://doi.org/https://www.google.co.id/books/edition/Polit_Beck_s_Nursing_Research/NUUgEQAAQBAJ?hl=id&gbpv=1
Jannah, N. (2020). Nursing Care Documentation Standards and Models. 9. https://doi.org/https://osf.io/nh8yd
John, W., & J. David Creswell. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.). California: SAGE Publications, Inc.
Kartini, M., & Eka Ratnawati. (2022). The Effectiveness of Nursing Documentation Training on Nurse’s Knowledge about SDKI, SLKI, and SIKI). Jurnal Kesehatan, 11(1), 47–51. https://doi.org/10.46815/jk.v11i1.78
Meadus, R. J. (2023). Communication for Nursing and Health Care Professionals (R. J. Meadus (Ed.)). Canadian Scholars. https://doi.org/https://www.google.co.id/books/edition/Communication_for_Nursing_and_Health_Car/-tbQEAAAQBAJ?hl=id&gbpv=1&dq=Meadus,+R.+J.+(2023).+Communication+for+Nursing+and+Health+Care+Professionals+(R.+J.+Meadus+(ed.)).+Canadian+Scholars.&pg=PA226&printsec=frontcover
Ministry of Health Republic Indonesia. (2023). Main Results of Basic Health Research. Kementrian Kesehatan RI. https://doi.org/https://kemkes.go.id/eng/home
Muharni, S. (2024). Introduction to 3S (SDKI, SLKI, SIKI) in Documenting Nursing Care. Jurnal Abdidas, 2(5), 1092–1098.
Polit, D., & Beck, C. (2019). Nursing Research (11th ed.). Philadelphia: Wolters Kluwer Health.
Potter and Perry. (2021). Fundamentals of Nursing: Second South Asia Edition (S. K. Sharma (Ed.); Third Sout). Elsevier, RELX India Pvt. Ltd.
Purnamasari, I., Raharyani, A. E., & Karim, Y. (2023). In House Training 3S (SDKI. SLKI, SIKI) to Improve Nurses’ Knowledge of 3S-Based Nursing Care. Indonesian Journal of Global Health Research, 5(1), 35–42. https://doi.org/10.37287/ijghr.v5i1.1482
Rentala, S. (2018). Basics in Nursing Research and Biostatistics. New Delhi: Jaypee Brothers Medical Publishers.
Sari, N. K., Prihatiningsih, T. S., & Lusmilasari, L. (2021). Key elements of professional nursing practice: A scoping review. Open Access Macedonian Journal of Medical Sciences, 9(T4), 253–260. https://doi.org/10.3889/oamjms.2021.5885
Sege, M., Dedi, B., & Tukayo, I. J. H. (2022). The Influence of the Design of Nursing Care Documentation Design SDKI, SLKI, SIKI (3S) in Hospital Management Information Systems on Nurse Satisfaction at Dian Harapan Jayapura Hospital. Journal of Social Science, 3(6), 2073–2080. https://doi.org/10.46799/jss.v3i6.436
Sulistyawati, W., & Susmiati, S. (2020). The Implementation Of 3S (SDKI, SIKI, SLKI) to The Quality Of Nursing Care Documentation In Hospital’s Inpatient Rooms. STRADA Jurnal Ilmiah
Kesehatan, 9(2), 1323–1328. https://doi.org/10.30994/sjik.v9i2.468
Tauran, I., & Tunny, H. (2023). Preparation of Nursing Care Standards and Nursing Care Guidelines as Standards for Implementing Nursing Care Based on SDKI, SLKI and SIKI at Class II Hospital Prof. Dr. J.A. Latumeten Ambon. Jurnal Mahasiswa Ilmu Farmasi Dan Kesehatan, Vol.1(3), 249–256.
Widyastuti, Y. (2024). Training of SDKI SLKI SIKI Application at PKU Muhammadiyah Hospital, Karanganyar. Jurnal Pengabdian Dan Keberlanjutan Masyarakat, 01(01), 12. https://doi.org/https://doi.org/10.62383/bersama.v1i1.1268
Wisuda, A. C. (2020). Performance of Implementing Nurses in Documenting Nursing Care in Inpatient Installations. Jurnal ’Aisyiyah Medika, 4, 230–238. https://doi.org/10.36729/jam.v4i2.223
Wisuda, A. C., & Suraya, C. (2024). Implementation of 3S (SDKI, SLKI, SIKI) in Nursing Services in Inpatient Rooms. Ukhuwah?: Jurnal Pengabdian Kepada Masyarakat, 2(1), 45–53. https://doi.org/10.52395/ujpkm.v2i1.427
World Health Organization. (2023). WHO Strategic Communications Framework. WHO. https://www.humanitarianlibrary.org/sites/default/files/2020/11/communication-framework.pdf