Nursing Journal Volume 10.
Issue 2.
Page 173-187 e-ISSN: 2354-6050 https://ejurnal.
id/index.
php/JKep/article/view/x DOI: https://doi.
org/10.
32668/jkep.
NURSES' EXPERIENCE IN CARRYING OUT NURSING CARE
DOCUMENTATION USING
ELECTRONIC MEDICAL RECORD (EMR)
Abstract
1st Dewi Susanna Ginting1* 2nd Wan Nishfa Dewi1
3rd Widya Lestari1
4th Bayhakki1
5th Erika1
1,2,3,4,5
Faculty of Nursing.
Pekanbaru.
Riau.
Indonesia Email: wan.
dewi@lecturer.
Keywords:
Electronic Medical Record Nurses Experience Patient Documentation Qualitative The development of information and communication technology has led to significant changes in the provision of nursing care.
This study examines nurses' experiences with using Electronic Medical Records (EMR.
for nursing care documentation.
This study aims to explore the experiences of nurses using EMR in documenting nursing care.
This qualitative study uses a phenomenological approach involving 10 nurses, including the head of the room, team leader, and implementing nurses.
Participants were selected using purposive sampling techniques, with the following criteria: nurses who perform nursing care documentation using an Electronic Medical Record (EMR), nurses working in inpatient, outpatient, emergency (IGD), and intensive care units, nurses with a work experience of at least 2 years, and nurses who are willing to participate.
The study was conducted at a private hospital in Pekanbaru.
Data were collected through interviews and analysed using thematic analysis, employing the Colaizzi method.
Result:
The analysis revealed three themes: the benefits of Electronic Medical Records (EMR) in nursing services, supporting factors for the implementation of EMR, and inhibiting factors for the implementation of EMR.
Based on the study results, it can be concluded that nurses feel the effectiveness and efficiency of EMR in documenting.
However, during its implementation, there are still obstacles that require attention from hospital management.
Thus, providing health services becomes optimal and efficient for patients and health workers.
Received: Agustus 2025 Accepted: November 2025 Published: November 2025 A year The Authors.
Published by Published Department of Nursing.
Health Polytechnic of the Ministry of Health Jakarta i.
This is Open Access article under the CC-BY-SA License .
ttp://creativecommons.
org/licenses/by-sa/4.
0/).
DOI: https://doi.
org/10.
32668/jkep.
INTRODUCTION
various benefits for nurses, such as shorter documentation Documentation of nursing care in many hospitals is still time, more complete and structured presentation of patient commonly performed manually or handwritten using data, and easier access to information forms provided by the institutio.
Although paper- have also reported that electronic documentation based documentation is widely used in nursing practice, improves efficiency and enhances nursesAo performance in this method has several limitations, including the longer documenting nursing care .
EMR implementation has time required for nurses to complete documentation, been associated with improved quality of care, increased printing costs, the need for large storage space, and the patient safety, and greater patient satisfaction due to the risk of documents becoming lost, damaged, or difficult to availability of more interaction time with nurses .
retrieve when needed .
These drawbacks highlight the In Indonesia.
EMR has been increasingly adopted in need for a more efficient documentation system.
various health care institutions, including Santa Maria Along with technological advancements, many health care Hospital Pekanbaru.
Based on preliminary observations, electronic-based .
Other studies documentation systems known as electronic medical documentation to EMR in mid-2019.
However, this records (EMR).
Research has shown that EMR offers change brings new challenges.
Audit results conducted by JKEP (Journal of Nursin.
Vol 10 Issue 2.
November 2025.
Page 173-187 e-ISSN: 2354-6050 the PIC team in early 2022 indicated that not all nursing interpreting the significance of experiences in the form of units had implemented EMR documentation completely.
narratives, and presenting these narratives systematically Both outpatient and inpatient units achieved more than according to the aims of the research .
90% completeness only in the initial assessment and In accordance with ColaizziAos phenomenological method, nursing diagnosis.
Meanwhile, other components of data analysis in this study followed seven steps conducted nursing documentation remained below the target, with systematically, beginning with familiarization, where the average completion rates still under 70%.
researcher repeatedly read all interview transcripts to Further observations revealed inconsistencies in the understand the whole description of participantsAo selection of nursing diagnoses, mismatches between The next step was identifying significant planned and implemented interventions, and outcomes statements related to nursesAo experiences in documenting that did not align with expectations.
Although the EMR nursing care using EMR, followed by formulating platform already provides all required components of the meanings from each significant statement.
These nursing care process assessment, diagnosis, planning, formulated meanings were then organized into thematic implementation, and evaluation nurses still require clusters, which later formed an exhaustive description of adaptation and habituation to optimize its use .
These the phenomenon.
The researcher then refined this findings suggest the presence of barriers and gaps in description into a fundamental structure and subsequently EMR-based nursing documentation at the hospital.
validated the findings by returning them to participants Considering the gap between the potential benefits of .
ember checkin.
to confirm accuracy and ensure that EMR and the challenges identified in its implementation the interpretations truly represented their experiences.
at Santa Maria Hospital Pekanbaru, further exploration is The population in this study consisted of all nurses Therefore, this study aims to describe nursesAo documenting nursing care using EMR.
A total of 194 experiences in performing nursing care documentation nurses were actively working at Santa Maria Hospital and using EMR at Santa Maria Hospital Pekanbaru.
thus had the opportunity to participate in the study.
Ten participants were selected using purposive sampling based RESEARCH METHODS on specific criteria, including nurses who perform nursing Descriptive phenomenology is used to see and listen more care documentation using EMR, those working in closely and in detail to an individual's explanation and inpatient, outpatient, intensive care, and emergency units, understanding of an experience or event, not to produce a nurses with at least two years of work experience, and theory or model but to obtain a complete interpretation of individuals who were willing to be participants.
This the phenomenon being studied (Martha & Kresno, 2.
The design of this study is qualitative research using a experience and exposure to EMR implementation to descriptive phenomenological approach with ColaizziAos provide meaningful insights.
method, where the researcher explores information from This study was conducted at Santa Maria Hospital nurses regarding their perspectives on the implementation Pekanbaru, which has Plenary accreditation.
The settings of EMR at Santa Maria Hospital.
This approach allows the included outpatient units, inpatient units, intensive care researcher to investigate the meaning of nursesAo lived units, and the Emergency Installation (IGD).
Overall, the experiences and describe them comprehensively in hospital employs 194 active nurses who have diverse accordance with the research objectives.
lengths of service and work experiences ranging from 2 to The stages of phenomenological research include asking 25 years.
Interviews were conducted in the VIP lounge to questions during interviews, analyzing interactions, maintain participantsAo privacy and provide a comfortable ensured that participants had sufficient JKEP (Journal of Nursin.
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Page 173-187 e-ISSN: 2354-6050 environment that enabled participants to speak freely.
RESULTS AND DISCUSSION describe their experiences in detail, and respond openly to Table 1.
Respondent Characteristics the interviewerAos questions.
Data collection was carried out using semi-structured interviews guided by a list of questions prepared and developed by the researcher.
Prior to data collection, potential participants meeting the inclusion criteria were informed about the objectives and procedures of the study.
Those who agreed to participate signed informed consent After conducted at times and locations mutually agreed upon by the researcher and participants.
Throughout the interview process, conversations were recorded using a digital recorder to ensure accuracy in capturing participantsAo Length of Educatio Code Employ n Level ment .
Di S1
Ners S1
Ners S1
Ners S1
Ners S1
Ners Di Di S1
P10
Ners Position Work Area Team leader Outpatient Team leader Hospitalization Nurse Hospitalization Nurse Hospitalization Nurse Outpatient Team leader IGD Executive Hospitalization Executive Executive Hospitalization Intensive Executive Intensive verbal expressions and prevent loss of important Demographic data was recorded for all participants at the beginning of each interview.
Ten participants consisted of This research passed an ethics review from the Research 3 room heads, 3 team leaders, and 4 nurse implementers and Health Ethics Commission (KEPK) of the Faculty of who had been interviewed in depth.
Based on table 1 Nursing.
University Riau, above, 8 participants with a service period of more than 5 Ethical years .
%) while 2 of them had a service period of < 5 ensured that the research met standards of confidentiality, years .
%).
Judging from the level of Education, the last autonomy, and respect for participantsAo rights throughout education with strata 1 and professional education was 6 the study.
%), the rest had the last education of strata In analyzing the data, the researcher used ColaizziAos 1 .
%) and D i Nursing .
%).
phenomenological method based on verbatim transcripts From the results of the thematic analysis, 3 themes were to identify the themes emerging from participantsAo found related to the experience of nurses in documenting 392/UNI9.
8/KEPK.
FKp/2024.
The transcripts were examined to identify nursing care using EMR.
The three themes are as follows:
key statements and formulate meanings, which were then .
the benefits of EMR in nursing services.
supporting coded and categorized into themes .
To ensure factors for the implementation of EMR.
factors credibility, the researcher conducted member checking by inhibiting the implementation of EMR.
The experience of returning the formulated themes to participants to verify nurses in carrying out documentation of nursing care using EMR is described in a descriptive form.
Credibility was further strengthened through Table 2.
Themes found Sub-Theme prolonged engagement with the data, reflexivity, and peer debriefing, ensuring that the interpretations were Effectiveness efficiency of EMR Advantages of using EMR grounded in participantsAo narratives and free from researcher bias.
Infrastructure support Training support IT team support Theme Benefits of EMR in Nursing Services (Theme 1 highlights how EMR mechanisms directly contribute to improved efficiency, accuracy, and optimization of nursing Supporting Factors for EMR Implementation (Theme 2 emphasizes how JKEP (Journal of Nursin.
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Page 173-187 Unstable network Nurse abilities Nurse nursing care services e-ISSN: 2354-6050 documentation processes to be consistent and aligned with infrastructure, continuous training, and responsive IT EMR Inhibiting Factors for EMR Implementation (Theme barriers such as technical issues, competency gaps, and workload challenges, leading to policy-oriented quality targets.
The Inhibiting Factors EMR Implementation, highlights barriers encountered during implementation, both technical and non-technical.
Technical barriers, such as unstable networks and device issues, may disrupt documentation workflows, while nontechnical barriers include nursesAo varying abilities and limited time due to workload.
Identifying these barriers provides the basis for policy recommendations, such as strengthening IT infrastructure, adjusting workloads, and The results of this study indicate that the implementation implementing continuous training programs for nurses.
of EMR at Santa Maria Hospital provides various benefits Moreover.
EMR implementation has a direct impact on for nursing services, particularly by improving the service quality.
EMR enhances patient safety by reducing effectiveness and efficiency of documentation.
The first the risk of documentation errors and facilitating access to theme.
Benefits of EMR in Nursing Services, highlights critical patient information, ensuring safer care delivery.
that EMR facilitates nurses in recording patient data more Electronic documentation also supports continuity of care, quickly, accurately, and systematically.
This aligns with as patient data can be accessed in real-time by the entire previous studies stating that electronic documentation can healthcare team reduce duplicated work, accelerate data access, and minimize recording errors .
This efficiency is a key Additionally.
EMR standardization of documentation, ensuring nursing mechanism that supports the improvement of nursing information is complete, systematic, and consistent, in service quality, as nurses can allocate more time for direct accordance with hospital standards and professional patient interaction.
The second theme.
Supporting Factors for EMR Overall, integrating LewinAos Change Theory and service Implementation, emphasizes the organizational role in quality analysis shows that EMR implementation not only supporting change through the provision of infrastructure, improves operational efficiency but also contributes to training, and IT team assistance.
Analysis using LewinAos enhanced nursing service quality.
The organization plays Change Theory shows that the EMR implementation a crucial role in facilitating change through technical process can be seen through three stages.
First, support, training, and resource management, while Unfreezing, which involves introducing EMR and providing training for nurses to familiarize themselves ensures safe, integrated, and consistent care delivery.
with the new system.
This stage is crucial to prepare Benefits of EMR in Nursing Services individuals for change, reduce resistance, and motivate Documentation of nursing care is an integrated activity nurses to use EMR.
Second.
Changing, where nurses carried out by nurses and is one of the means of actively implement EMR in daily practice.
At this stage, communication between health workers as well as challenges such as unstable networks, variations in proof that nurses have provided nursing care to nursesAo technical skills, and time management issues due Currently, the documentation of nursing care to workload were observed.
Third.
Refreezing, where at Santa Maria Hospital is carried out by EMR.
In this expectations regarding new documentation standards are study, themes related to the benefits of EMR in nursing established, and EMR practices become routine, allowing JKEP (Journal of Nursin.
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only need 1 PC or for example our laptop can access Information obtained from nurses who documented it immediately" (P4, lines 107, 109, .
nursing care by EMR said that EMR proved to be useful for nurses in carrying out the documentation Based on the experience of participants who have done Some participants said that by using EMRs their work became faster and more efficient.
Some of during the implementation the statements of the participants that support the participants say that EMR provides efficiency and above statements are as follows:
effectiveness in carrying out nursing documentation AuThis computerized system is very easy and simple for We write less and have more time to provide care to patients.
Ay (P.
AuEverything is in one place: patient records, nurse notes, doctor notes, pharmacy, and nutrition.
I no longer need to search for information.
Ay (P.
when compared to manual documentation, computerbased documentation is superior in terms of efficiency, cost effectiveness, clarity of information, and completeness of documentation.
According to the researchers, this is in line with the results of previous research where EMR It has many advantages in its use .
Display the benefits The EMR Other participants also expressed the same as previous The participant said that documenting using EMR makes it easier for nurses to access patients' medical history quickly and in real-time.
The full expression from the participants is as follows:
AuWith the computer, we can immediately access previous patient history.
it is faster and more Ay (P.
AuWe can easily find patient care history, including previous treatments, through the computerized Ay (P.
Allows quick and easy access to patients' medical information from various departments and locations in the hospital.
This speeds up the process of diagnosis, treatment, and patient care, as well as improves coordination between the medical teams involved in patient care.
EMR also supports sustainable, patientoriented medical practice by providing comprehensive information about the patient's medical history .
This allows doctors to make better, more informed medical decisions, as well as provide more personalized and integrated care to patients .
AuThe system is well-structured and all staff can The use of EMR is also a container for documenting easily master the software.
Ay (P.
nursing care, providing many advantages for nurses as one of its users.
Several nurses in this study revealed EMR also provides a new experience for nurses.
the difference between using EMR and manually, one contrast to manual documentation of nursing care, of which is that the data will not be lost or scattered, it EMRs are more systematic and do not require a large is easy to access again and does not require large space to store documented data.
Data archives can be storage space.
A partial statement in support of this:
stored safely and free from damage due to What's easier is actually computer-based now, environmental conditions, weather and others.
because ee we no longer need to look for status, needed at any time, data can be accessed easily.
This sometimes this status is held by many people, is in line with what one of the participants expressed:
sometimes nutrition, sometimes doctors, sometimes "At this time, our typing seems to be more comfortable, that, so now we are one container, so all one place is the hand is less painful typing than handwriting, so , if in the past, for example, people write down JKEP (Journal of Nursin.
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treated previously who come in now, the previous history can be easily obtained from EE this In its implementation, manual documentation has computerized system.
In the past, we were still manual many disadvantages, such as nurses writing more, documentation, it was the storage of the documents of using a lot of paper, and the risk of scattering and the files, right: 1.
Occupy space, 2.
It can be that requiring a larger storage space.
Participant statements patient data is either scattered, it is lost.
" (P3, lines that support this, such as:
"At that time, we used paper to write a lot of it, so it The statements of some of the participants above show was painful to the point of pain,.
Then for example, if and confirm that the use of EMR makes it easier for the patient is treated for a long time, the paper can nurses to carry out nursing care documentation.
The sometimes get messy, the storage also needs storage, time needed by nurses to carry out documentation is the storage space must need storage space.
" (P4, line Nurses assessed that EMR had a positive 49,52,.
impact on documentation.
Based on the results of the research that has been "Now if it is manual once the patient registers, conducted, participants agree that EMR provides a lot especially for patients who have often been treated by of convenience in documenting nursing experiences us or outpatients or inpatients, so from the medical record system EE takes time for us to wait for the file, documentation, its use is more risky such as loss, it turns out that after this system once the patient scattering, misperception, and it takes longer to registers, the patient's medical record number document nursing care .
This research is in line with appears, as soon as the list appears on the nurse's EE research conducted by Wulandari et al.
, .
computer at the nurse station.
" (P6, lines 93,-96,.
When where nursing care writing becomes repetitive, paper becomes smudged, bundles of patient status become Some of the advantages felt by nurses since the use of thicker and lack of service to patients so that nurses EMR at Santa Maria Hospital, such as not taking long, feel that EMR provide efficiency and effectiveness in being able to access the patient's disease history easily coordinating nursing care.
and others, such as the following participant The results of this study are also supported by research conducted by Baumann et al.
, .
Where the use of electronic medical records reduces the use of paper "It can be minimized digitally.
, with EMR we just and the processes of input, search, storage, reporting have to look at enter the patient's medical record and coordination between units and data transmission number, there we can record the patient's previous become more effective.
Use EMR In a hospital history such as what kind of medicine has been environment it has also been shown to save time, received, it is quite enough to summarize neatly in this reduce the number of documentation errors and the EMR.
" (P7, lines 89-91, 93-.
risk of falls and infections .
Electronic documentation offers optimal patient care AuA If now with a computerized system we can search for nursing staff, more efficient and effective for patient data easily, we can search for the patient's documentation, more integrated and .
JKEP (Journal of Nursin.
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Page 173-187 e-ISSN: 2354-6050 which can reduce global warming and hospital costs.
implementation of EMR in an institution.
Santa Maria Although it is undeniable, the implementation of an Hospital has tried to meet the needs of nurses in electronic documentation system requires careful conducting electronic documentation as a form of preparation .
support for the implementation of EMR recording evenly in each unit in the hospital.
This is in line with Supporting Factors for EMR Implementation the statements given by the participants:
Based on the results of interviews from 10 participants, themes related to factors that support the "the addition of a computer in each laptop room implementation of documentation of nursing care according to the need for EMR work.
" (P9, line .
using EMR at Santa Maria Hospital Pekanbaru.
The adequacy of the number of devices per unit with the namely infrastructure support, training support, and IT number of nurses on duty is expected to provide efficiency in documenting nursing duties electronically Nursing documentation with electronic methods must so that they do not have to wait if the patient's status is certainly have supporting facilities and infrastructure.
being used by someone else.
Every facility and infrastructure provided is intended Based on the results of the research.
Santa Maria to realize the integrated use of EMR.
This provision Hospital already has adequate infrastructure consisting must of course come from the agency that documents of computers.
PCs, and laptops as a means of supporting the EMR, including the provision of network services electronic nursing documentation.
These results are in when accessing the EMR.
This participant was in line line with research conducted by Aldosari et al.
, .
with the expression of one of the participants:
Where infrastructure facilities are the most important part of the implementation of electronic documentation "Because hospitals provide infrastructure facilities to where this recording requires a device connected to a us, such as providing computer facilities, yes, laptops network so that it can access the features EMR virtually.
are also yes" (P1, line .
According to each participant.
Santa Maria Hospital has provided good support in supporting the effectiveness of Just like the theory of change mentioned by Lewin's the use of EMR in nurses.
Adequate facilities affect the that in making a change strength is needed.
The positive attitude of technology system users (Adriani, provision of sufficient and adequate facilities in The effectiveness of the implementation of implementing the EMR documentation system is one nursing care documentation is influenced by the ability of the strengths that hospitals have, this is supported of human resources to conduct electronic documentation by the following statements:
(Nurjannah, 2.
Healthcare infrastructure can be defined as a "Yes.
Santa Maria Hospital is complete with collaborative process in which all healthcare devices are infrastructure, while don't forget this computer, used to provide professional services and healthcare laptop, almost 1 nurse, so we are facilitated in such a delivery is carried out effectively and efficiently .
" (P6, lines 132-.
Previous research also stated that the available tools and infrastructure facilities are an important factor in the use The availability of facilities provided to support documentation activities such as laptops, pcs, tablets and networks is a supporting factor in the of electronics to run optimally .
In addition to facilities and infrastructure, training is also one of the supports provided by hospitals to improve the JKEP (Journal of Nursin.
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On the same health .
occasion, the researcher received information from P3 Participant statements also provide an overview of how where the training was given even before the EMR the training has helped them understand the features started in the Santa Maria Hospital environment, the full EMR first before it is carried out thoroughly in the statement is as follows:
hospital environment.
Herfiyanti & Febriana .
added that the provision of EMR training in the hospital "But thankfully, before the launch of computerization, environment also takes into account the diversity of we were given a briefing with training" (P3, line 56.
nurses' backgrounds and perceptions of EMR.
Training is the main key to the success of the implementation of Participants said they were able to experience firsthand electronic health records where through training will the benefits of training before EMR was conducted in give rise to the same understanding, and skills regarding the field.
Training makes it easier for nurses to electronic health records .
understand the overall features before applying them in As for the part of the support for the implementation of the work environment.
This training opportunity is EMR, it can be seen from the obstacles during the carried out periodically so that it is hoped that when application of EMR.
According to the participants, in used, nurses can understand EMR as a whole as the implementation of EMR, of course they felt mentioned by the following sections, namely:
obstacles or obstacles during the implementation of EMR.
Based on the results of the interview, information "Before we understand this computer, we are also was obtained that Santa Maria Hospital has an obstacle explained how to do it, the applications, and we are management and reporting flow for the implementation given training on how to enter data into the computer" of EMR.
Statement from one of the participants in case (P1, lines 69-.
of obstacles in the field:
This EMR training was conducted to officially introduce "Usually all nurses already know that once the EMR, introduce the available features, how to use it, and network is loose, they immediately call IT" (P6, line how to document electronically using EMR.
Participants also hope that training will continue to be held to refresh nurses so that EMR is easier to use.
Hospitals' awareness of the importance of the role of IT The results of the study found that Santa Maria Hospital in maintaining network and device stability during the routinely conducts training on the use of EMR in nursing implementation of EMR is one of the forms of support This support is provided by hospital provided by hospitals.
Santa Maria Hospital has management to improve nurses in documenting with facilitated users with EMR PIC if problems are found EMR.
These results are supported by research during its implementation.
The speed of response of the conducted by Renanita & Himam .
where IT team to the reports received is one of the hospital's significant training for human resources increases the efforts to ensure that nurses can use EMR properly.
effectiveness of the use of information technology in Continuous Expressions from participants are as follows:
development is an important element to ensure that human resources are always keeping up with JKEP (Journal of Nursin.
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Page 173-187 e-ISSN: 2354-6050 "Hmm if, for example, the network is slow or not, this is the IT team's response time to the problems found was not the case, at least contact hmm, we contact IT" (P8, fast so that nurses could again document using EMRs.
Factors Inhibiting the Implementation of EMR The existence of IT is one of the supporters of the During the implementation of EMR at Santa Maria implementation of EMR where IT is an expert and is the Peknabaru Hospital, participants also mentioned the answer if nurses find obstacles in the field.
The ease of existence of inhibiting factors during electronic the reporting process and the speed of response to documentation, namely unstable networks, nurse reports are one of the indicators of the achievement of ability, and nurse time management and nursing care the implementation of EMR at Santa Maria Hospital.
One of the supports for its implementation EMR During the implementation of EMR, the use of this inseparable from the role of the IT Team in providing a technology is not far from the word obstacle because quick response when nurses experience problems while it is closely dependent on the implementation of EMR in the field.
According to the researchers' assumptions, in the hospital environment, participants in this study speed Response Time obstacles found in the field can said that network constraints are one of the obstacles improve service quality and reduce incidents delayed for nurses in carrying out electronic documentation treatment because EMR completely dependent on the because their implementation depends on the wireless device and the wireless/Wi-Fi network.
The IT team has network in the hospital.
certainly received further training and understanding Participants in this study mentioned that there is a when problems are found in using EMR.
This statement traffic hour where at certain hours when all rooms are is supported by research conducted by Effendy et al.
documenting EMR at the same time, there will be .
where IT also has a contribution to improving problems with the network in the form of data not cooperation between departments in hospitals.
interconnected information system facilitates better communication among doctors, nurses, pharmacists, being saved, loading too long, and not being able to access EMR.
This is in line with the statement of one of the following participants:
and hospital management.
This not only speeds up the operational process, but also improves the quality of care provided to patients.
"The problem is that it's rare if it's done while all the computers are being used" (P9, line .
Participants also stated that the hospital had issued a reporting SOP to immediately coordinate with the PIC to overcome the obstacles that occurred in the field.
Internet network connection is one of the supporting factors as well as determining the smooth journey of electronic medical records in its application, especially in terms of real-time provision of patient medical data in Based on the results of the research that has The network is not only a supporting factor but also indirectly an obstacle to the proper implementation of EMR.
EMR is directly dependent on the network so that if there is a troubelshoot on the network, it will certainly affect the performance of nurses on the EMR.
Other mentioned that:
been conducted, it was found that every time a network problem occurs, participants have known the reporting flow to the PIC/IT Team.
According to the participants, hmm the obstacle is sometimes our internet network has problems.
" (P4, line .
JKEP (Journal of Nursin.
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Page 173-187 e-ISSN: 2354-6050 The same problem is also experienced by other EMRs also has a very important role so that EMRs can insertions related to the network suddenly not be carried out properly.
The existence of generational responding when in use, so documentation is delayed differences in the nursing environment is considered and has to wait until the network becomes stable.
to be one of the factors that can hinder the implementation of EMR.
"hmm is a bit sluggish, that's the signal, usually the In general, the younger generation will find it easier to trobel happens" (P6, line .
master and understand information about electronics than the older generation.
However, it is also Documentation that is done electronically is of course undeniable that work experience can affect a person's very tied to the availability of networks in the field.
ability to understand a given information.
Sometimes Traffic hours are certainly inevitable considering that senior nurses who are earlier and more frequently all units can document EMRs at the same time.
exposed to EMR training are able to understand Network connections can be both a support and an documentation using EMR than nurses who have just obstacle to the implementation of EMR in hospitals.
experienced documentation using EMRs.
The above Unstable networks become a bottleneck when nurses statement is in accordance with the statement experience slow connections so that data is difficult to submitted by one of the participants:
store, access is not open so documentation has to be repeated from the beginning.
"The difficulty is if, for example, these are new Network connectivity issues often occur when EMRs nurses, new nurses, of course they don't understand, are used simultaneously and the power goes out .
so we need time to orient them again, and there are One of the cases states that a sudden power outage can also nurses who are already a bit old, for example, lead to data that was previously not stored and they are a bit older, yes, they are a bit slower than In addition to a slow internet connection, nurses who are nurses today they are faster.
" (P4,
EMR takes a long time to load data.
lines 119-.
In general, the implementation of EMR at Santa Maria Hospital Pekanbaru uses a WiFi/wireless network.
In addition to the difference in working periods, where there are often interruptions that cause the nurse generational differences are one of the factors that implementing the EMR to have to repeat the process hinder the proper implementation of EMR.
For older of entering medical records that have not previously generations who are not used to the presence of been stored in the system.
This result is in line where technology.
EMR is a new challenge so they need to this limitation results in the EMR implementation adapt and adjust.
This is in line with the statement of one of the participants, namely:
being slow and inefficient, so that the expected convenience of the EMR system is not fulfilled properly .
"Yes, the human resources here are in terms of one Participants also mentioned the network constraints of them, yes, if that age is very influential as well, if felt when all units were documenting at the same time for example the age found is relatively old, yes the so that the network tended not to respond and ability to capture the ability to absorb men and documentation was hampered.
actualize the implementation of EMR is also very In addition to EMRs that require good connectivity influential.
Susan" (P5, lines 147-.
during their use, the ability of nurses to document JKEP (Journal of Nursin.
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Page 173-187 e-ISSN: 2354-6050 Not only generational differences, experience and adjust to new technologies, especially if the training working hours are also factors where new nurses need they receive is inadequate.
As is well known, the younger generation Santa Maria Hospital itself has facilitated training as a of nurses today are more often exposed to provision for nurses in the implementation of EMR.
technological advances when compared to previous However, it is undeniable that lack of experience and generation of nurses, but sometimes the EMR system knowledge is a challenge in implementation EMR in is new to them.
The PIC and his team take the time to the hospital environment.
This is in line with research orient the EMR to each new nurse so that they can use Apriliani et al.
, .
Where when users are it properly, as stated by one of the participants below:
basically used to manual documentation, then documentation using a computer becomes a new thing.
"New nurses certainly don't understand it yet, so we When EMR was first applied, it was not uncommon to need time to orient them again" (P4, line .
find errors when typing documentation because it was not usual to do the documentation by typing .
Based experiences felt by the participants described how the difference in age and generation affected the implementation of EMR at Santa Maria Hospital.
application of information and communication technology in an organization is human resources, especially the users of information technology.
This is done in order to have a positive impact on the organization, so first the information system must have an impact on the individual .
basic thing to have.
Based on the results of interviews understanding the implementation EMR It is very limited, especially for nurses who are relatively old.
Compared to nurses with a younger age and more upto-date problems with medical record data that can harm Based on the results of the study, the researcher found that senior nurses have limited ability to understand the features provided by EMR faster than junior nurses who have been frequently exposed to electronics, so typing is a basic skill possessed by junior nurses.
However, differences are not the only obstacle in the technology during implementation EMR is the most they are not comfortable in typing or there are The main factor that determines the success of the Nurses' Electronic medical records can be an obstacle because technology, the catchability of nurses with a relatively old age is slightly smaller so the introduction of information systems must also be done in depth.
This implementation of EMRs.
Some nurses stated that junior nurses also have the potential to be an obstacle to implementation because they are not used to electronic recording.
Another factor that can hinder the implementation of EMR is nurse time management.
In terms of document completeness, basically EMR has provided all the data according to the needs.
However, incomplete documentation was still found in the field.
Information incompleteness in filling out the EMR is often caused is in line with research conducted by Petersson et al.
by the nurse having to do other nursing care activities .
Resistance to change is also one of the barriers at the same time.
While the nurse is doing for users.
Many healthcare workers who have become documentation, the nurse also still has to fulfill the accustomed to writing systems often find it difficult to patient's bell calls, serve questions from patients and JKEP (Journal of Nursin.
Vol 10 Issue 2.
November 2025.
Page 173-187 e-ISSN: 2354-6050 families and also have to accompany the visiting services in the treatment room is often also an obstacle doctor so that the documentation process is stopped.
to the effectiveness of the implementation process The high activity in the treatment room is one of the EMR, at the time of implementation EMR There are factors that causes nurses to often forget to save data situations where nurses are required to leave Nurse so that when nurses return to the nurse station, data Station which causes the process of reporting medical that had been documented is lost.
The simultaneous use of computers/laptops by nurses or other health Based on interviews, it was also conveyed that there professionals and the occurrence of problems with the are often disturbances in the reporting system, where device in the documentation process can also cause the system experiences Reset So that nurses have to documentation to not be successfully saved, causing re-report which results in the implementation process documentation to have to be repeated.
EMR becomes more time-consuming.
Some nurses This statement is in line with the following participant also said that the documentation of nursing care was hampered because Mobile and the provision of high nursing care in a unit so that when they return to the "Trus EE when we serve a lot of patients, we type for Nurse Station.
Nurses forget the documentation they a while that other patients need help, it is usually half have done.
This is in line with research conducted by the way we stop first so that may be our obstacle" (P4.
Molly & Itaar .
Where high work mobility in line 84-.
hospitals can trigger stress and fatigue among health workers so that they often forget to do documentation.
"Maybe when they want to document nursing care.
Working time management is also an obstacle for now the bell rings, so they ring the bell and keep nurses in the implementation EMR, where often nurses coming back and forgetting" (P4, lines 159-.
do not have time to report through the system EMR Because nurses run out of time during the treatment The disadvantage of EMR documentation is that process Alzyoud .
The high activity of documentation must be done completely first so that it inpatient care causes a lack of free time for nurses to can be saved.
When the nurse does documentation, be able to report through EMR .
there are times when the nurse leaves the Based on the results of interviews conducted by computer/laptop, when it comes back it turns out that researchers, this obstacle has the potential to reduce the computer has been used by another without saving the quality of the information presented because the data first.
This will cause previously performed officers do not input complete data.
Although documentation to not be saved so you have to restart scientifically.
EMR helps provide convenience, from the beginning.
Each nurse has an account to researchers understand that with nurse work, access the EMR.
While a nurse is activating her especially rooms with high activity, the completeness account, the nurse or other profession cannot log in of EMR becomes difficult to do.
through the account so no one can change or add The three inhibiting factors are interrelated, where the results to the documentation that is being worked on.
information technology used must be supported by With the lack of nurse understanding in the operation adequate resources, both the internet and the users of of the technology used for the implementation of the information technology itself.
The effectiveness of EMR, the process of reporting medical records will be EMR implementation slow and inefficient .
The high frequency of is highly dependent on the nurse's understanding of the use of the EMR system.
JKEP (Journal of Nursin.
Vol 10 Issue 2.
November 2025.
Page 173-187 e-ISSN: 2354-6050 where the higher the nurse's understanding of the EMR addition, we would like to express our appreciation to the teaching implementation, the more efficient the time required staff of the Faculty of Nursing and the Faculty of Nursing, in the implementation of EMR.
Increased resources University of Riau for their significant participation in the are also needed to increase the effectiveness of the implementation of this research.
implementation of the EMR system, both from the technology and the users of the technology.
REFERENCES