Tech-Driven Care: Boosting Nurse Home Visit Impact Through Innovation

Rahmat Rahmat, Husna Ainul Afifah
DOI: https://doi.org/10.33650/guyub.v6i2.11316



Abstract

Home visit services at community health centers (Puskesmas) are a key strategy for improving access and the quality of care for chronic patients in the community. However, these services still face administrative challenges, such as manual documentation processes, delays in reporting patient data, and suboptimal team coordination due to limited human resources. This Community Service Program (PKM) was initiated to address these issues by implementing a digital-based Nursing Management System (NMS) to enhance the efficiency and effectiveness of home visit services at Puskesmas Majalaya. The method used was a participatory approach, consisting of four stages: (1) needs analysis through interviews and field observations, (2) development of a web-based application using Laravel tailored to home visit workflows, (3) training and mentoring of nursing staff on system usage, and (4) evaluation using the System Usability Scale (SUS) combined with service performance indicators. The results demonstrated a significant reduction in documentation time (from 40 minutes to 12 minutes per visit), increased completeness of patient family data—including digital genograms, family medical history, and environmental risk factors (from 53% to 95%)—and improved patient adherence to follow-up visit schedules (from 68% to 90%). The utilization of the digital-based NMS has proven to improve administrative efficiency, optimize coordination among home care teams, and enhance service quality. Therefore, it is recommended that this system be adopted more widely across other primary healthcare facilities.



Keywords

Home visit; Nursing Management System; digitization of health services; Phc; nurse efficiency;

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References

Ayu, P., Oktaviana, W., & Driyanto, A. (2023). Efektivitas Home Visit dalam Mengurangi Kecemasan Keluarga terhadap Perilaku Kekerasan Pasien dengan Schizoprenia Tak Terinci: Case Report. Jurnal Keperawatan Jiwa, 11(3), Article 3. https://doi.org/10.26714/jkj.11.3.2023.665-670

Fabbri, D., & Ehrenfeld, J. M. (2016). Hands Free Automatic Clinical Care Documentation: Opportunities for Motion Sensors and Cameras. Journal of Medical Systems, 40(10), 213. https://doi.org/10.1007/s10916-016-0570-x

Farokhzadian, J., Khajouei, R., Hasman, A., & Ahmadian, L. (2020). Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: A qualitative study in Iran. BMC Medical Informatics and Decision Making, 20(1), 240. https://doi.org/10.1186/s12911-020-01260-5

Kadar, K. S., Ardillah, F., Puspitha, A., & Erfina, E. (2022). Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia. Jurnal Keperawatan Indonesia, 25(1), Article 1. https://doi.org/10.7454/jki.v25i1.1695

Mauro, V., Lorenzo, M., Paolo, C., & Sergio, H. (2020). Treat all COVID 19-positive patients, but do not forget those negative with chronic diseases. Internal and Emergency Medicine, 15(5), 787–790. https://doi.org/10.1007/s11739-020-02395-z

McPherson, R., & Hodgins, S. (2018). Postnatal home visitation: Lessons from country programs operating at scale. Journal of Global Health, 8(1), 010422. https://doi.org/10.7189/jogh.08.010422

Nguyen, T. T. H., Phung, H. T., & Bui, A. T. M. (2022). Applying the workload indicators of staffing needs method in nursing health workforce planning: Evidences from four hospitals in Vietnam. Human Resources for Health, 19(1), 124. https://doi.org/10.1186/s12960-021-00668-y

Nsaghurwe, A., Dwivedi, V., Ndesanjo, W., Bamsi, H., Busiga, M., Nyella, E., Massawe, J. V., Smith, D., Onyejekwe, K., Metzger, J., & Taylor, P. (2021). One country’s journey to interoperability: Tanzania’s experience developing and implementing a national health information exchange. BMC Medical Informatics and Decision Making, 21(1), 139. https://doi.org/10.1186/s12911-021-01499-6

Padila, P., Lina, L. F., Febriawati, H., Agustina, B., & Yanuarti, R. (2018). Home Visit Berbasis Sistem Informasi Manajemen Telenursing. Jurnal Keperawatan Silampari, 2(1), 217–235. https://doi.org/10.31539/jks.v2i1.305

Paulauskaite-Taraseviciene, A., Siaulys, J., Sutiene, K., Petravicius, T., Navickas, S., Oliandra, M., Rapalis, A., & Balciunas, J. (2023). Geriatric Care Management System Powered by the IoT and Computer Vision Techniques. Healthcare, 11(8), 1152. https://doi.org/10.3390/healthcare11081152

Piña, I. L., Di Palo, K. E., Brown, M. T., Choudhry, N. K., Cvengros, J., Whalen, D., Whitsel, L. P., & Johnson, J. (2021). Medication adherence: Importance, issues and policy: A policy statement from the American Heart Association. Progress in Cardiovascular Diseases, 64, 111–120. https://doi.org/10.1016/j.pcad.2020.08.003

Pooresmaeil, M., Iranpour, S., & Aghamohammadi, M. (2023). Effects of a nurse-led structured home visiting program on quality of life and adherence to treatment in hemodialysis patients. Frontiers in Public Health, 11, 1013019. https://doi.org/10.3389/fpubh.2023.1013019

Ritchie, C. S., Gallopyn, N., Sheehan, O. C., Sharieff, S. A., Franzosa, E., Gorbenko, K., Ornstein, K. A., Federman, A. D., Brody, A. A., & Leff, B. (2021). COVID Challenges and Adaptations Among Home-Based Primary Care Practices: Lessons for an Ongoing Pandemic from a National Survey. Journal of the American Medical Directors Association, 22(7), 1338–1344. https://doi.org/10.1016/j.jamda.2021.05.016

Rutschmann, C. (2017). Care at home for elderly – lessons learnt from the Swiss Red Cross “Integrated Home Care” in Eastern Europe/CIS. International Journal of Integrated Care, 17(5). https://doi.org/10.5334/ijic.3666

Sukmawati, S., Mamuroh, L., & Nurhakim, F. (2024). Peningkatan Kualitas Hidup Pasien Stroke melalui Edukasi Terapi Wicara dan Stroke Home Care. GUYUB: Journal of Community Engagement, 5(2), Article 2. https://doi.org/10.33650/guyub.v5i2.8501

Voigt, K., Bojanowski, S., Taché, S., Voigt, R., & Bergmann, A. (2016). Home visits in primary care: Contents and organisation in daily practice. Study protocol of a cross-sectional study. BMJ Open, 6(2), e008209. https://doi.org/10.1136/bmjopen-2015-008209

Wurster, F., Fütterer, G., Beckmann, M., Dittmer, K., Jaschke, J., Köberlein-Neu, J., Okumu, M.-R., Rusniok, C., Pfaff, H., & Karbach, U. (2022). The Analyzation of Change in Documentation due to the Introduction of Electronic Patient Records in Hospitals—A Systematic Review. Journal of Medical Systems, 46(8), 54. https://doi.org/10.1007/s10916-022-01840-0

Young, H. M., & Nesbitt, T. S. (2017). Increasing the Capacity of Primary Care Through Enabling Technology. Journal of General Internal Medicine, 32(4), 398–403. https://doi.org/10.1007/s11606-016-3952-3

Zhai, Y., Yu, Z., Zhang, Q., Qin, W., Yang, C., & Zhang, Y. (2022). Transition to a new nursing information system embedded with clinical decision support: A mixed-method study using the HOT-fit framework. BMC Medical Informatics and Decision Making, 22(1), 310. https://doi.org/10.1186/s12911-022-02041-y

Zhang, B. L., Zhang, S. X., Cheng, T., Lian, F. P., Si, X., & Wei, C. H. (2022). POS1558-HPR INFLUENCING FACTORS ON WORK BURNOUT OF PRE-EXAMINATION AND TRIAGE NURSES UNDER THE NORMAL EPIDEMIC PREVENTION AND CONTROL. Annals of the Rheumatic Diseases, 81, 1124–1125. https://doi.org/10.1136/annrheumdis-2022-eular.2345

Zhou, J., Pu, J., Wang, Q., Zhang, R., Liu, S., Wang, G., Zhang, T., Chen, Y., Xing, W., Liu, J., Hu, D., & Li, Y. (2022). Tuberculosis treatment management in primary healthcare sectors: A mixed-methods study investigating delivery status and barriers from organisational and patient perspectives. BMJ Open, 12(4), e053797. https://doi.org/10.1136/bmjopen-2021-053797


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