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Efektivitas Cool Pack (Kompres Dingin) Terhadap Nyeri Saat Pemasangan Infus Pada Anak Di Rumah Sakit X Suhartilah; Roza Indra Yeni; Maria Susila Sumartiningsih
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.747

Abstract Pain during IV insertion is a common experience for children and can cause anxiety, fear, and procedural trauma. Non-pharmacological interventions, such as the use of cool packs, are an effective strategy for reducing pain in pediatric patients. The purpose of this EBN was to analyze the effectiveness of cool packs in reducing pain in children during IV insertion at Royal X Hospital. Methods: This EBN used an experimental design with a pretest-posttest approach and a control group. The sample consisted of four preschool children undergoing IV insertion, divided into an intervention group and a control group. Pain levels were measured using cool packs before and after the cool pack intervention. Data were analyzed descriptively and bivariately using a comparison of means test. Results: Before the intervention, the average pain score in the intervention group was 1.41 (SD 0.401), higher than the control group's 1.00 (SD 0.000), with p = 0.020 (<0.05), indicating a significant difference. After the intervention, the majority of children in the intervention group experienced mild pain (75%), while 25% experienced moderate pain. No children experienced severe pain. These results indicate that administering a cool pack effectively reduced pain levels in children during IV insertion, although baseline pain levels differed slightly between groups. Conclusion: The cool pack intervention proved effective as a non-pharmacological strategy to reduce pain during IV insertion in children, thereby improving the comfort and procedural experience of pediatric patients.

Pengaruh Terapi Bicara Sederhana Terhadap Kemampuan Komunikasi Pasien Stroke Afasia Rumah Sakit X Desy Anggrainingsih; Maria Susila Sumartiningsih
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.748

Stroke aphasia is a common language disorder in post-stroke patients and is characterized by difficulties in speaking, understanding, reading, and writing. Improving communication skills is an important focus in nursing practice to support the recovery of language function and quality of life of patients. This EBN aims to analyze nursing practices related to the effect of simple speech therapy on the communication skills of stroke aphasia patients at Hospital X. The EBN used a quasi-experimental design with a pretest–posttest control design. Respondents were divided into an intervention group that received simple speech therapy and a control group that received standard care. Communication skills were measured before and after the intervention using a verbal communication assessment scale. The results showed that the intervention group experienced a higher increase in communication skills (mean = 1.40; SD = 0.400) compared to the control group (mean = 1.03; SD = 0.106). An independent t-test showed a significant difference between the two groups (p-value = 0.004). These findings indicate that the implementation of simple speech therapy as part of nursing practice is effective in improving the communication skills of stroke aphasia patients. EBN emphasized the importance of integrating simple speech training-based interventions into rehabilitation programs to accelerate the recovery of patients' language function in health care facilities.

Efektivitas Swedish Massage untuk Menurunkan Tekanan Darah Pada Lansia Hipertensi di Rumah Sakit X Nova Siburian; Rima Berlian Putri; Maria Susila Sumartiningsih
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.773

Hipertensi merupakan salah satu masalah kesehatan utama pada lansia yang berkontribusi terhadap meningkatnya risiko komplikasi kardiovaskular, sehingga diperlukan intervensi komplementer yang aman dan mudah diterapkan untuk membantu mengontrol tekanan darah. Swedish Massage merupakan terapi non-farmakologis yang diketahui mampu meningkatkan relaksasi, memperlancar sirkulasi darah, serta menurunkan aktivitas sistem saraf simpatis. Tujuan dari penerapan intervensi ini adalah untuk mengidentifikasi efektivitas Swedish Massage terhadap penurunan tekanan darah pada lansia hipertensi. Metode yang digunakan adalah quasi-eksperimental dengan pendekatan pretest–posttest with control group, melibatkan kelompok intervensi yang diberikan Swedish Massage dan kelompok kontrol tanpa perlakuan. Pengukuran tekanan darah dilakukan sebelum dan sesudah sesi intervensi, kemudian dianalisis menggunakan uji t-dependent dan t-independent. Hasil menunjukkan adanya perbedaan signifikan antara kelompok intervensi dan kelompok kontrol (p = 0,002). Kelompok intervensi mengalami penurunan tekanan darah yang lebih konsisten dengan nilai Mean 1,41 (SD 0,401), sedangkan kelompok kontrol hanya menunjukkan perubahan minimal dengan Mean 1,09 (SD 0,001). Temuan ini membuktikan bahwa Swedish Massage lebih efektif dalam menurunkan tekanan darah pada lansia hipertensi dibandingkan tanpa intervensi. Dengan demikian, Swedish Massage dapat direkomendasikan sebagai salah satu terapi komplementer dalam praktik keperawatan gerontik untuk membantu pengelolaan hipertensi secara holistik.

Peningkatan Etos Kerja Perawat Pelaksana melalui Pelatihan Self-Leadership di Rumah Sakit X Rohina Wahyuning; Maria Susila Sumartiningsih; Rima Berlian Putri
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.760

Etos kerja perawat pelaksana dalam menjaga kualitas pelayanan keperawatan. Rendahnya motivasi, disiplin, dan komitmen dapat mempengaruhi kinerja profesional dan keselamatan pasien. Salah satu strategi yang dianggap efektif untuk meningkatkan etos kerja adalah pelatihan Self-leadership, yang bertujuan mengembangkan kemampuan kepemimpinan diri, pengendalian emosi, dan kesadaran profesional. Keberhasilan pelayanan keperawatan tidak hanya diukur dari keterampilan teknis, melainkan juga dari etos kerja yang dimiliki oleh perawat. Tujuan: EBN ini adalah untuk mengetahui pengaruh pelatihan Self-leadership terhadap tingkat etos kerja perawat pelaksana di Rumah Sakit X. Metode: desain quasi-eksperimental dengan pendekatan pre-test dan post-test pada dua kelompok, yaitu kelompok intervensi yang mengikuti pelatihan dan kelompok kontrol yang tidak mengikuti pelatihan. Sampel terdiri dari perawat pelaksana yang dipilih secara purposive dan dibagi secara seimbang ke dalam kedua kelompok. Data dikumpulkan menggunakan kuesioner etos kerja yang valid dan reliabel, dianalisis dengan perhitungan rata-rata (Mean), standar deviasi (SD), dan uji perbedaan signifikan antar kelompok. Hasil: menunjukkan perbedaan signifikan antara kelompok intervensi dan kontrol. Kelompok intervensi memperoleh Mean 1.03 (SD 0.004), sedangkan kelompok kontrol Mean 1.77 (SD 0.502) dengan P-Value = 0.000 (p < 0.05). Hal ini menunjukkan bahwa pelatihan Self-leadership secara nyata meningkatkan motivasi, tanggung jawab, kedisiplinan, dan komitmen perawat. Sebaliknya, kelompok kontrol tidak mengalami perubahan berarti. Kesimpulan: pelatihan Self-leadership efektif dalam meningkatkan etos kerja perawat pelaksana di Rumah Sakit X, karena mendukung pengembangan kepemimpinan diri, pengendalian emosi profesionalisme.

Hubungan Insomnia terhadap Kejadian Hipertensipada Lansia di Panti Sosial Tresna Werdha X Jakarta Selatan Desi Putri Utanti; Rima Berlian Putri; Maria Susila Sumartiningsih; Ricky Riyanto Iksan
Jurnal Kesmas Asclepius Vol. 7 No. 2 (2025): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/ccjv0a14

The purpose of this study was to identify the relationship between insomnia and the incidence of hypertension in the elderly at the Tresna Werdha X Social Home in South Jakarta. This study used a quantitative method with a cross-sectional analytical design that aimed to determine the relationship between two variables. The study population was all elderly people living at the Tresna Werdha X Social Home in South Jakarta with a total of 288 people. Data were collected using the Insomnia Rating Scale (IRS) questionnaire that had been translated into Indonesian by the Jakarta Biological Psychiatry Study Group (KSBPJ-IRS). The results showed a significance value of p < 0.001 (α = 0.05), which means there is a significant relationship between insomnia and blood pressure. The Chi-Square test value of 35.596 with degrees of freedom (df) = 1 strengthens the existence of a very strong relationship between the two variables. Thus, this study concludes that there is a significant relationship between insomnia and the incidence of hypertension in the elderly at the Tresna Werdha X Social Home in South Jakarta. Keywords: Elderly, Hypertension, Insomnia.

Psikoedukasi pada Pasien Ulkus Diabetik di Rumah Sakit X Okta Mariana Br Panjaitan; Maria Susila Sumartiningsih; Rima Berlian Putri; Roza Indra Yeni
Jurnal Kesmas Asclepius Vol. 8 No. 1 (2026): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/9x53mn50

This study aims to determine the description of psychoeducation in diabetic ulcer patients. The research design uses a quantitative approach. The population in this study were all diabetic ulcer patients undergoing treatment, with a population and sample of 30 respondents. The research instrument used a psychoeducation questionnaire that had been tested for its feasibility. Data analysis was carried out univariately to describe the frequency distribution, mean value, and standard deviation. The results showed that the majority of diabetic ulcer patients were in the moderate psychoeducation category, namely 17 respondents (56.7%), while the low category was 6 respondents (20.0%) and the high category was 7 respondents (23.3%). The average psychoeducation score was 7.99 with a standard deviation of 0.871, which indicates that the level of psychoeducation of respondents was relatively homogeneous. In conclusion, the majority of diabetic ulcer patients have a moderate level of psychoeducation, so structured and ongoing efforts to improve psychoeducation are still needed to achieve a high level. Keywords: Diabetic Ulcers, Patients, Psychoeducation.

The Relationship Between Mothers' Knowledge Level and Stunting Prevention Efforts in Toddlers at Public Health Center X, West Jakarta Trima Mirasa; Maria Susila Sumartiningsih
Jurnal Life Birth Vol. 10 No. 1 (2026): Jurnal Life Birth
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Stikes Panrita Husada Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37362/jlb.v10i1.879

Background: Stunting is one of the major public health issues affecting children and remains a serious concern, particularly in underdeveloped and developing countries. Stunting in toddlers has more severe consequences, including impaired cognitive development, reduced physical growth, functional disorders, and increased risk of mortality. Objective: This study aimed to determine the relationship between mothers’ knowledge levels and stunting prevention efforts among toddlers at Puskesmas X, West Jakarta. Methods: This study employed an analytic observational design with a cross-sectional approach. The sample consisted of 98 respondents selected from a population of 5,057 using quota sampling. Data analysis included univariate and bivariate analyses using the Chi-square test. Results: Univariate analysis showed that 84 respondents (85.7%) had a good level of knowledge regarding stunting prevention, while 14 respondents (14.3%) had a moderate level of knowledge. A total of 58 respondents (59.2%) demonstrated good stunting prevention efforts, whereas 40 respondents (40.8%) showed moderate prevention efforts. Bivariate analysis revealed a p-value of 0.059 (p > 0.05). Conclusion: The study concluded that there was no significant relationship between mothers’ knowledge levels and stunting prevention efforts among toddlers at Puskesmas X, West Jakarta. It is recommended that health promotion activities on stunting prevention be strengthened for families and the community during the critical period of toddler growth and development.

Therapeutic Communication Competence in Active Listening, Empathy, and Relationship Initiation among Indonesian Nursing Students: A Cross-Sectional Analysis of Role-Play and Peer Simulation-Based Learning Outcomes Maria Susila Sumartiningsih
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 2 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i2.707

Background: Therapeutic communication competence, encompassing active listening, empathy, relationship initiation, information gathering, and interaction closure, is foundational to safe and effective nursing practice. Despite its centrality in nursing education, evidence on competence levels achievable through simulation-based learning prior to clinical exposure remains limited, particularly in Indonesian contexts. Objective: Grounded in Peplau's Interpersonal Relations Theory and Kolb's Experiential Learning Theory, this study assessed therapeutic communication competence levels and examined associations between simulation participation and competence outcomes among first-semester nursing students. Methods: A cross-sectional descriptive design was employed with 48 first-semester nursing students (total sampling) completing a 14-week Nursing Communication course at Institut Tarumanagara, Jakarta. The culturally adapted Therapeutic Communication Skills Scale–Indonesian Version (TCSS-25; CVI = 0.89, α = 0.86) measured four competence domains. Chi-square tests and Pearson correlations examined associations between role-play participation and competence levels. Results: More than half (58.3%) achieved good competence (mean = 72.8%, SD = 12.4). Active listening and empathy scored highest (76.8%), while closing therapeutic interactions scored lowest (68.5%). Role-play participation significantly predicted competence levels (χ² = 8.92, p = 0.01, Cramér's V = 0.43). Demographic variables showed no significant associations. Conclusion: Simulation-based learning effectively develops therapeutic communication competence in preclinical nursing students; however, the 41.7% who did not achieve good competence warrant targeted interventions, particularly in structured closure skills training and increased role-play engagement.

Gambaran Kinerja Perawat Pelaksana di Rumah Sakit X Tangerang Meilani Ifarotul Khasanah; Ricky Riyanto Iksan; Roza Indra Yeni; Maria Susila Sumartiningsih
Jurnal Kesehatan Panrita Husada Vol. 11 No. 1 (2026): Jurnal Kesehatan Panrita Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Stikes Panrita Husada Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37362/jkph.v11i1.600

Kinerja perawat pelaksana merupakan indikator penting dalam menentukan mutu pelayanan keperawatan di rumah sakit. Rumah Sakit X Tangerang menghadapi tantangan berupa tingginya beban kerja dan keterbatasan sarana yang dapat memengaruhi kualitas pelayanan. Penelitian ini bertujuan untuk mengetahui gambaran kinerja perawat pelaksana di Rumah Sakit X Tangerang. Penelitian menggunakan metode deskriptif kuantitatif dengan jumlah sampel 73 perawat pelaksana yang ditentukan melalui rumus Slovin. Pengumpulan data dilakukan menggunakan kuesioner tertutup berisi 21 pernyataan yang mengukur aspek kualitas, kuantitas, ketepatan waktu, dan efektivitas kinerja. Hasil analisis univariat menunjukkan bahwa seluruh responden (100%, n=73) mayoritas berjenis kelamin perempuan (90,4%), berusia 26–35 tahun (75,3%), berpendidikan Profesi Ners (84,9%), dan sebagian besar memiliki lama bekerja satu tahun (47,9%). Berdasarkan hasil penelitian, kinerja perawat pelaksana berada pada kategori cukup sebanyak 47 orang (64,4%), kategori baik sebanyak 25 orang (34,2%), dan hanya 1 orang (1,4%) yang termasuk dalam kategori kurang. Temuan ini mengindikasikan bahwa secara umum kinerja perawat di Rumah Sakit X Tangerang tergolong baik, meskipun mayoritas masih berada pada kategori cukup. Oleh karena itu, diperlukan upaya dari pihak perawat maupun manajemen rumah sakit untuk meningkatkan kinerja melalui pengelolaan beban kerja, peningkatan sarana, serta pelatihan berkelanjutan guna mencapai standar kinerja yang lebih optimal.

Gambaran Coping Stres Pada Mahasiswa Kuliah Sambil Bekerja PT X Miranda Gista Maharani; Maria Susila Sumartiningsih
Jurnal Kesehatan Panrita Husada Vol. 11 No. 1 (2026): Jurnal Kesehatan Panrita Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Stikes Panrita Husada Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37362/jkph.v11i1.621

Coping stres merupakan strategi individu dalam mengelola tekanan yang muncul akibat situasi dan peristiwa yang menimbulkan stres. Mahasiswa yang bekerja sambil menempuh pendidikan rentan mengalami stres karena harus menyeimbangkan tuntutan akademik dan tanggung jawab pekerjaan. Kondisi ini dapat memengaruhi kesehatan mental, motivasi belajar, serta kinerja akademik mereka. Penelitian ini bertujuan untuk diketahui tingkat coping stres mahasiswa yang bekerja di PT X. Metode penelitian Penelitian menggunakan desain kuantitatif dengan pendekatan deskriptif. Sampel penelitian terdiri dari 73 responden yang dipilih dengan teknik total sampling. Instrumen pengumpulan data menggunakan kuesioner Brief Coping Orientation to Problem Experienced Inventory (Brief-COPE) yang terdiri atas 28 item pertanyaan. Data dianalisis secara deskriptif untuk mengetahui distribusi penggunaan coping adaptif maupun maladaptif. Hasil Sebagian besar mahasiswa (75,3%) menggunakan coping adaptif, sedangkan 24,7% menggunakan coping maladaptif. Nilai rata-rata 1,25 menunjukkan coping stres berada pada kategori baik namun mendekati kurang baik. Variasi yang ditunjukkan standar deviasi 0,434 mengindikasikan adanya perbedaan kemampuan mahasiswa dalam mengelola stres kesimpulan Mahasiswa yang bekerja berisiko lebih tinggi mengalami stres, sehingga diperlukan skrining rutin dan intervensi kampus untuk mendorong penggunaan coping yang konstruktif.

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