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Description of the usefulness and ease of use wireless stethoscope for auscultation: A pilot study Ricky Prawira; Suhartini Ismail; Andrew Johan; Rifky Ismail
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 4 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(4).321-329

Background: A stethoscope is an acoustic medical device commonly utilized for listening to internal sounds in the human body. Since its invention, the stethoscope has undergone several transformative improvements, including the introduction of electronic systems in the last two decades. Through the Center of Excellence in the Higher Education of Science and Technology (PUI-PT), Center for Bio Mechanics, Bio Material, Bio Mechatronics, and Bio Signal Processing (CBIOM3S), the Diponegoro University has developed a wireless stethoscope to enable the user to examine the patients quickly without being constrained by tubing, unlike the manual stethoscope. The wireless stethoscope supports health workers in performing their work. This new technology creates various perceptions from its users, one of whom is nurses. Objectives: This study aims to provide an overview of nurses' perceptions regarding the usefulness and ease of use of a wireless stethoscope to perform auscultation of the heart and lungs of critically ill patients. Methods: The research method employed was a pilot study, and 40 nurses working in the critical care units, including the Intensive Care Unit, High Care Unit, and Stroke Unit in a private hospital in Palembang City, were chosen as respondents for a total sampling technique. Results: Nurses' perceptions of the ease and usefulness of a wireless stethoscope were measured using the perceived usefulness and perceived ease of use questionnaires. The nurses' perception of the use of wireless stethoscopes exhibited a mean score of 4.27, while the nurses' perception of the ease of use of wireless stethoscopes showed a mean score of 4.35. Those results indicate that nurses in the critical care units accepted wireless stethoscopes in terms of ease of use and usefulness as a device for performing auscultation of the heart and lungs of critically ill patients. Conclusions: Nurses get new technology like a wireless stethoscope because it can work more quickly and is easy to use thereby assisting nurses in conducting cardiac and pulmonary auscultation in critical patients.

Deskripsi Kualitatif Masalah Perawat dalam Melakukan Auskultasi di Ruang Perawatan Intensive Care Unit Ricky Prawira; Suhartini Ismail; Andrew Johan; Rifky Ismail
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to analyze the problems of nurses in conducting auscultation in the intensive care unit. The research method used is descriptive qualitative research. The results of the study found three main themes found in this study, including 1) the time used for auscultation was minimal due to the large number of nurses' tasks to be completed, 2) the stethoscope used should have a clear sound when used, 3) the stethoscope should be more flexible in shape so that it is accessible to in use. In conclusion, the problem nurses face in conducting auscultation examinations on critical patients is the need for a stethoscope that has a more precise sound output and is flexible in its use. Keywords: Auscultation, Intensive Care Unit, Stethoscope

IMPLEMENTATION OF COACHING FOR ROOM HEAD TOWARDS IMPROVING CARING BEHAVIOR: LITERATURE REVIEW Prawira, Ricky; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol 7, No 1 (2025): May
Publisher : School of Nursing, Faculty of Medicine, Tanjungpura University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i1.89765

Background: Nursing services are part of health services in hospitals and have great leverage in achieving hospital goals, nursing services are closely related to caring attitudes, this attitude should be maintained and supervised by a manager or head of the room. The implementation of coaching is a strategy that can be adopted to ensure that nurse caring continues to run well. The literature review method is by selecting articles published in 2018-2024 in five databases, namely ProQuest, Science direct, Pubmed, JSTOR and Springer-Link. Based on the search, eight articles were analyzed and the results showed that coaching the head of the room on the level of caring for nurses. There are 5 articles (n = 5) that conduct research related to caring for patients, and there are 3 articles (n = 3) research articles that discuss caring for the work environment. The implementation of coaching the head of the room has been proven to have benefits in the field of nursing, especially for nurses in hospitals. Coaching needs to be developed in the Hospital through support from Hospital management by making policies and as a solution to achieve the goals of the hospital. Keywords: Caring, Coaching, Leadership Nursing.

IMPLEMENTATION OF COACHING FOR ROOM HEAD TOWARDS IMPROVING CARING BEHAVIOR: LITERATURE REVIEW Prawira, Ricky; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol 7, No 1 (2025): May
Publisher : School of Nursing, Faculty of Medicine, Tanjungpura University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i1.89765

Background: Nursing services are part of health services in hospitals and have great leverage in achieving hospital goals, nursing services are closely related to caring attitudes, this attitude should be maintained and supervised by a manager or head of the room. The implementation of coaching is a strategy that can be adopted to ensure that nurse caring continues to run well. The literature review method is by selecting articles published in 2018-2024 in five databases, namely ProQuest, Science direct, Pubmed, JSTOR and Springer-Link. Based on the search, eight articles were analyzed and the results showed that coaching the head of the room on the level of caring for nurses. There are 5 articles (n = 5) that conduct research related to caring for patients, and there are 3 articles (n = 3) research articles that discuss caring for the work environment. The implementation of coaching the head of the room has been proven to have benefits in the field of nursing, especially for nurses in hospitals. Coaching needs to be developed in the Hospital through support from Hospital management by making policies and as a solution to achieve the goals of the hospital. Keywords: Caring, Coaching, Leadership Nursing.

Pemberdayaan Posyandu Lansia Terintegrasi Bank Sampah yang Berkemanjuan, Mandiri, dan Bernilai Ekonomis pada Masyarakat Negara, Candra Kusuma; Wibowo, Hery; Nafi'ah, Rizka Hayyu; Prawira, Ricky
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.7138

Posyandu Lansia merupakan layanan kesehatan berbasis masyarakat yang bertujuan meningkatkan kesejahteraan lansia melalui pemantauan kesehatan, edukasi, serta kegiatan sosial. Namun, pelaksanaannya sering terkendala partisipasi rendah, keterbatasan sumber daya, pendanaan, dan minimnya inovasi. Di sisi lain, pengelolaan sampah anorganik yang bernilai ekonomis masih kurang optimal. Untuk menjawab tantangan tersebut, diusulkan program pemberdayaan yang mengintegrasikan Posyandu Lansia dengan bank sampah. Program ini bertujuan meningkatkan kualitas hidup lansia di daerah binaan Jl. Karang Rejo, Komplek Puskopad Kel. Guntung Manggis Kec. Landasan Ulin Banjarbaru, melalui pemenuhan dasar kesehatan berdasarkan kajian prioritas masalah. Metode yang digunakan adalah Komunikasi, Informasi, dan Edukasi (KIE) melalui survei, observasi, FGD, dan penyuluhan kepada 50 peserta. Fokus kegiatan mencakup empat aspek: integrasi bank sampah, penyuluhan penyakit tidak menular (PTM), pelatihan bantuan hidup dasar, serta skrining PTM meliputi Hipertensi, DM, Kolesterol, dan Asam Urat. Tahapan kegiatan meliputi persiapan (koordinasi, penyusunan modul, penyediaan sarana), sosialisasi program kepada masyarakat dan kader, implementasi berupa pelatihan, pendampingan, dan penerapan inovasi, serta monitoring dan evaluasi berdasarkan indikator capaian, partisipasi, dan perubahan perilaku. Hasil kegiatan menunjukkan tiga program mencapai target 100% yaitu integrasi bank sampah, penyuluhan PTM, dan pelatihan bantuan hidup dasar. Sementara skrining PTM mencapai 76%. Program ini terbukti efektif memberdayakan lansia agar lebih sehat, mandiri, dan bernilai ekonomis. Kesimpulannya, pengabdian ini berdampak positif terhadap peningkatan pengetahuan, keterampilan, dan perilaku masyarakat, sekaligus memperkuat fungsi posyandu sebagai pusat pemberdayaan berbasis kesehatan, lingkungan, dan ekonomi.

Edukasi Kesehatan dengan Model SECI Berbasis Augmanted Reality Terhadap Self-Care Management dan Kepatuhan Cairan pada Pasien Gagal Ginjal Kronis dengan Hemodialisis Jamini, Theresia; Chrismilasari, Lucia Andi; Negara, Candra Kusuma; Prawira, Ricky
Journal of Telenursing (JOTING) Vol. 7 No. 4 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/9vv6cw80

This study aims to analyze the effect of health education using the SECI model based on Augmented Reality (AR) on self-care management and fluid adherence in patients with chronic kidney disease undergoing hemodialysis. The method was a quasi-experimental study with a pretest-posttest approach and a control group design. The results showed a significant increase in self-care management and fluid adherence scores in the intervention group compared to the control group (p < 0.05). In conclusion, education based on the SECI model and Augmented Reality has been proven effective in improving self-management skills and fluid adherence in hemodialysis patients and positively impacting their overall quality of life. Keywords: Augmented Reality, Health Education, Chronic Kidney Disease, Hemodialysis, Fluid Adherence, SECI Model, Self-Care Management

Wireless stethoscope for auscultation of the heart and lungs in critically ill patients: A systematic review Ismail, Suhartini; Prawira, Ricky; Johan, Andrew; Ismail, Rifky
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41471

Background:Examining the heart and lungs is necessary for critically ill patients, as these individuals may have abnormalities with either or both of these organs. This review systematically determined how the auscultation of the heart and lungs using a wireless stethoscope affected the results. Methods: The research design used was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms "auscultation," "critical patients," and "stethoscope wireless” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers. A systematic search was conducted through several databases (Scopus, PubMed, JSTOR, and Springer-link), which were published from July 2012 to July 2022 .After reading the full content of the included studies, key themes and concepts were extracted and synthesized. Results: In total 142 articles were screened. Five articles met the inclusion criteria and were analyzed. The analysis revealed that wireless stethoscopes have increased sensitivity with indicators capable of diagnosing abnormal auscultation results in patients who have abnormal aucultation results on the gold standard. Three out of five studies suggested that the auscultation of the heart and lungs by wireless stethoscopes are more sensitive, while two other studies stated that wireless stethoscopes have the same sensitivity as manual acoustic stethoscopes. Conclusion: Based on this systematic review, a wireless stethoscope may be more sensitive than an acoustic one. Nevertheless, due to limited studies, a more well-controlled human study is warranted to be done.

Analisis Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Jalan Dewi, Anggara Fitri; Harokah, Ali; Gustina, Erma; Prawira, Ricky
JKM : Jurnal Keperawatan Merdeka Vol 5 No 2 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i2.2996

Background: The increasing competition among private hospitals demands continuous improvements in healthcare service quality to meet the growing expectations of patients. Patient satisfaction increases if the hospital is able to provide quality, fast, empathetic, safe and comfortable medical services in accordance with patient expectations. Methods: This study aims to analyze the influence of service quality dimensions on outpatient satisfaction at a private hospital in Palembang City. A quantitative approach with a descriptive-analytic and cross-sectional design was applied, involving 100 respondents selected through purposive sampling, with inclusion criteria of being ≥18 years old and having received outpatient services. The research instrument was a SERVQUAL-based questionnaire. Results: The findings revealed that most respondents were female, of productive age, and had at least a senior high school education. The overall patient satisfaction rate was relatively high (86%). All dimensions of service quality showed a significant effect on satisfaction, with empathy emerging as the most dominant factor (OR = 101.4), significantly contributing to patients’ positive experiences. These results highlight the critical role of empathetic care in enhancing patient experience and satisfaction. Conclusion: The study concludes that service quality, particularly the empathy dimension, significantly influences outpatient satisfaction in the examined private hospital.

ANALYSIS OF SERVICE QUALITY ON OUTPATIENT PATIENT SATISFACTION: LITERATURE REVIEW Prawira, Ricky; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.96590

Background: Healthcare quality is an essential pillar of modern healthcare systems, directly impacting patient satisfaction. This article comprehensively analyzes the influence of the service quality dimension on outpatient satisfaction in hospitals. Through a systematic literature review of various international studies, it was found that there is a strong positive relationship between patient-perceived service quality and their satisfaction levels. The SERVQUAL model, with its five dimensions (tangibles, consent, responsiveness, assurance, and empathy), has proven to be a dominant framework for improving shared care. However, patient perceptions of these dimensions vary contextually, with a combination of expectations and perceptions being the primary drivers of dissatisfaction. Long waiting times and ineffective communication also significantly impact patient satisfaction. Therefore, improving service quality requires a holistic approach that focuses not only on technical improvements but also on managing patient expectations, enhancing staff communication skills, optimizing administrative processes, and addressing staff well-being. Recommendations include the implementation of digital systems, patient-centered training, and information transparency to create a more satisfying outpatient experience and foster patient loyalty.

DRAWSHEET-ASSISTED REPOSITIONING FOR LATERAL POSITIONING IN CRITICALLY ILL PATIENTS: A SYSTEMATIC REVIEW Prawira, Ricky; Siregar, Yaumil Hafsani; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Critically ill patients in intensive care units (ICUs) frequently experience prolonged immobility due to sedation, mechanical ventilation, and hemodynamic instability. Regular repositioning, particularly lateral positioning, is a key nursing intervention to prevent complications such as pressure injuries, impaired ventilation, and circulatory disturbances. Drawsheet-assisted repositioning is commonly used to facilitate safe patient handling; however, evidence regarding its effectiveness in ICU settings remains scattered. Objective: This systematic review aimed to evaluate current evidence regarding the effectiveness of drawsheet-assisted repositioning in facilitating lateral positioning among critically ill patients and its impact on repositioning efficiency, nurse workload, and patient safety outcomes. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. A comprehensive search was conducted in PubMed, Scopus, CINAHL, and ProQuest databases for studies published between January 2013 and December 2024. Search terms included combinations of “drawsheet,” “patient repositioning,” “lateral positioning,” “ICU,” and “critically ill.” Eligible studies included original research conducted in critical care settings that evaluated repositioning interventions using drawsheets or similar repositioning aids. Two independent reviewers performed study screening, data extraction, and methodological quality assessment using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: Eleven studies met the inclusion criteria, including randomized controlled trials, quasi-experimental studies, and observational studies. Evidence suggests that drawsheet-assisted repositioning improves repositioning efficiency, enhances positioning accuracy, and reduces physical workload among nurses. Several studies also indicated potential contributions to pressure injury prevention through improved pressure redistribution and safer patient handling techniques. Conclusion: Drawsheet-assisted repositioning appears to be a practical and cost-effective strategy for supporting safe lateral positioning in critically ill patients. While current evidence suggests benefits for both patients and healthcare workers, further high-quality randomized trials are needed to establish its direct impact on clinical outcomes such as pressure injury incidence and ICU length of stay.

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