Suraya, Citra
Program Studi Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia

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PENGEMBANGAN STANDAR DAN PANDUAN ASUHAN KEPERAWATAN BERBASIS SDKI, SLKI, DAN SIKI UNTUK MENINGKATKAN MUTU PRAKTIK KEPERAWATAN Wisuda, Aris Citra; Suraya, Citra; Oxyandi, Miming Oxyandi; Surahmat, Raden; Andika Sasmita Putra, Muhamad; Husin, Husin; Emiliasari, Dian
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 2 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jp.v2i2.591

Abstract

Improving the quality of nursing practice is a key pillar in delivering high-quality healthcare services. Nursing care standards and guidelines based on the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcomes Standards (SLKI), and Nursing Interventions Standards (SIKI) serve as essential frameworks for providing systematic, measurable, and regulation-compliant care. However, the implementation of these standards in healthcare facilities still faces challenges, including limited understanding and the absence of practical and applicable guidelines. This community service initiative aimed to develop and formulate nursing care standards and guidelines based on SDKI, SLKI, and SIKI to enhance nursing practice quality. The program was conducted at Bayung Lencir Regional General Hospital on April 23–24, 2025, through participatory training and a collaborative workshop involving practicing nurses. Evaluation methods included pre- and post-tests and participatory observation. The results showed a significant improvement in participants’ understanding of the application of the three standards, along with the development of draft operational standards and nursing care guidelines ready for clinical use. In conclusion, this activity made a valuable contribution to improving nurses’ competencies and the quality of nursing services through the development of structured, applicable standards aligned with national regulations
OPTIMALISASI KOMUNIKASI KEPERAWATAN MELALUI PENDEKATAN STORYTELLING UNTUK REDUKSI KECEMASAN ANAK PRASEKOLAH SELAMA HOSPITALISASI Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin Bin; Dioso, Regidor III
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 2 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jp.v2i2.592

Abstract

Hospitalization can be a stressful experience for preschool-aged children, primarily due to limited understanding and anxiety toward the unfamiliar hospital environment. Effective therapeutic communication is essential to help children feel safer and more comfortable during treatment. This community service activity aimed to optimize nursing communication using a storytelling approach as a strategy to reduce anxiety in hospitalized preschoolers. The program was conducted at Siti Fatimah Az-Zahra Regional General Hospital, South Sumatra Province, from March 17 to 21, 2025. It involved 15 bedside nurses in the pediatric ward and 18 hospitalized preschool-aged children. The methods included education and training for nurses on age-appropriate storytelling techniques, followed by direct application with the children. Evaluation was carried out through behavioral observation of children’s anxiety levels before and after the intervention, as well as brief interviews with nurses. The results showed a noticeable reduction in anxiety expressions among most children, such as decreased crying, fearfulness, and resistance to nursing procedures. Nurses also reported improved rapport and interaction with the children through engaging and relevant stories. In conclusion, storytelling proved to be an effective, humanistic, and applicable nursing communication method for reducing hospitalization-related anxiety in preschool children, and it has the potential to be integrated into standard pediatric nursing practices
PENINGKATAN PENGETAHUAN, KINERJA, DAN KETERAMPILAN DOKUMENTASI PERAWAT MELALUI PELATIHAN DOKUMENTASI KEPERAWATAN BERBASIS 3S (SDKI, SLKI, SIKI) Wisuda, Aris Citra; Suraya, Citra; Rusmarita; Nainggolan, Sutrisari Sabrina
Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 1 (2025): UKHUWAH : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : STIK SITI KHADIJAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52395/ujpkm.v3i1.491

Abstract

Dokumentasi keperawatan merupakan bagian penting dalam proses asuhan keperawatan yang berkualitas, berkelanjutan, dan dapat dipertanggungjawabkan. Namun, masih banyak perawat yang belum optimal dalam menerapkan dokumentasi keperawatan sesuai standar nasional, yaitu Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), dan Standar Intervensi Keperawatan Indonesia (SIKI) atau dikenal dengan pendekatan 3S. Kegiatan ini bertujuan untuk meningkatkan pengetahuan, kinerja, dan keterampilan perawat dalam dokumentasi keperawatan berbasis 3S. Pengabdian masyarakat ini dilaksanakan pada tanggal 2–3 Desember 2024 di RSUD Sungai Lilin melalui pelatihan intensif yang mencakup pemberian materi, diskusi, simulasi kasus, dan praktik langsung. Peserta pelatihan adalah perawat pelaksana dari berbagai unit pelayanan. Hasil evaluasi menunjukkan peningkatan signifikan pada pengetahuan peserta berdasarkan perbandingan nilai pre-test dan post-test. Selain itu, peningkatan keterampilan dan ketepatan dokumentasi juga terlihat pada sesi praktik, di mana peserta mampu menyusun dokumentasi sesuai dengan standar SDKI, SLKI, dan SIKI. Kesimpulannya, pelatihan ini efektif dalam meningkatkan kompetensi perawat dalam dokumentasi keperawatan berbasis 3S dan direkomendasikan untuk diimplementasikan secara berkelanjutan guna mendukung mutu pelayanan keperawatan.
ENHANCING SPIRITUAL CARE IN NURSING PRACTICE: EXPLORING THE RELATIONSHIP BETWEEN IMPLEMENTATION OF SPIRITUAL ASPECTS AND FULFILLMENT OF PATIENTS' SPIRITUAL NEEDS Aris Citra Wisuda, Aris Citra Wisuda; Tukimin bin Sansuwito; Citra Suraya; Dian Emiliasari
Journal Of Nursing Science Research Vol. 1 No. 1 (2024): Journal of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v1i1.449

Abstract

Background: Nurses are integral to comprehensive patient care, addressing biological, psychological, social, and spiritual dimensions. Spiritual care is a crucial component of nursing, ensuring patients' holistic well-being. Objective: This study explores the link between nurses' spiritual application and inpatients' spiritual fulfillment. Method: Conducted at Siti Khadijah Islamic Hospital, Palembang from October to December 2023, this quantitative research sampled 42 inpatients through simple random sampling. Data collected via questionnaires were analyzed using univariate and bivariate methods (chi-square). Instruments included "Aspects of Application of Spirituality" and the Spiritual Care Competency Scale (SCCS), alongside the Spiritual Needs Questionnaire (SpNQ) for assessing spiritual fulfillment. Results: the relationship between the application of the spirituality aspect of nurses and the fulfillment of the spiritual needs of inpatients is 64.3%, indicating that the application of the spirituality aspect of nurses is considered not good. Meanwhile, as many as 35.7% of patients indicated that the implementation of the spirituality aspects of nurses was good. Chi-square analysis (p=0.011) indicated a significant correlation between nurses' spiritual practices and inpatients' spiritual fulfillment. Recommendation: Enhancing spiritual practices requires structured interventions like spiritual skills training, framework development, monitoring systems, leadership support, and collaborative training. These measures aim to elevate healthcare service quality and ensure holistic patient care.
Impact Of The Aris Module (Anxiety And Depression Reduction Through Islamic Spiritual Care) On Patients With Coronary Heart Disease Wisuda, Aris Citra; Tukimin bin Sansuwito; Citra Suraya; Helsy Desvitasari
Journal Of Nursing Science Research Vol. 1 No. 2 (2024): Journal of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v1i2.503

Abstract

Background: Coronary heart disease (CHD) is a significant health issue that causes both physical and psychological distress, including heightened anxiety and depression. Islamic-based spiritual care practices may improve mental well-being in CHD patients. Objectives: This study aims to evaluate the effectiveness of the ARIS Module (Anxiety and Depression Reduction through Islamic Spiritual Care) in reducing anxiety and depression among CHD patients. Methods: Conducted from September to October 2024 at Siti Khadijah Islamic Hospital in Palembang, the study included 84 CHD patients, divided into an intervention group (42) and a control group (42), selected through purposive sampling. A pre- and post-intervention design was used to assess anxiety and depression levels before and after the ARIS Module, which incorporates Islamic spiritual practices such as guided prayer, reflection, and recitation. Results: The intervention group showed a statistically significant reduction in anxiety and depression levels. Patients also reported increased peace, spiritual connection, and emotional stability, enhancing their coping abilities and overall quality of life. Conclusions: The ARIS Module effectively reduced anxiety and depression in CHD patients, highlighting the value of integrating spiritual care into CHD treatment for mental and emotional health. Suggestions: It is recommended to incorporate programs like ARIS module into healthcare settings, with further research to explore its impact across diverse patient populations.
Enhancing Nurse-Patient Communication: A Comprehensive Systematic Review Of Effective Strategies Suraya, Citra; Tukimin bin Sansuwito; Regidor III Poblete Dioso; Aris Citra Wisuda
Journal Of Nursing Science Research Vol. 1 No. 2 (2024): Journal of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v1i2.504

Abstract

Background: Practical communication skills are imperative in nursing to ensure patient safety and comfort. Studies reveal that nurses often fail to implement therapeutic communication fully, resulting in dissatisfaction from beginning to end patient care. Objective: This study seeks to pinpoint strategies to enhance nurses' communication proficiency with patients. Method: Employing a systematic review approach, this research delved into journals archived in the EBSCO E. Journal, Elsevier Science Direct, Pubmed, CINAHL Complete, and Google Scholar databases, alongside nursing management and leadership literature. The operational definition encapsulates the endeavors undertaken by nurses to refine communication strategies with their patients. The study was conducted across diverse clinics and hospitals, encompassing all nurses within these settings, with the research sample comprising those lacking robust communication strategies. Data was gathered through the administration of questionnaires and the utilization of observation sheets. Results: Findings underscored that training initiatives bolstered nurses' confidence in delivering comprehensive patient care. Furthermore, culturally sensitive communication skill guides proved instrumental in augmenting nurse-patient communication and patient satisfaction. Moreover, tailored therapeutic communication programs designed for pediatric nurses yielded favorable outcomes, fostering secure and healthy interactions, nurturing trust, and expediting recovery. Short workshops emerged as another effective avenue for refining nurses' communication skills. Consequently, implementing training sessions, comprehensive guides, specialized programs, and brief workshops is pivotal in elevating communication between nurses and patients.
EFFECTIVENESS OF 3S-BASED NURSING DOCUMENTATION TRAINING (SDKI, SLKI, SIKI) ON NURSES’ KNOWLEDGE, PERFORMANCE, AND DOCUMENTATION SKILLS Wisuda, Aris Citra; Citra Suraya; Miming Oxyandi; Raden Surahmat; Muhamad Andika Sasmita Saputra; Helsy Desvitasari
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.589

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.
DETERMINANTS OF ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.590

Abstract

Hospitalization is a stressful experience for preschool children, which can trigger anxiety due to unfamiliar surroundings, medical procedures, and separation from family. Understanding the factors that influence this anxiety is important to support children's psychological well-being. This study aims to identify the determinants of anxiety in preschool children who are hospitalized at the Siti Khadijah Islamic Hospital, Palembang. Methods A quantitative descriptive study was conducted in April 2024 involving 124 preschool children who were hospitalized. Data were collected through structured questionnaires filled out by caregivers and direct observation of children's behavior. The variables studied included age, gender, previous hospitalization experience, parental presence, type of illness, and length of hospitalization. Descriptive statistical analysis and correlation were used to process the data. The results of this study found several factors to have a significant effect on anxiety levels, such as the absence of parents, no previous hospitalization experience, invasive medical procedures, and longer hospitalization length. Age and gender also played a role; girls and younger children showed higher anxiety. The presence of parents, especially mothers, helped reduce anxiety. Children with previous hospitalization experience tended to adapt more easily. The conclusion of the study found that Anxiety of preschool children who are hospitalized is influenced by various factors such as age, gender, presence of parents, previous hospitalization experience, type of action and length of treatment. Family-based care approaches and parental presence are very important in reducing anxiety and supporting children's emotional health.
PELATIHAN ASUHAN KEPERAWATAN SPIRITUAL MENGGUNAKAN SDKI, SLKI DAN SIKI MELALUI PRESENTASI AUDIOVISUAL DAN DEMONSTRASI TERHADAP PENGETAHUAN PERAWAT DI RSUD PALEMBANG BARI Aris Citra Wisuda; Citra Suraya; Rusmarita; Dian Emiliasari
Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 1 (2023): UKHUWAH : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : STIK SITI KHADIJAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52395/ujpkm.v1i1.366

Abstract

Pengetahuan perawat merupakan modal dasar yang dibutuhkan perawat dalam penerapan asuhan keperawatan spiritual. Pelatihan ini bertujuan untuk meningkatkan pengetahuan perawat di RSUD Palembang BARI melalui pendekatan penerapan asuhan keperawatan spiritual dengan metode presentasi, audiovisual dan demonstrasi. Pelatihan ini dilakukan terhadap 35 perawat. Bentuk kegiatan berupa pelatihan yang dilakukan melalui telekonferensi, diawali dengan ceramah dan diskusi serta penayangan video terkait tata cara memfasilitasi ibadah pasien yang dirawat di rumah sakit. asuhan keperawatan spiritual dengan menggunakan buku pedoman dari Persatuan Perawat Nasional Indonesia (PPNI) yaitu Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Hasil Keperawatan Indonesia (SLKI), dan Intervensi Keperawatan Indonesia. Standar (SIKI). Hasil penelitian bahwa memiliki perbedaan pengetahuan pre dan post intervensi (pelatihan) pada metode presentasi, audiovisual dan demonstrasi pelatihan penerapan asuhan spiritual dengan metode presentasi, audiovisual dan demonstrasi terhadap pengetahuan perawat. Perawat diharapkan mampu memenuhi kebutuhan pasien secara komprehensif baik biologi, psikologi, sosialspiritual, namun kebutuhan spiritual belum sepenuhnya terpenuhi. Pemenuhan kebutuhan spiritual terkait ibadah tentunya diberikan sesuai dengan agama masing-masing individu. Perawat dapat berperan sebagai fasilitator dalam memenuhi kebutuhan spiritual
Development of a Family-Centered Hypertension Education Module to Prevent Cardiovascular Complications in Community Settings Emiliasari, Dian; Wisuda, Aris Citra; Suraya, Citra
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.118

Abstract

Hypertension is a major risk factor for cardiovascular complications and remains a prevalent public health concern, particularly in community settings. Family involvement plays a vital role in supporting lifestyle modifications and treatment adherence. However, educational tools tailored to family support in hypertension management are still limited. This study aimed to develop a family-centered hypertension education module designed to enhance knowledge, promote behavioral changes, and prevent cardiovascular complications among hypertensive patients in the community. A research and development (R&D) design was employed using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. The study was conducted at Puskesmas (Community Health Center) 23 Ilir Palembang from May to June 2025. Data were collected through interviews, expert validation, and pre-post tests involving 30 families of hypertensive patients. Validation involved a panel of experts in nursing, cardiology, and health education. Descriptive and paired t-test analyses were applied. The developed module consists of five core sections: understanding hypertension, healthy diet, physical activity, medication adherence, and family roles in disease management. Expert validation showed high content validity (CVI = 0.94). Post-intervention testing revealed a significant improvement in family knowledge and engagement (p < 0.05), indicating the module's effectiveness. The family-centered hypertension education module is feasible, valid, and effective in improving family support and awareness to prevent cardiovascular complications. Implementation of the module is recommended in community health centers to strengthen family involvement in hypertension management. Further research with larger samples and long-term follow-up is advised to evaluate its sustained impact.