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

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Application of Tepid Sponge Therapy to Treat Hyperthermia in Gestational Age Children at General Hospital : A Pre-Experimental Study KK, Indra Frana Jaya; Suraya, Citra; Patimah, Patimah; Pratiwi, Penti Meka; Kurniasari, Indri; Hasana, Pitri; Asrini, Putri Puji; Adelia, Raden Ayu Dhiyaa
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.453

Abstract

Fever in infants and children is the most common complaint. Fever is a form of defense from the body in dealing with problems in the body. Fever is not a problem, but a high fever can be serious in all children. This study aims to determine the application of Tepid Sponge therapy to treat hyperthermia in preschool-aged children at Siti Fatimah Regional Hospital, South Sumatra Province. This research used a pra-experimental approach with a one group pre-post test design, the number of respondents was 20 patients diagnosed with hyperthermia, then given Tepid Sponge therapy. Sampling used purposive sampling, data was collected by checking the patient's body temperature values in the pre-test and post-test. The results of statistical tests using the paired t-test showed that there was a decrease in temperature in patients before and after Tepid Sponge therapy with a value of p=0.000. The conclusion of this study is that the application of Tepid Sponge can significantly reduce temperature in pediatric patients who experience hyperthermia. Nurses can include the Tepid Sponge intervention as a complementary nursing therapy and it is hoped that future research can compare its effectiveness with other interventions, use a control group or use a larger sample.
Storytelling-Based Nursing Communication During Hospitalization: Its Impact On Anxiety And Influencing Factors In Preschool Children: A Systematic Review Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso; Dian Emiliasari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.574

Abstract

Hospitalization often triggers anxiety in preschool children due to unfamiliar environments, parental separation, and invasive procedures. Storytelling-based nursing communication has shown promise as an effective intervention to reduce this anxiety. This systematic review explores the effectiveness and influencing factors of hospitalization anxiety in children aged 3–6 years. Literature was searched from PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Nine experimental or quasi-experimental studies from Indonesia, Iran, Brazil, Italy, and Turkey met the inclusion criteria, all involving nurse-led storytelling interventions. Most studies reported significant reductions in anxiety. Key influencing factors included age, length of stay, hospitalization history, parental presence, and storytelling methods. The intervention consistently enhanced emotional comfort, reduced fear, and strengthened nurse-child interaction. In conclusion, storytelling is an effective non-pharmacological strategy to reduce hospitalization anxiety in preschool children and supports child-centered nursing care when tailored to the child’s developmental stage, experiences, parental involvement, and cultural context.
Development Of Nursing Care Instruments Based On The 3s Framework (Sdki, Slki, Siki) For Inpatient Settings Aris Citra Wisuda; Citra Suraya; Miming Oxyandi; Isrizal; Wisuda, Aris Citra Wisuda
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.582

Abstract

Standardized nursing documentation is essential for ensuring consistency, accountability, and quality in patient care. In Indonesia, the 3S framework—comprising the Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI) serves as a national standard. However, its application in inpatient settings remains inconsistent due to the lack of integrated, user-friendly tools. This study aimed to develop and validate a nursing care documentation instrument based on the 3S framework to improve documentation accuracy, support clinical decision-making, and promote standardization in inpatient wards. A Research and Development (R&D) approach was employed, using a modified Borg and Gall model across five stages: preliminary study, planning, product development, expert validation, and limited field testing. Data were gathered through literature reviews, chart audits, clinical interviews, and focus group discussions with nurses. The instrument was designed to address the 12 most frequently encountered nursing diagnoses in general medical-surgical wards, which were systematically mapped to appropriate SLKI outcomes and SIKI interventions. The final tool features structured diagnosis formats (PES, PR, PS), outcome targets with timelines, and categorized interventions (observation, treatment, education, collaboration), implemented in a shift-based checklist format. Validation by five expert nurses yielded strong content validity (I-CVI range: 0.833–1.000), and field testing with 15 clinical nurses demonstrated acceptable internal consistency (KR-20: 0.790–0.845). Additionally, 87% of nurses reported improvements in documentation quality and workflow efficiency. In conclusion, the 3S-based nursing care instrument is valid, reliable, and practical for clinical use, and its adoption is recommended to enhance nursing documentation standards and the quality of care in hospital settings.
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.