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All Journal Jurnal Keperawatan Indonesia JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Public Health of Indonesia Citra Delima Scientific journal of Citra Internasional Institute Jurnal 'Aisyiyah Medika Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan International Journal of Scientific and Professional Citra Delima Scientific journal of Citra Internasional Institute Jurnal Inspirasi Kesehatan (JIKA) Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Kepada Masyarakat Citra Delima Journal of Nursing Science Research
Wisuda, Aris Citra
Program Studi Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Toward Evidence-Based Standards for Spiritual Care in Chronic Illness: A Comprehensive Literature Review Manisha; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Ahmed, Idris Adewale
International Journal Scientific and Professional Vol. 4 No. 3 (2025): June-August 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i3.107

Abstract

Spiritual care is a vital component of holistic nursing, particularly for patients with chronic and life-limiting illnesses. It addresses existential suffering and supports emotional, psychological, and spiritual well-being. This review aims to identify and synthesize evidence-based standards for spiritual nursing care in patients with chronic illnesses, particularly those in palliative care settings. A comprehensive literature review was conducted using six databases PubMed, ProQuest, DOAJ, ScienceDirect, Garuda, and Google Scholar focusing on peer-reviewed articles published between 2018 and 2024. Articles were selected based on predefined inclusion and exclusion criteria to ensure relevance and quality. The findings highlight several key standards in spiritual nursing care: acknowledging and respecting patients' spiritual beliefs, offering compassionate emotional and psychological support, and fostering meaning and hope at the end of life. The literature consistently emphasizes the need for an individualized, culturally sensitive, and holistic approach. Integrating spiritual care into routine palliative nursing practice has been shown to improve coping, reduce distress, and enhance overall quality of life for chronically ill patients. Addressing the spiritual needs of patients with chronic illness is essential for delivering comprehensive, patient-centered care. Developing evidence-based spiritual care standards can enhance the effectiveness of palliative care and support patients in achieving peace, meaning, and well-being.
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.
A Systematic Review of the Effects of Aerobic and Anaerobic Biofilter Processes on the Reduction of Biological Oxygen Demand (BOD) in Domestic Wastewater Zairinayati; Aris Citra Wisuda; Norhashima Abd Rashid; Chun Hoe Tan
JURNAL KESEHATAN LINGKUNGAN Vol. 17 No. 4 (2025): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v17i4.2025.313-320

Abstract

Introduction: Domestic wastewater significantly contributes to environmental degradation due to its elevated Biological Oxygen Demand (BOD), indicating the concentration of organic contaminants that deplete oxygen in aquatic ecosystems. Biofilter-based treatment technologies, both aerobic and anaerobic, have emerged as sustainable alternatives; nonetheless, their comparative efficacy remains inadequately investigated. Discussion: This systematic study, adhering to PRISMA principles, evaluates the efficacy of aerobic and anaerobic biofilters in diminishing BOD levels in home wastewater. A thorough literature search utilizing Publish or Perish software across five databases Scopus, DOAJ, ScienceDirect, PubMed, and Google Scholar was conducted to find pertinent articles published from 2019 to 2025. Of the 1210 articles initially discovered, ten satisfied the inclusion criteria according to the PICOS framework. Research indicates that both aerobic and anaerobic systems markedly decrease BOD values. Aerobic biofilters provide quick organic matter decomposition and superior removal efficiency, while anaerobic systems are beneficial for energy conservation and diminished sludge production. Numerous studies underscore the improved effectiveness of hybrid or sequential biofilter systems, demonstrating a synergistic impact when both approaches are utilized together. Conclusion: Both aerobic and anaerobic biofilters effectively reduce BOD levels in home wastewater. Hybrid systems offer a notably advantageous solution by amalgamating the qualities of both methods. Future study must concentrate on refining operational parameters and assessing the long-term scalability of integrated biofilter technology to enhance sustainable wastewater management.
EFFECTIVE COMMUNICATION IN NURSING: A COMPREHENSIVE SYSTEMATIC REVIEW OF BEST PRACTICES Citra Suraya, Citra Suraya; Tukimin bin Sansuwito; Regidor III Dioso; Aris Citra Wisuda
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.v1i1.450

Abstract

Background: Effective communication is crucial in patient safety management, as it minimizes and prevents actions that could negatively impact nursing care. Effective communication involves strategies to ensure clear and accurate message delivery, enhance patient safety, and reduce work-related risks for nurses and other healthcare professionals. This can be initiated by adhering to Standard Operating Procedures for effective communication and leveraging virtual technology. Objectif: This research aims to identify the implementation of effective communication in the context of patient safety within nursing care settings. Method: The article search involved querying five databases: PubMed, ProQuest, ScienceDirect, DOAJ, and Garuda. The analysis method included selecting journals relevant to the research purpose and thoroughly reading each. Inclusion criteria for this literature review encompassed communication, nurses, nursing service settings, and journal articles published within the last five years. Exclusion criteria included journals that were not open access, articles with unclear or unstructured research methods, articles available only in abstract form, systematic reviews, and scoping reviews. Results: Through feasibility testing, eight journal articles were identified that demonstrated the application of effective communication in the context of patient safety. These included communication training programs, interprofessional team integration in service, and communication management focused on patient safety. Effective communication can be achieved successfully when nurses are adept at selecting appropriate communication methods tailored to the specific needs of the nursing service setting.
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.
Co-Authors agustina, novita Ahmed, Idris Adewale Andika Sasmita Putra, Muhamad Andika, Rindi Arafah, Masniati Ardi Dwi Saputra Arif Budiyono Bin Sansuwito, Tukimin Chun Hoe Tan Citra Suraya, Citra Suraya Desvitasari, Helsy Deviliawati, Atma Dian Emiliasari Dioso, Regidor III Dwi Octhaviana Putri Dwi Saputra, Ardi Elyta, Tuti Emiliasari, Dian Erpina, Eli Ersita, Ersita Hamdan, Ichsan Nur Helsy Desvitasari Heriziana Hz Husin Husin, Husin Hz, Heriziana Isrizal Manisha Manisha, Manisha Martha, Rian Martilopa, Iis Miming Oxyandi Muhamad Andika Sasmita Saputra Nainggolan, Sutrisari Sabrina Norhashima Abd Rashid Nuriza Agustina Oxyandi, MIming Oxyandi, Miming Oxyandi Putry, Mayang Novyanti Rachmawaty, Lusy Raden Surahmat Rahmadaniah, Indah Regidor III Dioso Regidor III Poblete Dioso Rifka Zalila Rosalina, Santi Rusmarita Sansuwito, Tukimin bin Saputra, Muhamad Andika Sasmita Sari, Fermata Sari, Indah Tirta Sasmita Saputra, Muhamad Andika Sidik, Abu Bakar Sujariah, Fitri Sulardi . Suraya, Citra Suzanna, Suzanna Tukimin Tukimin bin Sansuwito Utama, Yofa Anggriani Widya Arisandy Wijaksana, M. Agung Wisuda, Aris Citra Wisuda Zairinayati, Zairinayati Zalila, Rifka