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

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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.
Educational Strategies to Enhance Motor and Language Development in Children with Stunting: A Systematic Review Rahmadaniah, Indah; Wisuda, Aris Citra; Sansuwito, Tukimin bin
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.v4i4.119

Abstract

Stunting in early childhood is a complex health problem with broad impacts, not only on physical growth but also on motor and language development, which are essential for children's future success. This review was conducted to identify and synthesize the latest scientific evidence on the effectiveness of various educational approaches in stimulating motor and language development in children with stunting. A systematic literature search was carried out through nine scientific databases, covering publications from 2014 to 2024. Articles that met the inclusion criteria were assessed for quality using the JBI appraisal tool and analyzed thematically. A total of 23 primary articles were analyzed, showing that family- and community-based educational interventions—such as home visits, educational games, simple stimulation media, and the Montessori approach—had a positive impact on improving fine motor, gross motor, and both expressive and receptive language skills in stunted children. Approaches that involved active parental participation and were tailored to the local context proved to be more effective than general or non-targeted methods. This review emphasizes the need to strengthen education-based early stimulation programs in Indonesia’s national strategy for addressing stunting.
Comparative Effectiveness of Benson Relaxation and Mindfulness Breathing on Blood Pressure Reduction in Hypertensive Patients Saputra, Ardi Dwi; Wisuda, Aris Citra; Putry, Mayang Novyanti; Suraya, Citra; Hamdan, Ichsan Nur; Martilopa, Iis; Budiyono, Arif; Erpina, Eli; Sari, Indah Tirta
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.v4i4.121

Abstract

Hypertension is a major public health problem and one of the leading risk factors for cardiovascular morbidity and mortality worldwide. Non-pharmacological interventions, such as relaxation and breathing techniques, have been widely explored to complement medical treatment in controlling blood pressure. Benson relaxation and mindfulness breathing are two techniques that may effectively reduce stress and blood pressure through physiological and psychological mechanisms. This study aimed to compare the effectiveness of Benson relaxation and mindfulness breathing interventions in reducing blood pressure among hypertensive patients. A quasi-experimental study was conducted at RSUD Sungai Lilin from February to April 2025. A total of 140 hypertensive patients were selected using total sampling and randomly assigned into two intervention groups: Benson relaxation (n = 70) and mindfulness breathing (n = 70). Interventions were administered regularly for four weeks. Blood pressure was measured before and after the intervention using a standardized sphygmomanometer. Data were analyzed using paired and independent t-tests. Both Benson relaxation and mindfulness breathing significantly reduced systolic and diastolic blood pressure in hypertensive patients (p < 0.05). However, the mindfulness breathing group demonstrated a greater mean reduction in both systolic and diastolic blood pressure compared to the Benson relaxation group (p < 0.05). Both interventions are effective in reducing blood pressure, but mindfulness breathing shows superior effectiveness compared to Benson relaxation. These findings suggest that mindfulness breathing can be recommended as a complementary non-pharmacological therapy for hypertension management.
Comparative Effectiveness of Islamic Spiritual Care and Physical Relaxation in Controlling Blood Pressure among Hypertensive Patients Putry, Mayang Novyanti; Wisuda, Aris Citra; Dwi Saputra, Ardi; Suraya, Citra; Hamdan, Ichsan Nur; Martilopa, Iis; Budiyono, Arif; Erpina, Eli; Sari, Indah Tirta
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.v4i4.122

Abstract

Hypertension remains a major public health problem worldwide and is a leading risk factor for cardiovascular morbidity and mortality. Beyond pharmacological treatment, complementary approaches such as spiritual care and relaxation techniques have been increasingly recognized as effective strategies for managing blood pressure. This study aimed to compare the effectiveness of Islamic spiritual care and physical relaxation in controlling blood pressure among hypertensive patients.A quasi-experimental study was conducted at RSUD Sungai Lilin, South Sumatra, Indonesia, from February to April 2025. A total of 120 hypertensive patients were recruited using total sampling and divided into two intervention groups: Islamic spiritual care (n = 60) and physical relaxation (n = 60). The Islamic spiritual care intervention consisted of guided dhikr and prayer-based relaxation, while the physical relaxation group received progressive muscle relaxation training. Blood pressure was measured before and after the 4-week intervention. Data were analyzed using paired and independent t-tests to compare within-group and between-group differences. Both interventions significantly reduced systolic and diastolic blood pressure compared to baseline (p < 0.05). However, patients receiving Islamic spiritual care demonstrated a greater mean reduction in systolic blood pressure (−12.8 ± 6.4 mmHg) and diastolic blood pressure (−8.6 ± 4.7 mmHg) compared with those in the physical relaxation group (−8.3 ± 5.9 mmHg and −5.2 ± 4.1 mmHg, respectively; p < 0.05). Islamic spiritual care and physical relaxation are both effective in reducing blood pressure among hypertensive patients. Nevertheless, Islamic spiritual care appears to provide greater benefits, suggesting its potential as a culturally appropriate complementary intervention in hypertension management.
Enhancing Nurses’ Knowledge and Documentation Skills Through 3S Training (SDKI, SLKI, SIKI): A Quasi-Experimental Study Rachmawaty, Lusy; Wisuda, Aris Citra; Sujariah, Fitri; Wijaksana, M. Agung; Sidik, Abu Bakar; Agustina, Novita; 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.v4i4.123

Abstract

The quality of nursing documentation in Indonesia remains low, with an achievement rate of only 7%, far below international standards. The Indonesian National Nurses Association (Persatuan Perawat Nasional Indonesia/PPNI) has developed the Triple S (SDKI, SLKI, SIKI) documentation standards to improve the quality of nursing documentation. To analyze the effect of 3S training on nurses’ knowledge and skills in nursing care documentation at RSUD Gelumbang. A quasi-experimental study with a nonequivalent control group pretest-posttest design was conducted, involving 50 nurses who were divided into an intervention group (n=25) and a control group (n=25). The intervention group received 3S training over a period of two days, while the control group received no intervention. Data were analyzed using Independent T-Test, Paired T-Test, Mann-Whitney, and Wilcoxon tests. The 3S training had a significant effect on nurses’ knowledge (p = 0.000 < 0.05), with an average score increase from 48.60 to 74.40. However, it did not have a significant effect on skills (p = 0.585 > 0.05). The 3S training was effective in improving nurses’ knowledge, but a comprehensive approach is required to enhance practical skills.
The Effectiveness of Slow Stroke Back Massage in Managing Chronic Pain Among Patients with Hypertension: Implications for Nursing Care Wisuda, Aris Citra; Zalila, Rifka; Elyta, Tuti; Martha, Rian; Isrizal; Andika, Rindi
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.v4i4.139

Abstract

Hypertension is when a person experiences an increase in blood pressure above normal, or systolic pressure higher than 140 mmHg and diastolic pressure above 90 mmHg. Hypertension can cause headaches. One of the management techniques for headaches is non-pharmacological techniques, with slow stroke back massage (SSBM) therapy. This therapy is a massage action on the back with slow strokes. The purpose of this study was to determine the effectiveness of the slow stroke back massage technique in reducing the level of head pain in hypertensive patients. This research uses a descriptive method with a case study approach during the slow stroke back massage (SSBM) technique to reduce headaches in hypertensive patients. After nursing care for 3 days, the results of the headache scale on the first day were 6-7, on the second day, the headache scale also decreased, and on the third day, it decreased to 2. The slow stroke back massage (SSBM) technique can reduce headache levels in patients with hypertension
Development of a Storytelling Module to Reduce Hospitalization Anxiety in Preschool Children: A Pediatric Nursing Intervention Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
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.v4i4.140

Abstract

Hospitalization is often a stressful experience for preschool children, frequently leading to elevated anxiety due to separation from caregivers, unfamiliar medical environments, and invasive procedures. Storytelling, as a developmentally appropriate and therapeutic communication method, offers a promising approach for pediatric nurses to reduce emotional distress in young patients. This study aimed to develop a storytelling module as a pediatric nursing intervention to reduce hospitalization anxiety in preschool-aged children. A Research and Development (R&D) approach was employed using the Borg and Gall model. The study was conducted from April to June 2024 at Siti Khadijah Islamic Hospital, Palembang. The development process involved a literature review, expert validation by pediatric nurses, child psychologists, and linguists, module drafting, and limited field testing. The participants included 20 hospitalized children aged 3–6 years and five pediatric nurses. Anxiety levels were measured using the State-Trait Anxiety Inventory for Children (STAI-C) before and after the intervention, with descriptive analysis used to assess outcomes. The finalized module comprised six storytelling themes, colorful visual aids, and structured nursing guidelines designed to address common sources of hospitalization anxiety in preschoolers. Expert validation yielded a high Content Validity Index (CVI = 0.91), and field testing demonstrated a clear reduction in children’s anxiety scores post-intervention. The storytelling module is a culturally relevant, feasible, and effective pediatric nursing tool to reduce hospitalization anxiety in preschool children.