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All Journal Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja ASJN (Aisyiyah Surakarta Journal of Nursing)
Intan Mega Pratiwi
Universitas Muhammadiyah Kalimantan Timur
Nursing Public Health

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Hubungan Tingkat Pengetahuan dengan Kepatuhan Pelaksanaan Patient Safety pada Mahasiswa S1 Keperawatan Intan Mega Pratiwi; Joanggi Wiriatarina Harianto; Enok Sureskiarti
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 6 No 1 (2025): JULI
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/asjn.v6i1.1709

Abstract

Latar Belakang: Keselamatan pasien merupakan aspek krusial dalam pelayanan kesehatan untuk mencegah kesalahan medis dan menurunkan risiko cedera. Mahasiswa keperawatan sebagai calon tenaga kesehatan dituntut memiliki pengetahuan yang memadai agar mampu mematuhi prosedur keselamatan pasien.Tujuan: Menganalisis hubungan antara tingkat pengetahuan dan kepatuhan mahasiswa keperawatan dalam melaksanakan patient safety. Metode: Penelitian kuantitatif dengan desain cross-sectional ini melibatkan 121 mahasiswa semester VII Program Studi S1 Keperawatan Universitas Muhammadiyah Kalimantan Timur. Instrumen penelitian berupa kuesioner terstandar untuk mengukur pengetahuan dan kepatuhan. Analisis dilakukan menggunakan uji korelasi Spearman. Hasil: Terdapat korelasi positif yang lemah namun signifikan secara statistik antara tingkat pengetahuan dan kepatuhan pelaksanaan patient safety (r = 0,266; p = 0,003). Mahasiswa dengan pengetahuan yang lebih tinggi cenderung lebih patuh dibandingkan yang berpengetahuan sedang. Kesimpulan: Terdapat hubungan signifikan antara pengetahuan dan kepatuhan dalam pelaksanaan keselamatan pasien. Temuan ini menegaskan pentingnya peningkatan pengetahuan melalui pendidikan berkelanjutan, namun perlu diakui bahwa kepatuhan juga dipengaruhi oleh faktor lain di luar pengetahuan.
APPLICATION OF CLASSICAL INSTRUMENTAL MUSIC THERAPY IN REDUCING PAIN AMONG CHRONIC KIDNEY DISEASE (CKD) PATIENTS: A CASE STUDY Intan Mega Pratiwi; Alfi Ari Fakhrur Rizal; Taharuddin Taharudin; Annaas Budi Setyawan
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.745

Abstract

Pain is a common clinical problem experienced by patients with Chronic Kidney Disease (CKD), particularly critically ill patients with decreased consciousness in the Intensive Care Unit (ICU). Inadequate pain management may increase physiological stress responses and affect hemodynamic stability. Therefore, safe non-pharmacological nursing interventions are needed, one of which is classical instrumental music therapy. This study aimed to describe the implementation of classical instrumental music therapy and the clinical responses observed in a CKD patient with decreased consciousness in the ICU. This study used a descriptive nursing case study design conducted in one patient with advanced-stage CKD who received structured classical instrumental music therapy for four consecutive days. Pain assessment was performed before and after each intervention using the Critical Care Pain Observation Tool (CPOT), along with monitoring of hemodynamic parameters. The intervention was administered for 20–30 minutes once daily using slow-tempo instrumental classical music (60–80 bpm) without lyrics. The results showed a gradual decrease in pain scores, with CPOT scores declining from 5 on the first day to 2 on the fourth day. This was accompanied by reductions in blood pressure (170/100 to 135/85 mmHg), heart rate (125 to 88 beats/minute), respiratory rate (25 to 16 breaths/minute), and Mean Arterial Pressure (MAP) (123 to 102 mmHg). Oxygen saturation remained stable at 100%, while body temperature showed minimal variation. In this case, classical instrumental music therapy was associated with decreased pain scores and changes in physiological responses. This intervention may be considered a complementary nursing approach for pain management in critically ill CKD patients in the ICU.
Co-Authors Annaas Budi Setyawan Enok Sureskiarti Rizal, Alfi Ari Fakhrur Taharuddin Taharudin