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Pengalaman Praktisi Anestesi Dalam Pengambilan Keputusan dan Keterampilan Dalam Manajemen Jalan Napas di Rumah Sakit Bhayangkara Brimob Studi Fenomenologi Maria Delviana Nurdiani; Yusdi Ghazaly; Hormat Janner Manurung; Vini Anjelia Pattinaja
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62102

Abstract

Failure in airway management is one of the main causes of morbidity and mortality in patients, especially in emergency situations. Anesthesia practitioners, particularly anesthesia nurses and anesthesia technicians, are required to have technical skills, quick decision-making, and clinical intuition formed through work experience. Objective this study aims to qualitatively explore the impact of work experience on the skills and decision-making of anesthesia practitioners in emergency airway management. Methods this study used a qualitative design with an interpretive phenomenological approach. Participants were selected using purposive sampling, consisting of four anesthesia practitioners with 2 to 25 years of work experience at Bhayangkara Brimob Hospital in Depok. Data were collected through semi-structured in-depth interviews that were recorded and transcribed, supplemented with field notes. Data analysis was performed using Interpretative Phenomenological Analysis (IPA). Results data analysis yielded three main themes, namely: (1) the strategic role of anesthesiologists in airway management, including preparedness for complications, collaboration with anesthesiologists, and vigilance throughout the perioperative period; (2) quick and accurate clinical decision-making, with reflex responses to emergency conditions, visual clinical evaluation, and effective communication with the team; (3) technical skills and clinical intuition, in the form of mastery of airway devices, accuracy of actions based on experience, and intuition in detecting risks. Conclusion this study shows that work experience greatly influences the technical skills, response speed, and clinical intuition of anesthesiologists. Continuous training and team collaboration are essential for improving patient safety.
Pengaruh Early Mobilization Terhadap Peningkatan SpO2 dan RR Pasien Post Operasi General Anestesi di Recovery Room Vini Anjelia Pattinaja; Maria Delviana Nurdiani; Eva Ria Sentika
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.14562

Abstract

Early mobilization merupakan intervensi keperawatan untuk mempercepat pemulihan pasien pasca operasi dengan anestesi umum, terutama dalam meningkatkan fungsi respirasi. Pasien berisiko mengalami penurunan saturasi oksigen dan perubahan frekuensi napas. Pedoman Enhanced Recovery After Surgery (ERAS) merekomendasikan mobilisasi dalam 24 jam pertama setelah operasi. Tujuan penelitian adalah untuk mengetahui pengaruh early mobilization terhadap saturasi oksigen dan frekuensi napas pada pasien pasca operasi dengan anestesi umum. Metode: Desain pre-eksperimental one group pretest-posttest design. Sampel sebanyak 33 pasien melalui purposive sampling. Data dikumpulkan melalui observasi dan pengukuran SpO2 menggunakan pulse oximeter dan RR sebelum dan sesudah intervensi. Analisis menggunakan uji Paired T-Test. Hasil penelitian menunjukan sebelum intervensi, seluruh responden memiliki SpO2 <95% dan sebanyak 57,6% mengalami takipnea. Setelah early mobilization, seluruh responden mencapai SpO2 ≥95% dan RR dalama batas normal. Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Early mobilization efektif meningkatkan saturasi oksigen dan memperbaiki frekuensi napas, sehingga direkomendasikan sebagai intervensi keperawatan untuk mempercepat pemulihan fungsi respirasi.