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Journal : Indonesian Journal of Global Health research

Effectiveness of in-Tray Early Waring System Training on Knowledge and Practice of Nurses Nuraidah, Nuraidah; Widiantari, Aninda Dinar; Maemun, Siti; Hutabarat, Veronika; Khamid, Abdul; Wahyuning, Indah; Sumaryati, Sumaryati; Ambarwati, Desi; Murtiani, Farida
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3367

Abstract

Death marks the conclusion of the disease trajectory. Prevention of fatality in patients facing acute and chronic diseases requires the competence of reliable health workers, with nurses playing a crucial role in delivering proficient care. Aiming for early detection of patients' clinical deterioration, nurses use an early warning system. Objective: to determine the effectiveness of EWS training in-tray method on knowledge and practice of EWS. We conducted a quasi-experimental study using one group pretest-posttest without a control group. The sample of this study was 70 executive nurses with consecutive sampling techniques. The research was held at the Inpatient Installation of Sulianti Saroso Infectious Disease Hospital (SSIDH) in June 2023. Observation sheets were utilized to assess Early Warning System (EWS) practices, and we employed valid and reliable questionnaires to gather information on respondents' knowledge. We performed univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test. Most respondents were in the late adult category (52.9%), female (80.0%), graduate Diploma III in nursing education (54.3%), and the most working period of 5 years (78.6%). The knowledge of participants increased significantly from 7.00 (2.00-13.00) (pretest) to 11.50 (5.00-20.00) (posttest) (p-value = 0.000). There was an increase in nurses' EWS knowledge and practice (p-value <0.05). Efforts to improve nurse competence in caring for patients with critical conditions are necessary. This can be achieved through coaching and regular training with the priority target of implementing nurses in the intensive care room.
Predictors of Ventilator Weaning Failure in Sepsis Patients in Intensive Care Unit Dwisusanti, Oktina; Rohman, Rohman; Yunitri, Ninik; Rayasari, Fitriyan; Anitha, Anitha; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3956

Abstract

Sepsis is one of the most common infection complications in intensive care units (ICU). Sepsis causes organ dysfunction, including respiratory failure, that requires ventilator breath support. However, patients often experience ventilator weaning failure. We analyse the relation of predictor ventilator weaning failure in sepsis patients in ICU. This study was a cross-sectional study with study population consisting of sepsis patients who used ventilators in the ICU of Sulianti Saroso Hospital, and there were as many as 58 patients. We studied age, gender, body mass index (BMI), PCO2 value, prolonged ventilator use, pneumonia, malnutrition, vasopressor use and ventilator weaning with secondary data. The data collection instruments used were case report formulas. Descriptive statistical analysis in the form of frequency distribution (n) and proportion (%) and further analysis with binomial logistic regression (α<0.05). Three factors significantly influenced weaning failure were vasopressor use, malnutrition, and BMI (p<0.05). There is a significant influence of vasopressor use, malnutrition, and BMI with ventilator weaning failure.
The Effectiveness of Forward Leaning Position and Pursed Lip Breathing on Dyspnea in Patients with Lung Disease Astuti, Widia; Sitorus, Ratna; Herawati, Tuti; Aryani, Denissa Faradita; Pratiwi, Tiara Zakiyah; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.4148

Abstract

Dyspnoea is the most common and distressing symptom of lung disease, and it causes uncomfortable feelings. Dyspnoea occurs in patients with lung diseases such as lung cancer, COPD, asthma and tuberculosis. Positioning that can reduce shortness of breath in COPD patients is the tripod position and breathing exercises, namely lip breathing exercises, which can affect oxygen saturation. The aim of study is to determine the effectiveness of the application of forward leaning position and pursed lip breathing on dypsnea in patients with lung disease. Pursed lips breathing exercises and a tripod position significantly improved symptoms of shortness of breath and strengthened respiratory muscles. To determine the effectiveness of applying the forward leaning position and pursed lip breathing for dyspnea in patients with lung disease. This research is quantitative with a quasi-experimental design with a pretest-posttest design approach without a control group design. The inclusion criteria for adult patients ≥ 18 years, patients with lung disease: COPD, Asthma, Tuberculosis and Lung Cancer and moderate to severe dyspnea at rest as measured by the Modified Borg Dyspnea Scale (MBDS ≥3). The number of samples was 30 people. The results of the analysis using the Wilcoxon Test and the results obtained were that providing a forward leaning position (FLP) and Pursed Lips Breathing (PLB) breathing exercises in patients with lung disease could significantly reduce the degree of dyspnea. The application of a combination of forward-leaning positions and pursed lips breathing exercises can have an effect on reducing the degree of dyspnea in patients.
Factors Related to the Implementation of Patient Safety Anitha, Anitha; Dwisusanti, Oktina; Nuraidah, Nuraidah; Wijiarti, Kunti; Pratiwi, Tiara Zakiyah; Maemun, Siti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5293

Abstract

Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.
Relationship between Family Support and Compliance in Taking Antiretroviral (ARV) Drugs with the Incidence of Opportunistic Infections in Children With HIV/AIDS Budiyati, Dwi; Purwati, Nyimas Heny; Apriliawati, Anita; Istiyani, Sri; Fitriarini, Fitriarini; Maemun, Siti
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6016

Abstract

Opportunistic infections are one of the leading causes of morbidity and mortality in children with HIV/AIDS. These infections can be prevented through lifelong adherence to antiretroviral (ARV) therapy and strong family support. This study aims to analyze the relationship between family support and adherence to ARV medication with the incidence of opportunistic infections in children with HIV/AIDS. The study employed a cross-sectional design. The respondents were 50 children with HIV/AIDS receiving treatment at RSPI Sulianti Saroso Jakarta, selected using purposive sampling. Data were analyzed using the Chi-square test and Logistic Regression for multivariate analysis. The results indicated a significant relationship between family support including emotional support (p = 0.002), appraisal support (p = 0.001), instrumental support (p = 0.001), and informational support (p = 0.009) as well as ARV adherence (p = 0.001) with the incidence of opportunistic infections. Multivariate analysis revealed that instrumental support had the greatest influence, with p = 0.012 and Exp (B) = 1.458, indicating that children with low instrumental support had a 1.46 times higher risk of developing opportunistic infections compared to those with adequate support. There is a significant association between family support and ARV adherence with the occurrence of opportunistic infections in children with HIV/AIDS. Strengthening family-based nursing interventions focus on empowering parents to provide instrumental support such as meeting nutritional needs, ensuring access to healthcare services, and supervising ARV adherence is essential to improving the quality of life of children with HIV/AIDS.