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The Implementation of Practice Based Simulation of New Nurse Toward Self Confidence: A Literature Review Baso, Yusriani Saleh; Arofiati, Fitri
Journal Of Nursing Practice Vol. 3 No. 2 (2020): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v3i2.79

Abstract

Background: To enhance the quality of nursing service at hospital, it needs learning process (education and training) using clinical skills facility. It gives ideal place for the development of nurse’s confident before entering the real world of work. Problem based learning approach is able to use simulation learning method or Practice Based Simulation Model can enhance new nurse’s confidence. Objective: This study aimed at investigating the literature for of the practice based simulation that may be expected to enhance new nurse’s self confidenceMethod: This research used Literature Review. Source of the research was taken from some database. Searching was conducted in December 2018 through database of PubMed of 3016 articles, Google Scholar of 13.5000 articles, Science Direct of 3466 articles, Pro Quest of 256 articles using combination of key words “self confidence” and practice based simulation+new graduates nursing. From all database, there were only 7 which fulfilled inclusion criteria.Result: based on the result of literature review from 7 articles, it was found that applying simulation method to new nurse can enhance self confidence. New nurse would be more independent, able to make decision and conduct nursing care and be more calm while working.Conclusion: the aim of this literature review obtains the result that application of practice based simulation can increase self confidence of nurse.
PENGARUH INTRADIALYTIC EXERCISE TERHADAP FATIGUE PADA PASIEN HEMODIALISA : LITERATURE REVIEW Nurmansyah, Nurmansyah; Arofiati, Fitri
Jurnal EDUNursing Vol 3, No 1 (2019): April - Agustus
Publisher : Universitas Pesantren Tinggi Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.114 KB)

Abstract

Chronic kidney failure is a multidimensional health problem in various countries with increasing prevalence in every years. Hemodialysis is a recovery therapy that functions in the blood. Hemodialysis must be carried out throughout life until receive a new kidney transplant. As many as 70% -90% of patients with chronic kidney failure complain of fatigue in hemodialysis. Complaints of fatigue in patients with kidney failure in hemodialysis cannot be ignored. Excessive fatigue in patients can cause prolonged complications and affect quality of life. This research method uses a literature review technique. Data collection through research on the internet using Google Scholar, PubMed, and Proquest with key words intradialytic exercise, fatigue, and hemodialysis. The results with the keywords entered were 2,449 research journals. Then do the screening process and get 10 journals are in accordance with the criteria of discussion. From the results of a review, intradialytic exercises has an impact to the level of fatigue. In addition, intradialytic exercise also provides an increase physical improvement, increased blood pressure and serum electrolytes, improved quality of life and improved sleep quality. In applying intrdialytic exercises, it is proven effective and simple to do in dealing with complaints of patients who need hemodialysis and do not require additional costs. Some types of intradialitic exercises that can be used are Qigong Training, Deep Breathing Exercises, Leg Ergometry Exercises, Intradialitic Acute Therapy Exercises (I-ACETD), Strengthening Exercises, Regular Flexibility, Range of Motion Exercises. Keywords: intradialytic exercise, fatigue, hemodialyis
Pengaruh Pemberian Kompres Hangat Kering terhadap Tingkat Nyeri Pada Saat Menstruasi di Panti Asuhan Arofiati, Fitri; Kurniasih, Ami
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 1 (2004)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v4i1.1709

Abstract

This research titled “ Effect of Giving Dry-Warm Compress to Pain Level in Menstruation at House for Women ‘Aisyiyah Yogyakarta 2004 “. Dry-warm compress is independent variable and pain level is dependent variable. Dry- warm compress is one of non-pharmacological management to diminish or eliminate pain level when woman is at menstruation. Menstruation is a cyclic bleeding that experienced by woman and usualy followed by pain. Aim of this research is to know about effect of giving compress to pain level in mentruation. Type of this research is observational experiment, with true design, Pre- Post Test Design with Control Group. Number of sample was 30 respondent. It was devided 15 respondent in controle group and 15 respondent in experi¬ment group.The rest was in experiment that taken randomly. The used instru¬ment is pain scale observation according to Mc-Bill Melzack. Result of this research was tested by t-test aided by application of SPSS for Windows re¬lease 11,0. Result of this research can be estimated t-test of 3,272 and significance level 0,003. Based on significance level was less than 0,01, so it can be con-cluded that it has difference between pain level on experiment group of sig-nificance 0,01 or there is an effect of giving dry-warm compress to pain levei in menstruation. Suggestion of this research was expected that dry-warm com-press continued to be developed and given in handling pain problem.Penelitian ini berjudul “ Pengaruh Pemberian Kompres Hangat Kering terhadap Tingkat Nyeri pada saat Menstruasi di Panti Asuhan Putri ‘Aisyiyah Yogyakarta 2004 Kompres hangat kering sebagai variabel bebas dan tingkat nyeri pada saat menstruasi sebagai variabel terikat. Kompres hangat kering merupakan salah satu manajemen non farmakologi untuk mengurangi atau menghilangkan tingkat nyeri saat menstruasi. Menstruasi merupakan perdarahan secara siklik yang dialami oleh wanita dan biasanya disertai rasa nyeri. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pemberian kompres hangat kering terhadap tingkat nyeri pada saat menstruasi. Jenis penelitian yang digunakan adalah eksperimen dengan design true experimen, dengan Pre-Post Tes with Contole Group. Jumlah sampel 30 responden, masing-masing 15 responden untuk kelompok kontrol dan 15 untuk kelompok eksperimen yang diambil secara acak atau random. Instrumen yang digunakan adalah formulir observasi skala nyeri menurut Mc-Bill Melzack. Hasil penelitian diuji dengan uji t-test dengan bantuan aplikasi SPSS for Windows release 11,0. Hasil analisis di dapatkan t- hitung sebesar 3,272, signifikan 0,003. Berdasar nilai signifikan yang kurang dari 0,01 maka dapat disimpulkan bahwa terdapat perbedaan tingkat nyeri pada kelompok eksperimen pada taraf signifikan 1 % atau ada pengaruh pemberian kompres hangat kering terhadap tingkat nyeri pada saat menstruasi. Saran dari penelitian ini diharapkan kompres hangat kering terus dikembangkan dan diberikan dalam mengatasi masalah nyeri untuk kasus yang berbeda.
Analysis of Factors that Influence Nurse Career Development in Dr. Soedjono Selong Hospital Yuliyanti, Sasteri; Hadi, Muhammad; Arofiati, Fitri
Jurnal Keperawatan Soedirman Vol 15, No 1 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.1.1076

Abstract

Background: Nurses are the majority health workers in hospitals that have a very large contribution in improving the quality of health services provided to patients. Based on the research of Sulung (2013), it was found that career development was a variable that significantly affected the quality of nursing services. Objective: To determine the factors that influence nurse career development. Method: This study used a cross sectional approach with a sample of 103 nurses. Data was collected using a questionnaire compiled by researchers. Data analysis was performed in univariate, bivariate (chi-square) and multivariate (multiple logistic regressions). Results: Factors related to career development were: displacement/rotation (p = 0.003), opportunity to grow and develop (p=0.001), and organizational policy (p=0.032). The most dominant displacement/rotation factor is related to career development (OR =10,820). Conclusion: In developing nurse careers, hospitals must pay attention to aspects of displacement/rotation, opportunities to grow and develop and organizational policies.
Hubungan antara Peranan Perawat dengan Sikap Perawat pada Pemberian Informed Consent Sebagai Upaya Perlindungan Hukum Bagi Pasien di RS PKU Muhammadiyah Yogyakarta Tahun 2009 Arofiati, Fitri; Rumila, Erna
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 2 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i2.1605

Abstract

One of nurse ’s roles is an advocate for patient that is to advocacy patient ’s right, legal patient’s right is informed consent. Informed consent is patient’s agreement after got information by doctor to do a medical action. Nurse ’s attitude of giving informed consent is facilitator at decision making to a medical action. This study aimed to reveal the correlation between nurse ’s role with nurse ’s attitude in giving informed consent as the law protection effort for patient in PKU Muhammadiyah Hospital of Yogyakarta. This non-experimental study is a correlation study with cross-sectional approach, used 38 samples with purposive sampling technique. Data analysis used Spearman Rank. The result of this research showed that there were correlation between nurse ’s role and nurse ’s attitude in giving informed consent as the law protection effort for patient, with statistical testp value = 0,000 orp value 0,05. The conclusion of this research that there are correlation nurse ’s roles with nurse ’s attitude of giving informed consent as the law protection effort for patient in PKU Muhammadiyah Hospital of Yogyakarta.Salah satu peran perawat adalah sebagai pelindung dan advokat bagi pasien yaitu untuk membela hak pasien, hak legal pasien salah satunya adalah informed consent. Informed consent merupakan persetujuan pasien setelah adanya informasi dari dokter untuk dilakukan suatu tindakan medik. Sikap perawat pada pemberian informed consent adalah sebagai fasilitator dalam pengambilan keputusan mengenai suatu tindakan medik.Tujuan penelitian ini adalah untuk mengetahui hubungan peran perawat dengan sikap perawat pada pemberian informed consent sebagai upaya perlindungan hukum bagi pasien di RS PKU Muhammadiyah Yogyakarta. Penelitian ini adalah penelitian non experimental dengan rancangan deskriptif korelasi dan menggunakan pendekatan cross sectional. Jumlah sampel adalah 38 orang dengan teknik pengambilan sampel menggunakan purposive sampling. Analisis data menggunakan uji statistik Spearman Rank. Hasil penelitian menunjukkan ada hubungan peran perawat dengan sikap perawat pada pemberian informed consent sebagai upaya perlindungan hukum bagi pasien yang ditunjukkan dengan hasil uji statistik diperoleh nilai p= 0,000 atau p 0,05. Peran dan sikap perawat RSU PKU Muhammadiyah Yogyakarta menunjukkan hasil yang sangat baik dalam pemberian informed consent pada pasien. Kesimpulan dari penelitian ini adalah ada hubungan peran perawat dengan sikap perawat pada pemberian informed consent sebagai upaya perlindungan hukum bagi pasien di RS PKU Muhammadiyah Yogyakarta sehingga diharapkan mampu meningkatkan kualitas asuhan keperawatan dari sisi peran perawat sebagai advokat.
Pengaruh Supportive-Educative System terhadap Kualitas Hidup pada Pasien Gagal Jantung Purnamawati, Ditha Astuti; Arofiati, Fitri; Relawati, Ambar
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 18, No 2 (2018): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mm.180213

Abstract

Gagal jantung adalah fase kronis yang menyebabkan kerusakan fungsional jantung akibat banyaknya gejala yang terjadi, sehingga akan berdampak pada kuali-tas hidup. Gagal jantung memerlukan penatalaksanaan yang tepat dan diharapkan dapat mencegah perburukan penyakit. Intervensi yang diberikan dapat berupa tera-pi farmakologi dan non farmakologi, diantaranya supportive-educative system. Sistem ini membantu pasien memperoleh informasi kesehatan, serta dalam pengambilan keputusan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh supportive-educative system terhadap kualitas hidup pasien gagal jantung. Penelitian ini merupa-kan penelitian kualitatif dengan metode quasi eksperiment. Rancangan penelitian yang adalah  pre-posttest with control group. Sebanyak 34 pasien gagal jantung dipilih dengan teknik non probability sampling, dibagi menjadi dua kelompok secara acak, kelompok intervensi diberikan supportive-educative system, kelompok kontrol diberi-kan program discharge planning yang ada di ruangan, minggu pertama intervensi (pre-test) untuk mendapatkan data kualitas hidup, minggu kedua dan ketiga observasi apakah responden melakukan kegiatan yang sudah diajarkan, minggu terakhir evaluasi (post-test) kualitas hidup setelah intervensi. Diuji menggunakan Wilcoxon test (data berdistribusi tidak normal) dan Paired Samples Test (data berdistribusi normal). Hasil uji beda menunjukkan kelompok intervensi lebih berpengaruh dibandingkan dengan kelompok kontrol dengan ρ value sebesar 0,000. Terdapat pengaruh pem-berian supportive-educative system terhadap kualitas hidup, kualitas hidup pada kelompok intervensi lebih baik daripada kelompok kontrol.
Psychosocial Aspects of Childbearing Arofiati, Fitri
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 1 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v10i1.1568

Abstract

Salah satu isu nasional dalam bidang kesehatan adalah tindakan pencegahan terhadap masalah yang berhubungan dengan kesehatan ibu dan anak. Aspek psikososial merupakan salah satu faktor yang mempengaruhi kesiapan ibu akan kehamilan dan kelahiran (mempunyai anggota keluarga baru). Kehamilan dan kelahiran merupakan kejadian yang berhubungan dengan pengalaman manusia secara bio-psiko-sosial dan budaya. Respon ibu terhadap kehamilan dan kelahiran berbeda-beda, dipengaruhi oleh umur, kesehatan, status sosial ekonomi dan latar belakang budaya. Individu ibu dan keluarga sangat membutuhkan informasi yang cukup agar dapat mempersiapkan dengan baik proses kehamilan, kelahiran (kehadiran anggota keluarga yang baru).One of the health care national issues is the preventive of the problems related with maternal-child. Psychosocial aspect is one factor that will involve the readiness of mother to her pregnancy and childbirth (the readiness of having new family member).Pregnancy and childbirth or childbearing is the event which is closely related with some experiences of human being: bio-psycho-social and cultural. Every mother would has different response to the event of pregnancy and childbirth, depends on the age, health status, socio-economical level, and cultural background. Mother as an individual and family needs enough information for the readiness of pregnancy and childbirth (the readiness of having new family member).
The Analysis of Inpatients Satisfaction on Service Quality At Yogyakarta Respira Hospital Dahyanto, Dahyanto; Arofiati, Fitri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7269

Abstract

Health service quality is the level of perfection of health services that are organized in accordance with the code of ethics and service standards, so as to give satisfaction for each patient. This study aims to analyze the satisfaction of inpatients in the disease section at Respira Yogyakarta Hospital. Method: Mix-method research with a case study design. The quantitative samples are questionnaires (March - April 2017, n = 9). And the qualitative samples are lung specialists, nurses, nutritionists and people who are involved in patient satisfaction (n = 30) taken using purposive sampling technique. Results: Input: Inpatients at RS Respira Yogyakarta are satisfied. This hospital plays a role in the quality of health services. One of its ways is to provide the amount of equipment in Inpatient Installation according to the needs of patients, both in terms of its quality and quantity. Process: Development of patient satisfaction has involved the health service quality team. Obstacles are still in the way in fulfilling patient satisfaction including non-routine satisfaction surveys, uneven knowledge, lack of ownership, low of professionalism, evaluation of patient satisfaction is not done routinely. Output: Patients feel satisfied with the service at Respira Yogyakarta Hospital. Conclusions: The result of this research is that inpatients at Respira Yogyakarta Hospital are satisfied.
The Effectiveness of Neuromuscular Taping (NMT) And Foot Exercise in Improving Microsirculations in Diabetes Mellitus Patients Susanti, Indah; Arofiati, Fitri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.81 KB) | DOI: 10.30604/jika.v7iS2.1408

Abstract

Background: Diabetes mellitus is a chronic disease characterized by abnormal glucose due to disturbances in the pancreas. Neuromuscular Taping (NMT) is a non-pharmacological intervention to prevent decreased peripheral blood circulation of the lower extremities. Prevention of complications in patients with diabetes mellitus can also be done by improving the vascularization of the feet by doing foot exercises. Objective: This study aims to compare the effectiveness of Neuromuscular Taping (NMT) and foot exercise on the improvement of the Ankle Brachial Index (ABI) value. Methods: Quantitative research design with quasi-experimental methods pre-test and post-test with control group design. The population in this study was 356 patients, a sample of 66 respondents. The sampling technique used was purposive sampling with inclusion and exclusion criteria. Results: there is an effect on changes in the value of the Ankle Brachial Index (ABI) before and after the intervention of Neuromuscular Taping (NMT) and diabetic foot exercise. There was a significant difference between the intervention group and the control group on changes in the value of the Ankle Brachial Index (ABI). Conclusions and suggestions: there is an effect on changes in the value of the Ankle Brachial Index (ABI) before and after being given Neuromuscular Taping (NMT) and diabetic foot exercises. There was a significant difference between the intervention group and the control group on changes in the value of the Ankle Brachial Index (ABI). Suggestion: Neuromuscular Taping (NMT) and diabetic foot exercise can be a reference in providing education and nursing interventions to be applied in hospitals as a preventive measure to prevent microvascular complications, especially in patients with diabetes mellitus. Abstrak: Latar Belakang: Diabetes mellitus merupakan suatu penyakit kronis yang ditandai dengan glukosa yang abnormal karena terjadi gangguan pada pankreas. Neuromuscular Taping (NMT) adalah salah satu intervensi non farmakologi untuk mencegah pernurunan sirkulasi darah perifer ekstremitas bawah. Pencegahan komplikasi pada pasien diabetes mellitus dapat juga dilakukan dengan memperbaiki vaskularisasi kaki dengan melakukan senam kaki. Tujuan: Penelitian ini bertujuan untuk membandingkan efektivitas Neuromuscular Taping (NMT) dan senam kaki terhadap perbaikan nilai Ankle Bracial Indeks (ABI). Metode: Desain penelitian kuantitatif metode quasi eksperimental pre-test and post-test with control group design. Populasi dalam penelitian ini sebanyak 356 pasien, sampel 66 responden. Teknik pengambilan sampel dalam menggunakan purposive sampling dengan kriteria inklusi dan eklusi. Hasil: ada pengaruh terhadap perubahan nilai Ankle Brachial Index (ABI) sebelum dan sesudah diberikan intervensi Neuromuscular Taping (NMT) dan senam kaki diabetes. Terdapat perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol terhadap perubahan nilai Ankle Brachial Index (ABI). Kesimpulan dan saran: ada pengaruh terhadap perubahan nilai Ankle Brachial Index (ABI) sebelum dan sesudah diberikan intervensi Neuromuscular Taping (NMT) dan senam kaki diabetes. Terdapat perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol terhadap perubahan nilai Ankle Brachial Index (ABI). Saran: Neuromuscular Taping (NMT) dan senam kaki diabetes dapat menjadi referensi dalam pemberian edukasi maupun intervensi keperawatan untuk diaplikasikan di rumah sakit sebagai tindakan preventif pencegahan komplikasi mikrovaskular khususnya pada pasien diabetes mellitus. 
AKTIFITAS FISIK UNTUK MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI : LITERATURE REVIEW Aziz, Abdul; Arofiati, Fitri
Jurnal Kesehatan Karya Husada Vol 7 No 1 (2019): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v7i1.466

Abstract

Hipertensi merupakan sindrom multifaktorial dan multicausal yang ditandai oleh tekanan darah tinggi (≥140 / 90 mmHg), biasanya berhubungan dengan gangguan metabolik, hormonal, serta struktural, dan merupakan risiko utama untuk penyakit koroner. Hipertensi banyak dikaitkan dengan penyakit jantung dan pembuluh darah yang menyebabkan kesaitan dan kematian yang utama di seluruh dunia dan berdampak pada biaya pengobatan dan biaya sosial yang tinggi. Seperempat populasi orang dewasa didunia diperkirakan memiliki hipertensi, dengan jumlah hampir satu miliar, dan dengan prevalensi hipertensi di seluruh dunia yang diproyeksikan meningkat 60% pada tahun 2025.Pencegahan utama hipertensi telah menjadi tantangan kesehatan masyarakat global, pedoman penatalaksanaan hipertensi saat ini merekomendasikan peningkatan aktivitas fisik sebagai sarana untuk mencegah hipertensi.Penelitian bertujuan mengetahui aspek aktifitas fisik yang berpengaruh terhadap penurunan tekanan darah pada hipertensi.Pada penelitian literature review ini, original jurnal yang meneliti pengaruh aktifitas fisik terhadap penurunan tekanan darah pada hipertensi ditelusuri secara online melalui Pubmed (http: //www.ncbi.nlm.nih), dan E-Resource Perpustakaan Nasional Republik Indonesia (http://e-resources.perpusnas.go.id/). Dua puluh enam jurnal terpilih yang memenuhi kriteria inklusi direview. Latihan aerobik intensitas sedang secara teratur dengan durasi minimal 30 menit perhari, minimal 3 kali perminggu efektif menurunkan tekanan darah pada hipertensi. Latihan jenis ini direkomendasikan menjadi terapi gaya hidup untuk pengendalian tekanan darah bagi penderita hipertensi. Kata Kunci : Aktifitas Fisik, Hipertensi, Penurunan Tekanan Darah.