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Hubungan Gaya Kepemimpinan Transformasional Kepala Ruangan Terhadap Retensi dan Komitmen Perawat di Rawat Inap RS Bogor Wati, Nurma; Arofiati, Fitri; Widagdo, Giri
Jurnal Ilmiah Kebidanan Indonesia Vol 12 No 01 (2022): Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Uni
Publisher : Q PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiki.v12i01.2803

Abstract

Tingginya turnover perawat di dalam sebuah rumah sakit dapat mengganggu aktifitas dan produktivitas pelayanan keperawatan. Selain itu turnover perawat juga dapat menciptakan ketidakstabilan mutu pelayanan dan komitmen kerja perawat. Salah satu faktor yang disinyalir dapat meningkatan retensi dan komitmen yakni mengubah gaya kepemimpinan. Penelitian ini adalah cross sectional, dengan total sampling 65 responden. Analisis yang digunakan regresi logistik ganda. gaya kepemimpinan transformasional kepala ruangan mempunyai hubungan terhadap retensi perawat dengan OR 8.85 setelah dikontrol dengan variabel confounding pendidikan dan status pernikahan. Gaya kepemimpinan transformasional tidak ada hubungan dengan komitmen perawat meski telah di kontrol dengan variabel counfounding usia dan masa kerja. Terdapat Hubungan antara Gaya Kepemimpinan Transformasional Kepala Ruangan dengan Retensi perawat dengan peluang 8,5 kali lebih besar setelah dikontrol dengan variabel counfounding Pendidikan dan status Pernikahan. Tidak ada hubungan gaya Kepemimpinan Transformasional dengan Komitmen perawat meski sudah dikontrol oleh variabel counfounding Usia dan Masa Kerja. Kepala ruangan diharapkan menggunakan gaya kepemimpinan transformasional dalam upaya mengubah perilaku positif untuk kemajuan bersama
Faktor Risiko Penggunaan Ventilator Pada Pasien Covid-19 Di Ruang Icu: Literature Review Hilalriah, Annisa; Arofiati, Fitri
Proceedings of Universitas Muhammadiyah Yogyakarta Graduate Conference Vol. 2 No. 2 (2023): Strengthening Youth Potential for Sustainable Innovation
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/umygrace.v2i2.510

Abstract

placed great pressure on critical care resources. Identification of patients at high risk for clinical deterioration is critical to ensure access to intensive care for severe conditions in a timely manner. According to (Hajjar et al., 2021), it is stated that in cases of severe respiratory failure, as often seen in ARDS associated with SARS-CoV-2, severe hypoxemia can cause a persistent increase in respiratory effort, with consequent induced lung injury. itself (P-SIL). In addition, other factors such as fluid overload or myocardial injury caused by SARS-CoV-2 can also play an important role in exacerbating the condition through pulmonary congestion. Critical care support optimized by facilitating Covid-19 patients to use ventilators is the best strategy to increase patient survival (Shang et al., 2020). Research Objectives: To determine the risk factors that influence the use of ventilators in COVID-19 patients in the ICU. Research Method: This research uses the literature review method using the Google Scholar, Pubmed, and ProQuest with a time limit for searching articles for 2019-2021, full free text in English and Indonesian and using predefined keywords. Results: The results of this literature review show that there are 3 risk factors that affect the use of ventilators in Covid-19 patients in the ICU, including sociodemographic factors (age, sex, BMI), comorbid factors (two or more co-morbidities), such as diabetes mellitus, hypertension, COPD, cardiovascular, cerebrovascular, and obesity, and lifestyle factors (smoking). Conclusion: The use of ventilators in Covid-19 patients is often used in developed countries as the best strategy to increase patient survival by taking into account the severity of the patient's condition, especially those with respiratory system disorders. In the use of the ventilator there are 3 main factors that must be considered, sociodemographic factors, comorbidity factors, examination results factors, and lifestyle factors.
Nurse's Experience in Treatment of COVID-19 Patients Kitong, Berti Irwin; Arofiati, Fitri
JOSING: Journal of Nursing and Health Vol 3 No 1 (2022): JOSING: Journal of Nursing and Health
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/josing.v3i1.3774

Abstract

This study aims to identify what nurses experience in handling COVID-19. The research uses a literature study with PI(E)O (patients, intervention/exposure, and outcome), and searches were carried out on the Proquest and PubMed databases. Google Scholar Research Results in nurses' feelings varied from stress and anxiety to mental depression about how to provide nursing care and services for COVID-19 patients. In conclusion, the experience of nurses in delivering services to Covid patients is divided into two, namely professionalism and psychology Keywords: Experience, Nurse, Care, COVID-19
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

Abstract

The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
Role of family in the hospitalization of critical patients in the intensive care unit Arofiati, Fitri; Primadani, Miranti; Ruhyana, Ruhyana
MEDISAINS Vol 18, No 1 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i1.6482

Abstract

Background: Patients need help from others to meet their needs during hospitalization in the Intensive Care Unit (ICU). The role of the family is significant in the care of critical patients in the ICU because it helps fulfill the satisfaction and providing supportive care of patients related to their intimacy.Objectives: This study aims to explore the role of families in the hospitalization of critical patients in the ICU.Method: This study used a qualitative method with a phenomenological approach. Data retrieval is done through in-depth interviews, focused group discussions, and observations. The participant recruitment technique uses pur-posive sampling. The research participants were 24 people and were following with the inclusion criteria. Source triangulation is done to find out the validity of research data and the roles performed by the family. This qualitative data was analyzed using N-Vivo 12 plus methods.Results: There are five themes accompanied by 12 sub-themes in them, including developing emotional relationships with patients, providing physical support to patients, becoming information partners with health personnel, fami-lies, and patients, supporting patient facilities and infra-structure, families meeting patients' spiritual needs.Conclusion: Family members are involved in patient care because families are given the opportunity and sufficient time to visit patients. Suggestions for further research can consider the family background in the involvement of roles and factors that influence family roles during hospitalization of patients in the ICU.
PENERAPAN POSISI SEMI FOWLER DAN PURSED LIP BREATHIHNG PADA PASIEN STEMI DI IGD PKU MUHAMMADIYAH YOGYAKARTA Amalia, Yuvia Dewi; Arofiati, Fitri; Warno, Puspito
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3184

Abstract

Stemi adalah kondisi gawat darurat yang mengancam jiwa, ditandai oleh tersumbatnya arteri koroner secara menyeluruh yang berujung pada iskemia miokard dan kerusakan jaringan jantung. Salah satu penatalaksanaan non-farmakologis untuk mengatasi pasien Stemi ini adalah posisi semi fowler dan pursed lip breathing. Penelitian ini bertujuan untuk mengetahui frekuensi napas dan saturasi oksigen sebelum dan sesudah diberikan intervensi pemberian posisi semi fowler dan teknik pursed lip breathing. Penelitian ini menggunakan desain studi kasus dengan melibatkan satu orang pasien yang mengalami Stemi di Instalasi Gawat Darurat RS PKU Muhammadiyah Yogyakarta pada bulan April 2025. Tindakan yang dilakukan adalah posisi semi fowler dan pursed lip breathing selama 15 menit, dengan instrumen berupa alat saturasi oksigen, lembar observasi pengukuran frekuensi napas. Sebelum diberikan intervensi tersebut pasien dilakukan pengecekan frekuensi nafas 28 x/m dan saturasi oksigen 93 %. Setelah pemberian intervensi dilakukan kembali pengukuran frekuensi nafas 22 x/m dan saturasi oksigen 97 %. Pemberian posisi semi fowler dan pursed lip breathing mampu menurunkan frekuensi nafas dan meningkatkan saturasi oksigen. 
Pemberian Latihan ROM Pasif dan Terapi Murottal pada Pasien Stroke Hemoragik: Studi Kasus susanti, afrinia nanda; Arofiati, Fitri
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3185

Abstract

Stroke adalah penyakit yang menyebabkan kematian sel-sel saraf neurologis yang disebabkan oleh aliran darah yang terhenti dibagian otak, baik karena sumbatan maupun perdarahan yang menyebabkan bagian otak yang terluka dapat mengalami gangguan saraf dan kelumpuhan. Gejala yang mungkin muncul yaitu hemipareis, yaitu kelemahan pada anggota gerak tubuh yang terkena. Setelah mengalami stroke akut, hemiparesis akan menyebabkan kekauan, penurunan kekuatan otot dan kelumpuhan. Akibatnya, rentang gerak sendi dan fungsi dari ekstremitas pendertita stroke menjadi terbatas. Selain itu, penurunan kesadaran terjadi karena adanya ketidakseimbangan perfusi dan ventilasi yang menyebabkan kebutuhan oksigen didalam tubuh terutama di bagian otak tidak dapat terpenuhi dengan baik. Studi kasus ini bertujuan untuk memberikan intervensi Latihan ROM pasif dan terapi murottal pada pasien dengan stroke hemoragik. Metode yang digunakan adalah tudi kasus dengan melibatkan 1 pasien stroke hemoragik. Studi kasus ini juga menunjukkan hasil masalah keperawatan gangguan mobilitas fisik ditandai dengan hemiparesis dexctra, kekuatan otot ekstremitas atas dan bawah dekstra 1. Setelah dilakukan intervensi selama 3 hari berupa latihan ROM pasif kombinasi dengan teraapi murottal, hasil kekuatan otot ekstremitas atas dan bawah dekstra meningkat dari 1 menjadi 2. Terapi murottal yang diberikan memberikan efek kestabilan tingkat kesadaran pasien.
PENERAPAN TERAPI MUROTTAL DAN POSISI SEMI FOWLER PADA PASIEN POST KRANIOTOMI STROKE ICH: STUDI KASUS Rosyida, Farah Nabila; Arofiati, Fitri
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3183

Abstract

Post Kraniotomi merupakan tindakan bedah yang dilakukan pada pasien dengan perdarahan intrakranial (ICH). ICH merupakan kondisi kegawatdaruratan yang berisiko menyebabkan penurunan kesadaran hingga kematian jika tidak segera ditangani secara operatif. Studi kasus ini bertujuan untuk melihat perubahan status hemodinamik dan jalan napas dengan pemberian intervensi terapi murottal dan posisi semi fowler. Pendekatan deskriptif, observasi, dan dokumentasi digunakan dalam metode studi kasus ini yang dilaksanakan di ruang ICU RS PKU Yogyakarta pada pasien dengan diagnosis pasca kraniotomi akibat perdarahan intraserebral (ICH). Subjek penelitian, yaitu Tn. I, dipilih berdasarkan kesesuaian dengan karakteristik sampel yang ditetapkan. Hasil studi menunjukkan bahwa penerapan terapi murottal, posisi semi fowler, pemantauan hemodinamik secara berkala, serta pemberian terapi farmakologis dapat berkontribusi terhadap stabilisasi status hemodinamik dan peningkatan kepatenan jalan napas pasien.
EFEKTIFITAS AROMATERAPI MAWAR UNTUK MENGURANGI NYERI DADA DI IGD PKU MUHAMMADIYAH YOGYAKARTA Putri, Refisyah; Arofiati, Fitri; Warno, Puspito
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3223

Abstract

Pendahuluan : Nyeri dada dapat timbul pada pasien Normal Synus Rhytem, pada pasien dengan nyeri dada banyak penyebab yang belum diketahui pasti. Penyebab yang mungkin ada antara lain : masalah pada jantung, paru-paru, pencernaan, otot dan tulang, dan serangan pada psikologis. Pengurangan nyeri yang muncul dapat dilakukan dengan aromaterapi. Aromaterapi mawar sudah terbukti dalam menurunkan nyeri dada pada beberapa jurnal. Cara kerja aromaterapi mawar dimulai dengan dihirup dan menuju ke rangsangan pada otak sehingga akan memicu pelepasan neurotransmiter yang dapat meningkatkan relaksasi. Tujuan penelitian : memberikan analisis aromaterapi pada pasien dengan nyeri dada terhadap proses pelaksanaan asuhan keperawatan.Bahan dan Metode : penelitian ini menggunakan metode studi kasus menggunakan instrument aromaterapi mawar saat intervensi berlangsung. Intervensi keperawatan non-farmakologi yaitu aromaterapi nawar dapat membantu otak falam melepaskan neurotransmiter yang dapat membantu pasien menjadi lebih rileksHasil penelitian : berdasarkan hasil penelitian yang didapatkan menunjukan bahwa klien mengalami penurunan rasa nyeri dada, sebelumnya skala nyeri 6 menjadi 4. Kesimpulan : dari hasil penelitian membuktikan bahwa intervensi pemberian aromaterapi pada pasien dengan nyeri dada selama 60 menit dapat menurunkan rasa nyeri pada pasien. Kata kunci : Nyeri dada; Aromaterapi mawar; Pengurangan nyeri
Electronic Application of Bartocar In Chronic Renal Failure Patients: A Literature Review Arifatul Diktina, Amalia; Arofiati, Fitri
Journal of World Science Vol. 1 No. 7 (2022): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v1i7.62

Abstract

Chronic Renal Failure (CRF) is a slow, progressive and irreversible decline in renal function can lead to the inability of the kidneys to dispose of residual waste products and unable to maintain fluid and electrolyte balance. Hemodialysis treatment measures performed on CRF patients in order to survive. Fluid monitoring in CRF patients using telemonitoring (remote monitoring equipment), the application contains fluid control and diet to facilitate patients at home. To find out the nutritional monitoring of Chronic Renal Failure patients using the electronic application of bartocar (nutritional fluid monitoring sheet). In this literature review were use 3 data bases namely proquest, pubmed and google scholar, he last 5 years from 2016-2020. Inclusion criteria: Quantitative, qualitative and mix method research design, have communication tools such as mobile phones/computers, Based via online (smartphones and websites), Chronic renal failure undergoing hemodialysis, Free, the last 5 years 2016-2020. Exclusion criteria: Paid journals, Patients undergoing hemodialysis. From the results of the journal search obtained 35,944 English journals discussed only 10 journals discussed different topics. Electronic bartocar (fluid monitoring sheet) in patients very helpful to facilitate diet, restriction of incoming and outgoing fluids and nutrients. This mHealth app is designed to help with early diagnosis of CRF and self-monitoring. This app can be accessed via online, android 4.0/ios mobile web application and website app. Bartocar serves to help monitoring fluids and nutrients in chronic renal failure patients at home.