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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) MEDISAINS Mutiara Medika: Jurnal Kedokteran dan Kesehatan IJNP (Indonesian Journal of Nursing Practices) Journal Of Nursing Practice Journal of Nursing Care Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Jurnal Kesehatan Karya Husada JKEP : Jurnal Keperawatan Jurnal Aisyah : Jurnal Ilmu Kesehatan EDUNursing JOSING: Journal of Nursing and Health Universitas Muhammadiyah Yogyakarta Undergraduate Conference Proceeding Journal Of World Science Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) JOURNAL OF Qualitative Health Research & Case Studies Reports Folia Medica Indonesiana
Arofiati, Fitri
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Penerapan mirror therapy berbasis keluarga pada pasien CKD yang menjalani hemodialisis: Studi kasus Putri, Intan; Arofiati, Fitri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1824

Abstract

Background: Chronic Kidney Disease (CKD) is a decline in kidney function that often leads to muscle weakness and decreased mobility. Mirror therapy is a non-invasive rehabilitative intervention that utilizes the mirror neuron system to improve motor function. Purpose: To analyze the implementation of family-based mirror therapy in CKD patients on hemodialysis, based on the principles of nursing ethics and nursing law. Method: A case study was conducted on Mr. S, a 62-year-old patient with CKD undergoing hemodialysis. Mirror therapy was implemented at home, guided by a booklet and educational videos for the patient and family. Data were collected through clinical assessment and interviews with the patient and family. The application of ethical principles (autonomy, beneficence, non-maleficence, and justice) and compliance with Law No. 38 of 2014 and Minister of Health Regulation No. 26 of 2019 were also evaluated. Results: Mr. S, a 62-year-old male with chronic kidney disease (CKD) undergoing hemodialysis, experienced muscle weakness, fatigue, and decreased ability to perform daily activities, with a hemoglobin level of 7.9 g/dL. His family did not understand appropriate rehabilitation strategies, so the patient often rested completely or refused assistance. The implementation of family-based mirror therapy, through educational booklets and videos, facilitated safe light exercise, increased family understanding, and ensured that interventions adhered to ethical principles. Conclusion: The implementation of family-based mirror therapy has been shown to improve the patient's muscle strength, mobility, and independence.   Keywords: CKD; Ethical Principles; Family; Mirror Therapy; Nursing Law.   Pendahuluan: Chronic Kidney Disease (CKD) merupakan penurunan fungsi ginjal yang sering menyebabkan kelemahan otot serta penurunan mobilitas. Mirror therapy adalah intervensi rehabilitatif non-invasif yang memanfaatkan sistem neuron cermin untuk meningkatkan fungsi motorik. Tujuan: Untuk menganalisis penerapan mirror therapy berbasis keluarga pada pasien CKD hemodialisa, berdasarkan prinsip etik keperawatan dan hukum keperawatan. Metode: Penelitian studi kasus pada Tn. S sebagai subjek berusia 62 tahun dengan CKD yang menjalani hemodialisis. Mirror therapy diterapkan di rumah dengan panduan booklet dan video edukatif bagi pasien dan keluarga. Data dikumpulkan melalui pengkajian klinis serta wawancara dengan pasien dan keluarga. Penerapan prinsip etik (autonomy, beneficence, non-maleficence, dan justice) serta kesesuaian dengan UU No. 38 Tahun 2014 dan Permenkes No. 26 Tahun 2019 juga dievaluasi. Hasil: Tn. S berjenis kelamin laki-laki berusia 62 tahun dengan CKD yang menjalani hemodialisis, mengalami kelemahan otot, mudah lelah, dan penurunan kemampuan beraktivitas sehari-hari dengan kadar hemoglobin 7.9 g/dL. Keluarga belum memahami strategi rehabilitatif yang tepat, sehingga pasien sering beristirahat total atau menolak bantuan. Penerapan mirror therapy berbasis keluarga, melalui edukasi booklet dan video, membantu latihan ringan yang aman, meningkatkan pemahaman keluarga, dan memastikan intervensi sesuai prinsip etik. Simpulan: Penerapan mirror therapy berbasis keluarga terbukti meningkatkan kekuatan otot, mobilitas, dan kemandirian pasien.   Kata Kunci: CKD; Keluarga; Hukum Keperawatan; Mirror Therapy; Prinsip Etik.
Penggunaan surgical safety checklist (SSC) di kamar operasi: Studi kasus implementasi prinsip etik Candra, Candra; Arofiati, Fitri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1862

Abstract

Background: A crucial part of being a professional nurse is ensuring patient safety in the operating room. The Surgical Safety Checklist (SSC) is used to prevent errors during surgery and ensure the surgical team performs better. However, in practice, negligence in implementing the SSC still occurs frequently and can lead to ethical violations and patient harm. Purpose: To analyze the application of ethical principles in cases of violations of the Surgical Safety Checklist (SSC) in the operating room. Method: This study used a case report design with a qualitative descriptive approach to describe in-depth real-life experiences in implementing the Surgical Safety Checklist (SSC) in the operating room, specifically related to the application of nursing ethical principles such as autonomy, beneficence, non-harm, and justice. Results: The case of Mrs. D (38 years old) with peritonitis due to bowel perforation demonstrated a failure to implement the SSC (Surgical Safety Checklist) during the handover phase, resulting in the arterial clamp being left in the peritoneal cavity. Analysis showed that this incident violated the principles of non-maleficence and beneficence and demanded moral and professional responsibility from the entire surgical team, especially the nurses as the controllers of patient safety. Conclusion: Adherence to the Surgical Safety Checklist reflects the application of nursing ethics principles and is a key component in ensuring patient safety in the operating room.   Keywords: Nursing Ethics; Operating Room; Patient Safety; Surgical Safety Checklist.   Pendahuluan: Bagian penting dari menjadi perawat profesional adalah memastikan keselamatan pasien di ruang operasi. Daftar Periksa Keselamatan Bedah (Surgical Safety Checklist/SSC) digunakan untuk mencegah kesalahan selama operasi dan memastikan tim bedah bekerja sama dengan lebih baik. Namun dalam prakteknya, kelalaian dalam menerapkan SSC masih sering terjadi dan dapat menyebabkan pelanggaran etika dan membahayakan pasien. Tujuan: Untuk menganalisis penerapan prinsip-prinsip etika keperawatan dalam kasus kelalaian penggunaan Daftar Periksa Keselamatan Bedah (SSC) di ruang operasi. Metode: Studi ini menggunakan desain laporan kasus dengan pendekatan deskriptif kualitatif untuk menggambarkan secara mendalam pengalaman nyata dalam menerapkan Daftar Periksa Keselamatan Bedah (SSC) di ruang operasi, khususnya terkait dengan penerapan prinsip-prinsip etika keperawatan seperti otonomi, kemurahan hati, tidak membahayakan, dan keadilan. Hasil: Kasus pasien Ny. D (38 tahun) dengan peritonitis akibat perforasi usus menunjukkan kegagalan dalam menerapkan SSC (Surgical Safety Checklist) selama tahap serah terima tugas yang mengakibatkan ketertinggalan klem arteri di rongga peritoneum. Analisis menunjukkan bahwa insiden ini merupakan pelanggaran prinsip non-maleficence dan beneficence serta menuntut tanggung jawab moral dan profesional dari seluruh tim bedah, terutama perawat sebagai pengendali keselamatan pasien. Simpulan: Kepatuhan terhadap Daftar Periksa Keselamatan Bedah mencerminkan penerapan prinsip-prinsip etika keperawatan dan merupakan komponen kunci dalam memastikan keselamatan pasien di ruang operasi.   Kata Kunci: Daftar Periksa Keselamatan Bedah; Etika Keperawatan; Keselamatan Pasien; Ruang Operasi.
Development of Discharge Planning for Stroke Patients Rosadi, Muhammad Imron; Arofiati, Fitri
Folia Medica Indonesiana Vol. 59, No. 4
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: 1. Given the frequent long-term complications of stroke, this study identified the ideal approach to discharge planning to improve the quality of life of patients and hospital care. 2. This study provides evidence supporting the effectiveness of a conventional discharge planning approach that incorporates specific educational intervention with interactive learning through audiovisual media. 3. The approaches presented in this study may offer valuable perspectives on enhancing health service provisions, particularly regarding the discharge planning process for nurses. Abstract The quality improvement of discharge planning is essential throughout the development of discharge planning, which guarantees a seamless transition of care for stroke patients and family preparedness. This systematic review aimed to analyze the development of discharge planning and its impact on stroke patients and their families. The research was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible pieces of literature were compiled from seven electronic databases, i.e., ScienceDirect, Scopus, PubMed, EBSCOhost, ProQuest, SAGE Journals, and Google Scholar. The literature search was performed using predetermined search terms, with specific criteria that included papers exclusively published in English and studies conducted in 2018–2022. The development of discharge planning showed a significant impact on stroke patients, as it could influence various aspects of their quality of life. This included improvements in physiological function, enhanced cognitive knowledge, increased satisfaction and self-efficacy, reduced stress levels and care burden, and the opportunity for families to adequately prepare for home-based patient care. This study concluded that integrating conventional with technology-based media is effective for developing discharge plans for stroke patients. The implementation of this novel approach in a health system can improve patient outcomes, family preparedness when providing care, and the quality of hospital care.
Discharge planning berbasis augmented reality dan teach-back pada keluarga pasien yang menjalani hemodialisis: Analisis hukum dan prinsip etik keperawatan Sari, Cindy Amalia; Arofiati, Fitri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1829

Abstract

Background: The need for hemodialysis services continues to increase due to the high prevalence of kidney disease. The use of Augmented Reality (AR) and the Teach-Back method is necessary to optimize discharge planning and improve understanding among patient families. Purpose: To analyze the legal basis and ethical principles of nursing in implementing Augmented Reality (AR)-based discharge planning and the Teach-Back method for families of patients undergoing hemodialysis. Method: This descriptive study design employed a case study analysis approach. Data collection was conducted using literature review and subsequent data analysis using ethical-conceptual analysis, legal interpretation, and ethical principles of nursing in implementing Augmented Reality (AR)-based discharge planning and the Teach-Back method for families of patients undergoing hemodialysis. Results: Discharge planning implementation in hospitals is still dominated by conventional methods, including oral education and printed media such as pamphlets, which are not optimally utilized. Many patients and families appear to understand, but evaluations of understanding are rarely conducted, so the effectiveness of education in preparing for home care is not guaranteed. Conclusion: Discharge planning implementation that still relies on oral education without evaluation of understanding poses legal risks, violations of nursing ethics principles, and professional accountability. The integration of Augmented Reality (AR) and the Teach-Back method can improve patient and family understanding and ensure information is received accurately and accurately. Keywords: Augmented Reality; Discharge Planning; Nursing Law; Nursing Ethical Principles; Teach-Back Method. Pendahuluan: Kebutuhan layanan hemodialisis terus meningkat seiring tingginya prevalensi penyakit ginjal. Penggunaan Augmented Reality (AR) dan metode Teach-Back diperlukan untuk mengoptimalkan pelaksanaan discharge planning dan meningkatkan pemahaman keluarga pasien. Tujuan: Untuk menganalisis landasan hukum serta prinsip etik keperawatan dalam pelaksanaan discharge planning berbasis Augmented Reality (AR) dan metode Teach-Back kepada keluarga pasien yang menjalani hemodialisis. Metode: Penelitian dengan rancangan deskriptif menggunakan pendekatan analisis studi kasus yang dilakukan pengumpulan data menggunakan studi kepustakaan dan selanjutnya analisis data menggunakan analisis etis-konseptual interpretasi hukum, serta prinsip etik keperawatan dalam pelaksanaan discharge planning berbasis Augmented Reality (AR) dan metode Teach-Back kepada keluarga pasien yang menjalani hemodialisis. Hasil: Pelaksanaan discharge planning di rumah sakit masih didominasi metode konvensional, berupa edukasi lisan dan media cetak seperti pamflet yang tidak dimanfaatkan secara optimal. Banyak pasien atau keluarga tampak mengerti, namun evaluasi pemahaman jarang dilakukan, sehingga efektivitas edukasi dalam mempersiapkan perawatan di rumah belum terjamin. Simpulan: Pelaksanaan discharge planning yang masih mengandalkan edukasi lisan tanpa evaluasi pemahaman menimbulkan risiko hukum, pelanggaran prinsip etik keperawatan, dan akuntabilitas profesional. Integrasi Augmented Reality (AR) dan metode Teach-Back dapat meningkatkan pemahaman pasien dan keluarga, serta memastikan informasi diterima dengan tepat dan benar. Kata Kunci: Augmented Reality; Discharge Planning; Hukum Keperawatan; Metode Teach-Back; Prinsip Etik Keperawatan.          
Kepatuhan self-efficacy pasien dalam mengontrol kadar glukosa darah pada pasien DMT2: Literatur review Juraidah, Juraidah; Arofiati, Fitri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 1 (2026): January Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i1.1831

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease whose prevalence continues to increase annually. Good blood glucose control is crucial in preventing complications and even death. The prevalence of diabetes mellitus cases in Indonesia in 2022 is very high, as evidenced by data showing reported cases of diabetes mellitus, with 463 million adults worldwide suffering from the disease. Purpose: To determine self-efficacy compliance for managing blood sugar in patients with type 2 DM. Method: This literature review study was conducted by searching various articles from various relevant sources. The literature was then categorized, analyzed, and summarized through journal screening. Results: Research articles were selected using various research methods related to self-efficacy and adherence in patients with type 2 diabetes. Ten articles were obtained: five using quantitative methods, one using qualitative methods, and three using descriptive methods. The details of the articles are summarized in one table. Conclusion: After analyzing several journals, the results showed that overall, self-efficacy has a very significant relationship with adherence in patients with type 2 diabetes. Keywords: Adherence; Self-efficacy. Pendahuluan: Diabetes melitus tipe 2 (DMT2) adalah penyakit kronis yang populasinya terus meningkat untuk setiap tahunya. Pengendalian glukosa darah yang baik sangat penting dalam mencegah komplikasi hingga kematian. Prevalensi kasus diabetes mellitus di tahun 2022 di Indonesia sangat tinggi dilihat dari data yang menunjukan laporan kasus diabetes mellitus dengan jumlah 463 juta orang dewasa di seluruh dunia yang menderita diabetes mellitus. Tujuan: Untuk mengetahui kepatuhan self efficacy untuk mengatur gula darah pada pasien DM tipe 2. Metode: Penelitian studi literatur review yang dilakukan dengan cara menelusuri berbagai artikel dari berbagai sumber yang relevan kemudian literatur dikelompokkan, dianalisis, diringkas melalui tahap screening jurnal. Hasil: Artikel penelitian dipilih menggunakan berbagai metode penelitian yang berkaitan dengan kepatuhan keyakinan diri pasien dengan diabetes tipe 2 didapatkan 10 artikel 5 artikel dengan metode kuantitatif dan 1 metode kualitatif, 3 artikel dengan metode deskriptif dan rincian artikel dirangkum dalam 1 table Simpulan: Setelah melakukan analisis dari beberapa jurnal didapatkan hasil bahwa adanya secara keseluruhan bahwa self efficacy mempunyai keterkaitan yang sangat signifikan dengan kepatuhan self efficacy pada pasien DM tipe 2. Kata Kunci : Kepatuhan; Self efficacy.      
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): April
Publisher : Universitas 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.
Enhanced Recovery After Surgery (ERAS)Terkait Waktu Pemulihan Pasien Pasca Operasi Elektif:Analisis Bibliometrik 2010–2025 Aryani, Linda; Arofiati, Fitri
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.69582

Abstract

Enhanced Recovery After Surgery (ERAS) is an evidence-based perioperative care approach aimed at accelerating patient recovery, reducing complications, and shortening the length of hospital stay. As ERAS implementation expands across various surgical specialties, scientific publications on the topic continue to grow. However, there is limited mapping of global research trends, key themes, and the developmental trajectory of ERAS research. This study aims to analyze the global development of research on Enhanced Recovery After Surgery (ERAS) regarding postoperative recovery using a bibliometric approach covering the period from 2016 to 2025. A bibliometric method was employed using data from the Scopus database. A total of 460 articles meeting the inclusion criteria were analyzed. Data were exported in CSV format and processed using VOSviewer software to map publication trends, scientific productivity, country distribution, and keyword relationships through co-occurrence, network, overlay, and density visualization analyses. The number of publications on ERAS showed an upward trend during the study period, rising from 26 articles in 2016 to 75 articles in 2025. The United States was the leading contributor to publications. VOSviewer analysis revealed that the “ERAS protocol” was the primary research theme, showing strongassociations with postoperative recovery, length of stay, perioperative care, enhanced recovery, and guidelines. Overlay visualization indicated a shift in research focus toward the evaluation of clinical outcomes, while density visualization identified patient satisfaction, quality of recovery, health economics, and opioidsparing strategies as themes with low research density, representing potential directions for future research. The increasing number of publications indicates that ERAS has become an important evidence-based perioperative care approach worldwide. However, the limited contribution from Indonesia and the relatively 122 Journal of Nursing Care - Volume 9 Issue 2 June 2026 low research density on patient-centered outcomes, health economics, and opioid-sparing strategies suggest substantial opportunities for future research and broader implementation of ERAS in developing countries. Research on ERAS has evolved significantly between 2016 and 2025, dominated by themes such as ERAS protocol implementation, postoperative recovery, and the reduction of hospital stay duration. Bibliometric analysis highlights research opportunities regarding patient outcomes, healthcare service efficiency, and ERAS implementation in nursing practice, particularly in developing countries like Indonesia.
Efektifitas Penggunaan Cold Pack dibandingkan Relaksasi Nafas Dalam untuk Mengatasi Nyeri Pasca Open Reduction Internal Fixation (ORIF) Kristanto, Agung; Arofiati, Fitri
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i1.3421

Abstract

 Background: Pain is the main problem of patients post surgery. The reguler pain management are use pharmacological and non pharmacological therapy. One of the variety of non pharmacology therapy is cold compression, which is an innovation of cold pack. Aim of Research The purpose of this study was to compare the effectiveness of cold compress cold pack with deep breathing relaxation in reducing pain for patients with post ORIF (Open Reduction Internal Fixation). Research Methods: This study design was Quasi-Experiments pre-Test Post-Test With Control Group. There were patients post ORIF in the third class ward dr Soeradji Tirtonegoro Klaten consisting of 15 patients in the intervention cold compress with cold pack and 15 patients the control group in the deep breathing relaxation as respondents. The treatment was done 4 times post analgetic I and post analgetic II. Pain level was measured by VAS pain scale and conducted in  2 times the first after  analgesic 1, second measurement  after analgesic 2. The statistical test for analysis data used independent test t-test and paired t- test.Result: The results of independent t-test before the intervention is relatively the same. Meanwhile, after intervention the level of pain from intervention group which was cold pack decreased 3 (three) point and from control group (deep breathing relaxation) decreased 1 (one) point. The statictical analysis measurement showed that p value was 0,00.Conclusion: It is proved that the intervention  of cold pack has more effective than deep breathing relaxation. Suggestion: Used cold pack further enhanced as one implementation of independent nursing, but still pays attention to changes in the patient's physical condition.
Co-Authors Abdul Aziz Agung Kristanto Ambar Relawati, Ambar Anifan, Muhammad Nur Arifatul Diktina, Amalia azizah khoiriyati Azizah, Ayu Nur Baso, Yusriani Saleh Candra candra Dahyanto, Dahyanto Fitri Haryanti Hidayati, Novia Tri Hilalriah, Annisa Indah Susanti juraidah, juraidah Kitong, Berti Irwin Kurniasih, Ami Linda Aryani Muhammad Hadi Muhammad Imron Rosadi Nurmansyah Nurmansyah, Nurmansyah Nursalam Nursalam Nursanti, Irna Permana, Daffa Mohammad Prabawati, Dewi Primadani, Miranti Purnamawati, Ditha Astuti Purwati, Nyimas Heny Putri, Intan Ruhyana, Ruhyana Rumila, Erna Sakinah, Isnina Noor Sari, Cindy Amalia Sasteri Yuliyanti Setyaningsih, Fitaluviana Tintin Sukartini Sukartini, Tintin Sukartini Tuti Nuraini Wahyu Hidayati Wati, Nurma Widagdo, Giri Yanny Trisyani