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BRIDGING THE NURSING CARE GAP: BUILDING QUALITY NURSING SERVICES FOR GAYS WITH HIV/AIDS THROUGH STANDARDIZATION, ENHANCEMENT OF NURSES' COMPETENCE, AND PATIENT PARTICIPATION Silalahi, Malianti; Pangaribuan, Santa Maria; Permaida, Permaida; Hermawan, Stepanus Maman
Nursing Current: Jurnal Keperawatan Vol. 12 No. 2 (2024): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i2.9050

Abstract

Nursing care is a crucial aspect in addressing health issues, including Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS), especially within the gay population. A lack of knowledge regarding nursing care for this population can hinder the reduction of HIV/AIDS cases. There is a need for HIV/AIDS nursing care standards that are not only comprehensive but also sensitive to the specific perceptions and needs of gay patients. Negative perceptions of nursing care can affect the quality of care and patient involvement in managing their health. Therefore, this study aims to explore these perceptions. This study employed a qualitative descriptive design to gain a deep understanding of the perceptions of gay patients with HIV/AIDS towards nursing care. Data was collected through in-depth interviews with 14 participants selected purposively. The interviews were designed to explore the participants' views, experiences, and expectations regarding the nursing services they received. The collected data was analyzed using thematic analysis, allowing the researchers to identify and categorize the main themes from the gathered information. Two main themes were identified during this study: The desired professional nursing services for gay individuals with HIV/AIDS and the limitations of nurses in involving gay clients with HIV/AIDS in the nursing care planning process. Consistent and standardized nursing care services, as well as enhancing nurses' skills and abilities through mentoring and training, are the expectations of gay individuals with HIV/AIDS towards professional nursing care. A heavy workload is a limitation faced by nurses in providing optimal nursing care to gay individuals with HIV/AIDS.
Asuhan keperawatan pada pre dan pasca ORIF kasus fraktur intra artikular fibula ½ distal sinistra : Nursing care for pre- and post-ORIF of an intra-articular fracture of the distal ½ fibula sinistra Ruth; Silalahi, Malianti; Marpaung, Yosi Marin; Dasat , Mariam
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 2 (2025): JiKep | Juni 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i2.2591

Abstract

Fraktur fibula adalah patah tulang pada fibula yang umumnya disebabkan oleh trauma langsung atau gerakan memutar, dan sering memerlukan tindakan pembedahan berupa Open Reduction Internal Fixation (ORIF). Penelitian ini bertujuan menggambarkan asuhan keperawatan pada pasien dengan fraktur fibula intraartikular ½ distal sinistra pada fase pra dan pasca ORIF. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan, mencakup pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Data dikumpulkan melalui wawancara, pemeriksaan fisik, dan pemeriksaan penunjang. Asuhan keperawatan diberikan selama tiga hari, yaitu tanggal 17–20 Desember 2024 di rumah sakit swasta Jakarta Barat. Pasien, Tn. S (27 tahun), memiliki riwayat diabetes melitus yang berpengaruh terhadap proses penyembuhan luka. Gejala yang dialami pasien antara lain nyeri hebat, bengkak, dan kesulitan berjalan. Ditemukan tiga diagnosis aktual: nyeri akut pra-ORIF, nyeri akut pasca-ORIF, dan gangguan mobilitas fisik; serta dua diagnosis risiko: risiko infeksi pra dan pasca-ORIF. Ansietas tidak ditemukan karena koping adaptif yang baik dan dukungan keluarga. Intervensi keperawatan meliputi teknik relaksasi napas dalam, hipnotis lima jari, distraksi, mobilisasi bertahap, dan pemantauan infeksi. Edukasi mandiri pasca-ORIF penting untuk mencegah komplikasi dan meningkatkan kualitas hidup pasien. Kata Kunci : Asuhan keperawatan, Fraktur, Nyeri, ORIF
Conscience of Nursing Students: We Need to be Trusted and Appreciated, Not Bullied When Doing Clinical Practice in the Era of Covid-19 Rosliany, Nia; Puspasari, Jehan; Casman, Casman; Silalahi, Malianti
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 1 (2023): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i1.685

Abstract

Background: Nursing vocational education is one of the education sectors that has quite felt the impact of the Covid-19 disease outbreak because it is mandatory to practice in hospitals so that they have expertise in applied science. Objective: . This study explores the needs of vocational nursing students in carrying out clinical practice in hospitals during the Covid-19 pandemic. Method: The research design used in this study is a qualitative description approach, the sampling technique is purposive sampling, and the analysis uses thematic analysis. The number of participants in this study was 18. Result: The study's results revealed various obstacles students experienced when carrying out clinical practice as illustrated in four themes, namely patients and families doubting our abilities as students and our capabilities as nurses also challenge students. Conclusion: We need to understand that we are learning, shocked, embarrassed, and scared when the nurse scolds us in front of the patient. Recommendation: Policymakers need to carry out more effective clinical practice in the Covid-19 era by improving students' therapeutic communication skills and paying attention to psychological conditions. Building self-resilience and suitable coping mechanisms in student nurses before going into clinical practice
PENTINGNYA KESEHATAN JIWA ANAK SEJAK DINI: DETEKSI MASALAH EMOSI DAN PERILAKU PADA ANAK PRASEKOLAH DI PEMUKIMAN PADAT PENDUDUK Permaida, Permaida; Noviantari, Komang; Silalahi, Malianti; Zendrato, Mey Lona Verawaty
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.25725

Abstract

Abstrak: Masalah kesehatan jiwa anak menjadi isu penting yang tidak boleh diabaikan. Skrining masalah kesehatan jiwa menjadi langkah awal identifikasi. Kegiatan PKM ini bertujuan mengindentifikasi masalah kesehatan jiwa pada anak usia pra sekolah berupa masalah emosi dan perilaku anak yang tinggal di wilayah pemukiman padat penduduk. Metode PKM ini adalah melakukan skrining kesehatan jiwa kepada 15 orang usia pra sekolah yang diselenggarakan di wilayah kerja mitra kami, Yayasan Rahmat Empati di Pondok Empati, jalan Pekojan II no 129 c, Kecamatan, Tambora, Jakarta Barat. Data masalah kesehatan jiwa anak mengenai emosi dan perilaku anak usia pra sekolah dievaluasi menggunakan kuesioner masalah perilaku emosional (KMPE) melalui wawancara terpimpin. Data dianalisis dan disajikan dalam bentuk distribusi frekuensi. Evaluasi dalam kegiatan ini dengan pengisian lembar kuesioner oleh peserta. Hasil penilaian terhadap 15 anak menunjukkan 6,7% anak mengalami masalah perilaku emosional dan direkomendasikan untuk rujukan ke rumah sakit, 26,7% anak memperlihatkan potensi masalah dan dipantau dalam kunjungan berikutnya dalam 3 bulan, dan 66,6% anak lainnya dikategorikan normal. Kegiatan ini diharapkan mendorong semua pihak terkait untuk rutin melaksanakan deteksi dini masalah emosional dan perilaku pada anak pra sekolah, sehingga penanganan awal dapat diberikan.Abstract: Children's mental health problems are an important issue that should not be ignored. Screening for mental health problems is the first step in identification. This PKM activity aims to identify mental health problems in preschool children in the form of emotional and behavioral problems in children who live in densely populated residential areas. This PKM method is to carry out mental health screening on 15 preschool-age people held in the work area of our partner, the Rahmat Empati Foundation in Pondok Empati, Jalan Pekojan II no 129 c, District, Tambora, West Jakarta. Data on children's mental health problems regarding the emotions and behavior of preschool-aged children was evaluated using the Emotional Behavior Problems Questionnaire (KMPE) through guided interviews. The data is analyzed and presented in the form of a frequency distribution. Evaluate this activity by filling out a questionnaire sheet by participants. The assessment results of 15 children showed that 6.7% of children experienced emotional behavior problems and were recommended for referral to hospital, 26.7% of children showed potential problems and were monitored at the next visit in 3 months, and 66.6% of other children were categorized as normal. This activity is expected to encourage all related parties to routinely detect emotional and behavioral problems in preschool children so that early treatment can be provided.
Perawatan Tuberculosis paru berulang: Studi kasus: Nursing care for recurrent lung Tuberculosis: A case study Vega, Venus Amelia; Permaida; Silalahi, Malianti; Dasat, Mariam
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 3 (2025): JiKep | Oktober 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i3.2622

Abstract

Adanya tren peningkatan tuberkulosis (TB) paru berulang menjadi masalah kesehatan yang memerlukan perhatian serius di Indonesia. Pada tahun 2023 tercatat 1.060.000 kasus. Penelitian ini bertujuan untuk melihat efektivitas asuhan keperawatan pada pasien tuberkulosis (TB) paru berulang melalui metode studi kasus proses keperawatan berdasarkan observasi, pemeriksaan fisik, wawancara, dan rekam medis. Asuhan dilakukan selama 5 hari pada Ny. D (35 tahun) dengan diagnosa tuberculosis (TB) paru berulang sejak 16 hingga 20 Desember 2024. Hasil pengkajian menunjukkan suara ronkhi, kesulitan mengeluarkan sputum, dan nyeri dada (skala 6/10). Pasien tinggal di lingkungan padat, tidak patuh minum obat antituberkulosis (OAT) sejak sebulan sebelum dirawat, serta memiliki riwayat kontak dengan penderita tuberkulosis (TB). Temuan masalah keperawatan nyeri akut, bersihan jalan napas tidak efektif, dan gangguan pola tidur. Intervensi dan implementasi keperawatan meliputi observasi berkala, kompres hangat, posisi prone, aromaterapi, imajinasi terbimbing, serta kolaborasi terapi farmakologis dan edukasi pencegahan pada hari ketiga. Evaluasi menunjukkan masalah teratasi pada hari kelima dengan nyeri menurun, sputum berkurang, dan pola tidur membaik. Perhatian pada pasien tuberkulosis (TB) paru antara lain kontrol rutin pengobatan dan pentingnya keterlibatan keluarga sebagai Pengawas Minum Obat (PMO) untuk meningkatkan kepatuhan dan mencegah kekambuhan
Program GERCEP BU dalam Upaya Meningkatkan Peran Ibu dalam Optimalisasi Peran dan Fungsi Keluarga Fitria, Dian; Silalahi, Malianti; Setyaningsih, Tri; Puspasari, Jehan; Yesayas, Fendy
APMa Jurnal Pengabdian Masyarakat Vol. 3 No. 1: Januari 2023
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v3i1.388

Abstract

Keluarga memiliki peranan penting didalam membangun kesehatan dan kesejahteraan sosial. Nilai, budaya, pendidikan, kesehatan, didalam msyarakat dibangun didalam keluarga. Sebaliknya permasalahan yang terjadi didalam masyarakat juga terjadi tidak terlepas dari fondasi yang dibangun didalam keluarga. Permasalahan seperti perceraian, kekerasan, NAPZA, putus sekolah, pergaulan bebas, hingga masalah kejiwaan. Peran ibu didalam keluarga yang optimal dapat meningkatkan keharmonisan dalam keluarga serta mencegah munculnya permasalahan tersebut terjadi dimasyarakat. Seorang ibu didalam keluarga yang belum mencapai tugas perkembangan dewasanya akan berdampak pada perannya didalam keluarga. peran dan fungsi keluarga yang tercapai. Salah satu upaya yang dapat dilakukan untuk mengoptimalkan peran ibu didalam keluarga adalah dengan memberikan terapi kelompok terapeutik (TKT) usia dewasa.Terapi ini merupakan salah satu terapi spesialis keperawatan jiwa, terapi menggunakan metode pemberian edukasi, dan latihan stimulasi. Terapi ini memberikan edukasi mengenai tahap tumbuh kembang psikologis dan melatih peserta TKT untuk mencapai tumbuh kembang tersebut. Adapun aspek yang dilatih adalah aspek biologis, psikoseksual, kognitif, bahasa, emosi, bahasa, kepribadian, moral, spiritual, sosial yang dikaitkan dengan peran dan tugas keluarga. Hasil pengabdian kepada masyarakat ibu telah memiliki kemampuan dasar 73% dan setelah dilakukan kegiatan TKT meningkat menjadi 95% mengalami kenaikan sebesar 22% pada ibu di wilayah RW 03 Kelurahan Pasar Baru. Dengan adanya kenaikan ini diharapkan dapat meningkatkan kemampuan ibu dalam mengatasi masalah yang dihadapi didalam keluarga, dan terapi ini dapat dijadikan salah satu upaya dalam intervensi yang diberikan pada kegiatan posyandu, sehingga posyandu tidak hanya berfokus pada pertumbuhan dan perkembangan anak tetapi juga orang tua dalam menjalankan peran didalam keluarga.
Persiapan Peningkatan Kemandirian dan Produktivitas ODGJ Melalui Edukasi Perawatan Diri, Social Skill Trainning, dan Psikoedukasi Keluarga pada Fase Recovery Fitria, Dian; Setyaningsih, Tri; Silalahi, Malianti; Rosliany, Nia; Juliani, Enni; Dameria, Dameria
Jurnal Pengabdian Kesehatan Vol 2 No 1 (2025): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/sqj.v2i1.247

Abstract

The recovery phase is an important phase for patients to be able to return to society and recover, be independent and productive. Failure in this phase results in relapse and readmission of the patient to health services. Recovery is not just a patient going to the hospital and taking medication, but it is more complex than that, it requires support from the family. Education on the importance of self-care, communication and social interaction for patients and family psychoeducation are the intervention packages provided in this activity program. This program aims to increase patient self-esteem so that they can communicate and interact socially, as capital to return to being independent and productive in society. This activity was carried out at social rehabilitation in Central Jakarta for all 20 patients and families. The method used is to provide education containing self-care knowledge for patients and family psychoeducation. The results of this activity increase the patient's knowledge and ability to care for themselves, communicate and social interaction, followed by an increase in the family's ability to care for the patient and carry out stress management. This program hoped that through this activity patients can recover, reduce patient recurrence rates, increase patient independence and productivity with support from family and community
Pengkajian Keperawatan yang Efektif bagi Gay dengan HIV/AIDS Silalahi, Malianti
Jurnal Kesehatan Holistic Vol. 3 No. 2 (2019): Jurnal Kesehatan Holistic Volume 3/Nomor 2/Juli 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (564.391 KB) | DOI: 10.33377/jkh.v3i2.55

Abstract

Nursing care is a form of nurse care that can help in overcoming health problems, including those with gay / HIV / AIDS. Nursing assessment can be one of the keys to the successful implementation of nursing care. This study aims to explore effective nursing studies for gays with HIV / AIDS. This research is qualitative research with qualitative descriptive design. Data collection uses in-depth interview techniques with semi structure and uses field notes to 14 participants and is analyzed by thematic analysis. This study produced two themes, namely the focus of the assessment technique at the beginning of the meeting and the scope of the comprehensive study. Gay with HIV / AIDS takes time to establish trust and closeness with nurses. Assessment techniques at the beginning of the meeting are things that must be considered by nurses in the nursing care process. Open attitude must be considered in conducting nursing studies.
Terapi Kelompok Terapeutik dan Terapi Kognitif Perilaku Efektif Menurunkan Prodroma Remaja dengan Orang Tua Bercerai Silalahi, Malianti; Daulima, Novy H. C.; Mustikasari, Mustikasari
Jurnal Kesehatan Holistic Vol. 5 No. 2 (2021): Jurnal Kesehatan Holistic Volume 5/Nomor 2/Juli 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (402.337 KB) | DOI: 10.33377/jkh.v5i2.102

Abstract

Adolescent is a growth phase that is quite vulnerable because it is a phase of searching for self-identity. At the stage of adolescent development, the role of parents is needed because it is a place for teens to ask in the process of finding their true identity. Some studies show that parental divorce primarily has a negative impact on adolescent psychology. Adolescent mental health due to divorce parents need to get treatment by knowing the initial signs and symptoms of early psychosis and providing nurses nurses' actions and specialist actions. The writing of this scientific paper explains the results of therapeutic measures of nurses, therapeutic group therapy and cognitive behavioral therapy in reducing the rate of prodroma in adolescents with divorced parents. The method used is case series. Analysis was carried out on 6 teenagers, ages 13-16 years and had divorced parents. Results: Adolescents with divorced parents had increased prodroma rates after receiving therapeutic group therapy, but there was an increase in the achievement of developmental tasks and an increase in cognitive, emotional and psychosocial developmental abilities that were the basis for reducing prodroma. Cognitive behavioral therapy reduces the rate of prodroma in adolescents with divorced parents. The need for further research related to the effectiveness of therapy with more samples.
Persepsi Mahasiswa Baru yang Mengalami Kesurupan Terkait Stres Akademik Silalahi, Malianti; Casman, Casman; Kurniawan, Kurniawan; Khoirunnisa, Khoirunnisa
Jurnal Kesehatan Holistic Vol. 6 No. 2 (2022): Jurnal Kesehatan Holistic Volume 6/ Nomor 2/ Juli 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (366.83 KB) | DOI: 10.33377/jkh.v6i2.133

Abstract

Introduction: dissociative trance is susceptible to occur in first year student. This is associated with their ability in dealing with academic stress. Objective: this study aimed to explore the perception of freshmen year who experience trance that were associated with stress. Methods: this qualitative research used descriptive methods. The sampling technique was a purposive sampling. The participants were freshmen in the first semester and students who experienced mass trance. This study used in-depth interview as data collection technique. Result: there were five main themes, psychological responses and coping mechanisms of freshmen year who experience a trance in adapting to a new environment, perceptions of students who experience a trance that are in line with attitudes and emotional states in dealing with stress, impact namely of unresolved stressors on students who are in a trance experiencing a mass trance, the support system needed by students who are in a trance to cope with stress, and the process of the occurrence of a trance. Conclusion: stress factors and responses to cope the stress, as well as beliefs and heredity are considered as triggers for the occurrence of trance in freshmen year. This study described students' perceptions of the occurrence of trance. Further research is needed to find out the specific factors of trance.