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Analysis of chronic patient management with communication SBAR and interprofessional collaboration (IPC) Mei Astuti, Andriani; Bala Krishnan, Arvind; Probowati, Rovica; Buyu Prakoso, Adi; Firdaus, Insanul
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/bsv3va04

The occurrence of chronic diseases is a predominant challenge in global public health. Chronic diseases have a high incidence; according to the 2021 study conducted by the Global Burden of Disease, chronic diseases such as hypertension and diabetes are included in the top five death risks in the world and are responsible for approximately 20% of global deaths. SBAR communication technique is the prioritized indicator for effective communication quality in patient safety goal (IPSG 2). Patient safety highly depends on the medical team’s action in decreasing unwanted incidence, which can be prevented by increasing effective communication through socializing SBAR communication. The purpose of this study was to analyze the effect of implementing SBAR communication in interprofessional collaboration (IPC) between doctors and nurses on patient safety. The research used a quasi-experimental method with a one-group pretest-posttest design. The respondents were 35 nurses and 35 doctor specialists according to the inclusion criteria with purposive sampling. The research instruments were SBAR communication questionnaires, with a validity value of CVI=0.87 and a reliability value of Cronbach’s Alpha=0.62. Data was analyzed using the Wilcoxon Test. The results showed a significant difference in pre-post SBAR implementation scores between doctors and nurses (p=0.04; p<0.05). The research results showed that the Mean Rank was 18.00 for both doctor specialists and nurses, indicating that socializing SBAR communication could significantly change the mean rank value.

Pengaruh Penerapan Self Management Dietary Behaviors (SMDB) Pada Mahasiswa Baru Terhadap Tingkat Stress dan Pola Makan Sehat Astuti, Andriani Mei; Firdaus, Insanul; Fadhilla, Fadhilla; Nuzulla, Firdausi
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.12580

Masa kuliah merupakan fase krusial dalam pembentukan kebiasaan makan yang akan terbawa hingga dewasa. Mahasiswa sering dihadapkan pada pola makan tidak sehat, seperti konsumsi makanan cepat saji, rendah buah dan sayur, dan tinggi gula/lemak. Data WHO (2024) menyebutkan bahwa 45–55% mahasiswa di Asia Tenggara memiliki perilaku diet yang buruk, sedangkan Riskesdas (2023) menemukan lebih dari 40% remaja di Indonesia tidak memenuhi anjuran konsumsi buah dan sayur. Pola makan tidak sehat dan tingginya tingkat stres dapat meningkatkan risiko penyakit kronis di usia muda. Pendekatan Self-Management Dietary Behaviors (SMDB) dalam penelitian ini bertujuan menganalisis pengaruh self management dietary behaviour (SMDB) pada mahasiswa baru terhadap tingkat stress dan pola makan. Metode penelitian ini merupakan quasi-experimental dengan desain cross-sectional. Instrumen penelitian berupa kuesioner Perceived Stress Scale (PSS) dan Healthy Eating Index (HEI) untuk menilai pola makan dan SMDB yang telah tervalidasi. Analisis statistic menggunakan uji Chi-Square dengan signifikansi 0,05. Hasil menunjukkan adanya hubungan yang signifikan antara pola makan dengan SMDB (p = 0,002), di mana mahasiswa dengan SMDB sedang hingga tinggi cenderung memiliki pola makan lebih sehat, sedangkan pola makan buruk lebih banyak ditemukan pada mahasiswa dengan SMDB rendah. Temuan ini menegaskan bahwa kemampuan perencanaan, monitoring, dan kontrol diri berperan penting dalam membentuk pola makan sehat. Penelitian ini memberikan implikasi bagi dunia keperawatan untuk mengembangkan intervensi edukatif berbasis self-management guna meningkatkan perilaku makan sehat pada mahasiswa baru.

Antara Penerimaan dan Penolakan: Studi Kualitatif Sikap Masyarakat Yogyakarta terhadap LGBT Amtiyaz, Irba Tartila; Astuti, Andriani Mei
BEST Journal (Biology Education, Sains and Technology) Vol 9, No 1 (2026): Juni 2026
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v9i1.12975

Sikap masyarakat Indonesia terhadap LGBT secara umum masih cenderung negatif, meskipun LGBT tidak termasuk tindakan ilegal di tingkat nasional, kecuali di beberapa daerah tertentu. Masyarakat Indonesia sebagian besar memandang LGBT sebagai perilaku menyimpang yang bertentangan dengan norma sosial dan nilai-nilai agama. sikap masyarakat Indonesia terhadap LGBT yang dipengaruhi oleh nilai dan norma sosial memicu stigma serta diskriminasi yang berdampak pada terbatasnya hak hidup dan kesejahteraan kelompok tersebut. Sikap masyarakat perlu dipahami, sehingga wawasan bagi pembuat kebijakan, aktivis sosial, dan akademisi dalam merumuskan strategi yang lebih inklusif dan berbasis pada hak asasi manusia. Penelitian dilakukan dengan metode kualitatif dengan jenis deskripsi kualitatif ini melibatkan 8 partisipan yang dipilih menggunakan metode snowball sampling. Pengambilan data dilakukan pada Mei 2025 dengan melakukan in-depth interview. Analisis data dilakukan dengan menggunakan metode analisis tematik untuk menjelaskan hasil penelitian Hasil analisis menunjukkan bahwa terdapat 4 tema yang teridentifikasi, adalah: 1. Komponen kognitif sikap (pemahaman) masyarakat terhadap LGBT; 2. Sikap penerimaan kondisional masyarakat terhadap LGBT; Komponen konatif sikap (Upaya) dan harapan masyarakat mengenai fenomena LGBT; dan 4. Interaksi masyarakat dengan individu LGBT. Sikap masyarakat terkait LGBT dipengaruhi beberapa faktor. Penerimaan masyarakat bersifat bersyarat dengan tujuan agar masyarakat dapat hidup berdampingan dengan LGBT dalam lingkungannya.

Designing Environmentally Sustainable Nursing Protocols: A Novel Framework to Reduce Carbon Footprint in Hospital Care Through Green Practice Integration Witriyani Witriyani; Andriani Mei Astuti; Irba tartila Amtiyaz; Vijimol Vijimol
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 1 No. 3 (2024): July: Green Health: International Journal of Health Sciences, Nursing and Nutri
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v1i2.256

This study explores the integration of green practices into nursing protocols as a means of reducing the environmental impact of hospital care. Hospitals significantly contribute to global carbon emissions, and nursing practices are integral to healthcare operations, yet they often lack sustainability considerations. The aim of this research was to develop and implement a set of green-practice guidelines tailored for nursing staff to minimize carbon emissions and improve operational efficiency. Through collaboration with environmental experts, nursing staff, and hospital management, new guidelines were established focusing on waste reduction, energy-efficient practices, and sustainable procurement. A waste-audit assessment was conducted to analyze current waste management practices, while a pilot implementation was carried out in selected hospital wards. The results revealed an 18% reduction in carbon emissions following the integration of these green practices into daily nursing activities. Key contributors to this reduction included waste segregation, the use of reusable medical supplies, and energy conservation measures such as optimizing lighting and HVAC systems. However, challenges such as resistance to change, resource limitations, and the need for specialized training were identified during the pilot phase. Despite these barriers, the research highlights the significant potential for nurses to lead sustainability efforts in healthcare settings. The findings indicate that integrating green practices into nursing protocols can provide environmental, operational, and economic benefits, ultimately contributing to more sustainable healthcare systems. Future research should refine these protocols, explore their broader application, and assess long-term outcomes across various healthcare settings

Innovative One-Health Assessment of Microplastic Exposure in Healthcare Workers: Quantifying Risk across Occupational, Environmental, and Dietary Pathways Andriani Mei Astuti; Dwi Yogo Budi Prabowo; Ajila Raj BS
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 1 No. 3 (2024): July: Green Health: International Journal of Health Sciences, Nursing and Nutri
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v1i3.264

Microplastic exposure in healthcare workers is a growing concern, yet it remains underexplored, especially in the context of their multifaceted exposure pathways. This study aims to quantify the exposure of healthcare workers to microplastics through three primary pathways: occupational, environmental, and dietary. By adopting a One-Health approach, which integrates human, animal, and environmental health sectors, this research assesses microplastic levels across hospital settings, comparing clinical and non-clinical staff. The study found that healthcare workers, particularly those working in clinical departments like laboratories and physiotherapy, had a 35% higher exposure rate to microplastics compared to non-clinical staff. Occupational exposure was linked to direct contact with medical disposables and contaminated surfaces, while environmental exposure primarily occurred through airborne particles and dust. Dietary exposure, especially from seafood and plastic-packaged foods, contributed significantly to the overall exposure. The findings highlight the importance of considering multiple pathways when assessing microplastic risks and suggest that microplastics are an emerging health hazard for healthcare workers. Potential health risks include respiratory issues, gastrointestinal disturbances, endocrine disruption, and chronic conditions such as neurotoxicity and cancer. This study underscores the need for policy changes, including the reduction of single-use plastics in healthcare environments, improvements in ventilation, and the development of dietary guidelines to limit microplastic intake. Future research should focus on the long-term health impacts of chronic microplastic exposure in healthcare workers and evaluate the effectiveness of interventions designed to mitigate these risks.

Hubungan Burnout terhadap Dampak Produktivitas Kinerja Perawat di RSUD Ir. Soekarno Sukoharjo Putri, Erni Fatmawati; Astuti, Andriani Mei; Widiastuti, Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1948

Burnout is a state of physical, emotional, and mental exhaustion that arises due to high and prolonged work pressure, especially in professions with high levels of work intensity such as nursing. This condition has a significant impact on reducing the enthusiasm, motivation, and productivity of nurses, which ultimately affects the quality of nursing services in hospitals. This study aims to identify the relationship between burnout and decreased work productivity of nurses in the Inpatient Ward of Ir. Soekarno General Hospital, Sukoharjo Regency. This study applies a quantitative method with a cross-sectional research design. The number of respondents consisted of 69 nurses, selected using a purposive sampling method. The tools used in the study consisted of the Maslach Burnout Inventory (MBI) questionnaire to assess the level of burnout and a work productivity questionnaire that has six indicators: ability, work results, motivation, self-development, quality, and efficiency. The research findings indicate that the majority of respondents experienced burnout in the high category (66.7%) and low work productivity (89.9%). Bivariate analysis using the Spearman Rank test produced a p-value of 0.001 < 0.05. The higher the level of burnout experienced by nurses, the lower their work productivity in completing nursing tasks effectively and sustainably. Workload management, strengthening social support, rewarding performance, improving work-life balance, and regular stress management training can support maximum performance and improve the quality of care services comprehensively and sustainably in addressing burnout

Transformasi Kesehatan Mental Lansia Melalui Strategi Penanganan Depresi di Griya Sehat Bahagia Palur Karanganyar Astuti, Andriani Mei; Amtiyaz, Irba Tartila; Firdaus, Insanul; Rahmawati, Annisa; Nugraheni, Putri Desvita Sari
AURELIA: Jurnal Penelitian dan Pengabdian Masyarakat Indonesia Vol 5, No 1 (2026): January 2026
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/aurelia.v5i1.7919

Peningkatan jumlah lansia berdampak pada meningkatnya permasalahan kesehatan mental, khususnya depresi. Lansia yang tinggal di panti sosial cenderung memiliki risiko depresi lebih tinggi akibat keterbatasan interaksi sosial dan dukungan emosional. Penelitian ini bertujuan untuk meningkatkan kesehatan mental lansia melalui penerapan intervensi keperawatan jiwa dan gerontik dalam penanganan depresi di Griya Sehat Bahagia Palur, Karanganyar, dengan pendekatan kualitatif dan desain deskriptif. Subjek penelitian yaitu 60 lansia, dengan fokus intervensi pada 30 lansia yang menunjukkan gejala depresi. Teknik pengumpulan data meliputi observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan adanya peningkatan pemahaman lansia tentang kesehatan mental, keterbukaan dalam mengekspresikan emosi, serta perubahan perilaku ke arah yang lebih positif, seperti meningkatnya interaksi sosial dan motivasi mengikuti aktivitas. Disimpulkan bahwa intervensi keperawatan jiwa dan gerontik efektif dalam mendukung penurunan gejala depresi dan peningkatan kesejahteraan mental lansia di panti sosial.

Pengaruh Penerapan Self Management Dietary Behaviors (SMDB) Pada Mahasiswa Baru Terhadap Tingkat Stress dan Pola Makan Sehat Astuti, Andriani Mei; Firdaus, Insanul; Fadhilla, Fadhilla; Nuzulla, Firdausi
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.13082

Masa kuliah merupakan fase krusial dalam pembentukan kebiasaan makan yang akan terbawa hingga dewasa. Mahasiswa sering dihadapkan pada pola makan tidak sehat, seperti konsumsi makanan cepat saji, rendah buah dan sayur, dan tinggi gula/lemak. Data WHO (2024) menyebutkan bahwa 45–55% mahasiswa di Asia Tenggara memiliki perilaku diet yang buruk, sedangkan Riskesdas (2023) menemukan lebih dari 40% remaja di Indonesia tidak memenuhi anjuran konsumsi buah dan sayur. Pola makan tidak sehat dan tingginya tingkat stres dapat meningkatkan risiko penyakit kronis di usia muda. Pendekatan Self-Management Dietary Behaviors (SMDB) dalam penelitian ini bertujuan menganalisis pengaruh self management dietary behaviour (SMDB) pada mahasiswa baru terhadap tingkat stress dan pola makan. Metode penelitian ini merupakan quasi-experimental dengan desain cross-sectional. Instrumen penelitian berupa kuesioner Perceived Stress Scale (PSS) dan Healthy Eating Index (HEI) untuk menilai pola makan dan SMDB yang telah tervalidasi. Analisis statistic menggunakan uji Chi-Square dengan signifikansi 0,05. Hasil menunjukkan adanya hubungan yang signifikan antara pola makan dengan SMDB (p = 0,002), di mana mahasiswa dengan SMDB sedang hingga tinggi cenderung memiliki pola makan lebih sehat, sedangkan pola makan buruk lebih banyak ditemukan pada mahasiswa dengan SMDB rendah. Temuan ini menegaskan bahwa kemampuan perencanaan, monitoring, dan kontrol diri berperan penting dalam membentuk pola makan sehat. Penelitian ini memberikan implikasi bagi dunia keperawatan untuk mengembangkan intervensi edukatif berbasis self-management guna meningkatkan perilaku makan sehat pada mahasiswa baru

Analisis Perubahan Hemodinamika Pada Pasien Gagal Jantung Kongestif dengan Intervensi Posisi Semi Fowler dan Lateral Kanan di RSUD Dr. Moewardi Surakarta Nurul Azizah; Muzaroah Ermawati Ulkhasanah; Andriani Mei Astuti
Nursing Care and Health Technology Journal (NCHAT) Vol. 6 No. 2 (2026): Nursing and Health Care Technology-July to December Period
Publisher : Progres Ilmiah Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56742/nchat.v6i2.213

Gagal jantung kongestif merupakan salah satu penyakit kronis yang disebabkan karena jantung tidak mampu memompa darah dengan efektif yang mengakibatkan penurunan aliran darah ke organ-organ. Penyakit gagal jantung kongestif dapat mempengaruhi hemodinamika karena gangguan curah jantung. Implementasi terapi farmakologi dapat diberikan untuk memperbaiki hemodinamik dengan kombinasi posisi semi fowler dan lateral kanan. Tujuan dari penelitian ini adalah untuk mengetahui perubahan hemodinamika pada pasien gagal jantung kongestif sebelum dan sesudah diberikan intervensi kombinasi posisi semi fowler dan lateral kanan. Penelitian ini merupakan penelitian kuantitatif dengan metode adalah pre-exsperimental dengan pre-test post-test without control group design pada 31 responden yang dipilih melalui purposive sampling. Intervensi berupa pemberian posisi semi fowler dan lateral kanan selama 3 hari dengan durasi minimal 15 menit. Hasil analisa data bivariat menggunakan uji Paired t Test menunjukan setelah dilakukan intervensi didapatkan data bahwa terdapat penurunan hemodinamik meliputi tekanan darah, nadi, saturasi oksigen, respiratory rate, dan mean atrial pressure (MAP). Penelitian ini menyimpulkan bahwa posisi semi fowler dan lateral kanan memiliki pengaruh terhadap hemodinamika pada pasien gagal jangung kongestif, posisi semi fowler dan lateral kanan dapat direkomendasikan sebagai salah satu intervensi non farmakologis untuk membantu pengelolaan hemodinamika pada pasien gagal jantung.

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