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PENILAIAN KINERJA MANAJER KEPERAWATAN BERDASARKAN BALANCED SCORE CARD DAN FUNGSI MANAJEMEN: LITERATUR REVIEW Yulistina, Putu Desi; Suyasa, I Gede Putu Darma; Rismawan, I Made; Sandra, Putu Yudara
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2468

Abstract

One reason for the need for standardized assessment of nurse managers is to ensure their performance evaluations are consistent and objective. This research aimed to be used as a reference in conducting performance assessments at the nurse manager level. This research uses the Literature review method using the PRISMA flow diagram. An article search using 3 journal databases including Scopus, Google Scholar, and Pubmed, obtained 20 final articles published between 2018 and 2023. The results of the research show that the performance assessment of nurse managers includes 4 BSC perspectives and is oriented towards management functions and the five core competency domains of nursing. The performance assessment of nurse managers includes competency knowledge, skills and attitudes which are then linked to the implementation of management roles and functions (planning, organizing, driving and controlling) both from the dimensions of human resources, environment and business or cost control. The performance assessment of nurse managers can be adjusted to the level or career path of nurse managers from level I to level V which is divided into top, middle and low managers. Assessment instruments related to assessing the performance of nurse managers have not been standardized and are still diverse. Several regulations in Indonesia do not yet include competency and assessment standards for nurse managers. The BSC can be used as basis for preparing nurse manager performance assessment instrument which includes 4 perspectives, oriented towards management functions, and 5 core nursing competency domains.
Determinant Factors of Stress in Family Caregiver in the Care of Older adults with Chronic Disease: Literature Review Widiastuti, Ni Kadek Nefi; Kamaryati, Ni Putu; Rismawan, Made; Sriasih, Ni Kadek
Babali Nursing Research Vol 6 No 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61449

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Introduction: Chronic diseases are degenerative conditions that require long-term treatment. Older adults patients who are unable to care for themselves independently often rely on assistance from others, particularly family members, who serve as family caregivers. Stress among family caregivers is a significant issue encountered when caring for older adults individuals with chronic diseases. This research aims to analyze the factors contributing to stress in family caregivers providing care for older adults people with chronic diseases. Methods: This study employed a literature review design, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Articles included were complete and relevant to the study objectives. The PRISMA checklist was utilized to guide the protocol and evaluation process, ensuring the appropriate selection of studies aligned with the literature review objectives. Results: Several factors contribute to stress among family caregivers caring for older adults individuals with chronic diseases, including (1) age of family caregiver; (2) sex; (3) Llow levels of education and knowledge can trigger stress family caregiver; (4) type of work and income level; and (5) the length of treatment carried out family caregiver also affects the stress he experiences Conclusion: Nurses can play a vital role in supporting family caregivers by conducting comprehensive assessments, providing individualized support, teaching stress management techniques, offering caregiver education, and facilitating respite care.
The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysisin Hospitals: A Literature Review Wahyuni, Ni Wayan Sri; Kamaryati, Ni Putu; Rismawan, Made; Suantika, Putu Inge Ruth
Babali Nursing Research Vol 6 No 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61454

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Introduction: Patients with chronic renal failure undergoing hemodialysis often experience a decline in quality of life. This decline is due to challenges in accepting their condition, the physical and emotional impact of treatment, and significant lifestyle changes. Maintaining or improving quality of life is essential for these patients to manage their condition effectively and live well. Methods: This study employed a literature review design, adhering to the PRISMA checklist for study selection. The review utilized five journal databases: ScienceDirect, EBSCO, PubMed, Neliti, and Google Scholar, with keywords aligned with MeSH terms: "quality of life," "chronic renal failure," "determinants," and "hemodialysis." The inclusion criteria encompassed articles published between 2015 and 2024 in English or Indonesian. A total of 15 eligible articles were included in the analysis. Results: The literature review identified several factors influencing the quality of life in hemodialysis patients. These included demographic factors such as age, gender, and education; clinical aspects like hemodialysis duration, medication adherence, complications, and comorbidities; psychological factors such as depression; and social determinants like family support and income. Nutritional status and hemoglobin levels were also significant contributors. Conclusion: This study identified several factors affecting the quality of life of hemodialysis patients, including hemodialysis duration, medication adherence, age, gender, education, occupation, family support, nutritional status, depression, hemoglobin levels, and comorbidities. Future research should explore additional factors not covered in this review to understand better the most influential determinants of quality of life in patients with chronic kidney failure.
Pembentukan Desa Siaga (Siap Deteksi Dini dan Cegah) Stunting Berbasis Pemberdayaan Masyarakat dan Pemanfaatan Potensi Pangan Lokal Rismawan, Made; Yogi Rabani RS, I Gusti Agung; Resiyanthi, Ni Komang Ayu; Paramitha M, I Gusti Agung Mas Widia; Anggraeni, Ni Kadek Ayu Rina
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.17983

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ABSTRAK Wilayah kerja Puskesmas Kintamani III masih menghadapi masalah stunting yang disebabkan oleh kurangnya pengetahuan ibu balita tentang pengenalan Makanan Pendamping ASI dan kesehatan tumbuh kembang anak. Survei sebelumnya menunjukkan 37,6% ibu memiliki pengetahuan yang kurang tentang stunting. Wawancara dengan Kader Pembangunan Manusia pada Maret 2024 mengidentifikasi tiga masalah utama di Desa Daup, yaitu kasus stunting, kurangnya kemampuan ibu balita dalam pengukuran pertumbuhan, serta kurangnya pemanfaatan potensi pangan lokal. Program ini bertujuan mewujudkan Desa Daup sebagai Desa SIAGA (Siap Deteksi Dini dan Cegah) Stunting dengan meningkatkan pengetahuan, keterampilan, dan kemandirian ibu dan kader kesehatan dalam pencegahan dan deteksi dini stunting melalui pemanfaatan pangan lokal.  Kegiatan ini dilaksanakan melalui lima tahapan yaitu sosialisasi, pelatihan, penerapan teknologi, pendampingan dan evaluasi serta keberlanjutan program. Fokus kegiatan yaitu pengukuran berat badan, tinggi badan, lingkar kepala anak, serta pengolahan pangan lokal daging dan telur ayam kampung. Kegiatan ini berhasil meningkatkan pengetahuan, keterampilan dan kemandirian ibu dan kader kesehatan (15 orang/ 100%) terkait deteksi dini stunting dan pemanfaatan pangan lokal. Masyarakat Desa Daup berhasil mewujudkan Desa SIAGA Stunting, dengan ibu balita dan kader kesehatan yang lebih mandiri dan efektif dalam pencegahan serta deteksi dini stunting melalui pemanfaatan potensi pangan lokal.  Kata Kunci: Desa Siaga Stunting, Pemberdayaan, Pengolahan Potensi Pangan Lokal, Telur Ayam Kampung, Daging Ayam KampungABSTRACT The working area of Kintamani III Health Center still faces stunting problems caused by the lack of knowledge of mothers about the complementary foods of breast milk and the health of child growth and development. A previous survey showed that 37.6% of mothers had insufficient knowledge about stunting. Interviews with Human Development Cadres in March 2024 identified three main problems in Daup Village, namely stunting cases, lack of ability of mothers in measuring growth, and lack of utilization of lokal food potential. This program aims to realize Daup Village as a SIAGA Village (Ready for Early Detection and Prevention) of Stunting by increasing the knowledge, skills, and independence of mothers and health cadres in the prevention and early detection of stunting through the utilization of lokal food. This activity is carried out through five stages, namely sosialization, training, application of technology, assistance and evaluation and program sustainability. The focus of the activity is measuring the weight, height, head circumference of children, and processing lokal food meat and eggs from lokal chickens. This activity succeeded in increasing the knowledge, skills and independence of mothers and health cadres (15 people/100%) regarding early detection of stunting and the utilization of lokal food. The Daup Village community has succeeded in realizing the SIAGA Stunting Village, with mothers and health cadres who are more independent and effective in preventing and early detection of stunting through the utilization of lokal food potential. Keywords: Lokal Chicken Eggs, Lokal Chicken Meat, Processing of Lokal Food Potential, Stunting Alert Village, Empowerment
Hubungan Dukungan Keluarga Dengan Kepatuhan Diet Pasien Diabetes Mellitus Tipe 2 Di Poli Interna RSUD Sanjiwani Gianyar Mudawati, Gusti Ayu Sri; Nuryanto, I Kadek; Rismawan, Made
Jurnal Riset Kesehatan Nasional Vol. 9 No. 1 (2025)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v9i1.584

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Kepatuhan diet menjadi komponen yang sangat penting bagi pengelolaan diabetes mellitus. Dukungan keluarga sangat erat kaitannya dengan kepatuhan pasien diabetes mellitus dalam menjalankan program dietnya. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kepatuhan diet pasien diabetes mellitus tipe 2. Desain penelitian deskriptif korelasional dengan pendekatan cross sectional. Penelitian dilaksanakan di Poliklinik Interna RSUD Sanjiwani Gianyar. Populasi adalah semua pasien diabetes mellitus tipe 2. Sampel diambil sebanyak 142 orang dengan teknik convenience sampling. Data diambil menggunakan kuesioner dukungan keluarga dan kepatuhan diet. Analisa data dengan menggunakan uji Spearman Rho. Hasil penelitian didapatkan kepatuhan diet terbanyak dengan kategori patuh (97,9%). Dukungan keluarga terbanyak dengan kategori baik (85,2%). Ada hubungan antara dukungan keluarga dengan kepatuhan diet pasien diabetes mellitus tipe 2 (r =0,446, p < 0,05). Dukungan keluarga sangat penting dalam menjalani kepatuhannya terhadap diet, sehingga kepada keluarga hendaknya menyiapkan menu makanan sesuai dengan aturan diet.   Kata Kunci: Diabetes Mellitus Tipe 2, Dukungan Keluarga, Kepatuhan Diet  
Multiple Case Study: Cognitive Status in Pre-Elderly Patients Undergoing Transurethral Resection of Prostate (TURP) Procedure with Spinal Anesthesia I Made Ghana Astamurti Kumara; Made Rismawan; I Wayan Agus Maharyawan
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5602

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Benign Prostatic Hyperplasia(BPH) in pre-elderly often causes problems such as discomfort when urinating. The action that can be taken is to perform Transurethral Resection of Prostate (TURP) surgery with Spinal Anesthesia technique. The risks that can occur are Postoperative Cognitive Dysfunction (POCD), such as decreased cognitive function, memory impairment and decreased attention that can occur within a certain period of time. Objective: To determine the cognitive status in pre-elderly patients who underwent TURP procedure with spinal anesthesia. The design of this study was a Multiple Case Study with a qualitative descriptive approach of 5 pre-elderly patient participants who underwent spinal anesthesia. The data collection tools used in this study are interview sheets and MMSE (Mini-Mental State Examination) observation sheets which are used to enter patient observation. Results of the five participants, only two experienced moderate cognitive status disorders and three participants did not experience post-operative cognitive status disorders. Age is a factor in the occurrence of post-operative cognitive status disorders. Two of the five participants in this study experienced moderate cognitive status disorders.
Program Pelatihan Berbasis Kunjungan Rumah dalam Perawatan Jangka Panjang Anak Stunting Meningkatkan Persepsi, Self-Efficacy dan Kesiapan Kader Pembangunan Manusia Rismawan, Made; Negara, I Gusti Ngurah Made Kusuma; Astawa, I Gede Satria; Muncan, I Gusti Agung Mas Widia Paramita; Wati, Ni Luh Gede Diana
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.3961

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Human Development Cadres have a strategic role in supporting the long-term care of stunted children in the community. However, suboptimal perceptions, self-efficacy, and readiness of cadres often become obstacles in carrying out the duties of human development cadres. This study aims to determine the effectiveness of a home visit-based training program on the perceptions, self-efficacy and readiness of Human Development Cadres in the long-term care of children with stunting. This study used a pre-experimental design with pretest-posttest one group only on 30 Human Development Cadres in the Puskesmas of Kintamani III (March-September 2024). The home visit-based training program included material on stunting, nutrition, health, and community empowerment. Perceptions, self-efficacy, and readiness of Human Development Cadres were measured before and after the intervention using instruments developed based on the detailed tasks of Human Development Cadres. Paired t-test was used to analyze the data. The results showed significant differences in perception, self-efficacy, and readiness (p0,001). The home visit-based training program has a significant effect on improving perceptions, self-efficacy and readiness of Human Development Cadres in the long-term care of children with stunting. The home visit-based training program needs to be part of routine interventions in empowering Human Development Cadres, especially to support the long-term care of children with stunting.
HUBUNGAN ANTARA PARTISIPASI SISWA DALAM PUSAT INFORMASI DAN KONSELING REMAJA DENGAN SIKAP PENDEWASAAN USIA PERKAWINAN SISWA SMA DI KOTA DENPASAR Rismawan, Made; Sanjiwani, Ni Made Gita Ayu; Wulansari, Nadya Treesna
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol. 10 No. 1 (2022): Edisi Januari - Juni 2022
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v10i1.197

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Pendahuluan: Pernikahan dibawah umur saat ini masih sering terjadi dan dapat memberikan dampak pada keadaan ekonomi, kesehatan, sosial, dan psikologi dari remaja itu sendiri. Salah satu faktor penyebabnya adalah minimnya pemahaman dan sikap Pendewasaan Usia Perkawinan (PUP). PUP bisa didapat oleh remaja melalui Pusat Informasi dan Konseling Remaja (PIK-R). Penelitian ini bertujuan untuk mengidentifikasi hubungan antara partisipasi siswa dalam PIK-R dengan sikap PUP Siswa SMA khususnya di Kota Denpasar. Metode: Penelitian korelasi cross sectional ini dilaksanakan di dua SMA Negeri di Kota Denpasar pada bulan Maret 2021. Lima puluh lima siswa yang mengikuti kegiatan PIK-R menjadi sampel penelitian yang dipilih menggunakan metode total sampling. Penelitian ini menggunakan dua instrumen yang dikembangkan oleh peneliti, yaitu kuesioner partisipasi dalam PIK-R dan sikap PUP. Kuesioner disebarkan secara daring melalui Google Form dan dianalisis menggunakan uji statistik Spearman rho. Hasil: Partisipasi dalam kegiatan PIK-R terbanyak berada pada kategori sedang yaitu 36 responden (65,5%). Kategori sikap PUP terbanyak adalah baik sejumlah 52 responden (94,5%). Ada hubungan bermakna antara partisipasi siswa dalam PIK-R dengan sikap PUP (p-value < 0,05, r = 0,34). Kesimpulan: Terdapat hubungan signifikan antara partisipasi siswa dalam PIK-R dengan sikap PUP pada siswa SMA Negeri khususnya di Kota Denpasar.
Unveiling Patient Satisfaction: Analysis of Factor Influencing Patient-Centered Care At Bunda Margonda Hospital Putra, Putu Agus Sujana; Susanti, NLP Dina; Rismawan, Made; Kusuma, Made Dian Shanti
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63495

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Introduction: The Patient-Centered Care (PCC) model aims to improve the quality of healthcare services by upholding human dignity and recognizing each patient’s individuality, regardless of nationality, ethnicity, skin color, age, gender, political beliefs, religion, or social status. This study aimed to identify key factors influencing patient satisfaction with healthcare services based on PCC principles, specifically comparing patients with BPJS and non-BPJS payment statuses.Methods: This quantitative study employed a cross-sectional design. A total of 315 respondents who had been hospitalized for more than 24 hours at Bunda Margonda Hospital were selected through convenience sampling. Data were collected using the PPE-15 questionnaire and analyzed using descriptive statistics, Chi-square tests, and logistic regression.Results: Among BPJS patients, satisfaction was significantly influenced by gender (p = 0.029), marital status (p = 0.023), education (p = 0.020), and length of treatment (p = 0.025). In the non-BPJS group, age (p = 0.029) and marital status (p = 0.024) were significant factors. Logistic regression analysis revealed that length of stay was the most influential factor for BPJS patients (aOR = 2.3; p = 0.023), whereas marital status was the primary factor for non-BPJS patients (aOR = 1.3; p = 0.024).Conclusion: A shorter length of hospital stay is positively associated with higher satisfaction among BPJS patients, while marital status significantly influences satisfaction among non-BPJS patients. These findings highlight the need for tailored approaches in delivering patient-centered care based on payment status and demographic characteristics.
DETERMINANT FACTORS OF QUALITY OF LIFE IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS AT SANJIWANI REGIONAL HOSPITAL, GIANYAR AND KLUNGKUNG REGIONAL HOSPITAL Ni Wayan Sri Wahyuni; Ni Putu Kamaryati; Made Rismawan; Putu Inge Ruth Suantika
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 3 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i3.3962

Abstract

Background: Chronic kidney disease significantly affects the personal abilities and quality of life of patients. Patients with chronic kidney failure undergoing hemodialysis are found to have a tendency to experience a decline in quality of life. The purpose of this study was to determine the determinants of the quality of life of chronic kidney failure patients in the hospital. Research Methods: This study is an analytical study with a cross-sectional approach. The sample of the study was 207 patients. The sampling technique used systematic random sampling. Data were collected using a questionnaire then subjected to bivariate and multivariate analysis. Research Results: The results of the bivariate analysis showed that in the physical and mental domains (age, occupation, blood pressure), the domain of kidney disease burden (age, blood pressure), the domain of disease effects (age, blood pressure, duration of hemodialysis) (p <0.05). The results of the multivariate analysis showed that the physical and mental domains with the results (age p<0.001; AOR: 1.035; 95% CI: 0.50-0.263), (occupation p<0.022; AOR: 0.480; 95% CI: 0.257-0.898), (hemoglobin level p<0.045; AOR: 0.485; 95% CI: 0.239-0.983), (duration of hemodialysis p<0.033; AOR: 2.101; 95% CI: 1.061-4.160). Kidney disease burden domain (age p<0.001; AOR: 0.033; 95% CI: 0.004-0.255), (pressure blood p<0.001; AOR: 0.251; 95% CI: 0.115-0.550). Disease effect domain (age p<0.001; AOR: 11.307; 95% CI: 0.020-0.393), (blood pressure p<0.023; AOR: 2.607; 95% CI: 1.006-4.071), (hemodialysis duration p<0.048; AOR: 0.494; 95% CI: 0.168-878). Conclusion: The determinant factors in the physical and mental domains are age, occupation, hemoglobin level, and blood pressure. In the kidney disease burden domain, they are age and blood pressure. In the disease effect domain, they are age, blood pressure, and hemodialysis duration.
Co-Authors A.A Gde Wahyu Sparsayoga Adianta, I Ketut Agastiya, I Made Cahyadi Agustini, Ni Komang Tri Andriati, Ida Ayu Nyoman Santiari Anggaraeni, Rosa Tri Anggraeni, Ni Kadek Ayu Rina Arinjaya, I Gede Eka Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Astuti Dewi, I.G.A Puja Dewi, Ni Nyoman Ari Kundari Erlawati, Ni Desak Putu Erlawati Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Dewa Ayu Agung Yuli Paramita I G.A. Rai Rahayuni I GEDE PUTU DARMA SUYASA I Gede Willy Karya Mahardika I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah Made Kusuma Negara I Kadek Nuryanto I Ketut Adianta I Made Ghana Astamurti Kumara I Nengah Adiana I Nyoman Arya Maha Putra I Putu Gede Sutrisna . I Wayan Agus Maharyawan I.G.A Puja Astuti Dewi Ida Ayu Suptika Strisanti Ida Bagus Ardhi Putra IGA Rai Rahayuni IGNM Kusuma Negara Kadek Buja Harditya Kadek Parsi Kasmini Kadek Vira Praftini Kasmini, Kadek Parsi ketut hendra yanti dewi Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Kusuma Negara Kusuma Negara, S.Kep., M.N.S, I Gusti Ngurah Made Made Dian Shanti Kusuma Mudawati, Gusti Ayu Sri Muncan, I Gusti Agung Mas Widia Paramita Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Kusuma Negara, Kusuma Ni Kadek Ayu Nita Sari Ni Kadek Sintyadewi Ni Kadek Sriasih Ni Kadek Sutini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Made Nurtini Ni Made Purwahyuni Ni Made Puspita Ningrum Ni Nengah Purniti Ni Nyoman Ari Kundari Dewi Ni Putu Kamaryati Ni Putu Riza Kurnia Indriana Ni Putu Siadi Purniti Ni Wayan Sri Wahyuni Paramitha M, I Gusti Agung Mas Widia Praftini, Kadek Vira Purwahyuni, Ni Made Putra, Putu Agus Sujana Putu Ayu Ratna Darmayanti Putu Indrayoni Resiyanthi, Ni Komang Ayu Rosa Tri Anggaraeni Sandra, Putu Yudara Sanjiwani, Ni Made Gita Ayu Sri Ariani Sriasih, Ni Kadek suarningsih, komang Susanti, NLP Dina Suyasa, Agus Baratha Wahyuni, Ni Wayan Sri Wati, Ni Luh Gede Diana Widiastuti, Ni Kadek Nefi yanti dewi, ketut hendra Yoga, Sukma Wisnu Yogi Rabani RS, I Gusti Agung Yulistina, Putu Desi Yundari, Yundari