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A Literatur Review Do Not Resuscitate: An Ethical Dilemma in Nursing Practice Dewi, Ni Made Ratih Comala; Aryana, I Gusti Ngurah; Bela, I Kadek Miki Indra; Widiastuti, Ni Kadek Nefi; Wahyuni, Ni Wayan Sri; Wulandari, Ida Ayu Putri
Babali Emergency and Disaster Research Vol. 2 No. 1 (2024): June
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bedr.2024.2121

Abstract

Introduction: Medical interventions for pulmonary heart resuscitation in patients with DNR raise a conflict situation among nurses, where faced with two equally unsatisfactory decisions that are contrary to ethical principles. The practical approach that can be taken is to build patient and family confidence, define their goals, and apply ethical principles of autonomy: beneficence, nonmaleficence, and justice. This research aims to find out the ethical dilemma of DNR in nursing practice. Methods: A literature review was conducted using three journal databases: ScienceDirect, PubMed, and Google Scholar. Kata kunci dalam tinjauan pustaka ini disesuaikan dengan Medical Subject Heading (MeSH) yang terdiri dari “ethic” AND “principle based” AND “do not resuscitate” AND “nursing ethic”. Several inclusion criteria were set to obtain eligible articles: published between 2014 and 2023, and written in English or Bahasa. Fifteen eligible articles were finally included in the analysis. Results: Four subthemes were found: factors that influence DNR decisions, knowledge and understanding of health professionals related to DNR, ethical dilemmas, and care of DNR patients. Conclusion: The DNR decision requires ethical competence based on DNR information and understanding. The DNR decisions are based on the principles of autonomy, beneficence, nonmaleficence, and justice. The role of a nurse tends to be psychosocial intervention.
The Influence of Corporate Social Responsibility and Good Corporate Governance on the Performance of Mining Companies Listed on the Indonesia Stock Exchange Ida Ayu Putri Wulandari; Ni Made Adi Erawati
International Journal of Management Research and Economics Vol. 3 No. 2 (2025): May : International Journal of Management Research and Economics
Publisher : Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/ijmre-itb.v3i2.3479

Abstract

This research aims to obtain empirical evidence on the influence of Corporate Social Responsibility (CSR) and Good Corporate Governance (GCG) on financial performance. CSR and GCG are measured using data from the 2020–2022 period, while financial performance, proxied by Return on Assets (ROA), is analyzed for the 2021–2023 period. The object of this research is mining sector companies listed on the Indonesia Stock Exchange (IDX). The sample was selected using purposive sampling, resulting in 17 companies with a total of 51 observational data points over three years. The data analysis technique used in this research is multiple linear regression analysis. The results show that CSR and GCG have a positive effect on the financial performance of the companies. These findings indicate that effective implementation of CSR and GCG can enhance a company's legitimacy in the eyes of stakeholders, thereby contributing to improved financial performance in the subsequent period.
Case Manager Experience in Health Services in Regional Hospitals in Bali Susilayasa, I Komang Alit; Susanti, Ni Luh Putu Dina; Wahyuningsih, Luh Gde Nita Sri; Wulandari, Ida Ayu Putri
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3219

Abstract

The complexity of patient problems and service management involving multiple professions has the potential to cause patient safety problems. Hospitals need a design or strategy to be able to carry out service processes with a focus on improving service quality and patient satisfaction, namely case management. This research is to explain the case manager's perception of their role and function, describe the role and function of the case manager in implementing case management as well as obstacles in implementing case management in hospitals. Data was collected by conducting interviews with participants who met the inclusion criteria. There are five themes resulting from this research: helping to implement patient centered care, implementing case management in hospitals, first manager of quality control and controlling hospital costs, implementing case management in government hospitals still encountering obstacles. The perception of the role and function of the case manager is well known, the role and function in implementing case management is also quite good and there are still obstacles in implementation, namely from patients, initial screening in the room, hospital organizations, clinical leaders and case managers.
Effectiveness of Telenursing as Psychoeducation on Family Burden and Knowledge Level on Schizophrenia Patient: A Literature Review Cintariasih, Putu; Kamaryati, Ni Putu; Wulandari, Ida Ayu Putri; Wulandari, Sarah Kartika
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.v6iS6.5211

Abstract

Schizophrenia patients often experience significant challenges in daily functioning, leading to dependence on caregivers and imposing a substantial burden on families. This literature review aims to examine the effectiveness of telenursing-based psychoeducation in improving family knowledge and reducing family burden in the care of schizophrenia patients. A comprehensive literature review was conducted, analyzing 15 articles published between August 2014 and August 2024. Articles were sourced from Google Scholar and PubMed for English-language studies, and Google Scholar for Indonesian-language studies. The PRISMA framework and PICO methodology guided the selection and analysis of relevant studies. The findings from the 15 selected articles demonstrate that telenursing-based psychoeducation effectively reduces family burden and enhances caregivers' knowledge in managing schizophrenia patients. Various approaches, including telenursing interventions, technology-based applications, and traditional psychoeducation methods, provide significant benefits and can be integrated into mental health care practices. The successful implementation of telenursing-based psychoeducation requires active commitment, resilience, and collaboration from both nurses and family members involved in the care of schizophrenia patients.
Ethical Dilemma Do Not Ressuscitation (DNR) in Nursing Practice Susanti, Aries; Paramitasari, Ketut Citra; Putra, Kadek Andika Dwi; Cintariasih, Putu; Suryani, Ni Wayan; Wulandari, Ida Ayu Putri
Babali Nursing Research Vol. 5 No. 2 (2024): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.52351

Abstract

Introduction: DNR (Do Not Resuscitate) is a condition where the patient experiences cardiac arrest but chooses not to undergo resuscitation. However, the legal consequences of DNR actions, which may either allow or completely prohibit these actions, can vary in different countries. Nurses frequently encounter ethical dilemmas resulting from DNR situations. This literature review explored nurses' ethical dilemmas regarding DNR and strategies to overcome them.Methods: This literature review examined previous research findings published in articles. Article searches were conducted using PubMed, ScienceDirect, and Google Scholar, employing keywords such as "DNR," "Nursing Ethics," and "Ethical dilemma," as well as combinations thereof like "DNR in a nursing ethical dilemma." Fifteen articles meeting the inclusion criteria were selected.Results: Making DNR decisions for patients significantly impacted the continuity of patient care in hospitals. These decisions were influenced by religion/beliefs, life expectancy, limited resources, and past experiences. Nurses stressed the importance of discussing DNR situations openly. Moreover, nurses were crucial in addressing misunderstandings surrounding patient care with DNR orders through practice, education, advocacy, policy implementation, and research.Conclusion: Nurses require adequate training and education in end-of-life ethics and DNR decision-making to prevent detrimental actions and ensure patients' peaceful, dignified terminal care.
Perilaku Hidup Bersih dan Sehat untuk Pencegahan Penyakit Hepatitis di Panti Asuhan Kusuma, Made Dian Shanti; Wulandari, Ida Ayu Putri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 4 (2024): Volume 7 No 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i4.13312

Abstract

ABSTRAK Hati adalah satu organ tubuh vital yang salah satu fungsi utamanya adalah mengatur metabolisme tubuh. Salah satu penyakit organ hati yang paling berbahaya adalah Hepatitis, yang merupakan penyakit peradangan pada organ hati yang disebabkan oleh virus hepatitis. Munculnya penyakit hepatitis banyak tidak disadari karena tanda dan gejala terkadang tidak ada, namun akan disadari jika sudah ada dampak yang parah seperti gangguan pencernaan, demam, serta nyeri, sedangkan gejala hepatitis yang ringan terkadang diabaikan. Pencegahan yang sudah dilakukan pemerintah dan global untuk penyakit hepatitis adalah dengan cara pemberian vaksin hepatitis serta dengan cara menerapkan perilaku hidup bersih dan sehat. Namun, belakangan ini muncul penyakit hepatitis akut yang belum ditemukan penyebabnya. Pengabdian kepada Masyarakat ini bertujuan untuk mengetahui pengetahuan anak panti asuhan tentang penyakit hepatitis serta cara pencegahannya. Kegiatan ini dilakukan dengan melakukan pre tes, penyuluhan kesehatan, dan post test serta demonstrasi cuci tangan yang merupakan salah satu kegiatan perilaku hidup bersih dan sehat. Setelah dilakukan kegiatan peserta paham dengan bahaya penyakit hepatitis sehingga mereka dapat menyebutkan kembali pencegahan yang harus dilakukan guna mencegah penyakit hepatitis di kalangan panti asuhan. Kegiatan terkait penyuluhan masalah kesehatan global hendaknya dapat dilaksanakan secara rutin di panti asuhan. Hal ini penting dilakukan guna memberikan wawasan dalam pencegahan dan penanganan penyakit yang mungkin terjadi di lingkungan panti asuhan. Kata Kunci: Perilaku Hidup Bersih dan Sehat, Pencegahan, Hepatitis  ABSTRACT Liver is a vital organ whose main function is to regulate the body's metabolism. One of the most dangerous diseases of the liver is Hepatitis, which is an inflammatory disease of the liver caused by the hepatitis virus. Many people do not realize the emergence of hepatitis because the signs and symptoms are sometimes absent, but they will be realized if there are already severe effects such as digestive disorders, fever, and pain, while mild symptoms of hepatitis are sometimes ignored. Prevention that has been done by the government and globally for hepatitis is by administering the hepatitis vaccine and by implementing clean and healthy living habits. However, recently there has been an emergence of acute hepatitis for which no cause has been found. This activity aims to gain knowledge about hepatitis and how to prevent it. This activity is carried out by conducting pre-tests, health education, and post-tests as well as hand washing demonstrations which are one of healthy living behavior. After carrying out the activity, participants understand hepatitis, they can mention the precautions that must be taken to prevent hepatitis. Activities related to outreach on global health issues should be carried out regularly. This is important to do to provide knowledge for preventing and treating diseases that may occur in orphanages Keywords: Healthy Behavior, Prevention, Hepatitis