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Anggia Astuti
Universitas Jember
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS Astuti, Anggia; Abidin, Zainal; Wijaya, Dodi; Fibriansari, Rizeki Dwi; Yuliani, Nur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.694

Abstract

Background: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness. Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness. Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test. Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care.
IMPLEMENTASI HEAD-UP ELEVASI 30° PADA PASIEN STROKE DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF Khasanah, Yunnik Fatun; Fibriansari, Rizeki Dwi; Astuti, Anggia
Jurnal Penelitian Sains dan Teknologi Indonesia Vol 3 No 2 (2024): Jurnal Penelitian Sains dan Teknologi Indonesia (JPSTI)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpsti.v3i2.4041

Abstract

Stroke is a condition of lack of oxygen caused by blockage of blood vessels leading to the brain which causes cerebral disorders. A stroke occurs when blood flow to the brain is suddenly blocked for more than 24 hours because a blood vessel is blocked or ruptured. This can occur due to several factors, including uncontrolled blood pressure, headache, dizziness nausea, and vomiting. To overcome some of these problems, non-pharmacological therapy is needed, namely providing a head-up position with an elevation of 30° with the risk that cerebral perfusion can be effective. The aim is to explore medical surgical nursing care using the implementation of head-up elevation in stroke patients with nursing problems at risk of ineffective cerebral perfusion. This research used a case study design conducted on one respondent with the inclusion criteria being age over 50 years and risk factors for hypertension. This research was conducted for 3 days in the Kenanga Room at RSUD dr. Haryoto Lumajang in June 2024. Data collection used interview, observation, and documentation techniques with decisive intervention. The tools or instruments used are head-up SOPs and observation sheets. Implementation of 30° head-up elevation for 30 minutes for three days in stroke patients who were at risk of ineffective cerebral perfusion with initial blood pressure values of 161/101 mmHg to final blood pressure of 141/58 mm Hg and initial MAP results of 121 mmHg and final MAP of 85. 6 mmHg. It is recommended that nurses use it as a working guide for stroke patients with risk problems for ineffective cerebral perfusion through the implementation of 30° elevation head-up intervention. Thus, providing 30° elevation head-up therapy affects reducing intracranial pressure, the aim of which is to maximize venous return so that blood flow to the brain becomes smooth, increasing cerebral tissue metabolism and maximizing oxygenation of brain tissue so that the brain becomes more active.
Co-Authors Arista Maisyaroh Candra Alif Novyanto Dodi Wijaya Dwi Ochta Pebriyanti Eko Prasetya Eko Prasetya Widianto Ike Adelia Indra Muliani Khasanah, Yunnik Fatun Maduratna Arinda Alif Maharani Cahyo Putri Muhammad Rizal Mulyantoro, Adi Mustikawati, Aleikh Musviro Nur Yuliani Nuring Dwi Hareni P.M Rahmawati Prasetya, Eko Primasari Mahardhika Rahmawati R Endro Sulistyono Rizeki Dwi Fibriansari Suhari Syaifuddin Kurnianto Zainal Abidin Zainal Abidin