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Mediawati, Ati Surya
Fakultas Keperawatan Universitas Padjadjaran
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Effectiveness of 30o Head Elevation Intervention on Head Pain Levels in Patients with Space Occupying Lesion (SOL) Intracranial Tumor Post-Op Craniotomy : Case Study Septania, Salma Mega; Fitria, Nita; Mediawati, Ati Surya
MAHESA : Malahayati Health Student Journal Vol 3, No 7 (2023): Volume 3 Nomor 7 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.365 KB) | DOI: 10.33024/mahesa.v3i7.10688

Abstract

Tumor intrakranial adalah pertumbuhan massa abnormal pada otak yang berasal dari jaringan yang tumbuh dan membelah secara tidak terkendali. Space Occupying Lesion (SOL) adalah tekanan ruang yang disebabkan oleh adanya kenaikan volume di dalam otak yang disebabkan karena penumpukkan darah, cairan serebro spinal ataupun jaringan otak. Tindakan yang umum dilakukan pada pasien tumor intrakranial adalah craniotomy. Menurut penelitian, sekitar  60% pasien yang menjalani craniotomy mengalami nyeri kepala tingkat sedang hingga tinggi. Manajemen nyeri non-farmakologi yang dapat dilakukan diantaranya dengan intervensi tarik napas dalam dengan teknik guided imagery, pemantauan hemodinamik pasien dan elevasi kepala 30 derajat. Tujuan dari penelitian ini adalah untuk menyajikan pengaruh intervensi keperawatan elevasi kepala 30 derajat terhadap tingkat nyeri pada pasien  SOL  tumor intrakranial post craniotomy. Metode pada penelitian ini menggunakan desain studi kasus yang dilakukan pada bulan November 2022 di RSUD Sumedang. Hasil menunjukkan elevasi kepala 30 derajat dapat menurunkan tingkat nyeri kepala karena dapat memaksimalkan masuknya oksigen ke intrakranial dan meningkatkan aliran balik darah dari otak ke jantung, membantu mengaktifkan sistem saraf parasimpatik yang berfungsi mengontrol berbagai aktivitas tubuh manusia ketika istirahat serta memaksimalkan kondisi rileks pada pasien, sehingga menghasilkan frekuensi nadi, frekuensi pernapasan, tekanan darah yang stabil.
Predictors Associated with Quality of Working Life Among Nurses in The Hospital Setting: a Systematic Scoping Review Husin, Nurmila; Agustina, Hana Rizmadewi; Mediawati, Ati Surya
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.15604

Abstract

ABSTRACT The level of Quality of Nursing Work Life (QNWL) in nurses is quite diverse and is also influenced by various factors. Identifying factors that influence QNWL is very important to increase job satisfaction which can increase nurse productivity. This study aims to identify the factors that affect the quality of work life in hospital nurse clinicians. This study used the scoping review method with the PRISMA ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The inclusion criteria used were articles with an RCT, cohort and cross-sectional design, in English and full-text. Some databases such as PubMed, Cinahl, and the search engine Google Scholar were used to search the study. We found 15 articles that met the criteria and came from 8 countries (Saudi Arabia, Portugal, Malaysia, Iran, Ethiopia, Indonesia, Jordan and Slovenia). The number of samples from the studies obtained varied quite widely from a minimum of 40 respondents to a maximum of 2391 respondents. The results of the analysis show that the QWL level of nurses working in hospitals is quite varied with the majority being in the low to moderate category (low score, 42-112 and moderate score, 113-182), three studies that obtained nurses' QWL results in the good range (high score, 183-252). Conclusion: An assessment of predictor factors of QNWL can help to make improvements to each factor in order to improve the nursing care services provided, and of course reduce the nurse turnover rate. Keywords: Hospital, Nurse, Predictors, Quality of Work Life
Relationships Between Social Support and Academic Burnout Among Undergraduate Nursing Students Rossa, Nikita; Mediawati, Ati Surya; Sriati, Aat
MAHESA : Malahayati Health Student Journal Vol 4, No 9 (2024): Volume 4 Nomor 9 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i9.15489

Abstract

ABSTRACT Academic burnout is defined as a persistent feeling of exhaustion caused by pressure during study, feelings of pessimism when performing tasks, and thoughts that continue to feel inadequate. One of the factors that can affect academic burnout is social support. Social support is the feeling that individuals feel loved, cared for, valued, and considered important by people who play a role in their lives. This study aims to determine the relationship between social support and academic burnout among undergraduate students of the Faculty of Nursing at Padjadjaran University. The research method used is the quantitative method with proportionate stratified random sampling. The samples taken in this study amounted to 258 students. The sample reported a high level of social support (60.5%) and moderate level of academic burnout (90.3%). Most respondents have a moderate level of exhaustion (60.5%) and low cynicism (72.9%), while in the dimension of reduced academic efficacy, the moderate and high categories are equal (49.6%). The results show social support is negatively correlated with academic burnout. However, the correlations identified were relatively weak. Another finding in this study is that there is a significant negative correlation between exhaustion and social support and a significant positive correlation between reduced of academic efficacy and social support. This means that social support has a role towards academic burnout in the exhaustion and reduced of academic efficacy dimensions. Future studies are expected to identify or explore other predictors of burnout, such as self-concept, role conflict and role ambiguity, and isolation, or identify ways to prevent and reduce burnout based on factors that have been identified in nursing students. Keywords: Academic Burnout, Nursing Students, Social Support
PENGELOLAAN INTERVENSI KEPERAWATAN PENGGUNAAN MINYAK ZAITUN PADA PASIEN GANGGUAN INTEGRITAS KULIT DENGAN DIAGNOSA MYASTHENIA GRAVIS Ihsan, Riza Nurul; Mediawati, Ati Surya; Somantri, Irman
SINERGI : Jurnal Riset Ilmiah Vol. 1 No. 3 (2024): SINERGI : Jurnal Riset Ilmiah, Maret 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/97gq0559

Abstract

Latar belakang: Pasien dengan kondisi Myastenic crisis memiliki resiko tinggi mengalami luka tekan yang disebabkan adanya penurunan fungsi otot, berkurangnya mobilitas dan nutrisi yang kurang akibat dampak dari penyakit. Selain meyebabkan lamanya proses penyembuhan, lamanya perawatan mempengaruhi kondisi psikologis pasien dan keluarga. salah satu intervensi yang dapat diberikan adalah penggunaan minyak zaitun, sebagai cairan anti-inflamasi dan dapat mempercepat penyembuhan luka. Namun intervensi yang diberikan tidak lepas dari pendekatan yang dilakukan pada pasien terutama jika pasiennya memiliki trust issues pada tenaga kesehatan. Pembahasan : Pasien Myastenic crisis mengalami suatu kondisi melemahnya fungsi otot sehingga berpengaruh pada pernapasan melemah atau bahkan kelumpuhan otot menyebabkan penderitanya mengalami sesak napas dan penurunan kesadaran. Berdasarkan hasil pengkajian dan observasi, diagnosa manajemen keperawatan pada kasus yaitu kurangnya keterlibatan pasien dalam perencanaan perawatan pencegahan terjadinya luka tekan terhadap Tn. A, dengan rencana intervensi; meningkatkan pengetahuan keluarga terkait pencegahan terjadinya luka tekan berdasarkan prinsip teoritis hasil pencarian EBP mengenai pegaruh minyak zaitun terhadap luka tekan. Kesimpulan: Implementasi yang dilakukan yaitu, mengimplementasikan intervensi sesuai EBP yang telah didapat terapi non farmakologi pencegahan luka tekan dengan minyak zaitun, minyak zaitun terbukti sangat efektif dalam merawat pasien yang harus tirah baring dalam jangka waktu yang lama untuk mencegah timbulnya ulkus dekubitus.
Efforts to Improve Knowledge in Formulating Nursing Diagnoses through Mini Seminar Training Somantri, Irman; Ibrahim, Kusman; Mediawati, Ati Surya; Ramoo, Vimala; Yudianto, Kurniawan
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.66835

Abstract

Nursing professional organizations in Indonesia have established standardized guidelines for nursing documentation. However, the formulation of nursing diagnoses is still carried out as a routine activity by nursing teams, resulting in cases where diagnoses are not established according to proper standards. This community service program aimed to improve nurses’ understanding of nursing diagnosis formulation in accordance with Indonesian standards. The activity was implemented using a mini-seminar method involving 30 participants from two hospitals in the Bandung area. It was part of an activity based on Kemmis and McTaggart’s theory. In the preliminary phase, evaluation was conducted using a knowledge scale measurement and documentation observation to assess the number of nursing diagnoses implemented. The results showed an improvement in nurses’ ability to formulate nursing diagnoses, marked by an increase in understanding from only 10% before the activity to 83.33% after, with a p-value <0.001. In addition, the average number of nursing diagnosis labels increased from two to five per nurse. These findings indicate that the mini-seminar method is effective in enhancing nurses’ ability to formulate nursing diagnoses in accordance with established standards. Keywords: Nursing diagnosis, partisipatory research.
Faktor-Faktor yang Mempengaruhi Work Life Balance Perawat: A Rapid Narrative Review Widayana, I Gede Angga Ariesta; Agustina, Hana Rizmadewi; Mediawati, Ati Surya
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19855

Abstract

ABSTRACT The nursing profession demands high physical and emotional endurance, with long working hours, unpredictable schedules, and pressure that can disrupt work-life balance. This imbalance poses risks to well-being, job satisfaction, and the quality of healthcare services. This narrative review aims to identify the factors influencing the work-life balance among nurses in hospital. A rapid narrative review was conducted following the PRISMA 2020 guidelines, analyzing nine articles from the PubMed, EBSCO, and Scopus databases. The review findings indicate that work schedules, social support, organizational policies, and psychological factors such as burnout and emotional resilience affect nurses’ work-life balance. Flexible policies and adequate support have been proven to enhance their well-being and job satisfaction. Flexible policies and adequate support can improve nurses’ well-being and service quality. Healthcare institutions need effective strategies to address work-life imbalance. Keywords: Hospital, Nurses, Work-Life Balance. ABSTRAK Profesi keperawatan menuntut fisik dan emosional yang tinggi, dengan jam kerja panjang, jadwal tidak menentu, dan tekanan yang dapat mengganggu keseimbangan kehidupan kerja dan pribadi. Ketidakseimbangan ini berisiko menurunkan kesejahteraan, kepuasan kerja, serta kualitas layanan kesehatan. Tinjauan naratif ini bertujuan mengidentifikasi faktor-faktor yang mempengaruhi work life balance perawat di rumah sakit. Metode yang digunakan adalah tinjauan naratif cepat berdasarkan pedoman PRISMA 2020, dengan analisis 9 artikel dari basis data PubMed, EBSCO, dan Scopus. Hasil kajian menunjukkan bahwa jadwal kerja, dukungan sosial, kebijakan organisasi, serta faktor psikologis seperti burnout dan ketahanan emosional memengaruhi keseimbangan kehidupan kerja perawat. Kebijakan fleksibel dan dukungan yang memadai terbukti meningkatkan kesejahteraan dan kepuasan kerja mereka. Kebijakan fleksibel dan dukungan yang dapat meningkatkan kesejahteraan perawat serta kualitas layanan. Institusi kesehatan membutuhkan strategi efektif untuk mengatasi ketidakseimbangan antara pekerjaan-kehidupa pribadi Kata Kunci: Keseimbangan Kehidupan Kerja dan Pribadi, Perawat, Rumah Sakit.
Respon Base Care pada Mahasiswa Kesehatan: Tinjauan Literatur Sudika, Ajeng Lestari Khoirunnisa; Mediawati, Ati Surya
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 12 (2025): SENTRI : Jurnal Riset Ilmiah, Desember 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i12.4960

Abstract

Base care response encompasses the fulfillment of physiological, psychological, social, and spiritual basic needs of health science students, which influences their well-being and readiness for clinical practice. Objective: To review the factors influencing base care response among health science students. Methods: A literature review was conducted using PubMed, Google Scholar, Sage Journals, and EBSCOhost for articles published between 2015 and August 2025 in Indonesian or English, with inclusion criteria focusing on health science students and topics related to caring, basic needs, mental well-being, and self-care. Results: Students prioritized physiological aspects over emotional and spiritual needs, with 63.8% reporting moderate-to-severe stress. Discussion: The imbalance in fulfilling students’ basic needs is influenced by high academic demands and limited attention to emotional and spiritual dimensions. This condition may reduce clinical readiness and increase the risk of burnout. Conclusion: Base care response among health science students tends to be suboptimal, with a predominant focus on physiological needs. Integrating holistic caring approaches and strengthening self-care may serve as strategies to enhance students’ well-being.
Edukasi Kesehatan Reproduksi dan Personal Hygiene Bagi Remaja: Pencegahan Prostat dan Penanganan Anemia Putri Asfarada, Muhammad Rizky; Mediawati, Ati Surya; Basrah, Miftahul Jannah; Rahma, Nur; Zakiyah, Alifah Ummu; Yanti Alimuddin, Nurul Ilmi; Reviani, Suci; Susanti, Lenny
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 4 (2025): Edisi Oktober - Desember
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i4.7018

Abstract

Anemia pada remaja putri mencapai 32%, yang menunjukkan perlunya intervensi kesehatan masyarakat secara lebih luas, khususnya di tingkat komunitas. Selain itu, data dari Kementerian Kesehatan tahun 2023 menegaskan pentingnya edukasi terkait kesehatan reproduksi dan deteksi dini penyakit tidak menular pada remaja, termasuk edukasi prostat yang selama ini masih dianggap tabu atau terlalu dini untuk dibahas. Namun, keterbatasan sumber daya dan padatnya program kerja Puskesmas menyebabkan kegiatan promotif tidak sepenuhnya menjangkau kelompok remaja di luar sekolah atau yang tinggal di panti asuhan. Oleh karena itu, kegiatan pengabdian masyarakat ini bertujuan untuk menjembatani gap tersebut melalui kegiatan intervensi langsung kepada remaja di Panti Asuhan. Metode pelaksanaan meliputi penyuluhan kesehatan melalui presentasi interaktif, dilaksanakan pada bulan Januari 2025 di Panti Asuhan Nurul Ichsan, Makassar, dengan melibatkan 30 remaja. serta pada kegiatan ini dilakukan pre-test dan post-test. Dengan hasil menunjukan. peningkatan signifikan dalam pengetahuan peserta. Skor rata-rata pre-test sebesar 56,3 meningkat menjadi 84,1 pada post-test, yang berarti terdapat peningkatan kognitif sebesar 49,3%. Peningkatan ini menggambarkan bahwa metode interaktif yang digunakan efektif dalam menyampaikan materi yang sensitif seperti reproduksi dan prostat.
Prolonged Labor and Gestational Age, with the Incidence of NeonatProlonged Labor and Gestational Age, with the Incidence of Neonatorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospitalorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospital da Conceição, José Ximenes; Rakhmawat, Windy; Suzana Mediani, Henny; Mediawati, Ati Surya; Fatima Cabral, Cenia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.587

Abstract

Introduction: Neonatal asphyxia—defined as failure to establish adequate breathing at birth—remains a major cause of neonatal morbidity and mortality, especially in developing countries. Prolonged labour and abnormal gestational age can impair placental oxygen transfer and heighten asphyxia risk. Objective: To examine the association between prolonged labour, gestational age, and neonatal asphyxia among newborns treated in the Perinatology Unit of Guido Valadares National Hospital. Method: A cross-sectional correlational study involved 85 mother–infant pairs selected purposively from 110 admissions in 2025. Prolonged labour and gestational age were independent variables; neonatal asphyxia was the outcome. Data were gathered via structured questionnaire and medical records, then analysed with multinomial regression (α = 0.05). Results and Discussion: Prolonged labour showed a significant independent association with asphyxia (p = 0.001), whereas gestational age alone did not (p = 0.389). Simultaneous analysis demonstrated that both variables together were significantly related to asphyxia incidence (p = 0.005). Conclusion: Prolonged labour is the principal contributor to neonatal asphyxia, and its combined effect with gestational age further elevates risk. Rigorous intrapartum monitoring and timely obstetric intervention are essential to improve neonatal outcomes
Implementation of the Wim Hof Therapy in Airway Management and Nursing Education for Respiratory Clinical Symptoms Adella, Denisa; Somantri , Irman; Mediawati, Ati Surya
Journal of Multidisciplinary Research Vol. 2 No. 3 (2026): April
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i3.559

Abstract

Airway disorders are common clinical issues among patients with chronic respiratory diseases such as pulmonary tuberculosis, often resulting in ineffective breathing patterns, decreased oxygen saturation, and persistent cough. Nurses play a critical role in airway management, not only through pharmacological therapy but also through non-pharmacological, education-based interventions. One potential method for improving respiratory function is the Wim Hof technique.This study employed a descriptive case study design using the 3M management approach (Man, Material, Method) and the POAC management functions (Planning, Organizing, Actuating, Controlling). The intervention consisted of Wim Hof breathing exercises administered to one pulmonary tuberculosis patient for three consecutive days at a frequency of twice daily. Parameters measured included respiratory rate, oxygen saturation, cough frequency, and sleep quality.Results demonstrated a reduction in respiratory rate from 27x/minute to 20x/minute, a decrease in cough frequency by up to 50%, and an improvement in oxygen saturation from 99% with 5 L/min supplemental oxygen to 97% on room air. Furthermore, the patient’s sleep quality improved, and family engagement in care increased significantly.The implementation of the Wim Hof technique yielded positive effects on respiratory function through enhanced alveolar ventilation, stabilization of oxygenation, and reduced work of breathing. The combined application of the 3M and POAC frameworks strengthened the effectiveness of the intervention by reinforcing the roles of nurses and family members. Wim Hof breathing therapy is effective as part of airway management interventions for nursing diagnoses of ineffective breathing pattern, ineffective airway clearance, and impaired gas exchange.
Co-Authors Aat Sriati Aat Sriati Aat Sriati Achmad Nizar Hidayanto Adella, Denisa Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah Andini Bilqiis Ashiilah Asfarada, Muhammad Rizky Atika Salma Azzahra Aulia, Syifa Nurul Ayu Prawesti Basrah, Miftahul Jannah Cencen Hendra Setiawan Cholilatur Rohmania da Conceição, José Ximenes Dewi Gayatri Dheandra, Putri Vidahlia Dina Pranita Donny Juliandri Prihadi Dyah Setyorini Elly Nurachmah Eryando, Tries Etika Emaliyawati Fatima Cabral, Cenia fransisca sri susilaningsih Fransisca Sri Susilaningsih Haelena Wibowo, Gita Amoria Hana Rizmadewi Agustina Hanny Handiyani Hariyanto, Hasna Husniyah Henny Suzana Mediani Henny Yulianita hesti nuraeni Hesti Nuraeni Husin, Nurmila Ihsan, Riza Nurul Ikeu Nurhidayah Indra Maulana` Indra Maulana Irman Somantri Iwan Shalahuddin Iyus Yosep Kosim Kosim Kristian Labertus Kurniawan Yudianto Kusman Ibrahim Maria Komariah Masfuri - Metilda Metilda Muchtaruddin Mansyur Namina, Fajaritta Sukma Nita Fitria Novita Sari Nur Oktavia Hidayati Nur Oktavia Hidayati Hidayati Ofni Stephany Lumban Raja Putro, Prasetyo Adi Wibowo Rahma Jumila Rahma, Nur Rakhmawat, Windy Ramoo, Vimala Reviani, Suci Rismayanti, Depi Ristina Mirwanti Rizkika Nur Amalia Rossa, Nikita Rr Tutik Sri Hariyati Ryan Hara Permana Sandra Restuti Septania, Salma Mega Setiawati, Deni Setyowati , Setyowati Siki, Kornelius Somantri , Irman Sudika, Ajeng Lestari Khoirunnisa Susanti, Lenny Tati Sumarni Therecia Simanjuntak Theresia Eriyani Titis Kurniawan Udin Rosidin Umboh Morenita Jeanifer Widayana, I Gede Angga Ariesta Witri Destiani Yanti Alimuddin, Nurul Ilmi Zakiyah, Alifah Ummu