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PENGALAMAN PERAWAT DALAM PENANGANAN PASIEN COVID-19 : TINJAUAN PUSTAKA Roulita Roulita; Yanny Trisyani; Etika Emiliyawati
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 12 No 3 (2021): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v12i3.419

Abstract

Since the Covid-19 pandemic was announced by the world health organization (WHO) on January 30, 2020 until July 2021, the world's pandemic conditions have not subsided but have continued to increase, and even tripled. This spike is thought to be due to transmission from the Delta variant, where the number of patients who died from Covid-19 totaled 90,552 people, with a daily death toll of 1,893. (Ministry of Health, Republic of Indonesia). With the high number of Covid-19 cases, of course the workload of nurses has increased, and many have even fallen ill and died. This study aims to explore or review literature related to the experience of nurses in handling Covid-19 patients at the forefront. Article searches were carried out in digital online databases, Pubmed, EBSCO, Google Scolar, and Science Direct with the keywords 'Stress life or experience life', 'nurse', 'Covid-19 in emergency room'. Then the articles are selected according to the inclusion criteria, namely: The articles used are articles with the year of publication from January 2020 to July 2021, The language used in the article is English. The article used is an article with full text in pdf format, the theme of the article is the life experience of frontline nurses/IGD nurses in dealing with Covid-19 patients. Finally, 10 articles were analyzed in this literature review.
KESIAPSIAGAAN PERAWAT RUMAH SAKIT DALAM MENGHADAPI BENCANA: TINJAUAN SISTEMATIS Ramdani Ramdani; Yanny Trisyani; Etika Emaliyawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 6 No. 2 (2020): Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (47.903 KB) | DOI: 10.33755/jkk.v6i2.169

Abstract

Kesiapsiagaan terhadap bencana merupakan aspek yang sangat penting penentu keberhasilan dalam penanggulangan bencana. Untuk mengurangi dampak bencana di seluruh fase yang berbeda, banyak tindakan keperawatan yang diperlukan, termasuk pencegahan atau mitigasi, kesiapsiagaan, respon, pemulihan, dan rekonstruksi atau rehabilitasi. Akan tetapi informasi tentang gambaran kesiapsiagaan perawat terhadap bencana secara sistematis masih terbatas. Sehingga tinjauan ini bertujuan untuk mengidentifikasi hasil penelitian yang ada tentang kesiapan perawat di rumah sakit dalam menghadapi bencana secara lebih komprehensif. Metode: Pencarian literature dilakukan terhadap artikel yang diterbitkan dari 2014 sampai 2019 menggunakan PubMed dan Google Scholar dengan kombinasi kata kunci readiness atau preparedness dan disaster dan healthcare professional atau nursing. Kriteria inklusi pencarian adalah studi yang berfokus pada analisis kesiapsiagaan pada perawat, jenis studi cross sectional, diterbitkan dalam bahasa Inggris dan bahasa Indonesia. Semua makalah yang terpilih dimasukkan berdasarkan penilaian independen berdasarkan kriteria dari JBI. Hasil: Pencarian awal menghasilkan 1.143 artikel dan hanya 9 artikel yang termasuk dalam tinjauan artikel, dari 9 artikel menunjukan  mayoritas perawat rumah sakit menunjukkan kesiapan yang buruk terhadap respon bencana rentang dari 45,8% sampai 78,5%. Mereka juga tidak percaya diri dengan kemampuannya dalam menghadapi bencana yang besar (52,1% - 72,4%). Akan tetapi, sebanyak (48,3% - 82,3%) perawat menunjukkan kesiapan yang baik terhadap respon bencana dalam hal manajemen klinis dan kesiapan dalam perlindungan diri. Kesimpulan : Hasil review menunjukan bahwa sebagian besar perawat memiliki kesiapan yang kurang optimal dalam menangani bencana. Pembuat kebijakan harus mendorong diadakanya pelatihan untuk perawat mengenai kesiapsiagaan bencana di rumah sakit.
Nurses' Ethical Challenges During Caring for COVID-19 Patients: Literature Study Iis Haryati; Yanny Trisyani; Aan Nuraeni
Jurnal Berita Ilmu Keperawatan Vol 15, No 2 (2022): July 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17244

Abstract

The COVID-19 pandemic has had many impacts on health services. As the most health workers who stand on the front lines, nurses have faced many ethical challenges when treating patients with COVID-19. The ethical challenge of nurses is basically due to the gap between nursing practice and nursing goals. This study aims to identify empirical evidence related to nurses' ethical challenges when caring for COVID-19 patients. This research method uses a literature study analyzing articles from four reputable databases such as Pubmed, Proquest, CINAHL, Science Direct, and one search engine Google Scholar with publication years between 2020 - 2021. The keywords used are 'COVID-19', 'critical care nursing', 'caring', 'ethical challenges', 'ethical issues', and 'ethical dilemmas' with the help of boolean operators 'OR' and 'AND', articles were selected in stages using PRISMA. From the results of 854 articles, only 7 articles were identified that met the inclusion and exclusion criteria. The Article review result found three themes related to the ethical challenges that occurred, namely the ethical challenges in the nursing care process, ethical challenges in nursing professionals, and ethical challenges in health interprofessional relationships. Ethical challenges cause nurses' discomfort at work, and can even cause job stress. Regarding these results, nurses need to get support to overcome ethical dilemmas that occur through the provision of resources according to needs, preparation of SOPs regarding the roles and duties of nurses, as well as increasing knowledge related to the care of COVID-19 patients.
Relationship between Healthcare Provider’s Perception about Patient Safety and Patient Safety Implementation in The Emergency Department Yayan Mulyana; Yanny Trisyani; Etika Emaliyawati
Jurnal Keperawatan Padjadjaran Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i1.995

Abstract

The Emergency Department (ED) is a hospital service unit that provides the first service for patients with disease conditions that threaten their lives or can cause disability for 24 hours. Implementation of patient safety in the ED should be applied to minimize the risk of error handling for the patient. ED staff perceptions related to the implementation of patient safety is a factor that directly-related to his behavior in applying the implementation of patient safety. This study aimed to analyze the relationship between perceptions of staff ED and patient safety by implementing patient safety at the Regional Hospital Emergency Department Cirebon. This study was a correlational study with the cross-sectional approach of 99 emergency staff with total sampling at Cirebon. Collecting data used questionnaires of patient safety. Based on the results of the univariate analysis showed that the majority (80%) of respondents either category on the implementation of the sub-variables of patient safety team collaboration and communication, only a small proportion of respondents less category (20%) on the implementation of the sub-variables of patient safety team collaboration and communication. In addition, less than half (49.5%) category lacking in implementing patient safety, only half (50.5%) categories, both in the implementation of patient safety. Based on the results of the bivariate analysis showed that the relationship implementation of patient safety with all the variables, namely teamwork (p-value = 0.000), communications (p-value = 0.005), the concept of patient safety (p-value = 0.005), and perception (p-value = 0.005). Based on the results of the study, the researchers concluded that the relationship between staff perceptions of the emergency department (ED) on patient safety by implementing patient safety at the Regional Hospital emergency department (RSD) Cirebon. IGD support staff perceptions of patient safety, but still found lacking in the category of health workers implementation of patient safety, so the need for patient safety education and training with simulation methods to illustrate the approach in the implementation of patient safety.
Implementasi Rehabilitasi Jantung Fase Satu terhadap Fisik dan Psikologis Pasien Sindrom Koroner Akut (SKA) Muhammad Iqbal; Yanny Trisyani; Aan Nur’aeni
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.3738

Abstract

This study aims to determine the effectiveness of phase one cardiac rehabilitation on the physical and psychological aspects of ACS patients. The method used is scoping review by searching for articles in several databases, namely PubMed, CINAHL, ScienceDirect and Google Scholar. The results showed that phase one cardiac rehabilitation positively affects the physical and psychological aspects of patients, especially in improving hemodynamic function, reducing levels of anxiety and depression and increasing the quality of life of ACS patients. In conclusion, cardiac rehabilitation is proven to increase functional capacity and reduce levels of anxiety and depression, which leads to a reduced risk of poor quality of life in patients with the acute coronary syndrome. Keywords: Depression, Anxiety, Quality of Life, Phase One Cardiac Rehabilitation, Acute Coronary Syndrome
Systematic Review: Position Changes After Transfemoral Percutaneous Coronary Intervention Indriani Merlyn Manueke; Yanny Trisyani; Nurlaeci Nurlaeci
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.74 KB) | DOI: 10.24198/pacnj.v1i1.24954

Abstract

Background. Percutaneous Coronary Intervention (PCI) is the gold standard diagnostic test for Coronary Heart Disease (CHD). To minimize complications after PCI, patient activity is limited to bedrest for 2-24 hours. But the long bedrest can cause complaints of back pain and discomfort. This systematic review aims to identify the position changes in the first 6 hours after PCI for back pain and discomfort. Metode. Three electronic databases were used to carry out systematic searches namely Pubmed, CINAHL ebsco and ProQuest. The keyword combination is 'percutaneous coronary intervention' AND 'position change' OR 'changing position' OR 'early mobilization' NOT 'Literature Review' OR 'review of the literature' OR 'overview' OR 'Systematic Review' OR 'meta analysis’. The inclusion criteria used were articles with the last 12 years of research 2007 - 2019, quantitative research, English and Indonesian, peer review, randomized controlled trial and quasi experiment. The article search results found 49 articles on CINAHL ebsco, 81 articles on PubMed and 273 articles on ProQuest. A total of 13 articles met the inclusion criteria and were analyzed. Results. From 13 articles, 6 articles reported a decrease in complaints of back pain and discomfort after changing positions in the first 6 hours in bed. 4 articles indicate the same thing after a change of position made the first 6 hours then walking beside the bed. And 3 articles reported a decrease in complaints of back pain and discomfort after ambulation in the first 6 hours. Conclusion. Changes in position within a period of 6 hours after PCI can reduce the incidence of back pain and discomfort that is felt by patients.Keywords: position changes, percutaneous coronary intervention 
Heat Therapy to Reduce Chest-Pain Among Patients with Acute Coronary Syndromes (ACS): A Literature Review Aan Nur'aeni; Yanny Trisyani; Donny Nurhamsyah; Oman Hendi; Rahmalia Amni; Vanny Leutualy; Gita Maya Sari; Nurlaeci Nurlaeci; Rika Winarni
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.683 KB) | DOI: 10.24198/pacnj.v1i2.28843

Abstract

The main clinical manifestations of patients with Acute Coronary Syndrome (ACS) during the acute period is chest pain. Handling complaints of pain patients with ACS definitively done with medication; however, it is possible to do additional nonpharmacological therapies to optimize the results. Nonpharmacological treatment can be performed in various ways, one of them with heat therapy. This literature review aimed to determine the use of heat therapy as an additional nonpharmacological intervention in reducing the intensity of chest pain in patients with ACS. Four electronic databases were used to carry out systematic searches on articles, namely Proquest, Science Direct, Pubmed, and CINAHL-Ebsco. The combination of keywords was "heat therapy" AND "chest pain" AND "acute coronary syndrome" NOT "Literature review" OR "Literature review" OR "Overview" OR "Systematic Review" OR "Meta-analysis." The inclusion criteria used were experimental study articles, peer-reviewed articles, and research articles written in English and performed in the period between 2014-2019. The search results obtained three articles that met the inclusion criteria and analyzed. The results of the study found that heat therapy effective in reducing the intensity of chest pain, the use of analgesic opioids, and improving the patient's hemodynamics. In conclusion, the therapy can be considered used as adjunctive therapy to reduce chest pain in patients with ACS with certain criteria. In addition, further research is also needed to see the effectiveness of this therapy if it is implemented with more frequent frequencies and compare its effectiveness in reducing chest pain if the application is given to the anterior or posterior of the chest.
Cardiopulmonary Resuscitation during Covid-19 Pandemic : A Review Yanny Trisyani; Donny Nurhamsyah; Karti Nur Aryanti; Nabila Rifa Zahara Heriawan; Guztap Jabarul Haq; Indah Enriani Wulansari; Nilamsari Nilamsari; Burhan Nurdin; Intan Madulara
Padjadjaran Acute Care Nursing Journal Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (518.243 KB) | DOI: 10.24198/pacnj.v2i2.33244

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Cardiopulmonary Resuscitation (CPR) is a procedure  that can be done before the arrival of ambulance which aims to save lives of cardiac arrest patients. In covid-19 pandemic, safe CPR is still needed by considering the safety of patients and rescuers. The study aims to determine best method for performing CPR during covid-19 pandemic. The Method is literature review, with database used is Google Scholar, Pubmed and Ebscohost which obtained 10 articles. The results are to permorming CPR using personal protective equipment, minimized the provision of ventilation, use a surgical maskand use the LUCAS 3 aid for chest compressions.. The conclusion is to implement CPR in the covid-19 pandemic, must use PPE at least use surgical mask for rescuers and victim, only perform chest compressions without providing ventilation, , perform compression in prone position, and compression cycle for 2 helpers was done with alternate after 2-3 cycles.
Predictors of Natural Disaster Preparedness Among Healthcare Providers Ramdani Ramdani; Yanny Trisyani; Etika Emaliyawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i3.567

Abstract

Aims: Preparedness of medical personnel in dealing with disasters is strongly influenced by several factors, one of which is knowledge, attitude, role and organization in disaster management. Nowadays, healthcare profesional is facing frequent natural disaster, thus identification on their disaster preparedness is imperative. To identify factors related to the preparedness of medical personnel in handling natural disasters at the Regional General Hospital dr. Slamet, Garut Regency, West Java. Methods: This type of research was a cross-sectional study using an online survey. The sample technique used is convenience sampling with a total number of research subjects as many as 245 nurses and 54 doctors with a total of 299 respondents. The multivariate test uses simple linear regression. Results: The mean score of disaster preparedness among nurse was 137.33 (SD=16.79) and doctor was 136.07 (SD=17.40), dengan p-value 0.799. There was a significant relationship between preparedness and knowledge (r = 0.658, p-value = 0.000), attitude (r = 0.602, p-value = 0.0000), role (r = 0.541, p-value = 0.000), and organization (r = 0.610, p-value 0.000). Knowledge (B = 1.40 (95% CI = 0.62 - 2.19, p-value = 0.00), role (B = 0.94 (95% CI = 0.50 - 1.38, p-value = 0.001), and organization (B = 1.01 (95% CI = - 0.1 - 2.13, p-value = 0.035) had a significant relationship with the preparedness of medical personnel for natural disaster management with a R2 value of 0.58. Knowledge, roles, and organization were the dominant factors that significantly correlate with the preparedness of medical personnel for natural disaster management. Conclusion: Medical personnel at General Public Hospital Dr. Slamet Garut have good preparedness for natural disasters. They have good knowledge about disaster management but lack detailed planning. Attitudes towards disaster management are good, but improvement is lacking. The role of medical personnel is good, but leadership is lacking. Organizational factors, planning, policy, and professional development are significant factors affecting preparedness.
Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit Lia Puji Astuti; Yanny Trisyani; Ristina Mirwanti
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6356

Abstract

The purpose of this scoping review is to identify how the application of EWS to detecting acute deterioration in adult patients in general ward hospital. The method used was a scoping review and the literature has been obtained from searches derived from four databases originating from PubMed, Scopus, Sage, and CINAHL. The results showed that the implementation of EWS consisted of 6 components (vital sign recording, EWS scoring and reading, EWS protocol, clinical response based on escalation protocol, information assistance process using bundle communication (SBAR), medical emergency team (MET) system activation). Seven main of vital sign have to measured are respiratory rate, oxygen saturation, oxygen supplementation, temperature, pulse, systolic blood pressure, and level of consciousness. Persistence and additional commitment since 2009 were identified as significantly increasing benefits during the implementation of EWS instruments to improve patient outcomes. This success was obtained from experience that can increase the knowledge and competence of nurses. Changes in the risk of the EWS score can be read by nurses as an indication of clinical deterioration that requires stabilization interventions. Innovations have also been carried out since 2013 which have been successfully implemented in various countries, especially in 2019 and 2021 which are called EWS electronic. Based on this study, EWS proved to be accurate in detecting deterioration in patients. Therefore, to improve the implementation of EWS nurses must have good knowledge, because in implementing EWS requires critical thinking, and the ability to analyze numerical score classifications as a basis for decision making. Keywords: Early Warning System, EWS, Nurse Implementation, Patient deterioration.
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nur’aeni adimiharja, adimiharja Afriana, Reni Agustin, Sigit Alya, Fania Putri Anastasia Anna Andrean Reynaldi Andrianthi, Salsyah Anita Setyawati Arianto, Albertus Budi Ariestanti, Nurrachma Armansyah, Nuraulia Aghnia Arofiati, Fitri Ayu Prawesti Priambodo Azizah, Neng Zihan Nurul Budiman, Ganjar Wisnu Burhan Nurdin Cecep Eli Kosasih Cecep Eli Kosasih Damayanti, Roshy Darmayanti Darmayanti Deris Riandi Setiawan Dian Adiningsih Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah Elsadai, Elsadai Etika Emaliyawati Etika Emaliyawati Emaliyawati Etika Emiliyawati Febianti, Ranti Fitri Haryanti Freitas, Lurdes Acorta Fricilia Noya Gita Maya Sari Gustiani, Ajeng Guztap Jabarul Haq Handayani, Audia Handayani, Meyla Sari Hapzi Ali Harlasgunawan, Alia Rahmi Hartati, Tita Hendriyani, Desy Hera Wahyuni Iis Haryati Iis Haryati Indah Enriani Wulansari Indawati, Eli Indriani Merlyn Manueke Indriati, Ririn Intan Madulara Izzany, Raden Maghfira Karti Nur Aryanti Kurhayati, Kurhayati Kurnia, Theresia Avila Kusman Ibrahim Lia Puji Astuti Liana, Yeni Lilis Sulastri Lumbantobing, Valentina Belinda Marlianti Luthfi Rahman, Luthfi Masruroh, Rurin Megatami, Noviani Moch. Didik Nugraha Muhaemin Muhaemin Muhammad Hadi Muhammad Iqbal Muhammad Nur Hidayah Muthmainnah Muthmainnah Nabila Rifa Zahara Heriawan Nasrullah, Kurnia Ni Putu Wahyu Ariani Nilamsari Nilamsari Nisa Utami, Nisa Noor, Farisha Noya, Fricilia Nunik Wijayanti Nur Fajariyah, Nur Nur Maziyya Nur'aeni, Aan Nurani, Rai Nurdiansyah Nurdiansyah Nurilhami, Ilham Taufik Nurinsani, Dwi Murti Nurlaeci Nurlaeci Nurlaeci Nurlaeci Nursalam Nursalam Nursanti, Irna Oktafianti, Mutiara Annisa Oman Hendi Pakpahan, Yetty Mardelima Uli Pangestika, Destiya Dwi Pebianti, Ranti Prabawati, Dewi Pujikurniawati, Citra Reza Purwandi, Purwandi Purwati, Nyimas Heny Putri, Azalia Melati Rahayu, Fitriani Rahmah, Tira Nur Rahmah, Tsabitah rahmalia amni Rahman, Lutfi Ramdani Ramdani Ratnasari, Nia Reis, Silvestre Dos Rika Winarni Risnianingsih, Nina Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizkianti, Intan Roulita Roulita Safitri, Helni Yusriya Saparingga Dasti Putri Satrio, Rizki Juniar Eko Sesilia, Fitri Setiawan, Iriani Dewi Sijabat, Pasuria Br Silvi Indriani Silviani, Sinta Sinaga, Freda Mai Situmorang, Gantiar Marsaulina Sri Hartutik Sridiawati, Essy Stephania, Agnes Sugiharto, Firman Susanti, Vera Tambunan, Natalia Taqiuddin, Muhammad Hafidh Tetti Solehati Tintin Sukartini Sukartini, Tintin Sukartini Titin Mulyati Titin Mulyati Titin Sutini, Titin Tuti Nuraini Valentina B.M. Lumbantobing Vanny Leutualy Wahyu Hidayati Widyadhari, Elysia Wiguna, Ilham Wiguna, Yutika Winara, Winara Witjaksono, Galuh Yayan Mulyana Zamharira Zamharira