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All Journal Nurse Media Journal of Nursing Majalah Keperawatan Unpad Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Interest : Jurnal Ilmu Kesehatan Jurnal NERS Jurnal Skolastik Keperawatan (e-Journal) Jurnal Berita Ilmu Keperawatan Jurnal Keperawatan Sriwijaya Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Keperawatan Padjadjaran Jurnal SOLMA Journal of Midwifery Journal Of Bionursing Jurnal Untuk Masyarakat Sehat (JUKMAS) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Intan Husada : Jurnal Ilmiah Keperawatan MAHESA : Malahayati Health Student Journal Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Journal of Health and Nutrition Research DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal of Community Health Development (JCHD) JPMB Parahita Jurnal Berita Ilmu Keperawatan International Journal of Biomedical Nursing Review (IJBNR) Pedagogic Research - Applied Literacy Journal Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Journal Of Bionursing Jurnal Ilmu Keperawatan dan Kebidanan
Iwan Purnawan
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The Influence of Web-Based Hospital Nurse Caring Information System Applications as An Effort to Increase Knowledge and Caring Attitudes of Nurses Yuliani, Any; Purnawan, Iwan; Suratman, Suratman
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.3416

Abstract

Caring is a dynamic approach, where nurses work to increase their care for clients. Nurses' knowledge and caring attitude are the things that underlie nurses in applying caring behaviour. Objective: to determine the effect of SI CAPERS application as an effort to increase nurses' knowledge and caring attitude in the ICU Room of RSI PKU Muhammadiyah Tegal. Method: Research study and the effect of application and quasy experiment with non equivalent control group design. The application was tested by questionnaire for usability and Aiken V test for material and media. Paired Sample T Test was used to analyse data on nurses' knowledge and caring attitude. The population of this study was all ICU/HCU nurses at RSI PKU Muhammadiyah Tegal. The sample taken was 34 people consisting of 17 ICU nurses as the intervention group and 17 nurses as the control group. Results: The results of the SI CAPERS application questionnaire are very feasible at 92.5% and 0.841 according to the objectives, material, methods, sources and learning activities with an easy, attractive and simple design. Data analysis resulted after the intervention there was an effect of the SI CAPERS application as an effort to increase knowledge and caring attitudes of nurses p - value <0.006. Conclusion: SI CAPRES application is able to improve the knowledge and caring attitude of nurses in the ICU Room of RSI PKU Muhammadiyah Tegal.
EMERGENCY NURSING ANALYSIS PREVENTION AND TREATMENT OF COGNITIVE DYFUNCTION AFTER TRAUMATIC BRAIN INJURY: LITERATURE REVIEW Alivian, Galih Noor; Hidayat, Arif Imam; Awaludin, Sidik; Purnawan, Iwan
International Journal of Biomedical Nursing Review Vol 1 No 1 (2022): International Journal of Biomedical-Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.1.6535

Abstract

Introduction: Traumatic brain injury or traumatic brain injury according to the national consensus of treatment head trauma defines traumatic brain injury as mechanical trauma to the head either directly or indirectly that can cause disturbance neurological functions such as physical, cognitive and psychosocial disorders both temporarily nor permanent. This literature review aims to determine the prevention and treatment of cognitive dysfunction after traumatic brain injury. Literature search with using the ProQuest, PubMed, Garuda and Google Scholar databases with 2017-2022 publication range. Articles that meet the criteria are analyzed and rated quality according to inclusion and exclusion. Obtained ten articles discussing related to the prevention and treatment of cognitive dysfunction after traumatic brain injury, two articles using the literature review method. The results of the analysis of the 5 articles show below there are various alternatives can be used in the prevention and treatment of people with cognitive dysfunction or disorders positive after traumatic brain injury such as the use of trehalose drugs, computer-assisted cognitive stimulation or neurocognition, use of neurofeedback, prophylactic therapy, neuroradiographic imaging and basic and optional neurologic examinations use of anti-epileptic drugs (OATs). Until now there is no therapy that can be applied for primary brain injury, therapy for people with cognitive impairment focused on neurocognitive rehabilitation in cognitive impairment after traumatic brain injury
Effectiveness of Giving Herbal Oil on Pressure Ulcers Management in Intensive Care Unit (ICU) Patients: Systematic Review Nonah Suciati; Iwan Purnawan; Ridlwan Kamaluddin
International Journal of Biomedical Nursing Review Vol 2 No 1 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.2.8101

Abstract

Background: Intensive Care Unit is a unit to treat critical patients who need intensive care and monitoring. This can pose many risks, one of which is getting pressure ulcers/decubitus ulcers. Pressure ulcers are wounds caused by continuous compression of soft tissue. Prevention of pressure ulcers can be done by treating the patient's skin using herbal oil. Purpose: To identify the effectiveness of giving herbal oil on the treatment of pressure ulcers in ICU patients. Methods: The literature search was carried out using the PICO framework. This systematic review is limited to articles published in 2011-2021. The databases used are Google Scholar, PubMed, Sage Journal, Science Direct, and ProQuest with the keywords (oil OR herbal oil) AND (decubitus OR pressure ulcers OR bedsores) AND (critical patient). The selection of articles follows the PRISMA flow. Assessment of article quality was carried out by supervisors and authors using the risk of bias from The Cochrane's Collaboration. Results: Based on the seven articles reviewed, five recommended oils were obtained, including olive oil, Virgin Coconut Oil (VCO), fish oil, almond oil and henna oil. The oil is applied by three methods, including by smearing without massage, smearing with massage and dressing. The instruments used are the Braden Scale, Suriadi Sanada Scale, Pressure Ulcer Scale for Healing (PUSH), International NPUAP/EPUAP Pressure Ulcer Classification System, micro life NC100 infrared thermometer and Mini Nutritional Assessment (MNA). Conclusion: Herbal oil can be applied by various methods as a complementary therapy to prevent and treat pressure ulcers in patients in the ICU.
Factors Affecting Adherence to Antihypertensive Medication: Systematic Review Arif Imam Hidayat; Galih Noor Alivian; Sidik Awaludin; Iwan Purnawan; Lita Heni Kusumawardani; Wahyudi Mulyaningrat
International Journal of Biomedical Nursing Review Vol 2 No 2 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2023.2.1.9127

Abstract

Introduction: Hypertension is one of the most common cardiovascular diseases around the world. Hypertension influence so many aspect in patient’s live, not only physically but psychologically as well. Identifying and understanding factors related with treatment adherence in patient with hypertension can be very important to develop specific strategies to increase patient’s quality of life, prevent complications, and reduce re-hospitalization rate in patient with hypertension. Objective: This paper reviewed and synthesized the previous studies of factors related with treatment adherence in patient with hypertension. Method: Literature study in 15 journals through Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Ovid, Taylor and Francis, and Science Direct, and manual searching from the reference list of previous obtained using keywords definition of treatment adherence, dimension of treatment adherence in patient with hypertension, and factors related with treatment adherence in patient with hypertension. Data were analyzed in tables contain title, author, year, methodology, result, and recommendation. Result: Patient adherence to treatment can be describe as an extent of patient’s behavior to follow the medication, diet, and lifestyle changes as recommended by the healthcare provider. Treatment adherence represents patient’s behavior after discussion between patient and healthcare provider. Patient have right to agree or refuse the treatment after get enough information from healthcare provider. Conclusion: The individualized approach can be very useful to assess and understand the cause of patient non-adherence with treatment hypertension. In the future this information can be useful to decide nursing theory that fit to underpinning the intervention and also can be used to plan intervention to increase treatment adherence of patient with hypertension.
HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Ikit Netra Wirakhmi; Iwan Purnawan
Jurnal Ilmu Keperawatan dan Kebidanan Vol 12, No 2 (2021): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v12i2.1079

Abstract

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure. 
Evaluating Drug Safety in Pregnancy: A Hospital-Based Study on TGA Classification and Prescription Practices in Indonesia Sastranegara, Hawariyyun; Sutrisna, Eman; Nafisah, Nafisah; Priyanto , Edy; Purnawan, Iwan; Ariesto, Mohammad Rizky; Sulistyo, Hidayat
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.48-56.2025

Abstract

Pregnant women are frequently prescribed medications, yet limited data exist on the safety profiles of these drugs in low-resource settings. The Therapeutic Goods Administration (TGA) classification system is a critical tool to evaluate fetal risks, but its application in Indonesian clinical practice remains understudied. This study aimed to analyze prescription patterns and TGA safety categories of drugs prescribed to pregnant women at a tertiary hospital in Indonesia. A cross-sectional study was conducted using medical records of 374 pregnant women at Bunda Arif Hospital (2021-2022). Drugs were classified according to TGA categories (A, B1, B2, B3, C, D, X). Data were analyzed descriptively (frequencies, percentages) and compared across trimesters. Most patients (63%) received one drug, primarily electrolytes/minerals/vitamins (67%). Based on TGA classification, 33% of drugs were Category A (safe), while 27% were Category D (e.g., high-dose Vitamin A). Notably, Category D drugs were increasingly prescribed across trimesters (12% in 1st trimester to 46% in 3rd trimester). No Category X drugs were identified. Conclusion: Despite overall adherence to safe prescribing (Category A), the high prevalence of Category D drugs, particularly Vitamin A, highlights a critical gap in perinatal pharmacovigilance. Clinicians should prioritize evidence-based guidelines to mitigate potential teratogenic risks in pregnancy.
Pengaruh alat pendeteksi vena terhadap kecepatan dan ketepatan perawat dalam pemasangan infus: A systematic review Resmi, Fuji Indah; Purnawan, Iwan; Sari, Yunita
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1611

Abstract

Background: Intravenous (IV) insertion is a routine procedure in hospitalized patients, but its success depends on the nurse's ability to accurately locate and access veins. Patients with difficult venous access (DVA) often experience multiple punctures, prolonged procedure times, and an increased risk of complications. Venous detection devices, particularly infrared-based technology, have been introduced to enhance vein visualization. Purpose: To identify the effectiveness of the vein detection tool on the speed and accuracy of nurses in intravenous procedures. Method: A systematic review following PRISMA guidelines to analyze studies retrieved from PubMed, Google Scholar, and ProQuest. Results: Six reviewed studies indicated that venous detection devices improve the first-attempt success rate, reduce insertion time, and minimize the number of punctures. Conclusion: These findings suggest that venous detection devices can enhance the efficiency of IV insertion in clinical settings. Suggestion: Further research with larger sample sizes and standardized protocols is needed to strengthen the evidence.   Keywords: Accuracy; Infusion Installation; Nurse; Speed; Vein Detection Device.   Pendahuluan: Pemasangan infus (IV) adalah prosedur rutin pada pasien rawat inap, tetapi keberhasilannya bergantung pada kemampuan perawat untuk menemukan dan mengakses vena secara akurat. Pasien dengan akses vena yang sulit (DVA) sering mengalami banyak tusukan, waktu prosedur yang lama, dan peningkatan risiko komplikasi. Perangkat pendeteksi vena, khususnya teknologi berbasis inframerah, telah diperkenalkan untuk meningkatkan visualisasi vena. Tujuan: Untuk mengidentifikasi efektivitas alat pendeteksi vena terhadap kecepatan dan ketepatan perawat dalam prosedur intravena. Metode: Tinjauan sistematis yang mengikuti pedoman PRISMA untuk menganalisis studi yang diambil dari PubMed, Google Scholar, dan ProQuest. Hasil: Enam studi yang ditinjau, menunjukkan bahwa perangkat pendeteksi vena meningkatkan tingkat keberhasilan percobaan pertama, mengurangi waktu pemasangan, dan meminimalkan jumlah tusukan. Simpulan: Temuan ini menunjukkan bahwa alat pendeteksi vena dapat meningkatkan efisiensi pemasangan infus dalam pengaturan klinis. Saran: Penelitian lebih lanjut dengan ukuran sampel yang lebih besar dan protokol standar diperlukan untuk memperkuat bukti.   Kata Kunci: Alat Pendeteksi Vena; Kecepatan; Ketepatan; Pemasangan Infus; Perawat.
Pengaruh penggunaan selimut thermal terhadap perubahan suhu tubuh pada bayi dengan hipothermia di ruang perinatologi: A systematic literature review Maniasih, Elisah; Purwandar, Haryatiningsih; Purnawan, Iwan
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2113

Abstract

Background: Hypothermia in infants is a critical care emergency that increases the risk of morbidity and mortality. The use of thermal blankets is an effective non-pharmacological intervention to maintain body temperature, but scientific evidence regarding its effectiveness in perinatology wards is limited. Purpose: To assess the effect of thermal blankets on changes in body temperature in infants with hypothermia in perinatology wards. Method: A systematic literature review was conducted using various national and international databases. The search databases used were PubMed, Google Scholar, Scimago, DOAJ, Garuda, and Neliti. Keywords were structured based on the PICO framework and using Boolean operators (AND/OR). Inclusion criteria for this study were articles published between 2015 and 2025, in English or Indonesian, and published online. Results: The most common intervention in this literature was thermal intervention (warming) using thermal blankets. All programs showed a significant increase or stabilization in body temperature (p < 0.05). Infants are vulnerable to hypothermia due to their immature thermoregulatory systems, low subcutaneous fat, large body surface area, and limited metabolic capacity to generate heat. Meanwhile, external challenges for healthcare workers include limited heating equipment, the need for infant mobility, and the risk of heat loss during transport and cesarean delivery. Conclusion: The use of thermal blankets has been shown to significantly increase the body temperature of infants with hypothermia in the perinatology ward. This intervention can be recommended as a nursing intervention to stabilize infant temperature, especially in settings with limited facilities.   Keywords: Hypothermia; Infant Body Temperature; Perinatology Ward; Thermal Blanket.   Pendahuluan: Hipotermia pada bayi adalah kondisi gawat darurat yang meningkatkan risiko morbiditas dan mortalitas. Penggunaan selimut thermal menjadi intervensi non-farmakologis yang efektif untuk menjaga suhu tubuh, namun bukti ilmiah mengenai efektivitasnya di ruang perinatologi masih terbatas. Tujuan: Untuk menilai pengaruh selimut thermal terhadap perubahan suhu tubuh bayi dengan hipotermia di ruang perinatologi. Metode: Penelitian literature review dilakukan secara sistematis melalui berbagai basis data nasional dan internasional. Database pencarian yang digunakan yaitu PubMed, Google Scholar, Scimago, DOAJ, Garuda, dan Neliti. Kata kunci disusun berdasarkan kerangka PICO dan menggunakan Boolean operator (AND/OR). Kriteria inklusi dalam penelitian ini adalah artikel yang dipublikasikan antara 2015-2025, berbahasa Inggris atau bahasa Indonesia dan diterbitkan secara daring. Hasil: Intervensi yang paling umum dalam literatur ini adalah intervensi termal (penghangat) penggunaan selimut thermal. Seluruh program menunjukkan peningkatan peningkatan atau stabilisasi suhu tubuh secara signifikan (p < 0.05). Bayi rentan hipotermia karena sistem termoregulasi yang belum matang, lemak subkutan sedikit, luas permukaan tubuh besar, dan kemampuan metabolik yang masih terbatas untuk menghasilkan panas. Sementara tantangan eksternal tenaga kesehatan, seperti keterbatasan alat pemanas, kebutuhan mobilitas bayi, serta risiko kehilangan panas saat transportasi dan pada persalinan sesarea. Simpulan: Penggunaan selimut thermal terbukti berpengaruh signifikan terhadap peningkatan suhu tubuh bayi dengan hipotermia di ruang perinatologi. Intervensi ini dapat direkomendasikan sebagai salah satu tindakan keperawatan dalam stabilisasi suhu bayi, khususnya pada kondisi fasilitas yang terbatas.   Kata Kunci: Hipotermia; Ruang Perinatologi; Selimut Thermal; Suhu Tubuh Bayi.
Co-Authors Adiratna Sekar Siwi Agis Taufik Alfianto, Candra Alivian, Galih Noor Ariesto, Mohammad Rizky Arif Imam Hidayat Arif Rakhman Arif Setyo Upoyo Arikh Ratna Purwadi Arni Nur Rahmawati Azizy, Agil Wafi Bambang Sumantri, R Bagus Cecep Eli Kosasih Chanshintop, Sawinee Danang Setiyono Dani Tri Santosa Dani Tri Santosa Dedy Firmansyah, Dedy Dian Ramawati Dian Ramawati Eman Sutrisna Galih Noor Alivian Galih Noor Alivian Galih Noor Alivian Hartiah Haroen Hartono Hartono Hidayat Sulistyo Ikit Netra Wirakhmi Lita Heni Kusumawardani Made Sumarwati Made Sumarwati Maniasih, Elisah Martanti, Yuniar Dwi Maya Safitri Mekar Dwi Anggraeni Mekar Dwi Anggraeni Mulyani, Nani Sri Mulyaningrat, Wahyudi Mursiyam Mursiyam Mursiyam Mursiyam Nafisah Nafisah Nani Sri Mulyani Nonah Suciati Nurhanif Nurhanif Nurhanif, Nurhanif Oktora, Sasongko Priyo Dwi Priyanto , Edy Probosuseno, P Purwandar, Haryatiningsih Resmi, Fuji Indah Ridlwan Kamaluddin Ridlwan Kamaluddin Rismah, Rismah Safaah, Siti Saryono, Sastranegara, Hawariyyun Setiyono, Danang Sidik Awaludin Siti Safaah Sobihin, Sobihin SRI SETIYARINI, SRI Sumeru, Annas Suratman Suratman Susetya, Putut Anggara Tin Utami Tuswati Tuswati Tuswati, Tuswati Tyas Sitaresmi Kumalasari Umarmono, Umarmono Uswatun Hasanah Kartika Sari Utami, Tin Wahyudi Mulyaningrat Walohtae, Fa-is Welas Haryati Wirakhmi, Ikit Wirakhmi, Ikit Netra Wiwit Rita Suprilatin Yuli Dwi Hartanto Yuliani, Any Yunita Sari Yunita Sari Yunita Sari Yunita Widyastuti