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FAKTOR DETERMINAN KESIAPSIAGAAN PERAWAT GAWAT DARURAT DALAM MENGHADAPI PENYAKIT INFEKSI EMERGING Laksmi, Ida Ayu Agung; Udaksana, I Made Adi Wahyu; Susila, I Made Dwie Pradnya
jitek Vol 10 No 2 (2023): Maret 2023
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v10i2.1034

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Emerging infectious diseases are infectious diseases that appear and increase so rapidly that they can be said to be epidemics or non-natural disasters. As the front line, nurses are faced with uncertainties that increase the risk of exposure to disease, so preparedness is needed. This study aims to analyze the factors that affect the preparedness of emergency nurses in dealing with patients with emerging infectious diseases. This study is a correlational analytic study involving 109 emergency nurses in Bali. Data were collected through an online survey using a general questionnaire on demographic factors, a questionnaire on nurses' knowledge of EID, and a questionnaire on nurse preparedness in dealing with EID that had been tested for validity and reliability. The results of the bivariate analysis using the Spearman rank test showed that only the availability of personal protective equipment (p-value 0.007, p < α (0.05) and nurses' knowledge had a significant correlation with emergency nurse preparedness in dealing with patients with emerging infectious diseases (p-value 0.005, p < α (0.05). Therefore, it can be suggested to the hospital management in providing opportunities for emergency nurses to receive training related to emergencies in dealing with emerging infectious diseases and increase the assurance of the availability of adequate personal protective equipment (PPE).
Pengaruh Senam Wira Werdha Terhadap Penurunan Tekanan Darah Pada Lansia di Banjar Tanah Bang Ni Made Dwi Cahya Pramitha; I Made Dwie Pradnya Susila; Putu Adi Cahya Dewi; I Gusti Ngurah Kesuma Putra
Jurnal Ilmiah Kesehatan Pernus Vol. 3 No. 1 (2025): Jurnal Ilmiah Kesehatan Pernus
Publisher : STIKES Permata Nusantara Cianjur

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Abstract

Seseorang yang mencapai usia 60 tahun keatas memiliki risiko mengalami berbagai penyakit degeneratif akibat dari penurunan kemampuan tubuh yang akhirnya mempengaruhi fungsi tubuh salah satunya yaitu hipertensi. Senam wira werdha merupakan suatu bentuk latihan fisik yang bermanfaat untuk mengontrol tekanan darah lansia. Tujuan penelitian ini untuk mengetahui pengaruh Senam Wira Werdha terhadap penurunan tekanan darah pada lansia. Penelitian ini menggunakan jenis penelitian pre-eksperimental desain one grup pretest and posttest dengan jumlah sampel 25 responden menggunakan purposive sampling. Instrumen pengumpulan data menggunakan lembar observasi dan alat pemeriksaan tekanan darah OneMed Sphygmomanometer Aneroid 200 serta OneMed Stethoscope Deluxe. Data dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan adanya perbedaan rata-rata tekanan darah sistolik untuk hasil pretest adalah 151,80 mmHg dan posttest adalah 136,80 mmHg. Hasil statistik didapatkan nilai p 0,000 (p value < 0,05). Sedangkan rata-rata tekanan darah diastolik untuk hasil pretest adalah 92,80 mmHg, dan posttest adalah 86,80 mmHg. Hasil statistik didapatkan nilai p 0,000 (p value < 0,05) maka dapat disimpulkan bahwa ada pengaruh senam wira werdha terhadap penurunan tekanan darah pada lansia di banjar tanah bang. Dianjurkan bagi lansia menerapkan senam wira werdha secara rutin sebanyak 2 kali seminggu.
Upaya Peningkatan Pengetahuan Melalui Penyuluh Peran Suami Sebagai Fasilitator Dalam Persiapan Proses Persalinan Sumawati, Ni Made Risna; Susila, I Made Dwie Pradnya
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 5 No 1 (2021): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v5i1.2662

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Pada tahun 1999 sampai tahun 2000 pemerintah Indonesia telah mencanangkan program  Suami  Siaga yang bertujuan untuk meningkatkan peran serta suami. Program lain yang telah dicanangkan Pemerintah Indonesia adalah “Making Pregnancy Safer” dimana diharapkan partisipasi, pengetahuan dan keterlibatan suami dapat meningkat selama proses persalinan (Depkes RI, 2012). Kegiatan ini dilakukan dengan metode ceramah dan diskusi sehingga suami dapat memahami tentang pentingnya peran suami sebagai fasilitator. Pelaksanaan penyuluhan tentang upaya meningkatkan pengetahuan tentang pentingnya peran suami sebagai fasilitator dalam persiapan proses persalinan dilaksanankan pada pada suami yang mengantarkan ibu melakukan pemeriksaan kehamilan di BPM Ni Ketut Nuriasih. Suami diberikan lembar pre test tentang peran pendampingan yang diperlukan untuk menemani istri bersalin, kemudian suami diberikan leaflet dan dijelaskan peran yang seharusnya dilakukan nanti saat menemani istri bersalin. Pada tahap akhir suami kembali diberikan lembar post tes untuk mengukur tingkat pemahamannya. Hasilnya seluruh suami yang diberikan penjelasan tentang peran sebagai fasilitator dalam menemani istri bersalin seluruhnya mengerti, dibuktikan dengan adanya peningkatan pemahaman dari hasil pre test dan post test. Saran Bagi klinik klinik yang menangani persalinan sebaiknya dalam pemberian KIE persiapan persalinan suami juga diikut sertakan sehingga ibu dan suami semakin siap menghadapi proses persalinan.Keywords: Fasilitator; Penyuluhan; Peran Suami; PersalinanKnowledge Efforts Through Release About The Importance Of Husband Role As A Facilitator In Preparing The Labor ProcessAbstractSince 1999 to 2000 the Indonesian government had launched the Husband Alert program which aimed to increase the participation of husbands. Another program that has been launched by the Government of Indonesia is the "Making Pregnancy Safer" where it is expected that the participation, knowledge and involvement of the husband can increase during the birth process (MOH RI, 2012). But until now there are still many husbands who do not understand their role well. So it is necessary to make efforts to increase knowledge through counseling about the importance of the husband's role as a facilitator in the preparation of the labor process. Counseling about the importance of the husband's role as a facilitator in the preparation of the birth process is done by the lecture method using leaflet props. Evaluation was carried out before and after the provision of counseling material (pre and post test). Counseling was carried out for 15 days from 1 to 15 June 2018 to 28 husbands who took mothers to carry out ANC examinations. The results of the post-test showed 78.6% experienced an increase in knowledge about the importance of the husband's role as a facilitator while the other 21.4% did not experience an increase in knowledge about the importance of the husband's role as a facilitator. Increased knowledge about the importance of the husband's role as a facilitator in the preparation of the birth process is influenced by several factors. One of them is the age factor and level of education. Recommendations for clinics that handle childbirth, it should always be included in the provision of counseling preparation for childbirth by explaining the role that must be done so that mothers and husbands are more ready to face the labor process.Keywords: Counseling; Childbirth; Facilitator; Role of Husband.
Upaya Peningkatan Pertolongan Pertama Pada Kecelakaan dan Mengubah Pola Pikir Siswa Terhadap Pertolongan Pertama Pada Kecelakaan Susila, I Made Dwie Pradnya
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 4 No 2 (2020): Agustus
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v4i2.2735

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AbstrakPengabdian kepada masyarakat merupakan suatu kegiatan yang bertujuan membantu masyarakat tertentu dalam beberapa aktivitas tanpa mengharapkan imbalan dalam bentuk apapun. Kegiatan ini dilakukan dengan cara menyebarkan informasi, menanamkan keyakinan kepada masyarakat sehingga masyarakat tidak sadar, tahu, dan mengerti akan isu-isu masalah kesehatan dan kenakalan remaja yang terjadi disekitar lingkungannya, tetapi juga mau dan bisa menerapkan informasi-informasi tersebut dalam kehidupan sehari-hari agar dapat menunjang peningkatan derajat kesehatannya. Pelaksanaan Penyuluhan tentang upaya peningkatan pertolongan pertama pada kecelakaan dan mengubah pola pikir siswa terhadap pertolongan pertama pada kecelakaan dilaksanakan di SMA Negeri 1 Kediri. Siswa dan siswi diberikan pre test tentang pertolongan pertama, kemudian siswa diberikan leaflet dan dijelaskan hal-hal yang harus dilakukan saat hendak memberikan pertolongan pertama. Pada tahap akhir siswa dan siswi diberikan lembar post test untuk mengukur tingkat pemahamannya. Hasilnya seluruh siswa dan siswi yang diberikan penjelasan tentang upaya peningkatan pertolongan pertama pada kecelakaan dan mengubah pola pikir siswa terhadap pertolongan pertama pada kecelakaan mengerti, dibuktikan dengan adanya peningkatan pemahaman dari hasil pre test dan post test. Saran bagi semua orang agar dapat melaksanakan dan meningkatkan upaya pertolongan pertama pada kecelakaan.Keywords : penyuluhan; pertolongan pertama; kecelakaan Efforts To Increase The First Aid In Accidents and Change Students Thoughts To The First Aid In AccidentAbstractCommunity service is an activity that aims to help certain communities in some activities without expecting any kind of reward. This activity is carried out by disseminating information, instilling confidence in the community so that people are not aware, know, and understand the issues of health problems and juvenile delinquency that occur around their environment, but also want and can apply these information in daily life in order to be able to support the improvement of their health status. Implementation of Counseling on efforts to increase first aid in accidents and change the mindset of students towards first aid in accidents carried out in Kediri 1 Public High School. Students and students are given a pre test about first aid, then students are given leaflets and explained things to do when giving first aid. In the final stage students and students are given a post test sheet to measure the level of understanding. The result was that all students and students were given an explanation of efforts to increase first aid in accidents and change the mindset of students towards first aid in an accident to understand, as evidenced by an increase in understanding of the results of the pre test and post test. Suggestions for everyone to be able to implement and improve first aid efforts in accidents.Keywords: extension, first aid, accidents
First Aid And Basic Life Support Training Camp Sebagai Upaya Pemberdayaan Remaja Dalam Penanganan Kasus Kegawatdaruratan Susila, I Made Dwie Pradnya; Laksmi, Ida Ayu Agung; Udaksana, I Made Adi Wahyu
Jurnal Masyarakat Madani Indonesia Vol. 4 No. 2 (2025): Mei
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/7pb96535

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First Aid And Basic Life Support Training Camp adalah program pelatihan pertolongan pertama dan bantuan hidup dasar pada remaja desa dengan konsep yang berbeda, yaitu terdapat aktivitas camping. Remaja berpartisipasi dalam sesi pelatihan melalui kegiatan rekreasi dan santai yang lebih menarik sehingga materi lebih mudah dimengerti. Tujuan kegiatan pengabdian kepada masyarakat ini dapat mendukung remaja untuk menjadi first aider sekaligus kader melalui pelatihan pertolongan pertama sehingga dapat berperan sebagai agen perubahan khususnya dalam proses persiapan menjadi desa siaga bencana di lingkungannya. Metode pelatihan ini dilaksanakan dengan konsep perkemahan (camping) yang didalamnya terdapat kegaitan memberikan pelatihan first aid dan basic life support. Kegiatan dilaksanakan selama 2 hari, 25 April sampai dengan 26 April 2025 yang diikuti oleh 30 orang remaja di Desa candikuning. Hasil pelatihan memperlihatkan bahwa adanya peningkatan pengetahuan dan keterampilan tentang first aid dan basic life support. Hasil pengukuran sebelum edukasi menunjukkan bahwa pengetahuan peserta tentang P3K memiliki nilai rata-rata sebesar 67,33, sementara pemahaman tentang bantuan hidup dasar sebesar 64,00. Hasil akhir nilai rerata pengetahuan P3K meningkat menjadi 86,83, dan pengetahuan tentang bantuan hidup dasar menjadi 87,17. Di sisi keterampilan, pembidaian memperoleh nilai rerata 85,17, dan keterampilan CPR mencapai 84,40.
Pengaruh pendidikan kesehatan tentang perawatan payudara melalui media video terhadap tingkat pengetahuan dan sikap ibu hamil triwulan III di wilayah kerja UPTD Puskesmas Mengwi II. Wirasih, Ni Wayan; Widiastini, Luh Putu; Adhiestiani, Ni Made Egar; Susila, I Made Dwie Pradnya
Femina: Jurnal Ilmiah Kebidanan Vol. 4 No. 1 (2024): Juni
Publisher : Program Studi D3 Kebidanan Langsa, Polteknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/femina.v4i1.578

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Latar Belakang: Perawatan payudara pada masa kehamilan sangat penting pada proses pemberian ASI. Peningkatan pengetahuan dan sikap ibu hamil dapat dilakukan dengan memberikan pendidikan kesehatan tentang perawatan payudara menggunakan media video. Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh pendidikan kesehatan tentang perawatan payudara. Metode: Metode yang digunakan pre eksperimental dengan rancangan One group Pra test-posttest Design. Sampel ibu hamil trimester III sebanyak 60 sampel dan teknik sampel purposive sampling. Hasil: Hasil penelitian pengetahuan sebelum perlakuan rata-rata 1,38, setelah perlakuan rata-rata 2,90, sikap sebelum perlakuan rata-rata 142, setelah perlakuan rata-rata 2,77. Hasil uji Wilcoxon Sign Rank Test dengan Z hitung menunjukkan ada pengaruh pendidikan kesehatan tentang perawatan payudara Kesimpulan: Disimpulkan pendidikan kesehatan melalui media vidio berpengaruh signifikan terhadap tingkat pengetahuan dan sikap. Disarankan kepada puskesmas agar memasukan program pendidikan kesehatan secara rutin dan terjadwal pada ibu hamil pada saat ini khususnya perawatan payudara
Designing of a High-Quality CPR Simulation Game Clinical Scenario for Nursing Students: A Qualitative Study Laksmi , Ida Ayu Agung; Susila, I Made Dwie Pradnya; Triana, Komang Yogi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3389

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Cardiopulmonary resuscitation (CPR) is an important skill for nursing students. The process of learning high-quality CPR with a simulation-based learning method can be developed into a simulation game. In order to develop a CPR HQ simulation game, a clinical scenario that can be used as a guide in carrying out storyboards is needed. This research aims to formulate a simulation scenario that will serve as the basis for developing a high-quality CPR simulation game to increase nursing students' competency. This qualitative research uses a Participatory Action Research (PAR) approach by inviting 15 respondents from the prospective user population, namely Emergency Nursing Lecturers, Emergency Room Nurses, BLS Trainers, and nursing students, to carry out Focus Group Discussions. The study's results revealed clinical scenarios that were arranged based on 4 themes, including 1) suitability of the competency being tested, 2) minimum competency for 5 cycles of CPR, 3) settings in the pre-and intrahospital scope, and 4) choice of patient outcome. These components are crucial when designing simulation scenarios that support students’ cognitive processes to achieve High-Quality CPR in nursing students. Thus, the results of this research can then be used as a guide in developing the HQ-CPR game as a learning medium for nursing students.
PENGARUH BIBLIOTERAPI TERHADAP PENURUNAN KECEMASAN ANAK YANG MENJALANI HOSPITALISASI DI RS BHAYANGKARA DENPASAR Wati, Ni Made Dwi Arsita; Susila, I Made Dwie Pradnya; Purwaningsih, Ni Komang
Journal of Advanced Nursing and Health Sciences Vol. 2 No. 2, Agustus 2021
Publisher : Universitas Kusuma Husada Surakarta

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Hospitalization is a process of planning or emergency reasons that require children to be hospitalized for therapy. Being hospitalized is a big problem and creates fear and anxiety for the children. One of the efforts to overcome anxiety is by doing bibliotherapy. Doing bibliotherapy will provide many benefits, namely reducing stress or pressure faced, in terms of emotion bibliotherapy can help restore the condition of individuals who have trauma, eliminate boredom experienced by someone, and also reduce tension in oneself. Reading is a distraction that can lower stressor hormones, activate natural endorphins, and divert attention from fear, anxiety and tension, improve the body's chemical system, lower blood pressure and slow down breathing, heart rate, pulse, and brain wave activity. The purpose of this study was to identify anxiety experienced by children undergoing hospitalization before and after performing bibliotherapy and to analyze the effect of bibliotherapy on reducing anxiety in children underwent hospitalization.The research design used was pre experimental one-group pretest-posttest. This research was conducted at Bhayangkara Denpasar Hospital in December 2020. The number of respondents in this study was 37 respondents who were determined using non-probability sampling, namely purposive sampling. Respondents performed bibliotherapy every day for 45 minutes. The analysis used the Wilcoxon test to determine the effect of bibliotherapy on reducing anxiety of children undergoing hospitalization.The results of the bivariate analysis used the Wilcoxon test and the p value was 0,000 because the p value <α (0.05), then H0 was rejected. This means that there was an effect of bibliotherapy on decreasing anxiety of children undergoing hospitalization at Bhayangkara Hospital in 2021.
Preparedness of Emergency Room Nurses After Emerging Infectious Diseases Screening Laksmi, Ida Ayu Agung; Susila, I Made Dwie Pradnya; Suprapta, Made Ani
JURNAL INFO KESEHATAN Vol 21 No 1 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss1.892

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Emerging infectious diseases (EID) is one of the leading causes of death worldwide since it initially attacks a population or has existed before but is increasing very rapidly in terms of the number of new cases in a population. Early detection of EID patients refers to early screening. Screening of patients with suspected EID such as Covid-19 or other airborne infectious diseases must be performed at the first contact with suspected patients. This study aims to evaluate the effectiveness of EID screening instrument applied at the Emergency Room (ER). This was a quantitative pre-experimental study with a one-group pretest-posttest design. The sample size consisted of 34 nurses at the ER of Mangusada Hospital, Bali, who were selected using a total sampling technique. The intervention administered in this study was the implementation of EID screening instrument before the patients entered triage for 1 month on June 2022 at the ER of Mangusada Hospital. After ensuring the distribution and homogeneity of the data, a paired t-test was employed for parametric statistical data analysis. The result of the study showed a p-value of (0.004) or p <α (0.05). So, it can be concluded that there was an effect of the screening instrument applied at the ER of Mangusada Hospital on the preparedness of nurses in dealing with EID. Thus, the screening for patients with EID should be implemented in each emergency unit. The study finding can help improve nurse preparedness regarding the prevention of EID. In addition, future study is recommended to assess the competence of nurses regarding the prevention of EID.
Development of a Moblie Phone E-Nursing Application Prototype to Improve Self-Care for Heart Failure Patients Laksmi, Ida Ayu Agung; Susila, I Made Dwie Pradnya; Suprapta, Made Ani
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1621

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Generally, patients with heart failure will experience activity intolerance resulting in functional limitations and decreased self-care abilities. One of the innovations offered in the Digital era is to develop a mobile phone e-nursing application with mobile technology that can be used by heart failure patients anywhere and anytime. This research aims to create a mobile phone application prototype to improve self-care for heart failure patients. This study is a research and development design. This study involved 32 heart failure patients who had medical records and a history of hospitalization at Mangusada Hospital using a purposive sampling technique. This research produced a prototype the self-care e-nursing application prototype which was developed into 6 main menus including education, weight monitoring, symptom monitoring, diet programs, medication reminders, and rest-activity menus.  Then the prototype was evaluated using the System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ). The research results show that the average SUS score reached 84.84 and the overall PSSUQ score was above 5. The conclusion is this prototype is classified as acceptable. Thus, this prototype is worthy of being developed into a real application in the future. Future research is needed to investigate the integration of the e-nursing application with electronic medical records (EMRs) within existing hospital systems.
Co-Authors A. A. Kompiang Ngurah Darmawan A?ini, Nur Adhiestiani, Ni Made Egar Adriani, Putu Meita Ari Agnihortry, Putu Ayu Mega Ayu Martini, Ni Made Dwi Baby Vania Hunga Dake Budi Ayu Mira Dewi Budiari, Ni Made Dewi, Ni Luh Suari Sasmita Dewi, Ni Putu Tri Purnama Dewi, Putu Adi Cahya Dita, I Gede Agus Wahyu Pramana Evi Yantini, Kadek Gandari, NK. Matalia Gede Arya Bagus Arisudhana I Gede Surya Juliawan I Gusti Agung Manik Karuniadi I Gusti Bagus Artha Pradnyana I Gusti Ngurah Kesuma Putra I Nyoman Sutresna I Putu Artha Wijaya Ida Ayu Agung Laksmi IGAA Sherlyna Prihandhani Karuniadevi, Gusti Ayu Made Wid Komang Ayu Ningsih Komang Yogi Triana Kusuma Dewi, Ni P P Kusuma, A.A. Ngurah Nara Laksmi , Ida Ayu Agung Laksmi, Ida Ayu Agung Lestari, I Gusti Ayu Dewi Indra Lestari, Ni Putu Yunita Sri Luh Putu Widiastini Made Adi Wahyu Udaksana Made Adi Wahyu Udaksana Made Ani Suprapta Ni Made Dwi Arsita Wati Ni Made Dwi Cahya Pramitha Ni Nyoman Purnaningsih Ni Nyoman Suardani Ni Putu Dita Wulandari Ni Putu Nopi Widayanti Ni Wayan Arya Utami, Ni Wayan Arya Nina Rismawati Hakim Nur A’ini Nur Cahyaningsih, Nur Pande Putu Indah Purnamayanthi Pande Putu Januraga Pramesti, Dewa Ayu Sri Prihandhani, IGAA Sherlyna Purwaningsih, Ni Komang Putu Adi Cahya Dewi Sudarminingsih, Ni Kadek Pande Eka Sumawati, Ni Made Risna Suprapta, Made Ani Sutresna, I Nyoman Swastikaningtyas, Niluh Nyoman Tantri Tresna Dewi, Ni Luh Ayu Sulistiani Udaksana, I Made Adi Wahyu W, Kadek Dheana Novitayani Wahyuni, Desak Nyoman Ary Wardana, Gede Harsa Wati, Ni Made Dwi Arsita Widyantari, Ni Putu Sri Wirasih, Ni Wayan