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All Journal Althea Medical Journal Jurnal Berita Ilmu Keperawatan Panrita Abdi - Jurnal Pengabdian pada Masyarakat Jurnal Keperawatan Padjadjaran JMM (Jurnal Masyarakat Mandiri) Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Media Keperawatan Indonesia Jurnal Kreativitas PKM PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Journal of Telenursing (JOTING) Wellness And Healthy Magazine Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Pengabdian Masyarakat Kesosi Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Jurnal Berita Ilmu Keperawatan
Melati Fajarini
Universitas Muhammadiyah Jakarta
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Effect of Telerehabilitation to Improve Quality of Life in Patient of Heart Failure (HF) Eza Kemal Firdaus; Diana Irawati; Melati Fajarini
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.816 KB) | DOI: 10.32583/keperawatan.v15i1.698

Abstract

Heart failure is one of the biggest causes of death worldwide. The fragility of heart failure patients becomes more vulnerable and at greater risk of physical, functional, cognitive, and emotional decline leading to decreased quality of life. Telerehabilitation provides rehabilitation services at a distance through information technology and telecommunications, such as telephone, internet, and video conferencing conducted at the patient's home as an effective and safe complementary alternative in improving the quality of life. This study aimed to determine the quality of life before and after the implementation of Telerehabilitation. A quasi-experimental study of a single group. A purposive sampling technique was used to collect the data, with a sample of 17 respondents. Data was collected using a Minnesota Living with Heart Failure Questionnaire (MLHFQ) before and after the intervention. The statistical test used was Paired Sample T Test. Heart failure patients will carry out a telerehabilitation program that has been agreed upon by the nurse and doctor. The results of the Paired Sample T Test Quality of Life above show the P value (Sig. 2-tailed) 0.00 or less than 0.005 (<0.05), so it can be concluded that the implementation of Telerehabilitation affects improving the quality of life in Heart Failure patients.
The Emergency Severity Index (ESI) Usage: Triage Accuracy and Causes of Mistriage Sari, Silvia Ramdini; Fajarini, Melati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (595.044 KB) | DOI: 10.30604/jika.v7iS1.1190

Abstract

Errors in determining triage criteria can endanger patient safety so the cause must be addressed. But it is not yet known the accuracy of triage and the cause of mistriage. This study aims to identify the accuracy of the level of gravity of the Emergency Severity Index (ESI) triage system and evaluate the causes of mistriage in the Emergency Department (ED). Descriptive research with the retrospective review was conducted for 20 days which were randomly selected between January 1st and December 31st, 2021 at a hospital in Jakarta. A total of 199 randomly selected ESI triage documentation from medical records and a self-developed triage precision observation sheet consisting of 17 items were given to three experts to examine the accuracy of the triage and the cause of the mistriage. The frequency distribution found the triage accuracy reach 124 (62,3%) triage documents, and the leading cause of mistriage is an error in applying the main complaint 32 (42,7%). ED nurses should improve their skills in determining triage levels. Hospital institutions should make efforts to improve the triage skills of ED nurses and for further research on methods to increase the accuracy of the triage. Abstrak: Kesalahan dalam menentukan kriteria triase dapat membahayakan keselamatan pasien sehingga penyebabnya harus segera diatasi. Namun belum diketahui ketepatan triase dan penyebab terjadinya mistriage. Penelitian ini bertujuan untuk mengidentifikasi akurasi triase menggunakan Emergency Severity Index (ESI) dan mengevaluasi penyebab mistriase di Instalasi Gawat Darurat (IGD). Penelitian deskriptif dengan tinjauan retrospektif dilakukan selama 20 hari yang dipilih secara acak antara 1 Januari hingga 31 Desember 2021 di sebuah rumah sakit di Jakarta. Sebanyak 199 dokumentasi triase ESI dari rekam medis dan lembar observasi presisi triase yang dikembangkan sendiri yang terdiri dari 17 item diberikan kepada tiga ahli untuk memeriksa keakuratan triase dan penyebab mistriase. Distribusi frekuensi ditemukan akurasi triase mencapai 124 (62,3%) dokumen triase, dan penyebab utama mistriage adalah kesalahan dalam menerapkan keluhan utama 32 (42,7%). Perawat UGD harus meningkatkan keterampilan mereka dalam menentukan tingkat triase. Institusi rumah sakit harus melakukan upaya untuk meningkatkan keterampilan triase perawat UGD dan untuk penelitian lebih lanjut tentang metode untuk meningkatkan akurasi triase.
Penerapan Evidence Based Practice Nursing (EBPN) Modifikasi Miring Kiri dan Miring Kanan Menurunkan Back Pain Post Percutaneous Coronary Intervention Jum’atina Jum’atina; Wati Jumiati; Melati Fajarini
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.v5i1.5717

Abstract

This study aims to apply the identification of left and right oblique modifications to reduce back pain after percutaneous coronary intervention based on the results of Evidence-Based Practice Nursing (EBPN) research. The research method used is a case study. The case study in this innovative design is a case study by applying research results in identifying left and right oblique modifications to reduce back pain post-percutaneous coronary intervention. The results showed that adjusting the correct oblique and left diagonal positions was carried out after two hours of cardiac catheterization, namely for 30 minutes (15 minutes in the correct oblique position and 15 minutes in the left oblique position). In conclusion, giving accurate diagonal left oblique work is carried out in patients who experience post PCI back pain at the time of the study, having a pain scale of 5. After being given intervention, the pain scale is reduced to 3. Keywords: PCI, PJK, Right and Left Tilt Position
Penerapan Evidence Based Practice Nursing ( EBPN ) Elevasi Kaki terhadap Penurunan Foot Edema pada Pasien Congestive Heart Failure (CHF) Elidia Dewi; Wati Jumiati; Melati Fajarini
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.v5i1.5694

Abstract

failure (CHF) based on the results of Evidence-Based Practice Nursing (EBPN) research. The design used is using a case study. Case studies in this innovative design are case studies by applying research results in the form of providing leg elevation to reduce edema in CHF patients with leg edema at Tarakan Hospital. Doing foot elevation three times daily for two days can reduce leg edema in CHF patients. From the interventions carried out on the three patients, data were obtained on decreased edema in foot edema. Keywords: Elevation of the Feet, Edema, Congestive Heart Failure (CHF)
WEBINAR NATIONAL SPIRITUAL CARE PADA ERA PANDEMI COVID-19 BAGI PERAWAT DAN MAHASISWA KEPERAWATAN Murtiningsih; Sri Rahayu; Melati Fajarini; Andriati Reny Harwati; Siti Awa Abu Bakar; Turiman; Anik Sugiyanti; Nedra Wati Zaly; Muzamil; Teti Rahmawati; Ratna Sari Dewi; Dwi Agustina; Eddy Rosfiati; Nadirahillah; Suwarni Asman; Lia Rosita; Ade Kurniawan; Iis Safitri; Reza Rahmat
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 7 No. 3 (2023): Jurnal Panrita Abdi - Juli 2023
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v7i3.19310

Abstract

Patients suffering from Covid 19 will experience problems not only in the physical aspect but also psychologically, where the patient feels anxiety about the threat of death. Nursing care needs to be comprehensively bio-psycho-socio-spiritual, but not all nurses provide care from the spiritual aspect. Knowledge of patients and health workers about how to fulfill spiritual care needs still needs to be improved. Thus, there is a need for health information about the fulfillment of spiritual care in hospitals. Based on the problems experienced by Covid patients it is not only physical, so it is also necessary to provide spiritual nursing care to provide comprehensive nursing care. This activity aims to improve the knowledge and skills of nurses and nursing students in providing spiritual nursing care to patients. In this activity, lectures and discussions were held about virtual spiritual nursing care via Zoom and accompanied by demonstrations of examples of facilitating patient worship through videos created and uploaded on YouTube. This activity was carried out in collaboration between the STIKes Jayakarta institution, DPK PPNI STIKes Jayakarta, and DPD PPNI East Jakarta. This activity was attended by 354 participants with backgrounds from students, nurses, lecturers, and the general public from various provinces in Indonesia. The results of this community service activity were obtained after a lecture; participants had good knowledge about spiritual care during the COVID-19 pandemic, as much as 86.4%. ---  Pasien yang menderita Covid 19 akan mengalami masalah tidak hanya pada aspek fisik saja, tetapi juga mempengaruhi psikologis dimana pasien merasa cemas dengan ancaman kematian.  Asuhan keperawatan perlu diberikan secara komprehensif bio psiko sosio spiritual, akan tetapi belum semua perawat memberikan asuhan dari aspek spiritual. Pengetahuan pasien dan petugas kesehatan tentang cara pemenuhan kebutuhan spiritual care masih belum memadai. Sehingga, perlu adanya informasi kesehatan tentang pemenuhan spiritual care di rumah sakit. Berdasarkan permasalahan yang dialami pasien Covid tidak hanya fisik saja, sehingga perlu juga memberikan asuhan keperawatan spiritual agar asuhan keperawatan yang diberikan komprehensif. Kegiatan ini bertujuan meningkatkan pengetahuan dan keterampilan perawat dan mahasiswa keperawatan dalam memberikan asuhan keperawatan spiritual kepada pasien. Pada kegiatan ini dilakukan ceramah dan diskusi tentang asuhan keperawatan spiritual secara virtual melalui zoom dan disertai juga dengan demonstrasi contoh memfasilitasi ibadah pasien melalui video yang telah dibuat dan diunggah pada YouTube. Kegiatan ini terlaksana atas kerjasama antara institusi STIKes Jayakarta, DPK PPNI STIKes Jayakarta, dan DPD PPNI Jakarta Timur. Kegiatan ini diikuti oleh 354 orang peserta yang berlatar belakang mahasiswa, perawat, dosen, dan juga masyarakat umum dari berbagai provinsi di Indonesia. Hasil kegiatan pengabdian kepada masyarakat ini didapatkan setelah diberikan ceramah, peserta mempunyai pengetahuan yang baik tentang spiritual care selama pandemik COVID-19 sebanyak 86,4 %.
Intervensi Eye Mask terhadap Kualitas Tidur pada Pasien Coronary Artery Disease Habid Al Hasbi; Diana Irawati; Melati Fajarini; Sutanta Sutanta; Ady Tyawarman
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.v5i2.4965

Abstract

This study aims to determine the effect of eye mask intervention on the sleep quality of coronary artery disease patients, which can be caused by many factors, including lighting, bedside monitor sound, the disease suffered, and nursing actions. This research method is quantitative with a quasi-experimental design with a control group pretest-posttest design. The research results showed that the p-value was 0.001 < 0.05, meaning there was a significant difference in the sleep quality of the intervention and control groups. In conclusion, eye masks are an easy intervention to implement and can significantly improve sleep quality in coronary artery disease patients treated in the Intensive Cardiac Care Unit. Keywords: Eye Mask, ICCU, Sleep Quality
Pengaruh Terapi Musik Terhadap Penurunan Kecemasan Pasien Pre Kateterisasi Jantung Budi, Arif Wahyu Setyo; Jumaiyah, Wati; Fajarini, Melati; Tyawarman, Ady
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): 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.v6i1.10311

Abstract

This study aims to determine the effect of music therapy on reducing anxiety in pre-cardiac catheterization patients. The method used is quantitative with a quasi-experimental design. The data collection technique uses an anxiety questionnaire, namely HARS (Hamilton Rating Scale). The data analysis technique uses paired sample t-test. The results of the study showed that there was an effect of music therapy on reducing anxiety in pre-cardiac catheterization patients (p<0.05), where this was indicated by a significant difference in anxiety scores before and after giving music therapy. In conclusion, there is an effect of providing music therapy on reducing anxiety in pre-cardiac catheterization patients. Keywords: Anxiety, Cardiac Catheterization, Music Therapy.
Evidence-based Practice and Information and Communication Technology: Stakeholders’ Insights Fajarini, Melati; Rahayu, Sri; Setiawan, Agus
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17727

Abstract

Stakeholders’ role to support evidence-based practice (EBP) and enhance the use of information and communication technology (ICT) for EBP is essential. However, how EBP is supported and how ICT is utilized in health care providers is unknown. Aim: This study aims to explore stakeholders’ insights regarding the implementation of EBP and the use of ICT. A qualitative study with the semi-structured face-to-face interview was used to obtain the aim. Using purposive sampling, eleven management representatives from public and private hospitals, clinics, and health offices in Depok city, Indonesia were asked about EBP and ICT. Data were recorded, transcribed, and analyzed thematically. Five themes emerged from this study. EBP services availability and accessibility showed ICT sources were adequate, but still need improvement in the library and Education and Training Department (ETD); Healthcare workforce represented doctors and nurses who hardly generate research although permitted by the stakeholders; Health information systems such as clinical cases forums in hospitals were established, but current evidence was rarely discussed; Funding for research and training related to EBP were not allocated; Leadership and governance showed there were limited policies on EBP and clinical instructors available in hospitals but focused on supporting training and student practices. Although EBP implementation needs improvement, the stakeholders in this study mostly support EBP and enable ICT for EBP purposes. Advocacy on policy and resource arrangements is urged to support information initiatives.
Enhancing Care Quality and Wellness for Older Adults: Empathy Training in Nursing Lusianah, Lusianah; Fajarini, Melati; Maharani, Cintya Narulita
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4153

Abstract

Background:  Empathy plays an essential role in older adult care and patient wellness, by strengthening healthcare quality and the nurse-patient relationship. This study evaluated the effectiveness of Carl Rogers-based empathy training in improving the capacity of empathy among nurses, particularly in caring for older adult patients and wellness. Methods: A quasi-experimental pre- and post-test design was conducted in October 2024 at Bekasi Regency Hospital, Indonesia. Nurses from inpatient and outpatient units were selected through purposive sampling. Empathy was assessed using the Interpersonal Reactivity Index (IRI) before and after a three-day training program. The analysis included overall empathy scores and four subdimensions: Empathic Concern (EC), Perspective Taking (PT), Fantasy Scale (FS), and Personal Distress (PD). Data were analyzed using the Wilcoxon signed-rank test and effect size calculations.Results: The mean total empathy score slightly decreased from 47.91±7.4 to 46.14±2.6 (p=0.190, r=0.22). However, significant improvements were observed in EC (p=0.004, r=0.51) and FS (p=0.007, r=0.42), whereas PD decreased significantly (p=0.001, r=0.61). No significant change was found in PT (p=0.457, r=0.12).  Conclusion: Short-term empathy training effectively enhances emotional dimensions of empathy, such as empathic concern and fantasy scale, while reducing personal distress. However, it does not significantly improve overall empathy scores. Long-term training, reinforcement strategies, and cognitive-based interventions may be needed to support sustained empathy developments in nursing care for older adults and patient wellness.
Factors Influencing Documentation Based on NANDA NIC NOC and SDKI, SLKI, SIKI Neneng Ilah Rohilah; Muhammad Hadi; Melati Fajarini
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 12 No 04 (2022): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 12 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v12i04.3604

Abstract

Background: The development of nursing care standards in accordance with nursing laws issued by professional organizations, namely PPNI. These standards of care are the Indonesian Nursing Diagnosis Standards (IDHS), the Indonesian Nursing Outcomes Standards (SLKI) and the Indonesian Nursing Intervention Standards (SIKI). There are still many hospitals that have not switched according to the recommendations of the nursing law. There is still completeness of nursing care documentation that is not up to the standards of the Ministry of Health. Objectives: To describe a comparative study of the completeness of nursing care documentation in the application of documentation based on Nanda NIC NOC and IDHS, SLKI, SIKI. Methods: This comparative study was conducted in the Inpatient Room of Malingping Hospital and Serang City Hospital in April-June 2022 with a total sampling of 80 nurses and 80 medical records that were selected randomly. The observation sheet is used to record the completeness of the documentation. Data were analyzed using independent t test and multiple linear regression multivariate analysis. Results: Completeness of documentation for 3S 90.74% and Nic NOc 74.04%. There is a difference in the completeness of the documentation with a p value of 0.000. Conclusion: 3S documentation is more complete than Nic Noc
Co-Authors AA Sudharmawan, AA Ade Kurniawan Ady Tyawarman Agus Setiawan Ai Sinta Andriati Reny Harwati Anik Sugiyanti Anik Sugiyanti Antika Nisa Syifa Budi, Arif Wahyu Setyo Christina Yeni Kustanti Denda Sopiyatna Dian Agus Tiana Dwi Agustina Eddy Rosfiati Edi Yulia Ramdan Elidia Dewi Elsa Hadawiyah Ety Purwaningsih Fatriani Fatriani Fenty Efendy Firdaus, Eza Kemal Firmansyah Firmansyah Fitri Arofiati Fitri Arofiati Fitri Arofiati Fitria Endah Janitra Giri Widakdo Habid Al Hasbi Hadi, Muhammad Iis Safitri Irawati, Diana Ismiray, Anugrah Ragil Jumaiyah, Wati Jumaiyah, Wati Jum’atina Jum’atina Karina Puspa Lia Rosita Lina Maesaroh Lusianah, Lusianah Maharani, Cintya Narulita Meita Wahyu Muhammad Hadi Muhammad Hadi Murtiningsih Muzamil Nadirahillah Naryati Naryati Naryati Naryati Nedra Wati Zaly Neneng Ilah Rohilah Nunung Nursasih Nur Aini Puji Wulandari Ratna Sari Dewi Reza Rahmat Rizki Nugraha Agung Sari, Silvia Ramdini Siti Awa Abu Bakar Sri Rahayu SRI RAHAYU Sutanta Sutanta Sutrisno Suwarni Asman Syifa Fauziah Teti Rahmawati Tini Suminarti Tyawarman, Ady Wati Jumiati Widodo, Wasis Wiwin Setiyaningrum Yofi Amirul Hizam