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Hubungan Eustress Distress Dan Mekanisme Koping Perawat Dengan Kepatuhan Pengisian Surgical Safety Checklist Di Instalasi Bedah Sentral RSUD Ngudi Waluyo Laily Salsabila; Imam Subekti; Tri Anjaswarni; Naya Ernawati
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.377

Abstract

Penelitian ini bertujuan mengetahui hubungan antara eustress, distress, dan mekanisme koping perawat dengan kepatuhan pengisian Surgical Safety Checklist (SSC) di Instalasi Bedah Sentral RSUD Ngudi Waluyo. Desain penelitian menggunakan kuantitatif cross-sectional dengan total sampling 34 perawat. Data dikumpulkan melalui Di-Eu-Stress State Scale (DESS), Ways of Coping Questionnaire (WCQ), dan lembar observasi SSC, kemudian dianalisis menggunakan uji korelasi Spearman. Hasil menunjukkan terdapat hubungan signifikan antara distress dan kepatuhan SSC (r = 0,428; p = 0,012) serta mekanisme koping dan kepatuhan SSC (r = 0,388; p = 0,024), sedangkan eustress tidak berhubungan signifikan (r = 0,077; p = 0,665). Disarankan penelitian selanjutnya mengeksplorasi lebih lanjut peran eustress dan distress serta pengamatan kepatuhan SSC dalam jangka waktu lebih panjang.
Hubungan Penggunaan Patient Transfer Board Pada Tahap Pra Operasi Dengan Tingkat Nyeri Dan Kenyamanan Pasien Di Ruang IB RS Wava Husada Anjas Sitares; Nurul Hidayah; Supono; Naya Ernawati
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.388

Abstract

Nyeri dan ketidaknyamanan merupakan masalah yang sering dialami pasien saat proses pemindahan atau transfer bed di ruang bedah. Penelitian ini bertujuan untuk mengetahui hubungan antara penggunaan patient transfer board pada tahap pra operasi dengan tingkat nyeri dan kenyamanan pasien di ruang IB RS Wava Husada Kabupaten Malang. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional, menggunakan teknik purposive sampling dengan jumlah responden sebanyak 100 orang pasien pra operasi. Pengumpulan data dilakukan menggunakan kuesioner dan observasi langsung, kemudian dianalisis menggunakan uji Spearman’s rho. Hasil analisis menunjukkan adanya hubungan yang cukup kuat antara penggunaan patient transfer board dengan tingkat nyeri pasien dengan nilai koefisien korelasi -0,600 dan nilai signifikansi 0,000 (p < 0,05), serta hubungan yang kuat antara penggunaan patient transfer board dengan tingkat kenyamanan pasien dengan nilai korelasi 0,614 dan signifikansi 0,000 (p < 0,05). Hasil tersebut menunjukkan bahwa penggunaan patient transfer board berperan penting dalam mengurangi tingkat nyeri dan meningkatkan kenyamanan pasien selama proses pemindahan pra operasi. Oleh karena itu, penggunaan alat bantu pemindahan pasien seperti patient transfer board direkomendasikan untuk diterapkan secara rutin dalam pelayanan keperawatan di ruang bedah guna mendukung keselamatan dan kenyamanan pasien.
Determinan Faktor Yang Berhubungan Post Anesthesia Shivering (PAS) Pada Pasien Post Operasi Sectio Caesarea Dengan Spinal Anestesi Di IBS RSUD Ngudi Waluyo Tsaniyah Septi Ahillah; Fitriana Kurniasari Solikhah; Naya Ernawati; Taufan Arif; Tri Johan Agus Yuswanto
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.406

Abstract

Post Anesthesia Shivering (PAS) merupakan komplikasi umum pasca anestesi spinal pada pasien sectio caesarea yang dapat meningkatkan konsumsi oksigen, risiko hipoksemia, dan memperpanjang masa pemulihan. Penelitian analitik cross-sectional ini bertujuan menganalisis faktor determinan PAS di IBS RSUD Ngudi Waluyo. Data dikumpulkan melalui observasi dan dokumentasi dari sampel pasien post sectio caesarea, kemudian dianalisis menggunakan uji chi-square dan regresi logistik ganda metode backward likelihood ratio. Hasil analisis bivariat menunjukkan empat variabel memenuhi kriteria untuk analisis multivariat: suhu lingkungan (p=0,080), status fisik ASA (p=0,005), komorbid (p=0,004), dan lama pembedahan (p=0,014). Analisis regresi logistik multivariat mengungkapkan komorbiditas sebagai faktor dominan dengan p=0,001 dan Exp(B)=12,065 (95% CI: 1,980-75,602), menunjukkan pasien dengan komorbid memiliki risiko 12 kali lebih besar mengalami PAS. Simpulan penelitian ini menegaskan bahwa suhu lingkungan, status ASA, komorbid, dan lama operasi merupakan faktor yang berpengaruh terhadap kejadian PAS, dengan komorbiditas sebagai determinan paling dominan. Temuan ini merekomendasikan perlunya skrining komprehensif dan intervensi preventif khusus pada pasien dengan komorbiditas untuk menurunkan insidensi PAS pasca anestesi spinal.
Hubungan Burnout Syndrome Dengan Perilaku Caring Perawat Menurut Teori Watson Di RSUD Mardi Waluyo Kota Blitar Tri Lestari Wulandari; Naya Ernawati; Tri Johan Agus Yuswanto; Nurul Hidayah
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23102

Abstract

ABSTRACT Nurses play a vital role in healthcare services, but the high workload makes them vulnerable to burnout, which can lead to a decline in caring behavior. According to Watson's theory, caring encompasses physical, emotional, and spiritual aspects; however, burnout can hinder its optimal implementation. This study aims to determine the relationship between burnout syndrome and caring behavior of nurses based on Watson's theory in operating room nurses and Dahlia ward inpatient nurses at Mardi Waluyo Regional General Hospital in Blitar City. This study used a cross-sectional design. The population included all operating room and inpatient nurses in the Dahlia ward at Mardi Waluyo Regional Public Hospital, Blitar City. A total of 52 respondents were selected using a total sampling technique. Data were analyzed using the Spearman rank correlation test. The findings showed a significant relationship between burnout syndrome and caring behavior among operating room and Dahlia ward inpatient nurses at Mardi Waluyo Hospital, with a p-value of 0.000 0.05. Nearly half of the respondents (38.5%) experienced a low level of burnout syndrome, and almost half (28.8%) demonstrated good caring behavior. The correlation coefficient showed an r-value of 0.894, indicating a very strong correlation between burnout syndrome and nurses’ caring behavior. The positive correlation result suggests that the lower the level of burnout syndrome, the better the caring behavior demonstrated by the nurses. Hospital management is expected to pay greater attention to efforts in preventing burnout syndrome among nurses, as this condition has been proven to significantly affect nurses’ caring behavior. Considering that Watson’s theory emphasizes that true caring arises from the nurse’s full presence and emotional balance, strategies are needed to support nurses’ psychological stability, such as excellent service training and work rotation. Keywords: Burnout Syndrome, Caring Behavior, Nurse.     ABSTRAK Perawat berperan penting dalam pelayanan kesehatan, namun tingginya beban kerja membuat mereka rentan mengalami burnout, yang berdampak pada menurunnya perilaku caring. Menurut teori Watson, caring mencakup aspek fisik, emosional, dan spiritual, namun burnout dapat menghambat penerapannya secara optimal. Penelitian ini bertujuan untuk mengetahui hubungan antara burnout syndrome dengan perilaku caring perawat berdasarkan teori Watson pada perawat kamar operasi dan rawat inap ruang Dahlia di RSUD Mardi Waluyo Kota Blitar. Metode penelitian yang digunakan cross sectional. Populasi penelitian yakni seluruh perawat kamar operasi dan rawat inap ruang Dahlia RSUD Mardi Waluyo Kota Blitar dengan jumlah sampel 52 orang menggunakan teknik total sampling. Analisis data penelitian menggunakan uji spearman rank correlation. Menunjukkan ada hubungan antara burnout syndrome dengan perilaku caring pada perawat kamar operasi dan rawat inap ruang Dahlia di RSUD Mardi Waluyo Kota Blitar, nilai p=0,0000,05 hampir setengah responden (385%) mengalami burnout syndrome rendah dan hampir setengah responden (28,8%) memiliki perilaku caring baik. Koefisien korelasi menunjukkan nilai r=0,894 bahwa ada hubungan antara burnout syndrome dengan perilaku caring perawat mendapatkan hasil korelasi sangat kuat. Hasil korelasi menunjukkan nilai positif semakin rendah burnout syndrome maka semakin baik perilaku caring yang dimiliki perawat.Diharapkan agar pihak manajemen rumah sakit lebih memperhatikan upaya pencegahan burnout syndrome pada perawat, karena kondisi ini terbukti berpengaruh signifikan terhadap perilaku caring perawat. Mengingat teori Watson menekankan bahwa caring sejati lahir dari kehadiran penuh dan keseimbangan emosional perawat, maka dibutuhkan strategi untuk mendukung stabilitas psikologis perawat, seperti pelatihan excellent service dan rotasi ruang kerja. Kata Kunci: Burnout Syndrome, Perilaku Caring, Perawat
MOTIVASI KERJA PERAWAT PERIOPERATIF BERDASARKAN TEORI Mc-Clelland HUBUNGANNYA DENGAN PENERAPAN 6 SASARAN KESELAMATAN PASIEN : PERIOPERATIVE NURSES' WORK MOTIVATION BASED ON McClelland'S THEORY AND ITS RELATIONSHIP WITH THE IMPLEMENTATION OF THE SIX PATIENT SAFETY GOALS Nahla Esella Septiana Dasa; Tri Anjaswarni; Imam Subekti; Naya Ernawati
Quality: Jurnal Kesehatan Vol 20 No 1 (2026): Quality: Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v20i1.3122

Abstract

Nurses' motivation in working is for achievement, power, and affiliation, in addition to financial needs. Nurses' motivation for patient safety has not been evaluated and is still inconsistently implemented. During surgical procedures, patients still use personal items that pose a risk of infection, cotton or gauze is left behind, and many other post-surgical incidents occur due to negligence. Therefore, the consistency of nurses' motivation, particularly in maintaining patient safety during surgical procedures, needs to be evaluated. This study aims to analyze the relationship between perioperative nurses' work motivation based on McClelland's theory and the implementation of 6 patient safety goals at Karsa Husada Batu Regional Hospital. This study used a correlational design with a cross-sectional approach. The study sample was all 37 perioperative nurses (Operating Room and Edelweiss Room A) at Karsa Husada Batu Regional Hospital. Data analysis used the Spearman Rank correlation test. The results of the statistical test showed a significant relationship between perioperative nurses' work motivation and the implementation of 6 patient safety goals (p-value = 0.001; r = 0.541). The relationship is classified as moderate with a positive direction, meaning that the higher the nurse's work motivation, the better the implementation of the 6 patient safety goals. The contribution of research in the field of nursing, particularly in the perioperative area, is to provide information that the implementation of the 6 patient safety goals requires high motivation for nurses to be consistent in their implementation. The work motivation of perioperative nurses must be continuously improved, one way of which is by referring to McClelland's theory. High awareness is needed in monitoring patient safety and it is necessary to improve the competence of nursing staff in a program to implement good practices through training and ensuring nurses' compliance with patient safety standards.
PENGARUH PEMBERIAN INFUS HANGAT TERHADAP STABILITAS SUHU TUBUH PADA PASIEN POST OPERASI GENERAL ANESTESI DI RECOVERY ROOM RSU KARSA HUSADA BATU Shabirina Awwaliyah; Moh. Zainol Rachman; Naya Ernawati
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v6i01.973

Abstract

Hypothermia is a serious general complication of surgery and anesthesia which can carry out various complications. The action to overcome this problem is the administration of heating measures, one of which is by warm infusion. The aim of this study was to determine the effect of warm infusion on body temperature stability in postoperative general anesthesia patients. The research method used was a pre experimental one group without control with a pretest posttest study. Respondents of this study were postoperative patients with general anesthesia. The population of this study was post operative patients under general anesthesia. The sampling in this study was purposive sampling. The number of samples in this study was 17. Respondents received 30 degrees Celsius warming fluid infusion. The analysis in this study used a comparative test paired t test with the result of P value 0,000. The P value shows a significant effect between giving warm infusions and body temperature stability. Based on descriptive statistical analysis, 76,4 percent of respondents achieved normothermia in the 35th minute. In the 60th minute, all respondents were in a normothermic state. Suggestions for further research to conduct research with more sample sizes. Keywords: Warm Infusion, General Anesthesia, Body Temperature
PENGARUH PURSED LIP BREATHING TERHADAP SATURASI OKSIGEN PADA PASIEN POST GENERAL ANESTHESIA DI RUANG BEDAH RS LAVALETTE KOTA MALANG Dimas Bagus Kurniawan; susi milwati; naya ernawati
Jurnal Keperawatan Terapan Vol 8 No 1 (2022): Jurnal Keperawatan Terapan (e-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v8i1.1138

Abstract

Postoperative patients with general anesthesia who experience complications In the respiratory system, respiratory depression is found to be associated with decreased oxygen saturation. The Pursed Lip Breathing exercise is a non-pharmacological action aimed at facilitating the process of removing air trapped by the airways in an effort to increase the value of oxygen saturation. The purpose of this study was to see the effect of Pursed Lip Breathing on oxygen saturation in post general anesthesia patients. This study used Quasy-experiment With Pretest Posttest Control Group Desaign. The sampling used in this study was a non-probability sampling type of purposive sampling with 30 respondents divided into 15 control groups and 15 treatment groups. The test used in this study was to examine the differences between pre and post, intervention groups and control groups using the Wiloxon test then to compare the results of the post-intervention group and Post group control groups using the independent Mann Whitney test. The results showed a p value of 0.039 (p value less than 0.05) in the pre and post control group and in the treatment group p-value 0.001 (p value less than 0.05) This shows that the pre and post oxygen saturation values in the two groups differed while the post-test difference in the control and treatment groups was 0.015 (p value less than 0.05), so there was a difference in oxygen saturation in patients given general anesthesia and not used pursued lip breathing. Thus the pursed lip breathing has an influence on oxygen saturation in patients with post general anethesia.The next recommendation is the relationship of the value of carbon dioxide (CO2) levels that can affect the value of oxygen saturation.
Pengaruh Kombinasi Akupresur dan Aromaterapi Peppermint Terhadap Nausea Pada Pasien Post SC: Effect of Combination of Acupressure and Peppermint Aromatherapy on Nausea in Post SC Patients Restu Luhwi Yuniarti; Fitriana Kurniasari Solikhah; Sulastyawati Sulastyawati; Naya Ernawati
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4255

Abstract

Nausea is a side effect after surgery that usually occurs and is often complained of. The incidence of post-cesarean section nausea currently ranges from 30-80%. One non-pharmacological method that can reduce nausea is a combination of acupressure and peppermint aromatherapy. Acupressure is a massage method from China which is carried out by pressing the Pericardium-6 area, while peppermint aromatherapy is an essential oil derived from peppermint leaves containing menthol which is then inhaled. This study aims to determine the effect of a combination of acupressure and peppermint aromatherapy on nausea in post-SC patients. This research method uses a quasi-experimental design with purpose sampling technique. The sample size was 32 respondents who were divided into 2 control and treatment groups, each group containing 16 respondents. This research uses the Wilcoxon and Man-Whitney tests. The results of the research in the treatment group after being given intervention for 10 minutes showed that there was a significant change with a p-value of 0.000 (<0.05). The conclusion of this study is that the combination of acupressure and peppermint aromatherapy has a significant effect on reducing nausea in post-SC patients. It is hoped that health workers can apply a combination of acupressure and peppermint aromatherapy to reduce nausea in post SC patients.Keywords: Post SC, Nausea, Peppermint Aromatherapy, Acupressure.
HUBUNGAN GAYA HIDUP DENGAN TEKANAN DARAH PADA LANSIA DI WILAYAH KERJA PUSKESMAS KENDALKEREP KOTA MALANG Revanda Rera Amelia; Joko Wiyono; Naya Ernawati; Suprajitno Suprajitno
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.4528

Abstract

High blood pressure is a cardiovascular syndrome characterized by increased arterial blood pressure which often occurs in the elderly. An unhealthy lifestyle will worsen the health condition of the elderly, especially regarding their blood pressure. The aim of this research is to determine the relationship between lifestyle and blood pressure in the elderly in the Kendalkerep Community Health Center Working Area, Malang City. This research uses a correlative design with a cross sectional study approach. The sample in this study was all 80 elderly people >60 years old who were selected using purposive sampling techniques. Data collection was carried out using a lifestyle questionnaire. The data analysis method uses univariate and bivariate analysis. Bivariate analysis in this study used the Spearman Rank correlation test. The results of the research show that there is a relationship between lifestyle (physical activity p value = 0.000, diet p value = 0.000, resting habits p value = 0.000, smoking habits p value = 0.027, caffeine consumption habits p value = 0.001) and blood pressure. An unhealthy lifestyle can cause an increase in blood pressure, especially in the elderly. It is recommended that seniors always follow good lifestyle recommendations such as sufficient physical activity, avoiding excessive consumption of salt, coconut milk and fat, getting enough rest, reducing smoking and caffeine consumption. Keywords: Lifestyle, Blood Pressure, Elderly
Hubungan Faktor Lingkungan Dengan Kejadian Ispa Non Pneumonia Pada Balita: THE RELATIONSHIP OF ENVIRONMENTAL FACTORS WITH THE INCIDENT OF NON-PNEUMONIA ACUTTE RESPIRATORY TRACT INFECTIONS IN TODDLERS Naya Ernawati; Fitriana Kurniasari Solikhah
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4639

Abstract

Acute Respiratory Infections (ARI) are the main cause of morbidity and mortality in children under five. ISPA always ranks first among the 10 most common diseases in Indonesia. To be able to overcome the spread of ISPA, it is necessary to know the risk factors for ISPA incidents. The aim of this study was to analyze the relationship between environmental factors and the risk of recurrent non-pneumonic ARI in toddlers in the Dinoyo health center working area, Malang City. Method: This type of research is descriptive analysis with a cross sectional approach. Data collection was carried out using a questionnaire. The population is parents of toddlers in the working area of ??the Dinoyo Health Center, Malang City. This research used purposive sampling, with a sample size of 60 respondents. Data analysis was carried out univariately, bivariately with the chi square test. Results: The results of the study showed that the incidence of recurrent non-pneumonic ARI in toddlers had a significant relationship with ventilation (p value = 0.028; OR = 0.29), smoking in the house (p value = 0.000; OR = 7.56). Recommendations require further research to develop a model for preventing recurrent non-pneumonic ARI in toddlers according to the risk factors found.