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Hubungan Peran Perawat Edukator dengan Kepatuhan Pasien TB Paru dalam Pengobatan di RSUD Kabupaten Bintan Tahun 2022 Sisfia Anggiareni; Utari Christya Wardhani; Sri Muharni
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i1.1070

Abstract

Tuberkulosis (TB) adalah penyakit menular yang menyerang paru dan organ lainnya seperti kelenjar, tulang, kulit disebabkan oleh mycobacterium tuberculosis. Tuberkulosis merupakan salah satu penyumbang kematian terbanyak di dunia. Setiap tahun angka kejadian TB terus meningkat. Fenomena yang ditemukan di RSUD Kabupaten Bintan perawat yang bertanggung jawab dalam program TB di Rumah Sakit didapatkan tingkat kepatuhan sekitar 75% dari total penderita 34 orang dan diketahui selama ini petugas hanya memberikan obat yang akan dikonsumsi secara teratur sesuai dengan yang dianjurkan tanpa disertai pesan-pesan lain terkait dengan kepatuhan dan kesembuhan dari penyakit yang diderita. Penelitian ini bertujuan untuk hubungan peran perawat edukator dengan kepatuhan pasien TB paru dalam pengobatan di RSUD Kabupaten Bintan Tahun 2022. Rancangan penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah penderita TB Paru yang berobat di RSUD Kabupaten yang berjumlah 34 orang dan data dianalisa menggunakan uji chi square. Hasil diketahui uji statistik chi-square didapatkan nilai p value 0,010≤0,05 berarti ada perbedaan proporsi kepatuhan pasien dalam pengobatan yang patuh dengan peran perawat edukator baik, artinya Ho ditolak dan Ha diterima. Kesimpulannya adalah ada hubungan peran perawat edukator dengan kepatuhan pasien TB paru dalam pengobatan di RSUD Kabupaten Bintan Tahun 2022. Saran bagi pelayanan keperawatan dapat dijadikan masukan bahan pertimbangan rumah sakit untuk digunakan dalam merancang kebijakan pelayanan keperawatan dengan menentukan standar operasional peran perawat sebagai edukator melalui inovasi, mengadakan seminar di lingkungan internal rumah sakit dengan mendatangkan ahli-ahli keperawatan bagi perawat khususnya untuk meningkatkan perannya sebagai edukator
HUBUNGAN TINGKAT STRES DENGAN KUALITAS TIDUR PADA LANSIA DI WILAYAH KERJA UPTD PUSKESMAS SEI LEKOP KAB. BINTAN Rama Yunita; Utari Christya Wardhani; Mira Agusthia
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Elderly is an individual who changes a lot both physically and mentally, especially the reduction in the various functions and abilities he once had. Nowadays there are many problems that tend to occur in the elderly both physically and psychologically, one of which is insomnia. Most of the elderly who suffer from stress experience sleep disturbances. This study aims to determine the relationship between stress levels and sleep quality in the elderly in the UPTD Work Area of the Sei Lekop Health Center, Kab. Bintan in 2022. The design of this study is a type of correlation research with a cross-sectional approach. The sample in this study were 85 elderly people and analyzed using the chi square test. The results of the study show that there is a relationship between stress levels and sleep quality in the elderly in the UPTD Work Area of the Sei Lekop Health Center, Kab. Bintan Year 2022 (p-value 0.000). It can be concluded that there is a relationship between stress levels and sleep quality in the elderly in the UPTD Work Area of the Sei Lekop Health Center, Kab. Bintan Year 2022. It is recommended for the elderly to be able to manage sleep well and avoid risk factors for sleep quality disturbances such as stress.
HUBUNGAN LINGKUNGAN KERJA DAN BUDAYA KESELAMATAN PASIEN DENGAN MISSED NURSING CARE DI RUMAH SAKIT X sri muharni; Utari Christya Wardhani; Sumarlini Sumarlini
Jurnal Keperawatan Abdurrab Vol 7 No 1 (2023): Volume 7 No 1 Juli 2023
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jka.v7i1.3556

Abstract

Missed Nursing Care adalah asuhan keperawatan yang tidak diberikan sama sekali, tidak dilakukan secara lengkap, tertunda atau kelalaian. Halini merupakan tantangan global yang mengancam keselamatan dan kesehatan pasien. Salah satu faktor penyebab Missed Nursing Care yaitu lingkungan kerja dan budaya keselamatan pasien. Lingungan kerja dan Budaya keselamatan pasien merupakan prioritas kesehatan global danmenjadi unsur penting dalam pelaksanaan keselamatan pasien. Tujuan penelitian ini untuk melihat adanya hubungan antara lingkungan kerja danbudaya keselamatan pasien dengan Missed Nursing Care di Rs. X Kota Batam. Penelitian ini menggunakan rancangan cross sectional. Sampel berjumlah 40 perawat di RS. X Kota Batam dengan teknik penarikan sampel yaitu total sampling. Data penelitian ini diolah dengan menggunakan uji Chi-Square. Analisa bivariat menunjukkan mayoritas yaitu sebanyak 17 perawat (90%) di RS. X Kota Batam memiliki lingkungan kerja kurang dengan Missed Nursing Care yang tinggi dan sebanyak 16 responden (89%) memiliki budaya keselamatan pasien kurang dengan Missed Nursing Care yang tinggi. Hasil uji Chi-square didapatkan nilai p- value 0,000 < 0,05. Ada hubungan yang siginifikan antara lingkungan pasien, budaya keselamatan pasien dengan Missed Nursing Care di RS. X Kota Batam yang artinya Ha diterima dan Ho ditolak.
Hubungan Pelaksanaan Handover SBAR dengan Komunikasi Interprofesional Perawat di RSUD Kota Tanjungpinang Tahun 2023 Sri Muharni; Utari Christya Wardhani; Yusniar Yusniar
Jurnal Medika Husada Vol. 3 No. 2 (2023): Oktober: Jurnal Medika Husada
Publisher : Akademi Analis Kesehatan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59744/jumeha.v3i2.45

Abstract

Interprofessional communication is a process in planning, implementing and evaluating communication programs aimed at health service providers. Handover is the process of transferring the main authority and responsibility for providing clinical care to patients from one nurse to another. The implementation of the SBAR Handover and interprofessional communication was not optimal, decreasing from 98% in January-March to 95% in July-August. This research is to determine the relationship between the implementation of the SBAR handover and the interprofessional communication of nurses at the Tanjungpinang City Hospital in 2023. This research is a quantitative research using an analytical survey. The total population was 150 respondents. The sample in this study was 60 respondents. The sampling technique is non-probability sampling with purposive sampling technique. The data analysis used was the Chi-square test with a significance of 0.05. There is a relationship between SBAR handover and interprofessional communication between nurses at Tanjungpinang City Regional Hospital. Implementing good SBAR handovers and good interprofessional communication between nurses has a big influence in optimizing the provision of nursing care and improving the quality of service in hospitals. It is hoped that nurses will further improve solid collaboration when working through the implementation of SBAR handovers and interprofessional communication in accordance with standards.
Pengaruh Benson Terhadap Nyeri Insersi pada Pasien yang Menjalani Hemodialisa di RSUD Kota Tanjungpinang Irawati Irawati; Sri Muharni; Utari Christya Wardhani
Jurnal Medika Husada Vol. 3 No. 2 (2023): Oktober: Jurnal Medika Husada
Publisher : Akademi Analis Kesehatan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59744/jumeha.v3i2.46

Abstract

Insertion pain is pain caused by the action of inserting a needle into the AV fistula as a link between blood vessel circulation and the hemodialysis machine during the hemodialysis process. In Brazil it was found that 70% of patients undergoing hemodialysis experienced mild to moderate pain at the time of AV fistula insertion. The phenomenon found in the hemodialysis unit at Tanjungpinang City Regional Hospital in 2020 was 33 patients experiencing moderate pain. This research was conducted to determine the effect of the Benson relaxation technique on pain during insertion in patients undergoing hemodialysis. The research method is a quasi experimental design, with a pre test – post test design approach without control group. The sample consisted of 30 respondents in the intervention and control groups who were routine hemodialysis patients at the Tanjungpinang City Regional Hospital in 2023. Using a non-probability sampling technique, consecutive sampling. Data were processed using the Wilcoxon signed rank test. Univariate analysis of results before the Benson technique, 73.3% experienced moderate pain and after the Benson technique, 80% did not feel pain in the intervention group. It was concluded that there was an influence of the Benson technique on insertion pain in patients undergoing hemodialysis. It is hoped that the Benson relaxation technique will be applied by nurses as non-pharmacological pain management to reduce AV-fistula insertion pain in hemodialysis patients.
Efektivitas Terapi Mindfulness Berbasis Aplikasi Breathe2Relax Terhadap Stres Mahasiswa Tingkat Akhir Mira Agusthia; Utari Christya Wardhani; Novita Rochmayanti; Triyana Harlia Putri
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.12608

Abstract

ABSTRACT Academic stress is defined as a condition of individuals experiencing pressure from the perception and assessment of academic stressors, which are related to science and education in higher education. The prevalence of students in the world who experience stress is 38-71%. Meanwhile, the prevalence of students experiencing stress in Indonesia was 36.7-71.6%. Stress cannot be prevented but it can be managed. Non-pharmacological therapy for stress reduction is application-based mindfulness. The “Breathe2Relax” app is also a portable skill training tool for practicing diaphragmatic breathing. Mindfulness brings students to focus on realizing the conditions they are currently facing, accepting them with sincerity, without reacting and giving judgments. To determine the effectiveness of Mindfulness Therapy based on the Breathe2Relax Application on Final Year Student Stress. Quantitative research quasi-experimental one group pretest - posttest design without a control group and sampling using purposive sampling with a total sample of 34 students. The level of stress before being given mindfulness therapy was moderate stress as many as 32 people (94.1%) and severe stress as many as 2 people (5.9%). The stress level of students after being given mindfulness therapy was 29 people (85.3%) mild stress and 5 people (14.7%) moderate stress. The results of the analysis test showed that there was an effectiveness of mindfulness therapy based on the Breathe2Relax application on stress in final year students at Awal Bros University. p value=0.000 (p<0.05). There is an effect of the effectiveness of mindfulness therapy based on the "Breathe2Relax" application on stress in final year students. It is hoped that the research place will conduct counseling guidance as a place of guidance for students so that it can reduce the level of stress that occurs in students. Keywords: Student, Stress, Mindfulness Therapy  ABSTRAK Stress akademik diartikan sebagai suatu keadaan individu yang mengalami tekanan hasil persepsi dan penilaian tentang stressor akademik, yang berhubungan dengan ilmu pengetahuan dan pendidikan di perguruan tinggi. Prevalensi mahasiswa di dunia yang mengalami stres didapatkan sebesar 38-71%. Sementara itu prevalensi mahasiswa yang mengalami stres di Indonesia sendiri didapatkan sebesar 36,7- 71,6%. Stres tidak dapat dicegah tetapi bisa dikelola. Terapi non farmakologi penurunan stres yaitu mindfulness berbasis aplikasi. Aplikasi “Breathe2Relax” juga merupakan alat latihan keterampilan portabel untuk melatih pernapasan diafgrama. Mindfulness membawa mahasiswa untuk fokus menyadari kondisi yang dihadapi saat ini, menerimanya dengan penuh keikhlasan, tanpa bereaksi dan memberikan penilaian. Tujuan untuk mengetahui Efektivitas Terapi Mindfulness berbasis Aplikasi Breathe2Relax terhadap Stres Mahasiswa Tingkat Akhir. Penelitian kuantitatif quasi experimental one grup pre test - post test design tanpa kelompok kontrol dan pengambilan sample menggunakan Purposive Sampling dengan jumlah sample sebanyak 34 mahasiswa. Tingkat stres sebelum diberikan terapi mindfulness stres sedang sebanyak 32 orang (94,1%) dan stres berat sebanyak 2 orang (5,9%). Tingkat stres mahasiswa setelah diberikan terapi mindfulness yaitu stres ringan sebanyak 29 orang (85,3%) dan stres sedang sebanyak 5 orang (14,7%). Hasil uji analisis didapatkan bahwa terdapat efektivitas terapi mindfulness berbasis aplikasi Breathe2Relax terhadap stres pada mahasiswa tingkat akhir Universitas Awal Bros. p value=0,000 (p<0,05). Ada pengaruh efektivitas terapi mindfulness berbasis aplikasi “Breathe2Relax” terhadap stres pada mahasiswa tingkat akhir. Diharapkan  tempat penelitian melakukan bimbingan konseling sebagai tempat bimbingan bagi mahasiswa sehingga dapat mengurangi tingkat stres yang terjadi pada mahasiswa. Kata Kunci: Mahasiswa, Stres, Terapi Mindfulness
EFEKTIVITAS PEMBERIAN EDUKASI TERHADAP TINGKAT PENGETAHUAN IBU HAMIL DALAM PENGGUNAAN BUKU KESEHATAN IBU DAN ANAK (KIA) DI PUSKESMAS SEI PANCUR Elvi Murniasih; Utari Christya Wardhani; Rahma Muthiasari
Jurnal Warta Dharmawangsa Vol 17, No 1 (2023)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/wdw.v17i1.2959

Abstract

Hubungan Kualitas Pelayanan Keperawatan Dengan Kepuasan Pasien Rawat Jalan di RSBT Karimun Tahun 2023 Martha Dwi Novalia; Umi Eliawati; Utari Christya Wardhani
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 2 No. 1 (2024): Februari : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v2i1.3139

Abstract

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.
Hubungan Komunikasi SBAR saat Handover dengan Penerapan Patient Safety di Rumah Sakit Bakti Timah Karimun Elvi Murniasih; Utari Christya Wardhani; Maria Maria
Journal of Educational Innovation and Public Health Vol. 1 No. 3 (2023): Juli : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i3.1634

Abstract

Background: The application of patient safety goals is an effort made by hospitals to improve the quality of health services. Handover activities that are not accompanied by effective communication can cause errors that can harm the patient. Recommendations from WHO require nurses to improve communication patterns, especially when carrying out handovers, namely by using SBAR communication which consists of Situation, Background, Assessment and Recommendation. Based on the data summary of reported incidents that occurred in the hospital as many as 20 incident cases in the past year, including cases of KTD, KNC, KTC and KPCS. From these incidents, there were 6 cases related to miscommunication during handovers. Some nurses still do not apply the SBAR communication method when carrying out handovers, resulting in cutting/lagging of the information provided and resulting in incidents. Objective:to determine the reltionshipbetween SBAR Communication during handover and the implementation of patient safety at Bakti Timah Karimun Hospital. Methods: This research is quantitative with a cross-sectional approach. The population of this study were all inpatient nurses at Bakti Timah Karimun Hospital with total sampling, which consisted of 63 respondents. Results: showed that 41 respondents (65%) used SBAR communication during handovers in the good category and implemented patient safety. Conclusion:This means that the implementation of SBAR communication during the handover is good but not optimal because there are still 35% who have not implemented it. Based on the chi square test, there is a relationship between SBAR communication during handover and the application of patient safety (p=0.000 <0.05). Suggestion:, it is expected that nurses can carry out SBAR communication during handovers effectively so that they can implement patient safety optimallyKeywords : Newbron, Skin wrap, hypothermia.
Hubungan Kualitas Pelayanan Homecare dengan Kepuasan Pasien Perawatan Luka di Rumah Sakit Bakti Timah Karimun Vivi Padang; Utari Christya Wardhani; Sri Muharni
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i1.2080

Abstract

The development of home care in Indonesia has progressed to the point that many people use home care services. The epidemiological transition has resulted in an increase in the number of cases of chronic disease compared to acute disease, resulting in an increase in the number of cases of terminal disease that are not treated effectively and efficiently in hospitals. Bakti Timah Karimun Hospital has a home care service that provides several forms of services, namely wound care visits, elderly care services, baby care services, services for terminal patients, and other special needs. There are complaints from patients being managed regarding the responsiveness of the staff, friendliness and skills of the staff which are subject to evaluation. This study aims to determine the relationship between the quality of homecare services and patient satisfaction with wound care at Bakti Timah Karimun Hospital. This research is quantitative with a cross sectional study approach with a sample size of 80 people selected using total sampling techniques. The results of the study showed that the description of the quality of homecare services from the 5 components assessed (Reliability, responsiveness, assurance, empathy, and physical evidence) was in the sufficient category (73.8%), and the description of wound care patient satisfaction was in the very satisfied category. (62.5%). In this way, it is hoped that homecare nurses can improve the quality of services more optimally so that satisfaction can be achieved and maintained.