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All Journal Media Ilmu Kesehatan Journals of Ners Community Klabat Journal of Nursing Binawan Student Journal CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal Journal of Nursing Science Update Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) The Journal of Nursing and Midwifery Sciences International Journal Of Pedagogical Novelty (IJOPNOV)
Wiratmo, Puji Astuti
Binawan University
Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Effect of Papaya Juice on Constipation in Pregnant Women: Quasi-Experimental Study Chairiyah, Royani; Wiratmo, Puji Astuti
Journal of Nursing and Midwifery Sciences Vol. 4 No. 1 (2025): April 2025
Publisher : Faculty of Nursing and Midwifery, Binawan University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/zf1z3g45

Abstract

Constipation is a condition often found in pregnant women that has an impact on physical, psychological, and social disorders such as discomfort, hemorrhoids, disturbed body image, and decreased quality of life. Papaya is highly recommended for pregnant women as a non-pharmacological therapy to treat constipation. The aim of the research was to determine the effect of papaya juice on constipation in pregnant women. Method: This type of quantitative research is a pretest-posttest quasi-experimental design. In the intervention group, 35 pregnant women received papaya juice therapy, while 35 pregnant women in the control group received therapy by drinking warm water. Bivariate analysis with an independent T test and a paired T test The results showed that there was a significant difference in the mean posttest constipation score between the intervention group and the control group (p = 0.001), the average pretest and posttest constipation score in the intervention group (p<0.001), and the average pretest and posttest constipation score in the control group (p<0.001). The decrease in the average constipation score of pregnant women in the intervention group after being given papaya juice was 0.2 (5.71%) lower than the average constipation score of pregnant women in the control group after being given warm water, which was 0.62 (17.14%). Conclusion: Papaya juice is efficacious in reducing symptoms of constipation in pregnant women. Midwives are expected to provide health education on how to prevent constipation by consuming more fruit and vegetables and doing enough activity during pregnancy
Instilling Confidence in the Clinical Performance of Nursing Students Wiratmo, Puji Astuti; Ramoo, Vimala; Nurachmah, Elly
International Journal Of Pedagogical Novelty (IJOPNOV) Vol 1 No 1 (2022): International Journal of Pedagogical Novelty
Publisher : Pustaka Galeri Mandiri

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Abstract

There is existing concerns from clinical education that nursing students need to improve confidence on clinical performance. Confidence is basis of nursing education and determines graduates’ level of competence to enter workforce. Confidence promotes safe and effective patient care. However, it is challenging to understand concept of confidence and how nurse educators instill confidence with innovative teaching strategies. The purpose of this review is to discuss concept of confidence, factors influencing confidence, and teaching strategies to improve students’ confidence. Science Direct, EBSCOhost, and Pubmed databases were used to identify evidence based research related to students’ confidence and teaching strategies. The key words included confidence, nursing students, teaching strategies, and clinical performance. The articles were selected based on objectives, relevance, and year published. The result suggested that simulation should be modified by other strategies such as repeated simulation, team based learning, and self-debriefing. Another strategy is multidisciplinary teaching using technological tool such as video podcasting, immersive 3d interaction, game-based learning and video-based learning. Clinical confidence is an essential element in students’ clinical performance. Innovative and creative teaching strategies are needed to instill nursing student’s confidence. Further studies are needed in assimilation of teaching strategies for nurturing students’ clinical confidence.
ACADEMIC STRESS OF FINAL-YEAR STUDENTS OF THE NURSING STUDY PROGRAM: A CROSS-SECTIONAL STUDY WITH THEIR SLEEP QUALITY Dewi, Aliana; Wiratmo, Puji Astuti; Mussyarifah, Ratu Fiddini; Pamungkas, Indra Gilang
Klabat Journal of Nursing Vol. 6 No. 2 (2024): Nursing - World's Buoyant
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v6i2.1172

Abstract

Background: Academic stress is a condition when students react in the form of negative behavior or emotions that arise because of academic demands, or anything related to teaching and learning activities. The types of academic stress felt by students are lack of rest time, busy assignments, competition with friends, fear of change, and failure to obtain results from the academic demands that have been carried out. Purposes: This study aims to assess the relationship between academic stress and sleep quality in final-year students of the nursing study program. Methods: This research used a cross-sectional research design with a total of 93 respondents. Sampling used a total sampling technique. Data were collected using the instruments The Perception of Academic Stress Scale and the Pittsburgh Sleep Quality Index (PSQI) and analyzed using the chi-square test. Results: This research shows that there is a significant relationship between academic stress and sleep quality in final-year students of the nursing study program with a p-value of 0.01 (p-value < 0.05). Individuals who feel stressed will cause hormones such as epinephrine, norepinephrine, and cortisol to affect the central nervous system, causing a state of wakefulness and increasing the alertness of the central nervous system. Conclusion: There is a significant relationship between academic stress and sleep quality. An academic stress management approach through an intervention program can have a positive impact on the sleep quality of nursing students. Latar Belakang: Stres akademik merupakan suatu kondisi ketika mahasiswa bereaksi dalam bentuk perilaku atau emosi negatif yang timbul karena tuntutan akademik, atau segala sesuatu yang berhubungan dengan kegiatan belajar mengajar. Jenis stres akademik yang dirasakan oleh mahasiswa adalah kurangnya waktu istirahat, padatnya tugas, persaingan dengan teman, takut akan perubahan, dan tidak memperoleh hasil dari tuntutan akademik yang telah dilaksanakan. Tujuan: Penelitian ini bertujuan untuk mengkaji hubungan antara stres akademik dengan kualitas tidur pada mahasiswa tingkat akhir program studi keperawatan. Metode: Penelitian ini menggunakan desain penelitian cross-sectional dengan jumlah responden sebanyak 93 orang. Pengambilan sampel menggunakan teknik total sampling. Data dikumpulkan dengan menggunakan instrumen The Perception of Academic Stress Scale dan Pittsburgh Sleep Quality Index (PSQI) serta dianalisis menggunakan uji chi-square. Hasil: Penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara stres akademik dengan kualitas tidur pada mahasiswa tingkat akhir program studi keperawatan dengan p-value sebesar 0,01 (p-value < 0,05). Individu yang merasa stres akan menyebabkan hormon seperti epinefrin, norepinefrin, dan kortisol memengaruhi sistem saraf pusat, sehingga menyebabkan keadaan terjaga dan meningkatkan kewaspadaan sistem saraf pusat. Kesimpulan: Terdapat hubungan yang signifikan antara stres akademik dan kualitas tidur. Pendekatan manajemen stres akademik melalui program intervensi dapat memberikan dampak positif terhadap kualitas tidur mahasiswa keperawatan
HUBUNGAN ANTARA PENGETAHUAN DAN SIKAP PERAWAT MENGENAI KESELAMATAN PASIEN TERHADAP PENERAPAN NURSING EARLY WARNING SCORING SYSTEM (NEWSS) Wiratmo, Puji Astuti; Karim, Ulfah Nuraini; Purwayuningsih, Linda
Journals of Ners Community Vol 12 No 2 (2021): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v12i2.1565

Abstract

Budaya Salah satu peran perawat dalam mendukung keselamatan pasien di ruang operasi adalah mendeteksi dini dan mencegah terjadinya perburukan melalui Nursing Early Warning Scoring System (NEWSS). NEWSS adalah sistem skoring fisiologis melalui tanda-tanda vital sebelum pasien mengalami kondisi kegawatan. Pengetahuan tentang keselamatan pasca operasi dan algoritme NEWSS harus dimiliki oleh perawat bertugas di kamar operasi.  Namun, penerapan NEWSS masih mengalami kendala terkait kurangnya kesadaran sebagian perawat akan pentingnya monitoring operasi menggunakan NEWSS dan menganggap NEWSS sebagai prosedur baru yang menambah beban kerja. Selain itu perawat juga harus melakukan monitoring beberapa pasien dalam waktu bersamaan sehingga pasien yang mengalami kegawatan dapat tidak terdeteksi. Dengan demikian pengetahuan dan sikap perawat terhadap penerapan NEWSS perlu mendapat perhatian. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap perawat mengenai keselamatan pasien terhadap penerapan NEWSS. Desain penelitian ini adalah kuantitatif korelatif secara cross sectional. Sebanyak 50 orang perawat di Unit Pelayanan Bedah Terpadu RSCM direkrut secara total sampling. Kuesioner pengetahuan dan sikap perawat telah dilakukan uji validitas dan reliabilitas melalui penelitian terkait (Cronbach alpha 0.891). Hasil penelitian menunjukkan mayoritas perawat mempunyai pengetahuan baik (96%) dan seluruhnya mempunyai sikap positif terhadap keselamatan pasien. Berdasarkan hasil analisa Spearman rank, terdapat hubungan antara pengetahuan perawat dengan penerapan NEWSS (p 0.002, r 0.421), dan terdapat hubungan antara sikap perawat dengan penerapan NEWSS (p 0.001, r 0.501). Hasil penelitian dapat dijadikan sumber informasi mengenai pengetahuan, sikap dan penerapan NEWSS pada perawat untuk menjadi acuan dalam meningkatkan kualitas asuhan keperawatan. DOI: 10.5281/zenodo.6033518
IDENTIFIKASI FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KECEMASAN PASIEN DALAM MENJALANI ENDOSKOPI Wiratmo, Puji Astuti; Hijriyati, Yoanita; Sumiati, Erni
Journals of Ners Community Vol 13 No 1 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i1.1645

Abstract

Endoskopi merupakan prosedur  pemeriksaan diagnostik dan pengobatan teraupetik untuk menyederhanakan tindakan operatif pada gangguan saluran cerna. Endoskopi dapat menimbulkan kecemasan bagi pasien sehingga menjadi hambatan bagi pasien yang akan menjalankan tindakan endoskopi. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kecemasan pasien dalam menjalani endoskopi. Penelitian ini merupakan penelitian analitik korelatif dengan pendekatan cross sectional. Sebanyak 43 pasien yang akan menjalani endoskopi di RSUD Tarakan direkrut dalam penelitian ini secara total sampling. Tingkat kecemasan pasien diukur dengan menggunakan instrumen DASS-42. Hasil analisa bivariat dengan uji Chi square didapatkan terdapat hubungan antara usia, jenis kelamin dan tingkat pendidikan dengan kecemasan pasien yang menjalani endoskopi. Pengkajian tingkat kecemasan pada pasien yang akan menjalani tindakan invasive endoskopi perlu dilakukan oleh perawat  untuk menurunkan pengalaman buruk endoskopi dan terdeteksinya tingkat kecemasan tinggi menentukan diperlukannya tindakan kolaboratif pada pasien yang akan menjalani endoskopi.
Body Mass Index and Hypertension in Pregnant Women Wiratmo, Puji Astuti; Sutandi, Aan
Journal of Nursing and Midwifery Sciences Vol. 3 No. February (2024): Special Issue
Publisher : Faculty of Nursing and Midwifery, Binawan University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/fpd5kp25

Abstract

The incidence of hypertension in pregnancy is still a big concern in health care setting. This condition can cause further complication that could endanger mother and fetal condition. Hypertension in pregnancy can lead to cardiovascular disease, diabetes, cerebrovascular diseases, and death. There are several factors affecting hypertension on pregnant wome, including overweight and obesity. BMI can be used to identify nutritional status as well as to monitor weight gain in pregnant mother. This study was aimed to identify the relationship between BMI and hypertension in pregnancy. The data collection was conducted on 104 pregnant women in Matraman Primary Health Care, East Jakarta. BMI was calculated by using body weight and body height. While hypertension was identified through an increase in blood pressure measurement whereby systole was above 140 mmHg and diastole was above 90 mmHg. The data was analyzed using chi square test with significancy level p <0.05. The result of the study showed that there was a significant relationship between BMI and hypertension on pregnant women (p 0,001). Monitoring of BMI is critical in pregnant mother particularly on those who have high BMI. It is important that all health care professionals provide significant efforts to manage obesity and to overcome hypertension on pregnant women to reduce the morbidity and mortality on pregnant women.
Co-Authors A.A. Ketut Agung Cahyawan W Aan Sutandi Agung Setiyadi Ahmad Yasin Hafidhuddin Aliana Dewi Chairiyah, Royani Dewi, Aliana Elly Nurachmah Erika Lubis Erni Sumiati Fadhlika, Luthfiana Fitriani Hijriyati, Yoanita Indra Gilang Pamungkas Karim, Ulfah Nuraini Lisnadiyanti Marcelyna Vihandayani Maulina Wulandari, Shenda Mussyarifah, Ratu Fiddini Niken Pradita Syafitri Nuniek Setyo Wardani Nur Intan Amanda Nurkamilia Sopianah Purwayuningsih, Linda Putri Setyaningrum, Nabilla Putri, Rizky Ramadhani Qonita Fauziah Ramoo, Vimala Rika Fitri Diningsih Sandi Irvanta Sari Narulita Sumiati, Erni Tri Mustikowati Widanarti Setyaningsih Widanarti Setyaningsih Yoanita Hijriati Yuli Utami Yuli Utami Zakiyah zakiyah mista