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Career Ladder Professionalism in Nursing: A Concept Analysis Amir, Haeril; Hariyati, Rr. Tutik Sri; Novieastari, Enie; Pakasi, Trevino A.
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.Iss4.1544

Abstract

A defined career path for nurses is essential, as they constitute the largest segment of healthcare workers and hold strategic and leadership roles in determining the quality of patient care and overall hospital quality. This study aims to analyze the concept of professionalism in relation to the implementation of career paths for nurses within hospital settings. This concept analysis follows the steps outlined by Walker & Avant. A literature search was conducted using the PubMed, Scopus, ScienceDirect, and ProQuest databases to identify articles published between 2014 and 2024. After filtering, 9 articles were selected from various scientific disciplines such as nursing, medicine, education, and other health-related fields. This study identified three main attributes related to the clinical professional ladder: 1) integrity, 2) justice, and 3) beneficence. Antecedents include education, workshops/conferences, experience, and professional identity. Consequences include ethics, patient outcomes, nursing outcomes, future career opportunities, job satisfaction, retention, salary, and organizational commitment. This concept analysis enhances our understanding of the three attributes of the career ladder and professionalism (CLp) and provides insights into future development and uncertainties in nursing management. This concept is highly valuable for nurse management settings, particularly in enhancing professionalism through career path programs. Ultimately, this concept analysis approach encourages both new and experienced nurses to maintain professionalism in the delivery of nursing care.         
Application of Moist Wound Healing Technique in Post-Cesarean Section Patients: A Case Study Nur Israwati; Amir, Haeril; Mappanganro, Andi
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.461

Abstract

Cesarean section is a surgical procedure involving an incision through the abdominal wall and uterus to deliver the baby. Although it is widely performed to ensure the safety of both mother and infant, this procedure often results in wounds that require specific care for optimal healing. This study aimed to explore the application of the Moist Wound Healing (MWH) technique in post- cesarean section wound management. A case study design was employed, focusing on a patient (Mrs.D) who underwent post-cesarean wound care using the MWH technique at Griya Afiat Gowa independent practice clinic. Following diagnosis, the planned nursing intervention involved wound care using theMWH approach. After three sessions of wound care, notable improvements were observed: during the first and second visits, the wound exhibited >25% serous exudate, 80% granulation tissue, and 20% slough. By the third visit, the wound showed 80% granulation, a reduction of slough to 15%, and the presence of 5% epithelial tissue. These findings indicate that the Moist Wound Healing technique is effective in promoting wound healing following cesarean section.  
Assessment of Early Pain Management in Fracture Cases in the Emergency Department: Evidence from Clinical Practice Yakut, Waode Ryanti; Amir, Haeril; Hidayat, Rahmat
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.570

Abstract

Open fractures are serious injuries in which bone fragments are directly exposed to the external environment, resulting in a significantly higher risk of infection compared to closed fractures. Patients presenting with fractures to the emergency department (ED) are initially assessed using the airway, breathing, circulation, disability, and exposure (ABCDE) approach. This serves as one of the strategies to reduce the pain experienced by patients with fractures. This study employed a descriptive approach with a descriptive case study method, aiming to provide an overview of the initial management of a patient with an open fracture of the right tibia. General initial management of pain included immobilization techniques, hemorrhage control, and the administration of analgesics, which were found to reduce pain levels and prevent further complications. The study concludes that general initial management is an essential and effective approach in the early treatment of open fracture patients. This process not only focuses on medical aspects but also addresses the holistic nursing needs of patients. Further research is recommended to evaluate the long-term effectiveness of general initial management.