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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

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

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

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.

Manajemen Airway Dikombinasi dengan Hand Held Fan dan Deep Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Efusi Pleura Bilateral Bisri, Asilah Afnani; Amir, Haeril; Hidayat, Rahmat
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gebhy528

Pneumonia with bilateral pleural effusion may cause dyspnea due to reduced lung expansion and increased work of breathing. This case report describes clinical changes following an adjunct intervention package consisting of Airway management combined with a hand-held fan (HHF) and Deep breathing exercise (DBE) in the emergency department. A 35-year-old male presented with worsening dyspnea accompanied by chest pain and productive cough; baseline assessment showed a respiratory rate of 28 breaths/min and SpO₂ of 91%, and supplemental oxygen was administered as prescribed. The sequential intervention package (total ~5 minutes) included Airway management (semi-Fowler positioning, breathing-control education, and effective coughing/huff cough), HHF directed to the face at a distance of approximately 15–20 cm for ~2 minutes, and DBE for 5–10 repetitions (inhalation 2–3 s, hold 1–2 s, slow exhalation 4–6 s). Outcomes were assessed by comparing respiratory rate and SpO₂ at baseline and immediately after completing the package (~1 minute after DBE), along with the patient’s subjective dyspnea report. The patient reported reduced dyspnea, with respiratory rate decreasing to 22 breaths/min and SpO₂ increasing to 96%. Conclusion: the Airway-management plus HHF and DBE package was followed by clinical improvement in this case; however, generalizability is limited by the single-case design without control, lack of stage-by-stage measurements, absence of a standardized dyspnea scale, and potential confounding from concurrent medical therapies.

Manajemen Jalan Nafas dengan Kombinasi Chest Physiotherapy dan Terapi Oksienasi pada Pasien Pneumonia Syam, Nur Afika; Amir, Haeril; Fitria, Fitria
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/e4gk9b06

Pneumonia is a lower respiratory tract infection that may cause secretion retention, crackles, tachypnea, and reduced oxygenation, requiring measurable airway clearance and oxygen support in the emergency department. This case report describes clinical improvement in a single case following a combination of Chest Physiotherapy (CPT) and oxygen therapy. The patient presented with dyspnea, productive cough, and fever. Baseline assessment showed crackles, thick sputum difficult to expectorate, RR 27–28 breaths/min, SpO₂ 93%, temperature 38°C, and chest X-ray infiltrates consistent with pneumonia. The primary nursing diagnosis supported ineffective airway clearance with the need for oxygenation support. Interventions included structured CPT (postural drainage, percussion/vibration, deep-breathing, and effective coughing) and oxygen via nasal cannula titrated to target saturation. Outcomes were assessed quantitatively at T0 (baseline), T1 (after one session, ~1–2 h), and T2 (~24 h): RR, SpO₂, lung sounds, sputum characteristics, dyspnea (Borg 0–10), accessory muscle use, and temperature. Gradual clinical improvement was observed (RR 27–28 to 22 breaths/min; SpO₂ 93% to 96%), with reduced crackles, easier sputum expectoration, decreased dyspnea, and lower temperature. Generalization is limited due to the single-case design and concurrent medical therapies.

Manajemen Airway Dikombinasi dengan Hand Held Fan dan Deep Breathing Exercise terhadap Penurunan Sesak Nafas pada Pasien Efusi Pleura Bilateral Bisri, Asilah Afnani; Amir, Haeril; Hidayat, Rahmat
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gebhy528

Pneumonia with bilateral pleural effusion may cause dyspnea due to reduced lung expansion and increased work of breathing. This case report describes clinical changes following an adjunct intervention package consisting of Airway management combined with a hand-held fan (HHF) and Deep breathing exercise (DBE) in the emergency department. A 35-year-old male presented with worsening dyspnea accompanied by chest pain and productive cough; baseline assessment showed a respiratory rate of 28 breaths/min and SpO₂ of 91%, and supplemental oxygen was administered as prescribed. The sequential intervention package (total ~5 minutes) included Airway management (semi-Fowler positioning, breathing-control education, and effective coughing/huff cough), HHF directed to the face at a distance of approximately 15–20 cm for ~2 minutes, and DBE for 5–10 repetitions (inhalation 2–3 s, hold 1–2 s, slow exhalation 4–6 s). Outcomes were assessed by comparing respiratory rate and SpO₂ at baseline and immediately after completing the package (~1 minute after DBE), along with the patient’s subjective dyspnea report. The patient reported reduced dyspnea, with respiratory rate decreasing to 22 breaths/min and SpO₂ increasing to 96%. Conclusion: the Airway-management plus HHF and DBE package was followed by clinical improvement in this case; however, generalizability is limited by the single-case design without control, lack of stage-by-stage measurements, absence of a standardized dyspnea scale, and potential confounding from concurrent medical therapies.

Manajemen Jalan Nafas dengan Kombinasi Chest Physiotherapy dan Terapi Oksienasi pada Pasien Pneumonia Syam, Nur Afika; Amir, Haeril; Fitria, Fitria
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/e4gk9b06

Pneumonia is a lower respiratory tract infection that may cause secretion retention, crackles, tachypnea, and reduced oxygenation, requiring measurable airway clearance and oxygen support in the emergency department. This case report describes clinical improvement in a single case following a combination of Chest Physiotherapy (CPT) and oxygen therapy. The patient presented with dyspnea, productive cough, and fever. Baseline assessment showed crackles, thick sputum difficult to expectorate, RR 27–28 breaths/min, SpO₂ 93%, temperature 38°C, and chest X-ray infiltrates consistent with pneumonia. The primary nursing diagnosis supported ineffective airway clearance with the need for oxygenation support. Interventions included structured CPT (postural drainage, percussion/vibration, deep-breathing, and effective coughing) and oxygen via nasal cannula titrated to target saturation. Outcomes were assessed quantitatively at T0 (baseline), T1 (after one session, ~1–2 h), and T2 (~24 h): RR, SpO₂, lung sounds, sputum characteristics, dyspnea (Borg 0–10), accessory muscle use, and temperature. Gradual clinical improvement was observed (RR 27–28 to 22 breaths/min; SpO₂ 93% to 96%), with reduced crackles, easier sputum expectoration, decreased dyspnea, and lower temperature. Generalization is limited due to the single-case design and concurrent medical therapies.

Implementation of Guided Imagery to Reduce Anxiety in Patients with Breast Cancer Irwansjah, Nurhasana; Amir, Haeril; Suharto Putri, Suci Hardianti; Marini , Erna
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.v4i02.603

Anxiety is one of the most common psychological problems experienced by preoperative patients, particularly those with breast cancer (Ca Mammae). This condition can increase sympathetic responses, worsen physiological conditions, and reduce patient readiness for surgery. Guided imagery is a non-pharmacological intervention that can help reduce anxiety through directed visualization, promoting relaxation and emotional calmness. This study aims to describe nursing care for patients with preoperative anxiety using the SDKI, SIKI, and SLKI standards and to identify the effectiveness of guided imagery in reducing anxiety levels. This case study employed a descriptive approach involving one patient with Ca Mammae (Mrs. S) scheduled for Modified Radical Mastectomy (MRM). Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (SAS). Initial assessment showed moderate anxiety with a score of 45, accompanied by symptoms of restlessness, tension, difficulty concentrating, and increased motor activity. Nursing interventions followed the SIKI Anxiety Reduction (I.09314), including education, observation, emotional support, and guided imagery implementation. After the intervention, the anxiety score decreased to 35 (mild anxiety), and the patient appeared calmer, more cooperative, and able to better divert attention. The findings indicate that guided imagery is effective in reducing preoperative anxiety in Ca Mammae patients and can serve as a simple, safe, and beneficial complementary nursing intervention in clinical practice..

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