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The Quality of Competence Through Nursing Career Paths Among Indonesian Nurses in Hospital Settings Hadi, Muhammad; Rahmawati, Dina; Heny Purwati, Nyimas; Natashia, Dhea; Slametiningsih, Slametiningsih; Hasanah, Idyatul
Journal of Public Health and Pharmacy Vol. 4 No. 2: JULY 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i2.5459

ntroduction: Nurses play a pivotal role in the provision of healthcare services both within the Indonesian context and on a worldwide scale. The development of nursing competence is crucial in order to guarantee the provision of high-quality healthcare services. To examine the elements that are linked to the enhancement of nurse competence by means of the adoption of nursing career paths within hospital settings in Indonesia. Methods: A descriptive analytical design, utilising a cross-sectional approach with a sample size of 197 nurses. The data was obtained by administering a meticulously evaluated questionnaire, designed by the researchers, to the participants. The questionnaire's validity (r=0.361) and reliability (r=0.933) were thoroughly assessed. The analysis of the research data was conducted utilising multiple linear regression tests. Results: As established through the use of multiple linear regression tests, demonstrate a statistically significant positive association (p<0.05) between organisational loyalty, organisational support, guidance, and financing, and the implementation of nurse competence quality. The obtained coefficient of determination was 0.260, suggesting that the four independent variables considered in this study have the ability to collectively account for 26% of the variability observed in the implementation of nurse competence quality. It is important to note that the remaining variation is likely impacted by additional factors not included in the analysis. The guiding element has been identified as the primary determinant in the cultivation of quality competence within hospital settings while implementing nursing career routes. Conclusion: The present study establishes that factors such as organisational loyalty, organisational support, mentorship for nurses, and financial resources for career advancement have a significant impact on the enhancement of nursing competency along the career trajectory within hospital settings. The variable exerting the most significant influence is the provision of instructions for nurses.

Pendidikan Kesehatan Perkembangan Jiwa Sehat pada Anak Usia Infan Terhadap Pengetahuan Orang Tua Slametiningsih, Slametiningsih; Kurwiyah, Neneng; Nurjanah, Siti; Anugrah, Renty; Septiwantari, Rani; Wildan, Wildan; Syamsikar, Syamsikar
Idea Pengabdian Masyarakat Vol. 4 No. 01 (2024): January
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v4i01.237

Masa perkembangan usia bayi (infancy) (0-18 bulan) ditandai adanya kecenderungan trust- mistrust atau Perilaku bayi didasari oleh dorongan mempercayai atau keraguan. Anak usia infan proses perkembangannya menyesuaikan dengan lingkungan sehingga menumbuhkan perkembangan jiwanya dan rasa percaya kepada orang terdekatnya, untuk menumbuhkan rasa percaya tersebut perlu dilakukan penyuluhan/stimulasi kepada orang tua. Tempat pengabdian Masyarakat di Wilayah Puskesmas Cempaka Putih Cempaka Putih Barat RW 04 Kecamatan Cempaka Putih dengan jumlah 15 orang. Tujuan dari penelitian ini adalah Orang tua memahami dan mempraktikkan perkembangan anaknya perkembangan jiwa sehat anak usia tersebut. Metode yang digunakan quasi experemen sebelum dan sesudah pendidikan kesehatan, kuesioner menggunakan KPSP. Hasil penelitian ditemukan bahwa sebelum melakukan penyuluhan pengetahuan ibu rata-rata 8,47, dan setelah dilakukan tindakan 9,40 ada peningkatan 0,93, dengan standar deviasi 0,34. Kesimpulan dari penelitian ini adalah ada perubahan pengetahuan ibu setelah dilakukan penyuluhan. Saran Penyuluhan bisa diberikan kepada ibu-ibu yang memiliki anak usia infan untuk wilayah lainnya yang berada di Puskesmas Kecematan Cempaka Putih Kata Kunci: Anak usia infan, Perkembangan anak usia infan, Pendidikan kesehatan

Gambaran Mekanisme Koping Keluarga dengan Anggota Terinfeksi COVID-19 di Kelurahan Cipinang Muara" Slametiningsih, Slametiningsih; Hernanda, Salma Nadila
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15997

ABSTRACT During the COVID-19 pandemic, family members were not allowed to stay with patients hospitalized due to the virus. This restriction can impact the psychological condition of the family, including the coping strategies they use. Coping strategies include Problem Focused Coping, Emotion Focused Coping, and Dysfunctional Coping. This study aims to describe the coping mechanisms of families with members hospitalized due to COVID-19. Research Method This study used a descriptive method with total sampling technique. The sample consisted of 53 respondents. The measurement tool used was the Brief COPE Questionnaire. The research was conducted from June 3 to July 3, 2021. Research Results The results showed that 55% of families with COVID-19 patients hospitalized used Problem Focused Coping strategies. This strategy involves active efforts to manage or change the situation causing stress. Conclusion Families of COVID-19 patients in Cipinang Muara used adaptive coping strategies, especially Problem Focused Coping, while caring for their sick family members. Suggestions Local health services are recommended to continue providing counseling and psychoeducation services to families of COVID-19 patients to support their mental health. Additional Conclusion The coping strategy used by families with members infected with COVID-19 in Cipinang Muara is Problem Focused Coping, which includes efforts to seek information, planning, and careful organization to manage the stressful situation. Keywords: COVID-19, Family Coping, Family Members ABSTRAK Selama pandemi COVID-19, anggota keluarga tidak diperbolehkan menunggu pasien yang dirawat di rumah sakit. Hal ini dapat mempengaruhi kondisi psikologis keluarga, termasuk dalam hal strategi koping yang mereka gunakan. Strategi koping meliputi Problem Focused Coping, Emotion Focused Coping, dan Dysfunctional Coping. Penelitian ini bertujuan untuk menggambarkan mekanisme koping keluarga yang memiliki anggota dirawat di rumah sakit. Metode Penelitian Penelitian ini menggunakan metode deskriptif dengan teknik sampling total. Jumlah sampel yang diteliti adalah 53 responden. Alat ukur yang digunakan adalah Brief COPE Questionnaire. Penelitian dilaksanakan dari 3 Juni hingga 3 Juli 2021. Hasil Penelitian Hasil penelitian menunjukkan bahwa 55% keluarga pasien COVID-19 yang dirawat di rumah sakit menggunakan strategi Problem Focused Coping. Strategi ini melibatkan usaha aktif untuk mengatasi atau mengubah situasi yang menyebabkan stres. Kesimpulan Keluarga pasien COVID-19 di Kelurahan Cipinang Muara menggunakan strategi koping yang adaptif, terutama Problem Focused Coping, selama merawat anggota keluarga yang sakit. Saran Pelayanan kesehatan setempat disarankan untuk terus memberikan layanan konseling dan psikoedukasi kepada keluarga pasien COVID-19 untuk mendukung kesehatan mental mereka. Kesimpulan Tambahan Strategi koping yang digunakan oleh keluarga dengan anggota yang terinfeksi COVID-19 di Kelurahan Cipinang Muara adalah Problem Focused Coping, yang mencakup usaha untuk mencari informasi, perencanaan, dan pengaturan yang matang untuk mengatasi situasi stres. Kata Kunci: COVID 19, Koping Keluarga, Anggota Keluarga

TINJAUAN RETROSPEKTIF EKSPRESI EMOSI KELUARGA DENGAN FREKUENSI KEKAMBUHAN PASIEN PERILAKU KEKERASAN DI RUMAH SAKIT JIWA DR. SOEHARTO HEERDJAN Wulandari, Siti Retno; Slametiningsih, Slametiningsih
Indonesian Journal of Nursing Sciences and Practice Vol 2, No 2 (2019)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v2i2.63-71

ABSTRAKGangguan jiwa dengan jumlah paling banyak yang dialami oleh penduduk di dunia adalah Skizofrenia. Kementerian Kesehatan RI, menyatakan jumlah penderita gangguan jiwa di Indonesia mencapai 2,5 juta yang terdiri dari pasien perilaku kekerasan. Semakin tingginya angka kekambuhan pasien skizofrenia dengan perilaku kekerasan di rumah sakit jiwa menyebabkan perawatan pasien perilaku kekerasan merupakan prioritas utama untuk mengurangi frekuensi kekambuhan. Penelitian ini bertujuan untuk mengetahui distribusi factor-faktor penyebab, frekuensi kekambuhan, dan hubungan ekspresi emosi keluarga dengan frekuensi kekambuhan pasien perilaku kekerasan. Peneliti menggunakan desain penelitian deskriptif korelasi dengan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh keluarga yang anggota keluarganya pernah dirawat dengan diagnose skizofrenia di RS. Jiwa dr. Soeharto Heerdjan Jakarta yaitu 211 orang dengan jumlah sample 76 orang dengan teknik purposive sampling. Teknik pengumpulan data dengan menggunakan kuisioner yang diberikan kepada responden dan dengan wawancara langsung kepada responden. Hasil penelitian ini dianalisis secara univariat dengan mayoritas ekspresi emosi keluarga rendah (59,2%) dan mayoritas frekuensi kekambuhan pasien yaitu lebih dari 1 kali (75%). Setelah dianalisa bivariat dengan uji Chi-Square didapatkan hasil yaitu ada hubungan ekspresi emosi keluarga dengan frekuensi kekambuhan pasien perilaku kekerasan (p value = 0,014). Saran peneliti agar petugas kesehatan memberikan pendidikan kesehatan kepada keluarga pasien perilaku kekerasan yang berkunjung ke RS. Jiwa Dr. Soeharto Heerdjan tentang perawatan dan penanganan perilaku kekerasan, agar keluarga mampu mengontrol ekspresi emosi.Kata kunci: Perilaku kekerasan, ekspresi emosi, kekambuhanABSTRACTThe most mental disorder experienced by people in the world is schizophrenia. The Ministry of Health of the Republic of Indonesia stated that there are 2.5 million people with mental disorders in Indonesia, consisting of violent behavior patients. The high recurrence rate of schizophrenic patients with violent behavior in mental hospitals makes treating patients with violent behavior a top priority to reduce the frequency of recurrences. This study aims to determine the distribution of causal factors, recurrence frequency, and the relationship between family emotional expressions and the frequency of recurrence in violent behavior patients. Researchers used a descriptive correlation research design with a cross sectional approach. The population in this study were all families whose family members had been treated with a diagnosis of schizophrenia at the hospital. Dr. Soeharto Heerdjan Mental Hospital Jakarta, namely 211 people with a sample size of 76 people with a purposive sampling technique. Data collection techniques using questionnaires given to respondents and by direct interviews with respondents. The results of this study were analyzed univariately with the majority of low family emotional expressions (59.2%) and the majority of the patient's recurrence frequency was more than once (75%). After bivariate analysis with the Chi-Square test, it was found that there was a relationship between family emotional expressions and the frequency of recurrence in violent behavior patients (p value = 0.014). Researchers suggest that health workers provide health education to the families of violent behavior patients who visit the hospital. Dr. Soeharto Heerdjan Mental Hospital regarding the treatment and handling of violent behavior, so that families can control emotional expression. Keywords: Violent behavior, emotional expression, recurrence

SELF-HYPNOSIS DAN KECEMASAN PADA PASIEN HIPERTENSI DI PUSKESMAS KELURAHAN PADEMANGAN BARAT 1 JAKARTA UTARA Slametiningsih, Slametiningsih; Rachmawati, Siti
Indonesian Journal of Nursing Sciences and Practice Vol 1, No 1 (2018)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v1i1.38-48

Hipertensi merupakan penyakit kronis yang tidak kunjung sembuh atau bahkan telah mengalami komplikasi dapat menyebabkan kecemasan bagi penderitanya. Penelitian ini bertujuan mengetahui pengaruh teknik self-hypnosis terhadap kecemasan pada pasien hipertensi di Puskesmas Kelurahan Pademangan Barat 1 Jakarta Utara. Desain penelitian yang digunakan penelitian Eksperimen Semu (Quasi-Experiment), teknik pengambilan sampel dengan systematic random sampling, dengan jumlah sampel 28 orang dibagi menjadi dua yaitu kelompok eksperimen dan kelompok control dengan masing-masing 14 responden . Hasil penelitian Kelompok eksperimen yang mendapat perlakuan self-hypnosis di Puskesmas Kelurahan Pademangan Barat I Jakarta dihasilkan nilai. signifikasi atau p-value sebesar 0.001. Sedangkan pada kelompok kontrol di Puskesmas Kelurahan Pademangan Barat II Jakarta Utara dengan nilai signifikasi atau p-value sebesar 0.025 meskipun sama-sama signifikan, namun pada pasien hipertensi yang mendapatkan perlakuan self-hypnosis memiliki nilai perbedaan 0,025. Diharapkan penelitian ini bagi petugas kesehatan khusus Keperawatan Puskesmas Kelurahan Pademangan Barat I Jakarta Utara dalam menangani kecemasan pada pasien hipertensi cara menurunkan tekanan darah dengan menggunakan teknik self-hypnosis.Kata kunci: self hypnosis, kecemasan, hipertensi ABSTRACTDiabetes is a common medical condition which is chronic and life-threatening usually causes anxiety to the sufferer. From the data, it shows that hypertension is a chronic disease which is difficult to heal or even have experienced complications that can cause anxiety disorders for patients. This research aims to determine the effect of self-hypnosis techniques toward anxiety in patients with hypertension in Pukesmas Pademangan Barat 1 Jakarta Utara. The design of the study is quasi-experimental research which is the sampling deriving technique using systemic random sampling, regarding a sample of 28 people divided into a/an experimental and control group. The results of the study shows the patient's anxiety level in the experimental group and the control group who implements the technique of self hypnosis using the formula of Willcoxson rank test in SPSS version 23. With P Value 0.001 (α = 0.05) means to be found the influence of self hypnosis in lowering anxiety levels in hypertensive patients. This research is expected to provide information for paramedics in Puskesmas Pademangan Barat 1 Jakarta Utara in dealing with anxiety on hypertensive patients by using Self Hypnosis.Keywords: self-hypnosis, anxiety, hypertension

PENERAPAN TANADASHIP PADA KECEMASAN PASIEN KOMORBID DENGAN COVID-19 Slametiningsih, Slametiningsih; Kurwiyah, Neneng; Nuraenah, Nuraenah; Khalila, Rhadiatan; Larasati, Putri
Jurnal Ilmiah Keperawatan Vol 5 No 2 (2022): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v5i2.2843

Covid-19 or corona virus disease is a new strain of coronaviruses. This disease firstly reported in the city of Wuhan, China, In December 2019. The spread of the virus swiftly became a global health threat. It is believed that patient with chronic diseases such as diabetes, cardiovascular diseases, auto-immune disease, kidney failure, hypertension, chronic obstructive pulmonary disease, and cancer, are susceptible to respiratory failure and may have poorer outcome. Covid-19 patient who present with a comorbid condition may experiencing physically and psychological changes. In addition, negative information and stigma in society can cause psychosocial problems, such as anxiety. Aim: This study aims to overcome anxiety by using TANADASHIP. TANADASHIP is a collection of actions include deep breathing, spiritual and five finger hypnosis. Method: In experimental study, using pre-post design, a total of 28 Covid-19 patients with comorbid were included. Before and after intervention, anxiety scale was used to measure and record patient anxiety. Data analysis was performed using SPSS 25.0 Software. Results: The average anxiety score before intervention was not statistically significant (p = 0.052). Discussion:based on the calculation of the data, it was found that there was a decrease in the level of anxiety in the respondents, which previously obtained 14 respondents experiencing anxiety after the intervention using video, it was found that only 6 respondents still experienced anxiety with a mild level of anxiety. Conclusion:Based on the results of the study, the use of the TANADASHIP method is very suitable for reducing anxiety levels. Researchers assess very effective in any situation and condition

A survey of suicide risk among university students across three regions in Java, Indonesia Yunitri, Ninik; Rochmawati, Erna; Susanti, Henny Dwi; Nuraenah, Nuraenah; Rayasari, Fitrian; Chairunnisa, Dea; Salsabila, Sephia; Septiawantari, Rani; Slametiningsih, Slametiningsih
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.61319

Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college students. Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island, recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide risk. The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes. Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal ideation, suicide planning, and self-control in relation to age, sex, and year of study. Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems. Gender was found to be significant predictor of overall suicide risk, ideation and self-control. Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent suicide and promote mental well-being.

Sapa Jiwa Bersama Keluarga Meringankan Beban, Menguatkan Harapan Dalam Perawatan ODGJ Slametiningsih, Slametiningsih; Widiastuti, Eni; Nursanti, Irna; Rita, Erni; Sukma, Bagja Angga; Kusmayadi, Yadi; Somana, Aan; Wahyuni, Sri
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 9 (2025): Volume 8 No 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i9.21981

ABSTRAK Keluarga memiliki peran utama dalam merawat Orang Dengan Gangguan Jiwa (ODGJ), namun kerap menghadapi beban emosional, sosial, dan ekonomi. Minimnya akses terhadap edukasi dan dukungan psikososial membuat peran ini menjadi semakin berat. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meringankan beban keluarga pengasuh ODGJ melalui edukasi psikososial, diskusi kelompok, dan fasilitasi akses layanan kesehatan jiwa di Kelurahan Leuwi Gajah, Bandung. Metode: Kegiatan melibatkan 11 responden yang merupakan keluarga ODGJ. Mayoritas berjenis kelamin perempuan (63,6%) dengan usia rata-rata 39,6 tahun. Tingkat pendidikan sebagian besar adalah SMA (45,5%) dan SMP (36,4%). Hubungan responden dengan ODGJ sebagian besar adalah orang lain (54,5%) dan saudara kandung (36,4%). Sebagian besar menggunakan BPJS (90,9%) dan telah merawat ODGJ lebih dari satu tahun (90,9%). Perawatan dilakukan secara bergantian (81,8%), dan sebagian besar rutin melakukan kontrol ke rumah sakit (63,6%). Hasil: Sebelum intervensi, rata-rata skor beban keluarga sebesar 27,5 dan menurun menjadi 25,7 setelah intervensi. Meskipun tidak signifikan secara statistik, peserta melaporkan peningkatan pemahaman dan rasa lebih kuat secara emosional. Kesimpulan: Program “SAPA JIWA” memberikan dampak positif dalam meringankan beban keluarga dan memperkuat peran mereka dalam perawatan ODGJ. Pendekatan komunitas yang partisipatif menjadi kunci keberhasilan dalam membangun ketahanan keluarga. Kata Kunci: Pengabdian Masyarakat, ODGJ, Beban Keluarga, Edukasi Psikososial, Kesehatan Jiwa Komunitas. ABSTRACT Families play a central role in caring for people with mental disorders (ODGJ), yet often face emotional, social, and financial burdens. Limited access to education and psychosocial support further complicates their role. Objective: This community service activity aimed to ease caregiver burden through psychosocial education, group discussions, and access to mental health services in Leuwi Gajah, Bandung. Methods: The program involved 11 respondents who were family members of ODGJ. Most were female (63.6%) with an average age of 39.6 years. Educational backgrounds were mostly high school (45.5%) and junior high (36.4%). The majority were non-parental caregivers (54.5%) and siblings (36.4%). Most used BPJS insurance (90.9%) and had been caring for the patient for more than one year (90.9%). Caregiving was mostly done in shifts (81.8%) and 63.6% routinely visited mental health services. Results: The average caregiver burden score decreased from 27.5 to 25.7 after the program. Although not statistically significant, participants reported improved understanding and emotional resilience. Conclusion: The “SAPA JIWA” program had a positive impact on reducing caregiver burden and strengthening the family's role in supporting ODGJ. A participatory, community-based approach was key to fostering family resilience. Keywords: Community Service, Mental Disorders, Caregiver Burden, Psychosocial Education, Community Mental Health

Occupational stress levels among indonesian nurses and midwives in Saudi Arabian healthcare settings: a comparative cross-sectional study Fahruddin, Akhir; Slametiningsih, Slametiningsih; Setyorini, Dwi; Gusrina, Sylvia
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.63471

Introduction: This study aimed to assess the occupational stress levels among Indonesian nurses and midwives working in Saudi Arabian healthcare settings. Methods: This cross-sectional comparative study assessed occupational stress among Indonesian nurses and midwives working in Saudi Arabia using the Expanded Nursing Stress Scale (ENSS). A total of 166 respondents (85 nurses and 81 midwives) completed the survey from a professional WhatsApp group. A convenience sampling was attempted, and only those who voluntarily responded to the questionnaire were included. The primary dependent variable was occupational stress, while the independent variables included profession (nurse and midwife), age, sex, education level, workplace setting, marital status, and years of experience. The analytical tests used were Mann-Whitney and Kruskal-Wallis. Results: Occupational stress among nurses (Mean = 109) and midwives (Mean = 107) was low in psychological, physical, and social environments. Workload was the most stressful factor for both nurses (Mean = 20.44) and midwives (Mean = 18.88). We found a significant difference in the level of stress based on their workplace (p = 0.038) and educational background (p = 0.005). There was no difference in the level of stress between nurses and midwives (p = 0.188). Conclusions: In comparison, either nurses or midwives have a low level of occupational stress, which is related to psychological, physical, and social environments based on ENSS tools. Therefore, optimal healthcare management and policy should be maintained and improved for migrant nurses and midwives to foster better, sustainable healthcare development in the future.

Pelatihan Pengkajian Komprehensif Perubahan Fisik, Psikososial, dan Frailty Bagi Perawat dalam Meningkatkan Kualitas Pelayanan Pasien Hemodialisis Irawati, Diana; Natashia, Dhea; Slametiningsih, Slametiningsih; Latifah, Noor; Fauzi, Achmad; Handayani, Rosmawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.13318

ABSTRAK Penyakit Ginjal Kronis (PGK) adalah kondisi medis yang cukup kompleks. Kejadian PGK cukup tinggi di Indonesia, sehingga diperlukan intervensi jangka panjang. Pengobatan hemodialisis jangka panjang ini berdampak signifikan pada pasien secara fisik, psikologis, dan sosial. Selain itu, prevalensi frailty juga tinggi di antara pasien yang menjalani HD. Frailty pada pasien dengan penyakit ginjal kronis (PGK) dapat memperburuk perkembangan penyakit dari aspek fisik dan psikologis, meningkatkan kematian, dan menurunkan kualitas hidup. Saat ini, para perawat menghadapi tantangan dalam melakukan pengkajian komprehensif terhadap pasien akibat pengetahuan terbatas tentang prosedur dan format pengkajian. Program pelatihan perawat dikembangkan untuk meningkatkan kemampuan mereka dalam mengkaji perubahan fisik, psikososial, dan status frailty yang dapat berdampak terhadap kualitas hidup pasien. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan pelatihan pengkajian komprehensif kepada 18 perawat di ruang hemodialysis rumah sakit islam Jakarta cempaka putih. Kegiatan PkM ini menggunakan pendekatan intervensi keperawatan berbasis edukasi (educative-based nursing intervention) yang terdiri dari beberapa sesi yaitu sesi edukasi, role-play dan bedside teaching praktik dan sesi diskusi. Analisa data dilakukan menggunakan metode analisis kuantitatif one group pre-post-test design dengan menggunakan paired t-test. Hasil PkM ini menunjukan peningkatan pengetahuan dan keterampilan peserta terhadap pengkajian komprehensif pada pasien penyakit ginjal kronik yang menjalani Hemodialisa. Peningkatan signifikan dalam pengetahuan dan keterampilan peserta menunjukkan keberhasilan pendekatan intervensi keperawatan berbasis edukasi dalam pengabdian masyarakat untuk pengaplikasian dalam praktik klinis. Kata Kunci: Hemodialisis, Gejala Fisik, Perubahan Psikologis, Kelemahan, Pengkajian ABSTRACT Chronic Kidney Disease (CKD) is an advanced medical condition. The incidence of CKD is significantly high in Indonesia, necessitating long-term interventions. This prolonged haemodialysis treatment significantly impacts patients physically, psychologically, socially, with various signs and symptoms emerging during the process. Besides, the incidence of frailty is also high among patients undergoing HD. Frailty in patients with chronic kidney disease (CKD) may worsen disease progression, increase mortality, and decrease quality of life. Nurses currently face challenges in conducting comprehensive patient assessments due to limited knowledge of assessment procedures and formats. To address this issue, nurse training programs are being developed to improve their skills in assessing physical, psychosocial, and quality-of-life changes. Enhanced assessment proficiency will aid in identifying patient issues and implementing targeted interventions, ultimately improving patient care and quality of life. Community Service Activity (CSA) activities aim to provide comprehensive assessment training to 18 nurses in the haemodialysis unit of Jakarta Islamic Hospital Cempaka Putih. This CSA activity employs an educative-based nursing intervention approach, consisting of several sessions, including education sessions, role-play, bedside teaching practices, and discussion sessions. Data analysis is conducted using the quantitative analysis method with a one-group pre-post-test design, utilising paired t-tests. The results of CSA show an improvement in participants' knowledge and skills in conducting comprehensive assessments on chronic kidney disease patients undergoing Haemodialysis. The results show the positive impact of Community Service Activity (CSA) activities in strengthening the competencies of HD nurses in comprehensive patient assessment, not just routine tasks. The significant improvement in participants' knowledge and skills after the community service activity is a positive outcome. This indicates that the nursing based educational approach applied in community service has successfully enhanced the participants' competencies for application in clinical practice routine. Keywords: Haemodialysis, Physical Symptoms, Psychological Changes, Frailty, Assessment

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