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Nursing Care for Dengue Fever Patient in the Critical Phase, at a Hospital in West Jakarta Nurhasanah; Ernawati; Permaida; Hermawan, Stepanus Maman
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6296

Dengue Haemorrhagic Fever is a disease caused by the dengue virus due to the bite of the Aedes aegypti mosquito. Patients will go through 3 phases of this disease: fever, critical, and recovery. A complication that often occurs in the critical phase is dengue shock syndrome. This case report aimed to provide an overview of nursing care for patients in the critical phase of dengue hemorrhagic fever at a private hospital in West Jakarta. Care was provided by Diploma III nursing students for 4 days using a nursing process approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data was collected using interview techniques, observation, and physical and diagnostic examinations. The assessment showed that the patient was in a grade II critical phase, characterized by the appearance of petechiae on both superior extremities without a tourniquet test. The nursing problems raised were the risk of hypovolemia, the risk of bleeding, acute pain, and nausea. The interventions provided focus on preventing bleeding and fluid management. The implementation includes providing appropriate fluid resuscitation, monitoring blood hematology laboratories, and encouraging patients to rest in bed to reduce the risk of other bleeding. On the fourth day of treatment, three nursing problems were solved: the risk of bleeding, acute pain and nausea. The nursing problem that was partially resolved is the risk of hypovolemia. In conclusion, in dengue hemorrhagic patients in the critical phase, nurses need to pay primary attention to the possibility of hypovolemia even though it is not necessarily an actual problem.

Status of nursing documentation types in Indonesia and their association with nurse characteristics: A cross-sectional survey Ernawati; Permaida
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3732

Background: Nursing documentation is essential for legal accountability, continuity of care, and patient safety. While electronic nursing documentation offers advantages such as improved clarity, efficiency, and reduced workload, no nationwide study has examined which documentation types are most used in Indonesia or how nurse characteristics influence these choices. Addressing this gap is critical for guiding policy and supporting the transition to digital systems. Objective: This study aimed to determine the types of nursing documentation systems most used by nurses in Indonesia and to examine nurse characteristics associated with documentation type. Methods: A cross-sectional online survey was conducted in March 2023 among 894 nurses from 34 of Indonesia’s 38 provinces. Data collected included sociodemographic characteristics, workplace settings, and documentation types (paper-based, electronic, or combination). Associations between nurse characteristics and documentation types were analyzed using the Kruskal–Wallis test, with post-hoc Mann–Whitney U tests comparing the distribution of education levels between each pair of documentation-type groups. Results: Most participants were women (75.8%), held a diploma in nursing (53.5%), had over 12 years of work experience (35.3%), and worked in tertiary healthcare facilities (43.3%). Paper-based documentation was predominant (66.6%), followed by combination systems (24.7%) and electronic systems alone (8.7%). Paper-based use was slightly higher in Western Indonesia (66.8%) compared to Eastern Indonesia (64.8%). Education level was significantly associated with documentation type (p = 0.014). Post-hoc analysis showed that nurses using electronic documentation had higher education levels than those using paper-based (p = 0.006) or combination systems (p = 0.006), with electronic documentation most common among nurses holding a Master’s/Specialist degree (28.1%). No significant associations were found with sex, work experience, career level, service level, healthcare unit, or region. Conclusion: Paper-based nursing documentation remains dominant in Indonesia, with limited adoption of electronic systems. Higher educational attainment is associated with greater use of electronic documentation, highlighting the need for improved computer literacy training, infrastructure investment, and institutional and governmental support to facilitate the transition to digital documentation.

Perawatan Tuberculosis paru berulang: Studi kasus: Nursing care for recurrent lung Tuberculosis: A case study Vega, Venus Amelia; Permaida; Silalahi, Malianti; Dasat, Mariam
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 3 (2025): JiKep | Oktober 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i3.2622

Adanya tren peningkatan tuberkulosis (TB) paru berulang menjadi masalah kesehatan yang memerlukan perhatian serius di Indonesia. Pada tahun 2023 tercatat 1.060.000 kasus. Penelitian ini bertujuan untuk melihat efektivitas asuhan keperawatan pada pasien tuberkulosis (TB) paru berulang melalui metode studi kasus proses keperawatan berdasarkan observasi, pemeriksaan fisik, wawancara, dan rekam medis. Asuhan dilakukan selama 5 hari pada Ny. D (35 tahun) dengan diagnosa tuberculosis (TB) paru berulang sejak 16 hingga 20 Desember 2024. Hasil pengkajian menunjukkan suara ronkhi, kesulitan mengeluarkan sputum, dan nyeri dada (skala 6/10). Pasien tinggal di lingkungan padat, tidak patuh minum obat antituberkulosis (OAT) sejak sebulan sebelum dirawat, serta memiliki riwayat kontak dengan penderita tuberkulosis (TB). Temuan masalah keperawatan nyeri akut, bersihan jalan napas tidak efektif, dan gangguan pola tidur. Intervensi dan implementasi keperawatan meliputi observasi berkala, kompres hangat, posisi prone, aromaterapi, imajinasi terbimbing, serta kolaborasi terapi farmakologis dan edukasi pencegahan pada hari ketiga. Evaluasi menunjukkan masalah teratasi pada hari kelima dengan nyeri menurun, sputum berkurang, dan pola tidur membaik. Perhatian pada pasien tuberkulosis (TB) paru antara lain kontrol rutin pengobatan dan pentingnya keterlibatan keluarga sebagai Pengawas Minum Obat (PMO) untuk meningkatkan kepatuhan dan mencegah kekambuhan

A TIME-CRITICAL DECISIONS: HEART SCORE'S IMPACT ON CARDIAC EMERGENCY OUTCOMES: INTEGRATED LITERATURE REVIEW Permaida, Permaida; Noviantari, Komang; Yuhana, Ina
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.2825

Ketidakpastian dan keterlambatan penanganan kegawatdaruratan jantung menjadi penyebab tingginya angka kematian pasien di Indonesia hingga saat ini sebesar 13 juta. Penelitian ini bertujuan untuk mengumpulkan bukti kredibilitas skor HEART untuk mendeteksi kegawatdaruratan jantung guna mencegah ketidakpastian dan keterlambatan penanganan. Tinjauan sistematis dilakukan dengan menelusuri basis data Taylor & Francis, Springer Link, dan Science Direct yang diterbitkan antara tahun 2019 dan 2024. Data dianalisis menggunakan analisis isi deduktif mengenai kredibilitas skor HEART dalam mendeteksi kegawatdaruratan jantung. Hasil analisis menunjukan hanya sepuluh artikel yang mengekstraksi data dari skor HEART, yang memberikan kepastian serta mendukung penanganan yang cepat. Alat yang digunakan untuk komponen skor HEART harus dikalibrasi. Para peneliti menemukan bahwa skor HEART akurat mendeteksi kegawatdaruratan jantung (80%), cukup efektif dalam mendeteksi kejadian darurat jantung (60%), dan dapat digunakan untuk mengevaluasi pasien selama dan setelah kegawatdaruratan (50%). Kesimpulannya, skor HEART merupakan alat deteksi kegawatdaruratan yang efisien. Keberhasilan skor HEART dalam mengatasi ketidakpastian dan keterlambatan kegawatdaruratan jantung membutuhkan hubungan interpersonal dengan kolaborasi.

Nursing Care for Dengue Fever Patient in the Critical Phase, at a Hospital in West Jakarta Nurhasanah; Ernawati; Permaida; Hermawan, Stepanus Maman
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6296

Dengue Haemorrhagic Fever is a disease caused by the dengue virus due to the bite of the Aedes aegypti mosquito. Patients will go through 3 phases of this disease: fever, critical, and recovery. A complication that often occurs in the critical phase is dengue shock syndrome. This case report aimed to provide an overview of nursing care for patients in the critical phase of dengue hemorrhagic fever at a private hospital in West Jakarta. Care was provided by Diploma III nursing students for 4 days using a nursing process approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data was collected using interview techniques, observation, and physical and diagnostic examinations. The assessment showed that the patient was in a grade II critical phase, characterized by the appearance of petechiae on both superior extremities without a tourniquet test. The nursing problems raised were the risk of hypovolemia, the risk of bleeding, acute pain, and nausea. The interventions provided focus on preventing bleeding and fluid management. The implementation includes providing appropriate fluid resuscitation, monitoring blood hematology laboratories, and encouraging patients to rest in bed to reduce the risk of other bleeding. On the fourth day of treatment, three nursing problems were solved: the risk of bleeding, acute pain and nausea. The nursing problem that was partially resolved is the risk of hypovolemia. In conclusion, in dengue hemorrhagic patients in the critical phase, nurses need to pay primary attention to the possibility of hypovolemia even though it is not necessarily an actual problem.

Interaction Model for Child to Cope Stress Using Virtual Reality and Watching Video during Venipuncture in the Emergency Department: A Literature Review Permaida, Permaida; Freyana Tedja, Jane
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.618

Venipuncture is the most painful and traumatic procedure often performed by nurses on pediatric patients. Innovation using technology-based interaction models is urgently needed in the emergency department. This study aims to determine the effectiveness of interaction models in reducing stress associated with venipuncture by utilizing virtual reality and video watching in the emergency department. This study employs a literature review, drawing on fourteen reputable articles from the ResearchGate, ScienceDirect, and SpringerLink databases. The results of the study based on the interaction model include (1) nurses must have a role in understanding children's stress, experience in managing children's stress, speed of completion of venipuncture procedures, and critical thinking in assessing the level of difficulty of venous access; (2) child attachment the with the importance of parental presence to suppress children's temperament; and (3) environmental aspects that support innovation in the use of virtual reality and watching videos as imaginative distraction techniques. The interaction model suggests that the roles of nurses, parental involvement, and environmental aspects can help manage the stress of children in pain in the emergency department.

DETEKSI MASALAH PERKEMBANGAN ANAK USIA 0 BULAN SAMPAI DENGAN 72 BULAN DI PEMUKIMAN PADAT PENDUDUK Permaida Permaida; Dian Anggarini; Marian Dasat; Stephanus Maman Hermawan; Mey Lona Verawaty Zendrato
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29575

Abstrak: Masalah perkembangan anak sering kali diabaikan orang tua terutama yang tinggal di pemukiman padat penduduk. Ketidaktercapaian perkembangan anak di setiap tahapan usianya akan menjadi masalah sangat serius terutama dalam mengapai kemandirian, sosial, motorik, pemahaman bahasa, dan sensorik yang berdampak pada masa depannya. Permasalahan perkembangan pada anak dapat dideteksi sejak usia 0 sampai dengan 72 bulan. Kegiatan PKM ini bertujuan mengidentifikasi masalah penyimpangan perkembangan sejak dini yang berusia 0 sampai dengan 72 bulan menggunakan kuesioner pra skrining perkembangan (KPSP) yang tinggal dipemukiman padat penduduk. Metode PKM ini adalah praktik pemeriksaan perkembangan anak menggunakan kuesioner pra skrining perkembangan (KPSP) kepada 35 anak yang diselenggarakan di wilayah kerja mitra kami Yayasan Rahmat Empati di Pondok Empati, Jakarta Barat. Hasil pemeriksaan perkembangan anak menunjukkan kategori sesuai usia sebesar 72 %, kategori perkembangan meragukan sebesar 22%, dan kategori penyimpangan perkembangan sebesar 6% pada anak yang tinggal dipemukiman padat penduduk. Kegiatan ini diharapkan mendorong semua pihak terkait untuk rutin melaksanakan kegiatan pemeriksaan perkembangan pada anak setiap 1 bulan, sehingga penanganan awal dapat diberikan kepada anak yang membutuhkan dalam mendukung program pemerintah Indonesia untuk menekan masalah perkembangan yang menghambat masa depan anak.Abstract: Parents often ignore Child development issues, especially those living in densely populated settlements. Failure to achieve child development at every stage of their age will be a serious problem, especially in achieving independence, social, motoric, language understanding, and sensory skills, which will impact their future. Developmental issues in children can be detected from 0 to 72 months. This PKM activity aims to identify developmental deviation problems early on in children aged 0 to 72 months using a pre-developmental screening questionnaire (KPSP) living in densely populated settlements. This PKM method examines child development using a pre-developmental screening questionnaire (KPSP) to 35 children held in the work area of our partner Yayasan Rahmat Empati in Pondok Empati, West Jakarta. The results of the child development examination showed an age-appropriate category of 72%, a doubtful development category of 22%, and a developmental deviation category of 6% in children living in densely populated settlements. This activity is expected to encourage all related parties to routinely carry out developmental checks on children every 1 month so that early treatment can be given to children in need in supporting the Indonesian government's program to reduce developmental problems that hinder children's future.

BRIDGING THE NURSING CARE GAP: BUILDING QUALITY NURSING SERVICES FOR GAYS WITH HIV/AIDS THROUGH STANDARDIZATION, ENHANCEMENT OF NURSES' COMPETENCE, AND PATIENT PARTICIPATION Malianti Silalahi; Santa Maria Pangaribuan; Permaida Permaida; Stepanus Maman Hermawan
Nursing Current: Jurnal Keperawatan Vol. 12 No. 2 (2024): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i2.9050

Nursing care is a crucial aspect in addressing health issues, including Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS), especially within the gay population. A lack of knowledge regarding nursing care for this population can hinder the reduction of HIV/AIDS cases. There is a need for HIV/AIDS nursing care standards that are not only comprehensive but also sensitive to the specific perceptions and needs of gay patients. Negative perceptions of nursing care can affect the quality of care and patient involvement in managing their health. Therefore, this study aims to explore these perceptions. This study employed a qualitative descriptive design to gain a deep understanding of the perceptions of gay patients with HIV/AIDS towards nursing care. Data was collected through in-depth interviews with 14 participants selected purposively. The interviews were designed to explore the participants' views, experiences, and expectations regarding the nursing services they received. The collected data was analyzed using thematic analysis, allowing the researchers to identify and categorize the main themes from the gathered information. Two main themes were identified during this study: The desired professional nursing services for gay individuals with HIV/AIDS and the limitations of nurses in involving gay clients with HIV/AIDS in the nursing care planning process. Consistent and standardized nursing care services, as well as enhancing nurses' skills and abilities through mentoring and training, are the expectations of gay individuals with HIV/AIDS towards professional nursing care. A heavy workload is a limitation faced by nurses in providing optimal nursing care to gay individuals with HIV/AIDS.

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