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A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.

Sepsis protocol adherence and emergency department overcrowding: An observational study Arifani, Nisa; Mulyati, Leli; Sasmito, Priyo; Sujana, Treesia; Gayatri, Sri Wahyuni; Astuti, Novia Dwi; Librianty, Nurfanida; Lie, Sukirman; Deviana, Elina; Ihsan , Farly
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.

MENINGKATKAN KEMANDIRIAN LULUSAN DAN MAHASISWA MELALUI PELATIHAN PERAWATAN LUKA KRONIS PENDERITA DIABETES Sutriyanti, Yanti; Mulyati, Leli; Haryani, Sri; Buana, Chandra
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 4 No 2 (2025): JPKM PUSTINGKIA JULI 2025
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar

The independence of nurse graduates in working is an important concept to pay attention to so that nurse graduates are ready to work after completing college. Nurse graduates at the Bengkulu Ministry of Health Polytechnic are absorbed as overseas workers or as workers in the capital or other provinces. However, there are still 33% working as honorary workers in their own place. The large number of DM cases in Rejang Lebong district that experience wound complications provides an opportunity for graduates and students to carry out competent chronic wound care so that they can work as diabetes chronic wound nurses. The aim of this community service is to improve chronic wound care skills, especially for graduates and students so they can apply their skills independently in the community. The method of activity carried out was wound care training which was held on September 5 2024. There were 25 training participants consisting of graduates and students. The results of this training were an increase in knowledge and skills in caring for chronic diabetes wounds before and after being given the training with an average increase in knowledge of 4.76. From the results of observations of wound care practices, all participants were able to carry out wound care practices in accordance with standard SOPs for caring for chronic diabetes wounds. Training participants received a wound care certificate from the PPNI organization. Training monitoring was carried out by supervision of the community service team when carrying out home care and as many as 44% of participants had carried out wound care in the community. Key words: Training, Wound Care, Diabetes Mellitus

A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.

Shallot vs. Dadap Serep leaf compresses: Non-pharmacological approaches to fever management in toddlers with ARIs Mulyati, Leli; Septiansah, Hendra; Haryani, Sri; Camilla, Vhebyta; Sasmito, Priyo
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1908

Background: Fever is one of the most common symptoms of Acute Respiratory Infections (ARIs) in toddlers, and non-pharmacological interventions such as traditional compresses are widely used in community settings. Shallot (Allium cepa L) compresses and dadap serep (Erythrina subumbrans) leaf compresses are two conventional methods believed to have antipyretic effects, yet direct comparative evidence remains limited. Purpose: To compare the effectiveness of shallot compresses and dadap serep leaf compresses in reducing fever among toddlers diagnosed with ARIs. Method: A quasi-experimental design with a pre-test and post-test control group was employed. A total of 34 toddlers aged 12–59 months were selected using purposive sampling and evenly divided into two groups: shallot compress (n = 17) and dadap serep compress (n = 17). Body temperature was measured before and 15 minutes after the intervention. Data were analyzed using paired t-tests, independent t-tests, and N-Gain scores. Results: Both interventions significantly reduced body temperature (p < 0.001). The dadap serep group showed a slightly higher absolute temperature reduction (0.60°C) compared to the shallot group (0.50°C). However, the shallot compress demonstrated a higher N-Gain score, indicating greater proportional effectiveness. Conclusion: Shallot and dadap serep leaf compresses are both effective, low-cost, and accessible non-pharmacological interventions for reducing fever in toddlers with ARIs. Shallot compresses provide more stable proportional effectiveness, while dadap serep compresses offer a slightly greater immediate reduction. Both methods hold value for home-based fever management and primary healthcare settings.

Pencegahan dan Penanggulangan Kecacingan Melalui Kolaborasi Lintas Sektor di Sekolah Dasar: Worm Prevention and Control Through Cross-Sector Collaboration in Elementary Schools Simbolon, Demsa; Okfrianti, Yenni; Kermelita, Deri; Darwis, Darwis; Mulyati, Leli; Rochmat, Rustam Aji; Elly, Nur; Sahidan, Sahidan
Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jppmi.v5i1.1346

Infeksi kecacingan masih menjadi masalah kesehatan masyarakat pada anak usia sekolah, terutama di wilayah dengan sanitasi yang belum memadai. Meskipun program pemberian obat pencegahan massal (POPM) telah dilaksanakan dengan cakupan tinggi, kasus kecacingan masih ditemukan, menunjukkan adanya kesenjangan pada aspek perilaku dan lingkungan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan deteksi dini, pengetahuan perilaku hidup bersih dan sehat (PHBS), serta memperkuat kolaborasi lintas sektor dalam pencegahan kecacingan di SD 86 Tanjung Beringin, Kabupaten Rejang Lebong. Metode yang digunakan adalah intervensi terintegrasi berbasis sekolah dengan melibatkan sektor kesehatan, pendidikan, pemerintah daerah, dan institusi akademik. Kegiatan dilaksanakan pada Oktober–Desember 2025 dan meliputi koordinasi dan advokasi lintas sektor, skrining kecacingan melalui pemeriksaan feses, pemeriksaan kadar hemoglobin, pengukuran status gizi (antropometri dan LILA), pemberian obat cacing, edukasi PHBS, serta monitoring dan evaluasi. Hasil kegiatan menunjukkan prevalensi kecacingan sebesar 36,6% pada siswa, disertai masalah gizi berupa gizi kurang (26,4%), stunting (19,1%), dan anemia (6,4%). Skrining berhasil mengidentifikasi siswa berisiko yang memerlukan tindak lanjut. Selain itu, terjadi penguatan kapasitas guru dan UKS dalam edukasi kesehatan serta peningkatan komitmen lintas sektor dalam mendukung perbaikan sanitasi dan keberlanjutan program. Kegiatan ini menunjukkan bahwa pendekatan terpadu berbasis sekolah yang mengombinasikan deteksi dini, edukasi, dan advokasi lintas sektor berpotensi meningkatkan efektivitas pencegahan kecacingan dalam mendukung pencapaian target Kabupaten Rejang Lebong Zero Kecacingan

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