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THE EFFECT OF EARLY WARNING SYSTEM IMPLEMENTATION ON EARLY DETECTION OF EMERGENCY CONDITIONS IN HOSPITALIZED PATIENTS: A DESCRIPTIVE CORRELATION STUDY Intan , Intan Munawaroh; Ria, Ria Anggraini; Manggar, Manggar Purwacaraka; Lia, Lia Fadlilah; Intan Munawaroh
Jurnal Penelitian Vol 7 No 2 (2025): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/nh5bwd44

Abstract

Background: Patient safety is a primary focus in healthcare services, particularly in the early detection of clinical deterioration among hospitalized patients. Delays in identifying signs of critical conditions may increase the risk of cardiac arrest, disability, and even death. The Early Warning System (EWS) is an instrument used to efficiently and accurately detect patient deterioration through structured monitoring of vital parameters. This study aimed to determine the relationship between the implementation of EWS and the early detection of emergency conditions in hospitalized patients. Method: This research employed a descriptive correlation design with a cross-sectional approach. The sample of 60 nurses with a total sample. Data were collected using observation instruments assessing EWS implementation and early detection capability. Data analysis was performed using the Chi-Square test. Results showed that most nurses demonstrated a moderate level of EWS implementation (61.6%), while the ability for early detection of emergency conditions was predominantly in the good category (71.6%). The Chi-Square test revealed a significant relationship between EWS implementation and early detection ability with a p-value of 0.001 (p < 0.05). This indicates that the more optimal the EWS implementation, the faster and more accurate nurses are in recognizing clinical deterioration. Conclusion: The importance of consistent EWS application as a preventive measure against critical events in patients. Hospitals are encouraged to strengthen training programs, supervision, and support facilities to optimize EWS performance and enhance patient safety outcomes.
EFFECTIVENESS OF MODERN WOUND CARE MANAGEMENT BASED ON EVIDENCE-BASED NURSING Ossi Dwi Prasetio; Shulhan Arief Hidayat; Manggar Purwacaraka; Rio Ady Erwansyah
Jurnal Penelitian Vol 8 No 1 (2026): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/vq5yhb90

Abstract

Background: Chronic wounds pose a challenge in healthcare due to the risk of infection, complications, amputations, and reduced quality of life for patients. Technological advances have led to the emergence of various modern wound care methods that are more effective than conventional methods. Methods: This study employed a literature review with the PRISMA approach. Articles were searched through Scopus, PubMed, ProQuest, and Google Scholar databases using keywords related to modern wound care and wound healing. Fifteen articles meeting the inclusion criteria were analyzed and synthesized. Results: The review showed that various modern wound care interventions, such as smart dressings, Negative Pressure Wound Therapy (NPWT), biological therapy, modern debridement, complementary therapies, and multidisciplinary approaches, can accelerate granulation tissue formation, enhance re-epithelialization, reduce infection and biofilm, and accelerate the healing process. NPWT is one of the interventions with the most consistent evidence of effectiveness, especially in complex and chronic wounds. Conclusion: Modern wound care management based on evidence-based practice has been shown to be more effective in improving wound healing through a combination of technology, regenerative therapy, and a holistic, patient-centered approach. 
Effect Of Community-Based Earthquake Emergency Response Simulation On Disaster Preparedness Knowledge And Skills: A Quasi-Experimental Study Manggar Purwacaraka; Intan Munawaroh; Ria Anggraini; Shulhan Arief Hidayat; Ossi Dwi Prasetio; Wiwid Yuli Astuti
Nursing Information Journal Vol. 6 No. 1 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

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Abstract

Earthquake disasters have the potential to cause casualties and material losses if not supported by adequate disaster preparedness. Disaster preparedness among students and communities is important to improve emergency response capacity in disaster-prone environments. This study aimed to determine the effect of earthquake emergency response simulation on disaster preparedness knowledge and skills among students and community participants. This study used a quasi-experimental design with a one group pre-test post-test approach. The study was conducted at STIKES Hutama Abdi Husada Tulungagung on November 13, 2025, involving 87 respondents consisting of fifth-semester nursing students, members of the Student Executive Board (BEM), and community members. Data were collected using a disaster preparedness knowledge questionnaire and an observational checklist of disaster preparedness skills. Data analysis used descriptive statistics, Shapiro-Wilk normality test, and paired sample t-test with a significance level of p < 0.05. The results showed that the mean score of disaster preparedness knowledge increased from 64.83 ± 8.72 before intervention to 83.24 ± 6.95 after intervention with p-value = <0.001. The mean score of disaster preparedness skills also increased from 58.67 ± 9.14 to 84.85 ± 7.21 with p-value = <0.001. The findings indicate that earthquake emergency response simulation significantly improved disaster preparedness knowledge and skills among students and community participants. Earthquake emergency response simulation can be used as an effective disaster education method to improve disaster preparedness in higher education institutions and communities.