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All Journal Journal Of Nursing Practice Nursing Current : Jurnal Keperawatan Martabe : Jurnal Pengabdian Kepada Masyarakat Health Sciences Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Pengabdian kepada Masyarakat Nusantara Nursing Sciences Journal Jurnal Kesehatan Tambusai Well Being Jurnal Ilmiah STIKES Yarsi Mataram Jurnal Lentera Journal for Quality in Public Health Jurnal Penelitian Keperawatan Journal of Community Engagement in Health Journal for Quality in Women's Health JURNAL INSAN CENDEKIA
Achmad Wahdi
STIKes Bahrul Ulum Jombang
Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Journal : Journal Of Nursing Practice

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The Severity of Head Injuries Based on Injury Location: a Cross-Sectional Study Erik Irham Lutfi; Meirna Eka Fitriasnani; Hengky Irawan; Achmad Wahdi; Ely Isnaeni
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.821

Abstract

Background: The mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding. Intracerebral hemorrhage is a common complication of traumatic brain injury. The severity of head injury patients is a predisposing factor that causes high mortality and morbidity rates. The presence of bleeding in the head affects the severity of the patient's injury, bleeding in the head will reduce blood flow to the head, which will cause decreased blood perfusion to the brain. In severe head injury, a hematoma of more than 50 mL is associated with higher mortality. Acute ICH (Intra Cerebral Haemoraghea) can be a catastrophic event with the mortality largely predicted by the hematoma size, location, and the patients' GCS  (Glasgow Coma Scale) on admission. Objective: This study aims to determine the relationship between the location of intracerebral hemorrhage and the severity of head injury. Methods: This study uses a correlational analytical approach with a cross-sectional design, utilizing secondary data from medical records of patients with traumatic head injuries from January to December 2022. The calculation of severity using RTS (Revised Trauma Score). These three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCSP + 0.7326 SBPP + 0.2908 RRP Values for the RTS are in the range 0 to 7.8408. Scores range from 0-4. The study population was patients with moderate to severe traumatic head injuries. Data were analyzed using a correlation test based on Spearman's rank correlation. Results: The results showed a significant relationship between the location of head trauma lesions and the severity of head injury patients (p value = 0.008, correlation coefficient 0.378). Conclusion: Mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding.  The majority of patient with Trauma brain Injury is male and were in the productive age range ranging from 12-35 years. Epidural hematoma (EDH) is one of the most life-threatening lesions in patients with craniocerebral disease.
Imogene King's Theory-Based Telenursing to Improve Medication Compliance in Tuberculosis Patients: Telenursing Tuberculosis Achmad Wahdi; Devangga Darma Karingga; Dewi Retno Puspitosari
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.931

Abstract

Background: Tuberculosis (TB) is an infectious disease with a high health burden that requires patient compliance in taking anti-tuberculosis (ATD) medications. Non-compliance remains a barrier to successful therapy. Telenursing, an information technology-based service innovation, can be utilized to improve patient satisfaction, especially when developed based on Imogene King's nursing theory. Objective: Can telenursing based on Imogene King's theory improve medication adherence in TB patients? Methods: The study used a quasi-experimental design, with an intervention group receiving telenursing services based on Imogene King's theory and a control group receiving health promotion. Data on medication adherence were collected through observation and a medication adherence questionnaire. Data were analyzed using the Wilcoxon Signed Rank test. Results: The study showed that in the intervention group, the majority of respondents (66.6%) or 10 patients had high medication adherence. Conversely, in the control group, the majority of respondents (66.6%) or 10 patients had only moderate medication adherence. This indicates that telenursing based on Imogene King's theory is more effective than conventional health promotion in improving ATD adherence. Conclusion: Telenursing based on Imogene King's theory can improve medication adherence in TB patients through reciprocal interaction, therapeutic communication, and the achievement of shared goals between nurses and patients using the SETIA-TB application. The implementation of telenursing based on abortion theory is recommended to support the success of TB therapy and can serve as an innovative service model in the community.
Integrating the Early Warning Scoring System (EWSS) into Nursing Students’ Assessment to Enhance Critical Thinking and Optimize Patient Care in Inpatient Settings Lutfi, Erik Irham; Suharto, Idola Perdana Sulistyoning; Haryuni, Sri; Fitriasnani, Meirna Eka; Wahdi, Achmad
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1039

Abstract

Background: High-quality nursing care begins with an accurate and comprehensive patient assessment. The Early Warning Scoring System (EWSS) is a vital tool in inpatient units for monitoring vital signs and detecting early signs of clinical deterioration, enabling timely intervention. However, field observations indicate that nursing students often lack a practical understanding and the ability to apply EWSS, leading to passivity and uncertainty in clinical decision-making. Therefore, the development of EWSS-based initial assessments within nursing care reports is essential to enhance students' critical thinking and rational intelligence in clinical practice.Purpose: This study aims to develop and implement an EWSS-based initial assessment model that enables students to integrate assessment findings, scoring values, and appropriate clinical interventions. Through the interpretation of EWSS scores, students are expected to improve their clinical reasoning and decision-making skills within inpatient nursing services.Methods: This study employed a comparative analytical quantitative design. The research was conducted in the inpatient wards of a hospital in East Java. The population consisted of all nursing profession students (Ners) undergoing clinical practice in 2024, with a total sample size of 28 respondents. The independent variable was the nursing care report integrated with EWSS indicators, while the dependent variable was the students' rational intelligence in clinical decision-making related to EWSS outcomes. Data were collected using initial assessment observation sheets supplemented with EWSS. Statistical analysis was performed using the Wilcoxon test to determine differences before and after the intervention.Results: The integration of EWSS parameters into nursing students' assessment instruments significantly improved their ability to accurately interpret patients' clinical conditions and guided them in determining interventions, thereby enhancing rational intelligence. Conclusion: Early exposure to EWSS among students ultimately supports the creation of safer (patient safety) and more effective nursing care across all clinical practice settings.
Co-Authors Abraham, Muchlas Adi Putra, Restu Agnes, Yeni Lufiana Novita Ah Yusuf, Ah Alimansur , Moh. Alimansur, Moh Alimansur, Moh. Amildha Yanuarita, Heylen Amriilah, Chusniah Alda Anik Nuridayanti Anis Akhwan Dhafin Anis Akhwan Dhafin Arif Wijaya Arini, Adellia Rahma Asri Putri Kisfandari Bagus Pratama, Ananda Bella, Bella Dinita Rusmandani Bima Mahdika Albab, Attabi’ Camelia, Dina Camellia, Dina Dewi Retno Puspitasari Dewi Retno Puspitosari Dwi Ramayanti, Eva Eka Ama Putrajayanti Eko, Saugi Apang Elsa Mahardika Putri Eppy Setiyowati Erik Irham Lutfi Erita, Chyntiya Ananda Fachry Abda El Rahman Farra Biyyu Dzaki, Annisa Fatma Pratiwi, Tiara Faturrohman, Rahul Fendy Prasetyawan Fitriani, Evi Tunjung Fitriasnani, Meirna Eka Fitriyah, Erna Tsalasatul Hakim Tobroni HR Hengky Irawan huda, alfin rulian Indasah Isnaeni, Ely Jayanti, Eka Ama Putri Kai, Meggy Wulandari Karingga, Devangga Darma Kun Ika Nur Rahayu Lilik Mei Yunalia, Endang Neni Probosiwi Ni Njoman Juliasih Nisfil Mufidah Nofiah, Niafatun Novia Susanti Novia Susanti Nur Fahma Laili Nuridayanti, Anik Okky Intan Mawarni Perdana Sulistyoning Suharto, Idola Pratiwi , Tiara Fatma Puspitosari, Dewi Retno Putra, Mega Revangga Rahayu, Arinda Tri Rahayu, Kun Ika Nur Rahma Kusuma Dewi Rahmad Wahyudi Retno Puspitosari, Dewi Riatus Salamah Rickiy Akbaril Okta Firdaus Roni, Faishol Rushanti Widodo, Silvi Sakdiah, Hawana Halimatus Sely Delta Surya Ningsih Sri Haryuni Sugeng Santoso Sulistyoning Suharto, Idola Perdana Susanti Susanti Tania Yesika Wantania Thomas Ari Wibowo Tiara Fatma Pratiwi Tiara Fatma Pratiwi Tiara Fatma Pratiwi Ts. Fitriyah, Erna Tsamrotul Ilmi Umi Hanik Utari, Sri Defi Wahyudi, Mgs Ahmad Yuly Peristiowati Yuneka Saristiana YUNITA Zakiyah, Dewi