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All Journal International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Jurnal Multidisiplin Indonesia
Santoso, Tiffanie Almas
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Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases Liora, Kevina; Santoso, Tiffanie Almas; Fahira, Siti Alya; Yuliana, Theresia Aquila; Oriza Malta Damayant
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.674

Abstract

Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessels that has been present since birth. The antenatal detection of congenital cardiac disease has been greatly enhanced by the advent of fetal echocardiography as a crucial component of prenatal ultrasound evaluation. Nevertheless, antenatal CHD diagnosis rates are still lower than those for the majority of other significant structural defects. Aim : Assess the effectiveness of fetal in comparison to neonatal echocardiography. This study is conductedin accordance to the PRISMA statement. Studies were identified from several open-access electronic databases (PubMed Central, ScienceDirect, Google Scholar). Risk of bias of each study was evaluated using Cochrane Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Data were descriptively examined and narratively reported. Twelve studies were included in the review. All included studies were considered low-risk. From 12 studies that were included in our study, all recommend fetal echocardiography for prenatal assessment. Lowest reported sensitivity was 64.5%, highest value was 100%. Lowest repoted specificity was 88.9%, highest value was 99.96%. Diagnostic accuracy was reported in 4 studies, with a value of 93 – 99.82%   Factors that might be associated with the accuracy of fetal echocardiography are high anatomic complexity, maternal comorbidities, and fellow as initial imager. Fetal echocardiography was found to have a high specificity but limited sensitivity.    Low sensitivity suggests that fetal echocardiography results could be inaccurate whereas high specificity means that a negative echocardiography result is often sufficient to predict the absence of CHD. There are some factors that may affect the accuracy of fetal echocardiography, mostly resulting from fetal or maternal factors, such as high complexity of the anomaly, fetal position, late gestation, maternal obesity, and less-esperienced sonographer.
Nebulization Therapy in Pediatric Patients with Bronchiolitis: A Literature Review Kawilarang, Melani; Santoso, Tiffanie Almas; Dharmansyah, Renald Patria; Angela, Angela; Ferdiaananda, Muhammad Rizky
Jurnal Keperawatan Vol 16 No 2 (2024): Jurnal Keperawatan: Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i2.1747

Abstract

Bronchiolitis is one of the most common causes of hospitalization in children under two years old. The main treatment for bronchiolitis is supportive therapy. Nebulization therapy in pediatric bronchiolitis is still being controversial in clinical practice and based on guideline recommendations. The purpose of this study is to determine and review the beneficial effects of saline and nebulized therapy in pediatric patients with bronchiolitis. Literature searches were obtained through reference sources from Google Scholar, PubMed, Proquest, JSTOR, ScienceDirect, and SAGE. Inclusion criteria were original articles, published in Indonesian and English, and assessed nebulization therapy's outcome in pediatric bronchiolitis patients. The treatment of administering nebulized saline NS or HS 3% can provide more effective results than treatment without nebulization. Many studies using nebulized salbutamol have found less clinical effectiveness and resulted in longer hospital stays. Combination therapy of saline and nebulization has more effective clinical results than single therapy of saline or nebulized drugs.
Pengaruh Motivasi, Kemampuan, Dan Beban Kerja Terhadap Kinerja Perawat Selama Pandemi Di Rspi Sulianti Saroso Jakarta Santoso, Tiffanie Almas; Saepudin, Didin; Oetojo, Widjajanti
Jurnal Multidisiplin Indonesia Vol. 2 No. 8 (2023): Jurnal Multidisiplin Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jmi.v2i8.366

Abstract

Keadaan pandemi akibat suatu penyakit di Indonesia sangat berdampak kepada kelangsungan aktivitas perekonomian, politik hingga kelangsungan dalam pelayanan di Rumah Sakit. Keadaan pandemi yang meningkatkan tuntutan kerja dan berbagai beban pikiran para tenaga medis dapat memengaruhi performa kerja. Faktor internal dan eksternal dapat memengaruhi kinerja perawat. Tujuan penelitian ini untuk mengetahui pengaruh antara motivasi, kinerja, dan beban kerja dengan kinerja perawat ruang rawat inap selama pandemi. Penelitian ini dilakukan dengan metode deskriptif dan verifikatif dengan menggunakan pendekatan kuantitatif menggunakan data berbentuk skala. Instrumen penelitian berupa kuesioner dengan subjek perawat ruang rawat inap selama pandemi COVID 19 di RSPI Prof. Dr. Sulianti Saroso Jakarta. Sampel yang digunakan sebanyak 127 responden dengan hitungan slovin. Analisis data yang dilakukan dengan menggunakan analisis regresi linear dengan uji hipotesis. Pada penelitian ini disimpulkan bahwa responden diikuti mayoritas oleh perawat berjenis kelamin Wanita di rentang usia 31-40 tahun dengan pendidikan mayoritas DIII dan lama bekerja lebih dari 10 tahun. Penelitian ini menunjukkan terdapat pengaruh signifikan secara keseluruhan dan parsial antara motivasi dan kemampuan kerja terhadap kinerja namun beban kerja tidak berhubungan signifikan secara keseluruhan dan parsial terhadap kinerja perawat sehingga dapat disimpulkan bahwa semakin besar beban kerja maka kinerja perawat menurun selama pandemi.
Co-Authors Angela, Angela Dharmansyah, Renald Patria Fahira, Siti Alya Ferdiaananda, Muhammad Rizky Kawilarang, Melani Liora, Kevina Oetojo, Widjajanti Oriza Malta Damayant Saepudin, Didin Yuliana, Theresia Aquila