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All Journal Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ners Indonesian Journal of Global Health research Community Empowerment Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Zamroni, Asroful Hulam
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Arts Humanities Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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The Effectiveness of Acupressure in Reducing Pain After Coronary Angiography: a Systematic Review Damayanti, Elvi Kurnia; Zamroni, Asroful Hulam; Dorman, Johanes Eban B.; Azhadin, Rizki Nur; Kurniawati, Ninuk Dian
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44237

Abstract

Coronary angiography, a critical diagnostic tool for coronary artery disease, often results in post-procedural pain that affects patient recovery and satisfaction. Acupressure, a non-invasive technique rooted in traditional Chinese medicine, has shown promise in reducing pain by stimulating endorphin release and enhancing physiological responses. This systematic review aimed to evaluate the effectiveness of acupressure in managing pain among patients undergoing coronary angiography. Four databases (Scopus, PubMed, ProQuest, and ScienceDirect) were searched for relevant articles published between 2020 and 2025, using keywords such as "acupressure," "pain," and "coronary angiography." Joanna Briggs Institute guidelines were used to assess study quality. Seven randomized controlled trials involving 774 participants were included. All studies reported significant pain reduction after acupressure interventions (p < 0.05), with durations ranging from 15 to 120 minutes at points like LI4 and PC6. Acupressure not only reduced pain but also stabilized vital signs and reduced anxiety. These findings suggest that acupressure is an effective intervention for post-coronary angiography pain, providing a strong basis for its integration into clinical practice. Further research is needed to standardize protocols and explore long-term effects.
Enhancing pain management knowledge and quality of life in cancer patients through autogenic relaxation Sukartini, Tintin; Marina, Navy Sealsi Adinda Prisca; Zamroni, Asroful Hulam; Abidah, Aqmarina; Darmawan, Luh Gede Wirani Riskayanti; Serengga, I Made Dwi Budhiasa Ari; Isdaryanti, Lisa; Lestari, Dwi Puji; Nurhidayah, Kiki Fajar; Prakoso, Wisnu Guntur; Fauzi, Achmad; Azhadin, Rizki Nur
Community Empowerment Vol 10 No 4 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13078

Abstract

Uncontrolled proliferation of cancer cells is the underlying cause of cancer in patients. This community service aimed to enhance cancer patients' knowledge and understanding of pain management using an autogenic relaxation technique incorporating specific movements and guided suggestions. The method involved demonstrations and health education sessions. This activity was attended by 30 cancer patients aged >18 years undergoing radiotherapy or chemotherapy. The study results indicated a 37.3% improvement in the participants' knowledge and understanding of the provided pain management education, increasing from 50% to 87.3%. The application of autogenic relaxation techniques effectively reduced pain intensity, and patients demonstrated increased independence in performing these techniques. Consequently, the quality of life for cancer patients undergoing treatment can be optimized.
Optimizing nutritional education to improve quality of life in cancer patients Sukartini, Tintin; Zamroni, Asroful Hulam; Marina, Navy Sealsi Adinda Prisca; Syahri, Alfi; Ismail, Fachril; Tadi, Tadi; Qothrunnadaa, Azka; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dorman, Johanes Eban B.; Damayanti, Elvi Kurnia
Community Empowerment Vol 10 No 7 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13077

Abstract

Cancer remains a major contributor to morbidity and mortality globally. The disease itself and its treatments often lead to significant challenges that negatively impact patients' quality of life. The objective of this community service initiative was to enhance the knowledge and understanding of cancer patients regarding their nutritional needs through a focused educational program. The method employed was a health education approach that included demonstrations. The activity involved 30 cancer patients, all over 18 years of age, who were undergoing radiotherapy or chemotherapy. The results showed a significant improvement in the participants' quality of life, specifically in their knowledge and understanding of nutrition. The pre-intervention score of 50% increased to 87.3% post-intervention, representing a 37.3% improvement. This demonstrates that the application of education on nutritional management can effectively improve patients' nutritional status. A good nutritional status is expected to enhance the overall quality of life for cancer patients undergoing medical treatment, as they are better equipped to implement nutritional management strategies in line with their health conditions and medical recommendations.
Colaboration Strategy on Prevention and Handling of Sexual Violence on Adolescents between Indonesian Family Planning Association Saudah, Noer; Lestari, Indah; Abidin, Chasiru Zainal; Delshitawati, Catur; Zamroni, Asroful Hulam
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p098-105

Abstract

The increase in adolescent sexual activity puts adolescents at risk of experiencing sexual violence, including on campus. Several universities have made efforts to prevent and address sexual violence on campus. This study aimed to compile a Collaboration Strategy of college with Indonesian Family Planning Association with College in East Java in the prevention and handling of Sexual Violence among adolescents. The design qualitative method with a Focus Group Discussion approach. This focus group discussion was attended by prevention and handling of Sexual Violence on adolescents’ experts from Indonesian family planning association, and lecturers from 4 universities in East Java, namely from Jember University, Bina Sehat PPNI Mojokerto University, Institute of Health Science Ar-Rahmah Gempol Pasuruan and health sciences Surya Mitra Husada Kediri Kediri. The sampling technique used purposive sampling with 4 informants. Triangulation was carried out on 3 informants from Indonesian family planning association. The research instrument was the researcher himself and the Focus Group Discussion guidelines. The data analysis used data reduction, data presentation, data verification, and data validity testing. The informant's university of origin stated that it had implemented efforts to prevent and handle sexual violence against adolescents and had reported the implementation to Belmawa Information System. The obstacles faced were the limited number of expert human resources, partners, and information media. The recommendation from the Focus Group Discussion was a collaborative strategy between Universities and Indonesian family planning association in efforts to prevent and handle sexual violence against adolescents on campus.
Development of 3S-Based Nursing Care Instruments (SDKI, SLKI, SIKI) in Patients with Ventilators Ambarwati, Diah Retno; Kurniawati, Ninuk Dian; Airlangga, Prananda Surya; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2629

Abstract

Documentation instrument for quality nursing care according to standards. However, there is no instrument for nursing care for patients installing ventilators according to Indonesian nursing standards. This research aims to develop a 3S-based nursing care instrument (SDKI, SLKI, SIKI) for ventilator patients. The research design is Research and Development carried out in 2 stages. The first phase population is 100 nursing care. The first stage was FGD 1, divided into 3 groups, namely 10 executive nurses, 6 nursing management staff, and 1 expert. The second stage population was 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an instrument for documenting nursing care for ventilator patients. The analysis uses the CVI and KR20 tests. Results: Evaluation of nursing care instruments shows that aspects of nursing outcomes, implementation, and evaluation are not by standards. Instrument development consists of 5 main problems that often arise in ventilator patients. The I-CVI result is ≥ 0.78, which is interpreted as valid. The KR result is > 0.6, which means it is reliable. The recommendation from the research results is that the development of nursing care instruments can be applied in treating patients with ventilators. Conclusion: The development of a nursing care instrument was declared to be valid and reliable in categories in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Development of Standard Operating Procedures (SPO) for Management of "Danger" in Emergency Patients with Anxiety Disorder Muftikhar, Zulfian Kurniadi; Yusuf, Ah.; Rusdi, Ainur; Kurniawati, Ninuk Dian; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

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

Abstract

The Emergency Unit is the first department to provide action to patients in emergencies to save lives, however patients with psychiatric anxiety disorder still receive general treatment. The Emergency Unit is the first department to provide action to patients in an emergency to save lives, however, patients with psychiatric anxiety disorders still receive general care. Therefore, this research aims to develop SOPs for handling emergency patients with anxiety disorders. Method: The research design was Research and Development carried out in 2 stages. The first phase population was 5 SOPs for emergency management. The first stage was FGD 1, divided into 3 groups, namely 17 executive nurses, 6 nursing management staff, and 2 experts (academics and practitioners). The population for the second stage of SPO development was filled by 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an SOP for the management of emergency patients with anxiety disorder. The analysis uses the CVI and KR20 tests. Results: There ware no SOPs for handling emergency patients with anxiety disorders. The development of SPO combines psychiatric emergency management in the form of environmental manipulation, verbal de-escalation, mechanical fixation, and pharmacological intervention with medical emergency management procedures including primary survey (airway, breathing, circulation, disability). The validity results show the CVI test is 0.8-1 and the KR20 is 0.83. Research recommendations that the development of SPO can be applied in the treatment of emergency patients with anxiety disorder. Conclusion: The development of SPO is declared to be valid and reliable in categories both in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Analysis of the Implementation of Family-Centered Care (FCC) on the Workload of Nurses in Pediatric Inpatient Areas Supatmini, Erna; Ratnaningsih, Tri; Sajidin, Muhammad; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3386

Abstract

The implementation of Family Centered Care requires collaboration between nurses and patient parents with a holistic approach and philosophy in preventing hospitalization. However, nurses in pediatric inpatient settings have high work responsibilities due to their complex role in the care process which must focus on pediatric patients and parents, which causes nurses to have an increasingly heavy workload. This study aims to analyze the implementation of Family Centered Care on nurses' workload. Method: This study used a cross-section design with a sample of 92 patients and pediatric nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique for pediatric nurses and a simple random sampling technique for families of patients in the pediatric ward. Research data was collected through questionnaires from the variables of implementing family center care and nurse workload. Data on the variables of FCC implementation and workload were analyzed using a description test and the relationship between FCC implementation and workload was tested using a logistic regression test. Research data was processed using the description test and logistic regression test with a p-value ≤ 0.05. Results: The research results show that the implementation of family center care has a relationship with workload (0.001). Conclusion: The implementation of family-centered care can form a collaboration with patients and patient families thereby reducing the workload of pediatric nurses in providing nursing care.
Analysis of Individual Efforts, Organizations, Work Environments with Burnout Syndrome Based on Theory Maslach on Infection Room Nurses Mudayatin, Lilik; Sajidin, Muhammad; Azizah, Lilik Ma'rifatul; Lestari, Indah; Maryam, Dewi; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3460

Abstract

Nurses who care for patients with infectious diseases have a high risk of exposure to contagion which causes high levels of stress and tension in nurses. Management has made efforts to pay attention to the quality of life of nurses in infectious disease installations, but nurses are still found to experience Burnout Syndrome due to high workloads, less efficient organizational systems regarding schedules and teams in shifts, and an unsupportive work environment. This research aims to analyze the factors of individual, organizational, and work environment efforts toward Burnout Syndrome in infectious disease installations. Method: This research used a cross-section design with a sample of 1406 nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique, namely infectious disease installation nurses with the criteria of being an executive nurse and not being on leave. Data collection using a questionnaire includes independent variables in the form of individual effort, organization and work environment as well as the dependent variable in the form of Burnout Syndrome with validity and reliability tests in the form of a person correlation value of <0.5 and a Cronbach's alpha value of 0.729 >0.6. Data were analyzed using logistic regression with a p-value ≤ 0.05. Results: The research results show that individual effort (0.018), organizational effort (0.032), and work environment effort (0.006) have a significant relationship with nurse burnout syndrome. Conclusion: Good individual, organizational, and environmental efforts have an impact on preventing burnout in nurses. This makes infectious disease nurses, even with a high workload and risk of exposure, have low Burnout Syndrome because they have good coping, a supportive organizational atmosphere, and a comfortable physical environment.
Analysis of the Effect of Structural Empowerment on Motivation and Performance of Nurses in Quality Patient Safety Sukmono, Ramang; Lestari, Indah; Rahmawati, Ima; Saudah, Noer; Maryam, Dewi; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3467

Abstract

The problem of patient safety quality is considered less than optimal in health services which is caused by inadequate organizational infrastructure, leadership effectiveness, job characteristics, and structural empowerment which includes the motivation of nurses as fundamental health workers. Therefore, this study aims to analyze the effect of structural empowerment on nurses' motivation and performance in the quality of patient safety. Method: This research used a cross-section design with 116 respondents. The sample was selected using a cluster random sampling technique. Data collection using a questionnaire includes the independent variable in the form of structural empowerment and the dependent variable in the form of work motivation and nurse performance in patient safety quality with all questionnaire a valid value of r = 0.714-0.942 and Cronbach alpha reliability 0.982. Data were analyzed using the logistic regression test with a p-value ≤ 0.05. Results: The research results show that structural empowerment has a positive and unidirectional influence on work motivation (0.000) and nurse performance in patient safety quality (0.016). Conclusion: Structural empowerment provides implementing nurses with access and freedom to leaders including opportunities, information, support, resources, formal power, and informal power. Structural empowerment gives implementing nurses a feeling of comfort in their work so that they are more motivated and improve nurses' performance in terms of patient safety quality.
Analysis of Factors Relating to Nurses' Performance in Nursing Care Documentation Based on Kopelman Theory Natalina, Upit; Saudah, Noer; Azizah, Lilik Ma'rifatul; Sajidin, Muhammad; Maryam, Dewi; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3469

Abstract

Nurses have an important role in determining the quality of health services, however, some nurses are still found to have less than optimal performance in documentation of nursing care due to internal and external factors. Therefore, this research aims to analyze the development of training, leadership, attitudes, competencies, motivation, work design and performance of nurses in documenting nursing care based on Kopelman's theory. Method: This research used a cross-section design with a sample of 1406 nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique, namely infectious disease installation nurses with the criteria of being an executive nurse and not being on leave. Data collection using a questionnaire includes independent variables in the form of training development, leadership, attitudes, competence, motivation, and work design, and the dependent variable in the form of nurses' performance in documenting nursing care. All questionnaire instruments in this research have a correlation r value of <0.5 and a Cronbach's alpha value of 0.650. Data were analyzed using logistic regression with a p-value ≤ 0.05. Results: The research results show that there is an influence between training and development (0.028), leadership (0.004), attitude (0.026), competency (0.031), motivation (0.029), and job design (0.009) on nurse performance. Conclusion: The development of training, attitudes, competencies, motivation, and good work design has an impact on high nurse performance in documenting nursing care. The performance of nursing care documentation will be optimal with democratic leadership.
Co-Authors Abidah, Aqmarina Abidin, Chasiru Zainal Achmad Fauzi ah. Yusuf Ambarwati, Diah Retno Azhadin, Rizki Nur Azhadin, Rizky Nur Azizah, Lilik Ma'rifatul Damayanti, Elvi Kurnia Darmawan, Luh Gede Wirani Riskayanti Delshitawati, Catur Dewi Maryam Dorman, Johanes Eban B. Dwi Puji Lestari, Dwi Puji Faisal Ibnu Ika Yuni Widyawati Ima Rahmawati Indah Lestari, Indah Isdaryanti, Lisa Ismail, Fachril Kurniawati, Ninuk Dian Mariadi, M. Marina, Navy Sealsi Adinda Prisca Mudayatin, Lilik Muftikhar, Zulfian Kurniadi Muhammad Sajidin Musrini, Amirul Natalina, Upit Noer Saudah, Noer Nurhidayah, Kiki Fajar Nuryati Nuryati Prakoso, Wisnu Guntur Prananda Surya Airlangga Qothrunnadaa, Azka Rina Nur Hidayati Rusdi, Ainur Serengga, I Made Dwi Budhiasa Ari Sukmono, Ramang Supatmini, Erna Syahri, Alfi Tabik, Albertina Dete Tadi, Tadi Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Tri Ratnaningsih Windu Santoso, Windu Yulis Setiya Dewi