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Zamroni, Asroful Hulam
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Journal : Indonesian Journal of Global Health research

 1 
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.
The Relationship of Spiritual Intelligence with Quality of Service in Hemodialysis Installations Mariadi, M.; Ibnu, Faisal; Ratnaningsih, Tri; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.4101

Abstract

The quality of nursing services for hemodialysis patients is determined by the role and performance of nurses based on spiritual intelligence. Nurses use spiritual intelligence when providing nursing care to hemodialysis patients so that patients feel satisfaction from actions that have an impact on the quality of service. Therefore, this study aims to analyze the relationship between nurses' spiritual intelligence and service satisfaction in the hemodialysis room. This study used a cross-section design with a sample of 35 nurses and 153 hemodialysis patients at RSUD Dr. Soetomo. This research used a total technique for nurses and a simple random sampling technique for patients in hemodialysis installations. Research data was collected through a questionnaire from the spiritual intelligence variable with a valid test of 0.460-0.906 and a reliable test of 0.361 as well as a patient satisfaction questionnaire related to service quality with a valid test of 0.870-0.982 and a reliable test of 0.785. Research data was processed using a logistic regression test with a p-value ≤ 0.05. The results of the logistic regression test show that the p-value is 0.001, so it can be interpreted that H0 is rejected. This shows that there is a relationship between nurses' spiritual intelligence and the quality of hemodialysis services. Spiritual intelligence will create optimal nurse performance in taking action. The performance of nurses in hemodialysis tasks is quite complex with the number of patients being unbalanced with the number of nurses which influences the quality of nursing services.
Analysis the Implementation Digital-Based Nursing Information System with Nurses' Job Satisfaction and Patients' Satisfaction Nuryati, Nuryati; Santoso, Windu; Ibnu, Faisal; Azizah, Lilik Ma'rifatul; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.4182

Abstract

The implementation of digital-based information systems in nursing care documentation has been widely implemented in hospitals. However, nurses are still dissatisfied because they feel burdened by the digital system and this impacts patient satisfaction in receiving nursing care. Therefore, analysis is needed regarding the implementation of a digital-based nursing information system with nurse job satisfaction and patient satisfaction in hospitals. This study used a cross-section comparative design with a sample of 222 nurses and 222 patients. The sample was selected using a simple random sampling technique. Data collection using a questionnaire includes the independent variable in the form of the implementation of a nursing information system and the dependent variable in the form of nurse job satisfaction and patient satisfaction. Data were analyzed using the independent t-test with a p-value ≤ 0.05. Research results from the independent t-test statistical test. The p-value is 0.000 < 0.05, so according to the basis of decision-making in the test it can be concluded that H0 is rejected, which means there is a difference in average between nurse job satisfaction and patient satisfaction in the implementation of a digital-based nursing management information system in nursing services in the Inpatient Room RSUD Dr. Soetomo Surabaya. Implementation of a digital nursing information system provides nurses with effectiveness and efficiency in carrying out their duties. This makes the workload of nurses lighter increases the productivity of the quality of nursing received by patients and has an impact on patient satisfaction. Nursing management is expected to improve the implementation of supervision of nursing care documentation by looking at the completeness and suitability of SOPs in the nursing information system (SIK). In addition, nursing management needs to develop a nursing information system (SIK) model in collaboration with the hospital information technology team so that nurses are effective and efficient in implementing nursing care documentation.
Correlation Analysis of Seci-Based Discharge Planning Implementation with Patient Satisfaction Musrini, Amirul; Ibnu, Faisal; Hidayati, Rina Nur; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No S4 (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.v6iS4.4196

Abstract

Discharge planning has been implemented and provided by nurses in all hospitals, but patients still feel dissatisfied regarding the response and explanation in nursing care. Therefore, this study aims to analyze the correlation of SECI-based discharge planning with patient satisfaction in hospitals. This study used a cross-section design with a sample of 50 patients in Palem Room 1 RSUD Dr. Soetomo. This research used a consecutive sampling technique for one month. Research data was collected through a discharge planning implementation questionnaire with a valid test of <0.5 and a reliable test of 0.780 >0.6, as well as a patient satisfaction questionnaire with a valid test of 0.5 and a reliable test of 0.844 >0.6. Research data was processed using the description test and the Spearman rho test with a p-value ≤ 0.05. There is a relationship between charge planning and patient satisfaction (0.000). In charge of planning for the patient, the nurse can provide information and actions according to the patient's expectations so that the level of independence of the patient and family can be optimal. Implementation of existing discharge planning is maintained and improved and provided to all patients starting from the time the patient enters the treatment room until the day the patient returns. Nurses provide discharge planning services to improve and maintain all indicators of socialization, externalization, combination, and internalization.
Interventions to Improve the Quality of Life of Thyroid Cancer Patients : A Scoping Review Zamroni, Asroful Hulam; Damayanti, Elvi Kurnia; Ismail, Fachril; Isdaryanti, Lisa; Azhadin, Rizky Nur; Dewi, Yulis Setiya
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5590

Abstract

Thyroid cancer treatment can cause side effects that have a significant impact on the patient's quality of life and health, so effective interventions are needed to address these impacts. This study aimed to explore various interventions, their impact on the quality of life of thyroid cancer patients. This study used a scoping review approach with PRISMA-ScR for article selection. Articles were obtained from Scopus, PubMed, ScienceDirect, and ProQuest databases published between 2016 and 2024 using keywords related to thyroid cancer, quality of life, intervention and therapy. Of the initial 2043 articles, 9 articles met the inclusion and exclusion criteria. The extracted data was analyzed using qualitative methods with identified were author, year of publication, research design, country, type of intervention, duration of intervention, research results, and JBI. The results of the analysis revealed three types of interventions in improving the quality of life of patients with thyroid cancer: (1) Psychological with mindfulness therapy, memory therapy, psychological nursing intervention, behavioral intervention, and technology-based therapy (mHealth); and (2) Physical with Progressive Muscle Relaxation (PMR), and home-based physical exercise (aerobics, resistance, flexibility). These findings underscore the benefits of interventions to improve the quality of life of thyroid cancer patients which include physical, psychological, and technology-based approaches.
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 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, Rina Nur 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