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All Journal Media Keperawatan Indonesia Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Ners Muda MAHESA : Malahayati Health Student Journal Pancasakti Journal Of Public Health Science And Research KESANS : International Journal of Health and Science
Vranada, Aric
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Chemistry Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Shared Decision-Making in Emergency Room Setting: A Concept Analysis Vranada, Aric; Rong, Jiin-Ru; Pranata, Satriya
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1490.822 KB) | DOI: 10.30604/jika.v7iS2.1393

Abstract

Shared decision-making” (SDM), a cooperative process that allows health professionals and patients to share the best accessible evidence for making decisions, is extensively accepted and developed in general ward of hospital settings. However, the concept's implementation in an emergency department (ER) setting has not been comprehensively clarified. The objective of this analysis was to describe and elucidate the concept of SDM in the ER setting. The Walker and Avant's concept analysis process was used to analyzing the concept of SDM. Four key defining attributes were identified: “active participation of health professionals and patients or their surrogates; collaborative partnership; reaching a compromise; and common goal for patient's health care”. The antecedent's analysis included “several options with different possible outcomes, substantial decisional conflict, the need to recognize the patient's health situation decision making, and willingness to participate in decision making”. The consequences were identified as “decreased decisional, mutual empowerment, and patient health status improvement”. SDM in the ER setting is a communication process involving health care professionals, patients, and patients' surrogates. The process has the potential to overcome traditional power dynamics and encourage changes that could improve the dyadic relationship.
Effectiveness of murottal Al-Quran therapy on post-operative pain Nuzulullail, Agung Subakti; Mustofa, Akhmad; Vranada, Aric
Media Keperawatan Indonesia Vol 6, No 4 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.4.2023.329-337

Abstract

In the last few decades, non-pharmacological therapy has been commonly used in the management of postoperative pain with the advantage of minimal side effects. Murottal Al-Quran therapy is a non-pharmacological therapy that can be used to treat pain. The application of non-pharmacological murottal Al-Quran therapy for post-operative pain has not yet been clarified. The aim of this literature is to analyze the effect of Al-Quran murottal therapy on patients with post-operative pain. The method used applies the Literature review method. Articles related to the effectiveness of Al-Quran murottal therapy in post-operative pain patients were summarized from the Science Direct and Google Scholar databases. Article searches were carried out using the PRISMA method with keyword searches: post-operative pain, Al-Quran murottal therapy, post and pre-intervention pain scale, and pain scale reduction. As a result of a total of 7 articles identified, women constituted the majority of respondents with an age range of 40-45 years and more than 60 years. The results of the review summarize 1 article using the Al-Kahf letter and 2 articles using the Ar-Rahman letter as a non-pharmacological intervention. Most articles explain that the intervention is implemented for 15 minutes using audio recording media. The Numeric Rating Scale (NRS) is used as a pain scale assessment method. All articles show a decrease in the postoperative pain scale after intervention (NRS pre-post intervention <0.05). In conclusion, Al-Quran murottal therapy is very effective as a non-pharmacological therapy in efforts to reduce the pain scale in post-operative patients.
Penerapan mobilisasi dini terhadap penurunan skala nyeri pasien pasca operasi bedah laminectomy Widyaningrum, Tri; Vranada, Aric
Ners Muda Vol 5, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v5i1.14181

Abstract

Tindakan pembedahan khususnya kasus dengan Laminectomy memiliki angka kejadian yang signifikan. Pasien yang menjalani pembedahan akan merasakan beberapa keluhan seperti nyeri pada luka operasi, kemudian berkembang menjadi ketakutan untuk melakukan pergerakan atau mobilisasi dini sehingga dapat menghambat dalam akitivas keseharian pasien. Tujuan dari studi kasus ini untuk mendeskripsikan penerapan mobilisasi dini terhadap penurunan skala nyeri pasien pasca operasi bedah laminectomy. Metode studi yang digunakan adalah studi kasus dengan pendekatan asuhan keperawatan berbasis pembuktian berdasarkan artikel yang telah di publikasi. Subyek dalam studi ini adalah pasien 24 jam pasca operasi laminectomy dan dalam keadaan sadar penuh serta mampu berkomunikasi secara verbal. Subyek berjumlah 3 pasien diberikan intervensi mobilisasi dini kemudian diobservasi tingkat nyeri dan hemodinamik sebelum dan setelah dilakukan mobilisasi dini dengan instrument numeric rating scale. Hasil studi kasus menunjukkan penerapan mobilisasi dini menurunkan tingkat nyeri dari nyeri sedang ke nyeri ringan, perubahan hemodinamik serta status fungsional pasien pasca bedah laminectomy. Diharapkan perawat dapat optimal dalam melakukan intervensi terhadap respon nyeri yang dirasakan pasien pasca bedah laminectomy salah satunya dengan mobilisasi dini.
Self-Efficacy in Disaster Preparedness: Insights from Nurses in Emergency and Intensive Care Units Vranada, Aric; Anggriawan, Ferri; Wang, Tsae-Jyy
Media Keperawatan Indonesia Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.3.2024.186-192

Abstract

Self-efficacy is a critical factor influencing nurses' performance in disaster scenarios, particularly in high-pressure environments like Emergency Departments (ED) and Intensive Care Units (ICU). This study aimed to evaluate the self-efficacy of nurses in disaster preparedness and identify its key predictors, including demographic characteristics, training experience, and professional factors. A cross-sectional survey was conducted among 185 nurses working in the ED and ICU of three hospitals in Yogyakarta, Indonesia. Data were collected from January to February 2024 using a structured questionnaire that included the Disaster Response Self-Efficacy Scale (DRSES). Descriptive statistics summarized demographic data and self-efficacy scores. Inferential analyses, including t-tests, ANOVA, and multiple regression, were performed to explore relationships between self-efficacy and potential predictors, with statistical significance set at p < 0.05. Disaster training experience emerged as the strongest predictor of self-efficacy (β = 0.65, p < 0.001), with nurses who underwent regular training demonstrating significantly higher confidence. Years of experience (β = 0.48, p = 0.01) and age (β = 0.25, p = 0.04) were also positively associated with self-efficacy. However, gender, education level, and marital status showed weak and non-significant correlations (r = 0.12–0.18, p > 0.05). Correlation analysis reinforced the importance of disaster training (r = 0.65, p < 0.001) and professional experience (r = 0.48, p = 0.01) in shaping self-efficacy. The findings underscore the importance of regular disaster training and leveraging professional experience to enhance self-efficacy among ED and ICU nurses. Policymakers and hospital administrators should prioritize targeted training programs to build a resilient nursing workforce capable of responding effectively to disasters
Concept of Spiritual Wellbeing in End-of-Life Patients in Emergency Settings: A Literature Review Murni, Weny; Widayati, Christina Nur; Karyanti, Karyanti; Winarni, Dyah; Sukasmi, Sukasmi; Pranata, Satriya; Aisah, Siti; Vranada, Aric
Pancasakti Journal Of Public Health Science And Research Vol 5 No 1 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i1.1682

Abstract

Spiritual Wellbeing (SWB) is essential in palliative care for end-of-life (EoL) patients. However, its implementation in emergency settings is often overlooked despite the significant spiritual needs of patients at the end of life. This study aims to describe and explain the concept of SWB in EoL patients in the Emergency Setting. The study used a qualitative approach based on concept analysis of the literature. Data were collected from 18 relevant articles purposively selected from international databases (2020-2024). The analysis focused on the attributes, antecedents, and consequences of SWB through thematic evaluation and cross-referencing. The results showed that four main attributes of SWB were identified: relationship with higher power, inner peace, meaning of life, and active role of family and health workers. Antecedents of SWB included clergy and family support, while consequences included improved patient quality of life and reduced anxiety. These findings demonstrate the importance of integrating spiritual care into emergency setting practice. Holistic collaboration between patients, families and healthcare professionals is key to improving the spiritual wellbeing of EoL patients.
Konsep Analisis Kualitas Hidup Penderita Gagal Ginjal Adriani, Vita; Tuny, Nurfitriyana; Dyah, Dwi Tristining; Purwono, Purwono; Tristiyaningrum, Diana; Aisah, Siti; Mubin, Mohammad Fatkhul; Pranata, Satriya; Vranada, Aric
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 2 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: April 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i2.3577

Abstract

Penderita gagal ginjal mengalami gangguan sistem metabolic dan gejala fisik yang berdampak pada aspek psikis, sosial dan spiritual. Secara keseluruhan kondisi penderita gagal ginjal akan berpengaruh pada kualitas hidup yang buruk. Konsep kualitas hidup sangat penting dalam ranah pelayanan untuk memahami kondisi dan berimplikasi pada perawatan yang berkualitas. Tujuan analisis ini untuk konsep menjelaskan lebih spesifik tentang kualitas hidup penderita gagal ginjal kronis. Analisis konsep kualitas hidup dengan dilakukan melalui tinjauan artikel yang relevan dari database Pubmed, Sciencedirect, Googlescholar dan ProQuest dengan kriteria jurnal berbahasa inggris, fulltex, open access, publikasi 5 tahun terkahir (mulai tahun 2019-2024), menggunakan kata kunci “Quality of Life”, “quality of life of chronic renal failure”, “concept analysis,”. Pencarian artikel didapatkan 30 artikel untuk dilakukan review dengan menggunakan teori Walker dan Avant untuk memperjelas atribut utama dan faktor yang memengaruhi kualitas hidup pasien gagal ginjal kronis. Hasil analisis ditemukan bahwa konsep kualitas hidup penderita gagal ginjal terdiri dari 4 atribut yaitu aspek fisik, aspek psikologis, aspek social dan aspek lingkungan. Atribut ini menjadi domain utama untuk menilai kualitas hidup pasien gagal ginjal secara komprehensif. Hasil penilaian digunakan sebagai dasar bagi tenaga kesehatan, khususnya perawat, dapat merancang intervensi yang mendukung dimensi fisik, emosional, sosial, dan lingkungan pasien. Pendekatan ini memastikan praktik perawatan lebih berfokus pada kebutuhan individu dan meningkatkan kualitas hidup pasien secara menyeluruh.
Concept Analysis Patient Centred Care In Diabetes Mellitus With Heart Disease Complication Pranata, Satriya; Aisah, Siti; Vranada, Aric; Taliki, Verawaty; Adriani, Sri; Riyanto, Ujang; Fariqoini, Ayul; Harmoko, Tri
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.18495

Abstract

ABSTRACT PCC of patients with diabetes mellitus with heart disease is a patient-focused service with a holistic approach (bio-psychosocial-spiritual) to provide respectful and individualized care, enabling negotiation of care and offering choice through a therapeutic relationship where patients with diabetes mellitus with heart disease complications are empowered to be involved in health decisions at whatever level is desired by the individual receiving care. However, the application of this concept in services has not been comprehensively clarified. The purpose of this analysis is to describe and explain the concept of PCC in patients with diabetes mellitus with heart disease complications. Walker and Avant's concept analysis process was used to analyze the PCC concept. Six main defining attributes were identified: “ autonomy support; shared decision making; cooperation and collaboration; communication and education; emotional support, involvement of family and others. The predecessor analysis included several options with different possible outcomes, substantial patient-focused care conflicts, the need to recognize the health situation of patients with diabetes mellitus complicated by heart disease, and the willingness to participate in care. All of these factors are directly associated with different patient outcames and indirectly associated with outcames through patient activation. Kata Kunci: Patient Centred Care, Diabetes Mellitus, Heart Disease
Behavior Related to the Success of Pulmonary TB Treatment Fauzi, Mohammad; Soesanto, Edy; Wardani, Ratih Sari; Mubin, Mohammad Fatkhul; Vranada, Aric
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.7057

Abstract

Pulmonary Tuberculosis (TB) is an infectious disease caused by Mycobacterium Tuberculosis, this disease becomes a public health problem, especially if there is a break in treatment which has an impact on TB drug resistance. The purpose of this study is to see the correlation or relationship of determinant factors that influence the success of pulmonary tuberculosis treatment. The type of research is Observational Analytical with a Cross Sectional approach. Data collection uses questionnaires, observations and interviews. The population is 158 and the sample is 91 respondents with cluster sampling. The study was conducted in Parigi Moutong Regency during February-June 2025. Of the 91 respondents who were 94.5% compliant with taking medication, 75.8% had good Family Support, 75.8% had Drug Supervisor (PMO) Support and 83.5% had Health Worker Support, the results of the chi square test showed a relationship between medication adherence and the success of Pulmonary TB Treatment p = 0.000 <0.05, there was a relationship between family support and the success of Pulmonary TB Treatment p = 0.001 <0.05, there was a relationship between support (PMO) and the success of Pulmonary TB Treatment p = 0.001 <0.05 and there was a relationship between Health Worker support and the success of Pulmonary TB Treatment p = 0.000 <0.005. Conclusion There is a relationship between behavior (medication adherence, family support, PMO support and health worker support) and the success of pulmonary TB treatment.
Pengaruh Mobilisasi Progresif Terhadap Status Hemodinamik Pasien Dengan Stroke di ICU : A Systematic Review Hadju, Febriyanto Dwi Putra; Vranada, Aric
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48628

Abstract

Pasien stroke yang dirawat di Intensive Care Unit (ICU) rentan mengalami gangguan hemodinamik akibat tirah baring berkepanjangan. Mobilisasi progresif merupakan salah satu intervensi keperawatan yang dapat membantu menstabilkan kondisi fisiologis pasien. Tujuan dari studi ini adalah untuk mengetahui pengaruh mobilisasi progresif terhadap status hemodinamik pasien dengan stroke yang dirawat di ICU. Studi ini merupakan systematic review yang disusun berdasarkan pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian artikel dilakukan melalui database google scholar, Proquest, Pubmed, Springer Link, dan Science Direct dengan batas publikasi lima tahun terakhir (2020–2024). Kata kunci yang digunakan dalam pencarian adalah “Progressive Mobilization” AND “Hemodynamic” AND “Stroke” AND “ICU”. Sebanyak 10 artikel yang memenuhi kriteria inklusi dianalisis dalam tinjauan ini. Hasil sintesis menunjukkan bahwa mobilisasi progresif memberikan pengaruh positif terhadap parameter hemodinamik seperti tekanan darah, frekuensi nadi, laju pernapasan, saturasi oksigen (SpO₂), dan tekanan arteri rata-rata (MAP). Intervensi ini terbukti aman dan efektif, terutama jika dilakukan secara bertahap dengan pemantauan ketat sesuai kondisi klinis pasien. Disimpulkan bahwa mobilisasi progresif merupakan strategi keperawatan yang bermanfaat dalam memperbaiki status hemodinamik pasien stroke dan mendukung percepatan pemulihan di ruang ICU. Kata Kunci: Mobilisasi Progressif, Hemodinamik, Stroke, ICU
Pengaruh Kombinasi Latihan Rentang Gerak dan Latihan Nafas Dalam terhadap Tingkat Kelelahan pada Pasien Hemodialisis Nurdin, Nurdin; Soesanto, Edy; Wardani, Ratih Sari; Mubin, M. Fatkhul; Vranada, Aric
MAHESA : Malahayati Health Student Journal Vol 5, No 10 (2025): Volume 5 Nomor 10 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i10.20913

Abstract

ABSTRACT Chronic renal failure is caused by kidney damage, both structural and functional so that patients experience fluid and electrolyte imbalance and accumulation of toxins (uremia) in the body and patients require hemodialysis therapy. Hemodialysis has negative impacts including physical and psychological fatigue in patients, the prevalence reaches 60-97%, if not treated will affect the patient's quality of life and can cause dialysis disequilibrium syndrome (DDS). Objective to determine the difference in fatigue levels before and after a combination of range of motion exercises and deep breathing exercises in hemodialysis patients. Quasi experimental pretest-posttest with control group design. A sample of 58 respondents was divided into 2 groups, namely the control group and the intervention group, each consisting of 29 respondents selected using total sampling techniques based on inclusion and exclusion criteria. The control group (education and relaxation) and the intervention group (a combination of range of motion exercises and deep breathing exercises) were given pre- and post-tests and examination of urea and creatinine levels before and after. The intervention group received treatment for 6 times undergoing hemodialysis with a duration of 15 minutes. The level of fatigue was measured using the validated FACIT (Functional Assessment of Chronic Illness Therapy) - Fatigue Scale questionnaire instrument. Data were analyzed using the paired t-test and Wilcoxon signed ranks test. There is a significant difference in the level of fatigue before and after between standard therapy (education and relaxation) and the combined intervention of range of motion exercises and deep breathing exercises in hemodialysis patients. The average fatigue level was 1.2759 and 10.9334 with a standard deviation of 2.4334 and 3.9334 and obtained p-value = 0.000. The average urea level was 100.9452 and 121.7069 with a standard deviation of 33.3534 and 65.5346 and obtained p-value = 0.008, while the average creatinine level was 6.8897 and 4.6621 and a standard deviation of 3.5400 and 1.5644 and obtained p-value = 0.004 in hemodialysis patients. There was a significant difference in the level of fatigue before and after between the combination of range of motion exercises and deep breathing exercises in hemodialysis patients.  Keywords: Chronic Kidney Failure, Hemodialysis, Range of Motion, Deep Breathing, and Fatigue.  ABSTRAK Gagal ginjal kronik disebabkan oleh kerusakan ginjal, baik struktural maupun fungsional sehingga pasien mengalami gangguan keseimbangan cairan, elektrolit dan menumpuknya racun (uremia) dalam tubuh dan pasien memerlukan terapi hemodialisis. Hemodialisis memiliki dampak negatif antara lain kelelahan fisik dan psikologis pada pasien, prevalensinya mencapai 60-97%, jika tidak diatasi akan mempengaruhi kualitas hidup pasien dan bisa menyebabkan dialysis disequilibrium syndrome (DDS). Tujuan untuk mengetahui perbedaan tingkat kelelahan sebelum dan sesudah kombinasi latihan rentang gerak dan latihan napas dalam pada pasien hemodialisis. Quasy experimental  pretest-posttest with control group design. Sampel  58 responden yang dibagi menjadi 2 yaitu kelompok kontrol dan kelompok intervensi, masing-masing terdiri dari 29 responden yang dipilih menggunakan teknik total sampling berdasarkan kriteria inklusi dan eksklusi. Kelompok kontrol (edukasi dan relaksasi) dan kelompok intervensi (kombinasi latihan rentang gerak dan latihan nafas dalam) dilakukan pre dan post test serta pemeriksaan kadar ureum dan kreatinin sebelum dan sesudahnya. Kelompok intevensi memperoleh perlakuan selama 6 kali menjalani hemodialisis dengan durasi 15 menit. Tingkat kelelahan diukur menggunakan instrumen kuesioner FACIT (Functional Assessment of Chronic Illness Therapy) - Fatigue Scale yang telah tervalidasi. Data dianalisis menggunakan uji paired t-test dan Wilcoxon signed ranks test. Ada perbedaan signifikan tingkat kelelahan sebelun dan sesudah antara terapi standar (edukasi dan relaksasi)  dengan intervensi kombinasi latihan rentang gerak dan latihan nafas dalam pada pasien hemodialisis. Tingakat kelelahan rata-rata 1,2759 dan 10,9334 dengan standar deviasi 2,4334 dan 3,9334 dan diperoleh p-value=0.000. Kadar ureum rata-rata 100,9452 dan 121,7069 dengan standar deviasi 33,3534 dan 65,5346 dan diperoleh p-value=0.008, sedangkan   kadar kreatinin rata-rata 6,8897 dan 4,6621 dan standar deviasi 3,5400 dan 1,5644 dan diperoleh p-value=0.004 pada pasien hemodialisis. Ada perbedaan signifikan tingkat kelelahan sebelum dan sesudah antara  kombinasi latihan rentang gerak dan latihan napas dalam pada pasien hemodialisis. Kata Kunci: Gagal Ginjal Kronis, Hemodialisis, Rentang Gerak, Nafas Dalam, dan Kelelahan. 
Co-Authors Adriani, Sri Adriani, Vita Akhmad Mustofa Amelia, Suzanna Anggriawan, Ferri Dyah, Dwi Tristining Edy Soesanto Fariqoini, Ayul Galuh Iriantono Hadju, Febriyanto Dwi Putra Harmoko, Tri Karyanti Karyanti, Karyanti M. Fatkhul Mubin Mohammad Fatkhul Mubin, Mohammad Fatkhul Mohammad Fauzi Murni, Weny Nurdin Nurdin Nuzulullail, Agung Subakti Purwandari, Reni Purwono Purwono, Purwono Ratih Sari Wardani Riyanto, Ujang Rong, Jiin-Ru Satriya Pranata Siti Aisah Sukasmi, Sukasmi Taliki, Verawaty Tristiyaningrum, Diana Tuny, Nurfitriyana Wang, Tsae-Jyy Widayati, Christina Nur Widyaningrum, Tri Winarni, Dyah