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Persepsi Pasien Terhadap Pelayanan Keperawatan: Studi Fenomenologi Muhidin Muhidin; Junaiti Sahar; Wiwin Wiarsih
Jurnal Keperawatan Indonesia Vol 13 No 2 (2010): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i2.235

Abstract

AbstrakMutu pelayanan keperawatan merupakan hasil dari harapan ideal yang dipersepsikan pasien dengan kenyataan yang diterima. Penelitian ini bertujuan mendeskripsikan persepsi pasien terhadap pelayanan keperawatan di RS X Madiun. Desain penelitian adalah fenomenologi deskriptif menurut Spiegelberg dengan teknik pengambilan sampel convenience sampling sejumlah 7 informan. Pengumpulan data menggunakan teknik in depth-interview dengan bentuk pertanyaan terbuka semi terstruktur. Hasil wawancara direkam dengan alat perekam kemudian ditranskrip verbatim dan dianalisis menggunakan metode Colaizzi. Penelitian menghasilkan 18 tema tentang persepsi pasien terhadap pelayanan keperawatan: alasan utama memilih rawat inap; alas an penunjang memilih rawat inap; puas pada pelayanan keperawatan; kecewa pada pelayanan keperawatan; toleran pada pelayanan keperawatan; sikap dalam merawat; atribut perawat; kemampuan kognitif; kemampuan teknikal; pengelolaan tugas; pemenuhan gizi; pemeliharaan lingkungan; pelaksanaan program terapi; aktivitas perawatan; perilaku perawat; penataan SDM keperawatan; pengembangan layanan keperawatan dan pengembangan strategis. Penelitian ini menyimpulkan bahwa pelayanan keperawatan yang dilaksanakan di RS X Madiun belum memenuhi harapan pasien, penerapan prinsip caring oleh perawat belum optimal, disebabkan oleh terbatasnya perawat baik secara kuantitas maupun kualitas. Pemerintah kota Madiun sebagai pengambil kebijakan disarankan untuk membenahi SDM keperawatan dengan cara menambah jumlah perawat, seleksi tenaga perawat yang kompeten, evaluasi kinerja, pendidikan dan latihan, dan supervisi keperawatan. AbstractNursing service quality is results of an ideal hope which could create the patient perception based on received reality. The objecitives of this study was to explore the patient perception related to nursing services at RSUD Sogaten in Madiun District. This study used a descriptive phenomenology according to Spiegelberg by convenience sampling technique from 7 informants. Collecting data used in-depth interview technique in form of open-ended question by structural. Interview result recorded by tape recorder, and then it was transcripted by verbatim and it was analyzed by Colaizzi method. Study yield 18 themes concerning patient perception to nursing service: main reason to choose inpatient; reason of supporter choose taking care of to lodge; satisfied at service of treatment; satisfaction of nursing service; lenient of nursing service; attitude of nursing; nurse attribute; cognitive ability; technical ability; job management; nutrition accomplishment; environment maintenance; execution of therapy program; nursing activity; nurse behavior; settlement of nursing human resources; nursing service and strategic development. This conclusions of this study is nursing services at RS X Madiun did not fulfill patient hope yet, applying of caring principle by nurse is not optimal yet, because of limited of nurses both amounts and qualities. Government in Madiun District as policy maker was suggested to correct nursing human resources by the way of adding amount of nurse, select a competence nurse, performance evaluation, education, practice and nursing supervise.
HUBUNGAN DUKUNGAN KELUARGA DENGAN PERILAKU LANSIA DALAM PENGENDALIAN HIPERTENSI Lily Herlinah; Wiwin Wiarsih; Etty Rekawati
Jurnal Keperawatan Komunitas Vol 1, No 2 (2013): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.408 KB)

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan perilaku lansia dalam pengendalian hipertensi di Wilayah Kecamatan Koja Jakarta Utara. Metode penelitian menggunakan cross sectional, dengan jumlah sampel 99 responden. Pengambilan sampel dengan teknik multi stage random  sampling. Sampel pada penelitian ini adalah lansia dengan usia 60 tahun ke atas, didiagnosis hipertensi TD ≥ 140/90 mmHg, lansia tinggal bersama keluarga, berkomunikasi verbal dengan baik, bersedia menjadi responden. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukkan ada hubungan antara dukungan emosional, dukungan penghargaan, informasi, dan instrumental denganperilaku lansia dalam pengendalian hipertensi dengan nilai  (p<0,05). Analisis lebih lanjut menunjukan bahwa dukungan informasi merupakan faktor yang dominan terhadap perilaku lansia dalam pengendalianhipertensi. Dukungan keluarga sangat penting dalam meningkatkan derajat kesehatan lansia.
STUDI FENOMENOLOGI TENTANG PENGALAMAN KELUARGA MERAWAT ANGGOTA KELUARGA PASKA STROKE DI RUMAH Asniar Asniar; Junaiti Sahar; Wiwin Wiarsih
Jurnal Ners Indonesia Vol 1, No 1 (2010)
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (553.732 KB) | DOI: 10.31258/jni.1.1.54-61

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Caregiver yang merawat anggota keluarga paska stroke di rumah merupakan populasi at risk yang sangat memerlukan bantuan dan dukungan. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam tentang pengalaman keluarga dalam merawat anggota keluarga paska stroke di rumah dan bagaimana keluarga memaknai pengalaman tersebut. Penelitian ini menggunakan desain fenomenologi deskriptif melalui metode wawancara mendalam dengan menerapkan teknik analisis Collaizi. Partisipan adalah enam caregiver utama dalam keluarga yang didapatkan dengan cara purposive sampling. Caregiver tersebut telah merawat klien stroke dengan ketidakmampuan pada level organ, personal dan sosial sebagai akibat dari stroke selama minimal 3 bulan paska perawatan di rumah sakit. Penelitian ini mengidentifikasi 10 tema, yaitu 1) alasan merawat; 2) tujuan merawat; 3) sifat perawatan, 4) dukungan dalam perawatan; 5) sikap dalam merawat; 6) perubahan peran pada caregiver; 7) karakteristik beban pada caregiver; 8) koping caregiver; 9) perubahan sikap dan kewajiban sebagai makna pengalaman merawat; dan 10) pelayanan kesehatan yang sesuai dengan keterbatasan keluarga dan klien paska stroke. Hasil penelitian dapat memberikan pemahaman bahwa caregiver merupakan recipient of care yang penting untuk diintervensi dalam keluarga dan masyarakat.
Pengalaman Keluarga dalam Merawat Penderita Sakit Kronis Annisa Wuri Kartika; Wiwin Wiarsih; Henny Permatasari
Jurnal Keperawatan Indonesia Vol 18, No 1 (2015): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i1.398

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Merawat anggota keluarga yang mengalami sakit kronis memengaruhi kehidupan anggota keluarga secara fisik, psikologis, dan sosial. Tujuan penelitian ini adalah mengetahui pengalaman keluarga dalam merawat anggota keluarga dengan penyakit kronis. Metode penelitian yang digunakan, yaitu kualitatif dengan pendekatan fenomenologi deskriptif. Partisipan merupakan delapan keluarga yang merawat anggota keluarga dengan sakit kronis. Tema yang ditemukan mencakup perubahan status kesehatan penderita, respons psikologis keluarga, upaya untuk mempertahankan kesehatan, dan harapan keluarga. Simpulan penelitian menggambarkan respons yang dialami oleh keluarga berbeda bergantung pada onset, lama, dan prognosis penyakit serta tahapan stres yang dialami keluarga. Perawat dapat memberikan manajemen asuhan keperawatan kepada keluarga berupa intervensi pendidikan kesehatan mengenai penyakit kronis, psikoedukasi, dan konseling keluarga dalam merawat penderita sakit kronis. AbstractThe Experience of Family Caregivers of Persons with Chronic Illness. Caring for family member with chronic illness affects the lives of family physically, psychologically, and socially. The aim of this study was to describe the experience of family member in caring for family members with chronic illness. A qualitative design with descriptive phenomenological approach was chosen for this study. Qualitative interviews with eight families were performed. The results included a changed health status for the person with chronic illness, family psychological response, efforts of maintain health and family expectations about type and quality of health services. Conclusion of research illustrated that response experienced by families were different depending on the onset, duration, and prognosis of the diseases and the stage of stress experienced by the family. Thus nurses could provide nursing care to family with chronic illness which are consist of health education and counseling in order to caring for family members with chronic illness.  Keywords: caregiver, chronic disease, family experience
Pengalaman Keluarga dalam Merawat Lanjut Usia dengan Diabetes Mellitus Siti Badriah; Wiwin Wiarsih; Henny Permatasari
Jurnal Keperawatan Indonesia Vol 17 No 2 (2014): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v17i2.401

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Merawat lansia DM menimbulkan dampak terhadap fisik, emosi, sosial dan ekonomi. Penelitian bertujuan untuk mendapatkan pemahaman yang mendalam tentang arti dan makna pengalaman keluarga dalam merawat lansia DM di kota Tasikmalaya, Jawa Barat. Penelitian fenomenologi deskriptif ini melibatkan delapan partisipan yaitu caregiver  utama lansia DM yang didapatkan dengan teknik criterion sampling. Data diperoleh melalui wawancara mendalam dan catatan lapangan yang dianalisis dengan menerapkan metoda Collaizi. Hasil penelitian ini menemukan tema kemampuan keluarga  dalam  melaksanakan tugas kesehatan keluarga, respon  psikologis, respon  fisik, respon terhadap  ekonomi dan  respon terhadap peran keluarga. Respon keluarga selama merawat kesehatan lansia dengan DM diantaranya ditunjukan dengan kemampuan melaksanakan tugas kesehatan keluarga, adanya masalah psikologis, masalah fisik dan masalah ekonomi. Penelitian lebih lanjut tentang faktor yang memengaruhi respon keluarga dalam merawat lansia dengan DM perlu dilakukan.AbstractFamily Experiences in Caring for Elderly with Diabetes Melitus. Experience in caring for elderly with DM adversely affect our physical, emotional, social and economic. The aim of this study was to explore the experience of family in caring elderly with DM in Tasikmalaya City, West Java. This qualitative descriptive phenomenology study involved eight family caregivers who care for elderly with DM as participants which selected by criterion sampling. Data was collected by in-depth interview and field notes which was analyzed by applying Collaizi’s method. The result of study identified themes, the ability to carry out the health task of family,  psychological response,  physical response, economic response and  response of role in family. This study recommended the need Further research on the factors that affect the response of the family in caring for the elderly with diabetes.Keywords: caregiver, DM, elderly, family nursing.
Pengalaman Perokok Rendah Tar dan Nikotin di Kota Malang Kumboyono Kumboyono; Junaiti Sahar; Wiwin Wiarsih
Jurnal Keperawatan Indonesia Vol 12 No 2 (2008): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i2.206

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AbstrakKehadiran rokok rendah tar dan nikotin (mild) menimbulkan asumsi bahwa rokok jenis ini lebih ramah terhadap kesehatan. Penelitian ini bertujuan mendeskripsikan makna pengalaman perokok dalam mengkonsumsi rokok mild di Kota Malang. Penelitian dilakukan dengan desain fenomenologi pada tujuh partisipan. Penelitian menghasilkan empat tema yaitu: alasan mengkonsumsi rokok mild; perubahan yang terjadi setelah menjadi perokok mild; makna mengkonsumsi rokok mild; jenis layanan dan strategi yang dibutuhkan untuk berhenti merokok. Kesimpulan penelitian ini ialah perokok menilai rokok rendah tar dan nikotin merupakan rokok ringan sehingga memacunya untuk terus menerus merokok dengan hisapan yang lebih dalam atau lebih banyak. Pemerintah disarankan untuk melarang pencantuman label mild dan sejenisnya yang dapat dipersepsikan secara keliru oleh perokok. AbstractThe mild cigarette led to the assumption that this cigarette has a lower risk for health. This phenomenological study was aimed to describe the meanings of smoker’s experiences regarding the mild cigarettes consumption in Malang. Seven participants were selected. The results showed four themes: reasons of smoking mild cigarettes; changes that happen after smoking mild cigarettes; meanings of smoking mild cigarettes; health care and strategies needed to stop smoking. This study concluded that smokers believed the mild cigarretes have low tar and niccotine cigarettes so they continue to smoke more and deeply. The government is suggested to stop putting the label of mild/other similar labels in a cigarettes pack which could be perceived incorrectly by smokers.
How Do People Living With HIV Acquire HIV Related Information: A Qualitative Evaluation of Jakarta Setting Mahathir Mahathir; Wiwin Wiarsih; Henny Permatasari
Jurnal Ners Vol. 15 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i2.19432

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Introduction: People living with HIV are fully aware of their risk behavior and future threats that might arise. The rapid progress of HIV serves the population with many options of healthcare services and treatments. Insufficient knowledge and information will only lower the outcomes of HIV eradication efforts. The ultimate goals to eradicate HIV are to upscale status notification and treat all with appropriate antiretroviral and viral suppression, but it needs sufficient information to administer. Programs and interventions have already been proposed, but an inquiry is needed to ensure all the information is actually there. The study aimed to explore the experience of people living with HIV acquiring HIV-related information.Methods: This study used phenomenological qualitative study and in-depth interviews were conducted to 12 people living with HIV. Semi-structured questions were delivered to all participants which explored their tangible experience in terms of nurturing sufficient HIV-related information.Results: The study found four consequential themes:  non-government organizations play a major role in HIV education, peers are a comfortable platform to discuss, it is all over the media and healthcare personnel are a source of knowledge. Conclusion: The distribution of HIV information and knowledge is now widespread. This situation marks   part of the success in fighting HIV. Remarkable attempts can be maintained by optimizing the viable option of information delivery.  Keyword: HIV knowledge; people living with HIV; qualitative study
KETERSEDIAAN BUAH DAN SAYUR DALAM KELUARGA SEBAGAI STRATEGI INTERVENSI PENINGKATAN KONSUMSI BUAH DAN SAYUR ANAK USIA PRASEKOLAH Erlisa Candrawati; Wiwin Wiarsih; Sukihananto Sukihananto
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 2, No 3 (2014)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.527 KB) | DOI: 10.33366/cr.v2i3.216

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Pre-school aged children is a risk group for poor fruit and vegetable intake. Dietary behavior and patterns are established during pre-school years and influenced by parents. The study aim is to determine the association between home availability of fruit and vegetable and its consumption among pre-school aged children. A cross sectional design with descriptive correlation was used to 89 family with pre-school aged children. It showed statistically significant relationship of food control (p value < 0,05) with a fruit and vegetable consumption pre-school aged children. Health education and counseling about parental feeding practices needs to be done as promotion and prevention intervention
Health Behavior and Medication Adherence in Hypertensive Client Wiwin Wiarsih; Nurul Miftahul Jannah; Junaiti Sahar
Indonesian Journal of Global Health Research Vol 2 No 2 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (585.973 KB) | DOI: 10.37287/ijghr.v2i2.75

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Hypertension as Non-Communicable Diseases (NCD) is the largest contributor to the causes of death in the world. Complications of hypertension account for the majority of deaths globally. Uncontrolled health behavior in patients with hypertension is closely related to an increase in morbidity rates due to complications from hypertension each year. Medication adherence is one of an effort to form positive health behaviors to prevent hypertension complications. This study aims to identify the relationship between health behavior with medication adherence in hypertensive clients in Cipayung District, East Jakarta. This study using cross sectional design, approach with 109 participants, who were selected by purposive sampling, are choosen primary hypertensive clients of middle adulthood. The results of the chi square test showed that there was a relationship between health behavior and medication adherence (p value: 0.024) 90% CI. The results of the study it can be concluded that the more positive the health behavior, the higher the adherence to taking medication in hypertensive clients. Community nurses have an important role in modifying the behavior of hypertensive patients with a variety of approaches both as individuals, families, and the public can maintain their health well-being. Keywords: hypertension; health behavior; medication adherence
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH, JAKARTA SELATAN Ratna Lestari; Etty Rekawati; Wiwin Wiarsih
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.228

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Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members. Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety. Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach. Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values