Article Per Year (5 Year)
p-Index From 2021 - 2026
2.984
P-Index
This Author published in this journals
All Journal JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Bidang Ilmu Kesehatan Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Indonesian Journal of Global Health research Journal of Applied Nursing and Health Journal of Health and Nutrition Research Jurnal Keperawatan Journal of Ageing And Family Darussalam: Journal of Psychology and Educational International Journal of Research in Counseling Journal of Biomedical and Techno Nanomaterials
Marliana, Thika
Unknown Affiliation
Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

Published : 21 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 21 Documents
Search

 1   2   3 
Emergency Psychiatric–Mental Health Nursing Interventions for Older Adults: A Systematic Review and Meta-Analysis Marliana, Thika; Metz-Ruszkai, Szilvia; Purebl, György; Binti Osman, Suhaila; Safitri, Yunita Restu; Octavia, Lia
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.582

Abstract

Background: Older adults represent a highly vulnerable population in psychiatric emergency settings due to cognitive decline, multimorbidity, and psychosocial instability. Although psychiatric emergency nursing interventions are increasingly implemented, existing evidence remains fragmented and lacks comprehensive synthesis focusing specifically on nursing-led, non-pharmacological approaches in emergency contexts. The research aimed to evaluate the effectiveness of psychiatric emergency nursing interventions in reducing agitation, physical restraint use, and emergency pharmacotherapy among older adults, and to identify the most effective intervention components. Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The protocol has been submitted to PROSPERO and is currently under review. A comprehensive search was performed in PubMed, CINAHL, PsycINFO, and Scopus for studies published between January 2013 and December 2023, with the final search conducted in December 2023. A total of 1,246 records were identified; 27 studies met the inclusion criteria and were included in the meta-analysis. Risk of bias was assessed using design-appropriate appraisal tools. Data were synthesized using a random-effects model. Statistical heterogeneity was evaluated using the I² statistic, and sensitivity analyses were performed to assess robustness. Results: Psychiatric emergency nursing interventions including intensive therapeutic communication, structured de-escalation strategies, and family involvement significantly reduced agitation among older adults (pooled effect size = -0.68; 95% CI: -0.84 to -0.52; I² = 75%). These interventions were also associated with decreased use of physical restraints and emergency pharmacological management. Most randomized studies demonstrated low risk or some concerns, while non-randomized studies exhibited moderate risk of bias. Conclusion: Nursing-led psychiatric emergency interventions are effective in reducing agitation and minimizing restrictive practices among older adults in emergency settings. However, substantial heterogeneity across studies limits the certainty of evidence. These findings support the development of standardized evidence-based clinical protocols and targeted geriatric psychiatric nurse training, particularly in resource-constrained emergency systems. Further high-quality randomized trials are required to strengthen the evidence base and inform policy implementation
Co-Authors Agustin, Dinni Ahmadun, Ahmadun Andarusito, Nurcahyo Ariestanti, Yenni Ayunanda, Dewi Azija, Izzatul Binti Osman, Suhaila Boonsawad, Panicha Denis, Samuel Desi Pramujiwati Garmelia, Elise Gunardi, Astri Herawati Herawati Heryandi, Rifky Husnan Husnan Ifadah, Erlin Indah Kurniawati Indriayani, Iis Jamiatun Jamiatun, Jamiatun Judijanto, Loso Karsam Karsam Kidrawati, Atik kridawati, atik Kusmayra Ambarwati, Kusmayra M.Sholihah, Siti Magar, Bina Mariati Tamba Mawarni, Endang Siti Maya Sova Metz-Ruszkai, Szilvia Novena, Odilia Dea Nugraha, Agung Tri Nugroho, Dedy Nur Hartaningtyas, Sri Nurhayati Nurhayati NURUL HIDAYAH Octavia, Lia Osman, Suhaila Binti Permana, Angga Prasetia Purebl, György Rizky, Maulini Rosa, Tina Safitri, Yunita Restu Samsuni, Samsuni Sholiha, Nur Sidauruk, Keyko Lampita Mariana Siti Mona Amelia Lestari Solly Aryza Sri Yulianti Suharyanto Sumijatun Sumijatun, Sumijatun Susanti, Fajar Taqwin, Ahmad Trigono, Ahdun Wahyuningrum, Maria Aditia Widayati, Titik Widyaningsih Widyaningsih, Widyaningsih Winardi, Novia Yanuar , Ignatius Erik Sapta Yeni Safitri Yustita, Annisa Tri