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All Journal Dharmakarya : Jurnal Aplikasi Ipteks Untuk Masyarakat Jurnal CARE Jurnal Keperawatan Sriwijaya Jurnal Keperawatan Padjadjaran Journal Of Nursing Practice Jurnal Keperawatan Silampari Window of Health : Jurnal Kesehatan Jurnal Kesehatan Manarang Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Journal of Nursing Care Seminar Nasional Keperawatan Journal of Maternity Care and Reproductive Health Media Karya Kesehatan Malahayati International Journal of Nursing and Health Science Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Mitra Kesehatan MAHESA : Malahayati Health Student Journal The Journal of Palembang Nursing Studies Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Journal of Health and Nutrition Research Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan 'Aisyiyah Padjadjaran Acute Care Nursing Journal (PACNJ) Jurnal Berita Ilmu Keperawatan Jurnal Riset Ilmiah Medical-Surgical Journal of Nursing Research Jurnal Ilmiah Kesehatan Keperawatan Action Research Journal Malahayati International Journal of Nursing and Health Science
Nursiswati
Fakultas Keperawatan Universitas Padjadjaran
Agriculture, Biological Sciences & Forestry Arts Humanities Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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EFFECT OF VISUAL ART AND PICO GAME ON EVIDENCE-BASED PRACTICE COMPETENCY AMONG NURSING PROFESSIONAL PROGRAMME STUDENTS Hasniatisari Haruni; Titis Kurniawan; Eka Afrima Sari; Nursiswati Nursiswati; Yusshy Kurnia Heliani
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.656

Abstract

Introduction Most nursing students in Indonesia require specialized competency training to implement evidence-based practice (EBP) in the clinical setting. Some literature revealed that art and game-based learning methods can improve students' skills and self-efficacy on the topics studied. Therefore, this study was conducted to evaluate the application of visual art plus the PICO game in improving EBP competence in nursing students.Methods: This study used a quantitative experimental design with a pretest-posttest one-group design approach. The study was conducted on 50 students at one of the nursing education institutions in Bandung, West Java, Indonesia, with a purposive sampling technique. The visual art plus PICO game intervention was given for 25 minutes by implementing drawing activities and card games. The EBP questionnaire consisting of eight questions was used as a research instrument to obtain data on students' EBP competence at the pretest and posttest. Demographic data was analyzed by descriptive statistical analysis, and the difference in EBP competence between the pretest and posttest was analyzed by independent t-test.Results: The data analysis results showed a significant difference in students' EBP competence before and after being given the visual art plus PICO game intervention (p<0.00). The mean score of students' EBP competence increased from 38.22 in the pretest to 41.56 in the posttest. Gender, grade point average, and learning style of students also influenced the results obtained in this study.Conclusion: Visual art and PICO game interventions were effective learning methods to improve students' EBP competence. Visual art plus the PICO game can be one of the options for learning methods to improve students' EBP competence.
Assessment of Fall, Dependency, and Stroke Knowledge In CKD Patient With Comorbidities Pebriana, Tika Rifa Luthfiyah; Kurniawan, Titis; Nursiswati, Nursiswati
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64537

Abstract

Chronic kidney disease (CKD) is a global health problem that can lead to serious complications. In patients with CKD and diabetes mellitus (DM), there is an increased risk of falls, dependence in daily activities, and stroke. Although these risks are often associated with the elderly population, the phenomenon of multimorbidity is now also increasing trends among individuals of working age. This study aims to describe changes in fall risk levels, dependency levels, and stroke risk knowledge among CKD patients with DM and glaucoma during hospital care. Data collection was conducted through observation, interviews, physical examinations, and medical record reviews. The sample used was a 43 year old woman. The study results showed a significant improvement in reduced fall risk (MFS: 35 to 25), decreased dependency level (CDS: 53 to 66), and increased stroke risk knowledge (SRQ: 28 to 40). This study indicates that comprehensive interventions such as hemodialysis, wound care, pharmacological therapy, and education effectively improve functionality and understanding in productive aged patients with complex multimorbidity.
Assessment of Pain and Dependency Levels in Patient with Paralytic Ileus Associated with Prolonged Antacid Use: Case Report Syifaurrahmah, Syifaurrahmah; Perbrianti, Sandra; Nursiswati, Nursiswati
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64489

Abstract

Paralytic ileus is a disorder that results in a halt of intestinal flow, causing fluid and gas accumulation. Although paralytic ileus is commonly associated with postoperative conditions, it may also influenced by electrolyte imbalances from long-term antacid use and age-related factors that increase mortality risk. If inadequately unmanaged, the condition can result in significant pain, increased risk of complications, and greater care dependency. The purpose to describe a case of paralytic ileus in an elderly patient with long-term antacid use and evaluate changes in pain intensity and care dependency during treatments. This case report involved a 74-year-old male patient with paralytic ileus and a primary nursing diagnosis of acute pain. Pain intensity and care dependency were assessed using the Numeric Rating Scale and Care Dependency Scale during a four-day hospitalization period. The patient showed clinical improvement, include the return of flatus and defecation, normalization of electrolyte levels, reduced pain intensity (NRS 6 to 3), and increased independence (CDS 46 to 62). Discussion: Nursing care included electrolyte correction and pain management through pharmacological therapy and guided imagery, which contribute to decreased pain an improved care dependency, particularly in continence-related aspects. Recall bias related medication history was identified as a limitation. This case underscores the importance of early recognition of electrolyte imbalance and comprehensive nursing assessment in patients with paralytic ileus. Holistic nursing care supported by multidisciplinary collaboration and non-pharmacological intervention played a critical role in enhancing patient outcomes and promoting functional independence during hospitalization.
INTERVENSI ELEVASI KEPALA 30o PADA PASIEN PASCA OPERASI CRANIOTOMY SOL MENINGIOMA AREA FRONTALIS DENGAN CHARLES BONNET SYNDROME (CBS) DAN RIWAYAT PENGGUNAAN KONTRASEPSI: CASE REPORT Triesna, Meuthia Saulikha; Pebrianti, Sandra; Nursiswati, Nursiswati
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2390

Abstract

Meningioma is an intracranial tumor of unknown etiology; however, progesterone is considered a hormonal factor associated with its incidence. Clinical manifestations include psychosis depending on the tumor location, with distinct symptoms such as the emergence of Charles Bonnet Syndrome (CBS). Additionally, Increased Intracranial Pressure (IICP) is a recurrent complication of craniotomy procedures. IICP poses a risk of cerebellar herniation, which can lead to decreased consciousness and respiratory arrest; therefore, intracranial management is crucial. One management strategy is 30° head elevation. This study aims to describe the application of a 30° head elevation intervention for decreased adaptive intracranial capacity in patient post-craniotomy for Space Occupying Lesion (SOL) Meningioma. This study utilized a case report design conducted in May 2023 at RSUD Sumedang. The results indicate that elevating the head above heart level facilitates venous return from the brain to the heart and helps activate the parasympathetic nervous system, which regulates bodily functions during rest. This maximizes patient relaxation, resulting in improved cerebral tissue perfusion, adequate oxygenation status, reduced headache, resolution of nausea and vomiting, and stable blood pressure. The 30° head elevation intervention is recommended as a non-pharmacological approach to address decreased adaptive     1     intracranial capacity, ensuring adequate cerebral blood circulation.
Audio-Visual versus Lecture Education on Teaching Quality and Discharge Readiness in Cataract Patients Nasrulloh, Iqbal; Nursiswati, Nursiswati; Ibrahim, Kusman
Window of Health : Jurnal Kesehatan Vol 9 No 1 (January 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.1393

Abstract

Cataract surgery in a day-care unit significantly reduces preoperative education time, posing a challenge for elderly patients with cognitive decline. Traditional lectures rely on nurse availability and verbal recall, necessitating a more standardized and sensory-engaging alternative. This study compared the effectiveness of audio-visual media versus traditional lectures on the Quality of Discharge Teaching (QTDS) and Readiness for Hospital Discharge (RHDS) in phacoemulsification patients. A quasi-experimental, post-test-only study was conducted at a tertiary referral hospital in August 2023. Using sequential sampling, 100 participants were allocated to either the lecture group (n=50) or the audio-visual group (n=50) based on a systematic time-based approach (odd-even surgery dates) to prevent cross-contamination. Data were collected through the validated Indonesian P-QTDS and P-RHDS questionnaires and analyzed using the Mann–Whitney U test. No significant difference was found in teaching quality (p=0.647), with both methods rated as satisfactory. However, the audio-visual group had a higher mean rank for discharge readiness (55.47) than the lecture group (45.53). Although approaching marginal significance (p=0.073), this reflects a clinically meaningful trend favoring the audio-visual intervention. The use of audio-visual media is recommended as the primary educational method to improve discharge readiness and ensure nursing standardization in high-volume day-care units.
Physical Activity and Fruit and Vegetable Consumption among Organic Farmers Lestari, Shaffira Deva; Pebrianti, Sandra; Nursiswati, Nursiswati
Media Karya Kesehatan Vol 9, No 1 (2026): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v9i1.65544

Abstract

Non-communicable diseases (NCDs) are closely related to lifestyle, particularly physical activity and the consumption of fruits and vegetables, which continue to be public health challenges. Organic farmers as a specific group have the potential for lower NCD risk due to the nature of their work and a lifestyle that tends to be more health-conscious. Organic farmers are known to have diverse physical activity patterns and close access to fruits and vegetables. This study aims to identify the physical activity habits and fruit and vegetable consumption of organic farmers. The research design used is quantitative descriptive. The population of this study consisted of organic farmers in Kecamatan Jatinangor and 30 respondents were selected using the snowball sampling approach. This study employed the International Physical Activity Questionnaire (IPAQ) and Food Frequency Questionnaire (FFQ) as research instruments. Data were analyzed using a quantitative descriptive approach, including frequency, proportion, and percentage calculations. The results showed that most organic farmers in Kecamatan Jatinangor were classified in high physical activity, totaling 27 respondents (90%), good fruit consumption with 26 respondents (86.7%), and good vegetable consumption with 28 respondents (93.3%). Therefore, it can be concluded that the majority of organic farmers in Kecamatan Jatinangor engage in high levels of physical activity as well as good fruit and vegetable consumption. Future studies are recommended to adopt qualitative approaches to explore factors influencing physical activity also fruit and vegetable consumption, as well as to collaborate with healthcare services, educational institutions, and farmer communities to support comprehensive health promotion programs. Keywords: Consumption, fruit, organic farmer, physical activity, vegetable.
Hydrotherapy as an evidence-based nursing intervention for managing type 2 diabetes mellitus: An integrative review Wiguna, Yutika; Nursiswati, Nursiswati; Ibrahim, Kusman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2373

Abstract

Background: Type 2 diabetes mellitus (DM) is a major global health challenge. Effective management requires non pharmacological interventions in addition to medication. Hydrotherapy, a non invasive and affordable water-based therapy, shows promise in improving blood glucose, insulin sensitivity, and vascular function. This review identifies hydrotherapy interventions for type 2 DM and evaluates their clinical impact. Purpose: To analyze how to improve adherence in type 2 diabetes mellitus patients in implementing the five pillars of diabetes mellitus management. Method: This integrative reviews the size devidence on hydrotherapy for type 2 DM, guided by two questions: "what forms of hydrotherapy intervention are used in the management of type 2 diabetes mellitus?" and "What is the impact of hydrotherapy on clinical out comes for patients with type 2 diabetes mellitus?". The population, intervention, outcome (PIO) frame work was used. A systematic literature search was conducted across major electronic data bases (PubMed, Scopus, Web of Science, EBSCO host: Medline). Seventeen relevant studies were included after screening. Results: Hydrotherapy interventions include hot water baths/immersions, aquaticexercise, hot/cold compression, and oral water consumption. Aquatic exercise can lower HbA1c, fasting glucose, and insulin levels. Hot baths may reduce poor glycemic control and decrease fasting plasma glucose. The tests revealed animmediate decrease in blood glucose. Oral hydrotherapy improved the ankle brachial index. Hydrotherapy also improved quality of life, physical health and reduced stress. The benefits extend to lipid profiles and obesity , as well as blood flow, vascular function, pain, and mobility. Conclusion: Hydrotherapy is a potential complementary intervention for type 2 DM, offering benefits interms of glycemic control, vascular function, quality of life, and physical symptoms. Its non pharmacological, non invasive, afford able, and safe nature make sit a viable nursing option, especially in resource-limited are as. While nurses are crucial in its implementation, current studies have limitations interms of methodology, standardization, and long-term data. Further robust research is needed for widerad option.
Implementation of Mindfulness in 66-years-old Female with Diabetic Post Surgery: A Case Report to Inform Nursing Role to Deliver Holistic Care Ida Widaningsih; Titis Kurniawan; Kusman Ibrahim; Nursiswati Nursiswati
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.5291

Abstract

Currently, there are no suggested psychological interventions or outcomes in the diabetic management guidelines. This case report presents the management of a 66-year-old female patient, Mrs. R, with diabetes mellitus, hypertension, and gastroesophageal reflux disease (GERD) who underwent exploratory laparotomy for retained stone exploration in the common bile duct (CBD). This Case report aimed to explore the implementation of mindfulness in patients post-operative. The patient experienced significant hyperglycemia, with blood glucose levels peaking at 436 mm Hg. Psychological assessment revealed a severe anxiety score of 31, which likely contributed to her unstable glycemic control. Throughout her unstable glycemic control. Throughout her severe condition, the patient was managed with total parenteral nutrition (TPN) due to fasting and green gastric contents, as part of the nursing intervention. Comprehensive nursing interventions, including regular blood glucose monitoring, insulin administration, and psychological support were employed. Mindfulness techniques such as guided meditation and breathing exercises have been introduced to alleviate hospital-induced distress and manage blood glucose levels. Following these interventions, her blood glucose level decreased to 167 mmHg, and the patient reported feeling calmer and more spiritually connected (Hamilton Rating Scale/ HARS 18). This case describes the management of post-surgical diabetic patients, highlighting the benefits of integrating psychological interventions to improve glycemic control and overall patient outcomes. Therefore, psychological interventions, particularly mindfulness, are needed for integration in diabetes management, especially in hospitals.
Co-Authors Acob, Joel Rey Adam, Saddam Febriansyah Adisite, Meina Nur Aeni Aisyah Istiqomah Anastasia Anna Andini, Nathania Putri Anza Zahya Qeysha Aprilia Inggritika Priyatmoko Putri Arina Elhaqqa Awaluddin A Azrania Fatima Bambang Aditya Nugraha Bambang Aditya Nugraha Bambang Aditya Nugraha Cahyani, Eka Maulidya Carissa Muthia Putri Nugroho Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Dadang Purnama Deasy Silvya Sari Deasy Sylvia Sari Desy Indra Yani Devita Listuhayu Dianantari, Fauziyyah Dimas Andhika Diva Jogina Dwi Winastuti Efri Widianti Eka Afrima Sari Eka Afrima Sari Etika Emaliyawati Fadhilah, Adinda Fadillah, Jasmine Fasya Faradisa, Firna Husnika Farida Afifah Nurlathifah Faturrahman, Reza Rizkika Febbie Chandra Syahrani Feni Agustina Fera Imelia Agustin Firman Sugiharto Fitry Filianty Ghifani Sifa Azahra Gian Cipta G HAMIDAH Hana Rizmadewi Agustina Hartiah Haroen Harun, Hasniatisari Harun, Hasniatisari Hasniatisari Harun Hasniatisari Haruni Hediati Hastuti I. -, Rafiyah, I. Ida Widaningsih Ikhsan Hafidz Iqbal Pramukti Istiqomah Dieni Hanifa Joel A Roy Khoirunnisa, Fadila Kirana, Ade Kurnia Herliani, Yusshy Kusman Ibrahim Lestari, Shaffira Deva Lia Sari Lidya Rahmawati Malfa Laila Pratidina Malihatunnisa Nurrofikoh Malihatunnisa Nurrofikoh Maniatunufus Maniatunufus Maniatunufus Maniatunufus Maniatunufus, Maniatunufus Maria Komariah Muhamad, Sahrul Nur Muhammad Alghifari Budiman Muhammad Fauzan Tamir Muhammad Sajid Ramadhan Naomi Sella Aprilia Nasrulloh, Iqbal Nita Fitria Novia Rahmawati Novia Yulianti Nur'aeni, Nabyla Nurrofikoh, Malihatunnisa Nurrofiqoh, Malihatunnisa Nurul Darmawulan Nurul Maulidya Nurwijayanti Oktaviani Fauziyah Ooh Hodijah Pebriana, Tika Rifa Luthfiyah Perbrianti, Sandra Priambodo, Ayu Prawesti Putri Noor Kholisoh Purnama Wati Putri, Silvi Riana Rafiyah, I. - Rahmat, Dadang Ramdhani, Muhammad Zaky Regina Cahyani Revi Merliani Nugraha Reyza, Muhammad Fakhrul Ridwana, Feni Rifia Azka Nabiilah Rizka Adinda Rizkiani, Agni Rustianti Salwa, Sayyidah Sandra Pebrianti Sandra Pebrianti Sania Yulianti Santi Rukminita Anggraeni Setiani, Haniifah Setiawan Shabira Fairuz Hasna Shafira Rizki A Sisca Damayanti Siti Nur Fatimah Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sutini, T. - Sya'fa, Siti Noor Syifaurrahmah, Syifaurrahmah T. -, Sutini, T. Taty Hernawaty Titis Kurniawan Titis Kurniawan Titis Kurniawan Titis Kurniawan Triesna, Meuthia Saulikha Tuti Pahria Umy Riskyani Urip Rahayu Vieri Abdurrafi Wati, Putri Noor Kholisoh Purnama Widaningsih, Ida Wiguna, Yutika Yanti Rubiyanti Yuli Wahyuni Yusshy Kurnia Heliani