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All Journal Nurse Media Journal of Nursing International Journal of Nursing and Health Services (IJNHS) An-Nadaa: Jurnal Kesehatan Masyarakat Ahmar Metastasis Health Journal (AMHJ)
Purwadi, Hendri
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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The SALT and START Triage System for Classifying Patient Acuity Level: A Systematic Review Purwadi, Hendri; Breaden, Katrina; McCloud, Christine; Pranata, Satriya
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.37008

Abstract

Background: Two common triage systems have been widely used in mass casualty incidents (MCIs) and disaster situations, namely START (simple triage algorithm and rapid treatment) and SALT (sort, assess, lifesaving, intervention, and treatment/transport). There is currently controversy regarding the effectiveness of SALT over the START triage system.Purpose: This systematic review aims to compare the accuracy of the SALT and START triage systems in disaster and MCI settings.Methods: The literature was searched using a systematic search strategy for articles published from 2009 to 2020 in the Medline, CINAHL, Web of Science, Scopus, PubMed, ProQuest databases, and the grey literature. This review included simulation-based and medical record-based studies investigating the accuracy and applicability of the SALT and START triage systems in adult and child populations during MCIs and disasters. All types of studies were included. The PRISMA flowchart was used to retain the articles, and the Joanna Briggs Institute critical appraisal tools were used to assess the quality of the reviewed studies.Results: Of 1,450 articles identified in the search, 10 articles were included. It was found that the START triage system had a wide range and inconsistent levels of accuracy (44% to 94.2%) compared to the SALT triage system (70% to 83%). The under-triage error of the START triage system ranged from 2.73% to 20%, which was slightly lower than the SALT triage system (7.6% to 23.3%). The over-triage error of the START triage system (2% to 53%) was slightly higher than the SALT triage system (2% to 22%). However, the time taken to apply START triage system (70 to 72.18 seconds) was faster than for the SALT triage system (78 seconds).Conclusion: The START triage system was simpler and faster than SALT. Conversely, the SALT triage system appeared to be slightly more accurate, more consistent, and had a lower rate of under- and over-triage error than START. It appears that neither the SALT nor the START triage system is superior to the other. Further research is needed to establish the most appropriate disaster and MCI triage system, especially for the Indonesian context. 
Social support Improved the quality of life among Covid-19 Survivors in Sumbawa Kesuma, Evi Gustia; Purwadi, Hendri; Putra, Dewa Gede Sanjaya; Pranata, Satriya
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 4 (2022): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i4.605

Abstract

Introduction: Covid-19 infected has an impact on quality of life among patients. Objectives: The study aimed to analyze factors related to quality of life among Covid-19 survivors in Sumbawa. Moreover, identifying the most variable related to quality of life was the secondary aims of this study. Methods: A quantitative study with a cross-sectional survey approach was applied to COVID-19 survivors in the Sumbawa Regency, West Nusa Tenggara. One hundred one respondents were selected by using proportional random sampling technique. Two statistically analysis used such as chi-square test and multiple logistic regression. Results: The results showed that gender, age, occupation, education level and social support associated with quality of life among covid-19 survivors. Social support was highest factor to improve the quality of life. Recommendation: The role of families, communities, and the government becomes an important point to ensure that COVID-19 survivors get social support, particularly when 1 to 6 months of recovery
Risk of Covid-19 Transmission During the Second Wave Outbreak in Sumbawa Island, Indonesia Pranata, Satriya; Putra, Dewa Gede Sanjaya; Purwadi, Hendri; Pratiwi, Adekutari; Wulandari, Herlinda; Wu, Shu-Fang Vivienne
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 4 (2022): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i4.608

Abstract

Introduction: Some countries reported second wave outbreaks of coronavirus. Objectives: To explore how dangerous the risk of COVID-19 transmission during the second wave outbreak in Sumbawa Island, Indonesia. Methods: A descriptive normative survey method to describe an object and behaviour in accordance with existing reality in Sumbawa Island. The number of respondents was 201 people who were given questionnaires by researchers. Results: Most of the respondents held the status of a State Civil Apparatus that is equal to 61.69%. In the second place, some respondents had the status of self-employed totalling 7.46%. Based on the type of work they did, the respondents had fairly high mobility at 89.55%. In addition, 89.05% of respondents have a habit of touching money or items that are touched by other people and this is exacerbated by the behaviour of not using hand sanitisers to clean their hands totalling 72.14% of respondents. Moreover, 86.57% of the respondents do not have the habit of sunbathing for 15 minutes per day and do not do sports for 30 minutes per day totalling 61.19% of respondents. Recommendation: High mobility, infrequent exercises, infrequent handwashing, and improper implementation of social distancing can increase the risk of COVID-19 infection. The government should conduct a campaign to spread the information in order to break the chain of risk of transmission
Exploring the Experience of Nursing Students in Performing Cardiopulmonary Resuscitation (CPR) in Manambai Hospital: A Qualitative Study Purwadi, Hendri; Harmili, Harmili; Friansyah, Kemas Andika
Ahmar Metastasis Health Journal Vol. 4 No. 1 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i1.294

Abstract

In hospital cardiac arrest (IHCA) is a worldwide issue due to its low survival rate with survival rate decreases by 10% every minute in the absence of cardiopulmonary resuscitation (CPR). All medical staff who are providing care to patients, including nursing students, must immediately begin CPR and call for an activated advanced medical team. With less experience, nursing students find it challenging and demanding to perform high-quality CPR. This study aims to explore the nursing student experience in providing CPR to the patient at the hospital. This study was a qualitative design with a phenomenological approach. An in-depth interview with a semi-structural approach was conducted among 10 nursing students at the Manambai hospital. The data analysis used Colaizzi's (1978) seven-step method. The result shows that three themes were identified,regarding nursing stedent experience in performing CPR including : nursing students’ feelings (fear, worry, satisfaction, fearfulness, pride, and stress), challenges (difficulty recognising the difference between real patients and CPR training manikin, and difficulty following certain medical personnel's CPR performance), and the need for feedback from senior medical staff and clinical instructors. The conclusion is nursing students need more practice and opportunities to perform CPR under the supervision of  lecturers and clinical instructors in order to provide excellent and safe patient care. Clinical instructors (CI)  should provide additional opportunities for CPR under CI supervision. Moreover, in order to improve nursing students' CPR abilities and knowledge, lecturers should improve high-fidelity simulation.
Pengaruh metode pelatihan “low-dose-high-frequency” terhadap Peningkatan dan Retensi Pengetahuan, Keterampilan serta Sikap tentang Resusitasi Jantung Paru (RJP) pada Masyarakat Sumbawa Purwadi, Hendri; Harmili, Harmili; Maulana, Antoni Eka Fajar; Setiadi, Herbowo
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 11, No 2 (2024): AN-NADAA JURNAL KESEHATAN MASYARAKAT (DESEMBER)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v11i2.16439

Abstract

Peluang hidup pada penderita henti jantung diluar rumah sakit (out of hospital cardiac arrest) bergantung pada orang sekitar dan akan berkurang 10% tiap menit tanpa resusitasi jantung paru (RJP) dan kejut jantung (Defibrilasi). Penelitian ini bertujuan untuk mengetahui pengaruh metode pendidikan kesehatan dengan metode low dose  high frequency (LDHF) terhadap peningkatan dan retensi pengetahuan, keterampilan serta sikap tentang RJP pada masyarakat Kabupaten Sumbawa. Penelitian dilakukan dengan mixed method  terhadap 56 responden dari kabupaten Sumbawa yang dibagi menjadi kelompok intervensi dan kontrol. Kelompok intervensi mendapatkan pendidikan kesehatan selama 4 minggu dengan metode LDHF, yaitu dengan mengirimkan materi RJP singkat melalui WhatsApp (low-dose) dan berlatih mandiri sesering mungkin (high frequency) dengan supervisi expert setiap minggu. Analisis data dilakukan setelah pengambilan data dilakukan pada minggu ke-0, ke-4 dan ke-10 setelah intervensi. Hasil dari penelitian ini adalah terdapat perbedaan yang signifikan rata-rata skor pengetahuan dan keterampilan antara kelompok intervensi dan kontrol pada minggu ke-4 dan minggu ke-10 (p value<0,05).  Penkes dengan metode LDHF berpengaruh terhadap retensi pengetahuan dan keterampilan pada kelompok intervensi sampai dengan minggu ke-10 (p>0,05) . Tidak ada perbedaan yang signifikan sikap responden pada kelompok intervensi maupun kontrol terkait dengan RJP (p value>0,05). Data kualitatif menunjukkan bahwa RJP bermanfaat namun masih ada keraguan melakukan RJP. Kesimpulan dari penelitian ini adalah metode LDHF berpengaruh terhadap retensi pengetahuan serta keterampilan terkait RJP pada masyarakat kabupaten Sumbawa sampai dengan 10 minggu setelah intervensi. Diperlukan penelitian lebih lanjut dengan sampel lebih banyak dan durasi waktu yang lebih lama terkait dengan implementasi LDHF
Co-Authors Breaden, Katrina Friansyah, Kemas Andika Harmili, Harmili Kesuma, Evi Gustia Maulana, Antoni Eka Fajar McCloud, Christine Pratiwi, Adekutari Putra, Dewa Gede Sanjaya Satriya Pranata Setiadi, Herbowo Wu, Shu-Fang Vivienne Wulandari, Herlinda