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All Journal Nursing Current : Jurnal Keperawatan Real in Nursing Journal Journal of Telenursing (JOTING) Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat MAHESA : Malahayati Health Student Journal Media Penelitian dan Pengembangan Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Wildani, Andi Amalia
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Pemanfaatan Mobile Health Dalam Mendukung Pelayanan di Area Onkologi Anak: Literatur Review Faidah, Putry Nur; Wildani, Andi Amalia
REAL in Nursing Journal Vol 4, No 3 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i3.1491

Abstract

Introduction : Cancer is the second leading cause of pediatric death in developed countries. Chemotherapy as the main therapy cause various side effects and complications. Interventions such as health education, symptoms management and psychological social  support are important elements in care process. Mobile Health is a mobile application provides various features are very accessible and children can involved actively in the care process. Purpose : To describe the usability of mobile health in supporting services of pediatric oncology area. Methods : Using a literature review method on 10 articles searched through  PROQUEST, EBSCO, Science Direct, JMIR, and Spingerlink database from 2018 to 2021. Results : Mobile health is effective and provides benefits in health education, symptoms reporting and management, pediatric and caregiver support. Recommendation : Mobile health allows to be used in Indonesia to support pediatric oncology services. Keywords: adolescent, cancer, mobile health, pediatric.
Sistem pengelolaan asuhan keperawatan di poliklinik rawat jalan Simatupang, Yesi Juniarta; Hariyati, Roro Tutik Sri; Wildani, Andi Amalia
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.841

Abstract

Background: Nursing care management in outpatient units is an important aspect in improving the quality of hospital services. Nursing care is a critical thinking model that is patient-centered and based on a systematic approach starting from assessment, diagnosis, planning, implementation, and evaluation. However, in Indonesia the achievement of nursing care implementation is still not optimal, which is 56.8%. Purpose: To describe the implementation of the nursing care system in outpatient polyclinics. Method: The pilot project carried out included problem identification, problem analysis, determining problem priorities, preparing a Plan of Action (POA), implementation, and evaluation, which was carried out at X hospital Jakarta on September 2-October 2, 2024. Data collection was carried out through interviews, observations, and surveys, then the data was analyzed using strengths, weaknesses, opportunities, and threats (SWOT) analysis. Results: Evaluation showed that 60% of nursing care documentation met quality standards with a 5% increase in knowledge after implementation. Conclusion: Continuous audit improvement and training development are needed to support the implementation of changes. This continuous evaluation is needed to ensure that quality improvements can be maintained and continue to develop. Suggestion: Concrete steps needed are to conduct monthly evaluations of documentation implementation to ensure nursing care is carried out according to standards.   Keywords: Audit; Change; Nursing Care; Outpatient.                 Pendahuluan: Pengelolaan asuhan keperawatan di unit rawat jalan merupakan aspek penting dalam meningkatkan kualitas pelayanan rumah sakit. Asuhan keperawatan adalah model berpikir kritis yang berpusat pada pasien dan didasarkan pada pendekatan sistematis mulai dari pengkajian, penetapan diagnosis, perencanaan, implementasi, dan evaluasi. Namun, di Indonesia pencapaian pelaksanaan asuhan keperawatan masih belum optimal, yaitu sebesar 56.8%. Tujuan: Untuk mendeskripsikan implementasi sistem pengelolaan asuhan keperawatan di poliklinik rawat jalan. Metode: Pilot project terdiri dari identifikasi masalah, analisis masalah, penetapan prioritas masalah, penyusunan Plan of Action (POA), implementasi, dan evaluasi, dilaksanakan di RS X di Jakarta pada tanggal 2 September- 2 Oktober 2024. Data dikumpulkan melalui wawancara, observasi, dan survey, kemudian data dianalisis dengan menggunakan analisis strengths, weaknesses, opportunities, dan threats (SWOT). Hasil: Evaluasi menunjukkan bahwa 60% dokumentasi asuhan keperawatan telah memenuhi standar kualitas dengan peningkatan pengetahuan sebesar 5% setelah implementasi. Simpulan: Audit berkelanjutan dan pengembangan pelatihan perlu ditingkatkan untuk mendukung implementasi perubahan. Evaluasi berkesinambungan ini diperlukan untuk memastikan peningkatan kualitas dapat dipertahankan dan terus berkembang. Saran: Langkah konkret yang diperlukan termasuk evaluasi bulanan terhadap implementasi pendokumentasian untuk memastikan asuhan keperawatan dilakukan sesuai standar.   Kata Kunci: Asuhan Keperawatan; Audit; Perubahan; Rawat Jalan.
Peningkatan Resiliensi Perawat di Ruang Rawat Inap Rumah Sakit melalui Penerapan Zinger Model Basyir, Akhmad Azhar; Handiyani, Hanny; Wildani, Andi Amalia; Rachmi, Shanti Farida
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.v5i6.18434

Abstract

ABSTRACT Psychological problems are prone to occur in nurses and can be prevented by increasing nurse resilience. Nurse resilience can help overcome psychological problems and affect the quality of nursing care provided to clients. This scientific work aims to implement evidence-based nursing management practice (EBP), namely the application of the Zinger model to the nursing management direction function in improving the resilience of nurses who serve in the inpatient room. Measurement of the level of resilience using the Adult Resilience Measure-Revised (ARM-R) questionnaire before and after implementation. The results of measuring the level of resilience of nurses found that there were differences in the level of resilience, especially in the low and medium categories. There was a 4.5% decrease in the level of resilience in the low category from 22.7% to 18.2%, while in the moderate category there was an increase of 4.6% from 54.5% to 59.1%. Future research is expected to continue the application of the Zinger Model to improve nurse resilience with more interventions and for a longer time, 1-5 months for positive results. Keywords: Inpatient, Nurse, Resilience, Zinger Model  ABSTRAK Masalah psikologis rentan terjadi pada perawat dan dapat dapat dicegah dengan meningkatkan resiliensi perawat. Resiliensi perawat dapat membantu mengatasi masalah psikologis dan mempengaruhi kualitas asuhan keperawatan yang diberikan kepada klien. Karya ilmiah ini bertujuan untuk mengimplementasikan praktik manajemen keperawatan berbasis bukti/ Evidence Based Practice (EBP) yaitu penerapan Zinger model pada fungsi pengarahan manajemen keperawatan dalam meningkatkan resiliensi perawat yang berdinas di ruang rawat inap. Pengukuran tingkat resiliensi menggunakan kuesioner Adult Resilience Measure-Revised (ARM-R) sebelum dan sesudah dilakukan implementasi. Hasil pengukuran tingkat resiliensi perawat didapatkan ada perbedaan pada tingkat resiliensi terutama kategori rendah dan sedang. Ada penurunan 4,5% tingkat resiliensi kategori rendah dari 22,7% menjadi 18,2%, sedangkan pada kategori sedang ada peningkatan 4,6% dari 54,5% menjadi 59,1%. Penelitian selanjutnya diharapkan dapat melanjutkan penerapan Zinger Model untuk meningkatkan resiliensi perawat dengan intervensi yang lebih banyak dan dalam waktu yang lebih lama, 1-5 bulan untuk hasil yang positif. Kata Kunci: Perawat, Rawat Inap, Resiliensi, Zinger Model.
MENGGALI KETERKAITAN BUDAYA ORGANISASI DENGAN TINGKAT STRES DAN KELELAHAN PERAWAT DI RUMAH SAKIT: SYSTEMATIC REVIEW Gorean, Grace Irma; Novieastari, Enie; Wildani, Andi Amalia; Gayatri, Dewi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.2990

Abstract

Organizational culture is summary of shared values, beliefs, or perceptions held by employees in  organization or organizational unit and can influence staff attitudes and behaviors. This has impact the quality of life of nurses, including health, emotional exhaustion, job satisfaction, work stress. . The purpose this study to explore relationship between organizational culture and levels of stress and burnout among nurses in hospitals, provide more objective and comprehensive description of the existing evidence, identify knowledge gaps, and provide recommendations based on consistent findings.This research method is  detailed analysis using the PRISMA flow diagram, Literature search in several databases, namely Proquest, Science Direct, Taylor & Francis Online, PubMed, Sage, Whiley and Scopus which are published. Article quality assessment using the JBI Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross Sectional Studies. Eleven articles were identified and analyzed that met the inclusion criteria; articles have abstract and full text, search type in the database with journal articles, published in English, articles published in the last 10 years 2014 - 2024, articles discussing organizational culture; positive organizational culture consisting of; open and transparent communication, strong social support, good teamwork, trust and appreciation for nurses, safe and comfortable work environment, articles discussing stress levels and burnout of nurses in hospitals. Exclusion criteria: articles cannot be accessed as full text, books, are literature reviews, theses, books. The results of the synthesis show a positive organizational culture is less likely to indicate stress levels and burnout in nurses.
Implementasi budaya ringkas, rapi, resik, rawat, dan rajin (5R) di ruang rawat inap rumah sakit Susilowati, Margareta; Handiyani, Hanny; Afriyani, Tuti; Wildani, Andi Amalia
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1651

Abstract

Background: The implementation of a work culture of concise, neat, clean, attentive, and diligent is a proven adaptation of lean management that improves service quality, patient safety, and operational efficiency. However, its implementation in hospitals is often suboptimal. Purpose: To analyze the implementation of concise, neat, clean, attentive, and diligent in hospital inpatient wards. Method: A case study survey of residency reports was conducted from May to June 2025, using interviews with five Nurse Unit Managers (NUMs), questionnaires with 115 nurses, and field observations. The analysis used fishbone and SWOT analysis, with interventions designed following Kurt Lewin's theory of change. Results: Staff compliance with the 5Rs increased from 61% to 83% post-intervention, while patient/family engagement increased from 35% to over 60%. The pilot unit's standardization of ward layouts was also accompanied by enhanced supervision and the use of visual educational media (posters, leaflets, QR codes). Conclusion: Implementing a structured and collaborative work culture can improve ward order, increase staff compliance, and encourage patient participation. Follow-up actions are recommended through program integration into hospital SOPs, utilization of digital monitoring, and replication of standard layouts across all units.   Keyword: Inpatient Wards; Nursing Management; Patient Safety; Work Culture.   Pendahuluan: Penerapan budaya kerja ringkas, rapi, resik, rawat, rajin (5R) merupakan adaptasi lean management terbukti meningkatkan mutu layanan, keselamatan pasien, serta efisiensi operasional, namun implementasinya di rumah sakit sering belum optimal. Tujuan: Untuk menganalisis implementasi ringkas, rapi, resik, rawat, dan rajin (5R) di ruang rawat inap rumah sakit. Metode: Penelitian survey case study laporan residensi, dilaksanakan pada Mei-Juni 2025, melalui wawancara dengan 5 Nurse Unit Manager (NUM), kuesioner terhadap 115 perawat, serta observasi lapangan. Analisis menggunakan fishbone dan SWOT, dengan intervensi yang dirancang mengikuti teori perubahan Kurt Lewin.  Hasil: Tingkat kepatuhan staf terhadap 5R meningkat dari 61% menjadi 83% pasca intervensi, sementara keterlibatan pasien/keluarga naik dari 35% menjadi lebih dari 60%. Uji coba standarisasi layout ruang rawat di unit pilot juga disertai penguatan supervisi dan penggunaan media edukasi visual (poster, leaflet, QR-code). Simpulan: Pelaksanaan 5R secara terstruktur dan kolaboratif mampu memperbaiki keteraturan ruang rawat, meningkatkan kepatuhan staf, danmendorong partisipasi pasien. Tindak lanjut disarankan melalui integrasi program ke dalam SPO rumah sakit, pemanfaatan monitoring digital, serta replikasi layout standar ke seluruh unit.   Kata Kunci: Budaya Kerja 5R; Manajemen Keperawatan; Keselamatan Pasien; Ruang Rawat Inap.
Optimalisasi pelaksanaan journal reading di instalasi gawat darurat melalui pendekatan kotter’s 8-step change model Silitonga, Ester Mutiara Indah; Hariyati, Roro Tutik Sri; Afriani, Tuti; Wildani, Andi Amalia; Nasri, Khairul
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1662

Abstract

Background: The Emergency Department of Hospital X Jakarta faces challenges in developing nurses' critical thinking skills, influenced by time constraints and high workloads. One potential strategy to support nurses' continuous professional development is through structured journal reading activities. However, this activity has not been optimally implemented due to the lack of systematic and documented implementation guidelines. Purpose: To optimize the implementation of journal reading in the emergency department using Kotter's 8-Step Change Model. Method: A case study approach with management function analysis covering the stages of planning, organizing, directing, implementing, and Fish Bone analysis. The framework uses Kotter's 8-step change model approach. The activity was carried out at the Emergency Room of Hospital X Jakarta on June 19–28, 2025. Results: There was an increase in knowledge scores on 80% of the items after the socialization, although challenges still occurred in selecting appropriate articles. The socialization was conducted in a hybrid manner with the participation of 44 nurses and generated positive responses to the existence of Standard Operating Procedures (SOPs). Monitoring of nurses showed an increase in understanding and ability to conduct journal reading according to the guidelines. Conclusion: Implementation of the SOP socialization for journal reading has been proven to improve the quality of journal-based learning. Suggestion: Further mentoring and integration of SOPs into cross-unit nursing professional development programs are needed.   Keywords: Emergency Department; Journal Reading; Kotter's 8-Step Change Model Approach.   Pendahuluan: Instalasi Gawat Darurat Rumah Sakit X Jakarta menghadapi tantangan dalam mengembangkan keterampilan berpikir kritis perawat, dipengaruhi oleh keterbatasan waktu dan tingginya beban kerja. Salah satu strategi yang potensial untuk mendukung pengembangan profesional berkelanjutan perawat adalah melalui kegiatan journal reading yang terstruktur. Namun, kegiatan ini belum terlaksana secara optimal karena belum adanya acuan pelaksanaan yang sistematis dan terdokumentasi. Tujuan: Untuk mengoptimalisasi pelaksanaan journal reading di instalasi gawat darurat melalui pendekatan kotter’s 8-step change model. Metode: Pendekatan studi kasus dengan analisa fungsi manajemen yang meliputi tahapan perencanaan, pengorganisasian, pengarahan, pelaksanaan, serta analisa Fish Bone.  Kerangka kerja menggunakan pendekatan kotter’s 8-step change model. Kegiatan dilaksanakan di Instalasi Gawat Darurat Rumah Sakit X Jakarta pada tanggal 19–28 Juni 2025. Hasil: Terdapat peningkatan skor pengetahuan pada 80% butir soal setelah sosialisasi, meskipun masih ditemukan kendala pada pemilihan artikel yang tepat. Sosialisasi dilakukan secara hybrid dengan partisipasi 44 perawat, dan menghasilkan tanggapan positif terhadap keberadaan Standar Prosedur Operasional (SPO). Monitoring terhadap perawat pelaksana menunjukkan peningkatan pemahaman dan kemampuan dalam melakukan journal reading sesuai panduan. Simpulan: Implementasi sosialisasi SPO journal reading terbukti meningkatkan kualitas pembelajaran berbasis jurnal. Suggestion: Diperlukan pendampingan lanjutan serta integrasi SPO dalam program pengembangan profesional keperawatan lintas unit.   Kata Kunci: Instalasi Gawat Darurat; Journal Reading; Pendekatan Kotter’s 8-Step Change Model.
The Effectiveness of Preceptorship Programs in Improving Clinical Competence among Novice Nurses: A Systematic Review Wea, Maria; Hariyati, Rr. Tutik Sri; Handiyani, Hanny; Wildani, Andi Amalia
Nursing Current: Jurnal Keperawatan Vol. 13 No. 2 (2025): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i2.10300

Abstract

The transition period for new nurses is often characterized by adaptation-related stress, limited clinical experience, and insufficient supervision. Preceptorship offers structured support that helps accelerate competency development and enhance clinical readiness for practice. To evaluate the effectiveness of preceptorship programs in improving clinical competence in novice nurses.  A systematic search was conducted in PubMed, ScienceDirect, ProQuest, and Google Scholar from August 2019 to April 2025, following the PRISMA 2020 guidelines and registered PROSPERO protocol. This review included quantitative studies involving new nurses who received structured preceptorship interventions with clinical competency as the primary outcome. Eligible study designs comprised randomized controlled trials, quasi-experimental studies, uncontrolled pre–post trials, and cross-sectional surveys. Qualitative studies, student-based programs, and orientations without preceptors were excluded. Two reviewers independently conducted study selection, data extraction, and methodological quality appraisal using the JBI critical appraisal tools. The findings were synthesized narratively. Ten studies consistently demonstrated that preceptorship programs improved clinical competence, confidence, and readiness for practice. Eight studies reported significant improvements (p < 0.05). Effective programs included individualized supervision, structured feedback, and standardized competency assessments. Critical success factors included preceptor readiness, continuity of preceptorship, organizational support, and reduced transition shock. The findings indicate that well-structured preceptorship programs can enhance the clinical competence and self-confidence of novice nurses. Healthcare institutions are encouraged to adopt standardized preceptorship frameworks, allocate adequate resources, and provide ongoing training and support for preceptors to strengthen practice readiness, improve quality of care, and promote nurse retention. 
Co-Authors Afriyani, Tuti Asmara, Amelia Aziz, Herawani Basyir, Akhmad Azhar Dewi Gayatri Djarang, Lilyance Eka Handayani Enie Novieastari Erwin Erwin Faidah, Putry Nur Gorean, Grace Irma Hanny Handiyani Hariyati, Roro Tutik Sri Hariyati, Rr.Tutik Sri Harpendewisasmita, Harpendewisasmita Hernawati, Lestari Krisna Yetti La Ode Abdul Rahman Nasri, Khairul Oktaviarini, Eva PUJI LESTARI Purwanti, Enny Sri Rachmi, Shanti Farida Rr Tutik Sri Hariyati Silitonga, Ester Mutiara Indah Simatupang, Yesi Juniarta Siti Wahyuni Susilowati, Margareta Tanjung, Syarifah Aini Tulende, Alfani Tuti Afriani Wea, Maria Widiasari, Widiasari Wigiarti, Sri Herni Yatnikasari, Aat