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PENGARUH PEMBERIAN MASSAGE ABDOMEN TERHADAP PENURUNAN KONSTIPASI PADA PASIEN STROKE ISKEMIK DI RSUP DR. WAHIDIN SUDIROHUSODO MAKASSAR Yacoline Pailungan, Ferly; Kaelan, Cahyono; Rachmawaty, Rini
Patria Artha Journal of Nursing Science Vol 1, No 2 (2017): Patria Artha Journal of Nursing Science
Publisher : Patria Artha University

Tujuan: AngkaÂ kejadianÂ Â konstipasiÂ cukupÂ tinggiÂ Â padaÂ Â penderitaÂ stroke iskemik yang mengalamiÂ immobilisasi karenaÂ padaÂ saatÂ pasienÂ Â mengalamiÂ Â penurunanÂ Â aktivitasÂ akanÂ menyebabkan penurunanÂ fungsi ototÂ abdominal, penurunan peristaltik usus yangÂ dapat memperlamaÂ pasaseÂ feses sehingga pasien mengalami konstipasi. Tujuan penelitian iniÂ adalahÂ untuk mencegah dan mengatasi masalah konstipasiÂ padaÂ pasien stroke di RSUP DR Wahidin Sudirohusodo Makassar denganÂ massage abdomen. Massage abdomen Â dapat menurunkan konstipasi melalui beberapa mekanismeÂ yang berbeda - beda antara lain dengan menstimulasi sistem persyarafanÂ parasimpatis sehingga menurunkan tegangan pada otot abdomen, meningkatkan motilitasÂ pada sistem pencernaan , serta memberikan efek pada relaksasi sfingter. Metode: penelitian ini menggunakan desain Quasi Experiment, dengan tehnik pengambilan sampel yaitu Consecutive Sampling. Responden 30 orang dibagi ke dalam 2 kelompok yaitu: kelompok intervensi yang diberikan massage abdomen sebanyak sekali dalam sehari selama tiga hari berturut âturut, sedangkanÂ kelompok kontrol tidak diberikan perlakuan. Sebelum intervensi, dilakukan penilaian awal konstipasi dengan menggunakan kuesioner Constipation Assesment Scale (CAS) Hasil: Hasil uji statistik menunjukkan nilai p=0,000, p<0,005 sehingga disimpulkan ada perbedaaan yang signifikan pada skor konstipasi (CAS) antara kelompok intervensi dengan kelompok kontrol. Massage abdomen terbukti memiliki efek terhadap penurunan konstipasi. Rekomendasi: Massage Abdomen dapat menjadi intervensi mandiri yang dapat dilakukan olehÂ perawat untuk menurunkan konstipasiÂ tanpa menimbulkan efek samping.

Instrumen Kepuasan Pasien Terhadap Pelayanan Keperawatan : Literature Review Badrin, Nina Nisrina; Rachmawaty, Rini; Kadar, Kusrini
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Patient satisfaction is one of indicator to assess the quality of health services. Measurement of patient satisfaction with nursing services is needed as an evaluation material for nursing management to ensure and improve the quality of nursing services. Several instruments of patient satisfaction with nursing services have been developed. The purpose of this Literature Review is to identify instruments of patient satisfaction with nursing services. This literature review examines the results of development and psychometric testing research of patient satisfaction instruments through article search in PubMed and Google scholar databases with keywords : patient satisfaction, nursing care, instrument, development, tools, psychometric, validity and reliability. We reviewed 20 articles. There are 7 instruments for assessing patient satisfaction with nursing services, namely the questionnaire SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ and PPHEN. Patient satisfaction instruments consist of several dimensions including individual assessment, communication, staff response, technical competence, interpersonal competence, health education, facilities, hospital environment, comfort, information on return, collaboration and coordination when patients are discharged from the hospital. Based on this literature review it can be concluded that there are several instruments and dimensions that can be used to assess patient satisfaction. But, it is necessary the development of patient satisfaction instruments by involving the perspective of the service provider and incorporating the dimensions of caring as the essence of nursing services. Kepuasan pasien merupakan salah satu indikator untuk menilai kualitas pelayanan kesehatan. Pengukuran kepuasan pasien terhadap pelayanan keperawatan diperlukan sebagai bahan evaluasi bagi manajemen keperawatan untuk menjamin dan meningkatkan kualitas pelayanan keperawatan. Beberapa instrumen kepuasan pasien terhadap pelayanan keperawatan telah dikembangkan. Tujuan Literature Review ini untuk mengidentifikasi instrumen kepuasan pasien terhadap pelayanan keperawatan. Literature review ini menelaah hasil penelitian pengembangan dan uji psikometrik instrumen kepuasan pasien melalui pencarian artikel di database PubMed dan Google scholar dengan kata kunci : patient satisfaction, nursing care, instrument, development, tool, psychometric, validity dan reliability. Kami melakukan review terhadap 20 artikel. Ada 7 instrumen penilaian kepuasan pasien terhadap pelayanan keperawatan yaitu kuesioner SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ dan PPHEN. Instrumen kepuasan pasien terdiri dari beberapa dimensi termasuk penilaian individu, komunikasi, tanggapan staf, kompetensi teknis, kompetensi interpersonal, pendidikan kesehatan, fasilitas, lingkungan rumah sakit, kenyamanan, informasi kepulangan, kolaborasi dan koordinasi ketika pasien keluar dari rumah sakit. Berdasarkan literature review ini dapat disimpulkan bahwa untuk menilai kepuasan pasien terhadap terdapat beberapa instrumen dan dimensi yang dapat digunakan. Namun perlu pengembangan instrumen kepuasan pasien dengan melibatkan perspektif dari pemberi pelayanan dan memasukkan dimensi caring sebagai esensi dari pelayanan keperawatan.

Efektivitas Murottal Al Qur’an Terhadap Respon Fisiologis, Kecemasan Pre Operasi Dan Gelombang Otak Hakim, Hasnani; Syam, Yuliana; Rachmawaty, Rini
Jurnal Keperawatan Respati Yogyakarta Vol 5, No 3 (2018): September 2018
Publisher : Universitas Respati Yogyakarta

Bacaan Al Qur'an telah digunakan oleh kaum muslim selama berabad-abad untuk menyembuhkan dan mengobati orang yang menderita stres dan gangguan psikologis. Suara bacaan Al Qur’an menghasilkan suara dengan frekuensi dan panjang alunan tertentu yang ekspresif. Alunan ini menghasilkan untaian melodi yang mendayu yang mempengaruhi sel otak dan mengembalikan keseimbangan dan koordinasi, mempengaruhi keadaan mental dan psikologis manusia. Hal ini akan menyebabkan peningkatan kekuatan pertahanannya secara dramatis terhadap penyakit. Review artikel ini bertujuan untuk mengidentifikasi efektivitas pembacaan Al Qur’an pada respon fisiologis, kecemasan pra operasi dan gelombang otak manusia. Metode yang digunakan yaitu electronic data base dari jurnal yang telah dipublikasikan oleh Pubmed, ProQuest, Google Scholar dan Cochrane. Hasil review dari 15 jurnal yang dipilih menunjukkan bacaan Al Qur'an secara efektif memperbaiki tanda-tanda vital, peningkatan saturasi oksigen, tingkat kesadaran, mengurangi kecemasan pre operasi dan hasil EEG gambar gelombang otak yang menunjukkan bacaan Al Qur’an memberi ketenangan, rasa lega, dan suasana santai dan rileks. Kesimpulan, bacaan Al Qur’an adalah salah satu terapi komplementer, intervensi non-farmakologis, non-invasif dan murah untuk memperbaiki tanda-tanda vital, meningkatkan saturasi oksigen, tingkat kesadaran, mengurangi kecemasan pre operasi dan memberikan kenyamanan bagi pasien.

The Influence of Supervision on the Performance of Associate Nurse in Hospitals : a Literature Review Munawar, Munawar; Saleh, Ariyanti; Rachmawaty, Rini
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : STIKes Surya Mitra Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v2i2.47

Background: Various efforts are made to maintain and improve the quality of nursing services, one of which is to carry out nursing care according to the standards of nursing practice safely, effectively and ethically. To maintain quality, it is necessary to control nursing care in a directed and planned manner. One of the controls in nursing management is supervision. Purpose: The purpose of this literature study is to identify the effectiveness of the implementation of supervision on the performance of implementing nurses in hospitals. Methods: Database searches used in this literature review are Pubmed, Science Direct and Google Scholar published in 2007-2018. Results: From the six articles used, it was found that supervision had an impact on improving nurses' performance in the form of actions and behaviors that could be measured to maintain and improve the quality of health services for both sick and healthy patients. Other impacts among them commitment, employee attachment, competence and individual quality as well as improving service qualityto them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: Implementation of supervision motivates nurses to be more attached to work, and has better performance opportunities

Nurses’ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study Supri, Aisyah; Rachmawaty, Rini; Syahrul, Syahrul
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : STIKes Surya Mitra Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v2i2.48

Background: One of nursing management functions is organizing nursing staff through assessing their working performances. Managing nursing staff in order to improve their working performance is vital. Thus, it needs to be well-designed to meet the patients’ expectation on health care quality. Nurses’ performance is defined as the action, achievement, or fulfillment of nurses’ responsibilities based on their tasks that have been assigned to them. Purpose: The aim of this study was to describe the nurses’ performance assessment and the nurse activities based on nursing clinical authority at the Dr. Wahidin Sudirohusodo hospital Makassar. Methods: This research is a qualitative descriptive study. Data were gathered from Focus Group Discussion (FGD), individual interviews, and document analysis. Results: The study results showed that generally the assessment of the nurses’ performances at the Dr. Wahidin Sudirohusodo hospital has been conducted since 2015. However, there were still some areas that need to be improved, such as the quantity indicator assessment that is currently not developed based on the nursing clinical authority. In fact, the assessment of nurses' performance for quantity indicators should be adjusted to the nursing clinical authority that has been assigned to them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: The assessment of nurses’ performance should be adhered to the nursing clinical authority and it is better if hospital managers may synchronize the nursing clinical authority with the online nursing logbook provided in the Hospital Information System

Effect of Humor Therapy on Chronic Pain: A Literature Review Yusnaeni, Yusnaeni; Erika, Kadek Ayu; Rachmawaty, Rini
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : STIKes Surya Mitra Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v2i2.51

Introduction: Chronic pain is an unpleasant sensory and emotional experience with actual or potential tissue damage, or is described as a damage lasting more than 3 months with heavy or moderate intensity. The patient's response to the pain he experienced was done in different ways such as shouting, grimacing, crying, etc. Repair of pain is likely to occur more quickly when psychological intervention is included in medical care because it requires alternative and complementary treatment to overcome the pain including prayer , humor, hypnosis, and group support. Growing evidence-based nursing practice shows progress in helping patients deal with the pain. One of the evidence-based nursing practices is humor therapy. Method: The literature search was done through searching the results of scientific publications 2010-2018 using several databases, such as Such as Google scholar, PubMed, DOAJ, and Cochran, with keyword "Humor Therapy and Chronic Pain. Result: Obtained 6 fulltext articles, were obtained with various methods used, such as quasi-experimental pre- and posttest control group design, randomized two-group review literature, concluded that humor therapy proved effective in reducing chronic pain in all ages. Conclusion: The humor therapy is effective in reducing chronic pain in patients of all ages, both children, adults and the elderly, besides humor therapy can also be used to increase endurance and quality of life in elderly who are cared for in nursing homes

The Influence of Supervision on the Performance of Associate Nurse in Hospitals : a Literature Review Munawar, Munawar; Saleh, Ariyanti; Rachmawaty, Rini
Journal Of Nursing Practice Vol. 2 No. 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Background: Various efforts are made to maintain and improve the quality of nursing services, one of which is to carry out nursing care according to the standards of nursing practice safely, effectively and ethically. To maintain quality, it is necessary to control nursing care in a directed and planned manner. One of the controls in nursing management is supervision. Purpose: The purpose of this literature study is to identify the effectiveness of the implementation of supervision on the performance of implementing nurses in hospitals. Methods: Database searches used in this literature review are Pubmed, Science Direct and Google Scholar published in 2007-2018. Results: From the six articles used, it was found that supervision had an impact on improving nurses' performance in the form of actions and behaviors that could be measured to maintain and improve the quality of health services for both sick and healthy patients. Other impacts among them commitment, employee attachment, competence and individual quality as well as improving service qualityto them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: Implementation of supervision motivates nurses to be more attached to work, and has better performance opportunities

Nursesâ€™ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study Supri, Aisyah; Rachmawaty, Rini; Syahrul, Syahrul
Journal Of Nursing Practice Vol. 2 No. 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Background: One of nursing management functions is organizing nursing staff through assessing their working performances. Managing nursing staff in order to improve their working performance is vital. Thus, it needs to be well-designed to meet the patientsâ€™ expectation on health care quality. Nursesâ€™ performance is defined as the action, achievement, or fulfillment of nursesâ€™ responsibilities based on their tasks that have been assigned to them. Purpose: The aim of this study was to describe the nursesâ€™ performance assessment and the nurse activities based on nursing clinical authority at the Dr. Wahidin Sudirohusodo hospital Makassar. Methods: This research is a qualitative descriptive study. Data were gathered from Focus Group Discussion (FGD), individual interviews, and document analysis. Results: The study results showed that generally the assessment of the nursesâ€™ performances at the Dr. Wahidin Sudirohusodo hospital has been conducted since 2015. However, there were still some areas that need to be improved, such as the quantity indicator assessment that is currently not developed based on the nursing clinical authority. In fact, the assessment of nurses' performance for quantity indicators should be adjusted to the nursing clinical authority that has been assigned to them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: The assessment of nursesâ€™ performance should be adhered to the nursing clinical authority and it is better if hospital managers may synchronize the nursing clinical authority with the online nursing logbook provided in the Hospital Information System

Effect of Humor Therapy on Chronic Pain: A Literature Review Yusnaeni, Yusnaeni; Erika, Kadek Ayu; Rachmawaty, Rini
Journal Of Nursing Practice Vol. 2 No. 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Introduction: Chronic pain is an unpleasant sensory and emotional experience with actual or potential tissue damage, or is described as a damage lasting more than 3 months with heavy or moderate intensity. The patient's response to the pain he experienced was done in different ways such as shouting, grimacing, crying, etc. Repair of pain is likely to occur more quickly when psychological intervention is included in medical care because it requires alternative and complementary treatment to overcome the pain including prayer , humor, hypnosis, and group support. Growing evidence-based nursing practice shows progress in helping patients deal with the pain. One of the evidence-based nursing practices is humor therapy. Method: The literature search was done through searching the results of scientific publications 2010-2018 using several databases, such as Such as Google scholar, PubMed, DOAJ, and Cochran, with keyword "Humor Therapy and Chronic Pain. Result: Obtained 6 fulltext articles, were obtained with various methods used, such as quasi-experimental pre- and posttest control group design, randomized two-group review literature, concluded that humor therapy proved effective in reducing chronic pain in all ages. Conclusion: The humor therapy is effective in reducing chronic pain in patients of all ages, both children, adults and the elderly, besides humor therapy can also be used to increase endurance and quality of life in elderly who are cared for in nursing homes

Efektivitas Penerapan Integrated Clinical Pathway (ICP Terkait Manajemen Risiko Terhadap Kualitas Pelayanan Di Rumah Sakit : A Literature Review -, Hadira; Syahrul, Syahrul; Rachmawaty, Rini
Jurnal Keperawatan Muhammadiyah 2020: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Objective : Clinical pathway is a process that involves multidisciplinary health professionals focusing on patient care in accordance with procedures on an ongoing basis, and with the application of clinical pathways in hospitals will have a plan in treating patients so that services are expected to be more effective, quality, quality maintained with controlled costs. Clinical Pathway as a risk evaluation mechanism evaluation tool to detect active and latent errors (latent / system errors) and near misses in Clinical Risk Management in order to maintain and improve patient safety. The purpose of writing this systematic review is to see the effectiveness of the application of clinical pathways related to risk management to service quality.Method: The search was carried out using a data base in writing a systematic review namely; Pubmed, Proquest, Willey and secondary searching, journals restricted to the last 15 years and other publications related to the topic of writing. The journals obtained used surveys and statistical descriptions to see the effectiveness of the application of clinical pathways to the quality of services in hospitals.Results: Overall the results of several research surveys of the 7 articles reviewed showed a significant positive correlation between the application of clinical pathways and the reduction in clinical risk of patient care in hospitals. There has been a stratification of the reduction in the number of days of hospitalization of patients and the index of hospitalization costs of patients in the hospital on the application of clinical flow so that it explicitly prevents over procedures such as the number of laboratory tests, number of consultations and medicines.Conclusion: The development of clinical pathway is proven to be able to improve multidisciplinary intra and inter communication, good teamwork and efficient maintenance planning. It also will automatically improve patient output, improve patient safety and provide patient satisfaction regarding service quality. To maintain optimal results and prevent the possibility of the impact of risks in clinical procedures, it is necessary to have intense, ongoing monitoring and commitment from the hospital and health workers in the implementation of clinical pathways in hospitals.

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