Rini Rachmawaty
Departemen Manajemen Keperawatan, Fakultas Keperawatan, Universitas Hasanuddin, JL. Perintis Kemerdekaan Kampus Tamalanrea KM.10, Makassar 90245, Indonesia

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EFEKTIVITAS JALUR KLINIS TERINTEGRASI TERHADAP LAMA HARI RAWAT DAN BIAYA PADA PASIEN PASCA OPERASI: TINJAUAN LITERATUR: The Effectiveness of The Integrated Clinical Pathway on Length of Stay and Costs in Postoperative Patients: A Literature Review Hijrah Hijrah; Ariyanti Saleh; Rini Rachmawaty
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 8 No. 1 (2022): JIKep | Februari 2022
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.069 KB) | DOI: 10.33023/jikep.v8i1.787

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ABSTRAK Pendahuluan : Cara yang paling efektif untuk meningkatkan mutu pelayanan kepada pasien tanpa menambah biaya adalah dengan mengurangi variasi pelayanan yang dapat dilakukan melalui penerapan integrated clinical pathway, sebagai standar protokol keperawatan berdasarkan pedoman admisi, diagnosis admisi, pemeriksaan, pengobatan, perawatan, bimbingan diet, pendidikan kesehatan, dan perencanaan kembali. Tujuan dari literature review ini adalah untuk mengetahui bagaimana integrated clinical pathway dapat menurunkan lama rawat inap (LOS) di rumah sakit dan biaya pengobatan (COST) pada pasien pasca operasi. Metode : Basis data yang digunakan dalam metode pencarian jurnal pada penilaian ruang lingkup adalah Google Scholar, Pubmed, Proquest, dan Secondary Search melalui penelusuran hasil publikasi ilmiah. Ulasan cakupan ini berfokus pada penerapan jalur klinis terintegrasi dalam mengurangi lama tinggal (LOS) di rumah sakit dan biaya perawatan (COST) pada pasien pasca operasi. Hasil : Sepuluh artikel yang diidentifikasi menunjukkan penggunaan yang efektif dari jalur klinis terpadu untuk mengurangi lama tinggal (LOS) dan biaya rumah sakit (COST) pada pasien pasca operasi, selain itu tingkat penerimaan kembali dalam waktu 30 hari juga berkurang dan kepuasan pasien meningkat. Diskusi : Tinjauan literatur ini menunjukkan bahwa penerapan jalur klinis terintegrasi dapat mengurangi lama tinggal dan biaya rumah sakit serta mengurangi penerimaan kembali dan meningkatkan kepuasan pasien pasca operasi. Kata kunci: Jalur klinis terpadu, lama rawat inap (LOS), biaya pengobatan
Nurse’s Spiritual Care Competencies to Patient with End Stage Breast Cancer Nurul Rezki Anisa; Kadek Ayu Erika; Rini Rachmawaty
International Journal of Public Health Science (IJPHS) Vol 7, No 4: December 2018
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.345 KB) | DOI: 10.11591/ijphs.v7i4.14742

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Cancer has many side effects on patient’s physic and mostly on mental which may affect on their quality of life. Physically most patients feel fatigue, insomnia, anorexia, nausea, and vomit while mentally they feel emotional disturbances such as anxiety, stress, or depression. One of the methods to that appropriate to overcome both of the conditions is spiritual care. Many research found that because spiritual care associated with better wellbeing, less emotional disturbance, less substance abuse, greater social support, better health behaviours, so it has impact to longer survival periods. This research aimed to investigate nurse’s spiritual care competencies to patients with end stage cancer. This was descriptive study design employed Spiritual Care Competencies Scale (SCCS) instrument. A total sampling of 24 nurses working in Oncology department in Dr. Wahidin Sudirohusodo Hospital were recruited. This research found that there are 12 nurses (50 %) that work in oncology department have low competencies of spiritual care. Involving spiritual care is associated with better wellbeing and longer survival periods. Therefore, it is necessary to increase the competence of nurses on spiritual care in meeting the spiritual needs of patients with end stage breast cancer. A training of spiritual care can be an alternative for nurses to improve spiritual care in hospitals.
Pengaruh Penggunaan Alcohol Based Handrub (ABHR) terhadap Tingkat Kepatuhan Hand Hygiene Petugas Kesehatan: A Systematic Review Ece Ece; Syahrul Syahrul; Rini Rachmawaty
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 2 (2021): April 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12219

Abstract

Background: Although alcohol based hand rub (ABHR) can deactivate or suppress the growth of microorganisms, but it is not yet known how much the level of compliance of health workers to do HH using ABHR. Objective: To identify the effect of the use of ABHR on the level of compliance with HH officers in health services. Methods: This systematic review is based on the PRISMA checklist. Search for articles through PubMed, Proquest, Scopus, Science Direct and Google Schoolar. Structured research questions using PICO (population, intervention, comparison and outcome) and using several predefined keywords. The study selection process was reviewed based on a prism flow diagram and only 6 articles that met the inclusion criteria were analyzed using the critical appraisal and classified based on evidence levels and quality guidelines. Results: The use of alcohol based handrub (ABHR) can increase the compliance of hand hygiene for health workers by increasing compliance by 7,5% to 29%. In addition, it reduces the incidence of severe infections, pneumonia and mortality from infections. Conclusion: The use of ABHR can improve HH adherence, reduce the incidence of HAIs, pneumonia and mortality from infections. Keywords: hand hygiene; alcohol based hand rub; healthcare worker ABSTRAK Latar belakang: Meskipun alcohol based hand rub (ABHR) dapat menekan pertumbuhan mikroorganisme, namun belum diketahui seberapa besar tingkat kepatuhan petugas kesehatan untuk melakukan HH dengan menggunakan ABHR. Tujuan: Untuk mengidentifikasi pengaruh penggunaan ABHR terhadap tingkat kepatuhan HH petugas dalam pelayanan kesehatan. Metode: Systematic review ini berdasarkan PRISMA checlist. Pencarian artikel melalui PubMed, Proquest, Scopus, Science Direct dan Google Schoolar. Pertanyaan penelitian terstruktur menggunakan PICO (population, intervention, comparison and outcome) dan menggunakan beberapa kata kunci yang telah ditetapkan. Proses pemilihan studi yang diulas berdasarkan flow diagram prisma dan hanya 6 artikel yang memenuhi kriteria inklusi kemudian dianalisis menggunakan critical apraisal dan diklasifikasikan berdasarkan evidence levels dan quality guide. Hasil: Penggunaan alcohol based handrub (ABHR) dapat meningkatkan kepatuhan hand hygiene petugas kesehatan dengan peningkatan kepatuhan sebesar 7,5% sampai dengan 29%. Selain itu, menurunkan angka kejadian infeksi berat, pneumonia dan angka kematian akibat infeksi. Simpulan: Penggunaan ABHR dapat meningkatkan kepatuhan HH, menurunkan angka kejadian HAIs, pneumonia dan angka kematian akibat infeksi. Kata kunci: hand hygiene; alcohol based hand rub; petugas kesehatan
Prevalensi, Jenis dan Dampak Perilaku Bullying pada Perawat: A Systematic Review Tini Tini; Ariyanti Saleh; Rini Rachmawaty
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 2 (2021): April 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i2.1139

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Introduction: The emergency nurses association in the United reported that the incidence of bullying behavior among nurses in the workplace was 3.8 times higher. Purpose: To identify the prevalence, types and impact of bullying behavior on nurses. Methods: This writing guide used PRISMA. The databases we used in the search for articles were: PubMed, Proquest, Scopus, EBSCO host, and Google Scholar for the last 5 years which were published in English. Assess the quality of our articles using a critical appraisal and a level of evidence. Results: Overall of the 8 articles used a cross-sectional design. The highest prevalence of bullying was 91% and the lowest was 40.1%. Types of bullying behavior in nurses consist of bullying related to people, work, physical, verbal and psychological. The impact of bullying behavior can cause effects of psychological stress, physical health, mental health, intention to leave work, intention to resign from work and decreased job satisfaction. Conclusion: Based on the study that identified that the prevalence of bullying behavior among nurses in the workplace is quite high which has varying values in each country, there are different types of bullying behavior in the workplace related to people, work, physical, verbal and psychological, then the impact of bullying behavior can be cause effects on hospitals, nurses and patients. Keywords: prevalence; type; impact; bullying; nurse ABSTRAK Pendahuluan: The emergency nurses association in the united melaporkan bahwa kejadian perilaku bullying pada perawat ditempat kerja 3.8 kali lebih tinggi. Tujuan: Untuk mengidentifikasi prevalensi, jenis dan dampak perilaku bullying pada perawat. Metode: Pedoman penulisan ini menggunakan PRISMA. Database yang kami gunakan dalam pencarian artikel yaitu: PubMed, Proquest, Scopus, EBSCO host dan Google Scholar dalam kurun waktu 5 tahun terakhir yang dipublikasikan dalam bahasa Inggris. Menilai kualitas artikel kami menggunakan critical appraisal dan level evidence. Hasil: Secara keseluruhan dari 8 artikel ini menggunakan desain cross sectional. Prevalensi bullying yang tertinggi 91% dan yang terendah 40,1%. Jenis perilaku bullying pada perawat terdiri dari bullying berkaitan dengan orang, pekerjaan, fisik, verbal dan psikologis. Dampak perilaku bullying dapat menyebabkan efek tekanan psikologis, kesehatan fisik, kesehatan mental, niat meninggalkan pekerjaan, niat untuk mengundurkan diri dari pekerjaan dan kepuasan kerja yang menurun. Kesimpulan: Berdasarkan studi yang diidentifikasi bahwa prevalensi perilaku bullying pada perawat ditempat kerja cukup tinggi yang memiliki nilai yang bervariasi disetiap negara, adapun jenis perilaku bullying ditempat kerja berbeda-beda yang berhubungan dengan orang, pekerjaan, fisik, verbal dan psikologis kemudian dampak perilaku bullying dapat menyebabkan efek pada rumah sakit, perawat dan pasien. Kata kunci: prevalensi; jenis; dampak; bullying; perawat
HUBUNGAN PERSEPSI GAYA KEPEMIMPINAN MILITER DENGAN KINERJA PERAWAT DI RUMAH SAKIT PELAMONIA MAKASSAR Aidah Fitriani; Julianus Ake; Rini Rachmawaty
Jurnal Kesehatan Karya Husada Vol 8 No 1 (2020): Jurnal Kesehatan Karya Husada Yogyakarta
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v8i1.369

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Kepemimpinan dalam organisasi militer memiliki kekhususan dari pemimpin sipil yaitu memiliki nilai-nilai dan karakteristik militer yang dapat meningkatkan motivasi bawahannya sehingga berdampak pada kinerja. Penelitian ini bertujuan untuk mengetahui hubungan persepsi gaya kepemimpinan militer dengan kinerja perawat. Penelitian ini merupakan penelitian kuantitatif dengan desain korelasional menggunakan pendekatan cross sectional. Subjek penelitian adalah 147 perawat sipil dan militer yang diperoleh menggunakan purposive sampling. Hasil analisis bivariat menggunakan spearman’s rho menunjukkan ada hubungan positif dan signifikan antara persepsi gaya kepemimpinan militer dengan kinerja perawat dengan nilai p 0.001. Hasil penelitian menunjukkan bahwa perawat yang memiliki persepsi bahwa pemimpin mereka telah menerapkan gaya kepemimpinan militer memiliki kinerja 9 kali lebih baik dibanding perawat yang memiliki persepsi bahwa pemimpin mereka kurang menerapkan gaya kepemimpinan militer. Oleh sebab itu penerapan gaya kepemimpinan militer perlu dimaksimalkan sehingga dapat meningkatkan kinerja perawat.
Efektifitas Progressive Muscle Relaxation Terhadap Kecemasan Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Ricky Z; Rini Rachmawaty; Yuliana Syam
Interest : Jurnal Ilmu Kesehatan Vol 7 No 2 (2018): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v7i2.38

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Backgound: Progressive Muscle Relaxation (PMR) exercise therapy is a focused therapy to maintain deep relaxation conditions. Empirical evidence has supported the use of Progressive Muscle Relaxation (PMR) in reducing headaches, insomnia, hypertension, and additional treatment in cancer patients and management of chronic pain. This article analyzes the effectiveness of Progressive Muscle Relaxation (PMR) in reducing anxiety and by reviewing the results of the current study. Method: This study explores quantitative evidence published in electronic database, such as Pubmed, Google Scholar, and ProQuest. By using electronic publications, we have identified 193 potential and relevant articles of interest while fifteen studies have been included in the final analysis. Results: the study shows that a significant improvement occurred in a post-intervention in reducing anxiety for participants receiving PMR compared to all control groups. Conclusion: The result indicates that PMR is a particularly useful supplementary treatment to reduce anxiety levels of cancer patients undergoing chemotherapy and nurses must be trained to perform Progressive muscle relaxation.
Spiritual Care Nurse To Patient With Breast Cancer At Last Stage : a Literature Review Nurul Rezki Anisa; Kadek Ayu Erika; Rini Rachmawaty
Interest : Jurnal Ilmu Kesehatan Vol 9 No 1 (2020): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v9i1.135

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Background: Spiritual care is one of the strategies for managing care towards the end of life in the hospital as mentioned in the Nursing Intervention Classification. Aim this study is to describe spiritual care nurse to patient with breast cancer at last stage. Methods: A literature review were obtained from PubMed, and google scholar using the keywords breast cancer AND palliative care and breast cancer AND spiritual care by adding filters: the type of article is Full text with Randomized Controlled Trial, published in the last 5 years, written in English and Indonesian, human studied, specific to cancer, and are in the category of nursing journals and MEDLINE. Result: According to a review of existing research, spiritual care is effective to overcome psychological problems, such as anxiety, stress, or depression as it affects patients to solemnly accept their health condition including the complications in positive ways. Therefore, patients receiving spiritual care will be more adhere to their medical treatments, will have lack of emotional disturbances and substance abuse, have greater social support, will be more frequent performing their health behavior and have a longer period of survival.Conclusion: Spiritual care is highly needed in medical care, especially for those who have serious and life-threatening diseases. Assessing and addressing the spiritual needs of patients is associated with greater satisfaction with care, better quality of life, less depression, less unnecessary health services, and better nurse-patient relationships.
Prolanis Implementation Effective to Control Fasting Blood Sugar, HBA1C and Total Cholesterol Levels in Patients with Type 2 Diabetes Musfirah Ahmad; Rini Rachmawaty; Elly L. Sjattar; Saldy Yusuf
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.373 KB) | DOI: 10.20473/jn.v12i1.2750

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Introduction: Diabetes mellitus (DM) is a global disease endemic and causing of 4.6 million deaths in the world. The Indonesian government and health insurance [BPJS Kesehatan] formulate a Chronic Disease Care Program [Program Pengelolaan Penyakit Kronis (PROLANIS)] for type 2 diabetes that aimed at controlling the glycemic status and the risk factors of macro and microvascular complications. The purpose of this study was to analyze the correlation between the implementation of PROLANIS and fasting blood sugar, HbA1c, and total cholesterol levels in patients diagnosed with type 2 diabetes at Antang and Pampang community health centers, Makassar, Indonesia.Methods: This study used descriptive correlation design with cross sectional study approach. Subjects were 40 patients diagnosed with type 2 diabetes who joined PROLANIS at PUSKESMAS Antang and Pampang, Makassar, with sampling technique used was total sampling. The data were analyzed using correlation test to assess the significance (p), the direction (+/-), and the strength of the correlation (r). The implementation of PROLANIS was measured by using the observation sheets developed based on BPJS Kesehatan criteria, while the fasting blood sugar, HbA1c, and total cholesterol levels were checked by laboratory.Results: The mean of the implementation of PROLANIS was 15.05 (SD ± 5.62), while the mean levels of fasting blood sugar, HbA1c, and total cholesterolwere as followed: 191.80 mg/dL (SD ± 85.15); 8.4% (SD ± 2.08); and 192.87 mg/dL (SD ± 45.07). Using the Spearman's rho test, the study result showed that there was a significant and negative correlation between the implementation of PROLANIS and the levels of fasting blood sugar (p= 0.001; r= -0.724), HbA1c (p= 0.001; r= -0.870), and total cholesterol (p= 0.029; r= -0.35) in patients diagnosed with type 2 diabetes at Puskemas Antang and Pampang, Makassar.Conclusion: The optimal implementation of the PROLANIS is very effective to control the levels of fasting blood sugar, HbA1c, and total cholesterol in patients type 2 diabetes. 
The Effectiveness of Digital Storytelling on Self-Management of Diabetes Mellitus Patients: A Systematic Review Andi Sulfikar Andi Sulfikar; Rini Rachmawaty; Kusrini Kadar
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 4 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i4.438

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The global prevalence of diabetes in adults has increased over the last few decades. This study aimed to identify and analyze scientific evidence on the effectiveness of digital storytelling on the self-management of diabetes mellitus patients. Method: This systematic review is based on the PRISMA checklist. Literature search via PubMed, Google Scholar, DOAJ, ScienceDirect, Cochrane, and Wiley. Structured research questions used the PICO electronic method (patient, intervention, comparison, and outcome). There are three different models of digital storytelling intervention, namely, using videos, slide shows, and photovoice. From a total of 581 respondents who were studied, the most frequently used digital storytelling content was diabetes self-management such as drug management, glucose self-monitoring, physical activity, and nutrition. The effects of digital storytelling found were a description of the patient's experience after being given digital storytelling intervention. The impact of digital storytelling on cognitive, affective, patient skills related to their illness, the effect of digital storytelling on psychological aspects (self-efficacy, self-confidence, self-awareness, and motivation), to storytelling. An alternative educational strategy for patient groups who have low health literacy and older age groups. Conclusion: There are three models for implementing digital storytelling intervention, namely digital storytelling using video, digital storytelling using slide shows, and digital storytelling using the photovoice technique with Instagram modification. For this reason, Further research Needs to examine the digital storytelling intervention found in this review for self-management of DM patients.
SISTIM PENDUKUNG KEPUTUSAN KLINIS UNTUK MENDUKUNG PEMBUATAN KEPUTUSAN KLINIS PERAWAT : LITERATUR REVIEW Daniel Dady; Kadek Ayu Erika; Rini Rachmawaty
coba Vol 8 No 2 (2020): Mei 2020
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.59 KB) | DOI: 10.32831/jik.v8i2.267

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Introduction: Clinical decisions made by nurses must be supported by accurate and complete data and good systems. However, in the implementation of patient care, clinical decision making by nurses is not supported by clinical decision support systems in hospitals.Method: Systematic searches were carried out in several databases namely PubMed, ProQuest, and Science Direct with keywordsSupport SystemClinical Decision AND Clinical Decision Making AND Nurses. Inclusion criteria, namely publications from 2015 to 2019, full text, discuss the use of clinical decision support systems by nurses of all research methods both qualitative, quantitative, mixed methods, cohorts, and surveys and use English.Result: Obtained six research articles according to inclusion criteria. Two studies on developing clinical decision support systems, two studies on evaluating the effect and experience of nurses in using clinical decision support systems, one study on the diagnostic accuracy of clinical decision support systems and one study on barriers to use of clinical decision support systems.Discussion:The clinical decision support system (CDSS) that can be used to support nurses' clinical decisions is NEWS and Tanner's reflection method but must first be tested and socialized regarding the benefits and how to use them to nurses, must be safe for patients and not detrimental to patients and hospitals