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A Systematic Review of Adaptation Measurement Instruments Based on Roy's Adaptation Model in the Nursing Context Syamsidar, Syamsidar; Asmaningrum, Nurfika; Rondhianto, Rondhianto
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 1 (2025): JMK Yayasan RS.Dr.Soetomo, April 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i1.2225

Abstract

Background: Measurement of adaptation in nursing based on Roy's Adaptation Model is critical to understanding how patients adapt to chronic medical conditions. This model examines patient adaptation in four main modes: physiological, self-concept, role-function, and interdependence. This study aims to review and evaluate adaptation measurement instruments developed based on Roy's Adaptation Model, as well as assess their effectiveness and limitations in the context of nursing patients with chronic diseases. Methods: This study used a Systematic Literature Review (SLR) approach by following the PRISMA guidelines. The literature search was conducted systematically through reputable academic databases, such as Scopus, PubMed, Google Scholar, and DOAJ. The search strategy incorporated Boolean Operators to ensure broad coverage and topic relevance. The keywords used included measurement instruments, the Roy Adaptation Model, and aspects of validity and reliability. Studies included in this review contained information related to the development or application of patient adaptation measurement instruments with the Roy Adaptation Model in a nursing context. Selected articles were published between 2015 and 2025 and met strict inclusion and exclusion criteria. Results: Twenty articles were found that met the inclusion criteria. Adaptation measurement instruments based on Roy's Adaptation Model showed good validity and reliability, but had limitations in measuring all modes of adaptation holistically. Existing instruments are mostly applied in specific care contexts, such as patients with heart failure, neurodegenerative diseases, and palliative care. Some instruments only measure one or two modes of adaptation, which limits a comprehensive picture of the patient's adaptation process. Conclusions: Although the existing instruments are valid and reliable, there is still a need to develop more holistic instruments that can integrate all four modes of adaptation in one cross-culturally validated measurement tool. Future research is recommended to expand the application of the Roy Adaptation Model in various care contexts.
Risk Factors Of Hypertension In The Elderly Within The Family : A Literature Review Mustapa, Gesit Wira; Susanto, Tantut; Asmaningrum, Nurfika
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6414

Abstract

Hypertension is a chronic disease that often occurs in the elderly and contributes significantly to increased morbidity and mortality due to cardiovascular complications. This literature review aims to identify risk factors that influence the occurrence of hypertension in the elderly in the family environment through a literature review approach. Scientific articles published from 2019 to 2024 originated from PubMed, Garuda, and Google Scholar databases. Keywords used include “Hypertension,” “elderly.” “risk factor,” and “daily activites.” Ten article met the inclusion criteria and were analyzed further from the search results. The study results show that several main risk factors for hypertension in the elderly in the family include unhealthy eating patterns (excessive salt consumption), low physical activity, obesity, psychological stress, and low social support from family members. Genetic factors also play a role, but their interaction with lifestyle and family environmental conditions increases the potential for hypertension. Older adults who live in families with little attention to a healthy lifestyle or who experience social isolation tend to have higher blood pressure. Therefore, interventions involving families to increase awareness and play an active role in supporting older adults to adopt a healthy lifestyle, such as a low-salt diet, regular exercise, and stress management, are very important to reduce the prevalence of hypertension in this age group. Further Research is needed to develop effective family-based intervention strategies. 
Penerapan Health Action Process Approach (HAPA) Sebagai Kerangka Perencanaan Perubahan Perilaku Kesehatan: Sebuah Tinjauan Sistematik Kuantitatif Ulfah, Choiria Firdatul; Asmaningrum, Nurfika; Susanto, Tantut
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.1937

Abstract

Perubahan perilaku kesehatan memerlukan pendekatan teoretis yang komprehensif agar intervensi yang diterapkan lebih terarah dan efektif. Salah satu model yang banyak digunakan adalah Health Action Process Approach (HAPA) yang membagi proses perubahan perilaku menjadi fase motivasional dan volisional. Penelitian ini bertujuan untuk mereview penerapa model HAPA dalam manajemen perubahan perilaku kesehatan. Systematic review ini mengikuti panduan PRISMA dan mencakup literatur dari PubMed, Scopus, Sage, dan Wiley Online, yang dipublikasikan antara 2020–2024. Strategi pencarian menggunakan kombinasi kata kunci spesifik dengan operator Boolean dan disesuaikan dengan karakteristik tiap basis data. Sebanyak 19 artikel kuantitatif yang menggunakan HAPA secara eksplisit dianalisis, meliputi desain studi, target perilaku, dan komponen HAPA yang diuji. Hasil menunjukkan bahwa perilaku kesehatan yang menjadi target dalam penelitian ini cukup beragam, mencakup kepatuhan minum obat (n = 4), perilaku diet (n = 4), kebersihan mulut (n = 2), aktivitas fisik (n = 3), perilaku sedentari (n = 1), pencegahan influenza (n = 1), manajemen diri diabetes (n = 2), serta aktivasi perilaku pada individu dengan depresi (n = 2). Hal ini menunjukkan bahwa HAPA memiliki sifat transdiagnostik dan adaptif terhadap berbagai jenis perilaku kesehatan, baik preventif maupun terapeutik.
Studi Komparasi Kompetensi Keselamatan Pasien Pada Perawat Instalasi Rawat Inap dan Instalasi Rawat Jalan Sya’roni, Sya’roni; Asmaningrum, Nurfika; Muhammad Nur, Kholid Rosyidi; Wijaya, Dodi; Afandi, Alfid Tri
Jurnal Promotif Preventif Vol 7 No 5 (2024): Oktober 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i5.1349

Abstract

Kompetensi perawat merupakan kemampuan perawat dalam melaksanakan tugas atau tindakan asuhan keperawatan, maka dari itu kompetensi perawat terhadap keselamatan pasien harus dimiliki dan diterapkan dengan tujuan menjamin keselamatan pasien. Tujuan penelitian ini adalah untuk menganalisis perbedaan kompetensi keselamatan pasien pada perawat instalasi rawat inap dan instalasi rawat jalan di rumah sakit perkebunan jember klinik. Penelitian ini menggunakan desain survei komparatif dengan melakukan pendekatan deskriptif kuantitatif. Penelitian ini dilakukan pada perawat instalasi rawat inap dewasa non intensive care sebanyak 76 responden dan 16 responden pada instalasi rawat jalan dengan total 92 responden, penelitian ini menggunakan tehnik total sampling. Instrumen yang digunakan yaitu kuesioner karakteristik responden dan kuesioner H-PEPPS (Health Professional Education in Patient Safety) menggunakan analisis uji Mann-Whitney. Hasil pengukuran kompetensi keselamatan pasien pada perawat instalasi rawat inap menunjukkan bahwa nilai median 113,50 mendekati nilai maksimal (135), pada instalasi rawat jalan menunjukkan bahwa nilai median 117 mendekati nilai maksimal (135), sehingga dapat diinterpretasikan bahwa kompetensi keselamatan pada kedua instalasi tersebut sangat baik, hasil uji komparasi menunjukkan nilai Asymp.sig p 0,300. Kesimpulan dari penelitian ini tidak terdapat perbedaan yang signifikan kompetensi keselamatan pasien pada perawat instalasi rawat inap dan instalasi rawat jalan. Pada kedua instalasi tersebut sama-sama memiliki kompetensi keselamatan pasien dengan kategori sangat baik.
Analisis Kelelahan Kerja dan Kejadian Kecelakaan Kerja pada Petani Padi di Desa Ajung Kecamatan Ajung Kabupaten Jember Arifatunnahriyah, Octavia; Ardiana, Anisah; Asmaningrum, Nurfika; Purwandari, Retno; Kurniawan, Dicky Endrian
Jurnal Promotif Preventif Vol 7 No 4 (2024): Agustus 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i4.1411

Abstract

Kelelahan kerja yang terjadi secara terus menerus pada petani padi akan berdampak pada keselamatan kerja yang ditandai dengan semakin meningkatnya kesalahan ketika bekerja yang dapat mengakibatkan terjadinya kecelakaan kerja. Tujuan penelitian ini adalah untuk menganalisis kelelahan kerja dan kejadian kecelakaan kerja yang terjadi pada petani padi di Desa Ajung Kecamatan Ajung Jember. Metode yang digunakan yaitu kuantitatif berdasarkan 283 petani padi yang diambil melalui teknik cluster sampling. Pengambilan data menggunakan kuesioner Fatigue Severity Scale dan kuesioner Kecelakaan Kerja. Hasil penelitian menunjukkan bahwa 74,9% responden mengalami kelelahan kerja. Peringkat kejadian kecelakaan kerja tertinggi berdasarkan jenisnya yang terjadi pada responden yaitu tergelincir dengan nilai indeks sebesar 1,95. Berdasarkan objeknya yaitu karena alat pertanian dengan nilai indeks 1,95. Berdasarkan sifat luka yaitu luka ringan dengan nilai indeks 2,17. Berdasarkan letak lukanya adalah luka pada daerah tangan dengan nilai indeks 1,99. Berdasarkan hasil penelitian tersebut, responden sebagian besar mengalami kelelahan kerja dan mengalami beberapa kejadian kecelakaan kerja yang bervariasi. Adapun upaya yang dapat dilakukan sebagai tenaga kesehatan yaitu dengan memberikan pendidikan kesehatan terkait dampak yang ditimbulkan kelelahan kerja dan upaya untuk menjaga keselamatan diri dalam meminimalisir kejadian kecelakaan kerja.
An Application Pre-Conference and Post-Conference in Hospital: a Case Study Afandi, Alfid Tri; Fauziah, Nur Hasanatil; Asmaningrum, Nurfika; Sujarwanto
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.4

Abstract

Pre-conference and post-conference are part of implementing the Professional Nursing Care Model (MAKP) to improve the quality of nursing services in hospitals and minimize negligence or errors in nursing practice. Pre-conference and post-conference is the activity of the team leader and members of the nursing team in communicating related to nursing care given to patients during shift changes. In pre-conference and post-conference, the nurse in charge of care must plan daily activities for patients from admission to discharge from the hospital. However, implementation pre-conference and post-conference still need to be improved. This can affect the nursing care provided by nurses. This writing aims to describe pre-and post-conference activities during the COVID-19 pandemic, which students in the inpatient room carried out. This research uses the case study method. Implementation research results in pre-conference are in a suitable category, while post-conference results could be better. Therefore to optimize the implementation of pre-conference and post-conference, nurses need to improve their quality as Nurses in Charge of Caring (PPJA).
Analysis of Individual Factors on the Usefulness of Trusted Information Systems at X Primary Clinic Sholihah, Firdha Amaliatus; Sugiyanta, Sugiyanta; Asmaningrum, Nurfika
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3241

Abstract

Implementing SIM in Clinics as one of the FKTPs is very useful in providing health services. This study aims to analyze individual factors regarding perceived benefits through the intervening variable perceived ease of use of information technology at private clinics in Jember district. This quantitative research is analytical research with an observational approach. The population of this study was 46 employees at two private clinics who had SIMRS usernames. The sampling technique uses the total sampling method. Research data was obtained from the results of filling out questionnaires by respondents. Data analysis using the SmartPLS application with the Partial Least Square technique. The results show that Individual factors have a strong contribution to perceived ease of use and perceived usefulness.Individual factors have a positive effect on perceived ease of use with a path coefficient value of 0.427, a T-statistic value of 3.498.Individual factors have a positive effect on perceived usefulness with a path coefficient value of 0.077. The path coefficient value of 0.844 shows that there is a strong and positive influence between perceived convenience on perceived usefulness with a high T-statistic value (11.177).Individual factors influence perceived usefulness through the intervening variable perceived ease of use.
Instruments for Measuring Patient Safety Competencies in Clinical Settings: A Literature Review Suciati, Suciati; Asmaningrum, Nurfika; Suhari, Suhari
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3250

Abstract

Patient safety culture has emerged as a global priority necessitating improvement to prevent patient accidents. Measuring the competency of healthcare workers concerning patient safety within health services is essential, and various instruments can be employed for this purpose. This study aims to analyze the instruments used to measure patient safety competency. Method: A systematic review was conducted using the PRISMA protocol and the JBI assessment tool to identify eligible articles. Two electronic databases, PubMed and Google Scholar, were searched. The keywords used in the research included “instrument safety culture in clinical settings”; “Safety culture instrument”; "instrument for patient safety culture". Inclusion criteria encompassed research on instruments measuring patient safety competency, published in English within the last ten years (2014-2024). Results: The review identified 15 articles that met the inclusion criteria. Four types of instruments were commonly used to measure patient safety competency: the Safety Attitudes Questionnaire (SAQ), the Manchester Patient Safety Framework (MaPSAF), the Hospital Survey on Patient Safety Culture (HSOPSC), and the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ). Conclusion: The instruments SAQ, MaPSAF, HSOPSC, and T-TPQ have demonstrated effectiveness in measuring various dimensions related to patient safety culture. To optimize the assessment of patient safety culture within health service facilities.
The Instruments Measuring Nurses’ Posttraumatic Growth During the Covid-19 Pandemic: A Scoping Review Handoko, Yudho Tri; Asmaningrum, Nurfika; Ardiana, Anisah
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3316

Abstract

Posttraumatic growth (PTG) refers to positive psychological changes that occur in individuals who have experienced traumatic events, such as nurses battling an underpressure situation during the COVID-19 pandemic. The attempts at measuring PTG are still limited due to the lack of instruments that suit natural variations caused by culture or language adaptation and sampling types. Although there are many studies regarding PTG, no comprehensive review has been found to identify the instrument measuring nurses' posttraumatic growth. Objective: The study aimed to identify research on instruments measuring nurses’ PTG during the COVID-19 pandemic. Method: Five online databases (PubMed, Wiley Online Library, Proquest, Science Direct, and Google Scholar) were put under analysis to identify studies that report information on instruments measuring nurses’ PTG. Only studies published between 2020-2024 were involved in the analysis. The selection process was done using Preferred Reporting Items for Systematic Reviews (PRISMA). Results: From the identification process, authors found 6,589 articles and after going through the screening and eligibility stages 24 studies were included in this review. Exploring PTG among nurses involves examining how they reflect upon and derive meaning from their experiences during challenging circumstances. Several instruments to measure PTG among nurses were identified, inter alia, Posttraumatic Growth Inventory (PTGI), Posttraumatic Growth Inventory Chinese versions (PTGI-C), Posttraumatic Growth Inventory-Expanded (PTGI-X), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Turkish, Polish, and Korean versions of PTGI. Conclusion: In general, the original version of PTGI has been adapted and translated into several languages to measure PTG among nurses during the COVID outbreak.
The Factors Causing Work Fatigue among Nurses after COVID-19 Vaccination Afandi, Alfid Tri; Kurniawan, Dicky Endrian; Nur, Kholid Rosyidi Muhammad; Ardiana, Anisah; Asmaningrum, Nurfika; Purwandari, Retno
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51289

Abstract

Introduction: Work fatigue is a risk for all workers, including nurses, who are constantly working to help meet patient needs. The effects of work fatigue when providing nursing care to patients can have an impact on reducing the quality of work so that it can impact patient satisfaction in receiving services. The aims of the study are to determine the factors that cause work fatigue in nurses after the COVID-19 vaccination program. Method: This research used an observational design with a descriptive-analytical approach. The location of this research is hospitals in Jember with a population of nurses who work in hospital inpatient rooms using a simple random sampling technique. The total number of respondents obtained was 165 nurses. The research instrument used in data collection was the Job Fatigue Feelings Questionnaire, which had been modified from KAUPK2 and consisted of 17 question items. Statistical analysis in this research uses a constant comparative method. Results: Based on the demographic data of respondents as an item from the analysis of nurses' work fatigue, it was found that age, education, and working period influence the level of work fatigue (p=0.01; p=0.04; p=0.04) while gender, marriage, employment, and position didn’t influence the work fatigue of nurses (p=0.82; p=0.93; p=0.14; p=0.48). Conclusion: Work fatigue can affect the performance of nurses. The most influencing factors were age, education, and working period, while marital status, employment, nursing position in work, and gender did not influence the level of work fatigue of nurses.
Co-Authors Ahmad Rifai Alfid Tri Afandi Allyarista, Dhea Firnanda Airin Aluh Eka Novianty Anandarma, Sustyarko Onny Andiny, Aliya Nuri Anisah Ardiana Anisah Ardiana ardiani, Dewi Ulfah Ardiani Arifatunnahriyah, Octavia Astuti, Anggia Ayu Rahmawati AYU RAHMAWATI Azarine Dwinta Framudella Azizah Abdullah, Syamsiah Nur Baehaqi Baiq Trisna Satriana Budi Anna Keliat Chandra Aji Wijaya Chandra Aji Wijaya, Chandra Aji Chandra, Eka Yufi Septriana Dani Saputra Darmawan , I Kade Iman Denny Rifki Desy Listyaningrum, Desy Devi Chintya Ayu Palupi Dewi Karuniawathy, Sari Dewi, Sonia Mila Dicky Endrian Kurniawan Dodi Wijaya Dwi Nuria Arifin Dwifarin, Septa Edyawati, Eka Eka Edyawati Eka Yufi Septriana Candra Eko Prasetyo Ermayuningsih, Baiq Reny Erti Ikhtiarini Dewi Faradisa, Elok Fatimah Fauzatul Walidanik Fauziah, Nur Hasanatil Fauziah, Wahyuni Firman Ramadhan Gesit Wira Mustapa Handoko, Yudho Tri Hartini Mansyur Heri Siswanto Heri Siswanto Huriah, Luluk Ida Ayu Manik Fitriani Utami Intan Ayu Nur Aini Isdayana, Mulenda Jihadiah Nur Ikromah Kholid Rosyidi M.N Kholid Rosyidi Muhammad5 Kiki Maria Kustiarini, Ari Lantin Sulistyorini Leersia Yusi Ratnawati Lutfian, Lutfian Maman Suparman Mardiati Mardiati Marsya Nurrahmawati Maula, Muthiatul Moh Taufiqurrahman Muhammad Nur, Kholid Rosyidi Mukhammad Toha Mulenda Isdayana Musta'adah, Iftitatul Mustapa, Gesit Wira Naela Farah Anisa Nanda, R.A Arsyifa Nguyen, Tuan Van Novi Putri Cahyanti Novi Putri Cahyanti Nur Faiza Iswatiningtyas Nur Jannah Nur, Kholid Rosyidi M Nurrahmawati, Marsya Nuzula , Indana Firdausi Onny Ega Isfadillah Pathiaturrohmi, Siti Pujiyono, Aldi Rahardian Puthro, Gede Darmawan Putrha, Gede Dharmawan R.A Arsyifa Nanda Rahmawati, Iis ramadhan, firman Restanto, Didik Pudji Retno Purwandari Retno Purwandari Retno Wardani, Hamidah Rizeki Dwi Fibriansari Rizka Maulida Rizka Maulida Rondhianto Rondhianto Saktiningtiyas, Devi Ruchama’ Salsabilla, Ridha Nilna Saputra, Dani Sarah Wulan Putrianti Sari Dewi Karuaniawathy Sholihah, Firdha Amaliatus Sholihah, Mar'atus Sofyan Nurdiansyah Sonia Mila Dewi Sri Wahyuni Suciati Suciati Suciati Suciati Suciati Suciati Sugiyanta Sugiyanta Suhari Suhari Suhari Suhendra Agung Wibowo Sujarwadi, Mokhammad SUJARWANTO Supiah Farida Supriadi, Zaroan Sustyarko Onny Anandarma Sutanto Priyo Hastono Suyanti Suyanti syamsidar syamsidar Sya’roni, Sya’roni Syifa Hajarul Istiqomah Tantut Susanto Tanwirullaily Tikfi Andriani Tsai, Yun Fang Ulfah, Choiria Firdatul Ulfiatun Hasanah Umi Latifah Vindika Winda Ancarani Perijingga Wanda, Ira Purba Yeni Pusparini Yiyi Adelia Yudho Tri Handoko Yulia Kurniawati Zuhroidah, Ida Zuhrotul Rofiqoh