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GAMBARAN PERAN ADVOKASI PERAWAT DALAM PELAYANAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT TINGKAT III BALADHIKA HUSADA KABUPATEN JEMBER Salsabilla, Ridha Nilna; Asmaningrum, Nurfika
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.15995

Abstract

Perawat merupakan garda terdepan yang berhadapan langsung dengan pasien yang bertugas memberikan pelayanan kesehatan kepada pasien. Peran advokasi merupakan kewajiban perawat untuk menghormati dan melindungi hak-hak pasien. Tujuan penelitian ini adalah untuk mengidentifikasi bentuk atau strategi gambaran peran advokasi perawat dalam perawatan pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Jember. Penelitian ini dimulai tanggal 6 Maret - 6 April 2023, dilakukan selama 15 Hari. Desain penelitian yang digunakan yaitu deskriptif analitik dengan teknik purposive sampling. Populasi pasien yang di rawat di Ruang Mawar dan Ruang Nusa Indah selama satu bulan terakhir pada bulan Oktober 2022 sebanyak 287 pasien. Jumlah sampel sebanyak 165 responden menggunakan analisa univariat. Penelitian menggunakan kuesioner pelaksana peran advokasi perawat. Hasil penelitian peran advokasi perawat dalam pelayanan pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Kabupaten Jember di kategorikan baik dengan persentase 58,2%, persentase tertinggi 70,3% pada indikator pelaksana tindakan dan persentase terendah 53,3% pada indikator mediator. Dapat disimpulkan bahwa peran advokasi perawat menurut persepsi pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Kabupaten Jember sudah baik. Perawat harus membantu pasien dalam memberikan pelayanan asuhan keperawatan untuk memenuhi kebutuhan pasien, memberikan pelayanan keperawatan yang berkualitas, membantu pasien dalam mengambil keputusan suatu tindakan, menjaga keselamatan pasien agar pasien tidak merasa dirugikan saat diberikan tindakan keperawatan.
The Six Right Principles of Drug Administration to Patients with Diabetes Mellitus in Hospitals: A Case Study Afandi, Alfid Tri; Maula, Muthiatul; Asmaningrum, Nurfika; Putrha, Gede Dharmawan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 1: April 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i1.165

Abstract

Background: About one-third of adverse events are drug-related medication administration errors (MAE). One method to improve drug administration safety is the application of the six rights of drug administration which include right patient, right drug, correct dose, right time, right route, and proper documentation. Nurses must apply it generously and nursing professional students must be able to use it well too. Purpose: The purpose of this case study is to compare the application of the six right medicine principles between nursing and nursing professional students to Mrs. E with Diabetes Mellitus in Hospital. Methods: This case study uses a quantitative study approach with a comparative descriptive design. Data were obtained through observation for seven days with an observation measuring instrument for applying the six correct drug administration are consist of 33 statements. Respondents were obtained from purposive sampling consisting of 7 Nursing Profession students at the Faculty of Nursing, University of Jember, and seven nurses at the Hospital. Results: The difference in applying the six right principles of drug administration to Mrs. E for seven days (14 shifts) by 11 students and nurses (4.8%).  Conclusion: An indicator that still really needs to be improved by students and nurses is the true indicator of patients who are still below 50%. Meanwhile, the other indicators have achieved a total implementation of >70%.
The Instruments for Measuring Patient-Centred Care in Clinical Care Settings: a Systematic Literature Review Siswanto, Heri; Asmaningrum, Nurfika; Rondhianto, Rondhianto
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14899

Abstract

ABSTRACT Patient-centred care has different dimensions, necessitating a clear definition to facilitate consistent measurement and evaluation of patient-centred care in clinical settings. This systematic literature review aims to identify and compare measuring tools related to patient-centred care in clinical settings. The Prisma framework was employed to explore six databases (i.e., Google Scholar, PubMed, Science Direct, Springer, MDPI, and Sage Journal) for literature review in identifying instruments used to measure patient-centred care in clinical settings. Result Of 13 articles included in this review, 13 articles documented different questionnaires measuring patient-centred care. These questionnaires included The Person-centred Primary Care Measure (PCPCM), Person-centred maternity care (PCMC), Chloe's-Card, Korean version of the Person-centred Care Assessment Tool (K-P-CAT), Health Education Impact Questionnaire (HEI-Q), Patient-centred Matching (PCPM), Quality of Interactions Schedule (QuIS), Person-centred Critical Nursing Care Scale, Patient-centred Quality of Cancer Care Questionnaire (PCQCCQ), Patient-reported Experience Measures (PREMs), Patient-centred Survivorship Care Index (PC-SCI), and Vietnamese Patient-centred Care measure (VPCC). Each instrument had different criteria according to the patient's background and contextual setting. Existing questionnaires have engaged various perspectives in measuring patient-centred care and distinct adjustment to the patient's condition. Some of the reviewed instruments were modified from existing instruments to meet particular settings. Keywords: Measuring, Patient-Centred Care, Clinical Care, Instruments
Continuity of care pasien dengan penyakit kronis: Sebuah kajian pustaka Asmaningrum, Nurfika; Prasetyo, Eko; Rifai, Ahmad
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1695

Abstract

Background: Continuity of Care (CoC) plays a vital role in managing chronic illnesses by ensuring consistent monitoring, coordinated services, and a strong therapeutic relationship between patients and healthcare providers. Evidence suggests that CoC enhances treatment adherence, reduces hospital readmissions, and improves long-term health outcomes. However, understanding of this concept particularly among adolescents with chronic conditions, which remains limited. Purpose: To identify the key attributes, antecedents, and consequences of CoC in the context of nursing care for patients with chronic illnesses, with particular attention to adolescents. Method: Rodgers’ evolutionary concept analysis was employed through a literature review of studies published between 2019 and 2024, guided by the PRISMA protocol, and sourced from Scopus, PubMed, and Sage databases. Results: The main attributes of CoC include informational continuity, relational continuity, management continuity, access to healthcare services, referral systems, discharge planning, cross-service and multidisciplinary collaboration, and patient and family empowerment. Antecedents comprise both enabling and inhibiting factors. The positive consequences of effective CoC are improved quality of life, reduced hospitalization frequency, and increased readiness for independent self-care among adolescents. Conclusion: CoC is crucial to achieving successful long-term care outcomes. Suggestion: The concept of CoC should be integrated into nursing education and training programs, along with the development of care models that focus on adolescents living with chronic conditions.   Keywords: Continuity of Care; Chronic Illness; Patients.   Pendahuluan: Continuity of care (CoC) atau keberlanjutan perawatan memiliki peran penting dalam menangani penyakit kronis dengan memastikan pemantauan yang konsisten, layanan yang terkoordinasi, serta hubungan terapeutik yang kuat antara pasien dan tenaga kesehatan. Bukti menunjukkan bahwa CoC dapat meningkatkan kepatuhan terhadap pengobatan, mengurangi angka rawat inap ulang, dan memperbaiki hasil kesehatan jangka panjang. Namun, pemahaman tentang konsep ini terutama pada remaja dengan kondisi kronis dan masih terbatas. Tujuan: Untuk mengidentifikasi atribut utama, faktor pendahulu, dan konsekuensi dari CoC dalam konteks keperawatan bagi pasien dengan penyakit kronis dengan fokus khusus pada kelompok remaja. Metode: Analisis konsep evolusioner Rodgers digunakan melalui telaah pustaka terhadap artikel yang diterbitkan antara tahun 2019 hingga 2024, mengikuti protokol PRISMA, dengan sumber dari basis data Scopus, PubMed, dan Sage. Hasil: Atribut utama CoC mencakup kontinuitas informasi, kontinuitas hubungan, kontinuitas manajemen, akses terhadap layanan kesehatan, sistem rujukan, perencanaan pemulangan pasien, koordinasi lintas layanan dan multidisipliner, serta pemberdayaan pasien dan keluarga. Faktor pendahulu mencakup unsur yang mendukung maupun yang menghambat. Konsekuensi positif dari CoC yang efektif antara lain peningkatan kualitas hidup, penurunan frekuensi rawat inap, serta kesiapan remaja untuk mandiri dalam perawatan diri. Simpulan: CoC sangat penting dalam mencapai keberhasilan perawatan jangka panjang. Saran: Konsep CoC perlu diintegrasikan ke dalam pendidikan dan pelatihan keperawatan, disertai pengembangan model perawatan yang berfokus pada remaja dengan penyakit kronis.   Kata Kunci: Continuity of Care; Penyakit Kronis; Pasien.
Measuring Nurses’ Ethical Competence in Clinical Care: A Systematic Literature Review Nurfika Asmaningrum; Denny Rifki; Dodi Wijaya
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.32013

Abstract

Background: Ethical competence is a fundamental requirement in the nursing sector. Justice, autonomy, beneficence, and non-maleficence are among the ethical principles that nurses must incorporate into their daily jobs. This implies the urgency for accurately measuring nurses’ ethical competency. This systematic literature review aims to identify and evaluate the existing instruments for measuring nurses' ethical competence in clinical settings. Methods: The present study curated works obtained from Google Scholar, PubMed, Springer, Science Direct, and Sage Journal as the basis to conduct a systematic literature review aiming to identify and evaluate the existing instruments for measuring nurses' ethical competence in clinical settings. Result: Of 14 articles that satisfied the inclusion criteria, 12 different instruments were found to measure nurses' ethical competence. Conclusion: This research has identified different and varied questionnaires. These questionnaires can be used according to contextual properties, such as the patient's condition and the cultural background of the setting where this questionnaire is operationalized.
Systematic Review of Research Instruments Measuring Competence of Nursing Clinical Preceptors Hartini Mansyur; Nurfika Asmaningrum; Dodi Wijaya
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42037

Abstract

Clinical preceptors are essential to nursing education because they help students learn clinical skills and develop as professionals. However, assessing preceptor competency can be challenging due to the lack of standardized and reliable tools. While various tools are available to measure multiple aspects of competency, there is no clear agreement on how these tools should be selected or used across clinical settings. The purpose of this systematic review was to identify and evaluate tools measuring competence of nursing clinical preceptor. The review focused on the instruments and their psychometric qualities, how they are used, and how effective they are in improving clinical education. A systematic literature review was conducted to identify existing instruments used to measure the level of competency of nursing clinical preceptors. Science Direct, Google Scholar, Sage Journal, Pubmed, and Springer were the databases selected for this study. Of the 13 eligible articles in this study, 12 different instruments were found. The instruments found included the Clinical Educators' Competence Questionnaire, Clinical Teaching Competence Inventory, Maastricht Clinical Teaching Questionnaire (MCTQ), Preceptors Orientation Competence Instrument (POCI), Preceptors' Competency Domain Guide Tool, Clinical Core Competency of Preceptors (CCCP), Clinical Preceptor Experience Evaluation Tool (CPEET), Competence of Clinical Nurse Educators Instrument, Nursing Clinical Teacher Effectiveness Inventory (NCTEI), Mentors' Competence Instrument (MCI), Mentorship Effectiveness Scale, IMSOC Questionnaire. Although there are several tools available to evaluate nursing clinical preceptor competency, each has its advantages and disadvantages, according to the review's findings. For a thorough evaluation, the suitable instruments must be chosen depending on particular educational circumstances. The results show that these instruments need to be further developed and standardized to increase their applicability and reliability in a variety of healthcare settings. This will ultimately assist successful preceptorships and raise the caliber of nursing education.
Theoritical model of Responsiveness in Nursing Care: A Review Sari Dewi Karuaniawathy; Nurfika Asmaningrum; Iis Rahmawati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49125

Abstract

Background : In nursing, responsiveness is a key component for improving service quality, patient satisfaction, and equity across healthcare systems. The purpose of this systematic review was to identify and analyze theoretical models and frameworks important to nursing. Methods: Literature was retrieved from major databases (Scopus, PubMed, ScienceDirect, and Scholar) through June 2024. This study highlights the importance of models or frameworks for addressing health or safety issues, whether based on theory, intervention, or model evaluation. Data were analyzed thematically to identify key dimensions and components of responsive models. Results: Each article identified highlighted diverse settings and populations. Thematic analysis revealed that multifaceted responsive models comprised sector-specific collaboration, equity, dignity, autonomy, effective communication, business practices, and patient-centered care. There was a positive relationship between the implementation of these models and patient outcomes and satisfaction, as well as improvements in service quality and performance. Key factors were the organizational environment, cultural adaptation, and student reluctance. Conclusion: Responsive nursing theory can be used to develop nursing practices and procedures that are more flexible, responsive, and sensitive to patient needs across healthcare systems.
Health Education in Adolescents about Stress Management in Dealing with the COVID-19 Vaccine Program: Pendidikan Kesehatan pada Remaja tentang Manajemen Stres dalam Menghadapi Program Wajib Vaksin COVID-19 Afandi, Alfid Tri; Asmaningrum, Nurfika; Ardiana, Anisah
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 2 (2023): November 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i2.64

Abstract

COVID-19 is an outbreak that began to spread in early 2020. The impact caused by this virus is hazardous in causing death for those infected. Indonesia itself is a country with a high risk of death due to the Covid-19 virus. East Java has the 3rd highest number of cases at the provincial level, and Jember Regency has the 4th highest. To increase youth's knowledge regarding the mechanism of COVID-19 transmission and stress management in the face of the COVID-19 pandemic and the mandatory COVID-19 vaccine program. The goal is that teenagers are not afraid to receive the Covid-19 vaccine. Empowerment of youth and health cadres in conducting counseling using leaflets, PowerPoint presentations, and interactive discussions. The implementation of this activity resulted in the formation of teenagers ready for the COVID-19 vaccine and increased knowledge and awareness of how to prevent the transmission of the COVID-19 virus. After carrying out this community service activity, it is hoped that teenagers, health cadres, and village officials will always actively support government programs to prevent the spread of the Covid-19 virus.
Preventing Health Problems Impact toward Pesticide Exposure among Rice Farming Group in Mayang Village, Mayang District, Jember Regency: Upaya Pencegahan Masalah Kesehatan Dampak Pajanan Pestisida Pada Kelompok Petani Padi Di Desa Mayang Kecamatan Mayang Kabupaten Jember Nur, Kholid Rosyidi Muhammad; Wijaya, Dodi; Asmaningrum, Nurfika
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 1 (2023): May 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i1.70

Abstract

Indonesia is an agrarian society where most of the population work as farmers. Technological advances in this century have penetrated not only the field of telecommunications but also agriculture. This progress has made agricultural production increase but has also been accompanied by an increase in the use of pesticides. The problems caused by pesticide exposure include skin diseases and respiratory and digestive tract diseases. This community service aims to prevent health problems, especially the impact of pesticide exposure on the Ambarukmo rice farmer group in Mayang Village, Jember Regency. The service activity was carried out on May 22, 2022, and was attended by 26 farmers who are members of the Ambarukmo Farmer Group in Mayang Village. Activities include outreach, counseling, and handing over personal protective equipment to farmers. The counseling material includes an understanding of pesticides, the impact of pesticides on health, and efforts to prevent diseases caused by pesticides. Efforts to prevent health problems related to the impact of pesticide exposure on farmer groups to improve the health status of farmers so that they can remain productive and prosperous.
ACTIV-5: A Digital Education Strategy for Tuberculosis Prevention in the Community: ACTIV-5: Strategi Edukasi Digital untuk Cegah TBC di Komunitas Ermayuningsih, Baiq Reny; Sholihah, Mar'atus; Wahyuni, Sri; Tanwirullaily; Asmaningrum, Nurfika; Ardiana, Anisah; Fatimah
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 2 (2025): November 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i2.414

Abstract

Tuberculosis remains a serious public health issue in Indonesia. Low public awareness, delayed diagnosis, and poor treatment adherence have worsened the spread of the disease. This community service activity aimed to enhance public understanding of TB prevention through a digital educational video based on the ACTIV-5 strategy, and to evaluate its effectiveness in improving knowledge scores before and after the intervention. The program was conducted from June 30 to July 2, 2025, using a quasi-experimental pretest-posttest design. A total of 172 respondents were purposively selected from a population of 302 individuals. Education was delivered by screening short videos based on the ACTIV-5 strategy in the waiting area of the health center. Respondents’ knowledge was measured using a structured questionnaire administered before and after the intervention. During the educational period, a total of 320 patient visits were recorded. Data were analyzed using basic quantitative methods. Pretest results showed that most respondents lacked understanding of TB symptoms and transmission mechanisms. After the intervention, there was a significant increase in knowledge scores, particularly in recognizing early symptoms and the importance of completing treatment. The average score improved by more than 40% from the baseline. In conclusion, the ACTIV-5-based educational video proved to be effective and holds potential as a sustainable educational strategy in primary healthcare services. It is recommended that the program be replicated in other public health centers to expand its promotive and preventive impact on TB control.
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