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IMPLEMENTASI HIERARKI MASLOW KEBUTUHAN KLIEN PENGGUNA NAPZA DALAM MENINGKATKAN STATUS KESEHATAN DI PANTI REHABILITASI YAYASAN SEKAR MAWAR LEMBANG STUDY PHENOMENOLOGY David Alfredo; Blacius Dedi; Roselina Tambunan
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 5 No. 1 (2019): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Implementasi hierarki maslow kebutuhan klien pengguna napza dalam meningkatkan status kesehatan di panti Rehabilitasi Yayasan Sekar Mawar Lembang. NAPZA merupakan singkatan untuk narkotika, alkohol, psikotropika dan zat adiktif lain. Status kesehatan merupakan suatu keadaan kedudukan orang dalam tingkat sehat atau sakit, meningkatnya status kesehatan ditinjau dari faktor sosial adalah sejalan dengan meningkatnya derajat pendidikan pengetahuan dan teknologi. Tujuan penelitian ini bertujuan untuk mengeksplorasi Implementasi Hierarki kebutuhan klien pengguna NAPZA dalam meningkatkan status kesehatan di Panti Rehabilitasi NAPZA Yayasan Sekar Mawar Lembang. Metode yang digunakan dalam penelitian ini yaitu kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan dengan metode fokus grup diskusi. Pengolahan data dilakukan dengan analisis coalizi yaitu menentukan kata kunci, kategori dan tema. Penelitian dilaksanakan di Yayasan Sekar Mawar Lembang, dengan melibatkan 8 partisipan yang merupakan klien di Yayasan Sekar Mawar Lembang. Penelitian ini memperoleh tiga belas tema yaitu 1. Menggali bakat, 2. Menerima apa yang diberikan oleh panti, 3. Sharing 4. konseling dengan konselor, 5. Pola hidup sehat 6. Support, 7.tetap berpikir positif, 8. Percaya diri 9.perubahan sikap. Pengalaman yang dialami oleh klien dalam meningkatkan status kesehatan berbeda-beda.

The Influence of the Design of Nursing Care Documentation Design SDKI, SLKI, SIKI (3S) in Hospital Management Information Systems on Nurse Satisfaction at Dian Harapan Jayapura Hospital Marthen Sege; Blacius Dedi; Isak Jurun Hans Tukayo
Journal of Social Science Vol. 3 No. 6 (2022): Journal of Social Science
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jss.v3i6.436

The Service is required to be part of the hospital in implementing the documentation of nursing care using computerization. Patients in hospitals often feel dissatisfied with services because nurses take too long to search for patient history data and nurses feel dissatisfied in paper-based documentation which makes the workload increase. The purpose of this study was to design a nursing care documentation design in the 2000s SDKI, SLKI, SIKI (3S) in hospital management information systems on nurse satisfaction. The research method used a research and development design as well as descriptive observational cross sectional with a total sampling technique of 74 nursing respondents at Dian Harapan Jayapura Hospital and analyzed using simple regression analysis. The results showed that 73% of the 3-S nursing care documentation design in SIMRS was in the good category and 77% of nurses were satisfied with the 2000s nursing care documentation design in SIMRS and a significant p-value (0.000) which means that there is an effect of 30.8 % between the design of the 3S nursing care documentation in SIMRS and the satisfaction of nurses at Dian Harapan Jayapura Hospital. It can be said that by increasing the resulting information system, the satisfaction of nurses as users is getting better. It is recommended to hold socialization, training and policy realization for nurses documenting 3S nursing care in SIMRS.

The Nurse Caring Behavior from the Perspective of Banten Culture at X Hospital in Rangkasbitung Waldetrudis Neno Kosat; Blacius Dedi; C. Indriati Kusumaningsih
International Journal of Science and Society Vol 4 No 4 (2022): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v4i4.562

Caring is a characteristic of nursing that is applied through the attitudes and actions of the nurse to the patient. Caring behavior in nursing should be based on patient culture to reduce the patient's ugly assessment of nurses such as lack of communication, social distancing with patients, less friendly, less polite, less sincere, less time to the patient and less responsive to patient complaints. The purpose of this study is to explore the caring behavior of nurses from the perspective of Banten culture at X Hospital in Rangkasbitung. Qualitative research method with exploratory phenomenological approach. Focus Group Discussions (FGDs) are used for data collection. Participants consisted of 10 nurses and 5 patients. Analysis of thematic data using the Colaizzi method. The findings of 5 themes are nurses providing holistic nursing services to patients, nurse communication styles to patients, gender-based nursing care, belief in myths and health, health decision makers by families and aged people. This study explains that the application of caring in nursing needs to pay attention to patient culture. Suggestions for the need to conduct research with a mix of methods or triangulation of varied participants.

The Influence of the Design of Nursing Care Documentation Design SDKI, SLKI, SIKI (3S) in Hospital Management Information Systems on Nurse Satisfaction at Dian Harapan Jayapura Hospital Marthen Sege; Blacius Dedi; Isak Jurun Hans Tukayo
Journal of Social Science Vol. 3 No. 6 (2022): Journal of Social Science
Publisher : Syntax Corporation Indonesia

The Service is required to be part of the hospital in implementing the documentation of nursing care using computerization. Patients in hospitals often feel dissatisfied with services because nurses take too long to search for patient history data and nurses feel dissatisfied in paper-based documentation which makes the workload increase. The purpose of this study was to design a nursing care documentation design in the 2000s SDKI, SLKI, SIKI (3S) in hospital management information systems on nurse satisfaction. The research method used a research and development design as well as descriptive observational cross sectional with a total sampling technique of 74 nursing respondents at Dian Harapan Jayapura Hospital and analyzed using simple regression analysis. The results showed that 73% of the 3-S nursing care documentation design in SIMRS was in the good category and 77% of nurses were satisfied with the 2000s nursing care documentation design in SIMRS and a significant p-value (0.000) which means that there is an effect of 30.8 % between the design of the 3S nursing care documentation in SIMRS and the satisfaction of nurses at Dian Harapan Jayapura Hospital. It can be said that by increasing the resulting information system, the satisfaction of nurses as users is getting better. It is recommended to hold socialization, training and policy realization for nurses documenting 3S nursing care in SIMRS.

The Effectiveness of Giving Lemon Inhalation on Reducing Labor Pain Titik Kurniawati; Gunarmi Gunarmi; Blacius Dedi
Jurnal SMART Kebidanan Vol 10, No 1 (2023): JUNI 2023
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v10i1.751

ABSTRACTPain in labor results in the release of adrenaline which will cause the blood vessels to constrict so that it will reduce the flow of blood that carries oxygen to the uterus and result in a decrease in uterine contractions which will prolong labor time. Lemon contains 66-80 geranyl acetate, neutral, 6-14% terpine, 1-4% α pinene and mrcyne and Limonen. Limonen is known as a pain reliever which can be an effective anesthetic in reducing anxiety during labor, where anxiety results in a long labor process that can be fatal to the fetus (fetal outcome). This study aims to determine the effect of giving lemon inhalation to labor pain. This study used quantitative research techniques. This type of research used a pre-experimental procedure with a one-group pretest-post design. This study used only one intervention group and no comparison (control) group. With a sample of 17 respondents, the technique of taking the total population. The tool in this study used a questionnaire containing a checklist of the NRS (Numeric Rating Scale) to measure labor pain. The study was conducted from June to October 2022. The statistical test results obtained p value = 0.009, this indicates that there is an effect of giving lemon inhalation to reducing labor pain in the active phase of the first stage, so Ho is rejected, indicating reduced contractions from conditions before and after lemon inhalation is given . Keywords: lemon inhalation; labor pain; pregnant woman ABSTRAKRasa nyeri pada persalinan mengakibatkan pengeluaran adrenalin yang akan mengakibatkan pembuluh darah berkontriksi sehingga akan mengurangi aliran darah yang membawa oksigen ke uterus dan mengakibatkan penurunan kontraksi uterus yang akan memperpanjang waktu persalinan). Lemon memiliki kandungan 66-80 geranil asetat, netrol, terpine 6-14%, α pinene 1-4% dan mrcyne dan Limonen. Limonen adalah dikenal sebagai pengurang nyeri yang dapat menjadi anastesi yang efektif dalam pengurangan kecemasan selama proses persalinan, dimana kecemasan berakibat pada proses persalinan lama sehingga berakibat fatal pada janin (fetal outcome) Penelitian ini bertujuan untuk mengetahui pengaruh pemberian inhalasi lemon terhadap nyeri persalinan. Penelitian ini menggunakan teknik penelitian kuantitatif. Jenis penelitian ini menggunakan prosedur pra-eksperimen dengan desain pretes-pos satu kelompok. Penelitian ini hanya menggunakan satu kelompok intervensi dan tidak ada kelompok pembanding (kontrol). Dengan jumlah sampel 17 responden, dengan tehnik pengambilan total populasi. Alat dalam penelitian ini menggunakan kuesioner yang berisi daftar tilik NRS (Numeric Rating Scale) untuk mengukur nyeri persalinan. Penelitian dilakukan pada bulan Juni hingga Oktober 2022. Hasil uji statistik diperoleh nilai p = 0,009, hal ini menunjukkan bahwa ada pengaruh pemberian inhalasi lemon terhadap penurunan nyeri persalinan kala I fase aktif maka Ho ditolak, menunjukkan kontraksi berkurang dari kondisi sebelum dan sesudah inhalasi lemon diberikan. Kata Kunci: Inhalasi lemon; nyeri persalinan; ibu bersalin

Design of BWAT method development in diabetic foot ulcers patients in hospital: Action research Dewi Hartinah; Blacius Dedi; Widiyaningsih Widiyaningsih
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 19, No 1 (2023): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3031

Diabetic foot ulcers (DFU) are one of the complications of diabetes that has a serious impact and requires high treatment costs. However, they can be prevented early through a series of assessments. The most recommended initial assessment method to determine the risk of complications is the BWAT Method. However, nurses’ BWAT method is still considered too long and complicated. In addition, the hospital also has a different handling program from the BWAT method, so it is necessary to develop the BWAT method and adjust this method to the SOP, which is expected to be more easily applied by nurses. This study aims to design the development of the Bates-Jensen Wound Assessment Tools (BWAT) method for DFU patients with the development of Hospital SOPs. The research method is qualitative action research, while data collection uses focus group discussion (FGD) on 10 participants determined through purposive sampling techniques, with minimum nurse criteria and a minimum length of work of 5 years. Data analysis using the Collaizi model expert judgment was given to three speakers to design SOPs for the BWAT method of wound assessment. The study results obtained four themes related to wound assessment in DFU patients and a draft SOP for wound assessment by developing the BWAT method for DFU patients who received treatment at the hospital. The SOP development trial found that with the same flow but with shorter language, the SOP is easier to understand and easier for nurses to implement; however, improvements are still needed from this SOP, namely in the form of additional evaluation items in the SOP that are expected to be used to improve communication between health care providers to facilitate the process of providing sustainable nursing services.

Komparasi Kompetensi Kepemimpinan Klinis Perawat Primer Berdasarkan Perspektif Evaluasi Diri dan Evaluasi Kepala Ruangan Liana Ginting; F. Sri Susilaningsih; Yayat Suryati; Blacius Dedi
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to examine the clinical leadership competence of primary nurses based on the perspective of self-evaluation and evaluation of the head of the room in the inpatient room at Immanuel Hospital, Bandung. This research method is a quantitative research using a comparative research design. The results showed that there was 1 component had an evaluation equation, namely the element of working together with other people both in the primary nurse self-evaluation and the evaluation of the head of the ward had good cooperation. Four components had different evaluation results between the primary nurse's self-evaluation and the evaluation of the head of the room, namely, self-quality, management of nursing care services, improving services, and determining direction. In conclusion, there are differences in the clinical leadership competence of primary nurses based on the primary nurse's self-evaluation with the evaluation of the head of the room. Keywords: Self Evaluation, Head of Room Evaluation, Clinical Leadership, Primary Nurse

Rancangan Standar Prosedur Operasional Perawatan Ulkus Pedis Diabetikum Grade 3 dan 4 Sri Atun; Blacius Dedi; Ria Sitorus; Asep Badrujamaludin; Hotma Rumahorbo
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

This study aims to explore nurses' experience treating ulcers in grades 3 and 4 and make it a standard SOP. This research method is qualitative research with an action research approach. The results of the study resulted in five themes, namely the comprehensive treatment of grade 3 and 4 diabetic ulcers, X-ray examination of grade 3 and 4 diabetic ulcers, the role of infrared and ozone in the management of grade 3 and 4 diabetic ulcers, the culture of grade 3 and grade 3 diabetic ulcers. 4, and health education on the five pillars of diabetes mellitus, grade 3, and grade diabetic ulcers. In conclusion, the Operational Service Standards for grades 3 and 4 are expected to be able to make a comprehensive, scientific, and scientific ulcer treatment so that the quality of service is uniform and suitable, the healing process wound quickly, thus avoiding amputation. Keywords: Diabetes Mellitus, Pedis Ulcer Grade 3 and 4

IMPLEMENTATION OF THE ORGANIZING FUNCTION AND SUPERVISION BY THE HEAD OF THE ROOM AT THE MOTHER AND CHILDREN'S HOSPITAL LOVE OF THE CIPUTAT STUDY PHENOMENOLOGY Maria Delviana Nurdiani; Blacius Dedi; Wilhemus Hary Susilo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v7i2.804

Background: The implementation of the organizing and supervision function by the Head of the room in several medical wards has not been optimal yet. The head of the room claimed that 90% of staff have never been given nursing care audits and 80% of staff have never been given nursing supervision. There are 90% nurses and midwives who do not know the structure and organization of nursing, 60% nurses and midwives do not know their job description and responsibility, and 62,5% of nurses and midwives do not know about nursing care methods which are applied in providing services (Residency Results 2018). Aims: This study to know-how experience of the head nurse to implementation organizing and supervision function. Methods: The method of research is qualitative which is used descriptive phenomenology design and the data analysis method is using phenomenological Colaizzi (Polit and Beck, 2012). Result : The research was supported by 6 participants, there are 9 main parts: providing guidance to nursing staff, making priority schedules for operations implementation, resolving existing problems with situational and flexible management, self-evaluation and jointly finding solutions in organizing staff, ability to carry out the duties as ahead of the room, cooperation with nursing managers in order to improve service,. SPO used in the room can facilitate the head of space and staff in carrying out actions. Conclusion: there is a new job desk socialization time, HR Requests that have not been fulfilled yet.

DEVELOPMENT OF MOIST WOUND HEALING METHOD GOVERNANCE MODEL BASED ON PATRICIA BANNER AND KATHERINE KOLCABA THEORY Ever Mario Lontaan; Blacius Dedi; Susi Nurhayati; Welong Septian Surya
Jurnal SMART Keperawatan Vol. 12 No. 1 (2025): JUNE 2025
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/96f52046

Background: Nursing management is the specific responsibility of the nursing manager to plan, organize, direct, and supervise resources, including personnel, equipment, and funds, to provide effective nursing care to patients, families, and the community. The head of the ward is responsible for managing the health care activities in a particular ward. Patricia Benner identified seven key areas in surgical practice, namely the assisting role, teaching and training functions, monitoring diagnosis and patients, managing change, therapeutic interventions, monitoring the quality of practice, and organizational work competencies. Benner developed this concept to describe the practical knowledge and skills in wetting, including the application of moist wound healing methods. Objective: This study aims to develop a governance model for the moist wound healing method based on Patricia Benner and Katherine Kolcaba's theories to improve the quality of wound care at RSUD Anugerah Tomohon. Method: The research design employed an action research method with a qualitative approach. The study sample consisted of 10 nurses working in the wound care unit. Data were collected through in-depth interviews and direct observation and were analyzed using thematic analysis to identify key themes related to the application of the moist wound healing method. Result: the moist wound healing method enhances the quality of wound care and accelerates the healing process. The implementation of the governance model based on Kolcaba and Benner's theories has a positive impact on wound care outcomes. Conclusion: This study recommends that hospitals adopt this model more widely and provide intensive training to nurses to enhance their wound care skills.

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