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All Journal Jurnal Keperawatan Indonesia Juiperdo Jurnal Kebidanan Jurnal Keperawatan Silampari Nursing Current : Jurnal Keperawatan Indonesian Journal of Health Research Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Suaka Insan Jurnal Ilmu Keperawatan Jiwa Jurnal Smart Keperawatan Jurnal SMART Kebidanan Jurnal Ners Journal of Social Science Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) MAHESA : Malahayati Health Student Journal International Journal of Science and Society (IJSOC) Jurnal Kebidanan dan Keperawatan Aisyiyah Journal of Social Science Enrichment: Journal of Multidisciplinary Research and Development Jurnal Smart Keperawatan Jurnal Ilmu Keperawatan dan Kebidanan Indonesian Journal of Global Health Research
Blacius Dedi
Universitas Karya Husada Semarang
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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PATIENT SATISFACTION QUALITY DESIGN BASED ON MINAHASA CULTURE AT RSUD Dr. SAM RATULANGI TONDANO PHENOMENOLOGY STUDY Prisylia Meggy Wuisang; Blacius Dedi; Susi Nurhayati
Jurnal SMART Keperawatan Vol. 12 No. 2: DECEMBER 2025
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/k7pc4595

Abstract

Background. Minahasan culture has an important role in shaping community attitudes and behavior, including in health services, with cultural values If All Children Tumou Too, has principles that are very relevant in improving the quality of hospital services. This design aims to integrate local Minahasan wisdom into the hospital service system to increase patient satisfaction. The aim of this research is to determine the quality of patient satisfaction based on Minahasa culture at RSUD Dr.  Sam Ratulangi Tondano  Method. The research design used was qualitative phenomenological. The source of informants or participants in this study were 10 people consisting of patients or families of patients who were undergoing treatment in the surgical room at RSUD Dr. Sam Ratulangi Tondano. Primary data was obtained through in-depth interviews using interview guides conducted with informants. Data analysis in this research uses content analysis  Results. The research results showed that there were 5 themes that emerged, namely: Responsiveness in accordance with Minahasa culture, Malinga-lingaan (listen to each other), Empathy, that is  Mangenang-genangan (feeling what the patient feels, praying for each other, visiting). Tangible, that is Maesa-esa’an, (must be united), Maesa-esa’an (remind each other), Reliability that is Matombo-tombolan (support each other) and Assurances that is  Mapalus, (help and please help). In providing health services, especially at RSUD Dr. Sam Ratulangi Tondano Minahasan culture continues to be preserved, especially in context ma-saali (service), where a nurse provides good service to patients, both in terms of appearance and friendliness.  Conclusion. Aspects of Minahasan culture applied at RSUD Dr. Sam Ratulangi Tondano, namely Malinga-lingaan (listen to each other), Maleo-leosan (attitudes and behavior that love each other), Maesa-esa’an, (must be united), Mangenang-genangan (remind each other), Matombo-tombolan (support each other) and Mapalus, help each other and help each other.  Suggestion. For the hospital to make signboards to rooms or corridors, providing announcements using language Tolour or Tondano language, and wearing work clothes/uniforms using local batik (batik bentenan) and for nurses and medical personnel to provide hospital services with Minahasan cultural dimensions, magenang-genangan, masawang-sawangan, matombo-tombolan, malinga-lingaan dan maleo-leosan
PENGALAMAN PASIEN HEMODIALISA YANG TERPASANG ARTERIOVENOUS FISTULA (AVF) BERDASARKAN PERSPEKTIF KUBLER ROSS DI RS ‘AISYIYAH KUDUS Yulisetyaningrum Yulisetyaningrum; Blacius Dedi; Yunani Yunani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 2 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i2.1965

Abstract

Gagal ginjal kronis telah diakui sebagai salah satu masalah kesehatan dengan prevalensi terbanyak di seluruh dunia dengan 13,4% dari total populasi. Kondisi medis saat ini penatalaksanaan masih dengan hemodiafiltrasi jangka Panjang. Pasien dengan pengalaman pertama kali hemodialisa muncul rasa cemas karena ketakutan terhadap managemen terapi bahkan sampai adanya penolakan. Pemasangan dan pemeliharaan arteriovenus fistula merupakan salah satu masalah yang sering pada pasien. Pasien mengalami berbagai tahap kesedihan yang berbeda selama proses berduka, dan tidak semua orang dapat mencapai keadaan pikiran yang positif. Saat ini belum ada penelitian yang mengeksplorasi pengalaman pasien hemodialisa yang terpasang arteriovenous fistula (AVF). Tujuan penelitian untuk menggali pengalaman pasien hemodialisa yang terpasang arteriovenus fistula berdasarkan perspektif Kubler Ross di RS ‘Aisyiyah Kudus. Penelitian ini adalah penelitian kualitatif dengan pendekatan studi fenomenologi. Pengambilan data menggunakan  in-depth interview, partisipan 11 orang yang terdiri partisipan pasien dan keluarga. Partisipan pasien merupakan pasien hemodialisa yang terpasang AVF satu tahun terakhir. Dari hasil penelitian didapatkan 4 tema yaitu (1) partisipan berespon menyangkal dan menerima  sebagai pasien hemodialisa yang terpasang Avf Shunt, (2) Membatasi makan, minum dan perawatan Avf shunt di rumah, (3) Membutuhkan dukungan keluarga dan (4) Hambatan yang dialami keluarga pasien dalam psikologis, sosial dan ekonomi kemudian ditindaklanjuti dengan pembuatan buku panduan perawatan arteriovenus fistula dalam tahap penolakan.Kata Kunci : Arteriovenous fistula, hemodialisa, Kubler Ross, Pengalaman
Approach Pattern to The Effectiveness of Local Government Policies In Reducing The Prevalence of Stunting in Central Mamberamo District Based on The Theory of Betty Neuman Study Phenomenology Saria Dewi Sartika Hutagao; Blacius Dedi; M. Jamaluddin
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54287

Abstract

Poverty in Central Mamberamo Regency is exacerbated by the low daily malnutrition rate (PoU) per capita, which is only 26.1% of the AKG in 2023. This region is of particular concern because it contributed 35.42% of the highest stunting prevalence among 28 other regions in Papua in the same year. The Neuman System Model encourages the role of nurses in maintaining the stability of the client system (individual, family, group, or community) through primary, secondary, and tertiary interventions. This study aims to explore the pattern of approaches to the effectiveness of local government policies and the supporting factors and obstacles to the success of programs in reducing stunting rates in Central Mamberamo Regency based on Betty Neuman's theory. This study used a qualitative approach with a case study or applied phenomenology method, focusing on an in-depth understanding of the experiences and perspectives of various stakeholders (pregnant women, postpartum women, mothers with stunted toddlers, nurses, and heads of agencies) selected through a combination of purposive sampling and snowball sampling methods at the Kobakma Community Health Center in Central Mamberamo from June to July 2025, with sample size determined based on data saturation. The results showed that the success of the ANC program in Central Mamberamo was evident in the increase in pregnant women's weight and normal births. This is supported by Betty Neuman's theoretical approach with structured interventions (education, supplements) to prevent stunting, along with cross-sector collaboration. However, this is hampered by a shortage of professional health human resources. Government strategies, which include nutrition education, iron supplementation, and nutritional rehabilitation for stunted toddlers, have shown effectiveness in improving maternal and infant health, although human resource challenges need to be addressed urgently. This study highlights the program's success in improving ANC adherence among pregnant women and healthy birth outcomes, with cross-sector collaboration as a key contributing factor. However, inadequate human resources (HR) for health professionals was identified as an urgent inhibiting factor that needs to be addressed. Keywords: Betty neuman's theory; Policy effectiveness; Central mamberamo; Prevalence of stunting
Pengaruh Implementasi Handover Bedside Teaching Base On Patient Centered Care Terhadap Kepuasan Pasien Di Ruang Rawat Inap RS Columbia Asia BSD Ina Maelani; Blacius Dedi; Witri Hastuti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57090

Abstract

Kepuasan pasien merupakan indikator kualitas layanan kesehatan yang dipengaruhi oleh kesesuaian antara harapan dan pelayanan yang diterima, terutama melalui asuhan keperawatan, komunikasi efektif, serta penerapan keselamatan pasien. Salah satu aspek penting adalah pelaksanaan handover, khususnya metode Handover Bedside Teaching berbasis Patient-Centered Care (PCC), yang memungkinkan transfer informasi akurat, keterlibatan pasien, serta peningkatan keselamatan dan kualitas perawatan. Penelitian ini bertujuan untuk mengetahui pengaruh implementasi Handover Bedside Teaching Base on Patient Centered Care terhadap kepuasan pasien di Ruang rawat inap Rumah Sakit Columbia Asia BSD. Jenis penelitian ini adalah kuantitatif dengan desain penelitian yang digunakan quasi eksperimen two group. Penelitian ini dilakukan di Ruang Rawat Inap RS Columbia Asia BSD. Adapun teknik sampling yang digunakan yaitu purposive sampling dengan jumlah sampel sebanyak 50 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner kepuasan sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Analisis data menggunakan uji paired t-test untuk mengetahui perbedaan kepuasan pasien sebelum dan sesudah intervensi. Hasil penelitian dengan analisis bivariat uji paired t-test menunjukkan bahwa terdapat perbedaan signifikan antara kepuasan kelompok kontrol dan intervensi dengan p-value = 0,001 sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Penerapan handover dengan metode bedside teaching base on patient-centered care meningkatkan kepuasan pasien rawat inap di Rumah Sakit Columbia Asia BSD.
Implementation of Jean Watson’s Caring Theory In NICU Nursing Practice for Families of Low Birth Weight Infants (LBW) Erni Handayani; Blacius Dedi; Tri Ismu Pujianto
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23470

Abstract

ABSTRACT The increase in infant mortality rates is largely attributed to cases of low birth weight (LBW). This is supported by the high incidence of LBW cases reported in various hospitals. Low birth weight infants require prolonged and intensive care due to their susceptibility to multiple health complications. Such conditions often trigger varying levels of anxiety among family members. One of the interventions that can be applied to support families during the hospitalization period is Jean Watson’s Theory of Caring. To explore and describe the experiences of families with low birth weight (LBW) infants hospitalized in the NICU, and to examine how Jean Watson’s Caring Theory is implemented by nurses in supporting family adaptation and reducing anxiety during the hospitalization process. A qualitative descriptive phenomenological design was employed. The study involved eight participants selected through purposive sampling. Data were collected through behavioral observations and in-depth interviews with the participants. The findings revealed four main themes of caring consistent with Jean Watson’s perspective: emotional reactions, anxiety responses, caring during treatment, and family expectations. From the experiences of parents of LBW infants in the NICU, four caring themes emerged—emotional reactions, anxiety responses, caring during treatment, and family expectations. These findings were then integrated into the development of a Caring Guideline Book for the care of LBW infants based on Jean Watson’s Theory of Caring. Keywords: Low Birth Weight (LBW), Jean Watson’s Caring Theory, Family Anxiety, Length of Hospitalization.
THE EFFECTIVENESS OF AROMATHERAPY LAVENDER IN REDUCING EMESIS GRAVIDARUM IN FIRST TRIMESTER PREGNANT WOMEN Widyah Setiyowati; Gunarmi Gunarmi; Blacius Dedi
Jurnal Kebidanan VOLUME 15, NO.02 Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v15i02.663

Abstract

The discomfort that often occurs in pregnant women, especially in the first trimester of pregnancy, is vomiting nausea (Emesis Gravidarum). If emesis gravidarum occurs continuously and is not treated properly, it will cause symptoms of severe vomiting nausea to hyperemysis gravidarum which has adverse effects on the health of the mother and fetus. Emesis gravidarum during pregnancy can be administered pharmacologically and non-pharmacologically. Non-pharmacological actions that can be done, namely mothers can be recommended to eat often in small portions, acupuncture, and aromatherapy. One of the aromatherapy used to treat vomiting nausea is lavender aroma therapy. This study aims to find out how lavender aromatherapy affects vomiting nausea in pregnant women in the I trimester. The sample in this study was 38 I trimester pregnant women with complaints of vomiting nausea who did not use pharmacological therapy. Data analysis using the Wilcoxon test obtained the results of the p-value = 0.000 (<0.05) it can be concluded that Ha is accepted, which means that there is an influence of lavender aromatherapy in reducing emesis gravidarum in pregnant women in the I trimester. Advice can be given to pregnant women can use lavender aromatherapy as an alternative medicine to reduce emesis gravidarum. Keywords : Aromatherapy, Lavender, Nausea And Vomiting
The Effect of Self-Efficacy Guidance on Burnout among Inpatient Nurses Kuswiandarni Kuswiandarni; Blacius Dedi; Tri Ismu Pujiyanto
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): 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.v7i6.205

Abstract

Burnout is a form of work exhaustion experienced by nurses, whether physically, emotionally or mentally. The tendency for nurses to experience burnout at work will affect the quality of nursing services. The purpose of this study was to determine the effect of self-efficacy guidance on burnout among nurses at the Panti WilasaCitarum Hospital. The research method used was a quasi-experiment, with all nurses at the Panti WilasaCitarum Hospital as respondents. The sample used cluster sampling, taken from 20 nurses in the Cempaka room as the treatment group and 20 nurses in the Dahlia room as the control group. The research instrument used a self-efficacy guidance module and a burnout syndrome questionnaire with a significant correlation level of 0.01 (2-tailed) and Cronbach's alpha reliability of 0.96. The results of the study stated that the level of burnout syndrome in nurses after self-efficacy guidance was found to have decreased significantly by 35% after the self-efficacy guidance treatment. This shows that there is an influence between burnout syndrome and self-efficacy guidance. This study proved to reduce the levels of emotional exhaustion, physical exhaustion, depersonalisation, and reduced self-achievement with a Sign value of 0.000 less than 0.05.
Implementation of Surgical Site Bundles in Reducing the Incident of Surgical Site Infections in Hospitals: A Systematic Review Aris Mulyanto; Rusnoto Rusnoto; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.289

Abstract

Surgical Site Infection (SSI) is a post-surgical complication that significantly contributes to increased morbidity, mortality, and hospital costs. The prevalence of SSI in Indonesia is reported to reach 2.3–18.3 % and is an important indicator of service quality. One effective prevention strategy is the implementation of a surgical site bundle, a collection of evidence-based interventions that must be implemented consistently. This article aims to systematically review empirical evidence regarding the effectiveness of implementing bundled surgical sites in reducing the incidence of SSI in hospitals. This study is a systematic review using the PRISMA protocol. Article searches were conducted through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect with publications spanning 2015–2025, Keywords used Surgical Site Bundle, Surgical Site Infection, compliance, hospital. Of the 1,285 articles found, eight articles met the inclusion criteria for analysis, covering quantitative, qualitative, and program evaluation designs related to the implementation of SSI bundles in hospitals. The review showed that bundle implementation was proven to reduce SSI rates. Studies in the United States reported a 30% reduction in SSIs in colorectal surgery, while in gynecologic oncology the incidence of SSIs decreased from 6% to 1.1%. Studies in Indonesia showed that bundle compliance was negatively associated with SSI rates (r = -0.502; p < 0.05 ) and that its implementation was able to shorten patient lengths of stay. However, the effectiveness of bundles is highly dependent on full compliance by healthcare workers and support from hospital management functions. Implementation of the surgical site bundle is effective in reducing SSI rates in hospitals, but its success is determined by consistent implementation, full adherence to the bundle elements, and management oversight. Efforts to improve education, audits, feedback, and patient engagement need to be strengthened to ensure sustainable implementation.
Factors Influencing the Use of Online Registration Applications in Hospitals: A Systematic Review Istriyah Istriyah; Fery Agusman Motuho Mendrofa; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.291

Abstract

Advances in information and communication technology have driven digital transformation in the healthcare sector, including patient registration systems in hospitals. Online registration applications have been developed to increase efficiency, reduce queues, and accelerate access to services. However, adoption remains low and is influenced by various individual, technical, and structural factors. This study aims to identify factors that influence the use of online registration applications in hospitals, so that it can provide a comprehensive picture for the development of digital-based services. The study used a systematic review method with PRISMA guidelines. Literature sources were searched through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect with related keywords. Inclusion articles were published between 2015 and 2025, were quantitative, descriptive, survey, or cross-sectional, and discussed factors influencing the use of online registration applications in hospitals. The keywords used were application, online registration, determinant factors, and hospital. Of the 1,060 articles screened, 9 articles were selected for analysis. A total of 9 articles were synthesized based on the findings of what factors influence the use of online registration applications in hospitals. The review identified five key factors influencing the use of online registration applications: perceived usefulness, perceived ease of use, patient satisfaction, social influence and trust , and facilitating conditions and regulations. These factors operate simultaneously in shaping patient intentions and behavior toward online registration applications. Online registration applications in hospitals are more accepted when they are perceived as useful, easy to use, increase patient satisfaction, and are supported by social factors, trust, and adequate regulations. These findings can inform hospital strategies and health policies to increase the use of digital applications.
The Implementation of Kolcaba's Comfort Self-Efficacy Theory on Anxiety in Hospital Patients: A Systematic Review Sulistyorini Sulistyorini; Blacius Dedi; Tri Ismu Pujiyanto
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.292

Abstract

Hospitalization often causes physical and psychological stress in the form of pain, anxiety, and discomfort that impact the patient's quality of life. The application of Kolcaba's Comfort Theory combined with Bandura's concept of self-efficacy is believed to be able to increase comfort, reduce anxiety, and improve clinical outcomes for patients in the hospital. This systematic review aims to summarize empirical evidence regarding the implementation of Kolcaba's Comfort self-efficacy on patient anxiety and comfort in hospitals. The study used a systematic review approach with the PRISMA protocol. Literature searches were conducted through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect using keywords related to self-efficacy, patients, and Comfort Kolcaba . Included articles were publications from 2015–2025 with quantitative, qualitative, cross-sectional , RCT, and quasi-experimental designs . Of the 460 articles identified, 9 studies met the inclusion criteria for analysis. A total of 9 articles were synthesized based on the findings of the implementation of kolcaba's comfort self-efficacy theory on hospital patient anxiety. The review showed that integrating self-efficacy with Comfort Theory effectively reduced anxiety, depression, and pain, as well as improving comfort, quality of life, therapy adherence, self-care skills, and patient satisfaction. Interventions proven effective included humanistic care, the Clark comfortable nursing approach , and non-pharmacological therapies such as smartphone-based virtual reality. The implementation of Comfort Kolcaba self-efficacy contributed significantly to improving the holistic comfort of patients in the hospital, particularly in reducing anxiety.
Co-Authors Aam Amalia Afriyani, Anita Indra Agus Saputra Agustinus Bandur Ahmad Faiq Alfredo, David Ali Muhlasin Anni Sinaga Arief Nugroho Aris Mulyanto Asep Setiawan Badrujamaludin, Asep Bambang Julianto C. Indriati Kusumaningsih David Alfredo Dewi Hartinah Dwi Prima Hanis Kusumaningtiyas Elisabet Elisabet Erni Handayani Ever Mario Lontaan F. Sri Susilaningsih Fery Agusman Motuho Mendrofa Gunarmi Gunarmi Gunarmi Gunarmi Gunawan Gunawan Gunawan Irianto hendrika zonggonau Herwinda Sinaga Herwinda Sinaga Hotma Rumahorbo Ina Maelani Indah Wulaningsih Isak Jurun Hans Tukayo Istriyah Istriyah Julvainda Eka Priya Utama Krisnanda, Caesaria Dela Kristoforus Triantono Kuswiandarni Kuswiandarni Liana Ginting Lister Friska Manalu M. Jamaluddin Maria Delviana Nurdiani Marthen Sege Oop Ropei Prisylia Meggy Wuisang Ria Sitorus Rosalia Pujianti Roselina Tambunan Rusnoto Rusnoto Saria Dewi Sartika Hutagao Setiawati Setiawati Setyawan, Muhammad Arrafi Setyowati Setyowati Sri Atun Sudibyo Soepardi Sulistyorini Sulistyorini Susi Nurhayati Tambunan, Roselina Titik Kurniawati Tri Ismu Pujianto Tri Ismu Pujianto Waldetrudis Neno Kosat Welong Seftian Surya Widiyaningsih Widiyaningsih Widyah Setiyowati Wilhelmus Hary Wilhemus Hary Susilo Witri Hastuti Yati Afiyanti Yayat Suryati Yulisetyaningrum Yunani Yunani