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Peningkatan Kualitas Timbang Terima Di Instalasi Gawat Darurat Era Revolusi Industri 4.0 Tri Andri Pujiyanti; Luky Dwiantoro; Muhammad Hasib Ardani
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 2 No. 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v2i2.243

Abstract

A handover is an application form for improving effective communication which is part of the patient safety goal. Ineffective handover has been shown to increase the risk of preventable side effects, length of stay and rates of complications. High patient mobilization, a lot of time taken, and increased workload are reasons why nurses do not have time for handover. While the ER Nurses are also required to develop, improve their knowledge and skills to improve quality services in line with the technological development of the era industrial revolution 4.0. The objective of this review to identify efforts for improving quality of handover in Emergency Departement in accordance with the development of the industrial revolution era 4.0. This review source search through CINAHL Ebsco, Science Direct, and pubmed from 2010 to 2019, in English, and full text. Searching keywords are Improvemenr, Quality Handover, Technology, and Emergency Department. From this literature review, it was found that efforts to improve quality of handover in the emergency departement included the establishment of appropriate communication / protocol tools / frameworks, developing multi-disciplinary teams, recognizing the influence of culture and implementing training. These efforts cannot be separated, all are interrelated to realize quality handover. Facing the digital revolution 4.0 based on Cyber Physical Systems in the health sector, improving quality handover may use electronic communication framework. Materials handover is using patient data in the medical record (RM) or electronic medical record (ERM). Electronic Handover tool aswer the challenges for facing the digital revolution 4.0. Efforts to improve the quality of handover in the emergency department are established effective communication tools / frameworks, Multidicipline Team meetings, training / coaching and recognizing cultural influences.
Faktor-faktor yang meningkatkan kepatuhan perawat dalam penerapan prinsip enam benar pemberian obat Eni Nuryani; Luky Dwiantoro; Devi Nurmalia
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 4 No. 1 (2021)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v4i1.572

Abstract

Perawat sebagai petugas yang langsung memberikan pelayanan kepada pasien, diharapkan mampu mengembangkan dan memelihara prosedur pemberian obat yang aman guna memberikan pelayanan dan proteksi terbaik bagi pasien. Tujuan studi literatur ini yaitu mengidentifikasi faktor yang meningkatkan kepatuhan perawat dalam penerapan prinsip enam benar pemberian obat. Metode penulisan yang digunakan yaitu Systematic Literatur Review untuk menelusuri berbagai faktor yang meningkatkan kepatuhan perawat dalam pemberian obat. Data yang diambil adalah artikel seputar enam benar prinsip pemberian obat dan faktor yang meningkatkan kepatuhan perawat. Literatur dari sumber terpercaya dalam Bahasa Inggris dan Indonesia dengan rentang penerbitan 2004-2019. Data yang terkumpul dilakukan critical appraisal tool sesuai dengan tujuan yang ingin dicapai menjadi 9. Hasil review menunjukan terdapat beberapa faktor terkait kepatuhan perawat dalam pemberian obat yaitu pengetahuan dan sikap yang baik, adanya SOP dan kebijakan, beban kerja yang tidak terlalu berlebihan serta perawat yang bekerja sudah lama. Kesimpulan studi literatur ini yaitu faktor yang dapat meningkatkan kepatuhan perawat dalam penerapan prinsip enam benar pemberian obat adalah tingkat pengetahuan, sikap, ketersediaan SOP, beban kerja dan lama kerja perawat.
Pengembangan Sistem Aplikasi Online untuk Penerapan Evidence Based Nursing Practice Anggit Prasetyo Mituhu; Luky Dwiantoro; Tri Nur Kristina
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 4 No. 1 (2021)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v4i1.839

Abstract

Evidence-Based Nursing Practice  (EBNP) adalah  pendekatan  sistematis  untuk  meningkatkan  kualitas  praktik keperawatan  dengan  mengumpulkan  bukti  terbaik dalam pengambilan keputusan praktik yang telah menjadi tuntutan pada tatanan rumah sakit. Pada kenyataanya masih banyak kendala dalam penerapan EBNP, misalnya: kurangnya pengetahuan, terbatasnya waktu, dan terbatasnya sarana dan prasarana. Perkembangan teknologi memberikan alternatif pemecahan masalah tersebut agar EBNP lebih masif penggunaannya. Studi ini merupakan metode penelitian pengembangan dengan 3 langkah yang dimulai dengan need assessment berupa wawancara dengan 9 perawat klinik; wawancara dengan ekspert dalam bidang Teknologi Informasi; dan pengembangan aplikasi online dengan mengadaptasi tujuh (7) langkah penerapan EBNP. Penggunaan teknologi untuk mengembangkan aplikasi dalam penerapan EBNP bersama tim IT tentang catatan digital dan masukan dari expert tentang metode input (voice to text), maka tercipta sebuah aplikasi berbasis Dynamic Website bersifat personal dengan nama online START EBP. Fitur aplikasi yang dimiliki meliputi menu registrasi, menu profile, menu tujuh langkah pencarian bukti (searching journals, appraisal, share link review expert dan partisipan, monitoring dan evaluasi), resume pdf, link media Jurnal club. Aplikasi Online START ringan dan dapat digunakan diberbagai platform digital dengan setiap tahapan EBNP yang tersimpan dengan baik kedalam database. Penggunaan aplikasi Online START EBP dapat menjadi alternatif modern dalam upaya promosi EBNP bagi perawat klinik.
Suicidal Self-Harm Behaviors in Young Adult Women Geovanny Serviam Permana Putri Rahamitu; Meidiana Dwidiyanti; Luky Dwiantoro
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.4836

Abstract

Self-harm is a rising concern among young adult women, particularly as it is often linked to an increased risk of suicide. This study aims to examine the patterns, motivations, and psychological impacts of self-harm behaviors within this demographic, focusing on the underlying emotional triggers and contextual factors. Using a qualitative approach, in-depth interviews were conducted with participants aged 18 to 25 years who had experienced self-harming behaviors. The method allowed for a detailed exploration of their personal experiences, revealing that self-harm frequently serves as a coping mechanism to manage intense emotional pain and a perceived lack of control over negative emotions. Participants often reported that self-harm provided temporary relief, though it sometimes led to feelings of regret and shame. Additionally, a significant portion of the participants expressed a tenuous connection between self-harm and suicidal ideation, highlighting a complex relationship between self-harm and mental health risks without a direct intent to commit suicide. This study underscores the need for targeted, empathetic interventions that address the emotional and psychological needs of young adult women struggling with self-harm, providing insights for mental health practitioners to develop tailored support strategies aimed at reducing self-harm and related mental health challenges in this population.
Factors Influencing Stress in Mothers Experiencing Domestic Violence: Scoping Review Indah Qolbiyati; Meidiana Dwidiyanti; Luky Dwiantoro
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.4938

Abstract

Domestic violence is a violation of human rights, a crime against human dignity and a form of discrimination. Violence, whatever the form or reason, is a form of crime that cannot be justified. Domestic violence is a global problem and a serious public health problem throughout the world. According to several scientific studies, risk factors for domestic violence include young age, desire to have children, pregnancy, separation from a partner, low socio-economic status, low education level, unemployment, drug abuse, social and economic inequality, among others. Objectives: Concluding on the factors that influence stress in mothers who experience domestic violence. Method: This article uses three data based science direct, scopus and wiley. The search for this article uses the main keywords, namely factors and and stress and mother and domestic violence combined with supporting keywords, the article is in full text form, in English, limited to the last 5 years and open access as many as 10 articles were reviewed. Result: This review was carried out on 10 articles that were screened and analyzed from 2,801 articles. All articles use qualitative, quantitative and Multivariate logit models, moderation and mediation analysis methods. Factors that influence the level of stress in mothers who experience domestic violence are physical and emotional violence.Conclusion: Emphasizing that handling stress in mothers who experience domestic violence requires a comprehensive approach, involving various sectors, including health, education and social policy. By understanding the factors that influence stress, more effective intervention efforts can be designed and support women in overcoming traumatic experiences of domestic violence.
Factors Influencing Critical Care Nurses’ Mental Workload: A Scoping Review Farida Farida; Bagoes Widjanarko; Luky Dwiantoro
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5069

Abstract

The mental workload of critical care nurses significantly impacts their well-being, job satisfaction, and overall performance, ultimately affecting the quality of care in critical care environments. This study aimed to identify and categorize the factors influencing mental workload among critical care nurses through a scoping review guided by Arksey and O'Malley’s framework. A comprehensive literature search across five databases (PubMed, ScienceDirect, EBSCOhost - CINAHL Complete, Medline, and Scopus) resulted in the inclusion of 8 relevant studies, which examined the psychosocial, organizational, and environmental factors contributing to critical care nurses' mental workload. The findings revealed that mental workload is influenced by a range of factors, including nurse-to-patient ratios, patient complexity, demographic characteristics (such as age and experience), and psychosocial stressors such as job dissatisfaction, lack of organizational support, and high emotional demands. Additionally, higher patient loads, long shifts, and inadequate support systems were identified as key contributors to mental strain, leading to increased fatigue, burnout, and reduced job satisfaction. The study emphasized the critical role of organizational support, motivation, and leadership in mitigating mental workload. Interventions aimed at improving staffing, work conditions, and leadership quality, alongside the reduction of excessive patient loads, are essential for enhancing nurse resilience, reducing burnout, and ultimately improving patient care outcomes in critical care settings.
The Influence of Work Climate on Nurse Performance: A Scoping Review Aulia Haerda Diantika; Septo Pawelas Arso; Luky Dwiantoro
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.5150

Abstract

Health is a very vital aspect of human life, and the role of nurses is very central in providing quality health services. Nurses must not only have high levels of clinical competency but must also operate in a supportive, positive, and inclusive work environment. However, understanding of the impact of work climate on nurse performance is still limited, especially in hospital environments and health care facilities. This study aims to explore the influence of work climate on nurse performance in the context of health services. The scoping review method was used to identify and summarize relevant literature. We searched for articles from the Google Scholar database and the Garuda Portal from January 2018 to September 2023 using the keywords ‘work climate’ OR ‘performance’ AND ‘nurse performance.’ Inclusion and exclusion criteria were applied to select appropriate articles, and finally, we analyzed the findings of seven articles that met these criteria. The research results show that work climate has a significant impact on nurse performance in various hospital contexts. This finding is strengthened by previous studies that confirm that a positive work environment can increase nurses' motivation and performance.
Effects of Caring Leadership in Nursing Services: Scoping Review Roselien Putri Ariestianti; Luky Dwiantoro; Meidiana Dwidiyanti
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5237

Abstract

Nurses have many complex problems when carrying out their nursing services affected high number of nursing turnover. The head nurse plays an important role in solving the problems faced by her staff. One of the leadership styles that can be used is caring leadership. The results of previous studies show that caring leadership has a positive impact to nurses. The purpose of this paper is to determine the effect of caring leadership carried out by the head nurse in nursing services. Method: The method used in this writing is scoping review. Literature search was taken from data based on Pubmed, Science Direct, Proquest, and EBSCO with restrictions on the year of publication 2019 – 2023. There are 2 outlines of the effects of caring leadership in nursing services including: direct effects on nursing service work and indirect effects. Caring leadership is one of the leadership styles that can be used by the head nurse. The results of this paper can be used as a consideration in nursing for the selection of leadership style to be used.
Efforts to Improve the Professionalism of Nurses in Hospitals: Scoping Review Indarningsih Indarningsih; Luky Dwiantoro; Zubaidah Zubaidah
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6371

Abstract

Low professionalism of nurses will decrease patient satisfaction, decrease trust in health services, increase the risk of care errors, and legal litigation. Efforts to improve the professionalism of nurses in hospitals need to be made to overcome these problems The purpose of this study was to identify the factors that influence nurses' professionalism and efforts to improve nurses' professionalism. This method using scoping review. The literature search was conducted systematically through Sciencedirect, Scopus, and Pubmed databases with keywords related to nurse professionalism and hospitals, with a publication time limit of January 2015 to March 2025. Inclusion criteria included quantitative and qualitative studies that addressed efforts to improve nurse professionalism in Asian hospitals in English. We using 10 articles for this review. Data extraction was performed using a matrix that included information on authors, year, country, study design, participants, and findings. A total of 10 articles that met the inclusion criteria were analyzed. The synthesized results show that efforts to improve nurses' professionalism involve various strategies that can be classified into internal (e.g., ethical behavior, self-efficacy, role cognition) and external (e.g., positive work culture, leadership support, CPD, work environment) factors. Organizational support, continuous professional development, and a conducive work environment were identified as key elements in improving nurses' professionalism. In addition, individual factors such as motivation, professional identity, and flexibility also play a significant role. Improving the professionalism of nurses in hospitals requires a multidimensional approach that considers both internal and external factors. Effective strategies involve individual development, strong organizational support, provision of continuing education and training opportunities, and the creation of a positive and supportive work environment. Integration of these efforts is essential to ensure sustained professionalism and improved quality of nursing care.
Efforts to Increase Patient Loyalty to Hospitals: A Scoping Review Gazali Gafar; Luky Dwiantoro; Fitria Handayani
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6516

Abstract

Patient loyalty of some hospitals is at low and medium levels. Hospitals develop strategies to increase patient loyalty. Objective to provide a complete overview of the factors that affect patient loyalty and strategies to improve patient loyalty. This method of scoping review reviewed literature published between 2020 dan 2025 with sources from the Pubmed, ScinceDirect dan Scoupas database. The include studies involved research related to ptient loyalty in hospitals. Focusing on the various strategies and efforts used to increase patient loyalty. From the results of literature search using the Population, Concept, Context (PCC) approach in the PubMed and ScienceDirect databases, with the keywords 'Effort to Increase AND Loyalty', 'Hospital OR Healthcare', and 'Patient AND Loyalty', 1,246 articles were obtained. After going through the identification and selection process using the PRISMA-ScR flow, 12 articles were selected that met the criteria and were used in this study. There are various factors that increase patient loyalty, lncluding: quality of service, patient satisfaction, trust, adn interpersonal relationships between healtcare workers and patients. In addition, there are also various strategies to increase patient loyalty, such as patient-oriented services, improving the skills of helath workers, and the use of information technology. Increasing patient loyalty in hospitals requires a holistic approach, including: information technology, human reasources, quality management and interpersonal between healthcare workers and patiens.