Waluyo Waluyo
Fakultas Keperawatan, Universitas Airlangga

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Penerapan Metode Six Sigma dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit: A Systematic Review Waluyo Waluyo; Sholihin Sholihin; Roby Aji Permana; Tria Anisa Firmanti; Yulia Indah Permatasari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 1 (2020): Januari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11123

Abstract

Background: Prevention and control of infections is a priority in the current health sector, and prevention of infection is an indicator of the quality of services provided. Purpose: to examine the available evidence about the application of the Six Sigma method in the prevention and control of infections in hospitals. Method: The database used to identify suitable articles obtained from Scopus, Pubmed, Ebscohost and Summon was limited to the last 5 years of publication from 2014 to 2019, English, and fulltext articles. The literature review used the keyword "Six Sigma, Prevention Infection". In searching articles used "AND". Only 8 articles met the inclusion criteria. This review was from these 8 articles. Results: The application of the six sigma method provided a variety of benefits. Prevention and Reduction of decubitus ulcer infection, Central Line Related Blood Flow Infection, Surgical Site Infection, Ventilator Related Pneumonia, reduced the incidence of health related infections, reduced length of stay, increased health protection, reduced treatment costs and improved patient safety. Conclusion: the six sigma method is effective in preventing and controlling infection in hospitals. Recommendation: hospitals apply this method for approval and control of infection. Keywords: six sigma; infection; hospital ABSTRAK Latar belakang: Pencegahan dan pengendalian infeksi menjadi prioritas bidang kesehatan saat ini, dan mengurangi kejadian infeksi merupakan salah satu indikator kualitas layanan yang diberikan. Tujuan: untuk menguji bukti yang ada tentang penerapan metode six sigma dalam pencegahan maupun pengendalian kejadian infeksi di rumah sakit. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, Pubmed, Ebscohost dan Summon terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “ Six Sigma, Prevention Infection”. Dalam pencarian artikel menggunakan "AND". Hanya 8 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 8 artikel tersebut. Hasil: penerapan metode six sigma memberikan manfaat yang beragam. Pencegahan dan penurunan kejadian infeksi ulkus decubitus, Central Line Associated Blood Stream Infection, Surgical Site Infection, Ventilator Associated Pneumonia, menurunkan kejadian healthcare associated infections, mengurangi lama hari rawat, meningkatkan kepatuhan kebersihan tangan, mengurangi biaya perawatan dan meningkatkan keselamatan pasien. Simpulan: metode six sigma efektif mencegah dan mengendalikan infeksi di rumah sakit. Saran: rumah sakit menerapkan metode ini untuk pencegahan dan pengendalian infeksi Kata kunci: six sigma; infeksi; rumah sakit
Pencegahan Catheter Associated Urinary Tractus Infection Melalui Catheter Maintenance Waluyo Waluyo; Kusnanto Kusnanto; Yanis Kartini
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 3 (2020): Juli 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11314

Abstract

Catheter associated urinary tractus infection is a urinary tract infection due to urinary catheter placement that lasts more than two days. Catheter associated urinary tractus infection can be prevented by applying infection prevention practices based on proven evidence. Catheter maintenance are some of the measures to prevent the infection. Nurse compliance with catheter care and catheter maintenance is very important in preventing catheter associated urinary tractus infection. The aims of this study was to determine the increase in prevention of catheter associated urinary tractus infection by training catheter maintenance. This research was an experimental using a one-group pre-post test design. The study population consisted of inpatient nurses by 51 nurses and 116 patients with permanent urinary catheters. The technique of sampling used total sampling. Data analysis performed with a Wilcoxon signed rank test test. The result of wilcoxon test showed the p value of signature of 0.00 so that there was an influence between training on catheter maintenance on increasing the prevention of catheter associated urinary tractus infection. The result of training catheter maintenance was to increase nurse compliance in preventing catheter associated urinary tractus infection. Keywords: catheter maintenance; urinary tractus infection ABSTRAK Catheter Associated Urinary Tractus Infection merupakan infeksi saluran kemih akibat pemasangan kateter urin yang menetap lebih dari dua hari. Catheter associated urinary tractus infection dapat dicegah dengan cara menerapkan praktik pencegahan infeksi berdasarkan bukti yang sudah teruji. Catheter maintenance merupakan sebagian dari beberapa tindakan untuk mencegah infeksi tersebut. Kepatuhan perawat terhadap pelaksanaan catheter maintenance sangat penting dalam mencegah catheter associated urinary tractus infection ini. Tujuan penelitian ini adalah untuk mengetahui peningkatan pencegahan catheter associated urinary tractus infection dengan pelatihan catheter maintenance. Penelitian ini merupakan quasi eksperiment dengan menggunakan rancangan one-group pre-post test design. Populasi penelitian ini perawat ruang rawat inap sebesar 51 perawat dan 116 pasien yang terpasang kateter urin menetap. Tehnik sampling yang digunakan adalah total sampling. Analisis data dilakukan dengan uji statistik Wilcoxon signed rank test dengan hasil p value signifikansi 0,00 sehingga ada ada pengaruh antara pelatihan tentang catheter maintenance terhadap peningkatan pencegahan catheter associated urinary tractus infection. Hasil dalam penelitian ini adalah pelatihan catheter maintenance meningkatkan kepatuhan perawat dalam pencegahan catheter associated urinary tractus infection. Kata kunci: catheter maintenance; urinary tractus infection
Aspek Psikologis pada Layanan Keperawatan Pasien Kanker Payudara: A Systematic Review Yulia Indah Permata Sari; Waluyo Waluyo; Tria Anisa Firmanti; Sholihin Sholihin; Roby Aji Permana
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Januari-Februari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk105

Abstract

Background: Breast Cancer can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to breast cancer. Purpose: to examines which sociodemographic, disease-related, and psychosocial factors predict psychological adaptation to breast cancer. Method: The database used to identify suitable articles obtained from Scopus, Pubmed, CINAHL and Science Direct was limited from 2011-2019, English, and fulltext articles. The literature review used the keywords “psychological, adaptation, breast cancer”. In searching articles used “AND”. Results: 31 articles met the inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adaptation were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress and quality of life for women with breast cancer, in predictable ways. Conclusion: The majority of studies showed a significant relationship between psychosocial factors and psychological adaptation. These results pount to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be reffered for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress. Keywords: psychological; adaptation; breast cancer ABSTRAK Latar Belakang: Kanker payudara dapat menjadi pengalaman yang traumatis dan juga menimbulkan stress bagi wanita, tetapi ada banyak perbedaan cara wanita merespons dan beradaptasi dengan kanker payudara. Tujuan: Untuk menguji faktor-faktor sosiodemografi, hal-hal terkait penyakit, dan faktor psikososial yang memprediksi adaptasi psikologis terhadap kanker payudara. Metode: Database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, PubMed, CINAHL, dan Science Direct terbatas untuk tahun 2011 hingga 2019, bahasa Inggris dan teks lengkap. Tinjauan literatur menggunakan kata kunci “psikologis, adaptasi, kanker payudara”. Dalam pencarian artikel menggunakan “AND”. Hasil: 31 artikel memenuhi kriteria inklusi. Variabel-variabel sosiodemografi dan hal-hal terkait penyakit yang menjadi prediktor adaptasi adalah pendapatan, kelelahan, stadium kanker dan fungsi fisik. Faktor-faktor psikososial, terutama optimisme dan kecemasan, serta dukungan sosial yang dirasakan, strategi koping, dan tingkat awal fungsi psikologis ditemukan menjadi prediksi gejala depresi dan kecemasan, tekanan psikologis dan kualitas hidup untuk wanita dengan kanker payudara. Kesimpulan: Sebagian besar penelitian menunjukkan hubungan yang signifikan antara faktor psikososial dan adaptasi psikologis. Hasil ini sesuai dengan faktor-faktor sosiodemografi, hal-hal terkait penyakit dan faktor psikososial dapat membantu mengidentifikasi wanita pada saat diagnosis yang berisiko terhadap tantangan psikologis jangka panjang sehingga mereka mendapatkan dukungan psikologis yang dapat meningkatkan kualitas hidup dan suasana hati mereka, dan mengurangi indikator kecemasan, depresi dan tekanan psikologis. Kata kunci: psikologis; adaptasi; kanker payudara
Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit Waluyo Waluyo; Yulia Indah Permata; Ulfa Nur Rohmah; Saskiyanti Ari Andini
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (347.974 KB) | DOI: 10.20473/jn.v14i3.17010

Abstract

Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using “AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.
Lactobacillus sp as a Probiotic for the Prevention of Clostridium difficile Associated Diarrhea Ulfa Nur Rohmah; Saskiyanti Ari Andini; Hendrik Prayitno Luawo; Waluyo Waluyo; Yulia Indah Permata Sari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17015

Abstract

Background: Antibiotic treatment can disturb the resistance of the gastrointestinal flora to colonization. This may result in complications, the most serious of which is Clostridium difficile associated diarrhea (CDAD). The aim of this study was to determine the effectiveness of probiotics for the prevention of CDAD.Method: The databases used were Scopus, Proquest, CINAHL, Medline, Pubmed and ScienceDirect, limited to having been published in the last 5 years. A literature review followed the keyword search. The keywords used were probiotics, Clostridium difficile, associated, diarrhea, randomized, control and trial using "AND" and “OR”. Twelve trials with 5102 participants were included. Eight trials reported a preventive effect for CDAD using a mixture of 2 strains of lactobacillus, a mixture of 4 combination strains, a mixture of lactobacillus and Saccharomyces or a mixture of Bifidobacterium, Lactobacillus and Saccharomyces.Result: Our findings indicate that probiotics may prevent CDAD. Most probiotics contain a singular strain. The combination with lactobacillus sp was the most effective at preventing CDAD.Conclusion: In addition, 6 out of 8 trials had an in relation to preventing CDAD containing lactobacillus sp. Four studies said that there were some factors that meant that the probiotic could not reduce or prevent the CDAD.