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Nurses’ Experience using Electronic Health Record: A qualitative study Moh Heri Kurniawan; Gusrina Komara Putri
Faletehan Health Journal Vol 10 No 03 (2023): Faletehan Health Journal, November 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i03.498

Abstract

Background: Sharing information about nursing perception on the EHR is important. Nursing is a high utilizer of the EHR and without accurate and complete information in the EHR, patient safety risks increase. Aim: The objectives of this article was to explore nurses’ experience using Electronic Health Record (EHR). Method: Qualitative semi-structured interviews were conducted with 14 nurses in Jakarta hospital. Nurses were recruited from the inpatient room. The study was analyzed using Colaizzi's method of thematic analysis. Results: Nurses using EHRs in the inpatient room through the following items: 1) Data Processes; 2) barriers using EHR; and 3) nurse communication. Conclusion: Nurses are aware of the significance and standards of checking patient data, but their commitment is mitigated by some considerations including need or risk evaluation, the effect on their patient relationship, and hospital climate policies that protect the privacy of patients.
Penerapan Asuhan Keperawatan Pada Pasien Diabetes Melitus Tipe 2 di Ruang Flamboyan Rumah Sehat Untuk Jakarta RSUD Pasar Rebo: Studi Kasus kartika; Gusrina Komara Putri
Indonesian Journal of Nursing Scientific Vol 5 No 1 (2025): Indonesian Journal of Nursing Scientific
Publisher : Politeknik Karya Husada

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Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disease that may lead to various complications if not managed properly. Comprehensive nursing care is essential to optimize patients' clinical conditions and prevent complications. Objective: This study aimed to describe the implementation of nursing care for patients with type 2 diabetes mellitus in the Flamboyan Ward of Rumah Sehat untuk Jakarta RSUD Pasar Rebo in 2024. Methods: This study employed a descriptive case study design involving two patients diagnosed with type 2 diabetes mellitus. Data were collected through interviews, observation, physical examination, and documentation using a medical-surgical nursing care assessment format. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation over a three-day period of care. Results: The findings revealed that both patients experienced several nursing diagnoses, including unstable blood glucose levels, acute pain, hypervolemia, and nausea. Following the implementation of standardized nursing interventions, both patients showed clinical improvement, as indicated by reduced symptoms and the achievement of most of the predetermined nursing outcomes. Conclusion: The implementation of standardized nursing care contributed to improving the clinical condition of patients with type 2 diabetes mellitus and supported disease management during hospitalization. Keywords: case study, nursing care, type 2 diabetes mellitus, hyperglycemia, complications.
Manajemen Kesehatan Keluarga Pada Anggota Keluarga dengan Hipertensi dalam Tahap Perkembangan Keluarga Anak Remaja di Wilayah Depok Astri Dwi Puspita Sari; Gusrina Komara Putri; Roland Lekatompessy
Indonesian Journal of Nursing Scientific Vol 5 No 1 (2025): Indonesian Journal of Nursing Scientific
Publisher : Politeknik Karya Husada

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Abstract

Background: Hypertension is a chronic health problem that requires family involvement in its control and care. Families play an important role in identifying health problems, making health-related decisions, caring for sick family members, modifying the environment, and utilizing health care services. Objective: This paper aimed to describe the implementation of family nursing care for family members with hypertension. Methods: This study used a descriptive method with a case study approach involving two families with family members diagnosed with hypertension. Family nursing care was provided over one week through three home visits. Data were collected through interviews, observation, physical examination, and family assessment. Results: The assessment findings indicated family nursing problems related to hypertension health management. After three nursing visits, both families showed positive progress; however, the nursing problems were not fully resolved. The nursing diagnoses in both families were partially resolved. Conclusion: The implementation of family nursing care for family members with hypertension improved the families’ understanding and ability to care for family members with hypertension. However, the evaluation showed that the nursing problems were only partially resolved. Therefore, a longer period of family nursing assistance is needed to support more comprehensive assessment, more optimal interventions, and sustainable health behavior changes within the family.