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All Journal International Journal of Public Health Science (IJPHS) JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) Jurnal Keperawatan Silampari Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Ilmiah Kesehatan JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) The Shine Cahaya Dunia Ners Jurnal Kesehatan Karya Husada Prosiding Seminar Nasional Program Pengabdian Masyarakat Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Journal of Public Health Sciences JOURNAL OF Mother and Child Health Concerns VIDHEAS: Jurnal Nasional Abdimas Multidisiplin JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Anoa Keperawatan Mandala Waluya The Shine Cahaya Dunia Ners Jurnal Siti Rufaidah Borneo Nursing Journal Indonesian Journal of Global Health Research
Fitri Arofiati
Universitas Muhammadiyah Yogyakarta
Religion Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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NURSING STUDENTS PERCEPTION TOWARDS CARING BEHAVIOR OF CLINICAL INSTRUCTOR: A LITERATURE REVIEW Sri Yulian Hunowu; Fitri Arofiati
The Shine Cahaya Dunia Ners Vol 4, No 2 (2019): THE SHINE CAHAYA DUNIA NERS
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v4i2.183

Abstract

Background: Important factors for student success are determined by the behavior of an instructor. Students understand that caring instructors clinic can make students more confident. Caring behavior is a behavior that always assists others holistically. The objective is to know the perception of the caring behavior of nursing students on the clinical instructor. Method: This literature review uses searches from the Google Scholar database, Science Direct, EBSCO. At the initial stage of the search with keywords: "Caring Instructor" AND "Nursing Students Perceptions" obtained the results of 8 international articles from the range of 2014 to 2019 that correspond to the inclusion and exclusion criteria.Results: Based on the results of the literature review of 8 articles, it was found that the caring behavior of clinical instructors can be an indicator of how caring nursing students are when they enter the profession. According to nursing students caring behavior from clinical instructor have a positive attitude towards nursing students. Students become more compassionate, feel helpful when experiencing difficulties, are more open, confident and have high learning motivation.Conclusion: Caring behavior clinical instructor is to be considered by the clinical instructor to students. This is because nursing students always looked clinical instructor as a role model in demonstrating professionalism in nursing, and can improve the caring behavior of their students. Besides that, the caring behavior of the instructor can also improve the clinical learning process to be even better. Keywords: Nursing Student Perception, Caring Behavior, Clinical Instructor
Terapi Slow Stroke Back Massage terhadap Peningkatan Kualitas Tidur Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis Dewi Astuti Sudijanto; Fitri Arofiati
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.915 KB) | DOI: 10.31539/jks.v5i2.3451

Abstract

quality of patients with Chronic Kidney Disease who received hemodialysis treatment. This research method uses a Quasi-Experimental Design with a Pretest – Post-test Group Design approach. The results showed that in the intervention group the p-value = 0.005 (p < 0.05), the control group the p-value = 1,000 (p > 0.05). In conclusion, the SSBM technique affects improving sleep quality in CKD patients receiving HD treatment. In the intervention group, there was a difference in the sleep quality of HD patients before and after being given SSBM, while in the control group, there was no difference. Keywords: Hemodialysis, Sleep Quality, Chronic Kidney Disease
Karakteristik Perawat Pelaksana terhadap Perilaku Caring Kristianingsih Kristianingsih; Fitri Arofiati; Giri Widakdo
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.85 KB) | DOI: 10.31539/jks.v6i1.4529

Abstract

This study aims to determine the relationship between the characteristics of the implementing nurse on Watson's caring behavior at Bhayangkara Hospital Tk I R. Said Sukanto. The research method is descriptive-analytic with a cross-sectional approach. The results showed that caring behavior was influenced by years of service (p = 0.002) OR = 7.167. Multivariate results obtained that the variables significantly related to caring behavior were years of service, which were controlled by confounding, namely age and marital status. The model formed is declared feasible because it meets the model's meaning seen from the Omnibus test value (p = 0.000). Based on the Nagelkerke R Square value = 0.384, the independent variables contained in the model (length of work, age, marital status) can explain caring behavior by 38.4%. In conclusion, the working period is the dominant factor in caring behavior. Keywords: Characteristics of Nurses, Caring Behavior, Implementing Nurses
Penerapan Posisi Passive Leg Raising Dalam Peningkatan Tekanan Darah Pada Pasien Syok Sepsis Di IGD Salimah Rahma; Fitri Arofiati
Jurnal Siti Rufaidah Vol. 2 No. 2 (2024): Mei : Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i2.63

Abstract

Background: Sepsis is characterized by the body's excessive inflammatory response to infection, potentially leading to life-threatening organ dysfunction. Additionally, sepsis can induce hypotension involving both pro-inflammatory and anti-inflammatory body responses. One non-pharmacological intervention for hypotension is Passive Leg Raising (PLR), where the patient lies flat while the legs are raised at a 45-degree angle. Objective: To determinethe effect of increasing blood pressure in septic shock patients after PLR therapy. Methods: A case study conducted on May 12, 2024, at the Emergency Room of PKU Muhammadiyah Yogyakarta, observed patients blood pressure and mean arterial pressure (MAP) every 30 minutes over 1 hour using bedside monitoring before and 30 minutes after vasopressor administration. Results: PLR for 60 minutes increased systolic blood pressure by 8mmHg, diastolic by 7mmHg, and MAP by 8mmHg. Subsequent vasopressor addition for 30 minutes yielded more significant increases: systolic blood pressure rose by 35mmHg, diastolic by 26mmHg, and MAP by 37mmHg. Conclusion: PLR administration increases blood pressure, but combining it with vasopressors proves more effective in septic shock management.
Socio-cultural factors and nursing ethical dilemma affect stunting in indonesian children Elvira La Bula; Fitri Arofiati
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 9 (2025): December Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i9.2063

Abstract

Background: Stunting is a body condition that occurs due to chronic malnutrition due to the lack of fulfillment of nutritional needs over a long period of time. In Indonesia, it is estimated that almost less than 20% of children are stunted. Purpose: to outline the socio-cultural factors and ethical dilemmas of nursing that contribute to stunting in children in Indonesia. Method: To achieve this goal, the author conducted a systematic review of quantitative research articles that addressed the topic. Article searches were conducted through Google Scholar and ScienceDirect using keywords such as "social," "cultural," "ethical," "stunting," "child," and "Indonesian." Relevant articles, published within the last five years (2020-2025), and available in Indonesian and English, are then selected based on the inclusion and exclusion criteria that have been set. Search results resulted in ten articles that met the criteria. Results: From the ten articles, eight main themes were found that became socio-cultural factors and ethical dilemmas of nursing related to stunting in children in Indonesia. These themes are based on the results of the journal analysis: nutritional intake of pregnant women, exclusive breastfeeding, complementary breastfeeding (MPASI), community attitudes towards stunting, childcare patterns, environmental cleanliness, as well as economic and educational aspects of parents. Conclusion: Through this systematic review, this study succeeded in revealing how complex socio-cultural factors are interrelated and contribute to the occurrence of stunting in children in Indonesia. These factors include the nutritional adequacy of the mother during pregnancy, the success of exclusive breastfeeding, complementary feeding practices, public views on stunting, the parenting methods applied, the quality of environmental sanitation, as well as the economic conditions and education level of parents.
Nurses' Performance Based on Performance Determinants in Several Type C Hospitals: A Comparative Study Lina Maesaroh; Muhammad Hadi; Melati Fajarini; Fitri Arofiati; Tini Suminarti
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.3917

Abstract

Background: This research is motivated by data on nurse performance and data on nurses resigning in 2020 and 2021 increasing every year in Type C Hospitals, the determinant of performance is an assessment that can affect the performance of nurses. Objectives: To determine the performance of nurses based on performance determinants in several type C hospitals. Methods: This comparative study was conducted on nurses at Mekar Sari Hospital, Cilincing Regional General Hospital and Dik Pusdikkes Hospital TNI AD totaling 96 respondents in May 2022 and randomly selected based on the inclusion criteria. The performance questionnaire as many as 41 questions and the performance determinant questionnaire as many as 36 questions, were given directly to nurses to get an overview of performance. Data were analyzed using Multiple Logistics Regression. Results: Nurse performance at Mekar Sari Hospital was 78.9%, Cilincing Hospital was 96.4% and Dik Pusdikkes Hospital was 70.0%. There is a difference in the description of the performance of nurses at Mekar Sari Hospital, Dik Pusdikkes Hospital with Cilincing Regional General Hospital with P < 0.05, There is no difference in the description of the performance of nurses at Mekar Sari Hospital and Dik Pusdikkes Hospital with P > 0, 05. Motivation, work ability, compensation and tenure are the most dominant factors influencing performance in several type C hospitals. Conclusion: The performance of nurses at Cilincing Hospital is higher than the performance of nurses at Mekar Sari Hospital and Dik Pusdikkes Hospital. Motivation, work ability, compensation and tenure affect performance. Keywords: Nurse Performance, Performance Determinants, Performance Appraisal
Faktor Pengaruh Gizi Dan Dilema Etik Keperawatan Yang Mempengaruhi Status Nutrisi Pada Lansia: Literature Review Riska Dwi Ananda Pratiwi; Fitri Arofiati
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.539

Abstract

Makanan merupakan hal paling mendasar yang harus dipenuhi manusia terutama pada lansia. Lansia merupakan individu yang telah memasuki usia 60 tahun ke atas. Kurangnya gizi akibat kurangnya asupan makanan pada lansia dapat berdampak negatif pada kualitas hidup dan kesehatan lansia. Tujuan dari penelitian ini bertujuan untuk mengkaji dan menganalisis secara sistematis berbagai literatur ilmiah yang membahas pengaruh asupan gizi dan dilema etik yang mempengaruhi status nutrisi terhadap lansia. Penelitian ini menggunakan metode kualitatif dengan menggunakan pendekatan literature review. Status gizi pada lansia dipengaruhi oleh berbagai faktor yang saling berkaitan yaitu faktor biologis, psikologis, ekonomi, sosial dan etika keperawatan. Kekurangan gizi pada lansia tidak hanya disebabkan oleh rendahnya asupan makanan bergizi tetapi juga dipengaruhi oleh pendapatan keluarga yang kurang, rendahnya pengetahuan gizi, minimnya dukungan keluarga, gaya hidup tidak sehat serta karena adanya gangguan psikologis seperti depresi dan stres. Dampak dari kekurangan gizi pada lansia mencakup penurunan kondisi fisik, kelelahan, gangguan mobilitas, gangguan tidur hingga penurunan kualitas hidup lansia.
Penerapan Oral Hygiene Dengan Sikat Gigi dan Posisi Head-Up Dalam Pencegahan Ventilator-Associated Pneumonia: Studi Kasus Ade Ayu Tesnawati; Fitri Arofiati; Ratna Pertiwi
Jurnal Anoa Keperawatan Mandala Waluya Vol. 5 No. 2 (2026): Jurnal Anoa Keperawatan Mandala Waluya (JAKMW)
Publisher : Program Studi Ilmu Keperawatan dan Profesi Ners. Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jakmw.v5i2.1588

Abstract

Ventilator-Associated Pneumonia (VAP) merupakan salah satu bentuk infeksi yang paling sering terjadi pada pasien yang terpasang ventilasi mekanik di Intensive Care Unit (ICU). Pencegahan VAP yang dapat dilakukan adalah oral hygiene dengan sikat gigi yang menjadi intervensi penting sebagai upaya untuk mencegah kolonisasi bakteri di rongga mulut yang menyebabkan VAP. Penerapan posisi head-up 30-45°juga berperan penting dalam pencegahan VAP karena dapat mengurangi risiko aspirasi sekret orofaring dan isi lambung ke saluran napas bawah yang merupakan faktor utama dalam patogenesis VAP.  Tujuan penelitian ini adalah untuk mengevaluasi penerapan oral hygiene dengan sikat gigi dan head-up yang dapat dilakukan perawat secara mandiri sebagai upaya pencegahan VAP di ICU. Metode penelitian ini menggunakan pendekatan studi kasus dengan jumlah subjek sebanyak 1 pasien yang memenuhi kriteria inklusi yaitu pasien dengan ventilator mekanik selama minimal 1 hari. Bahan dan instrumen yang digunakan dalam penelitian ini menggunakan Standar Operasional Prosedur (SOP) untuk penerapan oral hygiene dan head-up 30-45°, sedangkan instrumen yang digunakan adalah lembar observasi clinical pulmonary infection score (CPIS). Hasil penelitian menggunakan penilaian skor CPIS pada hari ke 3 menunjukan skor <6 sehingga pasien dinyatakan tidak terdiagnosis VAP. Kesimpulan dari penelitian ini menunjukan bahwa penerapan oral hygiene dengan sikat gigi dan head-up mampu mencegah terjadinya VAP di ICU pada pasien yang dipasang ventilator mekanik.
The Effect of Telenursing on the Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Literature Review Fatimatus Zahron Faizin; Fitri Arofiati
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002070

Abstract

Chronic Kidney Disease (CKD) is a growing global health issue that significantly impacts renal function and patients' quality of life, particularly those undergoing hemodialysis. Patients' quality of life is influenced by clinical, psychological, and environmental factors, where limited access to healthcare services often presents a barrier. Telenursing has emerged as a health technology innovation to provide remote nursing care to support disease management. This study aims to synthesize the effect of telenursing on the quality of life of CKD patients undergoing hemodialysis. The method used was a literature review searching articles via international databases Scopus, ProQuest, and PubMed. The search was limited to full-text English articles published between 2019 and 2024 using the keywords "hemodialysis", "telenursing", and "quality of life”. The selection process yielded 9 articles meeting the inclusion criteria. The review results indicate that telenursing interventions significantly improved quality of life scores, self-efficacy, and medication adherence compared to standard care. In conclusion, telenursing is effective as a holistic intervention model to enhance the quality of life for hemodialysis patients, although its implementation still faces challenges regarding infrastructure and digital literacy.
Chronic Infection Contributes to the Risk of Limb Amputation in Patients with Diabetic Ulcers: A Literature Review Wenny Anugraini; Fitri Arofiati; Yanuar Primanda
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1421

Abstract

Diabetic foot ulcers are a chronic complication of diabetes mellitus that often leads to lower extremity amputation and significantly contributes to disability and mortality. Infections, particularly chronic and severe ones, play a significant role in accelerating ulcer progression to amputation, Nevertheless, the synthesis of scientific evidence regarding the contribution of chronic infections as a determinant of amputation is still limited. This literature review aimed to examine the role of chronic infection in the risk of amputation in patients with diabetic foot ulcers. A literature search was conducted on the Scopus, PubMed, and ScienceDirect databases for publications from 2015 to 2025 using keywords related to diabetes mellitus, diabetic foot ulcers, infection, and amputation. Articles were selected based on inclusion and exclusion criteria, 644 articles were identified. After title and abstract screening, followed by full-text review, and critical appraisal using the JBI tools, 10 selected journals were included in the literature synthesis.. The results indicated that moderate to severe infection, osteomyelitis, and pathogen characteristics, particularly Gram-negative and ESBL-producing bacteria, are the main determinants of major amputation. Peripheral artery disease, the severity of ulcers, increased inflammatory parameters, hypoalbuminemia, and certain patient factors also worsen clinical outcomes. It is concluded that chronic infection is a key determinant of amputation in diabetic foot ulcers, making early and aggressive infection prevention and control an essential strategy to reduce amputation rates.
Co-Authors Abdul Aziz Ade Ayu Tesnawati Al Afik Aoladul Muqarrobin Carmelita Barros Dewi Astuti Sudijanto Dwi Sarwani Sri Rejeki Elsye Maria Rosa Elvira La Bula Farah Nurul Yanis Syarifa Fatimatus Zahron Faizin Giri Widakdo Hadi, Muhammad Hunowu, Sri Yulian Khoiriyati, Azizah Kristianingsih Kristianingsih Lina Maesaroh Melati Fajarini Nur Chayati Nursanty, Oci Etri Nurul Ahdiah Ratna Pertiwi Ratu Matahari Rio Dimas Sugiarta Riska Dwi Ananda Pratiwi Salimah Rahma Siti Suryani Asmara Solikhah Solikhah Sriyati Sriyati Tini Suminarti Wenny Anugraini Wiwik Kusumawati Yanuar Primanda