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An optimization of role of a head nurses to hand hygiene compliance of nurses in outpatient clinic room Gorean, Grace Irma; Novieastari, Enie; Wildani, Andi Amalia; Wigiarti, Sri Herni
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.726

Abstract

Background: The culture of infection prevention and control, including hand hygiene is often not implemented properly by nurses in health services in outpatient units throughout the world. One of the factors related to nurses' compliance behavior in carrying out hand hygiene at inappropriate moments is the quality and quantity of the direction function of the head of the room as the first line manager. Purpose: To optimize the direction function of the head of the room regarding the implementation of nurse hand hygiene compliance in the outpatient room. Method: A descriptive approach, specifically focusing on case report study. The study took place from September-Oktober 2024, in Hospital X, Jakarta. The independent variable was direction function of head nurse the dependent variables is nurses hand hygiene compliance. Using total sampling, 14 respondent were selected, who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of quistioannare characteristics. Results: The evaluation and optimization by the direction function of the head of the room using the WHO multimodal approach, supervision from 69.2% to 90%, motivation from 69.2% to 90%, effective communication from 76.9% to 90%. Conclusion: The implementation of the directing function by the head of the room using the WHO multimodal approach has succeeded in improving the hand hygiene compliance of nurses in the pediatric outpatient room at X Hospital. This is evidenced by the results of the questionnaire survey which showed a significant increase.
Analisis Konsep Self Care Pada Klien Hipertensi Martiningsih, Martiningsih; Novieastari, Enie; Rustina, Yeni; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.20258

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ABSTRACT Self-care is fundamental in the care of clients with chronic diseases such as hypertension. The purpose of this paper is to clarify the concept of self-care for hypertensive clients. Literature review with search strategies carried out through Scopus, Ebscohost, Embase, Sciencedirect, PubMed and Google Scholar web sources published from 2012 to 2022 which were then analyzed according to Walker & Avant, S. (1995) to clarify the concept of self-care. This concept analysis shows that self-care has definition attributes as a process of physical and psychological actions carried out by individuals to maintain health, reduce risk and manage disease in an effort to maintain health, avoid risk factors that cause disease and efforts to reduce the effects of disease. Case models, Borderline and Contrary cases, antecedents, consequences, and empirical references to explain the concept of self-care. The definition of the concept of self-care identifies a number of comprehensive attributes, namely actions that include ongoing processes that include physical and psychological activities carried out by individuals in disease management. Nurses are actively involved as educators-counselors who can maximize self-care agency of hypertensive clients in the self-care process. Topics related to self-care should be explored further to advance nursing interventions in managing hypertensive clients. Keywords: Risk Factors, Physical and Psychological, Disease Management, Hypertensive Clients, Self Care.  ABSTRAK Perawatan diri merupakan hal mendasar dalam perawatan klien dengan penyakit kronis seperti hipertensi. Tujuan penulisan ini adalah untuk memperjelas konsep perawatan diri klien hipertensi. Literatur review dengan strategi pencarian yang dilakukan melalui websources Scopus, Ebscohost, Embase, Sciencedirect, PubMed dan Google Schoolaryang diterbitkan dari tahun 2012 hingga 2022 yang selanjutnya dilkaukan analisis konsep menurut walker & Avant,S. (1995) untuk memperjelas konsep self care. Analisis konsep ini menunjukkan bahwa perawatan diri memiliki atribut definisi sebagai proses tindakan fisik dan psiklogis yang dilakukan individu untuk menjaga kesehatan, mengurangi risiko dan menajemen penyakit dalam upaya mempertahankan kesehatan, menghindarkan diri dari faktor risiko yang menyebabkan penyakit dan upaya mengurangi efek dari penyakit. Model kasus, kasus Borderline dan Contrary, anteseden, konsekuensi, dan referensi empiris untuk menjelaskan konsep self care. Definisi konsep self-care mengidentifikasi sejumlah atribut yang komprehensif yaitu tindakan yang mencangkup proses berkelanjutan yang meliputi aktivitas fisik dan psikologis yang dilakukan individu dalam manajemen penyakit. Perawat terlibat aktif sebagai edukator-konselor yang dapat memaksimalkan self-care agency klien  hipertensi dalam proses perawatan diri.Topik yang terkait dengan perawatan diri harus dieksplorasi lebih lanjut untuk memajukan intervensi keperawatan dalam mengelola klien hipertensi. Kata Kunci:  Faktor Risiko, Fisik dan Psikologis, Manajemen Penyakit, Klien Hipertensi, Self Care.
Supervisi Klinis Berjenjang Sebagai Upaya Pemberian Asuhan Keperawatan yang Aman Terhadap Pasien Dahlia, Ade Irma; Novieastari, Enie; Afriani, Tuti
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (481.804 KB)

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The hospital is required to conduct an evaluation of nursing clinical competence accompanied bystrengthening of direction and monitoring of clinical performance by the nurse manager to ensuring thatnurses are competent so that they can provide safe and appropriate nursing care according to professionalstandards. The purpose of this study is to socialize and evaluate the implementation of multilevel clinicalsupervision guidelines and SOP at RS X. The method is used pilot study through Kurt Lewin's theory ofchange with problem analysis using fishbone diagrams. The unfreezing phase is carried out by collectingdata on the results of the assessment ofmanagement problems through interviews, observations and surveys.The movement phase is doing all the change processes that are written in the form of Plan of Action (POA)with the hospital. The refreezing phase The refreezing stage, namely guidance and SPO for nursingsupervision, was endorsed by the hospital. Implementation is given as a solution to the problem that ismaking guidelines and SPO clinical supervision of tiered nursing. The recommendation for the hospital is toprovide clinical supervision training for the head nurse and primary nurses, socialization of the improvedsupervision instruments and add clinical supervision as a performance indicator for the head nurse andprimary nurses.
Phenomenology Study: The Role of the Head Nurses in Maintaining Occupational Safety and Health Nurses Yulis, Rahma; Novieastari, Enie; Rachmawati, Imami Nur; Nugraha, M Akbar
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.10142

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The head nurse's role in maintaining the occupational health and safety of nurses. This research aimed to gain head nurses' experience in maintaining the safety and occupational health nurses. This study used a qualitative design with a phenomenological method in one of the type A referral hospitals in Jakarta. The number of participants in this study was 7 heads nurses from different rooms selected using the purposive sampling method with the maximum variation sampling type. The data collection process was carried out using in-depth interview techniques (50-60 minutes), field notes, and recording devices. Data analysis using the Colaizzi method. This research identified seven themes: 1) Concern for the condition of the human resources of nurses. 2) Enhance nurses' awareness of the importance of maintaining personal safety and health. 3) Give aid and special treatment to injured nurses. 4) Observe the accidents and illnesses  often occurring in the room. 5) Provide a conducive working atmosphere for the management, facilities, health care team, and work climate. 6) Minimize or eliminate the risk of danger and illness occurring. 7)  Reflection of head nurses on the efforts that have been made. Conclusion: the head nurses played an important role in preventing work accidents in nurses, because the head nurses is a nursing manager who interacts directly with nurses in the room. The head nurse can improve the role and function of the head of the of leadership and management of the Head nurses, improving knowledge about occupational safety and health management, and leadership ability
Understanding cultural barriers to the care of low-birth-weight infants in Papua, Indonesia: A qualitative descriptive study Situmorang, Hotnida Erlin; Rustina, Yeni; Novieastari, Enie
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3953

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Background: Low birth weight (LBW) is a persistent public health challenge globally, including in Indonesia, particularly in remote areas like Papua. While biological risks are well documented, the influence of sociocultural factors on LBW infant care remains underexplored. There is a critical gap in understanding how cultural beliefs and family dynamics act as barriers to effective caregiving in these settings. Objective: This study aimed to explore cultural barriers to the care of LBW infants in Papua, Indonesia. Methods: A qualitative descriptive design was employed. Data were collected through face-to-face, semi-structured interviews with ten mothers of LBW infants in Jayapura, Papua, from May to July 2024. Interviews were transcribed verbatim and analyzed using inductive thematic analysis. Results: Inductive thematic analysis resulted in six themes: (1) Traditions and traditional practices during pregnancy and childrearing; (2) Perceptions of herbal remedies and traditional practices in managing infant health and growth; (3) Traditional care practices for LBW infants and their adaptation within community health efforts; (4) Challenges and obstacles for parents in caring for LBW infants; (5) Family support, roles, and hospital-based education in LBW care; and (6) Parental understanding, needs, and expectations regarding LBW care. Conclusion: Despite improvements in health information and services, ongoing cultural negotiation is needed to achieve optimal family-based LBW care. Nurses and other health workers should enhance cultural competence and employ patient-centered, culturally sensitive nursing care that integrates local traditions with evidence-based practice, aiming to improve infant health and reduce complications.
Supervision of The Head of The Room Related To Compliance Nurse In Preventing Pressure Instructions At Fatmawati RSUP In South Jakarta Khairul Nasri; Enie Novieastari
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 6 No. 2 (2022): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/v0rw8j78

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Background: Supervision is part of directive function of a manager. Supervision is carried out to ensure nurses work according to standard. Actually, the quality service in hospital can be improved with supervision. Objective: to determine the relationship between the supervision of the head of the room in the compliance of nurses in preventing pressure injuries. Design: this study was a quantitative study with a cross-sectional design approach to determine the relationship between the independent variable and the dependent variable. Data obtained through the google form application. The instrument used was made by the researchers themselves with modifications from sources based on the theoretical basis of Nursalam’s supervision. Questionnaire A demographic data, questionnaire B implementation of supervision, questionnaire C compliance of nurses. The analysis in this study included univariate and bivariate analysis. This study used the Spearman Rank, Mann-Whitney, Kruskal-Wallis test. Results: Nurses aged 24-53 years, Working period 1-32 years. Female gender 87,7 %, D3 Nursing education 59,2 %, Competency level PK II 36,2 %, Never attended 54,6 %, Marred 80% and employment status as ASN 53,1%. Conclusion: There were three dimensions of supervision that affect compliance, namely supervision techniques, supervision principles and supervision models. There was correlation between supervision and nurse compliance which was quite strong, significant and unidirectional, expect that the dimension of supervision routine activities had a very weak correlation. All characteristic variables had no correlation with adherence except for age, which had a very weak relationship. There was a weak, significant and unidirectional correlation between composite supervision and the implementation of nurse compliance. The results of the analysis of nurse compliance in preventing pressure injuries were 80%. Recommendation: It is necessary to know other factors besides supervision that affect compliance. Suggestion for further researchers is research with a qualitative approach.
Identification of Affective Learning, Affective Aspect, and Measuring Tools Used in Nursing Education: a Systematic Review Haryani, Ani; Gayatri, Dewi; Novieastari, Enie; Nuraini, Tuti; Sulistyowati, Dita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2662

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Attitude is one of the domains in the competence of nurses. Attitudes are formed through internalizing learning experiences related to how students feel when they learn. Affective Learning refers to learning that enriches emotions, belief systems, and professional values. In nursing education, the attitude aspect is often the goal of learning but is not followed by learning strategies and evaluations to achieve these learning goals. The research aims to identify effective learning strategies and measure tools used to identify changes from the affective skills or affective aspect studied. A systematic review using electronic literature databases published from year 2012 until 2022. Scopus Search, Clinical Key Nursing, ProQuest, Ebscohost, SAGE Journals, and Science Direct. The research design criteria are randomized control trials and quasi-experimental studies. Eligibility assessment by conducting a critical appraisal using tools from the Joanna Briggs Institute critical appraisal. 15 articles met the criteria, consisting of five Randomized Control Trial research articles, and 10 Quasi-experimental articles. The results of a systematic review show that Simulations using standardized patients and reflective practice are learning methods that are often used. Empathy is the most researched affective aspect followed by communication, self-efficacy, and self-confidence. Empathy as the most affective aspect studied was measured using The Jefferson Empathy Scale. Learning interventions aimed to improve an affective aspect of nursing students are not single, but integrate various learning methods. This is also influenced by the affective aspect developed in learning, which is not a single aspect, and uses several measuring tools to assess its development.
Effectiveness of Music Therapy on Anxiety Levels and Sleep Quality in Cancer Patients: A Systematic Review Sitorus, Kristiani; Novieastari, Enie; Gayatri, Dewi; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3227

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Cancer is a major global cause of death Cancer patients have a great sense of anxiety about their illness, which has an impact on their sleep quality. Music therapy intervention is one of the non-pharmacological therapies that can be given to cancer patients. It is important to identify the effectiveness of music therapy in reducing anxiety and improving sleep quality in cancer patients. Method: Journals and articles were searched using five databases ProQuest, EBSCOHost, Pubmed, ScienceDirect, and Sage Journal. The author selected several relevant journals and articles from 2010 to 2023. The results of the search of 11 articles found that music therapy interventions proved effective in reducing the stress levels of cancer patients. Music therapy can also improve the sleep quality of cancer patients. Music therapy is effective in reducing anxiety and improving the quality of sleep of cancer patients.
Optimization of Case Reflection Discussion Implementation as Continuous Professional Development for Nurses Khoyrunnisa, Ulfa; Novieastari, Enie; Yatnikasari, Aat
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.v6iS6.4988

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X Hospital Jakarta is a hospital that has implemented Case Reflection Discussion as a program for the continuing professional development for nurses. However, its implementation has not been optimal. A change is needed to enhance the optimization of the Case reflection Discussion by using Graham Gibb’s reflective cycle approach. Pilot Project method. It begins with problem identification, problem analysis, prioritization of issue, development a plan of action, implementation, and evaluation. There was a 70% increase in nurses who achieved a good level after the socialization. The evaluation of skill levels from each team showed that each team had an excellent skill level. The implementation of Case Reflection using Graham Gibb’s reflection cycle appoach has the potential to greatly benefit for nursing professional development. X hospital should distribute and socialize guidelines for the implementation of continuing professional development for nurses and Standard Operating Procedure for Case Reflection Discussion using Graham Gibb’s reflective cycle approach to all care units.
EFEKTIVITAS PENGGUNAAN AROMATERAPI DALAM MENGURANGI NYERI PADA PASIEN KANKER PAYUDARA : SISTEMATIK REVIEW S., Diana Tri Budi; Novieastari, Enie; Nuraeni, Tuti
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.28654

Abstract

Kanker payudara merupakan kanker terbanyak di dunia. Pengobatan kanker payudara dimulai dari awal terdiagnosa sampai selanjutnya adalah suatu rangkaian panjang. Keluhan yang sering timbul akibat pengobatan antara lain mual, muntah, kelelahan, dan nyeri. Pasien kanker payudara dengan nyeri kronis sangat mengganggu kualitas hidupnya sehingga kita sebagai perawat harus memiliki cara yang mudah dilakukan pasien dalam mengatasi keluhan nyeri tersebut. Terapi komplementer dapat dilakukan oleh perawat dan dapat dengan mudah di duplikasi oleh pasien salah satunya adalah penggunaan aromaterapi. Tujuan litertur review ini untuk mengetahui efektifitas penggunaan aromaterapi dalam mengurangi nyeri pada pasien kanker payudara. Penelitian ini berupa literature review, artikel dikumpulkan menggunakan database Proquest, Clinical Key, Taylor & Francis Online, dan Science Direct dengan kata kunci aromaterapi, manajemen nyeri, dan kanker payudara. Kriteria inklusi meliputi artikel yang terbit dari tahun 2013-2023. Sembilan dari sepuluh artikel yang ditelaah menyatakan bahwa penggunaan aromaterapi dapat mengurangi nyeri pasien kanker payudara, dan hanya satu artikel yang menunjukkan hasil yang tidak signifikan.
Co-Authors Aat Yatnikasari Aat Yatnikasari Ade Irma Dahlia Agus Setiawan Agustin Indracahyani Akbar Nur Allenidekania Allenidekania Alpan Habibi Amir, Haeril Anggita Dian Puspita Ani Haryani, Ani Anik Maryunani Annida Falahaini Arruum, Diah Asriadi Asriadi Astuti Yuni Nursasi Ayu My Lestari Saragih Budi Anna Keliat Chandra, Muhammad Cicilia Ika Wulandari Dahlia, Ade Irma Desnita Fitri Dewi Gayatri Dewi Sartika Dian Anggraini Diantha Soemantri Dina Warashati Dita Sulistyowati Dwinara Febrianti Eka Handayani Elisabet Herlyani Bota Koten Ella Nurlaella Hadi Ella Nurlela Hadi Elsa Naviati Eva Riyani Farida Murtiani Fredinan Yulianda Gorean, Grace Irma Hajjul Kamil Hanny Handiyani Hargiana, Giur Hening Pujasari Hermalinda Hermalinda, Hermalinda Hotnida Erlin Situmorang Imami Nur Rachmawati Isnaini, Barkah Jajang Gunawijaya Jajang Gunawijaya Kartika Mawar Sari Sugianto Khairul Nasri Khoyrunnisa, Ulfa Krisna Yetti Krisna Yetti Kuntarti Lisnawati Yupartini Malau, Mahda Chresginova MARINA TARIGAN Martiningsih Martiningsih, Martiningsih Murtiwi Murtiwi Nelly Hermala Dewi Neni Triana not applicable, Setyowati Nugraha, M Akbar Nuraeni, Tuti Prakartini, Entin Putri Salsabila, Meliawati R Totong Iskandar Rachmi, Shanti Farida Raden Mohamad Herdian Bhakti Rahma Yulis Rita Setianingrum Rizafni, Arieny Rizany, Ichsan Rr Tutik Sri Hariyati Rr Tutik Sri Haryati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati S., Diana Tri Budi Sarma, Eva Winda Sarvita Dewi Sarvita Dewi Satinah Satinah Satinah Satinah Satinah Satinah Setiyadi, Agus Setyaningrum, Ikawati Sitorus, Kristiani Sri Herni Wigiarti Sumampow, Meylly Suroso Suroso Trevino A. Pakasi Trevino A. Pakasi Tuti Afriani Tuti Nuraini Tuti Nuraini Veronika Hutabarat Veronika Hutabarat Wanda , Dessie Widiasari Widiasari Widiasari Widiasari Wigiarti, Sri Herni Wildani, Andi Amalia Wiwin Wiarsih Yati Afiyanti Yatnikasari, Aat Yeni Rustina Zakiyyah, Naadiyah