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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

Abstract

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)

Abstract

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
The Strategies and Interventions for Interprofessional Collaboration to Improving Patient Safety in Hospitals: A Systematic Review Keumalasari, Keumalasari; Yetti, Krisna; Novieastari, Enie; Martha, Evi
Jurnal Keperawatan Indonesia Vol 28 No 2 (2025): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i2.1148

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Interprofessional collaboration strategies and interventions are carried out to improve patient safety in hospitals. This study aimed to analyze the strategies and interventions used in interprofessional collaboration to improve patient safety. Interprofessional collaboration strategies and interventions were searched using five English-language databases, eligible studies were extracted, and the risk of bias was independently evaluated by two authors. The literature search yielded a total of 10,729 registered papers. We conducted an analysis on 3,793 health professionals. The following articles were included: 1) articles that described an intervention interprofessional collaboration to improve patient safety; 2) those focused on interprofessional collaboration in hospitals; and 3) the research sample included of health care professionals (doctors, nurses, nutritionists, and pharmacists). Interventions that combine lectures, skills practice, and discussions are carried out using an online format and case study practice. The strategies and interventions identified inductively were categorized into four items: 1) team acceptance and readiness for interprofessional collaboration; 2) acting as a team and not as individuals; 3) developing protocols or guidelines for health professionals; and 4) integrating elements of interprofessional collaboration by health professionals in providing health services. The principles of interprofessional collaboration include the need to prioritize structures, processes, and tools that enable interprofessional collaboration to be established in hospitals. Interprofessional collaboration strategies and interventions in hospitals are effective in being able to make changes to improve patient safety and the quality of service. Keywords: hospitals, interprofessional collaboration, patient safety   Abstrak Strategi dan Intervensi Kolaborasi Interprofesional untuk Meningkatkan Keselamatan Pasien di Rumah Sakit: Suatu Tinjauan Sistematis. Strategi dan intervensi kolaborasi antarprofesional dilakukan untuk meningkatkan keselamatan pasien di rumah sakit. Penelitian ini bertujuan untuk menganalisis strategi dan intervensi yang digunakan dalam kolaborasi interprofesional untuk meningkatkan keselamatan pasien. Strategi dan intervensi kolaborasi interprofesional dicari menggunakan lima basis data berbahasa Inggris, studi yang memenuhi syarat diekstraksi, dan risiko bias dievaluasi oleh dua penulis secara independen. Pencarian literatur menghasilkan total 10.729 makalah yang telah terdaftar. Kami melakukan analisis pada 3.793 profesional kesehatan. Artikel disertakan jika: 1) menggambarkan kolaborasi interprofesional intervensi untuk meningkatkan keselamatan pasien; 2) berfokus pada kolaborasi antarprofesional di rumah sakit; 3) sampel penelitian termasuk profesional perawatan kesehatan (dokter, perawat, ahli gizi, apoteker). Intervensi yang menggabungkan perkuliahan, praktik keterampilan, dan diskusi dilakukan dengan menggunakan format online dan praktik studi kasus. Strategi dan intervensi yang diidentifikasi secara induktif dikategorikan menjadi empat item: 1) penerimaan tim dan kesiapan untuk kolaborasi antarprofesional; 2) bertindak sebagai tim dan bukan sebagai individu; 3) mengembangkan protokol atau pedoman untuk profesional kesehatan; dan 4) mengintegrasikan elemen-elemen kolaborasi antarprofesional oleh profesional kesehatan dalam memberikan layanan kesehatan. Prinsip-prinsip kolaborasi antarprofesional perlu memprioritaskan struktur, proses, dan alat yang memungkinkan kolaborasi interprofesional terjalin di rumah sakit. Strategi kolaborasi dan intervensi interprofesional di rumah sakit efektif dalam dapat melakukan perubahan untuk meningkatkan keselamatan pasien untuk kualitas layanan yang lebih baik. Kata Kunci: keselamatan pasien, kolaborasi interprofesional, rumah sakit
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

Abstract

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.
Co-Authors Aat Yatnikasari Aat Yatnikasari Ade Irma Dahlia Agus Setiawan Agustin Indracahyani Allenidekania Allenidekania Allenidekania Allenidekania Alpan Habibi Amir, Haeril Anggita Dian Puspita Ani Haryani Anik Maryunani Annida Falahaini 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 Diah Arruum Dian Anggraini Diana Tri Budi S. Diantha Soemantri Dina Warashati Dita Sulistyowati Dwinara Febrianti Eka Handayani Elisabet Herlyani Bota Koten Ella Nurlaella Hadi Ella Nurlela Hadi Elsa Naviati Eva Riyani Evi Martha Farida Murtiani Fredinan Yulianda Gorean, Grace Irma Hajjul Kamil Hanny Handiyani Hargiana, Giur Hening Pujasari Hermalinda Hermalinda, Hermalinda Hotnida Erlin Situmorang Ichsan Rizany Imami Nur Rachmawati Isnaini, Barkah Jajang Gunawijaya Jajang Gunawijaya Kartika Mawar Sari Sugianto Keumalasari, Keumalasari Krisna Yetti Krisna Yetti Kristiani Sitorus Kuntarti Lisnawati Yupartini Malau, Mahda Chresginova MARINA TARIGAN Martiningsih Martiningsih, Martiningsih Murtiwi Murtiwi Naadiyah Zakiyyah Nelly Hermala Dewi Neni Triana Nugraha, M Akbar Prakartini, Entin Putri Salsabila, Meliawati R Totong Iskandar Rachmi, Shanti Farida Rahma Yulis Rita Setianingrum Rr Tutik Sri Hariyati 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 Sarvita Dewi Sarvita Dewi Satinah Satinah Satinah Satinah Satinah Satinah Setiyadi, Agus Setyaningrum, Ikawati Setyowati not applicable Sri Herni Wigiarti Sri Purwaningsih Sumampow, Meylly Suroso Suroso Trevino A. Pakasi Tuti Afriani Tuti Nuraeni Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Ulfa Khoyrunnisa Veronika Hutabarat Veronika Hutabarat Wanda , Dessie Widiasari Widiasari Widiasari Widiasari Wigiarti, Sri Herni Wildani, Andi Amalia Wiwin Wiarsih Yati Afiyanti Yatnikasari, Aat Yeni Rustina