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COACHING AS A STRATEGY TO ENHANCE NURSING CARE DOCUMENTATION QUALITY Maria Tarisia Rini; Dheni Koerniawan; Srimiyati Srimiyati
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.7454

Abstract

Introduction: Nursing care documentation serves as the cornerstone of effective interprofessional communication, continuity of care, and patient safety, continuity of care, and defensible legal practice. Despite its important role, the quality of nursing care documentation remains a constant challenge in various clinical settings. While traditional methods for improving nursing documentation can result in some initial improvements, they often fail to achieve sustained and meaningful change.  Given these persistent problems, coaching became one of the innovative strategies to improve nursing documentation practices and foster a culture of continuous improvement in healthcare settings. Purpose: This study aims to explore the effectiveness of coaching as a strategy to improve the quality of nursing care documentation. Method: 16 nursing documentation measures used the Q-DIO before-after coaching implementation. Collected data in this study analyze using Wilcoxon test to find significance of the difference before-after measurements. Result: The study found that there was improvement in each dimension of nursing documentation quality as measured by the Q-DIO instrument, and that the dimensions significantly differed in overall quality (p0.001). Discussion: Therefore, further implementation of the coaching method with longer and more intermittent sequences gives certain promise as an alternative strategy for enhancing the quality of nursing care documentation in the future.
Efikasi Diri Menurunkan Kendala dalam Berperilaku Sehat Dheni Koerniawan; Sanny Frisca
Jurnal Ventilator Vol. 1 No. 1 (2023): Maret : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i1.338

Abstract

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.
Pemberian Hiperoksigenasi Pada Proses Open Suction Terhadap Perubahan Saturasi Oksigen di ICU Marleza Oktavia; Vincencius Surani; Dheni Koerniawan
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1234

Abstract

Critical patients are patients who are in the Intensive Care Unit (ICU) because they have lost consciousness, one of the reasons being respiratory failure. In patients with respiratory failure who have an ETT installed and connected to a mechanical ventilation device, there can be a buildup of phlegm/secretions in the bronchi and alveoli area so that the patient's airway can be disrupted, so an effective intervention is suction. In the suction process, hyperoxygenation can be carried out first to maintain oxygen saturation levels within normal limits. To overcome airway clearance in patients who experience ineffective airway clearance nursing problems and describe nursing care. The method used in this research is a case study that describes the nursing care of a patient who had an Endotraceal Tube (ETT) installed who experienced ineffective airway clearance. The results of the assessment of the three patients experienced problems with ineffective airway clearance and hyperoxygenation was carried out in the open suction process to maintain oxygen saturation values ??within normal limits. The results obtained showed changes in oxygen saturation before and after the open suction procedure. It is hoped that the provision of hyperoxygenation intervention in the open suction process can be carried out according to the SOP so that complications do not occur.
Penerapan Latihan Pernapasan Buteyko dalam Asuhan Keperawatan Pasien Dewasa dengan Gangguan Respirasi Eko Iswanto; Dheni Koerniawan; Aniska Indah Fari
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2269

Abstract

Asthma and Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory problem with a high prevalence and has a significant impact on patients' quality of life. One of the main problems in both of these conditions is ineffective breathing patterns due to chronic hyperventilation. Buteyko's breathing technique is an effective nonpharmacological intervention to reduce hyperventilation, improve ventilation efficiency, and improve respiratory symptoms. The design used is a case study with a nursing care approach including assessment, diagnosis enforcement, planning, implementation, and evaluation. The main intervention was in the form of Buteyko breathing exercises as evidence-based practice (EBP). The application of buteyko breathing exercises has been shown to help reduce the rate of dyspnea, lower the MMRC scale, and improve the breathing rate of patients with respiratory disordersThe application of buteyko breathing exercises has been shown to help reduce the rate of dyspnea, lower the MMRC scale, and improve the breathing rate of patients with respiratory disorders. This intervention is easy to apply, does not require tools, and is effective as an adjunct therapy for nursing care for asthma and COPD patients. Nurses are advised to integrate Buteyko breathing exercises into routine nursing care for patients with respiratory system disorders to improve clinical outcomes and patient quality of life.