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Faktor Penentu Perawat sehat di Rumah Sakit Endang Sudjiati; Hanny Handiyani; Kuntarti Kuntarti; La Ode Abdul Rahman; Cori Tri Suryani
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.1109

Abstract

Healthy behavior carried out by nurses often does not produce good results due to several factors. The risks that arise due to not behaving healthy nurses can reduce the health condition of nurses and the quality of service. The purpose of this study was to identify the factors that can influence the behavior of healthy nurses. The research method used a cross-sectional design to 356 nurses at the General Hospital in Jakarta. The results of the analysis showed that there was a significant relationship between age 35 years (p = 0.038) and education D3 Nursing/Midwifery (p = 0.034) with healthy nurse behavior. In multivariate analysis, the most influential variables on the behavior of healthy nurses were physical activity (p<0.05; OR = 4.760, 95%CI), spiritual (p=0.211; OR = 1.456, 95%CI) and stress management (p< 0.05; OR = 4.549, 95%CI). Recommendations to improve the behavior of healthy nurses by making healthy nurse programs on a regular basis.
SIKAP DAN PENGETAHUAN MEMENGARUHI PERILAKU PENCEGAHAN PRESSURE ULCER Fani Hestiana Sari; Tuti Afriani; Dewi Gayatri; Kuntarti Kuntarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i1.445

Abstract

ABSTRAKPrevalensi pressure ulcer yang tinggi menimbulkan kerugian bagi banyak pihak dalam pelayanan perawatan akut dan jangka panjang. Tujuan penelitian: Penelitian ini bertujuan mengidentifikasi hubungan sikap dan pengetahuan dengan perilaku pencegahan pressure ulcer pada mahasiswa profesi keperawatan. Metode: Penelitian ini berdesain cross sectional, melibatkan 227 sampel dengan teknik consecutive sampling.  Penelitian menggunakan The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP), dan kuesioner perilaku yang valid dan reliabel. Analisis univariat menggunakan distribusi frekuensi menggambarkan karakteristik responden, pengetahuan, sikap, dan perilaku. Analisis bivariat dengan uji Fisher exact dan chi square. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar mahasiswa profesi memiliki pengetahuan masih kurang (53,7%), memiliki sikap yang baik (59%), dan sebagian besar memiliki perilaku melakukan tindakan pencegahan pressure ulcer (55,9%). Tidak ada hubungan signifikan antara pengetahuan dengan perilaku (p value = 0,071; α = 0,05), tetapi ada hubungan signifikan antara sikap dengan perilaku (p value= 0,010; α = 0,05). Diskusi: Sikap yang baik dipandang dapat menghindari terjadinya pressure ulcer. Pengetahuan tidak berpengaruh terhadap perilaku yang menandakan pengetahuan masih bersifat recall memory tentang materi yang dipelajari ketika tahap akademik.  Kesimpulan: Penelitian ini merekomendasikan agar institusi pendidikan merekonstruksi kurikulum, ujian teori preklinik, dan evaluasi berkala yang dilakukan pada tahap profesi.Kata Kunci: pengetahuan, perilaku pencegahan, pressure ulcer, sikap  Effects of Attitude and Knowledge on Pressure Ulcer Prevention Behavior ABSTRACTThe significant prevalence of pressure ulcers imposes detrimental consequences on various stakeholders within acute and long-term care services. Objective: This study aims to identify the correlation between attitude and knowledge with regard to pressure ulcer prevention behavior among nursing profession students. Methods: The research design employed in this study was cross-sectional, involving a sample size of 227 participants selected through the consecutive sampling technique. The data collection instruments included The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP) questionnaire, and validated and reliable behavior questionnaires. The univariate analysis entailed the use of frequency distribution to delineate the respondents' characteristics, knowledge levels, attitudes, and behaviors. The bivariate analysis consisted of Fisher's Exact test and Chi-square test. Results: The findings indicated that a majority of nursing profession students possess inadequate knowledge (53.7%), demonstrate positive attitudes (59%), and engage in pressure ulcer prevention behaviors to a considerable extent (55.9%). Notably, no statistically significant correlation was observed between knowledge and behavior (p-value=0.071; α=0.05); however, a significant correlation was found between attitude and behavior (p-value=0.010; α=0.05).  Discussion: This study highlights the pivotal role of positive attitudes in preventing pressure ulcers. Moreover, it is suggested that knowledge has limited influence on behavior, as it primarily relies on the recollection of information acquired during the academic phase. Conclusion: This study recommends educational institutions to reconstruct their curriculum, refine pre-clinical theory examinations, and implement regular evaluations during the professional stage.Keywords: knowledge, prevention behavior, pressure ulcer, attitude
Mindfulness Intervention Reduces Care Burden Status of Family Caregivers for the Elderly: A Systematic Review Syahrani Iskandar; Etty Rekawati; Kuntarti Kuntarti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5375

Abstract

ABSTRACT The increasing elderly population in Indonesia poses significant challenges for families acting as caregivers responsible for providing optimal care. Caregivers often experience physical, mental, and emotional stress, commonly referred to as caregiver burden. Mindfulness therapy has emerged as an effective approach to reducing stress by transforming negative thought patterns. Objective: This study aims to evaluate the effectiveness of mindfulness interventions in reducing caregiver burden and enhancing the health and well-being of caregivers for elderly family members through a systematic review. Method: A systematic review was conducted using the PRISMA approach. Data were collected from three databases: PubMed, EBSCOHost, and Scopus, with inclusion criteria focusing on research articles evaluating the effectiveness of mindfulness for caregivers of the elderly, published between 2019–2024. Five studies with a Randomized Controlled Trial (RCT) design were thoroughly analyzed using the Critical Appraisal Skills Programme (CASP). Results: The findings revealed that mindfulness interventions significantly reduced stress levels, depressive symptoms, and anxiety among caregivers. Additionally, improvements in sleep quality and emotional well-being were noted in some studies. While the effect on reducing caregiver burden was inconsistent, most studies demonstrated significant enhancements in mental health and overall well-being. Conclusion: Mindfulness-based interventions have proven effective in supporting the physical and mental health of caregivers for the elderly.
The Influence of Discharge Planning on Family Preparedness in Caring for Elderly Stroke Patients: A Systematic Review Mardhatillah Mardhatillah; Etty Rekawati; Kuntarti Kuntarti
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6306

Abstract

Stroke is the second leading cause of death and the third leading cause of disability worldwide . Lack of understanding and information received by families, as well as minimal involvement during patient care, can lead to unpreparedness in caring for patients. Discharge planning is an important process in ensuring a safe transition of care from hospital to home, especially for elderly stroke patients. Family readiness to care for elderly stroke at home is greatly influenced by the effectiveness of discharge planning . Objective: This study aims to examine and analyze the effect of discharge planning on family readiness to care for elderly stroke. Method: Five databases through article searches adjusted to the PICO question formulation consisting of ScienceDirect, ProQuest, Googlescholer, Sage Journals, and Taylor and Franchise from 2019-2024. The keywords used are Stroke in Elderly, older, Older adult, Cerebral Infarction AND Discharge Planning AND family readiness, , family satisfaction.The number of articles found was 1,335, and after screening, 5 articles were analyzed. Results: There were five selected articles. Based on the results of the analysis, comprehensive discharge planning, involving education, training, and psychosocial support, has been shown to increase family readiness to care for elderly stroke at home. With a Randomized Controlled Trial (RCT ) and quasi-experimental design . Conclusion: Effective discharge planning can increase family readiness and satisfaction in caring for elderly stroke at home.
Analysis of Strategic Planning and the Role of Managers in Improving Nursing Resource Performance: Systematic Review Wildan Wildan; Hanny Handiyani; Hening Pujasari; Kuntarti Kuntarti
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6398

Abstract

The success of health organizations depends on the quality of human resources including nursing resources. Health organizations can grow and develop if they have staff or nurses with demonstrated high performance. Good performance is directly proportional to the quality of services provided. Performance appraisal is very important to evaluate, assess and measure, to enhance employee capabilities and professionalism. This assessment aims to ensure that organizational goals can be achieved optimally. Furthermore, strategic planning and the role of managers are essential in performance appraisal. With good strategic planning, supported by the optimal role of managers, can enhance staff performance and facilitate the achievement of organizational objectives. Managers who have good abilities in planning, organizing, staffing, actuating and controlling the vision, mission and goals of the organization can be achieved. Objective: This study aims to determine the relationship strategic planning and the role of managers on the performance of nursing resources. Methods : This systematic review was prepared based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Used databases Scopus, ProQuest, Science Direct, Pubmed, Clinicalkey and Google Scholar. Articles used from 2023-2025. Keywords Strategic Planning AND Manager Roles AND Performance Appraisal for Nurses. Joanna Briggs Institute (JBI) and Critical Appraisal Skills Program (CASP) analysis. From 78,200 articles found, 8 articles were analyzed. The results of systematic analysis in the study showed that with appropriate strategic planning and good manager roles can improve nurse performance which has an impact on improving the quality of service and the goals and vision of the organization's mission can be achieved. The results of the study can be concluded that strategic planning and the role of managers have a significant effect on improving performance so that organizational goals can be achieved optimally.
The Effect of Nurse Driven Protocol Implementation on the Incidents of Catheter Acquired Urinary Tract Infection in Geriatric Patients Tiodora Tiodora; Junaiti Sahar; Kuntarti Kuntarti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6841

Abstract

The aging process affects the immune system, making the elderly more vulnerable to bacterial and viral infections. Urinary tract infection (UTI) is the second most common infection among geriatric patients. UTIs caused by urinary catheter use, known as Catheter Acquired Urinary Tract Infections (CAUTI), are the leading cause of nosocomial infections, with 80% linked to catheter use. Preventing catheter use beyond 72 hours can reduce CAUTI incidence. The use of Nurse Driven Protocols (NDP) is one of the interventions recommended by the CDC to reduce catheter-related risk factors. This articles aiming to discuss the impact of NDP implementation on the incidence of CAUTI in geriatric patients. This study was conducted using the PRISMA checklist. Literature searches were conducted through several databases, including ProQuest. Science Direct, Scopus, and ClinicalKey Nursing, within the last five years (2020–2024). From 110 identified articles, five met the inclusion criteria, and two were analyzed in depth. The implementation of Nurse Driven Protocols (NDP) significantly reduced the incidence of CAUTI by ensuring catheters are only used when absolutely necessary and removed as soon as no longer indicated. Routine 24-hour assessments enable nurse to independently evaluate catheter use based on clear clinical criteri , such as the HOUDINI system. NDP empowers nurse to conduct independent evaluations and make decisions regarding catheter use, effectively preventing CAUTI and improving the quality of patient care.
Optimization of Tiered Nursing Competency Supervision in the Central Surgical Installation of the Hospital Nini Suhani; Hanny Handiyani; Kuntarti Kuntarti; Amelia Asmara
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.v8i3.1013

Abstract

Supervision of nurse competency in the operating room is an important component in ensuring compliance with standard operating procedures and patient safety. However, in some hospitals, supervision is still not optimal, often unscheduled, using manual forms, and lacking proper documentation. This residency project aims to improve the effectiveness of tiered nurse competency supervision to enhance patient safety in the hospital's central surgical installation. This case study uses Kurt Lewin's planned change approach consisting of three stages unfreezing, moving, and refreezing combined with management functions: planning, organizing, staffing, actuating, and controlling. Data collection was conducted through interviews, observations, and questionnaires. Planned change began with problem identification, followed by Fishbone analysis to determine root causes. Several improvement strategies were developed, including forming a supervision team, creating a routine supervision schedule through Google Sheets, and developing five digital supervision instruments using Google Forms. A trial implementation was carried out. Data were analyzed using descriptive statistics to summarize respondent characteristics and key variables, while inferential analysis was used to examine variable relationships and support achievement of the research objectives. The implementation of digital-based tiered nurse competency supervision increased the effectiveness of supervision and supported more structured competency development. The formation of a supervision team, scheduled supervision activities, and digitized instruments improved supervision quality. Trial results indicated competent performance aligned with SOPs based on observation checklists. Digital supervision forms proved efficient and practical, facilitating implementation, simplifying documentation, and accelerating evaluation of supervision outcomes.
Analysis of Medical Equipment Control Through Handover Tools in the Inpatient Ward of Hospital Tatik Wahyuni; Tuti Afriani; Kuntarti Kuntarti; Rr Tutik Sri Hariyati; Eka Pujiyanti
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.v8i3.1164

Abstract

Medical equipment control is a crucial aspect in supporting the continuity and effectiveness of nursing services in inpatient wards. This study aimed to evaluate internal and external factors influencing the effectiveness of medical equipment control and to formulate the need for developing a structured, documentation-based handover tool. This preliminary study was conducted in hospital inpatient wards involving Nurse Unit Managers (NUMs) and staff nurses. Data were collected through in-depth interviews, field observations, and questionnaires. Medical equipment control processes were examined using the POSAC management framework. Questionnaire data were analyzed descriptively, while overall data were analyzed using POSAC and SWOT analyses, followed by IFE and EFE matrices to formulate improvement strategies. Data validity was ensured through source and method triangulation. The findings indicated that medical equipment control had not been optimally implemented due to the absence of standard operating procedures, inconsistent documentation, unequal distribution of equipment, and the lack of routine evaluation. Analysis of external factors revealed significant opportunities, including government regulations, accreditation requirements, technological advances, and increasing public expectations for fast and accurate services. A standardized, user-friendly, and integrated medical equipment handover system is required to improve efficiency, accuracy, and the overall quality of nursing services.
Digitizing Tiered Nursing Supervision in the Icu: Prototype Development and Usability Testing A Case Study Rahayu Widiastuti; Hanny Handiyani; Kuntarti Kuntarti; Amelia Amelia
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.v8i3.1258

Abstract

Tiered nursing supervision in the Intensive Care Unit (ICU) has been routinely conducted; however, its impact on competency development and performance monitoring remains suboptimal due to the absence of a structured schedule, incomplete instruments and documentation, limited reflective practice and self-assessment, high workload, and supervisors’ time constraints. This case study aimed to initiate the development of a digital, tiered supervision prototype integrated with the hospital Electronic Medical Record (EMR). The change process was guided by Kotter’s eight-step model and aligned with nursing management functions (POSAC). Root causes were identified using an Ishikawa (fishbone) analysis based on the 5M framework. The study population consisted of ICU nursing personnel, with key informants (the ICU head nurse and nursing manager) selected through purposive sampling, and 36 ICU nurses meeting the inclusion criteria (≥2 years of experience and minimum PK-1 level) participating as survey respondents. Data were collected from May to June 2025 through semi-structured interviews, direct observations, and structured questionnaires distributed via Google Forms, with informed consent obtained from all participants. Data were analyzed descriptively and analytically using an Ishikawa (fishbone) diagram based on the 5M framework to identify root causes, followed by problem prioritization to inform the development and evaluation of a digital, tiered nursing supervision prototype. The innovation produced a supervision prototype comprising scheduling, standardized checklists, and evaluation outputs to support structured monitoring and feedback. A preliminary usability assessment using the System Usability Scale (SUS) yielded a score of 72/100, indicating acceptable usability. Further work is recommended to finalize integration with the existing EMR, conduct broader-scale testing, provide supervisor training, and strengthen a reflective and structured evaluation culture to comprehensively assess the system’s effectiveness.