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MODEL KONSEP TEORI KEPERAWATAN MADELEINE LEININGER DENGAN FRAKTUR Anita Setyawati; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2023): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1071

Abstract

Madeleine Leininger's Nursing Theory Concept Model, known as Transcultural Nursing Theory or Cultural Nursing Theory, provides a foundation for providing nursing care that focuses on the patient's cultural diversity. In the context of fractures, application of this theory can increase nurses' understanding of the influence of culture on patient perceptions, experiences, and responses to fracture injuries. This theory emphasizes the importance of care that is sensitive to cultural diversity in planning, implementing, and evaluating nursing care. In the case of fractures, cultural aspects can influence how patients view the disease, treatment options, and tolerance for pain. Therefore, nurses need to integrate patient cultural knowledge into nursing care planning to ensure the delivery of care that is effective and focused on individual needs. This conceptual model includes four subsystems of transcultural nursing, namely the ethnohistorical subsystem, kinetic-dynamic subsystem, linguistic subsystem, and social subsystem. In the context of fractures, nurses can use this approach to understand how cultural values, norms, and beliefs may influence the patient's healing and recovery process.
ANALISA TEORI TRANSCULTURAL NURSING MADELEINE LEININGER Khoiriyah; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2023): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1072

Abstract

The background to the creation of Leininger's theory, through observations when she worked as a nurse, she identified that there was still a lack of knowledge about culture and care as components needed when caring for patients. Patient care is intended to support compliance, healing, and health which led him to develop the Transcultural Nursing theory. Transcultural Nursing is also known as Culture Care Theory. Nursing theory became a major theme in the last century, and continues today to increase the growth and expansion of professional and phenomenal nursing literature and education. In the early twentieth century, nursing was not recognized as an academic discipline or profession. The achievements of the past century have led to the recognition of nursing in both disciplines and professions. The terms discipline and profession are related, and in some cases can even be used interchangeably, but they are not the same. Nursing theoretical works represent the most comprehensive presentation of systematic nursing knowledge. Therefore, nursing theoretical work is important for the future of the discipline and profession of nursing. This conceptual model comes from the fields of anthropology and nursing. Leininger defines transcultural nursing as a major area of ​​nursing that focuses on the comparative study and analysis of various cultures and subcultures throughout the world by considering values, beliefs, health and illness, and habit patterns. The aim of this theory is to find various ways of caring for clients and universal relations between worldview, social structure, other dimensions, then find a path that is appropriate for different people with the aim of maintaining health, or facing death with a cultural approach.
TEORI KEPERAWATAN MERLE H MISHEL Wicke Afriza; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2023): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1073

Abstract

Merle H. Mishel was born in Boston, Massachusetts. Dial graduated from the University of Boston with a B.A. in 1961 and earned an M.S. in psychiatric nursing from the University of California in 1966. Mishel completed her M.A. and Ph.D. D in the area of ​​social psychology at the Claremont Graduate School in Claremont, California in 1976 and 1980. The dissertation research was supported by a Nation Research Service Award to develop and test the Perceived Ambiguity in Illness Scale measuring instrument, which is now known as the Mishel Uncertainly in Illness Scale (MUIS-A). One of the experts in nursing is Merle H. Mishel who has the Middle Range theory with his theory of uncertainty. This theory states that the meaning associated with the situation of illness, occurs when decision makers are unable to carry out their duties and interpret objectively, or the inability to accurately predict the expected outcome (Mishel, 1998. Nursing as a profession is unique because nursing addresses a variety of individual responses , family and community regarding the health problems they face. Nurses have various roles such as care givers, primary nurses, clinical decision makers, advocates, researchers and educators. Nurses often have to carry out more than one role at the same time, so that in carrying out their duties They must have the same frame of mind. It is necessary to believe that the application of quality nursing theory in the implementation of nursing care will have an impact on improving the quality of nursing care. Nursing services as professional services will develop if they are supported by nursing theories and models as well as the development of nursing research and implemented in practice. nursing.
TEORI MODEL KEPERAWATAN MYRA ESTRIN LEVINA Raudatul Jannah; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2023): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1075

Abstract

This paper aims to explore the application of Myra Estrin Levine’s conservation nursing model theory in the nursing care of patient with dextra pedis cellulitis. Cellulitis is a bacterial infection of the skin and underlying tissue that can cause redness, swelling, blistering and pain when pressed. Generally, cellulitis occurs on the skin of the lower legs, but can also appear on the skin of the face, arms, eyes and stomach. Myra Estrin Levine’s conservation theory is divided into 4 conservation principles, namely energy needs and their use, social integrity, structural integrity and personal integrity. The core definition of Levine’s theory is that care is interaction between human, she uses the concept of adaptation and increasing the body’s response through a system approach. Myra Estrin Levine’s concept model is divided into wholeness (holism), adaptation and conservation. The concept of wholeness refers to efforts to understand and care for patients as individuals who are complete and integrated in all aspects of their lives. Nurses are expected to engage patients in care that considers physical, emotional, social and spiritual dimensions. The importance of wholeness is to respect the individual as a complex unit, where nurses strive to understand the context of the patient’s life and provide care that does not only focus on symptoms or disease, but also pays attention to broader aspects of the patient’s life. According to Levine’s nursing theory, adaptation is an individual’s effort to maintan balance and stability in response to environmental stimuli.
PENERAPAN MODEL TEORI FLORENCE NIGHTIANGEL DALAM ASUHAN KEPERAWATAN ANAK DENGAN PNEUMONIA Rahmania, Sarah; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

The purpose of this study was to provide nursing care for children with pneumonia based on Florence Nightiangel's theory. This research method is a case study with a nursing care approach based on Florence Nightiangel's theory.  Data collection was done by interview, observation, physical examination and documentation study. The instrument used is an assessment format based on Florence Nightiangel nursing theory. The results of the assessment were found to be shortness of breath, coughing and difficult sputum removal, mild chest wall retraction on the subcosta, pulmonary sound sounded rochi, tachypnea breathing pattern, respiratory frequency 38x/min, there were infiltrates in both lung fields, environmental conditions of the house opposite the farm, house windows and ventilation are rarely opened so it is difficult to get fresh air and lighting from sunlight. There are two nursing problems, namely ineffective airway clearance, and ineffective family health management. The interventions carried out are based on SLKI and SIKI. After three days of nursing care, it was concluded that the top two nursing problems were partially solved. It is expected that nurses are able to provide and improve the quality of service in providing nursing care based on the Florence Nightiangel approach.
ASUHAN KEPERAWATAN DENGAN TUBERCULOSIS (TBC) DALAM PENDEKATAN TEORI FLORENCE NIGHTINGALE (MODERN NURSING) Hazrina, Fira Awanis; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

The prevalence of TB worldwide has increased since 2018, where the number of TB cases was 6,116,536 cases, and in 2019 there were 10,400,000 cases of TB worldwide. Indonesia is ranked third highest after India and China. Based on this, there is an alternative care model theory to overcome the environment that can cause TB disease. Nightingale's conceptual model of nursing is one of them, Nightingale sees patients in the context of the entire environment consisting of the physical environment, psychological environment, and social environment. The purpose of this study is to improve health services in improving disease management conditions professionally and bringing individuals into optimal conditions for activities through fundamental initiatives that affect the environment. This study uses a method that is a nursing process approach based on the selected nursing theory. Techniques used in data collection are interviews, observation, physical examination and nursing care. The results showed that Florence's assessment focuses more on environmental conditions (physical, psychological and social environment). Focused on the individual's relationship with the environment, namely: lack of information about environmental hygiene, ventilation, garbage disposal, environmental pollution, social communication and others.
APLIKASI TEORI MYRA ESTRIN LEVINE DALAM PRAKTEK KEPERAWATAN Suhartini, Euis; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

Myra Estrin Levine's theory has a central role in guiding nursing practitioners in providing holistic care with a focus on understanding and meeting basic human needs. This study explores the application of this theory in nursing practice, highlighting the challenges of integrating the theory's principles into daily practice. Through a case study of a patient with a history of hypertensive disease and a kidney transplant, we demonstrate an attempt to apply the theory to formulate nursing diagnoses and design appropriate interventions. Although providing a solid foundation, the limitations of the theory, such as the focus on individualized disease and lack of support for health promotion, raise questions about the relevance and sustainability of application in diverse clinical contexts. Evaluation of an intervention based on Levine's conservation principles indicated improvements in thermoregulation and a decrease in patient anxiety. The conclusions highlight the need for further research to understand the application of this theory in a changing healthcare context, with in-depth reflection on the challenges and opportunities in applying its principles.
APLIKASI THEORY VIRGINIA HENDERSON DALAM ASUHAN KEPERAWATAN PADA KASUS POST-SECTIO CAESARIA Yulianti, Dian Anggur; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

This study evaluated the impact of Sectio Caesarean delivery on the mother, showing that the risk of complications is five times higher than normal delivery. Sectio Caesarea causes postoperative pain and wounds, restricting the patient's movement and leading to stiff joints, poor posture, muscle contractures, and slow wound healing. Virginia Henderson's theory is the basis for nurses in restoring patient independence, focusing on 14 basic human needs. The case study of Mrs. D, a post-Sectio Caesarea patient without other complications, applied the purposive method. Data were obtained through observation, interview, and physical examination, and processed with Virginia Henderson's theory. The results showed that the application of the theory was effective in restoring the patient's independence, emphasizing the need for care based on basic human needs. The conclusion of the study confirms that Virginia Henderson's theory can be effectively applied in dealing with health problems in post-Sectio Caesarea patients.
MODEL TEORI KONSEP KEPERAWATAN NOLA J PENDER ‘HEALTH PROMOTION MODEL’ Purwatyningsih, Euis; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

The Health Promotion Model by Nola J. Pender reflects an evolution in nursing approaches, moving beyond a reactive paradigm to a proactive focus on prevention and health promotion. Grounded in a holistic health philosophy, the model recognizes the complexity of interactions between physical, psychological, and social aspects in shaping a person's health. Building on previous theories, the model offers a solid empirical foundation, reinforcing its relevance in various contexts and populations. The model's strength lies in its deep orientation towards prevention, filling a void in nursing practice that previously underemphasized disease prevention efforts. While it empowers individuals to manage their own health, the model may be difficult to apply to individuals with low economic means or mental disabilities. Overall, the Health Promotion Model has been a major contributor in shifting the nursing paradigm towards prevention and health promotion.
PHILOSOPHIES TEORI KEPERAWATAN HILDEGARD E. PEPLAU Yahya, Yahya; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

This study examines the application of Hildegard E. Peplau's Nursing Interaction Theory in the context of anxiety management in patients who will undergo uterine removal surgery due to ovarian tumors. The research method used a qualitative approach with a case study approach on several patients. The results showed that nurses who applied the principles of Peplau's Theory succeeded in establishing a significant therapeutic relationship with patients, identifying factors that cause anxiety, and providing appropriate emotional support. Nursing interventions, such as creating a therapeutic atmosphere, providing education, and collaborating with the patient, proved effective in reducing the patient's level of anxiety. This study contributes to the development of an understanding of the application of Peplau Theory in daily nursing practice, especially in handling anxiety in patients preparing for surgery. The practical implications of this study can support nurses in providing holistic nursing care and focusing on the psychosocial aspects of patients.