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TEORI KEPERAWATAN MERLE H MISHEL Wicke Afriza; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): 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 (2024): 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.
Konsep Model Keperawatan Berdasarkan Self Transcendence Theory Pamela G. Reed : Penelitian Wanda Yuni Putri; Irna Nursanti
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 3 (Januari 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i3.4676

Abstract

Makalah ini membahas teori dan model konseptual keperawatan yang dikembangkan oleh Pamela G. Reed yaitu Self-Transcendence Theory. Teori transendensi diri memiliki 3 konsep utama dan 2 konsep tambahan. Tiga konsep utama yaitu vulnerability (kerentanan), self transcendence (transendensi diri) dan well-being (kesejahteraan). Sedangkan 2 konsep tambahan yaitu moderating mediating factors (faktor-faktor yang mempengaruhi proses transendensi diri yang dapat mempengaruhi hubungan antara vulnerability dengan self-transcendence dan antara self-transcendence dengan well-being) dan point of intervention (tindakan keperawatan yang memfasilitasi self-transcendence). Teori ini menjelaskan bahwa individu yang mengalami kerentanan (vulnerability) akibat penyakit, penuaan, atau krisis kehidupan dapat mencapai kesejahteraan dengan memperluas kesadaran diri melampaui batas-batas personal, sosial, dan spiritual. Dalam konteks keperawatan, perawat berperan sebagai fasilitator untuk membantu klien menemukan makna positif, memperkuat dimensi spiritual, dan mencapai keseimbangan emosional. Makalah ini juga mengaitkan teori Reed dengan paradigma keperawatan yang meliputi manusia, lingkungan, kesehatan, dan keperawatan. Penerapan teori dijelaskan melalui studi kasus pasien dengan Ca buccal stadium lanjut, di mana intervensi keperawatan dilakukan untuk mengatasi isolasi sosial, gangguan citra tubuh, ansietas, dan proses berduka menggunakan pendekatan spiritual dan humanistik. Analisis menunjukkan bahwa teori ini memiliki kekuatan dalam penerapan pada masalah psikososial dan spiritual pasien, meskipun memiliki keterbatasan dalam menjelaskan variabel secara konkret dan aplikasi pada kasus fisik kompleks.
Penerapan Senam Aerobic Low Impact pada Perempuan Perimenopause untuk Mempertahankan Massa Otot dan Mengurangi Fatigue Amelia Wanda Putri; Shabrina Auliya Syifa Salsabila; Minhatul Maula Tsunaiya; Idriani Idriani; Irna Nursanti; Irma Permata Sarif
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.8897

Abstract

Perimenopause is an important phase in a woman's life characterized by extensive hormonal changes as the ovaries gradually lose their function. During this period, the body experiences significant hormonal fluctuations, particularly a decrease in estrogen and progesterone production, which can cause various physical discomforts such as fatigue. One way to overcome fatigue is through low-impact exercise. This exercise is a light, safe activity that can improve physical fitness and enhance the body's endurance, thereby potentially reducing fatigue levels in perimenopausal women. This study used a descriptive method with a case study approach conducted on two perimenopausal women, Mrs. T and Mrs. N. The results of the nursing care showed that after six sessions of low-impact exercise over two weeks, the fatigue levels of both respondents decreased, as evidenced by their Fatigue Assessment Scale (FAS) scores. Mrs. S's FAS score decreased from 28 to 23, while Mrs. N's decreased from 30 to 27. The symptoms experienced by Mrs. T decreased on the third day and further decreased on the sixth day. For Mrs. N, symptoms decreased on the third day and further decreased on the fifth day. The results of this study indicate that low-impact exercise is effective as an intervention for fatigue issues in perimenopausal women.