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Community stigma on the health care providers during COVID-19 Pandemic Yanto, Arief; Faroby, Muhammad Athfal; Hartiti, Tri; Samiasih, Amin
South East Asia Nursing Research Vol 3, No 2 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.2.2021.66-72

Abstract

Stigma can be an obstacle in efforts to prevent, treat and treat COVID- 19 patients. Negative stigma can cause psychological problems for health workers during the COVID-19 pandemic. Stigma is often associated with health problems including COVID-19 which is caused by fear and lack of knowledge. This study aims to determine the image of the community's stigma against health workers during the COVID-19 pandemic. This study used a quantitative descriptive research design with a survey approach using a questionnaire filled out via google form. Sampling was done through convenience sampling. The sample of this study was 138 respondents who met the inclusion criteria. Most of the respondents did not give stigma labelling 82.6%, did not give stigma stereotype 81.9%, did not give stigma separation 89.9% and did not give stigma discrimination 77.5% to health workers. The results showed that the community did not give stigma of labelling, stereotype, separation and discrimination to health workers during the COVID-19 pandemic. It is hoped that this research can be used as input to prevent the emergence of a negative stigma against health workers during a pandemic.
Monitoring Analysis of Filling The Informed Consent of Blood Transfusion Ruhana, Ati Rusyda; Pohan, Vivi Yosafianti; Hartiti, Tri
South East Asia Nursing Research Vol 3, No 1 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.1.2021.40-44

Abstract

Informed consent is evidence of the accountability of health service providers in the hospital. it is carried out in every carrying out the procedure of actions that have the risk of causing disability or death. Incomplete documentation of patient informed consent can reduce the quality of hospital services. the implementation of informed consent documentation in hospitals often faces obstacles. this is due to the lack of human resources and the high workload available. This case study aims to determine the filling of informed consent documentation in the patient's blood transfusion. This study uses interviews, observation and document study by developing approaches to the nursing management function, organizing functions, personnel, direction, supervision, care management, logistics management, quality assurance programs and patient safety. The results showed that in one month there were 20 patients with blood transfusions, and 11 out of 20 patients did not have informed consent. The problem that arises is the incomplete documentation of medical records at the time of carrying out blood transfusions to patients. Supervision that is not optimal is the cause of this problem.
Analysis of Nursing Documentation Implementation In Outpatient Room Nurudin, Muhamad; Pohan, Vivi Yosafianti; Hartiti, Tri
South East Asia Nursing Research Vol 2, No 2 (2020)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.2.2.2020.25-30

Abstract

The quality of nursing care is a key element of service quality in hospitals. To realize good quality nursing service and quality in the Outpatient Institution, qualified human resources are also needed and good nursing management skills are needed from a manager or head of the service unit. For the implementation of nursing care documentation in outpatient installations to be carried out optimally, it is necessary to carry out management activities in the form of supervision by carrying out nursing support activities in stages. The purpose of this analysis is to determine the implementation of outpatient nursing medical record documentation. The use of action methods in this analysis aims to develop new skills or new approaches and be applied directly and reviewed the results. From the results of the assessment found several nursing management problems and the priority is the completeness of outpatient nursing medical record documentation which is still low. The action taken is by providing refresher activities or material refreshing on nursing documentation, initial assessment of outpatients, simulations of filling out initial outpatient assessment documentation, making and disseminating supervision forms and techniques for tiered supervision using the supervision form. The activity was attended by 23 participants consisting of the head of the room, the team leader and the nurse executing from the polyclinic or outpatient installation. Evaluation after carrying out activities on the completeness of outpatient nursing medical record documentation was 70%  (14 of 20 samples).
The effectiveness of garlic, black turmeric, and red betel vine solutions to maintain scalp hygiene (pediculicide efficacy test toward head lice) Samiasih, Amin; Dianingsih, Ayu; Ferdisa, Richa Jannet; Wati, Fitria; Hartiti, Tri; Ernawati, Ernawati; Yanto, Arief
South East Asia Nursing Research Vol 2, No 4 (2020)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.2.4.2020.1-7

Abstract

Head lice (Pediculosis humanus capitis) is a parasite sticking on the scalp and in between the hair. It lives by laying its eggs on some strands of hair and sucking blood from the scalp, which results in itching, inflammation, restless sleep, and concentration degradation. Lice could also lower self-esteem. The infection may also lead to anaemia, which affects the learning pattern and cognitive function of children. However, the use of chemical insecticide may have a harmful effect. Therefore, this research tested three natural ingredients, namely garlic, black turmeric, and red betel vine, as the pediculicide. This research was aimed to find safe, natural ingredients to eliminate head lice while maintaining personal hygiene. It was an experimental research with Randomized Posttest Only Control Grup Design. This research's subject was 28 lice, which were grouped into seven treatments with four lice in each group. The seven treatments included the treatment by spraying garlic, black turmeric, and red betel vine solution. The concentration of those natural ingredients was determined at 8% and 16%. The control group was sprayed by using water. The finding showed the significance of black turmeric (p-value 0.000), garlic (p-value 0.000), and red betel vine (p-value 0.001) as the effective pediculicide. The effective concentration as pediculicide was a 16% solution.
Terapi Puzzel Dengan Kemampuan Kognitif Pada Lansia Dirumah Pelayanan Sosial Pucang Gading Semarang Herison, Ryschy; Nurhidayati, Tri; Hartiti, Tri
Holistic Nursing Care Approach Vol 4, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/hnca.v4i2.13047

Abstract

Kondisi perubahan lansia pada umumnya mengalami kemunduran terutama pada fungsi kognitif. Terapi yang mampu meningkatkan fungsi kognitif lansia diantaranya berupa terapi non farmakologis yaitu terapi Puzzle. Studi kasus ini bertujuan untuk melakukan penerapan terapi puzzel pada lanjut usia dengan kemajuan fungsi kognitif lansia di Rumah Pelayanan Pucang Gading Semarang. Studi kasus ini dilakukan dengan metode deskriptif dengan menerapkan beberapa jurnal tentang Terapi Puzzle Wapuwan adalah sebuah permainan yang berupa potongan-potongan gambar wayang punakawan yang diacak menjadi suatu gambar yang utuh dalam waktu 20 menit selama 9x pertemuan dalam 3 minggu dengan kriteria inklusi : lansia dengan gangguan kognitif sedang (17 – 23), lansia berusia 65 – 75 dan kriteria eklusinya : lansia yang mengalami amnesia, lansia dengan gangguan pendengaran, lansia dengan depresi berat. Dari hasil permainan puzzle didapatkan bahwa dari hari pertama ke hari sembilan mengalami peningkatan sebesar 26 %  dengan hasil skor dari 23 menjadi 30 untuk subjek pertama kemudian untuk subjek kedua mengalami peningkatan dalam pengkajian MMSE yang awalnya 20 menjadi 27 didapatkan peningkatan dari hari pertama ke hari Sembilan sebesar 23 %. Kedua subjek mengalami peningkatan dari gangguan kognitif sedang dengan skor (17 – 23) meningkat menjadi normal (24 – 30). Dari hasil kedua subjek setelah diberikan terapi puzzle adanya peningkatan kemampuan kognitif dilihat dari meningkatnya skor mini mental state exam.
Challenges of the Nurse Manager in Implementation of Evidence-based Nursing Practice (EBNP) Rachmawati, Anita; Hartiti, Tri; Fajrin, Ela; Puteri, Fauzizah; Nabila, Amelia
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.209-214

Abstract

Evidence-based practice (EBP) is a nursing concept to improve the quality of health services. Many educational institutions have produced nursing research, but its application in nursing service practice has not been optimal because many nurses have not been exposed to that research. This research aims to find out the challenges of nurse managers in implementing evidence-based nursing practice (EBNP). The method used in this study is the qualitative method by conducting a Forum Group Discussion (FGD) with the five heads of rooms at RSJD Dr. Amino Gondohutomo Central Java Province regarding how to apply EBNP in providing health services. Based on the results of the FGD shows that although the application of EBNP is necessary to increase the knowledge, skills, and competencies of nurses so that innovations emerge in the provision of nursing care, there are still internal and external obstacles that hinder the implementation of EBNP. In the future, to be able to provide excellent patient care decisions, EBNP is needed for making appropriate clinical decisions based on existing cases.
Massage effleurage terhadap fatigue pada pasien kanker di ruang Rajawali 3A RSUP Dr. Kariadi Rachmawati, Sheila Destika; Hartiti, Tri
Ners Muda Vol 5, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v5i2.13072

Abstract

Fatigue pasien dengan kanker berpengaruh pada kondisi umum pasien yang dapat menyebabkan pembatalan atau penundaan proses terapi. Fatigue dapat diatasi dengan memberikan intervensi nonfarmakologis untuk menurunkan tingkat fatigue pada pasien kanker yaitu dengan massage effleurage. Tujuan dari studi kasus ini adalah untuk mengetahui pengaruh terapi massage effleurage terhadap fatigue pada pasien kanker. Desain studi ini deskriptif berdasarkan pendekatan asuhan keperawatan. Subyek terdiri dari dua pasien kanker yang menjalani kemoterapi, dan pasien tersebut mengalami fatigue. Lembar observasi yang berisi usia, jenis kelamin, tingkat pendidikan dan kelelahan digunakan sebagai alat pengumpulan data. Alat ukur yang digunakan adalah Brief Fatigue Inventory (BFI), dimana derajat fatigue diukur dua kali sebelum massage effleurage dan kemudian pada hari terakhir massage effleurage. Hasil studi ini dapat dilakukan pada pasien kanker dengan fatigue, karena menunjukan massage effleurage dapat menurunkan tingkat fatigue pada kedua pasien. Massage effleurage dapat menurunkan fatigue yang mana dengan tindakan tersebut dapat merangsang saraf parasimpatik ke otak untuk mengalirkan gelombang alfa dan kontraksi otot mengeluarkan hormone serotine sehingga menciptakan rileks akan membuat tubuh lelah menjadi bugar.
The Effect of the SAMRY Model (Mahfudzat Adaptation Stress and Guided Imagery) on Nurse Work Stress Kurniawati, Ayu Khuzaimah; Pramana, Cipta; Pohan, Vivi Yosafianti; Hartiti, Tri; Soesanto, Edy; Astuti, Rahayu
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.50035

Abstract

 Nurses’ work stress must be managed well. Work stress can affect nurses’ performance, reduce service quality, and cause turnover intention. The 2018 PPNI survey showed that 50.9% of Indonesian nurses experienced work stress. A preliminary study at K.R.M.T Wongsonegoro Hospital Semarang of 10 nurses in special units stated that 90% experienced work stress. The SAMRY (Stress Adaptation and Guided Imagery) model can reduce nurses’ work stress. This technique combines the application of the concepts of mahfudzat and guided imagery so that it can create relaxation distractions and increase adaptive coping patterns. This research aims to determine the effect of the SAMRY model on nurses’ work stress. The research method uses a pre-experiment with a pre-post-test one-group design. The population is 223 nurses who work in special units. Sample of 35 respondents using a purposive random sampling technique. Data collection was carried out by assessing work stress pre and post-intervention. The research instrument used the Expanded Nursing Stress Scale (ENSS) questionnaire. The results of the study reported an average pre-intervention work stress score of 114 and post-intervention 78.26. Data analysis using the paired sample t-test obtained p-value=0.000 (p0.05). It can be concluded that there is an influence of the SAMRY model on nurses’ work stress.
Terapi Relaksasi Autogenik Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Operasi Laparatomi Ma'arif, Syahrul; Hartiti, Tri
Ners Muda Vol 5, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v5i3.10587

Abstract

Laparotomi merupakan suatu tindakan pembedahan pada daerah abdomen dengan cara membuka dinding abdomen untuk mencapai isi dari rongga abdomen yang mengalami masalah seperti perdarahan, perforasi, kanker, dan obstruksi. Perawatan post operasi di Indonesia seringkali menimbulkan komplikasi diantaranya gangguan rasa aman nyaman, rasa nyeri yang mengganggu dan menurunnya kualitas tidur. Nyeri merupakan suatu perasaan atau pengalaman yang tidak nyaman baik secara sensori maupun emosional yang dapat ditandai dengan kerusakan jaringan ataupun tidak (Association for the study of pain). Dampak yang serius dapat muncul akibat nyeri yang tidak ditangani, baik jangka pendek maupun jangka panjang. Tujuan studi kasus ini untuk mengetahui penurunan intensitas nyeri setelah dilakukan teknik relaksasi autogenik. Metode studi kasus ini menggunakan metode deskriptif dengan desain studi kasus melalui pendekatan proses keperawatan. Hasil studi kasus menunjukkan bahwa terapi relaksasi autogenik dapat mengurangi intensitas nyeri yaitu pada subjek 1 adalah dari skala 6 menjadi skala 2 dan subjek 2 dari skala 5 menjadi skala 2, kesimpulannya bahwa terapi relaksasi autogenik dapat membantu menurunkan intensitas nyeri pada pasien post operasi laparatomi.
SUPERVISI KLINIS MODEL PROCTOR DALAM PENINGKATAN KUALITAS PERAWATAN SELAMA PROSEDUR INTRAVENA Setiawan, Herry; Hartiti, Tri; Rofi'i, Muhammad
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 6 No 2 (2018): 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 (277.393 KB)

Abstract

High phlebitis events reflected low quality of nursing care in terms of infection prevention and control.High phlebitis caused by a biological factor of treatment during an intravenous procedure. Thequality of care during intravenous procedures has influenced by the ability of the supervisor toperform clinical supervision. The purpose of this research is to know the influence of clinicalsupervision Proctor model on the quality of treatment during intravenous procedure at GeneralHospital Banjarmasin. The research method used quasy experimental with pre-post research designwith control group with total sample 68 responden taken with sample technique non probabilitysampling with the inclusion criteria of nurses who work as asociate nurses divided into group ofintervention and control. The results obtained in this study were the influence of clinical supervision ofProctor Model on the quality of care during intravenous procedure with p = <0.0001 with α = 0,05.There is an influence of the Proctor Model's clinical supervision on the quality of care during theintravenous procedure at General Hospital Banjarmasin.