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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia JKG (Jurnal Keperawatan Global) Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Nursing Current : Jurnal Keperawatan Jurnal Keperawatan Abdurrab Jurnal Kepemimpinan dan Manajemen Keperawatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Respati Yogyakarta Poltekita : Jurnal Ilmu Kesehatan Health Information : Jurnal Penelitian Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Jurnal Kesehatan Panrita Husada Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Caring : Indonesian Journal of Nursing Science Jurnal Kesehatan Tambusai JOSING: Journal of Nursing and Health DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan
Tuti Afriani
Department Basic Science & Fundamental Nursing, Faculty Of Nursing, Universitas Indonesia
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Supervisi Klinis Berjenjang Sebagai Upaya Pemberian Asuhan Keperawatan yang Aman Terhadap Pasien Dahlia, Ade Irma; Novieastari, Enie; Afriani, Tuti
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): 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 (481.804 KB)

Abstract

The hospital is required to conduct an evaluation of nursing clinical competence accompanied bystrengthening of direction and monitoring of clinical performance by the nurse manager to ensuring thatnurses are competent so that they can provide safe and appropriate nursing care according to professionalstandards. The purpose of this study is to socialize and evaluate the implementation of multilevel clinicalsupervision guidelines and SOP at RS X. The method is used pilot study through Kurt Lewin's theory ofchange with problem analysis using fishbone diagrams. The unfreezing phase is carried out by collectingdata on the results of the assessment ofmanagement problems through interviews, observations and surveys.The movement phase is doing all the change processes that are written in the form of Plan of Action (POA)with the hospital. The refreezing phase The refreezing stage, namely guidance and SPO for nursingsupervision, was endorsed by the hospital. Implementation is given as a solution to the problem that ismaking guidelines and SPO clinical supervision of tiered nursing. The recommendation for the hospital is toprovide clinical supervision training for the head nurse and primary nurses, socialization of the improvedsupervision instruments and add clinical supervision as a performance indicator for the head nurse andprimary nurses.
Implementation of Early Warning System (EWS) by Nurses in the Emergency Department and the Impact to Prevention Incident No Expected: Systematic Review Verdiansyah, Rio; Pujasari, Hening; Handiyani, Hanny; Afriani, Tuti
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.v7i5.6640

Abstract

The Emergency Department is a high-intensity clinical setting that manages critically ill patients who are highly susceptible to sudden clinical deterioration. Early detection through the implementation of the Early Warning System plays a crucial role in preventing unexpected adverse events, with nurses serving as the primary implementers of this system. This review aims to evaluate current evidence on the implementation of the Early Warning System by nurses in the Emergency Department and its impact on the prevention of unexpected adverse events. This study employed a systematic review approach by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines during the article selection process and using the 2023 edition of the Joanna Briggs Institute (JBI) Critical Appraisal Tool to assess the quality of included studies. Search for articles through the ScienceDirect, ProQuest, PubMed, BMJ Journal, and EBSCO databases from 2020 to 2025. and 10 articles were analyzed. The majority of studies reported that the use of the Early Warning System consistently enhances the early detection of patient deterioration, accelerates clinical response, improves triage accuracy, and assists in predicting the need for advanced care such as admission to intensive care units. Implementation by nurses was also associated with improved compliance in vital signs monitoring and a reduction in patient mortality.
Optimization of the Role and Function of Ward Manager in the Development of the Family Meeting Innovation Program in the Intensive Care Unit Arhamsyah, Arhamsyah; Yetti, Krisna; Afriani, Tuti; Wulandari, Dyah Fitri
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5376

Abstract

Hospitalization in the ICU has an impact on families, making it essential to meet the needs of families in the care of patients in the ICU. Caring for patients in the Intensive Care Unit (ICU) requires family support and involves various health disciplines, including the active role of the head nurse. The head nurse can facilitate all parties to be involved in patient management, one of which is through family meetings. (family meeting). A family meeting is an important forum to discuss the patient's condition, prognosis, and care preferences, to listen to the family's concerns, and to make decisions about appropriate treatment goals. Objective to enhance family satisfaction in patient care in the ICU through the development of an innovative family meeting program. Using the case report method in managing care in the ICU through stages of data collection, problem identification, discussion, and determining alternative solutions. Utilizing fishbone analysis to find the root cause of the problem. Once the problem is identified, the next steps include prioritizing the issues, developing a plan of action, implementing it, and conducting evaluations along with follow-up plans. The development of the family meeting innovation program with the establishment of guidelines for the implementation of family meetings, Standard Operating Procedures (SOP), and documentation formats for family meetings. The implementation of family meetings serves as a programmed communication medium between families and caregiving professionals, thereby enhancing the satisfaction of patient families.
Digital Transformation of Borrowing System and Returning Medical Equipment Resty, Dian Eka; Hariyati, Rr. Tutik Sri; Afriani, Tuti; Sudaryati, Sudaryati
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5758

Abstract

Medical equipment is an important element in health services, however, inadequate maintenance and management leads to a decrease in the efficiency and effectiveness of equipment operations. The purpose of this study was to determine the effectiveness of a digital equipment loan and return system. The method used is a pilot project with the Kurt Lewin approach. The unfreezing stage was carried out by identifying problems through interviews, observations, questionnaires to inpatient nurses at X Hospital. The movement stage, the implementation of the plan of action (plan of action) prepared with the hospital. The refreezing stage cannot be carried out because the implementation process is still ongoing. The results of the implemented solution are the use of G-forms as a medium for recording the borrowing and returning of medical devices between inpatient rooms and testing web applications. Recommendations for RS X are the establishment of regulations for borrowing and returning medical devices, socialisation of web applications as a medium for borrowing and returning medical devices, the need for logistics training for nursing staff.
Skill Mix Management in Nursing Services; A Mini Project in A Public Hospital in Jakarta Azizah, Yuni; Hariyati, Rr. Tutik Sri; Afriani, Tuti; Nurdiana, Nurdiana; Retnoningtyas, Wahyu Kusumadi
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.v7i4.6489

Abstract

Skill mix includes the nurse workforce size, education level, and clinical experience, nursing hours per patient day, the ratio of nurses to patients (qualified and unqualified), and the various skills and training required to fulfil patient care needs. The aim of this study was to optimally manage the skill mix management system in nursing by allocating various skills and roles within the nursing team to provide safe, effective, and efficient care. This study used a mini-project and analysed the results and implementation gaps through a literature review. Problems were assessed using fishbone diagrams, with alternative solutions developed in a Plan of Action (POA) framework consisting of implementation, Evaluation, and Follow-up phases. Participants were nursing staff, consisting of 2 head nurses and 63 nurses (Primary Nurses and Associate Nurse). The implementation of this study began with the preparation and workshop of technical guidelines on skill mix management in nursing. Data were collected through interviews, questionnaires, field observations, and document reviews conducted from April 22 to May 16, 2024, involving nursing managers and staff on the 3rd and 6th floors of Inpatient Building A. The data were then analyzed descriptively using the nursing management function framework, which includes planning, organizing, staffing, directing, and controlling.Evaluation, through observation and interviews, showed that 80% of the technical guidelines were well structured. There was a focus on care planning patterns, patient delegation models, and preparation of service schedules. Effective nursing skill mix management requires risk mitigation strategies, such as the FMEA approach, as well as close supervision and improved staff competence
Nurses’ Satisfaction with a Web-Based Application for Calculating Nursing Staff Based on Patient Dependency Levels and Unit Workload in Hospitals Afriani, Tuti; Rr. Tutik Sri Hariyati; Hanny Handiyani; Dyah Fitri Wulandari
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20903

Abstract

Complaints from nurses are often received by nursing managers regarding staff shortages, which leads to increased workload. Determining the unquantifiable level of workload poses a challenge, as the head nurse cannot accurately assess the number of staff shortages in the hospital room. Therefore, this study aims to develop a web-based application for the calculation of nursing staff needs based on patient dependency levels and unit workload. The application is accessible through both mobile and web platforms. A pre-experimental one-shot case study design, including 25 nurses, was used at a hospital in West Java. Measurements were conducted only during the post-test phase. The results showed that the majority of respondents were female (80%), who held a Diploma degree (76%), and worked as managers (48%). The average age of respondents was 34.3 ± 7.27 years, with a median experience of 5.0 ± 728 years. Generally, nurses' satisfaction with the application was at a moderate satisfaction, with an average satisfaction rate of 72.4%. A more detailed breakdown showed satisfaction scores of 74%, 71.4%, 75%, 70%, and 70.8% for content, format, accuracy, timeliness, and ease of use, respectively. Satisfaction with the application needs to be improved, specifically for timeliness and ease of use. This application was developed as a potential method for efficiently assessing staffing needs. Providing adequate training for nurses is essential to enhance the effectiveness and usability of the application in hospital settings.
Co-Authors Aat Yatnikasari Aat Yatnikasari Aat Yutnikasari ade herawati Ade Irma Dahlia Agustina, Frima Ulfa Ali Ahmad Keliobas Andi Nur Indah Sari Annisa Rahmi Galleryzki Arhamsyah Arhamsyah, Arhamsyah Azizah, Yuni Cori Tri Suryani Cori Tri Suryani Dadan Bardah Dadan Bardah Dahlia, Ade Irma Damayanti, Mira Dewi Gayatri Dina Warashati Dudi Mashudi Dudi Mashudi Dwi Suratmini Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Eka Budiarto, Eka Elisabet Herlyani Bota Koten Enie Novieastari Erwin Erwin Erwin Eva Metalita Fahmi, Ismail Frima Ulfa Agustina Frima Ulfa Agustina Frima Ulfa Agustina Hanny Handiyani Harwina, Harwina Hening Pujasari Herawani, Herawani I Wayan Gede Saraswasta Istiqomah Istiqomah Kartika, Anika Khairul Nasri Khairul Nasri Krisna Yetti Krisna Yetti Krisna Yetti Kuntarti La Ode Abdul Rahman La Ode Rahman Laras Adythia Pratiwi Lilis Rayatin Lusia Dian Wahyu Winarti Lusianus Demon Kehi Manumba, Ruliyani Marbun, Yusniaty Masfuri - Mashudi, Dudi Mery Anglelia Sirait Metalita, Eva Mira Damayanti Mu'minah Mu'minah Nanang Miftakhul Wakhdi Nasri, Khairul Nurdiana Nurdiana Nurdiana Nurdiana Oktaviarini, Eva Pina Pudiyanti Putri Nilasari Rachmi, Shanti Farida Reidha Fitri Nurbaeti Resty, Dian Eka Retnoningtyas, Wahyu Kusumadi Rezky Mulyana Rita Herawati Rizka Fadhila Rizky Indriasari Rosari Tarigan Rr Tutik Sri Hariyati RR Tutik Sri Hariyati Rr Tutik Sri Hariyati Rr. Tutik Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr.Tutik Sri Hariyati Sari, Fani Hestiana Sarvita Sarvita Dewi Sarvita Dewi Sarvita Dewi Setyowati Setyowati Setyowati Setyowati Siti Indriani Situmeang, Widiya Yulian Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Suminarti, Tini Sunarti, Arni Suryati Suryati Tanlain, Susana Helen Tini Suminarti Tomy Suganda Verdiansyah, Rio Vergeina Ayu Wahyuni, Tyas Wildani, Andi Amalia Wulandari, Dyah Fitri Yuliana Yuliana Yunita Yunita