Claim Missing Document
Check
Articles

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.
Optimalisasi pelaksanaan journal reading di instalasi gawat darurat melalui pendekatan kotter’s 8-step change model Silitonga, Ester Mutiara Indah; Hariyati, Roro Tutik Sri; Afriani, Tuti; Wildani, Andi Amalia; Nasri, Khairul
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1662

Abstract

Background: The Emergency Department of Hospital X Jakarta faces challenges in developing nurses' critical thinking skills, influenced by time constraints and high workloads. One potential strategy to support nurses' continuous professional development is through structured journal reading activities. However, this activity has not been optimally implemented due to the lack of systematic and documented implementation guidelines. Purpose: To optimize the implementation of journal reading in the emergency department using Kotter's 8-Step Change Model. Method: A case study approach with management function analysis covering the stages of planning, organizing, directing, implementing, and Fish Bone analysis. The framework uses Kotter's 8-step change model approach. The activity was carried out at the Emergency Room of Hospital X Jakarta on June 19–28, 2025. Results: There was an increase in knowledge scores on 80% of the items after the socialization, although challenges still occurred in selecting appropriate articles. The socialization was conducted in a hybrid manner with the participation of 44 nurses and generated positive responses to the existence of Standard Operating Procedures (SOPs). Monitoring of nurses showed an increase in understanding and ability to conduct journal reading according to the guidelines. Conclusion: Implementation of the SOP socialization for journal reading has been proven to improve the quality of journal-based learning. Suggestion: Further mentoring and integration of SOPs into cross-unit nursing professional development programs are needed.   Keywords: Emergency Department; Journal Reading; Kotter's 8-Step Change Model Approach.   Pendahuluan: Instalasi Gawat Darurat Rumah Sakit X Jakarta menghadapi tantangan dalam mengembangkan keterampilan berpikir kritis perawat, dipengaruhi oleh keterbatasan waktu dan tingginya beban kerja. Salah satu strategi yang potensial untuk mendukung pengembangan profesional berkelanjutan perawat adalah melalui kegiatan journal reading yang terstruktur. Namun, kegiatan ini belum terlaksana secara optimal karena belum adanya acuan pelaksanaan yang sistematis dan terdokumentasi. Tujuan: Untuk mengoptimalisasi pelaksanaan journal reading di instalasi gawat darurat melalui pendekatan kotter’s 8-step change model. Metode: Pendekatan studi kasus dengan analisa fungsi manajemen yang meliputi tahapan perencanaan, pengorganisasian, pengarahan, pelaksanaan, serta analisa Fish Bone.  Kerangka kerja menggunakan pendekatan kotter’s 8-step change model. Kegiatan dilaksanakan di Instalasi Gawat Darurat Rumah Sakit X Jakarta pada tanggal 19–28 Juni 2025. Hasil: Terdapat peningkatan skor pengetahuan pada 80% butir soal setelah sosialisasi, meskipun masih ditemukan kendala pada pemilihan artikel yang tepat. Sosialisasi dilakukan secara hybrid dengan partisipasi 44 perawat, dan menghasilkan tanggapan positif terhadap keberadaan Standar Prosedur Operasional (SPO). Monitoring terhadap perawat pelaksana menunjukkan peningkatan pemahaman dan kemampuan dalam melakukan journal reading sesuai panduan. Simpulan: Implementasi sosialisasi SPO journal reading terbukti meningkatkan kualitas pembelajaran berbasis jurnal. Suggestion: Diperlukan pendampingan lanjutan serta integrasi SPO dalam program pengembangan profesional keperawatan lintas unit.   Kata Kunci: Instalasi Gawat Darurat; Journal Reading; Pendekatan Kotter’s 8-Step Change Model.
Optimalisasi fungsi actuating kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit Perdana, Riska Rusfita; Afriani, Tuti; Wirdani, Andi Wilda; Hariyati, Rr Tutik Sri; Harpendewisasmita, Harpendewisasmita; Kuntarti, Kuntarti
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1751

Abstract

Background: Electronic Medical Records (EMR) plays a crucial role in nursing care, serving as legal evidence, a means of interprofessional communication, and a benchmark for service quality. Ward heads, as first-line managers, hold a crucial responsibility in ensuring documentation is carried out according to standards. Purpose: To optimize the ward head's driving function in overseeing nursing care documentation in hospitals. Method: This study used a case study approach conducted in the Intermediate Ward of Jantung dan Pembuluh Darah Harapan Kita Hospital. Data were collected through observation, interviews with ward heads and nurses, and questionnaires distributed to 30 nurses. The analysis was based on Marquis & Huston's 2021 management function theory and Kurt Lewin's theory of change. Problems were analyzed using the fishbone method and Priority Setting Guidelines (PSG) assessment to determine priority interventions. Results: Nurses' compliance with EMR documentation standards improved after socialization. Furthermore, ward heads' understanding of the importance of reflection-based clinical supervision also improved. 28.9% of respondents stated that ward heads always supervise nursing care documentation, 27.7% stated that supervision is frequent, 20.5% stated that supervision is rare, and 22.9% stated that ward heads never supervise documentation. Conclusion: Interventions through educational and reflective supervision have proven effective in improving the quality of EMR-based nursing documentation. Suggestion: Ongoing training for ward heads and integration of supervision forms into the hospital's digital system are needed to ensure the sustainability of the intervention.   Keywords: Driving Function; Hospital; Nursing Care Documentation; Supervision; Ward Head.   Pendahuluan: Dokumentasi asuhan keperawatan elektronik/ Electronic Medical Record (EMR) memiliki peran krusial dalam pelayanan keperawatan, baik sebagai bukti legal, media komunikasi antarprofesi, maupun tolak ukur mutu layanan. Kepala ruangan sebagai manajer lini pertama memegang tanggung jawab penting dalam memastikan dokumentasi dilakukan sesuai standar. Tujuan: Untuk mengoptimalisasi fungsi actuating kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit. Metode: Penelitian ini menggunakan pendekatan case study yang dilaksanakan di ruang Intermediate Ward Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita (RSJPDHK). Data dikumpulkan melalui observasi, wawancara kepala ruangan, dan perawat, serta penyebaran kuesioner kepada 30 perawat pelaksana. Analisis dilakukan berdasarkan teori fungsi manajemen Marquis & Huston tahun 2021 dan teori perubahan Kurt Lewin. Masalah dianalisis menggunakan metode fishbone dan scoring Priority Setting Guideline (PSG) untuk menentukan intervensi prioritas. Hasil: Terdapat peningkatan kepatuhan perawat terhadap standar dokumentasi EMR setelah sosialisasi dilaksanakan. Selain itu, pemahaman kepala ruangan terhadap pentingnya supervisi klinis berbasis refleksi juga meningkat. Didapatkan 28.9% responden menyatakan bahwa kepala ruangan selalu melakukan supervisi dokumentasi asuhan keperawatan, 27.7% menyatakan bahwa supervisi dilakukan sering, 20.5% menyatakan bahwa supervisi hanya jarang dilakukan, dan 22.9% menyatakan bahwa kepala ruangan tidak pernah melakukan supervisi dokumentasi Simpulan: Intervensi melalui supervisi edukatif dan reflektif terbukti efektif dalam meningkatkan kualitas dokumentasi keperawatan berbasis EMR. Saran: Diperlukan pelatihan berkelanjutan bagi kepala ruangan dan integrasi formulir supervisi ke dalam sistem digital rumah sakit untuk menjamin keberlanjutan intervensi.   Kata Kunci: Dokumentasi Asuhan Keperawatan; Fungsi Actuating; Kepala Ruangan; Rumah Sakit; Supervisi.
Workplace Well-Being Among Hospital Nurses: Perspectives of Indonesian Staff Nurses Fathi, Achmad; Handiyani, Hanny; Afriani, Tuti; Tyastuti, Dwi
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.21680

Abstract

Well-being is a unique phenomenon perceived by nurses. Nurses have their own definition of well-being based on their work experience. This study aimed to examine the nurses’ workplace well-being from the perspective of Indonesian staff nurses within hospital settings. A qualitative interpretive descriptive design was employed in this study. Participants were recruited from a university hospital in Medan, Indonesia, comprising 10 staff nurses representing the emergency department, intensive care unit, and inpatient wards. Data were collected through a focus group discussion and analyzed using thematic analysis. Data analysis identified three overarching themes that encapsulate staff nurses perspectives on workplace well-being: the ideal concept of nurses workplace well-being, contributing factors to nurses’ workplace well-being, and nurses expectations of hospital administrators to enhance nurses workplace well-being.  Staff nurses hold distinct expectations regarding their workplace well-being, which are shaped by personal and professional factors. Several contributing elements influence their experiences, including organizational support, workload, and interpersonal relationships. The findings indicate that Indonesian staff nurses perceive workplace well-being as a multifaceted and challenging issue. They highlighted their hopes and expectations concerning workplace well-being across psychological, physical, financial, inter-professional relationship, and hospital facilities dimensions. It is imperative that nurse managers and hospital administrators give careful consideration to these concerns and implement evidence-based, targeted strategies to mitigate the challenges that adversely affect nurses’ well-being. Keyword: Hospitals, Nursing Staff, Well-being, Workplace  
GERAKAN NO STUNTING, REMAJA SEHAT, AKTIF DAN SELAMAT (NOTHING REHAT) REMAJA: ADAPTASI METODE WORLD CAFÉ Suhariyanto, Suhariyanto; Afriani, Tuti; Handiyani, Hanny; Amalia Wildani, Andi; Mansye Soeli, Yuniar; Rizany, Ichsan; Ayu Wardhani, Dara; Sari Pratiwi, Suci; Sulistyaningsih, Wiwik Sulistyaningsih; Najihah, Muthi'ah
Jurnal Abdimas Indonesia Vol 7, No 2 (2025): JURNAL ABDIMAS INDONESIA
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jai.v7i2.3171

Abstract

Stunting merupakan permasalahan serius di Pemerintah Kota Depok, dengan prevalensi  14,3% tahun 2023. Faktor predisposisi kejadian stunting pada balita adalah ibu dengan riwayat anemia sejak remaja. Prevalensi anemia pada remaja putri di Kota Depok mencapai 26,5%, dan kondisi ini memiliki hubungan signifikan dengan asupan zat besi. Sehingga pencegahan dan penatalaksanaan anemia sejak remaja menjadi langkah penting dalam upaya pencegahan stunting. Tujuan pengabdian masyarakat adalah upaya perubahan pengetahuan, keterampilan dan perilaku hidup sehat remaja sebagai calon ibu di masa depan. Metode pengabdian masyarakat adalah melalui Pendekatan interaktif yang melibatkan remaja melalui metode world café, pemeriksaan kesehatan, edukasi interaktif, permainan, roleplay, demonstrasi, peer group teman sebaya dan pembentukan duta anti stunting. Materi pengabdian masyarakat berupa anemia, pencegahan stunting, perilaku sehat selamat, kesehatan reproduksi dan jiwa remaja. Pengabdian masyarakat ini dilakukan selama dua bulan di SMPN 30 Depok. Populasi 30 responden dengan kriteria inklusi remaja putri yang diberikan supervisi pengetahuan dan ketrampilan pre post. . Instrumen yang digunakan adalah kuesioner dan lembar kerja yang telah divalidasi. Analisis data kuantitatif menggunakan uji t berpasangan. Hasil pengabdian masyarakat terdapat perbedaan sebelum dan sesudah pelatihan dengan world cafe learning program dalam peningkatan pengetahuan siswa sebesar 32 poin. Terdapat perbedaan praktik mengenal budaya sehat dan selamat pada remaja dengan nilai p = 0,001. Kesimpulannya adalah gerakan nothing rehat dapat meningkatkan pengetahuan dan keterampilan remaja mengenal sehat, selamat menciptakan generasi muda yang lebih sehat, aktif, dan siap menghadapi masa depan yang lebih baik. Rekomendasi dari hasil pengabdian masyarakat dapat digunakan sebagai pendidikan berkelanjutan, evidence base nursing dan upaya pencegahan stunting.
Optimalisasi Supervisi Retur Obat Dengan Pendekatan Transformasi Digital Di Rumah Sakit Umum Pusat X Jakarta Suryati Suryati; Tuti Afriani; Khairul Nasri
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.37751

Abstract

Optimalisasi supervisi kepala ruangan dalam proses retur obat ke farmasi berperan penting dalam memastikan pengelolaan obat yang efisien, mengurangi kesalahan, dan meningkatkan efektivitas operasional rumah sakit. Seiring dengan perkembangan teknologi digital, transformasi digital menawarkan solusi inovatif dalam mengatasi tantangan retur obat. Penelitian ini bertujuan untuk mengeksplorasi penerapan teknologi digital dalam meningkatkan efisiensi dan efektivitas retur obat. Metode penelitian menggunakan pilot study yang mencakup identifikasi masalah, analisis, penetapan prioritas, penyusunan rencana aksi, implementasi, evaluasi, dan tindak lanjut. Hasil penelitian menunjukkan bahwa penerapan sistem digital dalam retur obat mempercepat proses, mengurangi kesalahan, serta meningkatkan kepuasan pelanggan. Uji coba pada ruangan rawat inap menunjukkan bahwa obat dapat diretur dengan cepat dan akurat. Setelah implementasi, bagian Pelayanan Keperawatan dan kepala ruangan berupaya mempertahankan sistem ini sebagai budaya organisasi rumah sakit. Sosialisasi dan pendampingan dalam penerapan digitalisasi retur obat juga mengubah perilaku serta pola pikir perawat dalam pengelolaan retur obat. Diharapkan adanya komitmen bersama antara farmasi dan staf keperawatan untuk terus mendukung sistem digital ini guna mencapai efisiensi dan efektivitas yang berkelanjutan dalam pengelolaan retur obat di rumah sakit.
Co-Authors Aat Yatnikasari Aat Yatnikasari Aat Yutnikasari Achmad Fathi ade herawati Ade Irma Dahlia Agustina, Frima Ulfa Ali Ahmad Keliobas Amalia Wildani, Andi Andi Nur Indah Sari Annisa Rahmi Galleryzki Arhamsyah Arhamsyah, Arhamsyah Ayu Wardhani, Dara 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 Hariyati, Roro Tutik Sri Harpendewisasmita, Harpendewisasmita 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 Najihah, Muthi'ah Nanang Miftakhul Wakhdi Nasri, Khairul Nurdiana Nurdiana Nurdiana Nurdiana Oktaviarini, Eva Perdana, Riska Rusfita Pina Pudiyanti Putri Nilasari Rachmi, Shanti Farida Reidha Fitri Nurbaeti Resty, Dian Eka Retnoningtyas, Wahyu Kusumadi Rezky Mulyana Rita Herawati Rizany, Ichsan 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 Pratiwi, Suci Sari, Fani Hestiana Sarvita Sarvita Dewi Sarvita Dewi Sarvita Dewi Setyowati Setyowati Setyowati Setyowati Silitonga, Ester Mutiara Indah Siti Indriani Situmeang, Widiya Yulian Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Suhariyanto Suhariyanto Sulistyaningsih, Wiwik Sulistyaningsih Suminarti, Tini Sunarti, Arni Suryati Suryati Tanlain, Susana Helen Tini Suminarti Tomy Suganda Tyastuti, Dwi Verdiansyah, Rio Vergeina Ayu Wahyuni, Tyas Wildani, Andi Amalia Wirdani, Andi Wilda Wulandari, Dyah Fitri Yuliana Yuliana Yuniar Mansye Soeli Yunita Yunita