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PENGARUH CAREGIVER CLASS TERHADAP PERAN CAREGIVER INFORMAL DALAM PERAWATAN JANGKA PANJANG LANSIA Lasmini Lasmini; Fery Agusman Mutoho Mendrofa; Witri Hastuti; Umi Hani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 1 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i1.2155

Abstract

Latar Belakang : Peningkatan UHH memberikan dampak bertambahnya populasi lanjut usia. Perkembangan demografi ini dapat membawa dampak di bidang kesehatan, ekonomi, dan sosial.masalah kesehatan yang sering dialami lansia dalah penyakit tidak menular diantaranya hipertensi, osteoarthitis, Diabetes meilitus, penyakit jantung, stroke,  gagal ginjal, tubercolosis dan kanker. Masalah kesehatan tersebut dapat menyebabkan ketidakmampuan lansia dalam melakukan kegiatan sehari-hari sehingga membutuhkan perawatan jangka panjang. Pelaksanaan PJP, caregiver mempunyai peran yang sangat penting dalam mendampingi dan membantu lansia untuk melakukan kegiatan dan memenuhi kebutuhan sehari – hari. Tujuan Penelitian : untuk mengetahui perbedaan peran caregiver informal dalam perawatan jangka panjang lansia. Metode penelitian : Desain penelitian menggunakan kuasi eksperimen jenis pretest and posttest with control group. Jumlah masing-masing responden 24 kader lansia pada kelompok intervensi dan kontrol diseleksi dengan purposive sampling. Instrumen yang digunakan yaitu lembar kuisoner peran caregiver informal dalam perawatan jangka panjang yang dikembangkan oleh peneliti yang terdiri dari 3 (tiga) komponen yaitu pengetahuan, sikap dan lembar observasi keterampilan yang sesuai dengan tugas caregiver yang meliputi aspek fisik, aspek mental, aspek sosial budaya dan aspek spiritual. Penelitian dilakukan selama 16 jam atau selama 2 hari. Hasil penelitian : terdapat pengaruh caregiver class terhadap peran caregiver informal dalam perawatan jangka panjang lansia dengan nilai p=0,000 (p0,05)
Implementation of SBAR Communication For Nurse Handover in Nursing Services at Manimeri Health Center, Teluk Bintuni Regency Dina Kristina Antoh; Blacius Dedi; Witri Hastuti
Jurnal Kesehatan dr. Soebandi Vol 13 No 1 (2025): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v13i1.768

Abstract

Ineffective communication poses significant risks to patients, with 30% of nurses failing to provide accurate information to doctors, although 70% do provide good information, reducing patient risk (Depkes RI, 2008). Communication impacts both patients and healthcare workers, with nurses facing difficulties due to the lack of handover communication guidelines, which can endanger patients (Watulangkow et al., 2020). According to Permenkes No. 11 of 2017, 79.7% of incidents in Indonesian health centers result from ineffective communication. Dewi et al. (2019) found that the SBAR (Situation, Background, Assessment, Recommendation) technique in patient care reduces adverse events, near-miss incidents, potential injuries, no-harm incidents, and sentinel events. This study examines the impact of SBAR-based nurse handover on nursing service quality at Manimeri Health Center, Teluk Bintuni Regency, West Papua. Using a qualitative method with an exploratory phenomenological approach, the study involves seven participants. Data is analyzed using the Collaizi method, which offers clear, detailed steps. Findings reveal that SBAR-based nurse handover implementation in nursing services is suboptimal. Limited nurse understanding hinders the improvement and optimization of SBAR handover communication. Despite these challenges, there has been a notable change in the rate of adverse events following the research.
Pengaruh Penerapan Model Erna (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) Terhadap Kepuasan Pasien di Rsu Sarila Husada Kabupaten Sragen Erna Irawati; Fery Agusman; Witri Hastuti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52949

Abstract

Rumah sakit menjadi salah satu fasilitas yang mempunyai peranan yang penting dan strategis dalam upaya peningkatan status kesehatan masyarakat. Seiring perkembangan jaman, masyarakat semakin kritis dan lebih selektif terhadap pelayanan publik termasuk pelayanan di Rumah Sakit. Sebagai penyedia layanan kesehatan rumah sakit dituntut memberikan pelayanan yang efektif, efisien dan berkualitas serta berorientasi pada kepuasan pasien sebagai pengguna jasa layanan kesehatan. Tujuan penelitian ini adalah untuk menganalisis pengaruh penerapan model ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) di Rumah Sakit Umum Sarila Husada Sragen. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan quasy eksperiment dengan desain pretest-posttest control group design. Penelitian di lakukan di Rumah Sakit Umum Sarila Husada Sragen dengan jumlah populasi 216 pasien. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 69 responden. Pengumpulan data penelitian menggunakan kuesioner kepuasan pasien (SERQUAL). Untuk mengetahui perbedaan kepuasan responden kelompok kontrol dan intervensi menggunakan analisa data mann whitney sedang untuk menganalisis pengaruh masing-masing komponen ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) menggunakan regresi linier berganda.. Hasil penelitian menunjukkan rata-rata umur responden 42,19 tahun dengan standar deviasi 11,194 dengan umur terendah 17 tahun dan tertinggi 58 tahun. Responden tidak tamat Sekolah Dasar sebanyak 6 responden (8,7%), SD/sederajat 5 responden (7,2%), SLTP/Sederajat 25 responden (36,2%) dan perguruan tinggi 17 responden (24,6%). Responden dengan pekerjaan petani sebanyak 14 responden (20,3%), karyawan swasta 16 responden (23,2%), PNS 7 responden (10,1%), TNI/POLRI 3 responden (4,3), Wirausaha 26 responden (37,7% dan sebagai pelajar/mahasiswa sebanyak 3 responden (4,3%). Berdasarkan pembiayaan kesehatan sebanyak 23 responden (33,3%) kategori pasien umum dan 46 responden (66,7%) menggunakan BPJS/asuransi lainya. Tingkat kepuasan responden kelompok kontrol dalam kategori puas sebanyak 63 responden (91,3% dan kategori tidak puas sebanyak 6 responden (8,7%). Sedangkan tingkat kepuasan responden kelompok intervensi dalam kategori puas sebanyak 67 responden (97,1% dan tidak puas sebanyak 2 responden (2,9%). Hasil uji analisis mann whitney menunjukkan hasil nilai asymp. Sig (2-tailed) 0,049 < nilai signifikansi yaitu 0,05 yang bermakna terdapat perbedaan kepuasan pasien kelompok kontrol dan kelompok intervensi dengan penerapan ERNA (Emphaty, Responsivness, Nursing Care dan Akuntabilitas) di RSU Sarila Husada Kabupaten Sragen. Penerapan model ERNA mampu menjelaskan 93% variasi kepuasan pasien sedangkan 7% dipengaruhi oleh variabel lainya diluar penelitian. Hal ini menunjukkan bahwa model memiliki kemampuan prediktif yang sangat kuat. Namun nilai signifikansi p = 0,47 (>0,05) menunjukkan bahwa secara statistik model tersebut tidak signifikan
Studi Fenomenologi Pengembangan Implementasi Layanan Blud Berbasis Teori Sistematis Kesehatan Donabedian di Puskesmas Sedan Kabupaten Rembang Aka Pravita Septiana; Tri Ismu Pujiyanto; Witri Hastuti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54151

Abstract

Community Health Centers (Puskesmas) as the main pillar of primary health care in Indonesia face limitations in budget, human resources, and bureaucratic processes. The implementation of the Regional Public Service Agency (Badan Layanan Umum Daerah/BLUD) financial management system has become a strategic approach to improving managerial flexibility and service quality. This study aimed to develop the implementation of BLUD at Puskesmas Sedan, Rembang Regency, based on Donabedian’s health system framework, which encompasses structural, process, and outcome dimensions. This study employed a phenomenological qualitative approach involving four key participants: the Head of the Community Health Center, the Technical Implementation Officer (PPTK), the BLUD Treasurer, and health personnel directly involved in BLUD management. Data were collected through in-depth interviews, participatory observation, and document review, and analyzed using Colaizzi’s thematic analysis method. The findings identified four main themes: adjustment of the BLUD system, limitations in human resources, improvements in efficiency and service quality, and the role of local government support. The implementation of BLUD was shown to enhance managerial flexibility and service quality, although challenges related to human resource capacity and reporting requirements remain.
Pengaruh Supervisi dan Gaya Kepemimpinan Kepala Ruangan Terhadap Kualitas Layanan Keperawatan di Instalasi Rawat Inap Marisca Astri Wahyuni; Sabina Gero; Witri Hastuti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55085

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Penelitian ini diakui karena capaian kepuasan pasien yang belum mencapai 100% dari kisaran 2024, dan diprediksi hal ini disebabkan oleh beberapa insiden keselamatan pasien yang merupakan bentuk pelayanan yang buruk. Penelitian ini bertujuan untuk mengungkap secara empiris pengaruh gaya pengawasan dan kepemimpinan terhadap kualitas pelayanan keperawatan. Desain penelitian menggunakan studi cross sectional, dengan teknik sampel menggunakan purposive sampling yang melibatkan 48 perawat di unit rawat inap sebagai sampel. Hasil analisis menyimpulkan bahwa gaya pengawasan dan kepemimpinan secara serentak dan sebagian berpengaruh terhadap kualitas pelayanan keperawatan. Implikasi dari penelitian ini adalah pentingnya pendidikan dan pelatihan bagi kepala ruangan terkait teknik pengawasan dan juga manajemen kepemimpinan, sesuai dengan implikasi dari Sistem Neuman yang menekankan pentingnya mempertimbangkan semua dimensi kehidupan manusia secara holistik untuk memberikan asuhan keperawatan yang komprehensif dan bermakna
Pengaruh Implementasi Handover Bedside Teaching Base On Patient Centered Care Terhadap Kepuasan Pasien Di Ruang Rawat Inap RS Columbia Asia BSD Ina Maelani; Blacius Dedi; Witri Hastuti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57090

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Kepuasan pasien merupakan indikator kualitas layanan kesehatan yang dipengaruhi oleh kesesuaian antara harapan dan pelayanan yang diterima, terutama melalui asuhan keperawatan, komunikasi efektif, serta penerapan keselamatan pasien. Salah satu aspek penting adalah pelaksanaan handover, khususnya metode Handover Bedside Teaching berbasis Patient-Centered Care (PCC), yang memungkinkan transfer informasi akurat, keterlibatan pasien, serta peningkatan keselamatan dan kualitas perawatan. Penelitian ini bertujuan untuk mengetahui pengaruh implementasi Handover Bedside Teaching Base on Patient Centered Care terhadap kepuasan pasien di Ruang rawat inap Rumah Sakit Columbia Asia BSD. Jenis penelitian ini adalah kuantitatif dengan desain penelitian yang digunakan quasi eksperimen two group. Penelitian ini dilakukan di Ruang Rawat Inap RS Columbia Asia BSD. Adapun teknik sampling yang digunakan yaitu purposive sampling dengan jumlah sampel sebanyak 50 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner kepuasan sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Analisis data menggunakan uji paired t-test untuk mengetahui perbedaan kepuasan pasien sebelum dan sesudah intervensi. Hasil penelitian dengan analisis bivariat uji paired t-test menunjukkan bahwa terdapat perbedaan signifikan antara kepuasan kelompok kontrol dan intervensi dengan p-value = 0,001 sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Penerapan handover dengan metode bedside teaching base on patient-centered care meningkatkan kepuasan pasien rawat inap di Rumah Sakit Columbia Asia BSD.
THE EFFECTIVENESS OF KANGAROO MOTHER CARE (KMC) USING METKA INFANT SLING ON INCREASED TEMPERATURE OF LOW-BIRTH WEIGHT BABIES (LBW) Munafiah, Durrotun; Hastuti, Witri; Nurbaiti, Nurbaiti; Novitasari, Novitasari
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 2 (2023): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i2.73214

Abstract

Introduction: Weight is one indicator of newborn health. Babies born with low weight need serious treatment because in this condition the baby is easily got hypothermic. As much as 40.5 percent of infant deaths in Central Java Province in 2019 were also caused by LBW. Efforts to maintain the baby's body temperature in LBW still need to develop low-cost technology so that hypothermia does not occur.Methods: This study aimed to determine the effectiveness of kangaroo mother care (KMC) using a metka infant sling on the increasing temperature babies. This type of quantitative research was a quasi-experimental method was used a two-group pretest-posttest design. The sampling technique uses purposive sampling. The number of samples in the study was 30 respondents according to the specified criteria. The instrument used was a digital thermometer where the thermometer was only placed in the baby's armpit.Results: The result of this research showed that there was significant effectiveness in kangaroo mother care (KMC) using metka infant sling on LBW body temperature p <0.05.Conclusion: The conclusion was there is the effectiveness of kangaroo mother care with a metka infant sling on the temperature in LBW. Giving the kangaroo method with the metka sling is considered very effective in meeting very basic baby needs such as warmth, breast milk, protection from infection, stimulation, safety, and affection.
Implementation of Deep Breathing Relaxation and Early Mobilization to Overcome Pain and Mobility Problems in Post-Section Caesarean Mothers Indicated with Premature Rupture of Membranes in Patient, Mrs. R P3a0 at Rskb Columbia Asia Sulistya Ningsih; Witri Hastuti
Jurnal EduHealth Vol. 17 No. 02 (2026): Jurnal EduHealt, April - June
Publisher : Sean Institute

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Abstract

Sectio Caesarea is a surgical procedure performed to deliver a baby through an incision in the abdominal wall and uterus. This procedure may cause several NERS ing problems in the mother, such as acute pain, limited physical activity, and breastfeeding difficulties. In addition, infants born through surgical delivery may experience early adaptation problems, including the risk of ineffective thermoregulation, risk of infection, and risk of impaired attachment processes. Therefore, comprehensive NERS ing care is required to support maternal recovery and assist newborn adaptation. The purpose of this case study is to describe the implementation of NERS ing care for a post–Sectio Caesarea mother and her newborn using the NERS ing process approach, which includes assessment, NERS ing diagnosis, intervention planning, implementation, and evaluation. The method used in this study is a case study conducted on Mrs. M with post–Sectio Caesarea at the inpatient ward. The assessment results showed several NERS ing problems in the mother, including acute pain related to the surgical procedure, activity intolerance related to postoperative physical weakness, and ineffective breastfeeding related to breast engorgement and lack of optimal breastfeeding stimulation. In the newborn, the identified NERS ing problems included the risk of ineffective thermoregulation, risk of infection related to immature immune defense and umbilical cord care, and risk of impaired attachment process due to mother–baby separation. NERS ing interventions implemented included pain management, gradual mobilization, breastfeeding education, monitoring the baby's body temperature, umbilical cord care, and facilitating mother–infant bonding. After two days of NERS ing care, the condition of both mother and baby showed improvement, indicated by decreased pain levels, improved maternal activity tolerance, the initiation of breast milk production, stable neonatal temperature, and the beginning of mother–infant interaction. In conclusion, the implementation of a comprehensive NERS ing process can improve recovery in post–Sectio Caesarea mothers and support the physiological and psychological adaptation of newborns.
The Application of Deep-Breathing Relaxation Techniques with Lemon Aromatherapy to Reduce Pain in Post–Sectio Caesarea Mothers at RSUD dr. Adhyatma, MPH, Central Java Province Febta Fatmia Ardani; Witri Hastuti
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Post–sectio caesarea mothers often experience significant postoperative pain that interferes with mobility, breastfeeding initiation, and overall recovery. Pharmacological pain management such as analgesics provides rapid relief but may cause side effects when used long term. Therefore, non-pharmacological interventions are needed to complement pharmacological approaches safely. This study aimed to determine the effectiveness of deep-breathing relaxation techniques combined with lemon aromatherapy in reducing postoperative pain among post–sectio caesarea mothers at RSUD dr. Adhyatma, MPH, Central Java Province. This descriptive case study involved two respondents selected through purposive sampling based on inclusion and exclusion criteria. Data were collected using observation sheets, nursing documentation, interviews, and direct observation, while pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. The results showed a significant decrease in pain intensity after two consecutive days of intervention. In Patient 1, the pain scale decreased from 5 to 4 on the first day and from 4 to 2 on the second day, while in Patient 2, it decreased from 6 to 5 and from 4 to 3, respectively. Both patients reported improved comfort, relaxation, and self-control in managing postoperative pain. These findings indicate that deep-breathing relaxation combined with lemon aromatherapy is an effective, simple, and safe non-pharmacological nursing intervention to complement pharmacological pain management and enhance postoperative recovery among post–sectio caesarea patients.
Implementation of Early Mobilization to Overcome the Problem of Physical Mobility Disorders in Mothers After Caesarean Section at K.R.M.T Wongsonegoro Hospital, Semarang Aditya Rizqi Surya Pratama; Witri Hastuti
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Abstract

Early mobilization is a critical postoperative intervention to accelerate recovery and prevent complications in mothers who undergo cesarean section. This study aims to describe the implementation of early mobilization and its effects on improving physical mobility among post– cesarean section patients at RSD K.R.M.T Wongsonegoro Semarang. Using a descriptive case study design, two patients who met the inclusion criteria were observed during the early postoperative phase. Data were obtained through direct observation and nursing documentation, focusing on mobility performance before and after the intervention. Early mobilization consisted of Range of Motion (ROM) exercises performed for 10–15 minutes over two consecutive days. The results showed that both patients experienced improvements in ease of movement and walking ability. The first patient, initially requiring total assistance, progressed to moving and ambulating with minimal assistance using supportive devices. The second patient, who initially demonstrated minimal mobility with dependency, improved to performing movements and walking with reduced assistance and without devices. These findings indicate that early mobilization effectively enhances muscle strength, blood circulation, and functional independence while reducing postoperative discomfort and fear of movement. Factors such as motivation, pain tolerance, and family support also influenced the level of progress achieved by each patient. Overall, early mobilization contributed positively to postoperative rehabilitation and supported a faster return to functional mobility. The study highlights the importance of integrating structured early mobilization into nursing care to optimize physical recovery and improve the overall quality of life for post–cesarean section mothers.
Co-Authors Aditya Rizqi Surya Pratama Agus Sriyono Ahmad Jaelani Aka Pravita Septiana Amrih Widiati Arba'i Musthofa Royyan Arini Gumolung Blacius Dedi Blacius Dedi Blacius Dedi Boediarsih Boediarsih Boediarsih Boediarsih Boediarsih Boediarsih, Boediarsih Chintami Wiji Risdiantari Cicilia Ester Novita Herawati Bunga Dedi, Blacius Destaria Utami Rizky Dina Kristina Antoh Durrotun Munafiah Dwi Indah Iswanti Dwi Kristianto, Antonius Dwi Kustriyanti Dwi Siwi Murni Hastuti Eko Winarto Eni Kusyati Eni Kusyati Erna Irawati Faradila Gustyaningtyas Febta Fatmia Ardani Fery Agusman Fery Agusman Motuho Mendrofa Fitri Dwi Aprilia Hani, Umi Herbasuki Herbasuki, Herbasuki Hermeksi Hermeksi Hermeksi Rahayu Hermeksi Rahayu Hudhariani, Rose Nur I Gusti Ngurah Bagus Suadnyana Dwi Putra Ida Novi Fitriyani Ina Maelani Indah Wulaningsih Intan Marliana Safitri Ismiyati, Yuliana Khusna, Nurul Kristina Antoh, Dina Lasmini Lasmini Maftuchah Maftuchah Mardiyani Mardiyani Marisca Astri Wahyuni Mar’ah, Zakiyyatun Meilan Agimat Muntafiah Nanik Pratiwi Niken Hayu Geby Bestari Noni Yoimo Novi Setyorini Novita Sari Novitasari Novitasari Oktavian Rau PRATIWI, NANIK Putri, Rizkyani Awalina Retno Apriliyanti Rita Dewi S Sabina Gero Sabina Gero Sabina Gero Sabina Gero Sari, Novi Murdiana Sa’adah Mujahidah Setyan Nur Safitri, Putri Shindi Hapsari Sigit Hartono Sitepu, Andrew Siti Anisah Son Haji Sonhaji Sonhaji Sorayya, Dyah Noeris Sri Pujiwati Sulistya Ningsih Susilowati, Nike Susilowati Titik Anggraeni Tri Ismu Pujiyanto Tri Ismu Pujiyanto Umi Hani Veronica Agustina Sihotang Villy Betsi Kolinug W Widiyaningsih Wa Ode Srie Lestari Yulen Birahy