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Caring Model Development in Improving Quality of Nursing Services in Tasikmalaya Suprapti, Betty; Herliana, Lia; Yuningsih, Aneng
INDOGENIUS Vol 4 No 1 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i1.490

Abstract

Background: Caring is needed to improve services for consumers, in this case, patients. The development of caring behavior models in hospitals is essential in improving the quality of nursing services so that it impacts the number of patients treated. Purpose:  to identify the need for a caring model in improving the quality of nursing care at the Tasikmalaya Islamic Hospital, Indonesia Method: The research method uses a qualitative design with a phenomenological approach involving elements of management, nurses, and patients being treated. There were 13 participants consisting of 8 nurses as critical participants and five patients currently treated as validators. Data retrieval through in-depth interviews and focus discussions is then analyzed through content analysis. Results: The results obtained were four major themes and two sub-themes related to hospital development and the required caring model. A model of serving with "HEART" is obtained from the hospital's vision, nurse's, and patient's expectations of caring behavior. Conclusion: Nurses perceive caring behavior as serving wholeheartedly, prioritizing patient comfort, and communicating effectively and ethically. The caring model of serving with "heart" can be presented and implemented to improve nursing care services..
Kangaroo Mother Care and Lullaby Music Intervention for Stabilizing Pulse Rate and Body Temperature in Low Birth Weight Infants Yuliana, Dewi; Herliana, Lia; Rosuliana, Novi Enis; Mariani, Dini
Journal of Pubnursing Sciences Vol 3 No 03 (2025): Journal of Pubnursing Sciences (JPS)
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v3i03.275

Abstract

Background: Low Birth Weight (LBW) infants are a vulnerable group who have a high risk of experiencing instability of vital signs due to the imperfection of organs in the baby's body, especially the thermoregulation system and circulatory system. This instability can trigger serious complications and increase neonatal morbidity and mortality rates. Efforts to stabilize physiologically are important steps that need to be taken. Aims: To determine the effect of the combination of kangaroo mother care (KMC) intervention and lullaby music on the stability of pulse rate and body temperature of LBW. Method: This study uses a quantitative method with a quasi-experimental research design with a pretest-posttest with control group approach. The population was 94 people in October-December 2024 in the perinatology room. The research sample was 26 people using purposive sampling. The measuring instruments used include an axillary thermometer, stethoscope, timer, sound level meter, and observation sheet. Results: The results of the study using the paired t-test showed an increase in the average pulse rate and body temperature in the intervention group with a p value of 0.000, the control group with a p value of 0.049, while the results of the independent t-test for pulse rate after intervention with a p value of 0.012 and body temperature with a p value of 0.022. Conclusion: The combination of KMC and lullaby music is more effective in increasing the stability of pulse rate and body temperature of LBW. This combination intervention can be applied by nurses as suportive therapeutic nursing care for LBW.
PENGARUH POSISI PRONASI TERHADAP PENURUNAN KADAR BILIRUBIN PADA BAYI NEONATUS Wardeni, Resa; Rosuliana, Novi Enis; Herliana, Lia; Riyana, Asep
Jurnal Kesehatan Komunitas Indonesia Vol 21, No 2 (2025)
Publisher : Fakultas Ilmu Kesehatan Universitas Siliwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37058/jkki.v21i2.16873

Abstract

Background: Hyperbilirubinemia in neonates is a yellowing of the skin, conjunctiva, and sclera of the baby caused by an increase in bilirubin levels in the plasma during the early life of the baby, which appears after a few days following birth. Efforts to manage the increase in bilirubin levels in infants include performing phototherapy and positioning the baby in a prone position every 2 hours, which can help reduce bilirubin levels in the baby. Purpose: Understanding the application of phototherapy and the prone position on the reduction of bilirubin levels in neonates. Method: The method used is through research in the form of a case study conducted in the Level 1 NICU (Perinatology) / Salman Al-Farizi on newborns (Neonates) who meet the inclusion and exclusion criteria, totaling two individuals, with data collection techniques consisting of interviews and observations. The pronation positioning intervention was carried out once a day for three days with a duration of 30 minutes every two hours. Results: To determine the effect of the prone position on the decrease in bilirubin levels after the administration of the action with patient 1 bilirubin levels to 10 mg / dL and patient 2 bilirubin levels to 11 mg / dL. Conclution: The prone position has been proven effective in reducing bilirubin levels in neonates, hospitals are expected to be able to implement the prone position to help reduce high bilirubin levels. Suggestion: For parents at home who have babies experiencing an increase in bilirubin levels or changes in skin color to yellowish, they can expose the baby to sunlight under direct sunlight from 07:00 to 08:00 AM WIB using available tools and materials as long as the light is able to reach the entire area of the baby's body.
Exploring the therapeutic effect of Calmcube play on emotional well-being in hospitalized preschool-aged children Rahayu, Devia Sri; Mariani, Dini; Rosuliana, Novi Enis; Herliana, Lia
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2869

Abstract

Hospitalization can trigger significant anxiety in preschool children (ages 3–6) due to separation from familiar environments, invasive medical procedures, and limited emotional coping strategies. Excessive anxiety during hospitalization may hinder recovery and negatively affect emotional development. Play therapy is a widely recommended non-pharmacological approach to reduce pediatric anxiety. CalmCube is an innovative play therapy tool designed to engage children's cognitive and emotional responses through interactive, age-appropriate activities. This study aimed to evaluate the effectiveness of CalmCube play therapy in reducing anxiety among hospitalized preschool children. A quasi-experimental study using a pretest-posttest control group design was conducted at Dr. Soekardjo Hospital from October to December 2024. A total of 38 preschool-aged children (3–6 years) were selected through purposive sampling and assigned to intervention (n = 19) and control (n = 19) groups. Anxiety levels were measured using the Preschool Anxiety Scale (PAS) before and after the intervention. Data were analyzed using paired and independent sample t-tests. In the intervention group, the mean anxiety score decreased significantly from 37.10 (SD = 19.83) to 29.21 (SD = 17.57) after CalmCube therapy (p = 0.000). In contrast, the control group showed a negligible reduction from 44.78 to 43.94 (p = 0.076). Between-group analysis also revealed a statistically significant difference in post-intervention anxiety levels (p = 0.016), confirming the effectiveness of CalmCube therapy. CalmCube play therapy significantly reduced anxiety in hospitalized preschool children and can be implemented as a non-pharmacological nursing intervention to improve children's psychological well-being during hospitalization. Integrating structured play therapy into pediatric care protocols may enhance emotional resilience and recovery outcomes in young patients.
PENGARUH PUPUK ORGANIK TERHADAP PERTUMBUHAN SENGON (Albizia falcataria (L.) Fosberg) Muswita, Muswita; Murni, Pinta; Herliana, Lia
Biospecies Vol. 1 No. 1 (2008): Februari 2008
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/biospecies.v1i1.278

Abstract

The research has objectives to know the effect of kind of organic manure to growth and know optimal kind ofmanure to growth sengon (Albizia falcataria(L.) Fosberg). This research used completely randomize designconsisted of 5 treatment such as goats manure, chickens manure, cows manure, compost manure andwithout manure with 5 replication. The data dianalysed with Anova and test continue DNMRT at 5% reallevel. The result showed that organic manure was significantly different to high and sengon stem diameter butwas not significantly differen to amount of leaf. Based of the result of research , it may be concleted thatgoats manure gave the best result.
Pengembangan dan Uji Awal Instrumen Skrining Dini Kesehatan Emosional Anak Usia Pra-Sekolah (ISD-KE) Zaitun Zaitun; Ayu Yuliani S; Lia Herliana
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.v10i1.52581

Abstract

Gangguan emosional pada anak usia prasekolah sering tidak terdeteksi di layanan kesehatan primer karena gejalanya yang halus dan belum adanya instrumen skrining sederhana yang valid dan reliabel, sehingga diperlukan pengembangan alat skrining dini yang sesuai untuk membantu identifikasi masalah secara cepat dan akurat. Tujuan Penelitian ini bertujuan mengembangkan Instrumen Skrining Dini Kesehatan Emosional Anak Usia Prasekolah (ISD-KE) yang dapat digunakan oleh tenaga keperawatan di layanan kesehatan primer. Desain penelitian mengikuti tahapan studi pendahuluan, validitas isi oleh pakar, dan uji coba skala kecil. Tempat Pelaksanaan penelitian dilakukan di Puskesmas Sitopeng Kota Cirebon. Respondennya 30 anak usia prasekolah dan tenaga keperawatan berpartisipasi dalam uji coba instrumen. Intervensi untuk pengembangan instrumen yang terdiri dari observasi klinis oleh perawat dan laporan orang tua/pengasuh. Metode Uji validitas isi dilakukan oleh empat pakar menggunakan I-CVI dan S-CVI. Uji validitas empiris menggunakan korelasi item-total dan uji reliabilitas menggunakan Cronbach’s Alpha. Hasilnya adalah validitas isi menunjukkan nilai I-CVI 0,75–1,00 dengan S-CVI/Ave = 0,88. Dari 25 butir yang diuji, 12 butir dinyatakan valid. Reliabilitas butir valid menunjukkan Cronbach’s Alpha = 0,877 yang menandakan konsistensi internal sangat baik. Instrumen terbukti layak digunakan untuk skrining awal masalah emosional anak. Kesimpulannya ISD-KE merupakan instrumen yang valid dan reliabel untuk deteksi dini kesehatan emosional anak prasekolah. Diperlukan uji validitas konstruk dan reliabilitas lanjutan dengan jumlah sampel lebih besar