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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Journal Of Bionursing Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Nursing Practice and Education Jurnal Studi Keperawatan Eduvest - Journal of Universal Studies Jurnal of Community Health Development (JCHD) Jurnal Berita Ilmu Keperawatan International Journal of Biomedical Nursing Review (IJBNR) Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Ridlwan Kamaluddin
Universitas Jenderal Soedirman
Religion Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Manajemen agresi pasien di unit perawatan jiwa: A literature review Daisiu, Casey Petry; Kamaluddin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1434

Abstract

Background: Violent incidents in hospital settings, particularly in psychiatric units, create complex challenges for healthcare workers, patients, and hospital management. Aggression can range from verbal abuse to potentially harmful physical actions, and this phenomenon negatively impacts the well-being of healthcare workers and creates a care environment less conducive to recovery. Purpose: To analyze the most effective nursing management strategies for managing patients with aggressive behavior and provide evidence-based recommendations. Method: A systematic review was conducted using PRISMA, with a literature search conducted through PubMed, Science Direct, and Google Scholar. Seven relevant original research articles were analyzed during the selection process. Results: The most effective strategy was a holistic and integrated approach that did not rely on a single method. This included enhancing nurse competency through de-escalation and communication training, establishing strong organizational and system support, implementing structured risk assessments, and adopting a patient-centered care model. Conclusion: Comprehensive and adaptive aggression management is key to creating a safe and supportive care environment. Suggestion: Further research could quantitatively compare the effectiveness of different combinations of strategies and conduct more longitudinal studies to evaluate the long-term impact of organizational policy changes.   Keywords: Aggression Management; Patients; Psychiatric Nursing.   Pendahuluan: Insiden kekerasan di lingkungan rumah sakit terutama di unit psikiatri menciptakan tantangan yang kompleks bagi tenaga kesehatan, pasien, dan manajemen rumah sakit. Agresi dapat berupa kekerasan verbal hingga tindakan fisik yang membahayakan dan fenomena ini berdampak negatif pada kesejahteraan tenaga medis serta menciptakan lingkungan perawatan yang kurang kondusif bagi pemulihan. Tujuan: Untuk menganalisis strategi manajemen agresi pasien di unit perawatan jiwa.  Metode: Tinjauan sistematis mengacu pada PRISMA, dengan pencarian literatur melalui database PubMed, Science Direct, dan Google Scholar. Dari proses seleksi, tujuh artikel penelitian orisinal yang relevan dianalisis. Hasil: Strategi yang paling efektif adalah pendekatan holistik dan terintegrasi yang tidak bergantung pada metode tunggal. Peningkatan kompetensi perawat melalui pelatihan de-eskalasi dan komunikasi, adanya dukungan sistem dan organisasi yang kuat, implementasi penilaian risiko yang terstruktur, serta adopsi model perawatan yang berpusat pada pasien (patient-centered care). Simpulan: bahwa manajemen agresi yang komprehensif dan adaptif merupakan kunci untuk menciptakan lingkungan perawatan yang aman dan mendukung pemulihan. Saran: Penelitian selanjutnya disarankan untuk membandingkan efektivitas kombinasi strategi yang berbeda secara kuantitatif dan melakukan lebih banyak studi longitudinal untuk mengevaluasi dampak jangka panjang dari perubahan kebijakan organisasi.   Kata Kunci: Keperawatan Jiwa; Manajemen Agresi; Pasien.
Penggunaan inovasi teknologi dalam perawatan di ruang intensif care unit: A literatur review Mufimah, Mufimah; Monica, Rica; Firmansyah, Dedy; Kamaluddin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1047

Abstract

Background: Although the development of technology in health care in Indonesia has progressed, the application of technology in the ICU is still relatively limited. According to the Indonesian Ministry of Health (2024), several large hospitals in Jakarta and other big cities have implemented electronic-based patient data management systems and remote monitoring. However, it cannot be denied that there are still many hospitals in the regions that have not utilized technology optimally. Purpose: To analyze the use of technological innovation in intensive care unit care. Method:This research is a literature study with the PRISMA approach. Systematic review using PICO. The search databases used were PubMed/NCBI, Scopus and Sciencedirect with the keywords Innovation AND Technology AND Intensive Care Unit. Results: The types of technological innovations used in intensive care unit care are educational multimedia tools designed to improve ICU nurses' compliance with infection prevention and control practices, an intensive care telemedicine (tele-ICU) program called ERIC (Enhanced Recovery after Intensive Care), Ultrasonic technique Combination of Out-of-Plane Orientation and In-Plane Guidance for radial artery cannulation especially in shock patients in ICU, Virtual Reality (VR) to support the development of clinical decision-making skills, Remotely Tele-mentored Ultrasound (RTMUS) telemedicine to perform ultrasonography remotely. And each type of innovation technology used is significantly influential or effective according to the dependent variable measured. Conclusion: The use of technological innovation in intensive care unit care has been proven to provide benefits in all aspects, starting from infection prevention, quality indicators, and decision making.   Keywords: Innovation; Intensif Care Unit (ICU); Technology.   Pendahuluan: Perkembangan teknologi dalam perawatan kesehatan di Indonesia telah mengalami kemajuan, namun penerapan teknologi di ICU masih tergolong terbatas. Menurut Kemenkes RI (2024), beberapa rumah sakit besar di Jakarta dan kota-kota besar lainnya telah menerapkan sistem manajemen data pasien berbasis elektronik dan pemantauan jarak jauh. Namun tak dapat dipungkiri masih banyak rumah sakit di daerah yang belum memanfaatkan teknologi dengan optimal. Tujuan: Untuk menganalisis penggunaan  inovasi teknologi dalam perawatan di ruang intensif care unit. Metode: Penelitian literatur review dengan  pendekatan Preferred  Reporting  Items  for  Systematic  Reviews  and Meta-Analyses (PRISMA) dan menggunakan PICO. Database pencarian yang digunakan adalah pubmed/NCBI, Scopus,dan  Sciencedirect dengan  kata  kunci  "(Innovation) AND (Technology) AND (Intensif Care Unit)” Hasil: Jenis inovasi teknologi yang digunakan dalam perawatan di ruang intensif care unit yakni alat multimedia edukatif yang dirancang untuk meningkatkan kepatuhan perawat ICU terhadap praktik pencegahan dan pengendalian infeksi, program telemedis perawatan intensif (tele-ICU) bernama ERIC (Enhanced Recovery after Intensive Care), teknik Ultrasonik Kombinasi Out-of-Plane Orientation dan In-Plane Guidance untuk kanulasi arteri radial khususnya pada pasien syok di ICU, Virtual Reality (VR) untuk mendukung pengembangan kemampuan pengambilan keputusan klinis, Remotely Tele-mentored Ultrasound (RTMUS) telemedicine untuk melakukan ultrasonografi dari jarak jauh. Serta setiap jenis teknologi inovasi yang digunakan memberikan pengaruh atau efektif secara signifikan sesuai dengan variabel dependen yang diukur. Simpulan: Penggunaan inovasi teknologi dalam perawatan di ruang Intemsif care unit terbukti dapat memberikan manfaat pada segala aspek mula dari pencegahan infeksi, indicator mutu, dan pengambilan keputusan.   Kata Kunci: Intensif Care Unit (ICU); Inovasi ;Teknologi.
Efektivitas bahan oral care dalam upaya pencegahan ventilator-associated pneumonia (VAP) pada pasien kritis: A systematic review Utami, Mega; Martanti, Yuniar Dwi; Rukhayati, Yati; Umarmono, Umarmono; Kamaluddin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1075

Abstract

Background: The most common nosocomial infection in Intensive Care Unit (ICU) patients on mechanical ventilators is ventilator-associated pneumonia (VAP). One recommended prevention strategy is oral care. However, the effectiveness of various oral care materials in preventing VAP remains unclear. Purpose: To assess the effectiveness of oral care materials in preventing ventilator-associated pneumonia (VAP) in critically ill patients. Method: This systematic review followed PRISMA guidelines. Articles were retrieved from PubMed, ScienceDirect, and Google Scholar databases published between 2014 and 2025. Included articles were RCTs or quasi-experimental studies that addressed oral care interventions in ventilator patients. Quality assessment was performed using CASP-JBI. Results: Based on the 10 articles reviewed, oral care materials used included chlorhexidine, hydrogen peroxide, orthodentol, lactoperoxidase, and probiotics. Oral care techniques included brushing and rinsing, performed two to three times daily. Most studies have shown a reduction in the incidence of VAP in the intervention group. Conclusion: Oral care is effective in preventing VAP, especially when performed regularly with appropriate techniques and materials. The combination of toothbrushing and antiseptics such as chlorhexidine has been shown to be optimal in reducing the risk of VAP.   Keywords: Critically Patients; Oral Care; Ventilator-Associated Pneumonia (VAP).   Pendahuluan: Infeksi nosokomial yang paling sering terjadi pada pasien di Intensive Care Unit (ICU) yang menggunakan ventilator mekanik adalah ventilator-associated pneumonia (VAP). Salah satu strategi pencegahan yang direkomendasikan adalah oral care. Namun, efektivitas berbagai bahan yang digunakan dalam oral care terhadap pencegahan VAP masih belum disepakati secara luas. Tujuan: Untuk mengkaji efektivitas bahan oral care dalam upaya pencegahan ventilator-associated pneumonia (VAP) pada pasien kritis. Metode: Penelitian systematic review yang mengikuti pedoman PRISMA. Artikel diperoleh dari database PubMed, ScienceDirect, dan Google Scholar dengan tahun terbit 2014–2025. Artikel yang disertakan adalah penelitian RCT atau quasi eksperimen yang membahas intervensi oral care pada pasien ventilator. Penilaian kualitas menggunakan CASP-JBI. Hasil: Berdasarkan 10 artikel yang dikaji, bahan oral care yang digunakan meliputi chlorhexidine, hydrogen peroxide, orthodentol, lactoperoxidase, dan probiotik. Teknik oral care yang digunakan antara lain brushing dan rinsing dengan frekuensi dua hingga tiga kali per hari. Sebagian besar studi menunjukkan penurunan kejadian VAP pada kelompok intervensi. Simpulan: Oral care efektif mencegah VAP, khususnya jika dilakukan secara teratur dengan teknik dan bahan yang tepat. Kombinasi brushing dan antiseptik seperti chlorhexidine terbukti paling optimal dalam menurunkan risiko VAP.   Kata Kunci: Oral Care; Pasien Kritis; Ventilator-Associated Pneumonia (VAP).
THE RELATIONSHIP BETWEEN SELF EFFICACY AND THE LEVEL OF KNOWLEDGE OF NURSING PROFESSIONAL STUDENTS AT JENDERAL SOEDIRMAN UNIVERSITY TOWARDS THE IMPLEMENTATION OF BASIC LIFE SUPPORT IN CARDIAC ARREST Kamaluddin, Ridlwan; Alivian, Galih Noor
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2350

Abstract

Background: Cardiac arrest is a phenomenon that can happen to anyone, anywhere, and anytime. One of the actions to handle cardiac arrest is to provide basic life support (BLS). Nursing profession students as one of the bystanders and prospective health workers, need to pay attention to crucial things such as knowledge and self efficacy as a basis for performing BLS. This study aims to determine the relationship between knowledge level and self-efficacy towards the application of basic life support in cardiac arrest cases.Methods: This type of research is cross sectional, sampling using total sampling with a total of 70 nursing profession students aged 27 years. The research instrument used a modified knowledge level and self-efficacy questionnaire. The analysis test used the Spearman Rank correlation test.Result: The results of this study showed that the average age of respondents was 22,64 years, (92,9%) the majority were female, (81,4%) had encountered cardiac arrest cases, (61,4%) had performed BLS actions. The level of knowledge of the respondents was in the good category with a percentage of (64,3%) and self efficacy in the high category with a median of 63,5 (category in score52). The results of the Spearman Rank correlation test showed a significant relationship with a p value = 0,026 and a coefficient value of 0,266).Conclusion: There is a significant relationship between the level of knowledge of nursing professional students and self-efficacy towards the application of basic life support in cardiac arrest cases.
Effect of Blanket Warmer Use on Shivering Patients Post Regional Anesthesia: A Systematic Review Prasetyo, Pambudi Eko; Nani, Desiyani; Kamaluddin, Ridlwan
Eduvest - Journal of Universal Studies Vol. 4 No. 2 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i2.1024

Abstract

Shivering is closely related to hypothermy and is one of the serious problems in surgical patients and can adversely affect the patient's condition. In addition, shivering is also considered an important clinical problem to get attention to, especially since it affects the patient's comfort and increases metabolic needs that can cause problems and complications in the cardiovascular. One of the non-pharmacological interventions that can be applied is the use of a blanket warmer. Evidence related to the application of blanket warmers to treat shivering in post-regional anesthesia patients is still limited, therefore, the author is interested in further reviewing the effectiveness of the use of blanket warmers for shivering patients in the form of a systematic review. To identify the effectiveness of blanket warmers against shivering in post-regional anesthesia patients based on evidence-based research. This research is a literature study with the PRISMA approach. Systematic review using PICO. The search databases used are Google Schoolar, Pub Med, Scince Direct, Wiley Online Liberary with the keywords blanket warmer, shivering, and regional anesthesia. Result: Based on 8 research articles reviewed, it was found that blanket warmers were shown to be effective in treating shivering in post-regional anesthesia patients. The intervention technique is applied using a warm blanket increasing the body temperature. The intervention group gained an average time faster compared to the control group. Blanket warmer interventions such as electric blanket warmer, water warmer blanket, blanket blower warmer, warm blanket significantly improve body temperature in shivering post regional anesthesia patients.
Implementation of Deep Breathing Exercise Therapy to Reduce Fatigue Levels with GGK at Banyumas Hospital : Case Study Elis Gresita; Ridlwan Kamaluddin; Eva Rahayu; Iwan Purnawan
International Journal of Biomedical Nursing Review Vol 2 No 1 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.2.8103

Abstract

Introduction: Deep Breathing exercise is a breathing exercise with slow and deep breathing techniques, using the diaphragm muscle, allowing the stomach to be lifted slowly and the chest to be fully expanded. Purpose: To analyze the effect of deep breathing exercise to reduce fatigue levels of clients with CKD. Result: The results showed that the TTV examination before the intervention was given was BP 170/97 mmHg, RR 24x/minute, HR 76x/minute, and the FACIT Fatigue Scale score was 34 (mild weakness). Then, in the re-evaluation of TTV and fatigue after being given breathing exercises, the results were BP 159/95 mmHg, RR 20x/minute, HR 80x/minute, and the FACIT Fatigue Scale score was 48 (none). Conclusion: Providing intervention of deep breathing exercises for 1x4 hours is effective in reducing fatigue in CKD patients.
Passive Range of Motion Therapy for Increasing Muscle Strength with non-Hemorrhagic Stroke in RSUD dr. R. Goeteng Taroenadibrata: Case Study Fika Fauziah; Ridlwan Kamaluddin; Iwan Purnawan; Eva Rahayu
International Journal of Biomedical Nursing Review Vol 2 No 1 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.2.8105

Abstract

Background: Stroke is a life-threatening thing, so it is a serious thing to be handled in society. The number of stroke cases in Central Java is 2.1% or around 31,871 cases. Stroke is a functional disorder that occurs suddenly with clinical signs both focal and global lasting more than 24 hours. Non-pharmacological techniques that can overcome the disturbance of this stroke are passive range of motion (ROM) therapy. Purpose: to report the results of implementing passive ROM therapy to increase muscle strength in stroke patients who experience weakness in the extremities Results: After being given therapy for 3 consecutive days, the strength of the extremity muscles increased by 1 level or by 25 %. Conclusion: ROM intervention for 3x24 hours is effective for increasing extremity muscle strength in SNH patients Conclusion: ROM intervention for 3 days with a frequency of 2 times in a day is effective for increasing limb muscle strength in SNH patients.
Co-Authors Alivian, Galih Noor Ambariyanto Ambariyanto Andini, Erna Tri Aniq Lutfiyah Arif Imam Hidayat Asrin, Cecep Yoga Sunendar Daisiu, Casey Petry Darwanti, Dedy Firmansyah, Dedy Desiyani Nani Dian Nopita Dinda Sesylia Octaviani Elis Gresita Endang Triyanto Eva Rahayu Eva Rahayu Eva Rahayu Fika Fauziah Handoyo, Hapsari, Eti Dwi Imron Rosyadi Imron Rosyadi Iwan Purnawan Iwan Purnawan Iwan Purnawan Made Sumarwati Maria Wigianti Mukti Martanti, Yuniar Dwi Monica, Rica Mufimah, Mufimah Novia Niken Dwipayana Nur Adi Darmawan Prasetyo, Pambudi Eko Qathrin Nada Nada Rahayu, Eva Rukhayati, Yati Sandra Febrianti Saryono, Sidik Awaludin Supriadi, Ucup Tutik Pamuji Umarmono, Umarmono Utami, Mega Wahyu Ekowati Wahyu K, Dhadhang