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Pelaksanaan Pencegahan Phlebitis di Ruang Penyakit Dalam Wanita Rumah Sakit Pemerintah Aceh Nora Tutdini; Ardia Putra; Rachmah Rachmah; Hajjul Kamil; Yuswardi Yuswardi
Jurnal Penelitian Perawat Profesional Vol 6 No 4 (2024): Agustus 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i4.2675

Abstract

Phlebitis merupakan salah satu jenis infeksi yang paling umum terjadi pada pasien rawat inap yang terpasang kateter vena. Akibat yang dapat ditimbulkan oleh phlebitis diantaranya meningkatkan hari rawat, peningkatan biaya, menambah lama terapi, dan juga dapat menyebabkan masalah kesehatan lainnya. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pelaksanaan pencegahan phlebitis di ruang rawat inap penyakit dalam Pemerintah Aceh. Penelitian ini menyertakan 17 perawat pelaksanan dengan menggunakan lembar checklist observasi yang berisi 18 pertanyaan terkait dengan pencegahan phlebitis dirumah sakit. Teknik pengambilan sampel menggunakan teknik Accidental Sampling dan menggunakan analisa data statistik deskriptif. Hasil studi kasus diruang rawat didapatkan bahwa pencegahan phlebitis yang dilakukan perawat berada pada kategori kurang baik (88,2%). Perawat melakukan hand hygiene dengan baik sebanyak (82,4%) dan perawat melakukan preparasi kulit dengan kategori kurang baik (70,6%). Perawat tidak melakukan dressing dengan kategori kurang baik (58,8%), ketegori kurang baik pada perawatan catheter (76,5%). Dan perawat tidak menggunakan perawatan alat yang tepat sebanyak (52,9%). Diharapkan untuk meminimalisir risiko kejadian phlebitis perlu diadakan pelatihan atau workshop agar dapat mengurangi resiko kejadian phlebitis.
SASARAN KESELAMATAN PASIEN DI RUANG RAWAT INAP: STUDI KASUS PELAKSANAAN PATIENT SAFETY Fitri, Lailatul; Kamil, Hajjul; Yuswardi, Yuswardi; Yusuf, Muhammad; Mahdarsari, Mayanti
Health Sciences Journal Vol 8, No 1 (2024): April
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v8i1.2532

Abstract

World Health Organization (WHO) menyatakan keselamatan pasien merupakan masalah kesehatan masyarakat global yang serius. Menurut Komite Nasional Keselamatan Pasien yang terdapat di dalam Sistem Pelaporan dan Pembelajaran Keselamatan Pasien Nasional (SP2PKN), di Indonesia terus terjadi peningkatan dalam pelaporan insiden sebanyak 11% pada tahun 2015-2019. Perilaku perawat dan kemampuan perawat dalam melaksanakan sasaran keselamatan pasien sangat berperan dalam meningkatkan keselamatan pasien. Studi kasus ini bertujuan untuk mengetahui pelaksanaan sasaran keselamatan pasien di ruang rawat inap bagian saraf. Pengambilan sampel melalui metode Accidental sampling dengan jumlah 22 perawat. Alat pengumpulan data berupa lembar observasi diadopsi dari Sundoro, Rosa dan Risdiana tahun 2016. Analisa Data menggunakan statistik deskriptif untuk menentukan frekuensi dan persentase. Hasil studi kasus menunjukkan penatalaksanaan sasaran keselamatan pasien secara keseluruhan dengan menerapkan 6 sasaran keselamatan pasien masih belum optimal (95,5%), Namun, secara detail pelaksanaan sasaran keselamatan pasien pada setiap variabel didapatkan hasil yang sudah optimal yaitu sasaran mengidentifikasi pasien dengan benar (90,9%), sasaran memastikan lokasi pembedahan yang benar, prosedur yang benar, pembedahan pada pasien yang benar (86,4%), sasaran mengurangi resiko infeksi akibat perawatan kesehatan (59,1%), sedangkan yang belum optimal yaitu sasaran meningkatkan komunikasi efektif (86,4%), sasaran meningkatkan keamanan obat-obatan yang harus diwaspadai (72,7%), dan sasaran mengurangi resiko cedera pasien akibat jatuh (77,3%). Diharapkan pihak rumah sakit dapat memberikan perhatian dan supervisi berkelanjutan secara periodik dalam upaya meningkatkan pelaksanaan sasaran keselamatan pasien oleh perawat di ruang rawat inap.
EVALUATING PRIMARY CARE QUALITY MANAGEMENT CYCLE: A QUALITATIVE STUDY IN A WESTERN PART OF INDONESIA Wardani, Elly; Nurhasanah, Nurhasanah; Hadi, Nurul; Kamil, Hajjul
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.456

Abstract

Introduction: Community health centers known in Indonesia as Primary Health Care (PHC) serve as the primary care facilities in the country. It is the main engine for the success of providing care at the first line for the community. Accreditation is among efforts to enforce a comprehensive management function in primary care. The achievement of accreditation reflects the management cycle of the PHC; however, a number of these facilities are still struggling with achieving maximum accreditation standards. Limited attention and research support that identify PHC management function called for further investigation. Therefore, this study initiated to investigate and evaluate the primary care management cycle and its functionality through the lens of qualitative research.Method: We conducted 15 in-depth interviews and one focus group discussion (FGD) which was attended by eight participants. The setting was in five PHC in Banda Aceh, the capital city of Aceh province, Indonesia. The involved participants were individuals who had a direct role in the accreditation process.  The data was analyzed by using thematic analysis techniques.Result: There were three main themes and several subthemes derived from the analysis: (1) Work plan: integrative plan development, slow execution; (2) Leaders’ roles: Role’s awareness, work commitment. The results of this study evaluated the implementation of quality management in PHC. To some extent, there were potential obstacles for PHC hindering them from achieving optimal accreditation.Conclusion: These could create pathways for policy development or as a reference for related authorities/policymakers in developing a framework plan to assist the PHC in the implementation of the management cycle leading to plenary national acknowledgment.
Optimalisasi Implementasi Asuhan Keperawatan Primer Sumampow, Meylly; Novieastari, Enie; Rachmi, Shanti Farida; Yatnikasari, Aat; Kamil, Hajjul
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7901

Abstract

This research aims to optimize the application of primary nursing care methods, which positively impact nursing care services for patients and nurses. This research method uses a case study approach with interviews, observations, document reviews, and surveys and uses fishbone analysis for problem analysis. The research results show that the implementation of primary nursing care methods in hospitals can be optimized by increasing human resources (all nursing staff) in terms of understanding and increasing knowledge, which is updated regularly, improving the organizing, monitoring, and evaluating functions of room heads and increasing the role of primary nurses as preceptors. In conclusion, increasing nursing human resources in understanding and expanding regularly updated knowledge can maximize the application of direct nursing care. Keywords: Analysis, Nursing Care, Primary Nursing Model, Nurse Manager, Hospital
Optimalisasi Pelaksanaan Early Warning System (EWS) di Ruang Rawat Inap RS X Simanjuntak, Indah; Noviestari, Enie; Kamil, Hajjul; Sarvita, Sarvita
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7932

Abstract

This study aims to analyze the implementation of Early Warning Score (EWS) in hospitals. The method used is a case report including assessment, problem identification, problem analysis using fishbone, preparation of plan of action (PoA), implementation and evaluation. Data collection was carried out using interviews and field observations. The results showed that the hospital had implemented a system to prevent worsening to patients using a tool called Early Warning Score (EWS), but the application of EWS was still not optimal. The problem was solved using Kurt Lewin's planned change approach with the implementation carried out by making training, case discussions, quizzes and monitoring and evaluating the implementation of EWS in the hospital. In conclusion, increasing competence by providing training, discussions about EWS and conducting monitoring and evaluation can optimize the implementation of EWS in hospitals. Keywords: Nurse, Patient Safety, Early Warning System, Implementation
Constraints on Transport of Injured Victims after the Earthquake for Disaster Victims’ Evacuation Model Development: A Phenomenological Study Muhammad, Muhammad; Kamil, Hajjul; Adlim, Muhammad; Irwandi, Irwandi
Heca Journal of Applied Sciences Vol. 2 No. 1 (2024): March 2024
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v2i1.139

Abstract

The big earthquake has an impact on the risk of injury to the victims. The wounded victim needed urgent medical assistance to survive. The effectiveness of this service depends heavily on the response speed of stakeholders. To increase the response rate, a detailed emergency response plan is needed. The study aims to identify restrictive factors in evacuating victims of post-earthquake injuries. This qualitative research has a phenomenological design. Participants in this study were 15 nurses who participated in the Disaster Victim Evacuation (DVE) process and who met the criteria with the purposive sampling technique. Data is collected through a deep interview (IDI) using open questions. Data analysis is done using the inductive content analysis method. Two themes contributed to the DVE process as an ERP, namely, 1) restriction of institutional support and 2) cancellation of evacuation routes. These findings have provided an overview of several factors that directly contributed to the implementation of the DVE process.
The Emotional Journey: An Exploration of Women's Pre-Birth Anxieties Suryani, Lilis; Kamil, Hajjul; Hasanuddin, Hasanuddin; Yahya, Mustanir; Sulastri, Sulastri
Heca Journal of Applied Sciences Vol. 2 No. 2 (2024): September 2024
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v2i2.182

Abstract

Pregnancy is an important period in a woman's life, but it is often accompanied by worries and fears that cause birth anxiety. Anxiety generally varies in intensity from mild to severe. Anxiety has a negative impact on the health of the mother and fetus, and it causes many women to refuse to give birth naturally. This study aims to explore the psychological and emotional dimensions of pregnant mothers' levels of anxiety toward childbirth, identifying the various concerns and factors that cause anxiety. The research design was non-experimental exploratory descriptive, conducted from May to June 2022. Respondents consist of multigravida women with a gestational age of 36–40 weeks (third trimester). The sample was chosen using purposive sampling. The data collection process uses a questionnaire in the form of semi-structured questions. The level of anxiety for multigravida women is moderate anxiety (36.0%), severe anxiety (32.0%), mild anxiety (24.0%), and 4.0% each with severe anxiety and not anxiety. The aspects found are generally feared to have a cesarean delivery (28.0%) and worry about the baby's condition (20.0%). Factors that cause anxiety are generally the condition of the baby (24.0%), illness suffered by the mother (12.0%), and negative experiences about childbirth (12.0%). Multigravida women generally experience various anxieties during labor, which are caused by various factors that influence them. There are aspects of anxiety that are different from previous studies. Screening for anxiety symptoms and education during the antenatal period are necessary.
KEPATUHAN PERAWAT TENTANG PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUMAH SAKIT UMUM DAERAH KOTA BANDA ACEH Ramadhani, Novia; Yuswardi, Yuswardi; Rachmah, Rachmah; Kamil, Hajjul; Mayasari, Putri
Jurnal Keperawatan Wiyata Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Tahun 2024
Publisher : Program Studi Ilmu Keperawatan ITKes Wiyata Husada Samarida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jkw.v5i1.1434

Abstract

Latar Belakang Dokumentasi keperawatan merupakan catatan resmi yang digunakan sebagai aspek legal keperawatan. Kelengkapan dan keakuratan menuliskan asuhan keperawatan membuktikan bahwa dokumentasi yang di tulis dengan lengkap menunjukkan kepatuhan perawat dalam melakukan pendokumentasian. Tujuan Penelitian ini bertujuan mengetahui gambaran kepatuhan perawat pelaksana tentang pendokumentasian asuhan keperawatan di Rumah Sakit Umum Daerah Meuraxa Kota Banda Aceh. Metode Jenis penelitian kuantitatif dengan desain cross sectional study. Populasi pada penelitian ini adalah semua perawat pelaksana pada ruang rawat kelas I, II, dan III sebanyak 223 perawat. Formula slovin denganmenggunakan purposive sampling menetapkan 143 perawat pelaksana sebagai sampel penelitian. Pengolahan data menggunakan analisis univariat. Hasil Hasil penelitian menunjukkan bahwa secara umum kepatuhan perawat pelaksana dalam melengkapi pendokumentasian asuhan keperawatan berada pada katagori tidak patuh 97,2%. Kesimpulan Diharapkan pihak rumah sakit dapat memfasilitasi perawat dengan diadakannya pelatihan, seminar, supervisi, reward dan meningkatkan sarana prasarana untuk pemenuhan dan peningkatan pelayanan di rumah sakit.
The Effectiveness of Katuk Leaf Extract (Sauropus Androgynus) on Breastmilk Production Darmawati, Darmawati; Kamil, Hajjul; Rosmawati, Rosmawati; Rizkia, Mira; Fajri, Nova
Jurnal Keperawatan Soedirman Vol 18 No 2 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.2.7296

Abstract

Breast Milk (ASI) is a source of nutrients that are loaded with various bioactive factors. Its unique composition, breast milk is needed to prepare for optimal growth and development for babies. Plants on the leaves of katuk (Auropus Androgynus) are traditionally used by Indonesian people to increase breast milk production. The content of the katuk leaves contains almost 7% protein and up to 19% crude fiber. These leaves are rich in vitamin K and pro-vitamin A (beta-carotene), B, and C. The minerals they contain are calcium. The purpose of this study was to identify the potential of katuk leaf extract on breast milk production in experimental animals (rabbits). Katuk leaves were obtained from Aceh Besar District (Samahani, Indrapuri and Seulimun Village). They carried out the phytochemical process in the Department of Chemistry’s laboratory, FMIPA USK and the extraction process in the pharmacology laboratory of the Faculty of Veterinary Medicine, USK. The experimental animal samples, which were rabbits that had just given birth, were divided into three groups, which were 6 rabbits in the control group, 6 rabbits in the 15 mg dose group and 6 rabbits in the 30 mg dose group. An evaluation was carried out by measuring the breastmilk of rabbits on days 1, 7 and 14. The results of the study using the Generalized Linear Model test (Post Hoc Bonferroni Repeated ANOVA) showed a p-value of .001 for the three groups. It can be concluded that there was a difference in the amount of breast milk between groups in all measurements with the difference value (CI 95%) on the 1st day 0.04 (0.002-0.084), the 7th day 0.05 (0.020-0.090), and the 14th day 0.12 (0.065-0.175). Recommendations from this study are that further research can be carried out regarding the potential of katuk leaf extract to the clinical trial stage so that it is suitable for use in humans, especially postpartum women to increase breast milk productivity.
BEBAN KERJA PERAWAT DI RUMAH SAKIT UMUM DAERAH KABUPATEN ACEH JAYA Natasha, Cut Windi; Putra, Ardia; Jannah, Noraliyatun; Kamil, Hajjul; Rachmah, Rachmah
Jurnal Ilmiah Mahasiswa Fakultas Keperawatan Vol 7, No 4 (2023)
Publisher : Jurnal Ilmiah Mahasiswa Fakultas Keperawatan

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

Abstract

Beban kerja merupakan tuntutan pekerjaan yang harus diselesaikan dalam waktu yang sudah ditentukan. Berat atau ringgannya beban kerja berpengaruh terhadap pekerjaan perawat. Beban kerja yang berat dapat menyebabkan beban kerja fisik, beban kerja psikologis, dan beban waktu kerja pada perawat, sedangkan beban kerja yang terlampau ringan dapat menyebabkan kejenuhan dalam bekerja. Penelitian ini bertujuan untuk mengetahui tingkat beban kerja, beban kerja fisik, beban kerja psikologis, dan beban waktu kerja perawat pelaksana di Rumah Sakit Umum Daerah (RSUD) Kabupaten Aceh Jaya. Metode penelitian kuantitatif dengan desain cross-sectional. Populasi penelitian adalah perawat pelaksana yang bekerja di RSUD Kabupaten Aceh Jaya, sampel dipilih dengan menggunakan teknik total sampling sebanyak 110 perawat. Pengumpulan data menggunakan kuesioner beban kerja baku, yang dibagikan pada masing-masing perawat. Analisa data dalam penelitian menggunkaan analisa univariat. Hasil penelitian menunjukkan kebanyakan perawat mengalami beban kerja sedang sebanyak 49 perawat (44,5%), beban kerja fisik sedang sebanyak 46 perawat (41,8%), beban kerja psikologis sedang sebanyak 43 perawat (39,1%), dan beban waktu kerja sedang sebanyak 41 perawat (37,3%). Rumah Sakit melakukan evaluasi terkait tugas dan jam kerja perawat untuk mempertahankan serta mengelola beban kerja perawat.
Co-Authors Achmad Noerkhaerin Putra Adlim Adlim Adlim, Muhammad al ikram Al Kautsarina , Vara Andara Maurissa Andara Maurissa Anggie Havistia Rachma Ardia Putra ardia putra Ardianti, Riski Dian Asnawi Asnawi Asnawi Asnawi Asniar Asniar Audina, Masyithah Aulia Wardi Azwani, Dinda Belinda Muharma Passa cut faizah munira cut hafriska Cut Husna Cut Husna Darmawati Darmawati Darmawati Darmawati Darmawati, Darmawati Dedi Irawan Dewi Marianthi Dewi Marianti Elly Wardani Elly Wardani, Elly Elly Wardhani Elvi Mardhiah Elvi Mardhiah Endang Mutiawati Rahayuningsih* Enie Novieastari Fajri, Nova Halimuddin, Halimuddin Hasanuddin Hasanuddin Hayati, Ledya Hilman Syarif Hilman, Syarif Irwan Saputra Irwandi Irwandi Ismi, Sania Vauka Jannah, Noraliyatun Juanda, Andri Jufrizal Jufrizal Kartini Hasballah kesuma atmaja Khaira Imandinan khalida wati Khiyurul Laila Kiftia, Mariatul Lailatul Fitri Ledya Hayati Lilis Suryani lisa gusfiarni M. Marthoenis Mahdarsari, Mayanti Mariatul Kiftia Marlina Marlina Marlina, Marlina, Marshanda, Zahra Amalia Marya Daniyanti MAURISSA, ANDARA Mellida, Wella mislaini mislaini Muammar Dhiaul Haqq muhammad fauzan lubis Muhammad Fuad Muhammad Muhammad Muhammad Muhammad MUHAMMAD YUSUF Muhammad Yusuf mulvi rozi yani Mustanir Yahya Natasha, Cut Windi Nizam Ismail Nora Tutdini Noviasari Noviasari Noviestari, Enie Nufus Diana Putri Nurhanifah Nurhanifah Nurhasanah Nurhasanah Nuril Yumna Nurjannah Nurjannah nurul fittri Nurul Hadi, Nurul Nurul Huda Afifah Putri Drissianti Putri Mayasari Putri Mayasari Putri, Suraya Rachmah Rachmah Rachmah rachmah, rachmah Rachmi, Shanti Farida Rahmat Alfi Syahri Ramadhani, Novia Reza Syarwanda rika novalia Risqina Putri Rizka Amalia Rizkia, Mira Rona Firyal Ilyas Rona Firyal Ilyas Rosa Galica Gita Gressia Rosmawati Rosmawati Said Usma Said Usman Said Usman Said Usman Sakinah Wardhatul Aini Saputra, Irwan Sari, Fani Permata Sartika Maulida Putri Sarvita, Sarvita Simanjuntak, Indah Siregar, Toungku Nizwan Sulastri Sulastri Sumampow, Meylly Syahrul Syahrul Syarifah Rauzatul Jannah Syarifah Rauzatul Jannah Tahlil, Teuku Tahlil, Teuku tazkiah tazkiah Teuku Mukhlis Teuku Tahlil Teuku Tahlil Teuku Tahlil Tongku Nizwan Siregar tussafara, zahra Wiwik Handayani Yahya, Mustanir Yatnikasari, Aat Yullyzar Yullyzar Yullyzar Yullyzar Yullyzar Yullzar Yusrini, Yusrini Yuswardi yuswardi, Yuswardi Yuswardi, Yuswardi Zahara Syarifah Thaherah Zahra Tussafara