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All Journal Jurnal Keperawatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Jurnal Keperawatan Muhammadiyah Journal of Nursing Care Jurnal Medika Malahayati Jurnal Kesehatan Media Karya Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Jurnal Ilmu Keperawatan Indonesia (JIKPI) MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research Jurnal Asuhan Ibu dan Anak Jurnal Keperawatan 'Aisyiyah Jurnal Keperawatan Profesional (KEPO) Padjadjaran Acute Care Nursing Journal (PACNJ) Bagimu Negeri : Jurnal Pengabdian Kepada Masyarakat Malahayati International Journal of Nursing and Health Science

Ayu Prawesti Priambodo

Fakultas Keperawatan Universitas Padjadjaran

Author-ID : 2968660

Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Pengkajian Nyeri pada Pasien Kritis dengan Menggunakan Critical Pain Observation Tool(CPOT) di Intensive Care Unit(ICU) Ayu Prawesti Priambodo; Kusman Ibrahim; Nursiswati N
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Penggunaan alat ukur pengkajian nyeri yang sistematik dan terstandar pada pasien kritis yang tidak mampu untuk melaporkan rasa nyeri adalah suatu hal yang perlu diperhatikan. Behavioural pain scales(BPS) adalah alat ukur yang lebih dini dan banyak digunakan di area keperawatan kritis. Critical pain observation tools(CPOT) adalah alat yang dikembangkan menggunakan unsur-unsur rasa nyeri yang ada pada beberapa alat ukur pengkajian nyeri, termasuk BPS, namun CPOT belum banyak dikenal dan digunakan. Tujuan penelitian adalah melihat kesesuaian alat ukur CPOT dengan alat ukur BPS. Penelitian ini bersifat observasional analitik dengan rancangan Crosssectional dengan sampel pasien GICU (General Intensive Care Unit) dengan penurunan kesadaran dan menggunakan ventilasi mekanik sebanyak 48 pasien. Teknik pengambilan sampel dengan consecutive sampling. Pengkajian dilakukan dengan observasi skala nyeri menggunakan BPS dan CPOT pada saat pasien kondisi istirahat dan positioninguntuk melihat keandalan alat ukur nyeri. Hasil uji beda dan korelasi pada hasil pengukuran nyeri pada BPS dan CPOT adalah bermakna. Hal ini menunjukkan bahwa BPS dan CPOT dapat mengukur perbedaan intensitas nyeri saat istirahat dengan saat positioning. Hasil uji kesesuaian (kappa) pengukuran BPS dengan CPOT memiliki nilai kesesuaian yang bermakna, dengan nilai kesesuaian (kappa) BPS-CPOT pada kondisi istirahat sebesar 0,937, sedangkan nilai kesesuaian (Kappa)BPS-CPOT pada kondisi positioning sebesar 0,265. BPS dan CPOT adalah alat penilaian nyeri yang dapat digunakan dalam menilai rasa sakit dan meningkatkan manajemen nyeri pada pasien kritis. CPOT lebih mudah digunakan dan aplikatif karena memiliki definisi operasional yang jelas. Kata kunci : Behavioural pain scale, Critical pain observation tool, pasien kritis.Pain Assessment among Critically Ill Patients using the Critical Pain Observation Tool (CPOT) in the Intensive Care Unit AbstractA systematic and standardised tool to assess pain experienced by critically ill patients has been previously highlighted. The BPS is the common tool used in the intensive care setting which can be used. But, the Critical Pain Observation Tool (COPT) has not been used extensively in the hospital. Thus, the efficacy of this tool needs to be examined. This descriptive observational study aimed to find an agreement of CPOT with BPS using a cross-sectional method recruited 48 participants with consecutive sampling technique. Pain assessment was performed during a resting and positioning period to check the agreement of the tools. Data was analysed using Cohen’s Kappa index analysis. Findings demonstrated a significance difference of pain intensity measured by BPS and CPOT during the period of resting (κ = 0.937) and positioning (κ = 0.265). Thus, BPS and CPOT are reliable scales to measure pain intensity. It is expected that those tools can help nurses to improve pain management for critically ill patients. However, CPOT is considered more applicable and user-friendly compared to the BPS.Keywords: Behavioral Pain Scale, Critical Pain Observation Tool, critical nursing care

Perbandingan Abdominal Massage dengan Teknik Swedish Massage dan Teknik Effleurage terhadap Kejadian Konstipasi pada Pasien yang Terpasang Ventilasi Mekanik di ICU Arimbi Karunia Estri; Sari Fatimah; Ayu Prawesti
Jurnal Keperawatan Padjadjaran Vol. 4 No. 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Konstipasi merupakan komplikasi yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU).Teknik abdominal massage yang dapat digunakan untuk mencegah konstipasi adalah swedish massage daneffleurage, namun demikian belum ada penelitian lanjutan yang menunjukkan teknik yang paling efektifdiantara kedua teknik abdominal massage tersebut terhadap kejadian konstipasi. Penelitian ini bertujuanuntuk mengetahui perbedaan kejadian konstipasi antara kelompok yang dilakukan abdominal massagedengan teknik swedish massage dan kelompok yang dilakukan abdominal massage dengan teknik effleurage.Penelitian ini merupakan penelitian quasi eksperimen dengan total jumlah sampel pada dua kelompok sebanyak22 responden yang didapatkan melalui teknik consecutive sampling. Penelitian ini dilakukan dari bulanJanuari sampai Maret 2016 di ruang ICU RS Panti Rapih Yogyakarta. Data dikumpulkan melalui observasimenggunakan lembar observasi defekasi. Data dianalisis menggunakan uji Fisher’s Exact. Kejadian konstipasipada kelompok abdominal massage dengan teknik swedish massage sebanyak 45,4%, sedangkan kejadiankonstipasi pada kelompok abdominal massage dengan teknik effleurage sebanyak 27,2%, dan secara statistiktidak ada perbedaan kejadian konstipasi (p = 0,659) antara kelompok abdominal massage dengan teknik swedishmassage dan kelompok abdominal massage dengan teknik effleurage. Walaupun kejadian konstipasi antarakelompok abdominal massage dengan teknik swedish massage dan kelompok abdominal massage denganteknik effleurage tidak berbeda, namun abdominal massage dengan teknik effleurage waktu lebih efisien, energiyang dikeluarkan lebih minimal dan meningkatkan kenyamanan. Oleh karena itu, abdominal massage denganteknik effleurage dan teknik swedish massage disarankan untuk menjadi pilihan intervensi bagi perawat ICU.

Comparison of Four-Level Modification Triage with Five Level Emergency Severity Index (ESI) Triage Based on Level of Accuracy and Time Triase Zustantria Agustin Minggawati; Achmad Faried; Ayu Prawesti Priambodo
Jurnal Keperawatan Padjadjaran Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i1.1198

The triage system currently recommended by the Association of Emergency Physicians (ACEP) and Emergency Nurses Association (ENA) is a five levels triage, Emergency Severity Index (ESI) due to more structured, concise, and clear. Cibabat Hospital used a relatively new triage of four modified levels of the Australian Triage Scale (ATS) which accuracy and time triage have not been evaluated. The purpose of this study was to compare the four level triage of modification of ATS and five levels of ESI triage based on accuracy and time triage. The researcher used a quantitative quasi-experimental design with samples of triage activities totaling 38 in the control group and 38 intervention groups, using accidental sampling techniques. Univariate analysis consisted of frequency distribution for nurse characteristics, time triage and accuracy, bivariate analysis used the Mann-Whitney test. The results showed there were no differences, triage modification of ATS with ESI triage in accuracy (p-0.488), and length of triage (p-0.488) ESI triage accuracy was in the expected triage category (76.3%), under triage (13.2%), and over triage (10.5%). Triage modified ATS, expected triage (73.7%), under triage (18.4%), and over triage (7.9%). ESI triage has more expected and less under triage than ATS modification triage. Under triage caused prolong waiting times, unexpected risks, increases morbidity and mortality. Based on the length of time, ESI triage averaged 167 seconds, triage modification of ATS an average of 183 seconds. ESI flowchrat is easier to understand because is simple, has slight indicators in each category. Conclusion of this study is there is no significant difference in the level of accuracy and duration of triage. However, based on data distribution, ESI triage gives more expected triage decisions, less under triage and 16 seconds faster. Suggestions given to the Cibabat Hospital, can use ESI triage as an alternative triage assessment option because easy to use, structured, simple, and clear.

The Effect of Lateral Position with Head Up 45° on Oxygenation in Pleural Effusion Patients Endah Yuliany Rahmawati; Emmy H Pranggono; Ayu Prawesti Priambodo
Jurnal Keperawatan Padjadjaran Vol. 9 No. 2 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i2.1672

Background: The accumulation of fluid in the pleural cavity will interfere with the restriction process, namely disruption of lung expansion so that the air entering the lungs is less than normal. One of the effects is shortness of breath and a decrease in oxygen saturation. In this case, nursing actions play an important role in inadequate ventilation, namely positioning. The lateral position is one of the recommended positions for patients with unilateral lung disease, one of which is unilateral pleural effusion. Position selection is very important to facilitate adequate breathing, namely one with a head-up of 45°. According to some literature, the 45° head-up position can reduce consumption and maximize lung expansion which will result in greater ventilation. Purpose: To determine the effect of the lateral position with a head-up 45° on oxygen saturation and respiratory rate in a patient with unilateral pleural effusion at the Dr. H. A. Rotinsulu Lung Hospital Bandung. Methods: The research design was a quasi-experimental design with one group pre and post-test design with a sample of 44 people. The sampling technique used consecutive sampling. The results showed that there were differences in median oxygen saturation and respiratory rate before and after the intervention. Results: The results of a comparative study using the Wilcoxon test obtained a p value of 0.0001 (p value<0.05). There is an effect of giving a lateral position with a head-up 45° on increasing oxygen saturation and decreasing respiratory rate. Conclusion: Thus, it is expected for the service unit to establish a lateral position in the direction of the effusion with a head-up of 45° as the operational standard for the management of unilateral pleural effusion impaired oxygenation patients.

NURSES’ KNOWLEDGE, ATTITUDES, AND PRACTICES OF UNIVERSAL PRECAUTION TOWARD HIV/AIDS TRANSMISSION Wiwi Mardiah; Ayu Prawesti Priambodo
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Introduction: The incidence of HIV/AIDS is continuing increase in Indonesia. Nurses are the most risky occupations of gaining transmitted infection. This study aimed to identify the nurses’ knowledge, attitudes, and practices of universal precaution toward HIV/AIDS transmission in a hospital.Methods: Descriptive correlation study was a design of this study. Ninety nurses were recruited using proposionate stratifi ed random sampling. The instrument was KAP (Knowledge Attitudes Practices) questionnaire consisted of demographic data form, knowledge, attitude, and self-reported practices regarding universal precaution. The collected data, then were analyzed both descriptively and inferentially by using pearson product moment correlationResults: The majority of respondents reported experience of sharp injuries. More than a half of respondents had a good knowledge level about universal precaution and HIV/AIDS transmission, and showed favorable attitude toward caring for HIV/AIDS patients. There was signifi cant correlation between knowledge and practice (r=0,271 p=< 0, 01), whereas no correlation between knowledge and attitude score, and attitude and practice score.Conclusion: It is need to be taken immediately to prevent and minimize the occurrence of sharp injuries among nurses in order to assure safety working condition to improve the productivity of nursing service. Updating knowledge, developing positive attitude, and continuing evaluation should be done simultaneously to improve the nurses’ competence in preventing the occupational related-disease.

Quality of Life and Characteristics of Colostomy Patients Kusman Ibrahim, SKp., MNS., PhD; Ayu Prawesti Priambodo; Aan Nur’aeni; Sri Hendrawati
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Introduction: Colostomy imposed multiple impacts on the patient’s life including physical, psychological, social, and spiritual. This study aims to identify the level of quality of life as well as to examine the differences of quality of life among colostomy patients with regards to certain demographic characteristics.Methods: This study used a cross-sectional and descriptive analytical approach. Seventy-one colostomy patients were recruited purposively to participate in the study. The studied variables included quality of life and demographic characteristics. The data was collected by using the WHO Quality of Life – BREF instrument. One-way ANOVA and an independent t-test were employed to analyse the differences in quality of life with regards to certain demographic characteristics.Results: The study found that the majority of subjects perceived that their level of quality of life ranged between very low to moderate (77.4%). Satisfaction with support from friends was rated as the highest item of quality of life, whereas satisfaction with sexual relationships was rated as the lowest item of quality of life. There was no significant difference in the patients’ quality of life with regards to age group, educational background, occupation, length of being ostomate, sex, and other health problems.Conclusions: The study implied that nurses need to realise and pay attention to multiple aspects of stoma patient’s quality of life. Nursing care should not merely focus on stoma care but also holistically consider on meeting sexual needs, as well as the psychological, social, and spiritual needs of the patients.

The Effectiveness of Prone and Supine Nesting Positions on Changes of Oxygen Saturation and Weight in Premature Babies Ayu Prawesti; Etika Emaliyawati; Ristina Mirwanti; Aan Nuraeni
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.7755

Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies.Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test.Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9).Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.

Factors Associated with Nurses’ Self-Efficacy in Applying Palliative Care in Intensive Care Unit Theresia Avila Kurnia; Yanny Trisyani; Ayu Prawesti
Jurnal Ners Vol. 13 No. 2 (2018): October 2018
Publisher : Universitas Airlangga

Introduction: The increasing need for palliative care (PC) in the intensive care unit (ICU) is characterised by an increasing number of patients with critical and terminals conditions. It requires comprehensive treatment of nurses, through PC. Self-efficacy is a major predictor that affects the application of PC in ICU. Therefore, nurses need to have high self-efficacy to provide quality PC for patients and their families. This study aimed to analyse the factors that dominant relates to nurses' self-efficacy in implementing of providing PC in ICU.Methods: This research was correlational research with cross-sectional survey design. The sampling technique used was total sampling, which involved 127 critical nurses who were actively working at a general hospital in Bandung, Indonesia. Data were collected using questionnaires. Bivariate analysis using Pearson correlation and Rank-Spearman test and multivariate analysis using linear regression.Results: The results showed that the majority of respondents had high self-efficacy, working experience >15 years, enough interest to the nursing profession had less knowledge and negative perception related to the PC in ICU. There was a significant relationship between self-efficacy with work experience, nurses' interest in the nursing profession, knowledge and perception variables. The most dominant factors related to self-efficacy, namely knowledge and perceptions of nurses related to PC.Conclusion: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.

Gambaran Kualitas Hidup Masyarakat Korban Banjir Fachru Syaban Hidayat; Ayu Prawesti Priambodo; Furkon Nurhakim
Journal of Nursing Care Vol 3, No 3 (2020): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v3i3.25680

Pengukuran kualitas hidup pada korban bencana banjir menjadi penting karena bencana tidak hanya memberikan dampak fisik namun juga menyebabkan trauma psikologis seperti masalah emosional, ekonomi dan kesehatan. Perubahan tersebut dapat mempengaruhi kualitas hidup mereka. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup masyarakat korban bencana banjir di Desa haurpanggung Kecamatan Tarogong Kidul Kabupaten Garut. Metode penelitian ini yaitu desktiptif kuantitatif. Penelitian ini menggunakan teknik purposive sampling yang melibatkan 93 responden. Instrumen yang digunakan yaitu World Health Organization (WHOQOLBREF) yang terdiri dari 26 pertanyaan. Analisa data menggunakan distribusi frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa korban bencana banjir memiliki kualitas hidup sedang 35,5% dan memiliki persepsi kepuasan terhadap kesehatan yang biasa-biasa saja 37,6%. Adapun kualitas hidup berdasarkan tiap dimensi, sebagian besar responden memiliki kualitas hidup yang baik pada dimensi fisik 68,8%, memiliki kualitas hidup yang sedang pada dimensi psikologis 54,8%,, memiliki kualitas hidup yang sedang pada dimensi sosial 67,7% dan memiliki kualitas hidup yang sedang pada dimensi lingkungan 65,6%. Meskipun kualitas hidup masyarakat korban bencana banjir baik dan sedang namun ditemukan sebagian korban memiliki masalah pada indikator dimensi lingkungan terkait kebutuhan uang dan kesempatan rekreasi. Diperlukan intervensi bagi pemerintah daerah dan perawat yaitu mendorong peningkatan ekonomi keluarga dan melakukan trauma healing bagi para korban

Nurses’ Moral Distress in the Emergency Department Efri Widianti; Rani Arinda; Ayu Prawesti
Journal of Nursing Care Vol 2, No 3 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

The failure of nurses in taking action related to their moral beliefs makes nurses' moral comfort not achieved and affects their dissatisfaction in their work, perhaps it also can result in nurses' distress. The purpose of this study was to identify moral distress in the Emergency Department (ED) nurses. The study design used quantitative descriptive with a cross-sectional approach. the instrument used was the moral distress scale-revised (MDS-R) which measures the frequency and intensity of moral distress. The sampling technique used is total sampling. the sample population in this study was ED nurses in one type a hospital in Bandung, with a sample of 51 people. The results showed that the average of the total moral distress in emergency nurses was 50.72 (sd 43.846) and showed that moral distress in ed nurses tended to be low. the duration of nurse work experience is an individual factor that significantly influences moral distress in ed nurses. There is no significant difference in the mean moral distress score with the nurse's intention to quit his job. Qualitative research is needed to determine the causes of other moral distress and moral distress explanations can be given to nurses and students to increase the sensitivity and moral competence of Indonesian nurses.

Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nur’aeni Abdullah, Dirman Achmad Faried Achmad Faried adimiharja, adimiharja Akbar, M. Rizki Ali, Samin M. Amelia, Iftikar Salma Anastasia Anna Andrianthi, Salsyah Anita Setyawati Anna, Annastasia Arimbi Karunia Estri Asmara, A Danang Audly, Tazkia Badliana Cahyani, Gita Cecep Eli Kosasih Cecep Eli Kosasih Christina, Mikha Cindya Ukhti Isti Angeli Deris Riandi Setiawan Dewi Dewi Dewi, Lisna Diana Rahayu, Diana Didi Kurniawan Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah Efri Widianti Efri Widianti Elsadai, Elsadai Emmy H Pranggono Endah Yuliany Rahmawati Esti Dwi Anani Etika Emaliyawati Eva Puspawatie Fachru Syaban Hidayat Fanny Adistie Fauziah, Oktaviani Febianti, Ranti Freitas, Lurdes Acorta Furkon Nurhakim Handayani, Nathasa Harlasgunawan, Alia Rahmi Harun, Hasniatisari Heriyansyah, Heriyansyah Iqbal Pramukti Iyus Yosep J, Ridillah Vani Jessica Jessica Karisa, Putri Kosasih, Cecep Eli Kumalasari, Regina Indah Kurnia, Theresia Avila Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Larashati, Defa Maryam, Nina Masruroh, Rurin Noya, Fricilia Nur Azmi, Nur Nur'aeni, Aan Nurazizah, Auliyaurrahmah Nurhayati Nurhayati Nursiswati Nursiswati Oktafianti, Mutiara Annisa Palo, Daud Pebianti, Ranti Pranata, Yodha Prasetyaningrum, Widyadari Rahman, Lutfi Rani Arinda Refina, Ayene Reis, Silvestre Dos Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizkianti, Intan Rycco Darmareja Sandra Pebrianti Sari Fatimah Sari, Wulan Puspita Selly Desiani Sesilia, Fitri Siti Yulipah Agustini Sri Hendrawati Sugiharto, Firman Sulianingsih, F Sri Titin Sutini Titin Sutini, Titin ubleeuw, Irianti Winara, Winara Wiwi Mardiah Wiwin Yudiah Yanny Trisyani Yanny Trisyani Yuliandani, Erin Yusanti, Irma Zustantria Agustin Minggawati

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