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Hubungan Pengetahuan Dengan Pelaksanaan Bundle Vap Di Ruang Intensif Nurhayati Nurhayati; Ayu Prawesti Priambodo
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol 4 No 1 (2018): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.086 KB) | DOI: 10.58550/jka.v4i1.29

Abstract

Ventilator Associated Pneumonia(VAP) adalah infeksi saluran napas bawah yang mengenai parenkim paru setelah pemasangan ventilasi mekanik lebih dari 48 jam, sehingga harus dilakukan pengendalian dan pencegahan infeksi VAP yang dikenal dengan bundle VAP. Pengetahuan merupakan hasil dari tahu melalui penginderaan terhadap suatu objek tertentu dan interaksi sosial sehingga terbentuknya tindakan seseorang dalam melaksanakan tindakan. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan dengan pelaksanaan bundle VAP. Penelitian ini menggunakan desain analitik korelatif cross-sectional. Populasi penelitian yaitu perawat dan dokter dengan teknik pengambilan sampel secara total sampling yaitu 30 orang. Data dinalisis menggunakan metode korelasi rank spearman. Hasil analisis, yaitu ada hubungan antara pengetahuan petugas kesehatan dengan pelaksanaan bundle VAP dengan nilai r=0,364 dan p=0,024.
Perbandingan Metode Triase Modifikasi Empat Tingkat Dengan Triase Lima Tingkat Emergency Severity Index (ESI) Berdasarkan Tingkat Akurasi di RSUD Cibabat Zustantria Agustin Minggawati; Achmad Faried; Ayu Prawesti Priambodo
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol 4 No 2 (2018): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.582 KB) | DOI: 10.58550/jka.v4i2.61

Abstract

Keputusan triase harus tepat, akurat dan cepat karena akan mengancam keselamatan pasien. Sistem triase saat ini berbeda-beda. Sistem triase yang dianjurkan yaitu triase lima tingkat Emergency Severity Index (ESI) yang lebih akurat, mudah dipahami, mudah diaplikasi, mengurangi subjektifitas, dan sederhana dalam penggunaanya. RSUD Cibabat menggunakan triase empat tingkat modifikasi ATS yang belum dievaluasi tingkat keakuratannya. Tujuan penelitian ini yaitu mengetahui perbandingan metode triase empat tingkat modifikasi ATS dan metode triase lima tingkat ESI berdasarkan tingkat akurasi. Triase merupakan pemilahan, pengelompokkan pasien berdasarkan tingkat kegawatannya. Design penelitian yaitu cross over quasi eksperimental dengan 38 kegiatan triase baik kelompok kontrol dan kelompok intervensi dan 15 perawat yang melakukannya. Hasil penelitian menunjukkan bahwa triase ESI kategori expected triage 76,3%, under triase 13,2%, over triage 10,5%. Pada triase empat tingkat modifikasi ATS, expected triage 73,7 %, under triase 18,4%, over triage 7,9%. Hasil uji statistik, triase empat tingkat modifikasi ATS dengan triase lima tingkat ESI tidak terdapat perbedaan tingkat akurasi yang signifikan dengan nilai p-0,488. Namun jika ditelaah lebih lanjut ESI lebih akurat dalam memberikan keputusan expected triage. Adapun saran diberikan kepada RSUD Cibabat, dapat menggunakan triase ESI sebagai alternatif pilihan pengkajian triase karena akurat, sederhana, mudah digunakan. Kata Kunci : , ,
HOW DO KNOWLEDGE AND SELF-EFFICACY OF INTERNSHIP NURSING STUDENTS IN PERFORMING CARDIOPULMONARY RESUSCITATION? Selly Desiani; Aan Nuraeni; Ayu Prawesti Priambodo
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (605.52 KB) | DOI: 10.33546/bnj.147

Abstract

Background: Cardiopulmonary Resuscitation (CPR) is the emergency first aid in cardiac arrest. CPR delivery is influenced by knowledge and self-efficacy. Internship students can be the first responders of cardiac arrest in hospital and they are expected having knowledge and high self-efficacy of CPR. However, there is no data on self-efficacy of internship students in performing CPR. Objective: The purpose of this research was to identify knowledge and self-efficacy of the internship students in performing CPR. Methods: The method in this research was descriptive quantitative with cross-sectional approach on 76 internship students selected by simple random sampling. Knowledge questionnaire and Resuscitation Self-Efficacy Scale instrument were used, with validity score of 0.56-0.84 (α=0.91). Data were analyzed using descriptive statistics. Results: The results showed that 49 respondents (64.5%) had moderate knowledge and 73 respondents (96.1%) had high self-efficacy. The lowest domain in the knowledge was conceptual knowledge, while in the self-efficacy were reporting, debriefing and recording. Conclusions: Therefore, it becomes important to increase the information on the conceptual knowledge as well as to enhance training on the self-efficacy domains: reporting; debriefing and recording.
THE DESCRIPTION OF RESILIENCE IN POST-ACUTE ATTACK PATIENT WITH CORONARY ARTERY DISEASE Eva Puspawatie; Ayu Prawesti; Titin Sutini
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.085 KB) | DOI: 10.33546/bnj.493

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Background: Coronary heart disease patients shall experience physical, psychological and social changes that will affect life. The psychological condition of outpatients that has been investigated include anxiety, depression and quality of life, all of these problems can be attributed to resilience. Objective: The purpose of this study was to determine the image of resilience of coronary heart disease patient following up the acute attack in outpatient ward. Methods: The research method used quantitative descriptive using CD-RISC instrument 25. Instrument had validity value r = 0.83, P <.0001 and reliability value of Cronbach’s α 0.89. The selection of sample with consecutive sampling and got sample number 50 people for 2 weeks. Data were analyzed based on the value of each respondent categorized using tertile to see the overall resilience picture, while for the five sub-variables measured using the mean and standard deviation. Result: The results showed that almost half of respondents had 70-75 resilience. The mean value of sub-variables if sorted from the lowest to the highest is trust and reinforcement (2.71±0.58); competence and resilience (2.88±0.53); relationships with others (2.92±0.48); self-control (3.04±0.62) and spiritual influence (3.33±0.45). These results are influenced by lack of self-efficacy, optimism and family support. Conclusion: The conclusions of the research resilience of patients are in the medium category, for the lowest sub-variable value is trust and strengthening, while the highest is the spiritual influence. So, it is advisable to provide education to improve management skills post-acute attacks and increase social support in the care of patients at home.
FATIGUE AND WORK SATISFACTION OF EMERGENCY NURSES IN BANDUNG, WEST JAVA, INDONESIA Wiwin Yudiah; Kurniawan Yudianto; Ayu Prawesti
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (783.402 KB) | DOI: 10.33546/bnj.558

Abstract

Background: Emergency nurses are required to always carry out their roles in a variety of situations and conditions. Nursing services in the emergency unit must be done quickly and accurately. Data showed that the number of patient visits in the Emergency Unit of Hasan Sadikin Hospital in August 2017 was 3,059 (73% of patients with category III) with an average visit of 99 people per day. This causes overcrowding in the emergency unit, which lead to fatigue and influence work satisfaction. Aim: The aim of this study was to determine fatigue and job satisfaction of emergency nurses in Hasan Sadikin Hospital in Bandung, West Java, Indonesia. Methods: This was a quantitative descriptive study, which involved 55 respondents. Fatigue was measured using Individual Strength Checklist Instrument of 20-self-reported questionnaire (CIS20R), and job satisfaction was measured using McCloskey / Mueller Satisfaction Scale (MMSS). Results: The mean value of work fatigue was 3.4 with the highest value at the sub variable of physical activity. In general, the mean value of nurse work satisfaction was 2.66. Conclusion: Emergency nurses in the emergency unit of Hasan Sadikin hospital has high level of fatigue and low work satisfaction. The hospital management is suggested to provide better work schedule for better interaction among nurses, provide opportunities for all staff to be involved in research or other scientific work, and schedule family gatherings regularly to improve togetherness between staff and their families.
THE RELATIONSHIP BETWEEN NURSES' PERCEPTIONS AND SELF-EFFICACY IN IMPLEMENTING PALLIATIVE CARE IN THE INTENSIVE CARE UNIT Theresia Avila Kurnia; Yanny Trisyani; Ayu Prawesti
Belitung Nursing Journal Vol. 5 No. 1 (2019): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (52.224 KB) | DOI: 10.33546/bnj.607

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Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families. Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU. Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis. Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000). Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses' beliefs in their abilities.
Metode Daring dengan Flatform Zoom Sebagai Upaya Peningkatan Pengetahuan Tentang Selfcare Pada Pasien Covid-19 selama ISOMAN Yanny Trisyani; Donny Mahendra; Aan Nuraeni; Cecep Eli Kosasih; Etika Emaliyawati; Ristina Mirwanti; Anita Setyawati; Donny Nurhamsyah; Anastasia Anna; Ayu Prawesti
Media Karya Kesehatan Vol 5, No 1 (2022): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v5i1.34988

Abstract

Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebijakan terbaru yang dikeluarkan oleh pemerintah karena keterbatasan ruang perawatan. Pendidikan kesehatan tentang perawatan pasien COVID-19 selama menjalani isolasi mandiri (ISOMAN), menjadi sangat penting untuk mendukung keberhasilan ISOMAN pasien Covid 19. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan tentang self care pada pasien COVID-19 selama menjalani isolasi mandiri dirumah. Sasaran kegiatan adalah seluruh masyarakat terutama pasien COVID-19 yang sedang menjalani isolasi mandiri dirumah. Jumlah partisipan yang terlibat sebanyak 74 peserta. Kegiatan pengabdian kepada masyarakat ini diawali dengan pretest, pemaparan materi, sesi diskusi dan tanya jawab dengan menggunakan aplikasi zoom, kemudian diakhiri dengan mengisi post test. Data univariat dan bivariat dianalisis dengan menggunakan uji t test berpasangan. Hasil kegiatan ini menunjukkan bahwa terjadi peningkatan pengetahuan rata-rata responden secara signifikan pretest 42.77 dan post test 83,24 dengan signifikansi 0,00. Hal ini menujukkan bahwa penggunaan metode daring dapat meningkatkan pengetahuan responden terkait topik pendidikan kesehatan yang telah diberikan. Kesimpulan pelaksanaan pendidikan kesehatan dengan medode daring dapat meningkatkan pengetahuan responden tentang self care pada pasien Covid-19 selama isolasi mandiri. Diharapkan pelaksanaan pendidikan kesehatan dengan metode ini dapat dilakukan untuk memberikan informasi bagi pasien COVID-19 yang sedang menjalani isolasi mandiri. Kata kunci: Covid-19, isolasi mandiri, pendidikan kesehatan, tingkat pengetahuan. 
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

Abstract

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.
GAMBARAN PENGETAHUAN MASYARAKAT TERHADAP KESIAPAN BENCANA (DISASTER PREPAREDNESS) Siti Yulipah Agustini; Ayu Prawesti; Sandra Pebrianti
Jurnal Ilmu Keperawatan Indonesia Vol 1, No 2 (2020): Jurnal Ilmu Keperawatan Indonesia (JIKPI)
Publisher : Universitas Mitra Indonesia

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

Abstract

Garut Regency is one of the regencies in West Java that is prone to disasters, floods, landslides, earthquakes, fires and tornado winds. Readiness is part of the initial step for disaster. Readiness is an activity carried out to anticipate disasters through organizing activity with appropriate steps. The purpose of this research was find out the description of community knowledge on disaster readiness in Garut Regency. This research method used descriptive quantitative. The instrument in collecting data used questionnaires, with cluster random sampling technique by processing data using slovin formula as many as 84 people based on frequency distribution. The results showed that the knowledge of community in five districts of Garut Regency with the highest category was bad category 47 (56.0%). The majority of disaster readiness knowledge in Garut Regency showed that most public knowledge was bad, it needs to be given information and counseling related to the concept of disasters and how to prevent them. Disaster readiness is very important in disaster safety. The results of this study were expected to be used as a basic material and experience for the provision and knowledge of disaster readiness, with the aim of saving the lives, property and reducing casualties.Keywords  : Disaster Readiness, Knowledge
Gambaran Faktor Risiko Sepsis Neonatorum Berdasarkan Waktu Kejadian di Ruang NICU RSUP Dr. Hasan Sadikin Bandung Ayu Prawesti; Fanny Adistie; Cindya Ukhti Isti Angeli
Jurnal Asuhan Ibu dan Anak Vol. 3 No. 2 (2018): Jurnal Asuhan Ibu dan Anak
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.736 KB) | DOI: 10.33867/jaia.v3i2.86

Abstract

Sepsis neonatal adalah penyebab utama kematian pada neonatus. Diagnosis awal sepsis sering sulit ditentukan karena faktor risiko klinis dan gejala klinis pada Sepsis Neonatorum Awitan Dini (SNAD) dan Sepsis Neonatorum Awitan Lanjut (SNAL) sangat beragam. Tujuan penelitian ini adalah mendeskripsikan faktor risiko sepsis neonatal berdasarkan waktu insidensi di ruang NICU Rumah Sakit Dr.Hasan Sadikin Bandung. Penelitian deskriptif ini menggunakan pendekatan retrospektif yang mengidentifikasi 92 rekam medik dari Januari 2014-Desember 2017 menggunakan teknik purposive sampling dengan kriteria inklusi rekam medis neonatal dengan sepsis neonatus yang masuk ke RS Dr.Hasan Sadikin Bandung kurang dari 24 jam setelah lahir. Penelitian ini menggunakan analisis univariat dengan distribusi frekuensi. Hasilnya adalah SNAD (59,80%) dan SNAL (40,20%). Faktor risiko pada SNAD seperti jenis kelamin laki-laki (69,10%), prematuritas (74,10%), berat lahir rendah (70,90%), memiliki penyakit pemicu (41,80%), asfiksia berat (43,60 %), proses persalinan caesar (52,70%), dan pemasangan alat invasif setelah didiagnosis sepsis (58,20%). Sedangkan pada SNAL seperti jenis kelamin laki-laki (56,80%), prematuritas (73,00%), berat lahir rendah (81,10%), memiliki penyakit pemicu (48,60%), asfiksia ringan (59,50%). ), proses persalinan normal (54,10%), dan pemasangan alat invasif sebelum didiagnosis sepsis (51,40%). Berdasarkan hasil dapat dilakukan strategi pencegahan dengan nutrisi dan oksigenasi yang cukup untuk mendukung pematangan organ, penambahan berat badan, dan pemenuhan kebutuhan oksigen.
Co-Authors Aan Nur&#039;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