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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 CITRA KEPERAWATAN Journal Of Nursing Practice Jurnal Keperawatan Muhammadiyah Media Keperawatan Indonesia Manuju : Malahayati Nursing Journal Journal of Nursing Care Jurnal Medika Malahayati Jurnal Kesehatan Journal of Maternity Care and Reproductive Health Media Karya Kesehatan Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Jurnal Keperawatan Galuh Jurnal Ilmu Keperawatan Indonesia (JIKPI) MAHESA : Malahayati Health Student Journal International Archives of Medical Sciences and Public Health Journal of Applied Nursing and Health Lentera Perawat 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 Journal of Multidisciplinary Research Malahayati International Journal of Nursing and Health Science MEDICA (International Medical Scientific Journal) Jurnal Penelitian Perawat Profesional
Ayu Prawesti Priambodo
Fakultas Keperawatan, Universitas Padjadjaran
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management 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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TELEHEALTH-BASED PSYCHOSOCIAL SUPPORT FOR WOMEN WITH BREAST CANCER: A NARRATIVE REVIEW Aan Nuraeni; Yanny Trisyani; Anastasia Anna; Ayu Prawesti Priambodo; Firman Sugiharto
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12366

Abstract

Breast cancer is one of the most common malignancies among women worldwide and is associated with multidimensional burdens throughout the disease trajectory, including diagnosis, treatment, and survivorship. Beyond physical symptoms, women with breast cancer frequently experience psychosocial problems such as anxiety, depression, emotional distress, and impaired quality of life, which may persist even after active treatment and influence treatment adherence and long-term outcomes. Conventional psychosocial support is typically delivered through face-to-face interactions; however, access to such services is often limited by geographical, temporal, and resource-related constraints. Telehealth has emerged as a promising approach to support psychosocial care by utilizing information and communication technologies to deliver health services remotely. In the context of breast cancer, telehealth encompasses various modalities, including mobile health applications, web-based platforms, teleconsultations, text messaging, and remote monitoring systems. Recent developments also indicate a growing integration of artificial intelligence, such as chatbots and conversational agents, to enhance information delivery and emotional support. This narrative review aims to critically discuss the role of telehealth in providing psychosocial support for women with breast cancer. Relevant literature was identified through searches of major scientific databases and analyzed descriptively to explore psychosocial challenges, telehealth concepts, and potential benefits for mental health and patient engagement. The findings suggest that telehealth may contribute to improved access to psychosocial support, enhanced coping, and increased patient involvement in care, although evidence remains heterogeneous across intervention types and outcomes. Telehealth should be considered a complementary approach within holistic breast cancer care, with careful attention to individual needs, digital literacy, and implementation context.  
A Scoping Review of Nursing Approaches to Spiritual Care in Cardiovascular Disease: Clinical Practice and Patient Outcomes Aris Citra Wisuda; Masniati Arafah; Ayu Prawesti Priambodo; Fermata Sari; Neny Nursahaza; Citra Suraya; Wa Ode Nurlina; Basmalah Harun
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1170

Abstract

Cardiovascular disease (CVD) remains a leading cause of global morbidity and mortality. Beyond physical symptoms, patients frequently experience psychological distress, existential concerns, and spiritual needs that may influence coping, treatment adherence, and overall well-being. Although spiritual care is increasingly recognized as a component of holistic cardiovascular nursing, evidence regarding nurse-led spiritual care remains heterogeneous in terms of intervention models, implementation strategies, cultural adaptation, and reported outcomes. This scoping review aimed to systematically map nursing approaches to spiritual care for adults with CVD and summarize their implementation across clinical settings. The review followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were conducted in PubMed, Scopus, Web of Science, CINAHL, and ScienceDirect for studies published between 2015 and 2025. Quantitative, qualitative, and mixed-methods studies involving nurse-led or nurse-integrated spiritual care interventions were included. Eighteen studies met the eligibility criteria. Thematic synthesis identified four categories of nursing approaches: spiritually supportive communication, faith-based spiritual interventions, mindfulness- and meaning-centered approaches, and holistic spiritually integrated nursing care. These interventions were implemented across acute care, coronary care, cardiac rehabilitation, outpatient, palliative, and community settings. Reported outcomes encompassed psychosocial, spiritual, patient-centered, and selected physiological domains, with anxiety reduction, emotional comfort, coping, spiritual well-being, quality of life, and patient satisfaction being the most frequently described outcomes. This review provides a comprehensive overview of contemporary nursing approaches to spiritual care in cardiovascular practice, highlights important variations in intervention characteristics and outcome assessment, and identifies priorities for developing standardized, culturally responsive, and theory-informed spiritual care frameworks and future cardiovascular nursing research.
Nursing Management of Patients with HHD, Cardiac Shock, Pleural Effusion, and Electrolyte Imbalance in the High Care Unit Niken Ambarwati; Ristina Mirwanti; Ayu Prawesti Priambodo
Journal of Multidisciplinary Research Vol. 2 No. 3 (2026): April
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i3.556

Abstract

The Hypertensive Heart Disease (HHD) is a chronic condition that arises from uncontrolled hypertension, resulting in myocardial damage and ventricular dysfunction that can increase the risk of cardiogenic shock. Pleural effusion occurs because of cardiac congestion and causes fluid buildup in the pleural cavity. In patients with this condition, unstable electrolyte levels are often found in the body. The combination of hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances is a complex problem, requiring a multidisciplinary approach to prevent fatal complications such as multisystem failure and risk of death. This case report aims to describe nursing management in patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances, then relate it to scientific evidence through a literature review. The method used in this study was a case report. The subject of this case report was a 65-year-old woman with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances in the High Care Unit. Nursing management of patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances includes comprehensive assessment, collaborative intervention in the administration of inotropics, fluid management, oxygenation management, and collaboration in pleural puncture, as well as evaluation. Patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances present complex problems that can lead to death if not treated quickly and appropriately. Nurses play a major role in nursing management through assessment, problem identification, intervention, and periodic evaluation of hemodynamic status, fluid balance, and patient response to therapy.
Ventilasi Mekanik pada Pasien Prolonged Acute Respiratory Failure Due to Ards and Dka; A Case Report Nina Risnianingsih; Vera Susanti; Muhaemin Muhaemin; Ayu Prawesti Priambodo
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20957

Abstract

ABSTRACT Prolonged acute respiratory failure is a very challenging critical medical condition, especially with comorbidities of Acute Respiratory Distress Syndrome (ARDS) and Diabetic Ketoacidosis (DKA). ARDS causes severe respiratory distress, while DKA in uncontrolled diabetes worsens metabolic and respiratory conditions. The complexity of managing prolonged respiratory failure lies in the need for intensive intervention, continuous monitoring, and careful adjustment of mechanical ventilation and multidisciplinary collaboration to achieve patient stability in the ICU. This report aims to describe the interventions given to patients with prolonged acute respiratory failure due to ARDS and DKA in the ICU of RSKK Bandung, and to explore the challenges in adjusting mechanical ventilation and managing these conditions. This study uses a descriptive approach by analyzing the case of a 37-year-old man who was admitted to the ICU with initial conditions of prolonged acute respiratory failure, ARDS, and Diabetic Ketoacidosis (DKA) characterized by shortness of breath, hypoxemia, and hyperglycemia. Data were collected through physical examination, laboratory results, blood gas analysis, and nursing interventions for respiratory and metabolic stabilization. Interventions provided included intensive monitoring, mechanical ventilation adjustment, blood glucose level regulation, and fluid and electrolyte balance monitoring. The patient experienced prolonged acute respiratory failure, which required mechanical ventilation with SIMV mode and pressure support, with dynamics of PEEP values given between 6-12 cmH2O. In addition, the patient showed high blood glucose levels (311 mg/dL) and ketonuria (+2), indicating DKA. Nursing interventions focused on adjusting mechanical ventilation (including SIMV and PEEP modes), regulating blood glucose through insulin drip, and monitoring fluids and electrolytes to reduce the risk of further complications. Management of patients with prolonged acute respiratory failure due to ARDS and DKA requires a very intensive and coordinated approach, including appropriate mechanical ventilation adjustments with special attention to SIMV mode and PEEP optimization and effective nursing interventions. This case highlights the uniqueness of managing prolonged acute respiratory failure, a challenge in ICU care, and the importance of team collaboration and the application of a personalized, evidence-based approach to critical care. Keywords: Nursing Interventions, Prolonged Acute Respiratory Failure, ARDS, Diabetic Ketoacidosis (DKA), Mechanical Ventilation.  ABSTRAK Prolonged acute respiratory failure merupakan kondisi medis kritis yang sangat menantang, terutama dengan komorbiditas Acute Respiratory Distress Syndrome (ARDS) dan Diabetic Ketoacidosis (DKA). ARDS menimbulkan gangguan pernapasan berat, sementara DKA pada diabetes tidak terkontrol memperburuk kondisi metabolik dan respirasi. Kompleksitas penanganan gagal napas yang memanjang terletak pada kebutuhan intervensi intensif, pemantauan berkelanjutan, serta penyesuaian ventilasi mekanik yang cermat dan kolaborasi multidisipliner demi mencapai stabilitas pasien di ICU. Laporan ini bertujuan untuk menggambarkan intervensi  yang diberikan kepada pasien dengan gagal napas akut yang memanjang akibat ARDS dan DKA di ruang ICU RSKK Bandung, serta untuk mengeksplorasi tantangan dalam penyesuaian ventilasi mekanik dan pengelolaan kondisi tersebut. Penelitian ini menggunakan pendekatan deskriptif dengan menganalisis kasus seorang pria berusia 37 tahun yang dirawat di ruang ICU dengan kondisi awal gagal napas akut yang memanjang, ARDS, dan Diabetic Ketoacidosis (DKA) yang ditandai dengan sesak napas, hipoksemia, dan hiperglikemia. Data dikumpulkan melalui pemeriksaan fisik, hasil laboratorium, analisis gas darah, serta intervensi keperawatan untuk stabilisasi pernapasan dan metabolisme. Intervensi yang diberikan meliputi pemantauan intensif, penyesuaian ventilasi mekanik, pengaturan kadar glukosa darah, dan pemantauan keseimbangan cairan serta elektrolit. Pasien mengalami gagal napas akut yang memanjang, yang memerlukan ventilasi mekanik dengan mode SIMV dan pressure support, dengan dinamika nilai PEEP yang diberikan antara 6-12 cmH2O. Selain itu, pasien menunjukkan kadar glukosa darah yang tinggi (311 mg/dL) dan ketonuria (+2), menandakan adanya DKA. Intervensi keperawatan difokuskan pada penyesuaian ventilasi mekanik (termasuk mode SIMV dan PEEP), pengaturan glukosa darah melalui insulin drip, serta pemantauan cairan dan elektrolit untuk mengurangi risiko komplikasi lebih lanjut. Penanganan pasien dengan gagal napas akut yang memanjang akibat ARDS dan DKA memerlukan pendekatan yang sangat intensif dan terkoordinasi, termasuk penyesuaian ventilasi mekanik yang tepat dengan perhatian khusus pada mode SIMV dan optimasi PEEP serta intervensi keperawatan yang efektif. Kasus ini menyoroti keunikan dalam mengelola kondisi gagal napas akut yang memanjang, yang menjadi tantangan dalam perawatan ICU, dan pentingnya kolaborasi tim medis serta penerapan pendekatan yang personal dan berbasis bukti dalam perawatan pasien kritis. Kata Kunci: Intervensi Keperawatan, Gagal Nafas Akut yang Memanjang, ARDS, Ketoasidosis Diabetikum (KAD), Ventilasi Mekanik.
Penanganan pada Pasien IDCM yang Mengalami Hiperkalemia Berat: Case Report Saparingga Dasti Putri; Natalia Tambunan; Inggried Angelica Valentina Wiliyams Pen; Sultan Muhammad Wahyu Pamungkas; Ayu Prawesti Priambodo; Ristina Mirwanti
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21125

Abstract

ABSTRACT Idiopathic Dilated Cardiomyopathy (IDCM) is a condition that can trigger malignant arrhythmias such as Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF), especially if accompanied by severe hyperkalemia. The combination of myocardial dysfunction, impaired renal function, and electrolyte imbalance increases the risk of fatal complications such as cardiac arrest. Objective: To report the case management of an IDCM patient with severe hyperkalemia causing malignant arrhythmias, and to highlight the importance of a multidisciplinary approach in its clinical management. This case study uses a single case approach to a 52-year-old patient treated in the Intensive Care Unit. Data were collected through direct assessment, observation, and supporting examinations during five days of intensive care. The patient experienced severe hyperkalemia (K+ 7.05 mmol/L) which triggered VT and progressed to VF. Emergency management was carried out with ACLS, administration of calcium gluconate, insulin-dextrose, Kalitake, sodium bicarbonate, and inotropic support. Hemodialysis was performed to treat persistent electrolyte disturbances. The patient showed significant clinical improvement after comprehensive intervention. Management of severe hyperkalemia in IDCM patients requires coordination between cardiology, nephrology, and intensive care specialists. Rapid intervention, aggressive medical therapy, and hemodialysis can save lives and restore patient stability. Keywords: Nursing Care, Idiopathic Dilated Cardiomyopathy (IDCM), Hyperkalemia.  ABSTRAK Idiopathic Dilated Cardiomyopathy (IDCM) merupakan kondisi yang dapat memicu aritmia maligna seperti Ventricular Tachycardia (VT) dan Ventricular Fibrillation (VF), terutama jika disertai dengan hiperkalemia berat. Kombinasi antara disfungsi miokard, gangguan fungsi ginjal, dan ketidakseimbangan elektrolit memperbesar risiko komplikasi fatal seperti cardiac arrest.Tujuan: Melaporkan penanganan kasus pasien IDCM dengan hiperkalemia berat yang menyebabkan aritmia maligna, serta menyoroti pentingnya pendekatan multidisiplin dalam manajemen klinisnya.Studi kasus ini menggunakan pendekatan single case terhadap pasien berusia 52 tahun yang dirawat di ICU. Data dikumpulkan melalui pengkajian langsung, observasi, dan pemeriksaan penunjang selama lima hari perawatan intensif. Hasil: Pasien mengalami hiperkalemia berat (K+ 7.05 mmol/L) yang memicu VT dan berkembang menjadi VF. Penanganan darurat dilakukan dengan ACLS, pemberian kalsium glukonat, insulin-dextrose, Kalitake, natrium bikarbonat, dan dukungan inotropik. Hemodialisis dilakukan untuk mengatasi gangguan elektrolit yang persisten. Pasien menunjukkan perbaikan klinis signifikan setelah intervensi komprehensif. Penanganan hiperkalemia berat pada pasien IDCM membutuhkan koordinasi antara spesialis kardiologi, nefrologi, dan perawatan intensif. Intervensi cepat, terapi medis agresif, serta hemodialisis dapat menyelamatkan nyawa dan memulihkan stabilitas pasien. Kata Kunci: Asuhan Keperawatan, Idiopathic Dilated Cardiomyopathy (IDCM), Hiperkalemia.
Tamponade Jantung sebagai Komplikasi Efusi Pleura pada Pasien Chronic Kidney Disease (CKD): Laporan Kasus Izzati Adha Pratitis; Kurhayati Kurhayati; Kurnia Nasrullah; Ayu Prawesti Priambodo; Ristina Mirwanti
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21316

Abstract

ABSTRACT Chronic Kidney Disease (CKD) frequently presents multisystem complications, including pleural effusion and severe cardiovascular manifestations such as cardiac tamponade. Cardiac tamponade induced by massive pleural effusion is rare but life-threatening if not promptly managed.  A 17-year-old male patient presented to the emergency department with complaints of shortness of breath, bilateral lower extremity edema for four months, high-grade fever, and foamy urine. History revealed poorly controlled post-infectious glomerulonephritis complicated by heart failure. Physical examination demonstrated fluid overload, gallop rhythm, muffled heart sounds, subcostal retractions, and pulmonary edema. The patient's condition rapidly deteriorated, leading to cardiogenic shock due to cardiac tamponade and bilateral pleural effusions. Bilateral chest tube placement, furosemide therapy, and vasopressor support led to significant clinical improvement.  This case illustrates the complex interplay between chronic kidney disease, pleural effusion, and severe cardiac complications. Although pleural effusions in CKD patients are commonly transudative, massive bilateral effusions can cause extrinsic pressure sufficient to induce cardiac tamponade. Prompt and comprehensive management, patient education, and adherence to long-term treatment are crucial. This case highlights the importance of a multidisciplinary approach in managing multisystem complications of CKD, particularly acute situations such as cardiogenic shock resulting from cardiac tamponade induced by bilateral pleural effusion. Aggressive management, including pleural and pericardial drainage, supportive therapy, and adherence to regular follow-up, are essential for favorable long-term outcomes. Keywords: CKD, Pleural Effusion, Cardiac Tamponade, Cardiogenic Shock, Nephrotic Syndrome.  ABSTRAK Penyakit Ginjal Kronis (Chronic Kidney Disease/CKD) dapat menimbulkan komplikasi multisistem, termasuk efusi pleura dan gangguan kardiovaskular berat seperti tamponade jantung. Tamponade jantung akibat efusi pleura masif merupakan kasus yang jarang terjadi tetapi dapat mengancam jiwa apabila terlambat ditangani. Pasien remaja laki-laki berusia 17 tahun datang ke IGD dengan keluhan sesak napas, edema ekstremitas bawah selama empat bulan, demam tinggi, dan urin berbusa. Riwayat menunjukkan glomerulonefritis pasca infeksi disertai gagal jantung yang tidak terkontrol secara teratur. Pemeriksaan fisik menunjukkan tanda overload cairan, gallop, suara jantung teredam, retraksi subkostal, dan edema paru. Pasien mengalami perburukan kondisi dengan syok kardiogenik akibat tamponade jantung serta efusi pleura bilateral. Intervensi berupa pemasangan chest tube bilateral, pemberian furosemid, dan terapi vasopresor menghasilkan perbaikan signifikan.  Kasus ini menegaskan hubungan kompleks antara gangguan ginjal kronis, efusi pleura, dan komplikasi jantung yang serius. Efusi pleura pada CKD sebagian besar bersifat transudatif, namun kondisi ini dapat berkembang menjadi eksaserbasi akut berupa tamponade jantung akibat tekanan eksternal dari efusi pleura masif. Penanganan harus cepat, komprehensif, serta didukung edukasi keluarga dan kepatuhan pasien terhadap pengobatan jangka panjang. Kasus ini memperlihatkan pentingnya pendekatan multidisiplin dalam pengelolaan komplikasi multisistem CKD, terutama dalam situasi klinis akut seperti syok kardiogenik akibat tamponade jantung yang dipicu efusi pleura bilateral. Penatalaksanaan agresif yang mencakup drainase cairan pleura dan perikardial, terapi suportif, serta kepatuhan kontrol rutin adalah kunci utama keberhasilan terapi jangka panjang. Kata Kunci: CKD, Efusi Pleura, Tamponade Jantung, Syok Kardiogenik, Sindrom Nefrotik.
Translasi dan Uji Validitas Isi Questionnaire on Satisfaction with Clinical Practice for Students Irma Yusanti; Anastasia Anna; Ayu Prawesti Priambodo
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22771

Abstract

ABSTRACT Student satisfaction is one of the main indicators in evaluating the effectiveness of clinical learning. Assessing nursing students' satisfaction with clinical learning is a crucial aspect in evaluating the quality of nursing education. However, to date, there is still limited availability of standardized, valid, and reliable instruments or questionnaires in Indonesian that specifically measure nursing students' satisfaction with clinical learning, particularly regarding clinical practice. To translate and validate the content of the Questionnaire on Satisfaction with Clinical Practice for Students (QSCP-S) into an Indonesian version to ensure that the questionnaire items retain their original conceptual meaning and are relevant to the Indonesian context. This process included forward translation, backward translation, expert review, and content validity testing. The translation process was carried out by six translators, and the content validity test was conducted by seven nursing experts. Data were analyzed using I-CVI, S-CVI/UA, S-CVI/Ave, and CVR to determine the relevance, clarity, and essentiality of the instrument. The recommended I-CVI and CVR values are 0.78. The scores for the 23 items in the Indonesian version of the QSCP-S questionnaire were: relevance (I-CVI) 0.86-1.00; S-CVI/Ave 0.98; S-CVI/UA 0.91; clarity (S-CVI/Ave 0.87); and essentiality (CVR 1.00). The Indonesian version of the QSCP-S questionnaire demonstrated good validity. The items were revised based on the expert's suggestions and recommendations, with the original questionnaire remaining at 23 items. Keywords: Clinical Practice, Content Validity Test, Student Satisfaction, Translation.  ABSTRAK Kepuasan mahasiswa merupakan salah satu indikator utama dalam mengevaluasi efektivitas pembelajaran klinik. Penilaian terhadap kepuasan mahasiswa keperawatan dalam pembelajaran klinik merupakan aspek krusial dalam evaluasi mutu pendidikan keperawatan. Namun, hingga saat ini, masih terdapat keterbatasan dalam ketersediaan instrumen atau kuisioner yang terstandarisasi, valid dan reliabel dalam bahasa Indonesia yang secara spesifik mengukur kepuasan mahasiswa keperawatan terhadap pembelajaran klinik khususnya tentang praktik klinik. Translasi dan validitas isi Questionnaire on Satisfaction with Clinical Practice for Students (QSCP-S) ke dalam versi bahasa Indonesia untuk menjamin butir-butir kuisioner mempertahankan makna konseptual aslinya dan relevan dengan konteks Indonesa. Proses ini mencakup tahapan forward translation, backward translation, expert review, dan uji validitas isi (content validity). Proses translasi dilakukan oleh 6 penerjemah dan uji validitas isi oleh 7 orang expert di bidang keperawatan. Data dianalisis dengan I-CVI, S-CVI/UA, S-CVI/Ave dan CVR untuk mengetahui relevansi, kejelasan dan essensialitas instrumen. Nilai I-CVI dan CVR yang direkomendasikan 0,78. Nilai dari 23 item pernyataan dalam kuisioner QSCP-S versi Bahasa Indonesia adalah relevansi I-CVI 0.86-1.00;S-CVI/Ave 0.98; S-CVI/UA 0.91, kejelasan S-CVI/Ave 0.87, esensialitas CVR 1.00. Kuisioner QSCP-S versi Bahasa Indonesia menunjukkan uji validitas kategori baik, item-item dalam kuisioner direvisi sesuai saran dan rekomendasi penilai (expert) dan dipertahankan berjumlah 23 item sama seperti kuisioner versi aslinya. Kata Kunci: Kepuasan Mahasiswa, Praktik Klinik, Translasi, Uji Validitas Isi.
Therapeutic Plasma Exchange In Septic Shock Patients: A Scoping Review of Clinical Evidence (2015-2024) Saparingga Dasti Putri; Ayu Prawesti Priambodo; Natalia Tambunan; Sultan Muhammad Wahyu Pamungkas
Jurnal Keperawatan Galuh Vol 8, No 2 (2026)
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jkg.v8i2.22671

Abstract

Septic shock is a critical condition with high mortality caused by systemic inflammatory responses and multiple organ dysfunction. Therapeutic Plasma Exchange (TPE) has been proposed as an adjunctive therapy to eliminate inflammatory mediators and restore vascular homeostasis. This study aimed to map and synthesize clinical evidence on the use of TPE in patients with septic shock. A scoping review design was employed based on the Arksey and O’Malley framework, with reporting guided by PRISMA-ScR. Literature searches were conducted in PubMed, ScienceDirect, Sage Journals, and Springer Nature for English-language articles published between 2015 and 2024. A total of 12 studies met the inclusion criteria and were analyzed thematically. The results indicated that TPE was associated with improvements in hemodynamic parameters, modulation of inflammatory responses, endothelial protection, coagulation regulation, increased immunoglobulin levels, and reduced short-term mortality in several studies. However, the strength of evidence remains limited due to heterogeneity in study design, small sample sizes, and protocol variability. TPE shows potential as an adjunctive therapy, but large-scale randomized trials are needed before widespread recommendation.
Autonomic Dysfunction Progression in a Guillain-Barré Syndrome Patient with Suspected Sepsis: A Case Report Lestari, Rini; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.66003

Abstract

 Guillain-Barré Syndrome (GBS) is an autoimmune disease affecting the peripheral nervous system, potentially leading to progressive muscle weakness, respiratory failure, and autonomic dysfunction. Severe autonomic dysfunction may result in arrhythmias, blood pressure fluctuations, and vital organ dysfunction, often worsened by sepsis. This report adopted a case report approach of a patient with GBS and severe autonomic dysfunction accompanied by suspected sepsis. Data were thoroughly collected through direct observation, comprehensive review of medical records, and detailed analysis of laboratory, electrocardiogram (ECG), and radiological findings. Analysis was conducted using both clinical and theoretical frameworks. This case report aims to describe autonomic symptom changes in GBS with suspected sepsis and to analyze their clinical implications for nursing care in critically ill patients A 51-year-old male patient presented with progressive extremity weakness, respiratory failure, and required mechanical ventilation. During intensive care, the patient developed second-degree AV block, sinus tachycardia, hypotension, persistent fever, and leukocytosis. These manifestations indicate severe autonomic dysfunction affecting both sympathetic and parasympathetic control on patient. Interventions included mechanical ventilation, intravenous immunoglobulin (IVIg), vasopressors, broad-spectrum antibiotics, and haemodynamic monitoring. The patient’s autonomic symptom changes reflected dysfunction of both sympathetic and parasympathetic nervous systems, as indicated by cardiac rhythm disturbances and blood pressure instability during intensive care. AV block indicated sinoatrial node involvement, while sinus tachycardia suggested sympathetic dominance during sepsis. Haemodynamic instability, observed through fluctuating heart rate and hypotension requiring vasopressor support, illustrated the complex interaction between GBS and sepsis. This case highlights that severe autonomic dysfunction in GBS may lead to AV block and sinus tachycardia, aggravated by sepsis. This case suggests that nurses caring for patients with GBS should maintain a high level of vigilance for autonomic instability including arrhythmias and blood pressure changes, especially in the presence of sepsis. Intensive management and continuous monitoring are critical to stabilize autonomic function and improve clinical outcomes in critically ill patients.
FACTORS ASSOCIATED WITH SITUATION AWARENESS AMONG NURSES IN INPATIENT SETTINGS: A SCOPING REVIEW Risnianingsih, Nina; Prawesti Priambodo, Ayu; Emaliyawati, Etika
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1543

Abstract

Situation awareness (SA) is a critical cognitive skill for nurses in inpatient settings, where patient conditions are complex and can change rapidly. Adequate SA enables nurses to perceive, comprehend, and anticipate clinical situations, supporting timely decision-making and patient safety. However, evidence on factors associated with nurses’ SA across inpatient settings remains fragmented. This scoping review aimed to identify, map, and synthesize these factors. The review followed the Arksey and O’Malley framework and was reported according to PRISMA-ScR guidelines, with eligibility structured using the Population–Concept–Context (PCC) framework. PubMed, Scopus, and EBSCOhost were searched up to 3 January 2026 for studies examining SA or related constructs among nurses in inpatient settings. Data were extracted and analyzed using descriptive and thematic synthesis. Twelve of 2,615 studies were included, published between 2012 and 2025. Five major categories of factors emerged: individual, information- and technology-related, communication and teamwork, organizational, and environmental. These interact dynamically and influence all three levels of SA. Nurses’ SA is therefore a multifactorial, dynamic construct, and enhancing it requires a system-level approach extending beyond individual competencies to information systems, team communication, and organizational support.
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Abdullah, Dirman Achmad Faried Achmad Faried adimiharja, adimiharja Akbar, M. Rizki Ali, Samin M. Amelia, Iftikar Salma Anastasia Anna Anastasia Anna Andrianthi, Salsyah Anita Setyawati Anna, Annastasia Arimbi Karunia Estri Aris Citra Wisuda Asep Kartiwa Asmara, A Danang Audly, Tazkia Badliana Basmalah Harun Cahyani, Gita Cecep Eli Kosasih Christina, Mikha Cindya Ukhti Isti Angeli Citra Suraya Deris Riandi Setiawan Dewi Dewi Dewi, Lisna Diana Rahayu, Diana Didi Kurniawan Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah Efri Widianti Elsadai, Elsadai Emmy H Pranggono Endah Yuliany Rahmawati Esti Dwi Anani Etika Emaliyawati Etika Emaliyawati Eva Puspawatie Fachru Syaban Hidayat Fanny Adistie Fauziah, Oktaviani Febianti, Ranti Fermata Sari Firman Sugiharto Flaviliant Nurul Freitas, Lurdes Acorta Furkon Nurhakim Hafshah Shihah Kaaffah Handayani, Nathasa Harlasgunawan, Alia Rahmi Harun, Hasniatisari Henny Yulianita Heriyansyah, Heriyansyah INDRA FRANA JAYA KK Inggried Angelica Valentina Wiliyams Pen Inggried Angelica Valentina Wiliyams Peni Iqbal Pramukti Irma Yusanti Iyus Yosep Izzati Adha Pratitis Izzati Adha Pratitis J, Ridillah Vani Jessica Jessica Karisa, Putri Kumalasari, Regina Indah Kurhayati Kurhayati Kurhayati Kurhayati Kurnia Nasrullah Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Larashati, Defa Masniati Arafah Masruroh, Rurin Muhaemin Muhaemin Natalia Tambunan Natalia Tambunan Natalia Tambunan Neny Nursahaza Niken Ambarwati Nina Risnianingsih Nina Risnianingsih Novi Yanti S Noya, Fricilia Nur Azmi, Nur Nurazizah, Auliyaurrahmah Nurhayati Nurhayati Nursiswati Nurul Anisa Nur’aeni, Aan Oktafianti, Mutiara Annisa Palo, Daud Pebianti, Ranti Prasetyaningrum, Widyadari Raden Shofia Safitri Rahman, Lutfi Rani Arinda Refina, Ayene Reis, Silvestre Dos Rini Lestari Risnianingsih, Nina Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Rycco Darmareja Sandra Pebrianti Saparingga Dasti Putri Saparingga Dasti Putri Sari Fatimah Sari, Wulan Puspita Selly Desiani Sesilia, Fitri Sheizi Prista Sari Siti Yulipah Agustini Sopyan, Tatang Sri Hendrawati Sugiharto, Firman Sulianingsih, F Sri Sulistiani, Eka Sultan Muhammad Wahyu Pamungkas Sultan Muhammad Wahyu Pamungkas Syahira Handayani Theresia Avila Kurnia Titin Sutini Titin Sutini Trisyani , Yanny ubleeuw, Irianti Vera Susanti Wa Ode Nurlina Wiwi Mardiah Wiwin Yudiah Yanny Trisyani Yanny Trisyani Yuliandani, Erin Yusanti, Irma Zustantria Agustin Minggawati