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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia JURNAL PENDIDIKAN KEPERAWATAN INDONESIA UNEJ e-Proceeding Panrita Abdi - Jurnal Pengabdian pada Masyarakat Journal Of Nursing Practice Jurnal Ilmu Kesehatan Journal of Nursing Care and Biomolecular Holistik Jurnal Kesehatan Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmiah Keperawatan JAIM (Jurnal Abdi Masyarakat) Jurnal ABDINUS : Jurnal Pengabdian Nusantara Jurnal Peduli Masyarakat BERNAS: Jurnal Pengabdian Kepada Masyarakat Nursing Sciences Journal Journal of Soft Computing Exploration Well Being Journal of Nursing Practice and Education Jurnal Gema Keperawatan Jurnal Keperawatan Florence Nightingale Jurnal Ilmiah STIKES Yarsi Mataram Jurnal Lentera Gaster Jurnal Mahasiswa Kesehatan International Journal of Patient Safety and Quality Strada Jurnal Ilmiah Kesehatan (SJIK)
Sulistyoning Suharto, Idola Perdana
Fakultas Ilmu Kesehatan Universitas Kadiri
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Journal : Journal Of Nursing Practice

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Integrating the Early Warning Scoring System (EWSS) into Nursing Students’ Assessment to Enhance Critical Thinking and Optimize Patient Care in Inpatient Settings Lutfi, Erik Irham; Suharto, Idola Perdana Sulistyoning; Haryuni, Sri; Fitriasnani, Meirna Eka; Wahdi, Achmad
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1039

Abstract

Background: High-quality nursing care begins with an accurate and comprehensive patient assessment. The Early Warning Scoring System (EWSS) is a vital tool in inpatient units for monitoring vital signs and detecting early signs of clinical deterioration, enabling timely intervention. However, field observations indicate that nursing students often lack a practical understanding and the ability to apply EWSS, leading to passivity and uncertainty in clinical decision-making. Therefore, the development of EWSS-based initial assessments within nursing care reports is essential to enhance students' critical thinking and rational intelligence in clinical practice.Purpose: This study aims to develop and implement an EWSS-based initial assessment model that enables students to integrate assessment findings, scoring values, and appropriate clinical interventions. Through the interpretation of EWSS scores, students are expected to improve their clinical reasoning and decision-making skills within inpatient nursing services.Methods: This study employed a comparative analytical quantitative design. The research was conducted in the inpatient wards of a hospital in East Java. The population consisted of all nursing profession students (Ners) undergoing clinical practice in 2024, with a total sample size of 28 respondents. The independent variable was the nursing care report integrated with EWSS indicators, while the dependent variable was the students' rational intelligence in clinical decision-making related to EWSS outcomes. Data were collected using initial assessment observation sheets supplemented with EWSS. Statistical analysis was performed using the Wilcoxon test to determine differences before and after the intervention.Results: The integration of EWSS parameters into nursing students' assessment instruments significantly improved their ability to accurately interpret patients' clinical conditions and guided them in determining interventions, thereby enhancing rational intelligence. Conclusion: Early exposure to EWSS among students ultimately supports the creation of safer (patient safety) and more effective nursing care across all clinical practice settings.
Cognitive Development in Children Aged 2-3 Years with Stunting in Kediri Suharto, Idola Perdana Sulistyoning; Susmiati; Endang Mei Yunalia; Devangga Darma Karingga; Angeline Bushy; Ines Septiya Prayogi
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1085

Abstract

Background: In the first 1,000 days of life, children are vulnerable to chronic malnutrition, known as stunting, which impacts cognitive development. An initial survey in Blabak Village, Kediri City, on several stunted children showed language delays, difficulty concentrating, motor delays and understanding commands, which means they tend to experience cognitive disorders. Purpose: The study aim is to analyze the relationship between stunting and cognitive development in children aged 2–3 years. Methods: This research using correlation analytical research design with cross-sectional approach. Sample of 54 children aged 2-3 years, selected using proportionate stratified random sampling. The research was conducted at 6 integrated health service post (posyandu), Blabak Village, Kediri City in September 2024. Stunting as an independent variable, while cognitive development as a dependent variable. Data were analyzed using Spearman rho test. Results: The results of Spearman's rho between stunting and cognitive development in learning and problem solving category, logical thinking, symbolic thinking sequentially have P values of 0.000; 0.000; and 0.005. The correlation coefficient between Stunting and Cognitive Development in Learning and Problem Solving Category, Logical Thinking, Symbolic Thinking sequentially is 0.651; 0.650; 0.374. Conclusion: There is a significant relationship between stunting and cognitive development in learning and problem solving category (strong relationship), logical thinking (strong relationship), symbolic thinking (quite strong relationship).
Co-Authors Achmad Wahdi Agnes, Yeni Lufiana Novita Agnes, Yeni Luviana Novita Alimansur, Moh Angeline Bushy Arif Nurma Etika Christianingsih, Siska Didik Susetiyanto Atmojo Edwin Putra Setya Indiarto Endang Mei Yunalia Erik Irham Lutfi Etika , Arif Nurma Fachry Abda El Rahman Ferdianto, Aan Fernando Fernando Fitriani, Evi Tunjung Fitriasnani, Meirna Eka Handayani , Wiwik Hengky Irawan Indah Jayani Indah Jayani Ines Septiya Prayogi Irine Aprilianti Pakili Karingga, Devangga Darma Kartikasari, Fira Deviyanti Kun Ika Nur Rahayu Lindia, Hessy Lisna Watie Geragam Lisna Watie Geragam Martianawati Martianawati Mirasa, Yudied Agung Niantara, Rendhe Novia Ulfa Nurrahayu, Kun Ika Nurul Fatehah Ohoiledjaan, Imelda Krisanta Ruth Pradana, Dio Alif Prasetyo, Rudi Tri Priska Emiliana Radiah, Siti Rahayu, Kun Ika Nur Rahayu, Mega Diasty Ramayanti, Indah Jayani, Eva Dwi Sabu, Anna Samudera, Wahyu Sukma Satria Eureka Nurseskasatmata Septi Susilowati Setiawan, Fachruddin Ari Sri Haryuni Sulistyawati, Wiwin Susmiati Susmiati Ulfa, Novia Wahyu Sukma Samudera winarti, eko Yanuar Mukhammad Yohanes Tatan Yohanes `Tatan Yunalia, Endang Mei