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All Journal Jurnal Keperawatan Jurnal Ners Indonesia Jurnal Online Mahasiswa (JOM) Bidang Ilmu Keperawatan Jurnal NERS Jendela Nursing Journal (JNJ) Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan Media Keperawatan Indonesia Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Ilmiah Keperawatan Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Keperawatan (JKEP) Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Health Care : Jurnal Kesehatan Unri Conference Series: Community Engagement Jurnal Keperawatan Journal of Education Technology Information Social Sciences and Health Cerdika: Jurnal Ilmiah Indonesia Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Innovative: Journal Of Social Science Research Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JUKEJ: Jurnal Kesehatan Jompa Jurnal Vokasi Keperawatan (JVK) Malahayati International Journal of Nursing and Health Science Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Wan Nishfa Dewi
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Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study Dewi, Wan Nishfa; Nazriati, Elda
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.55840

Abstract

Introduction: Person-centred care (PCC) is increasingly considered as one of the criteria standards for delivering healthcare in hospitals. Registered nurses are increasingly expected to provide PCC in daily practice. However, although the hospital commits to enhancing and improving PCC, implementing this approach into practice has faced barriers and enablers. As the implementation of PCC is still at an early stage of development, it is well-recognised that the need to identify barriers and enablers is essential. This study aims to explore these barriers and enablers to implementing PCC in Indonesian hospitals. Methods: This study employed a qualitative exploratory study conducted from July 2023 to September 2023 at a public hospital in Pekanbaru, Riau Province. It applied semi-structured interviews to collect data on barriers and enablers to implement PCC from 2 managers and 12 nurses from the medical ward. All participants were selected using a purposive sampling technique. Data collected from interviews were transcribed and then thematically analysed. Results: Three barriers-related themes emerged, namely time constraints and workload, lack of resources, and communication challenges. Furthermore, three enablers themes also emerged, including leadership, commitment, and sufficient monitoring and supervision. Conclusions: The study results lead hospital managers and policymakers to overcome existing barriers using adaptive planning and strategies and to improve enablers with well-trained professionals and strong leadership to deliver a PCC approach into practice. The implications to practice are that healthcare organisations must continue their support to decrease the barriers and optimise professional care in healthcare facilities to improve healthcare services.
PREDICTIVE FACTORS ASSOCIATED TOWARDS QUALITY OF LIFE IN PATIENTS WITH CANCER: A CROSS-SECTIONAL STUDY Rizka, Yulia; Deli, Hellena; Dewi, Wan Nishfa; Putriana, Nila
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.676

Abstract

Background: Cancer patients face various symptoms and problems caused by the disease or cancer treatment. Physical and psychological symptoms worsen the patient’s quality of life (QOL). Objectives: To predict how age, gender, marital status, educational level, working status, type of cancer, stage of cancer, physical factors (pain, fatigue, nausea, lack of appetite, shortness of breath, constipation, drowsiness, well-being) and psychological factors (anxiety and depression) affect to quality of life in patients’ cancer. Methods: The study was quantitative research with a cross-sectional approach with purposive sampling. Ninety-nine cancer patients participated in this study. Data were collected in General Hospital, Pekanbaru, in October - November 2022. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was used to assess patient’s cancer quality of life. The Multivariate analysis uses the multiple linear regression. Results: The EORTC QLQ-C30 mean scores for QoL (65,9725,18), physical, emotional and cognitive functioning were high, at 60 or above. The score of most symptom scales in this study were reportedly good, at 37 or below. However, for pain and fatigue, the score was reportedly worse (range:45, 3227,84 to 64,2725,58). The results of multiple linear regression analysis showed that factors predictive of quality of life were pain (p=0,032), fatigue (p=0,004), shortness of breath (p=0,020), constipation (p=0,002) and depression (p=0,042). These factors together can cause quality of life problems in cancer patients by 55% (adjusted R2 = 0.468). Conclusion: The study finding indicate that QoL score were influenced with several symptoms (pain, fatigue, shortness of breath, constipation and depression) of the ESAS-r score. Healthcare professionals should properly address pain and fatigue, as patients in this patient group consistently report them.
Self-Efficacy Mahasiswa Keperawatan Tahun Pertama Dalam Proses Pembelajaran Rianda, Deby; Dewi, Wan Nishfa; Misrawati, Misrawati
Journal of Education Technology Information Social Sciences and Health Vol 4, No 1 (2025): March 2025
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v4i1.4633

Abstract

Pentingnya self-efficacy pada mahasiswa merujuk pada keyakinan seseorang terhadap kemampuannya untuk beradaptasi dalam mengikuti pelajaran dan menyelesaikan tugas-tugas untuk mencapai hasil yang baik. Penelitian ini bertujuan untuk menggambarkan self-efficacy pada mahasiswa Fakultas Keperawatan tahun pertama dalam proses pembelajaran. Penelitian ini menggunakan desain penelitian deskriptif kuantitatif. Sampel penelitian ini adalah mahasiswa keperawatan tahun pertama dengan total 243 sampel yang dipilih dengan mengunakan teknik total sampling. Self-efficacy diukur dengan menggunakan kuesioner GSES (Generalized Self Efficacy Scale) yang sudah tervalidasi dengan nilai validitas t-value = 16,77 r hitung p =1,96 serta nilai reabilitas 0,75 hingga 0,91. Data terkumpul di analisis dengan menggunakan analisis deskriptif. Hasil penelitian ini juga menunjukkan bahwa mayoritas mahasiswa Fakultas Keperawatan memiliki kategori self-efficacy kategori rendah berjumlah 139 orang (57,2%), memiliki self-efficacy kategori tinggi berjumlah 104 orang (42,8%). Dari hasil penelitian ini memberikan gambaran bahwa mahasiswa pada tahun pertama cenderung memiliki self-efficacy kategori yang rendah. Hal ini menunjukkan bahwa adanya pengalaman yang belum cukup dalam menghadapi tantangan akademik dan sosial sehingga mahasiswa merasa kurang percaya diri.
Hubungan Kesinambungan Pelayanan (Continuity Of Care) Terhadap Kualitas Hidup Pasien Dengan Masalah Kardiovaskular Hasanah, Izzahtul; Dewi, Wan Nishfa; Damanik, Siti Rahmalia
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16777

Abstract

Continuity of care is a consistent and interconnected service provided from time to time according to patient needs. This study aims to determine the relationship between the implementation of continuity of care and the quality of life of patients with cardiovascular problems. This study used a quantitative correlation design with a cross-sectional approach. The sample of this study amounted to 87 respondents with a diagnosis of coronary heart disease 71 respondents and heart failure 16 respondents selected using purposive sampling technique. Continuity of care variables were measured using the Patient Continuity of Care Questionnaire (PCCQ) and quality of life was measured using the World Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. Data were analyzed using the Chi Square test. Data on respondent characteristics showed that the majority of respondents were aged 56-65 years (46.1%), male gender (79.3%), high school education (66.7%). The results of this study showed that the continuity of care with high significant results (63.2%) and the quality of life of patients with good conditions (52.9%). The results of bivariate analysis showed a substantial relationship between continuity of care and patient quality of life with a coefficient value of p value (0.001). The results of this study indicate that health workers play an important role in ensuring the continuity of health services at all levels. With the continuity of services, it is expected that there will be a decrease in recurrence in patients with cardiovascular problems, especially patients with coronary heart disease and heart failure.
The effectiveness of logotherapy in powerlessness in cancer patients undergoing chemotherapy Romadiansyah, Zulfitrah; Wahyuni, Sri; Huda, Nurul; Dewi, Wan Nishfa; Erika, Erika
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.762

Abstract

Background: Cancer patients undergoing chemotherapy often have physical and psychological impacts. The psychological impact caused is powerlessness. The problem of powerlessness must be handled well because otherwise it can develop into despair and the risk of suicide. The intervention to overcome powerlessness is logotherapy. Logotherapy is a type of psychotherapy that aims to help patients find the meaning of life. Purpose: To determine the effectiveness of logotherapy in cancer patients who experience powerlessness during chemotherapy. Method: A quantitative with a quasi-experimental nonequivalent control design. The total sample was 56 participants and used a nonprobability sampling technique with purposive sampling type. The instrument used was the Powerlessness Assessment Tool for Adult Patients Questionnaire. This research uses statistical tests are the Wilcoxon Sign Rank Test, Mann-Withney U Test, and Independent Sample T Test. Results: Statistical test results showed that there was a significant effect of logotherapy on the powerlessness of cancer patients undergoing chemotherapy with p value (0.000) < alpha (0.05). Conclusion: Logotherapy is effective in overcoming the problem of powerlessness in cancer patients undergoing chemotherapy.
Experience of Cardiovascular Care Unit (CVCU) Nurses in Implementing Person Centered Care Angraini, Silfi; Dewi, Wan Nishfa; Woferst, Rismadefi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.830

Abstract

Background: Nurses in the Cardiovascular Care Unit (CVCU) have a key role in delivering Person Centered Care (PCC), which focuses on respecting patient preferences and improving care quality. Despite its importance, the implementation of PCC still faces several challenges in clinical practice. Objective: This study aimed to explore the experiences of CVCU nurses in implementing Person Centered Care in a hospital setting. Method: A qualitative research design with a phenomenological approach was used. Six nurses working in the CVCU were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed through thematic analysis based on Colaizzi’s method. Results: The study identified five main themes: (1) Satisfaction with nursing care, (2) Involvement of patients and families, (3) Communication and collaboration between nurses and doctors, (4) Suboptimal communication patterns between nurses and patients, and (5) Time management and workload. Discussion: The findings indicate that PCC contributes to greater satisfaction in nursing care delivery. However, several barriers, such as limited communication and workload issues, need to be addressed. These insights can inform strategies for broader PCC implementation across different hospital wards. Hospital management should support this process by addressing potential obstacles and facilitating a supportive environment for PCC.
Pengaruh Discharge Planning Terhadap Kesiapan Pulang pada Pasien diabetes Melitus: A Literatur Review: - Sulastri, Sulastri; Dewi, Wan Nishfa; Wahyuni, Sri
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45451

Abstract

Perencanaan pulang mempunyai peranan penting dalam meningkatkan kesiapan pulang pasien, termasuk pasien Diabetes Melitus. Perencanaan pulang diberikan untuk mengoptimalkan perawatan diri dan mencegah kekambuhan. Studi tinjauan pustaka ini bertujuan untuk menganalisis pengaruh perencanaan pulang terhadap kesiapan pulang pasien DM. Penelusuran pustaka dilakukan melalui basis data elektronik seperti Science Direct, Google Scholar, Garuda Portal, dan PubMed dengan kata kunci “discharge planning”, “discharge plan”, “discharge readiness”, dan “diabetes mellitus”. Dari 313 artikel yang ditemukan, seleksi dilakukan dengan menggunakan kriteria inklusi dan eksklusi, sehingga diperoleh 8 artikel yang dianalisis secara mendalam. Hasil penelitian menunjukkan bahwa penerapan perencanaan pulang yang terstruktur dan berbasis edukasi dapat meningkatkan kesiapan pulang, keterampilan manajemen perawatan diri, kepatuhan pengobatan, dan stabilitas gula darah. Model perencanaan pulang seperti Model LIMA dan program berbasis web telah memberikan dampak positif terhadap kesiapan pasien untuk perawatan diri di rumah. Oleh karena itu, penerapan perencanaan pulang yang optimal dengan melibatkan tenaga kesehatan dan keluarga sangat dianjurkan dalam sistem pelayanan kesehatan pasien DM guna menurunkan angka rawat inap kembali dan meningkatkan kualitas hidup pasien. Kata kunci: perencanaan pulang, diabetes melitus, kesiapan pulang
Pengalaman Perawat dalam Menangani Pasien dengan Penurunan Kesadaran di Ruangan Intensive Care Unit (Icu): A Literatur Review Jamil, Mia Mildani; Dewi, Wan Nishfa; Huda, Nurul
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46487

Abstract

Penurunan kesadaran pada pasien kritis sering kali berhubungan dengan prognosis yang kurang baik dan meningkatnya angka kematian. Perawat berperan dalam melakukan evaluasi, pemantauan, serta memberikan intervensi yang sesuai pada pasien dengan penurunan kesadaran. Tinjauan literatur ini bertujuan untuk mengidentifikasi pengalaman perawat dalam menangani pasien dengan penurunan kesadaran.Tinjauan literatur dilakukan melalui basis data: PubMed, Cochrane Library, Google Scholar dan Clinicalkey dalam rentang tahun 2015 hingga 2025, berbahasa inggris atau indonesia. Artikel dipilih berdasarkan abstrak serta teks lengkap yang sesuai dengan kriteria inklusi dan eksklusi. Artikel disusun menggunakan panduan PRISMA (Preferred Reporting Items for Systematic review and Meta Analysis). Tinjauan literatur menemukan bahwa sebagian besar perawat mengalami hambatan dan tantangan dalam menangani pasien dengan penurunan kesadaran serta pengelolaan stress dan kolaborasi antar multidisiplin diperlukan dalam menangani pasien dengan penurunan kesadaran. Efek positif dari perawatan pasien dengan penurunan kesadaran menghadapi berbagai tantangan dan hambatan. Meskipun demikian, pendekatan holistik serta kolaborasi multidisiplin telah terbukti efektif dalam meningkatkan hasil perawatan dan kualitas hidup pasien.
THE EFFECTIVENESS OF IMPLEMENTING DISCHARGE PLANNING ON FAMILY KNOWLEDGE IN CARING FOR PATIENTS WITH CORONARY HEART DISEASE Fismaleni, Menik; Dewi, Wan Nishfa; Hasneli, Yesi
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1947

Abstract

Discharge planning is a dynamic and systematic process of assessment, preparation, and coordination aimed at facilitating the supervision of health and social services before and after hospital discharge. This study aims to determine the effectiveness of discharge planning implementation on family knowledge in caring for patients with Coronary Heart Disease (CHD). A quasi-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 27 respondents selected through accidental sampling based on inclusion criteria. The intervention involved providing educational material using a leaflet on family knowledge in caring for CHD patients. Knowledge was measured using a 25-item questionnaire. The results showed that most respondents were aged 45–54 years (48.1%), female (59.3%), had a high school education (59.3%), and had cared for CHD patients for less than one year (55.5%). In the bivariate analysis, the pretest scores indicated that 73.4% had moderate knowledge, while posttest scores revealed that 96.74% had good knowledge. These findings demonstrate that discharge planning significantly improves family knowledge in caring for CHD patients, which may help reduce recurrence and hospital readmission rates.
PATIENT SATISFACTION WITH CARDIAC CATHETERIZATION SERVICES Putra, Hendri; Dewi, Wan Nishfa; Dilaluri, Ade
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1955

Abstract

Abstract Despite the increasing emphasis on patient satisfaction as a key indicator of healthcare quality, there remains a lack of studies specifically examining satisfaction levels among cardiac catheterization patients, particularly across different procedural stages. This study aims to determine patient satisfaction with cardiac catheterization services. This study used an analytic descriptive design. Samples involved in this study were patients who undertook catheterization from May to June 2024 with a total of 44 respondents selected using total sampling. The variable of this study was patient satisfaction with cardiac catheterization services measured using a questionnaire developed by the researcher. It was validated with an R-value of 0.039 and a Cronbach value of 0.940. Data were analyzed using descriptive analysis. The result of the study showed that most of the respondents' age were late elderly (43.2%), male (72.7%), and high school education (52.3%). The majority of respondents were satisfied with the pre-catheterization stage (81.8%), the intra-catheterization stage (90.9%), and the post-catheterization stage (81.1%). The majority of respondents (86.4%) were satisfied with the cardiac catheterization services that had been carried out. Moreover, based on the characteristics of the respondents, elderly respondents were satisfied (94.7%), more male respondents stated satisfied (87.5%), and respondents with high school education (91.3%). The level of satisfaction was based on the stages of action in each dimension of satisfaction, and in general, the respondents were satisfied with the service. Patient satisfaction has a vital role in the outcome of health services, and it is an indicator of the service and management of health institutions.
Co-Authors ", Herlina " ", Nurhidayati " , Deviona, , Aminatul Fitri Amoy Amelia Sanusi Andika Syahputra Angelina Harefa Angraini, Silfi Anjely, Selly Ari Pristiana Dewi Arneliwati Aswan, Muhammad Farhan Azzahra, Adila Bayhakki Bayhakki Bayhakki Bayhakki Bayhakki Bayhakki, Bayhakki Bima Permatasari Damanik, Siti Rahmalia Darwin Karim Depari, Syella Elnida Dilaluri, Ade Dini Sisware Yulia Dwi Amalia Ramadhan Dwiyanti, Septika Elda Nazriati Elen " Debora Elen Debora Erika Erika Erwin Erwin Erwin Erwin Erwin Erwin Essa Widya Pertiwi Fathmi Khaira Fathmi Khaira FELLYA ALMA HESTI Firliany Triamanda Fismaleni, Menik Fitri Amelia Gamya Tri Utami Ganis " Indriati Ganis Indriati Giatri Rahma Sari Harahap, Nuraisyah Hasanah, Izzahtul Hasibuan, Mujahidah Hayatul Ismi Hellena Deli Herlina Herlina Hunafa, Zahra Idzni Nelia Mustafa Ihda Hasbiyati Indri Safitri Indriati, Ganis Inggrid Dwi Wahyuni Jamil, Mia Mildani Jumaini, Jumaini Karim, Darwin Khalil Gibran Maimunah, Maimunah Maysa Yutari Dewi Megawati Kristina Parapat Melvi " Gustiarinni Misrawati Misrawati Muhammad Fauzan 'Azima Mukhlis R. Nelfia, Efi " Nia Fadhilah Nofrizal Nofrizal Nurfa Tiarana Anggraini Nurhannifah Rizky Tampubolon Nurul Huda Olivia Indarti Olivia Indarti Oswati Hasanah Parapat, Megawati Kristina Permatasari, Bima Putra Mulia Putra Mulia Putra, Hendri Putriana, Nila Qodri alamsyah Ranti Marisa Reni Zulfitri Rianda, Deby Riri Novayelinda Riski Amaliyah, Riski Rismadefi - Woferst Rizka, Yulia Romadiansyah, Zulfitrah Safri Safri Safri Safri Salsabila Putri Aulia Sandra &#039; Sanusi, Amoy Amelia Siti Rahmalia Hairani Damanik Sri Fitri Yanti Sri Wahyuni Sri Wahyuni Sulastri Sulastri Syeptri Agiani Putri Tahuddin Badullah Saragih Tasya Darmatatya Ulfia Hasanah Veny Elita Vicky Setiarini Vidia Humaira Wahyuni Wahyuni Wasisto Utomo Widia Lestari Yesi - Hasneli Yuftriana Amir Yulia Irvani Dewi Yulinda Ronauli Br Manalu Yurike Reza Zukhra, Ririn Muthia