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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

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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.
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.
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

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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.
Gambaran Perilaku Penggunaan Suplemen Herbal dan Non Herbal selama Pandemi Covid-19 Dwiyanti, Septika; Dewi, Wan Nishfa; Woferst, Rismadefi
Jurnal Vokasi Keperawatan (JVK) Vol. 6 No. 2 (2023): DESEMBER
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v6i2.26410

Abstract

During the Covid-19 pandemic in Indonesia, the use of herbal and non-herbal supplements in preventive and curative efforts increased significantly. Using supplements prevents Covid-19 from complementing vitamin deficiencies in certain conditions. This study aims to identify the behavior of herbal and non-herbal supplements during the Covid-19 pandemic.  This study is retrospective. The number of samples used in this study was 99 respondents were selected using the quota sampling technique. Data was collected using a questionnaire to identify behavioral variables, and validity and reliability tests of this questionnaire were carried out. Data were analyzed using descriptive analysis.  The results of this study indicate that the majority of respondents' age is in the range of 17-25 years (54.4%), most of the respondents were female 64 people (64.6%), the behavior of using herbal and non-herbal supplements seen from the indicator of being aware of side effects is 74.7%, from the indicator the way to store supplements is 58.6%, from the indicator the way to dispose of expired supplements is 48.5% and from indicator types of herbal supplements 71.7%. The results of this study provide implications for the community to apply appropriate behavior in using health supplements. 
Persepsi Mahasiswa Keperawatan Tentang Sistem Pembelajaran Blok dan Non-blok Permatasari, Bima; Elita, Veny; Dewi, Wan Nishfa
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 6 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i6.417

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The determining student's perceptions toward learning dimensions including the learning duration, schedule, mastery of the material, and the grouping of lesson hours which are applied for both systems. Method: The study uses a descriptive design and it is conducted at the faculty of nursing, University of Riau. The questionnaire is used as an instrument which is designed by Pratiwi and has been tested for validity and reliability. The result showed that the majority of respondents were 21 years old as many as 108 respondents (35,2%) and female respondents 281 respondents (91,5%). Based on the result of the study, it was found in the positive perception block learning system, there were lectures scheduled for as 190 respondents (61,9%) And mastery of the material by 240 respondents (78.2%). Whereas in the non-block learning systems, there were positive perceptions of students in the learning time as 177 respondents (57,7%) and grouping of lesson hours as 211 respondents (68,7%). Block and non-block learning systems on each indicator still have advantages and disadvantages so learning has not been running optimally. An educational institution is hoped to be able to evaluate the duration of learning on the block learning system and learning schedule on non-block learning systems to run it effectively and optimally.
Peningkatan Kemampuan Masyarakat dalam Mengenal dan Memberikan Pertolongan Awal Pada Korban Tersedak Karim, Darwin; Dewi, Wan Nishfa; Bayhakki, Bayhakki; Erwin, Erwin; Huda, Nurul; Woferst, Rismadefi; Azzahra, Adila; Anjely, Selly; Hunafa, Zahra; Aswan, Muhammad Farhan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.13088

Abstract

ABSTRAK Kejadian tersedak termasuk dalam kegawatdaruratan yang harus mendapatkan penanganan segera dan apabila terjadi obstruksi atau sumbatan jalan napas maka dapat menyebabkan napas pendek (hipoventilasi), kekurangan oksigen (hipoksemia), peningkatan kerja pernapasan dan gangguan pertukaran gas berubah di paru-paru. Kondisi tersedak dapat dialami oleh siapapun, bisa pada dewasa maupun anak-anak. Oleh karena kasus tersedak dapat terjadi pada siapa saja maka kemampuan untuk memberikan bantuan dan pertolongan pada korban tersedak sebaiknya juga dipahami dan dikuasai oleh masyarakat termasuk keluarga. Kegiatan ini bertujuan untuk memberikan pengetahuan dan pemahaman masyarakat untuk mengenal, mengidentifikasi dan mencegah serta dapat memberi pertolongan pertama pada korban tersedak. Kegiatan pengabdian dilakukan pada 28 orang peserta dengan metode penyuluhan kesehatan dan praktik keterampilan pertolongan bagi korban tersedak. Peserta mampu mengenal dan memahami tanda gejala tersedak serta dapat memperagakan prosedur pertolongan pertama pada korban tersedak dengan baik. Kegiatan pengabdian ini secara umum berhasil dengan baik. Tahap persiapan, pelaksanaan dan evaluasi telah dilakukan. Tim pengabdian telah melaksanakan kegiatan dengan metode ceramah, tanya jawab/diskusi, pre dan post test kuesioner, menggunakan alat bantu peraga dan orang untuk mendemonstrasikan prosedur pertolongan bagi korban tersedak. Kata Kunci: Tersedak, Pertolongan Pertama, Penyuluhan Kesehatan, Kegawatdaruratan  ABSTRACT Choking incidents are included in emergencies that must receive immediate treatment and if airway obstruction or obstruction occurs, it can cause shortness of breath (hypoventilation), lack of oxygen (hypoxemia), increased work of breathing and impaired gas exchange changes in the lungs. Choking conditions can be experienced by anyone, both adults and children. Because choking cases can happen to anyone, the ability to provide aid and assistance to choking victims should also be understood and mastered by the community, including the family. This activity aims to provide knowledge and understanding to the public to recognize, identify and prevent and provide first aid to choking victims. This activity was carried out on 28 participants using health education methods and practice of rescue skills for choking victims. Participants were able to recognize and understand the signs of choking and were able to demonstrate first aid procedures for choking victims well. This service activity was generally successful. The preparation, implementation and evaluation stages have been carried out. The service team has carried out activities using lecture methods, question and answer/discussion, pre and post test questionnaires, using props and people to demonstrate aid procedures for choking victims. Keywords: Choking, First Aid, Health Education, Emergencies
Co-Authors ", Herlina " ", Nurhidayati " , Deviona, , Ade Dilaluri Aminatul Fitri Amoy Amelia Sanusi 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 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 Erika Erwin Erwin Erwin Erwin Erwin Erwin Essa Widya Pertiwi Fajriati, Yuri Rahma Fathmi Khaira Fathmi Khaira FELLYA ALMA HESTI Firliany Triamanda Fismaleni, Menik Fitri Amelia Gamya Tri Utami Giatri Rahma Sari Harahap, Nuraisyah Hasanah, Izzahtul Hasibuan, Mujahidah Hayatul Ismi Hellena Deli Hendri Putra Herlina Herlina Hunafa, Zahra Idzni Nelia Mustafa Ihda Hasbiyati Indri Safitri Indriati, Ganis Inggrid Dwi Wahyuni Irman Tabroni Jumaini, Jumaini ' Khalil Gibran Maimunah Maysa Yutari Dewi Megawati Kristina Parapat Melvi " Gustiarinni Mia Mildani Jamil Misrawati Misrawati Muhammad Fauzan 'Azima Mukhlis R. Nelfia, Efi " Nia Fadhilah Nofrizal Nofrizal Nurfa Tiarana Anggraini Nurhannifah Rizky Tampubolon Nurul Huda Nurul Huda Olivia Indarti Olivia Indarti Oswati - Hasanah Parapat, Megawati Kristina Permatasari, Bima Putra Mulia Putra Mulia Putra, Hendri Putriana, Nila Qodri Alamsyah Qodri alamsyah Ranti Marisa Reni Zulfitri Rianda, Deby Riri Novayelinda Riski Amaliyah, Riski Rismadefi - Woferst Safri Safri Safri Safri Salsabila Putri Aulia Sandra ' Sanusi, Amoy Amelia Siswahyudianto Siti Rahmalia Hairani Damanik Sri Fitri Yanti Sri Wahyuni Sri Wahyuni 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 Yulia Rizka Yulinda Ronauli Br Manalu Yurike Reza Zukhra, Ririn Muthia