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THE EXPERIENCE OF HEALTHCARE WORKERS AND PATIENTS IN THE IMPLEMENTATION OF DISCHARGE PLANNING FOR HEART FAILURE PATIENTS Sanusi, Amoy Amelia; Dewi, Wan Nishfa; Bayhakki, Bayhakki; Wahyuni, Sri; Huda, Nurul; Erika, Erika
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2283

Abstract

Ineffective discharge planning results in discontinuity of patient care at home. This condition worsens patient outcomes, leading to patients returning to health services with the same medical history or with new and more severe complications. This study aims to explore the experience of healthcare workers and patients in implementing discharge planning for heart failure patients. This study employed a phenomenological design with a qualitative, interpretative approach. The participants consisted of 17 individuals: ten health workers from a private hospital in Pekanbaru, two heart specialists, three nurses, two pharmacists, three nutritionists, and seven patients with heart failure who were planning to return home. Participant recruitment was conducted using a purposive sampling method. Data collection was through in-depth interviews, and data analysis used the Colaizzi analysis stages. Four themes are interrelated with the studied phenomena: the information received by patients regarding discharge planning, specific education for heart failure patients, the challenges faced by healthcare workers in completing the discharge planning form, and the important components of discharge planning for heart failure patients. The experiences of healthcare workers and patients in implementing discharge planning in this study reveal that there are still inadequacies that concern both healthcare workers and patients. The themes identified in this study can contribute to the development of discharge planning forms for heart failure patients. Therefore, this study on healthcare services suggests that it may reduce the recurrence rate of heart failure in patients.
Hubungan Antara Life Style Dengan Prilaku Pengontrolan Tekanan Darah Pada Penderita Hipertensi Fajriati, Yuri Rahma; Utomo, Wasisto; Dewi, Wan Nishfa
Indonesian Research Journal on Education Vol. 5 No. 6 (2025): Irje 2025
Publisher : Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/irje.v5i6.3932

Abstract

Hypertension often presents without noticeable symptoms, causing individuals to be unaware that they have the condition. A person is considered hypertensive when their blood pressure exceeds 140/90 mmHg. Lifestyle factors must be taken into consideration to reduce the incidence of hypertension. This study aims to determine the relationship between lifestyle and blood pressure control behaviors among individuals with hypertension. This research employed a quantitative approach with a descriptive correlational design and a cross-sectional method. The sample consisted of 98 hypertensive respondents selected based on inclusion criteria using a purposive sampling technique. Data were collected using a lifestyle questionnaire developed by the researchers, which had undergone validity and reliability testing, as well as digital sphygmomanometer measurements of blood pressure. Data analysis included univariate and bivariate analyses using the chi-square test. The results showed that the majority of respondents (41 individuals, 80.4%) with a good lifestyle had controlled blood pressure. Meanwhile, most respondents (46 individuals, 97.9%) with a poor lifestyle had uncontrolled blood pressure. Statistical testing indicated a significant relationship, with a p-value of 0.000 < α 0.05. It can therefore be concluded that a good lifestyle among individuals with hypertension is associated with better-controlled blood pressure.
Pengaruh Discharge Planning Terhadap Kesiapan Pulang pada Pasien diabetes Melitus: A Literatur Review: - Sulastri Sulastri; Wan Nishfa Dewi; Sri Wahyuni
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 Mia Mildani Jamil; Wan Nishfa Dewi; Nurul Huda
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.
A Continuity of Care In Post–Coronary Artery Bypass Grafting (Cabg) Patients: A Literature Review Irman Tabroni; Wan Nishfa Dewi; Sri Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51506

Abstract

Latar belakang: Penyakit kardiovaskular, terutama morbiditas dan mortalitas global. Operasi Coronary Artery Bypass Grafting (CABG) dilakukan untuk memulihkan aliran darah miokardium dan fungsi jantung, namun pasien pasca-CABG akan menghadapi keterbatasan mobilitas, kelelahan, nyeri, dan masalah psikososial, sehingga memerlukan Continuity of Care (CoC) setelah pulang dari Rumah Sakit. Tujuan: Memetakan penerapan CoC pasca-CABG, menilai dampaknya terhadap hasil kesehatan dan praktik keperawatan, serta mengidentifikasi faktor-faktor yang mempengaruhi efektivitasnya. Metode: Literature review mengikuti pedoman PRISMA 2020. Pencarian literatur di PubMed, ScienceDirect, ProQuest, dan Google Scholar (2015–2025) menghasilkan 6.429 artikel, dari mana 7 artikel penelitian asli disertakan. Data diekstraksi mencakup karakteristik studi, bentuk intervensi CoC, dan hasil utama. Analisis tematik digunakan, sementara kualitas studi dinilai dengan Joanna Briggs Institute Critical Appraisal Tools. Hasil: Tiga tema utama muncul: 1) Ragam bentuk implementasi CoC (rujukan otomatis, rehabilitasi rawat jalan, tele-rehabilitasi, discharge planning, yoga-based), 2) Dampak terhadap pemulihan klinis, kualitas hidup, dan kemandirian pasien, serta 3) Faktor yang memengaruhi efektivitas (usia, komorbiditas, kesiapan fisik, dukungan keluarga, akses teknologi). Kesimpulan: CoC pasca-CABG efektif mendukung pemulihan klinis, kualitas hidup, dan kemandirian pasien melalui pendekatan multidisiplin, edukasi, dukungan sosial, dan pemanfaatan teknologi.
Pemberian Asuhan Keperawatan pada Masa Pandemi Covid-19 di Ruang Rawat Inap Megawati Kristina Parapat; Wan Nishfa Dewi; Sri Wahyuni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 2 (2022): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i2.192

Abstract

The spread of the coronavirus and the increasing number of Covid cases with various symptoms shown by Covid-19 sufferers are a challenge for nurses in providing nursing services. This study aimed to determine the provision of nursing care delivery during the Covid-19 pandemic. This study employed a descriptive study design. The sample involved was 80 respondents selected using a simple random technique. The nursing care process was collected using a questionnaire that tested its validity and reliability. Data were analyzed using univariate analysis, describing respondents' characteristics and components of nursing care. The results of this study found that the majority of respondents were aged 30 – 45 years (76.2%), female (90%), had a Diploma in nursing education (48.8%) and had working experience of 6-12 years (48.8%). Results of the nursing care have a suitable category consisting of assessment (53,8%), diagnosis (55%), intervention (55%), implementation (58.8%), and evaluation (58.8%). The provision of nursing care during Covid-19 has been carried out satisfactorily. However, this implementation has not reached the Indonesian Ministry of Health standards in providing nursing care.
Continuity of Care for Post-Coronary Artery Bypass Grafting (CABG) Patients: A Literature Review Qodri Alamsyah; Wan Nishfa Dewi; Erika Erika
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1275

Abstract

Post-CABG period is often characterized by medical complications, functional limitations, psychosocial problems, and a high risk of readmission. This review aims to examine the scientific evidence related to continuity of care in post-CABG patients, including the effectiveness of nursing interventions and cardiac rehabilitation in influencing patient outcomes. The method used was a literature review with a narrative approach, through searches of articles in PubMed, Scopus, ScienceDirect, and Google Scholar (2019–2025). Of the 1,863 articles initially identified, 9 met the inclusion criteria and were analyzed thematically. The results show that systematic nursing interventions such as discharge planning significantly reduce readmissions and medical complications, as well as improve quality of life. Home-based, outpatient, and telerehabilitation cardiac rehabilitation programs are effective in improving functional capacity, patient adherence, and productivity. Biopsychosocial support, integration of psychological rehabilitation, and patient participation through shared decision-making enhance coping, satisfaction, and patient engagement. Contextual factors such as geographical location and access to health services also influence outcomes. In conclusion, continuity of care after CABG requires an integrated, multidimensional intervention approach that encompasses physical, psychosocial, and socioeconomic aspects, in order to enhance clinical effectiveness, accelerate recovery, and support patients’ social reintegration.
Hubungan Stres Kerja Dengan Produktifitas Kerja Perawat Puskesmas Di Kota Pekanbaru Selama Masa Pandemi Covid-19 Olivia Indarti; Arneliwati Arneliwati; Wan Nishfa Dewi
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 1 (2023): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i1.1212

Abstract

Pendahuluan: Stres merupakan fenomena umum di tempat kerja saat ini. Banyak survei dan studi membuktikan bahwa tekanan akibat pekerjaan adalah sumber utama terjadinya stres. Stres kerja dapat menimbulkan dampak, dampak stres kerja seperti banyaknya ketidakhadiran, produktivitas kerja yang berkurang. Produktivitas kerja bukan semata-mata ditujukan untuk mendapatkan hasil kerja sebanyak-banyaknya, melainkan kualitas kinerja yang perlu diperhatikan. Penelitian ini memiliki tujuan untuk menganalisis hubungan stres kerja dengan produktifitas kerja perawat puskesmas di kota Pekanbaru selama masa pandemi COVID-19. Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan desain penelitian korelasi dan pendekatan Retrospektif dengan sampel peneltian sebanyak 45 orang dengan menggunakan total sampling. Alat ukur yang digunakan kuesioner stres kerja dan produktifitas kerja . analisis menggunakan univariat dan bivariat menggunakan Chi Square. Hasil: Hasil penelitian menunjukkan bahwa perawat puskesmas mengalami stres sedang (46,7%), dan produktifitas kerja kurang baik (64,4%). Hasil uji Chi Square menunjukkan adanya hubungan antara stres kerja dengan prossuktifitas kerja perawat puskesmas di kota pekanbaru selama masa pandemi COVID-19 dengan p value (0,005) < alpha (0,04). Kesimpulan: Hasil penelitian ini menunjukkan bahwa stres kerja yang dirasakan perawat puskesmas selama masa pandemi COVID-19 mempengaruhi produktifitas kerjanya. Saran: Berdasarkan hasil penelitian ini diharapkan kepada kepala puskesmas untuk tetap memantau perawat agar tidak mengalami stres kerja yang berpengaruh untuk produktifitas kerjanya.
PATIENT SATISFACTION WITH CARDIAC CATHETERIZATION SERVICES Hendri Putra; Wan Nishfa Dewi; Ade Dilaluri
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.
THE EXPERIENCE OF HEALTHCARE WORKERS AND PATIENTS IN THE IMPLEMENTATION OF DISCHARGE PLANNING FOR HEART FAILURE PATIENTS Amoy Amelia Sanusi; Wan Nishfa Dewi; Bayhakki Bayhakki; Sri Wahyuni; Nurul Huda; Erika Erika
Jurnal Keperawatan Vol 10 No 2 (2025): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i2.2283

Abstract

Ineffective discharge planning results in discontinuity of patient care at home. This condition worsens patient outcomes, leading to patients returning to health services with the same medical history or with new and more severe complications. This study aims to explore the experience of healthcare workers and patients in implementing discharge planning for heart failure patients. This study employed a phenomenological design with a qualitative, interpretative approach. The participants consisted of 17 individuals: ten health workers from a private hospital in Pekanbaru, two heart specialists, three nurses, two pharmacists, three nutritionists, and seven patients with heart failure who were planning to return home. Participant recruitment was conducted using a purposive sampling method. Data collection was through in-depth interviews, and data analysis used the Colaizzi analysis stages. Four themes are interrelated with the studied phenomena: the information received by patients regarding discharge planning, specific education for heart failure patients, the challenges faced by healthcare workers in completing the discharge planning form, and the important components of discharge planning for heart failure patients. The experiences of healthcare workers and patients in implementing discharge planning in this study reveal that there are still inadequacies that concern both healthcare workers and patients. The themes identified in this study can contribute to the development of discharge planning forms for heart failure patients. Therefore, this study on healthcare services suggests that it may reduce the recurrence rate of heart failure in patients.
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 Rizka, Yulia Safri Safri Safri Safri Salsabila Putri Aulia Sandra &#039; 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 Yulinda Ronauli Br Manalu Yurike Reza Zukhra, Ririn Muthia