Erfina Erfina
Faculty Of Nursing Universitas Hasanuddin, Makassar 90245

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Pengalaman Perempuan Setelah Menjalani Terapi Kanker Serviks Erfina Erfina; Yati Afiyanti; Imami Nur Rachmawati
Jurnal Keperawatan Indonesia Vol 13 No 3 (2010): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i3.246

Abstract

AbstrakKanker serviks merupakan salah satu keganasan pada sistem reproduksi perempuan. Tujuan penelitian ini adalah mengungkap makna dari pengalaman perempuan setelah menjalani terapi kanker serviks. Penelitian kualitatif ini dilakukan dengan menggunakan metode fenomenologi. Delapan orang partisipan yang dipilih secara purposive sampling di poliklinik RSX Jakarta. Penelitian ini mengidentifikasi lima tema yang menggambarkan makna pengalaman perempuan setelah menjalani terapi kanker serviks yaitu berbagai dampak setelah menjalani terapi, adaptasi untuk mengurangi keluhan fisik setelah terapi, harapan terhadap kehidupan setelah menjalani terapi, dukungan sosial, dan persepsi terhadap pelayanan kesehatan yang diperoleh. Berdasarkan hasil penelitian ini diharapkan perawat meningkatkan pelayanan keperawatan bagi perempuan bukan saja pada selama sakit dan menjalani terapi, tetapi juga setelah menjalani terapi kanker serviks. AbstractCervical cancer is one of the malignancies in the female reproductive system. The aim of this research is to reveal the meaning of the experiences of women after cervical cancer therapy. This qualitative research was conducted using phenomenological methods. Eight participants were recruited by purposive sampling in the clinic of obstetric and gynecology at X hospital Jakarta. This study identified five themes that describe the meaning of experiences of women after cervical cancer therapy are the adverse effects after therapy, adaptation to reduce physical complaints after therapy, the hope of life after therapy, social support, and perception of health care. This research’s findings suggest that nurses are needed to improve nursing services for women not only on illness and therapy, but also after cervical cancer therapy.
Factors Related Health Status Among Pregnant Women With Confirmed Covid-19 In South Sulawesi, Indonesia Erfina Erfina; Suni Hariati; Kusrini Semarwati Kadar; Numaulid Nurmaulid; Andriani Andriani
(JKG) Jurnal Keperawatan Global (JKG) Jurnal Keperawatan Global Volume 6 Nomor 2 Tahun 2021
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v0i0.351

Abstract

Background: Pregnant women are a vulnerable population to COVID-19 due to the high pathogenesis of the disease and its effects on pregnancy. Various studies have been conducted regarding pregnant women during the COVID-19 pandemic. However, limited studies regarding health status of pregnant women with confirmed COVID-19. This study was to identify factors related health status among pregnant women with confirmed COVID-19 in South Sulawesi. Methods: Quantitative study with Cross Sectional design was conducted in this study. The sampling technique was non-probability sampling with a total sample of 37 pregnant women who were confirmed to be COVID-19. Data collection using google forms and data collection entry points from several health centers in Makassar. This variable evaluated with questionnaire by asking what the treatment status when confirmed COVID-19 (hospitalized or quarantine at home). The explanatory variable was maternal age, gestational age at confirmed COVID-19, parity, occupation, family income, frequency of confirmed COVID-19 and those variables were assessed by questionnaire. Bivariate analysis was analyzed using Chi-Square. Results: There was significant correlation between gravidity with health status among pregnant women with confirmed COVID-19 (P=0.040, OR=4.667, 95%CI ). There were no significant correlation between education, employment status, type of employment, and family income with health status among pregnant women with confirmed COVID-19 (P=0.19, P=0.19, P=0.793, P=0.503, 95%CI ). Conclusion: Identification of factors and descriptions of pregnant women with confirmed COVID-19 is important to provide an overview to nurses and other health workers as early detection and efforts to provide interventions to improve maternal and fetal outcomes.
The Quality of Life of Patients With Cervical Cancer at Dr. Wahidin Sudirohusodo Makassar Hospital Eta Mardiana; Erfina Erfina; Nurmaulid Nurmaulid
Indonesian Contemporary Nursing Journal Volume 1 No. 1 Agustus 2016
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.422 KB) | DOI: 10.20956/icon.v1i1.3301

Abstract

Introduction: Cervical cancer is an abnormal growth of cells on the cervix. Women diagnosed with cervical cancer will experience changes in terms of physical, psychological, spiritual, social interaction and also in sexual function. Disability to fulfill these functions will also affect the level of quality of life of patients. This study aims to determine the factors associated with quality of life of patients with cervical cancer at the Hospital Dr. Wahidin  Sudirohusodo. Method: The study design using correlational analytic studies using cross-sectional design. Sampling using accidental sampling, the number of respondents as many as 32 people. The instrument of this study using a questionnaire quality of life and family support. Statistical test used was chi-square with significance level α=0.05, Result: Analysis showed bivariate relationship quality of life with cancer stage p=0.646 (p>α), earnings quality of life with patients p=0.296 (p>α), marital status with quality of life p=0.550 (p>α), education with quality of life p=0.002 (p<α), work with quality of life of p=0.023 (p<α) and family support with quality of life p=0.035 (p<α). Conclusion: There is no relationship between stage of cancer, income, marital status with quality of life, but there is a relationship of education, employment, and family support with quality of life of patients with cervical cancer at the Hospital Dr. Wahidin Sudirohusodo. Because that, the family should be able to provide maximum support to the patient in order to improve quality of life of patients.
Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia Kusrini Semarwati Kadar; Fitrah Ardillah; Arnis Puspitha; Erfina Erfina
Jurnal Keperawatan Indonesia Vol 25, No 1 (2022): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v25i1.1695

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Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of home care services, nurses’ roles in home care services, perceived barriers, and community benefits. Despite some barriers, the home care programs delivered by health care professionals including nurses in Puskesmas in Makassar City have been well implemented in accordance with the guidelines. On the basis of the obstacles faced by the nurses, one recommendation is for the government to provide specific guidelines on the types of patients to be included in these services. The government also needs to ensure that the community knows the types of patients’ condition who can avail these services.Abstrak Implementasi Pelayanan Perawatan di Rumah (Home Care) oleh Puskesmas di Kota Makassar, Indonesia. Pelayanan perawatan di rumah (home care) oleh petugas kesehatan seperti dokter, perawat, dan petugas kesehatan lainnya bertujuan untuk memberikan pelayanan kesehatan meliputi pendidikan kesehatan, pengkajian fisik, atau memberikan terapi fisik ataupun pengobatan. Penelitian ini bertujuan untuk mengevaluasi kesesuaian antara implementasi pelaksanaan pelayanan home care di kota Makassar dengan petunjuk teknis pelaksanaan home care dari pemerintah. Penelitian ini adalah penelitian deskriptif kualitatif dengan melakukan wawancara mendalam kepada 15 orang perawat dari beberapa Puskesmas di kota Makassar, Indonesia, yang terlibat dalam kegiatan pelayanan home care minimal selama satu tahun. Terdapat empat tema utama yang ditemukan dalam penelitian ini antara lain, pengelolaan home care, peran perawat dalam pelaksanaan home care, hambatan dalam pelaksanaan home care, dan manfaat dari pelaksanaan home care di kota Makassar. Secara umum, pelaksanaan kegiatan home care sudah dilaksanakan sesuai petunjuk teknis dengan baik oleh perawat di Puskesmas kota Makassar walaupun masih ada beberapa hambatan dalam pelaksanaan kegiatan ini. Pemerintah diharapkan membuat petunjuk pelaksanaan (SOP) yang lebih jelas terkait pelaksanaan kegiatan ini atau melakukan pembaharuan regulasi terkait program ini. Kata Kunci: home care, peran perawat, puskesmas
Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia Kusrini Semarwati Kadar; Fitrah Ardillah; Arnis Puspitha; Erfina Erfina
Jurnal Keperawatan Indonesia Vol 25 No 1 (2022): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v25i1.1695

Abstract

Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of home care services, nurses’ roles in home care services, perceived barriers, and community benefits. Despite some barriers, the home care programs delivered by health care professionals including nurses in Puskesmas in Makassar City have been well implemented in accordance with the guidelines. On the basis of the obstacles faced by the nurses, one recommendation is for the government to provide specific guidelines on the types of patients to be included in these services. The government also needs to ensure that the community knows the types of patients’ condition who can avail these services.   Abstrak Dokumentasi Asuhan Keperawatan pada Rumah Sakit Terakreditasi. Dokumentasi asuhan keperawatan dinilai dalam akreditasi rumah sakit karena berisi seluruh tindakan keperawatan dan mencerminkan kualitas asuhan keperawatan yang diberikan. Akreditasi rumah sakit terdiri atas tiga fase yaitu fase persiapan, implementasi, dan pasca akreditasi. Pada tahap pasca akreditasi, biasanya terjadi penurunan kualitas pelayanan. Penelitian ini menelusuri kualitas dokumentasi asuhan keperawatan di Rumah Sakit X yang terakreditasi paripurna dengan menggunakan desain deskriptif kuantitatif melalui pendekatan retrospektif. Sebanyak 292 sampel dokumen diperoleh dengan teknik simple random sampling. Data dikumpulkan dengan menggunakan Instrumen Evaluasi Asuhan Keperawatan oleh Departemen Kesehatan Republik Indonesia. Hasil penelitian menunjukkan kualitas dokumentasi keperawatan tidak baik, dengan pencapaian rata-rata 80,81%. Komponen implementasi merupakan yang paling banyak terisi, sedangkan intervensi dan catatan asuhan keperawatan paling sedikit terisi. Sebagian besar indikator faktual memiliki kualitas yang baik, tetapi catatan lain memiliki kelengkapan yang buruk. Indikator observasi kualitas dokumentasi perlu dikaji ulang untuk mengetahui faktor-faktor yang memengaruhi penurunan kualitas dokumentasi keperawatan. Rumah sakit perlu meninjau dan meningkatkan dokumentasi keperawatan untuk mencegah penurunan kualitas dalam survei pasca akreditasi. Penggunaan teknologi informasi untuk dokumentasi dapat membantu perawat karena adanya standarisasi bahasa dan sistem yang saling terkait memfasilitasi dokumentasi seluruh proses perawatan, dan dengan demikian meningkatkan kelengkapannya. Kata Kunci: akreditasi, asuhan keperawatan, dokumentasi keperawatan, rumah sakit
Tantangan dan Hambatan Perawat Manajer dalam Penerapan Evidence Based Practice: A Scoping Review Musdalipa Kendeng; Erfina Erfina; Saldy Yusuf
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.337 KB) | DOI: 10.32583/keperawatan.v15i1.703

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Perawat manajer merupakan faktor pendukung dalam penerapan EBP pada layanan asuhan keperawatan. Berbagai penelitian terkait hambatan penerapan EBP hanya membahas mengenai hambatan yang dialami oleh perawat. Tujuan penelitian ini untuk memetakan penelitian yang telah dilakukan terkait tantangan dan hambatan perawat manajer dalam penerapan EBP. Scoping review ini menggunakan panduan PRISMA-ScR. Artikel diperoleh dari PubMed, Cochrane, ERIC dan Wiley Online Library dengan kriteria population: nurse manager OR nurse administrator, concept: evidence based practice OR evidence based management  dan context: challenge OR barrier. Batasan yang diterapkan adalah artikel jurnal, publikasi tahun 2016-2021 dan memiliki full text. Dari hasil pencarian ditemukan 35.369 artikel. Artikel yang memenuhi kriteria kelayakan sebanyak enam artikel. Tantangan penerapan EBP yakni kurangnya partisipasi pasien, pengembangan kepemimpinan, kurang terbiasa dengan kegiatan EBP dan anggapan bahwa EBP merupakan aktivitas rasional dan metode perawatan yang efektif. Hambatan penerapan EBP yakni kurangnya dukungan manajemen, sumber daya dan kompetensi terkait EBP, serta gaya kepemimpinan.
Analisis Faktor Risiko Tindakan Restrain pada Pasien Rawat Inap dengan Gangguan Jiwa Jumriani Jumriani; Rini Rachmawaty; Erfina Erfina
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6712

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This literature review aims to summarize research results regarding risk factors for restraint in hospitalized mental disorder patients. The literature search used seven databases, namely PuBmed, EBSCOhost, ProQuest, ScienceDirect, Garuda; Google Scholar; and Wiley in the 2013-2023 range. As a result of the research, eleven studies were included in the review, where increased restraint risk factors were divided into three: 1) sociodemographic characteristics (immigrant patients, male, young age, married, rural background, and low socioeconomic); 2) clinical factors (active and aggressive behavior, psychotic/bipolar disorders, cognitive and mood disorders, previous psychiatric disorders, long hospitalization and previous hospitalization, and alcohol/drug dependence); 3) referral factors (forced referrals from emergency departments, from outpatient centers/private doctors, and police referrals). In conclusion, there are three factors that can increase the risk of restraint, namely: sociodemographic characteristics, patient clinical factors, and referral factors. Keywords: Mental Disorder Patients, Hospitalization, Restraint
Analisis Pelaksanaan Komunikasi Efektif SBAR Perawat dan Dokter Nirta Aprila Paembonan; Erfina Erfina; Ariyanti Saleh
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6715

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The aim of this research is to map research results related to the implementation of effective SBAR communication between nurses and doctors. The research method used, namely Scoping Review, was used to map the literature using PRISMA guidelines. The synthesis method uses PCC modification. Articles obtained from the Google Scholar search engine as well as the electronic databases PubMed and ScienceDirect. Search results, from 87 relevant articles with titles and abstracts, 6 articles were found that met the inclusion and exclusion criteria. The research results found that the analysis of the implementation of effective SBAR communication between nurses and doctors contained seven themes, namely patient safety and satisfaction, lack of self-confidence, environment, lack of interpersonal communication, lack of training, and work safety climate. In conclusion, effective communication and collaboration between doctors and nurses is very necessary in managing and limiting disturbances that can endanger patient safety and the continuity of safe care for at-risk patients. Keywords: Implementation Analysis, Effective Communication, SBAR
Evaluasi Pelaksanaan Discharge Planning pada Pasien Diabetes Melitus Martini Martini; Erfina Erfina; Saldy Yusuf
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7021

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The aim of this review is to map the discharge planning implementation model and its effects. The research method uses a literature review by searching for appropriate articles in scientific databases, namely PubMed, EBSCO, ScienceDirect and Garuda using keywords based on the Population method: Diabetes mellitus; Concept: Discharge Planning and Context: Hospital. As a result of the research, after searching for articles, 44 articles were found that matched the research questions and resulted in 20 articles to be included in this review. Evaluation of the discharge planning implementation model used a research design of 7 RCT studies, 5 quasi-experimental studies, 3 cross-sectional studies, 2 retrospective studies, 1 qualitative study, 1 cohort study, and 1 comparative descriptive study. We identified several models for evaluating the implementation of discharge planning in DM patients. In conclusion, the evaluation model for implementing discharge planning in the form of training and education can increase knowledge and compliance with treatment as well as glycemic control. Keywords: Discharge Planning, DM Patients, Hospital
Hospitalized children with COVID-19 confirmed: A pilot study Hariati, Suni; Erfina; Nurmaulid; Kadar, Kusrini Semarwati; Andriani; Hasniar
Pediomaternal Nursing Journal Vol. 9 No. 1 (2023): VOLUME 9 NO 1 MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v9i1.38172

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Introduction: The number of children confirmed with COVID-19 in Indonesia remains high compared to other countries (12.2%). 13.6% of all cases are hospitalized in quarantine rooms. This study aims to describe children with confirmed COVID-19 who have been hospitalized in Makassar, Indonesia.Methods: This pilot study was conducted in Makassar City, one of the cities in Indonesia with a high number of COVID-19 cases, in October 2021. A total of 25 children participated through consecutive sampling. This study consisted of children hospitalized in January-August 2021 who had confirmed COVID-19 and were admitted to quarantine or non-quarantine rooms. Inclusion criteria were children under 18 years old and parents who volunteered to complete the questionnaire based on COVID-19 prevention and control guidelines. The questionnaire focused on child and parent characteristics, COVID-19 symptoms, and the number of confirmed cases. Results: Of the 25 children hospitalized with confirmed COVID-19, 76% were hospitalized in quarantine rooms, 72% were boys, and their ages ranged from 0 to 13 years. The average number of siblings was 2.64±1.63, and the average length of hospital stay was 7.88±3.03 days. The most common symptoms were fever (68%), cough (44%), and diarrhea (28%). The majority of children had two symptoms (40%), were confirmed with COVID-19 once (84%), and were hospitalized one time (95%).Conclusions: The main characteristics of hospitalized children with confirmed COVID-19 are non-school age and boys. They have multiple symptoms, and fever is the most common. A holistic approach to treating all children hospitalized with COVID-19 should be taken. This study can be used as a baseline for formulating strategies and guidelines for preventing prolonged effects and treating hospitalized children with COVID-19.Keywords: COVID-19 in children; confirmed children; COVID-19 symptom; hospitalized children