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Impact Of Early Mobilization On Postoprative Pain And Recovery: A Scoping Review Wardani, Noor Ika; Ardiana, Anisah; Rondhianto, Rondhianto
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1167

Abstract

Early Postoperative pain remains a major clinical challenge that can delay recovery, increase healthcare costs, and diminish patients’ quality of life. Despite advancements in surgical techniques and analgesic protocols, many patients still experience moderate to severe pain in the immediate postoperative period. One key non-pharmacological intervention—early mobilization—has been shown to reduce pain intensity, enhance functional recovery, and minimize opioid use. However, the integration of early mobilization into routine postoperative care is frequently hindered by various systemic and patient-related barriers. These include anxiety about pain during movement, lack of staff training, and inconsistent implementation strategies across healthcare settings. As a result, the full benefits of early mobilization remain underutilized, particularly in vulnerable patient populations. This scoping review aimed to explore the clinical effectiveness, implementation challenges, and contextual factors affecting early mobilization in postoperative pain management. A systematic search of PubMed, Proquest, and ScienceDirect databases was conducted for peer-reviewed studies published between 2020 and 2025. Using the Joanna Briggs Institute (JBI) methodological framework, 35 studies out of 870 screened were included in the final analysis. The findings revealed that initiating mobilization within 48–72 hours after surgery significantly reduced pain and accelerated recovery, especially in orthopedic patients. However, patients undergoing abdominal or thoracic surgery experienced delayed mobilization due to incisional pain and mobility limitations. The review also identified key gaps in current research, particularly regarding the long-term effects of early mobilization on chronic pain, recovery sustainability, and its application in elderly or high-risk populations. Addressing these issues requires structured protocols, multidisciplinary involvement, and the adoption of digital health technologies to enhance implementation and accessibility.
Internal and External Factors Influencing Nurses' Compliance in Risk of Fall Prevention Procedures Gunawan, Arif Candra; Wijaya, Dodi; Ardiana, Anisah
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63474

Abstract

Introduction: Nursing care is the most essential element in health services. Professional nurses must provide safe, effective services and participate in maintaining patient safety. Safety for patients is essential because it can increase the value of professionalism. The research aims to analyze internal and external factors regarding nurses' compliance in implementing Standard Operating Procedures to prevent the risk of falls.Methods: This research used an analytical observational design with a cross-sectional approach using a sample of 107 respondents from two hospitals in Jember.Results: The results showed that internal factors influenced nurse compliance in implementing SOP for patients at risk of falling (p-value 0.045). Regarding external factors, it was found that compliance in implementing SOP for patients with fall risk did not have a significant effect (p-value 0.948).Conclusion: Continuous training, effective supervision, and work environment support are important to increase nurses' compliance in implementing SOPs to prevent falls. This research recommends strengthening hospital training and supervision strategies to increase nurse compliance, ultimately improving overall patient safety.
The Relationship between Stress of Working during The COVID Pandemic with The Quality Of Life (QoL) of Nurses at Grade III Hospital Pamela, Cyrilla Ayu; Ardiana, Anisah; Kurniawan, Dicky Endrian
JURNAL CITRA KEPERAWATAN Vol 10 No 2 (2022): JURNAL CITRA KEPERAWATAN Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v10i2.217

Abstract

Kondisi stres kerja perawat pada masa pandemi COVID-19 perlu diperhatikan dikarenakan dapat mempengaruhi kualitas pelayanan keperawatan yang diberikan. Stres kerja dapat memberikan dampak negatif diantaranya yaitu tidak masuk kerja, keluar dari pekerjaan dan penurunan kinerja jabatan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara stres kerja dengan kualitas hidup selama masa pandemi COVID-19. Penelitian ini menggunakan deskriptif korelasi dengan pendekatan cross sectional dan dianalisis dengan Spearman Rank. Sampel penelitian ini menggunakan teknik total sampling dengan melibatkan 49 perawat dari ruang rawat inap. Penelitian ini menunjukkan bahwa terdapat 38 (77,6%) perawat memiliki tingkat stres dalam kategori normal dan 44 (90%) perawat dengan kualitas hidup baik. Hasil analisis korelasi menunjukkan bahwa terdapat hubungan antara stres kerja dengan kualitas hidup perawat dengan p value 0,00 < 0,05. Selain itu diperoleh nilai koefisien korelasi sebesar -0,803 yang berarti terdapat hubungan yang sangat kuat dan tidak searah antara stress kerja dengan kualitas hidup yang artinya semakin rendah stres kerja maka semakin meningkat kualitas hidup perawat. Stres kerja perawat merupakan salah satu faktor yang dapat mempengaruhi kualitas hidup yang akan berdampak pada kinerja perawat di rumah sakit. Perawat hendaknya meningkatkan kemampuan diri baik dalam hal pengetahuan maupun ketrampilan dalam membangun koping yang adaptif terutama saat pandemi COVID-19 ini sehingga dapat menurunkan tingkat stres kerja perawat. Rumah sakit perlu menciptakan suasana dan lingkungan kerja yang saling mendukung sehingga dapat menurunkan tingkat stres kerja di tempat kerja bagi perawat yang akan mempengaruhi kualitas hidupnya. Oleh karena itu, pelatihan manajemen stres pada perawat dianggap penting guna menurunkan tingkat stres kerja perawat.
Analisis Kelelahan Kerja dan Kejadian Kecelakaan Kerja pada Petani Padi di Desa Ajung Kecamatan Ajung Kabupaten Jember Arifatunnahriyah, Octavia; Ardiana, Anisah; Asmaningrum, Nurfika; Purwandari, Retno; Kurniawan, Dicky Endrian
Jurnal Promotif Preventif Vol 7 No 4 (2024): Agustus 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i4.1411

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Kelelahan kerja yang terjadi secara terus menerus pada petani padi akan berdampak pada keselamatan kerja yang ditandai dengan semakin meningkatnya kesalahan ketika bekerja yang dapat mengakibatkan terjadinya kecelakaan kerja. Tujuan penelitian ini adalah untuk menganalisis kelelahan kerja dan kejadian kecelakaan kerja yang terjadi pada petani padi di Desa Ajung Kecamatan Ajung Jember. Metode yang digunakan yaitu kuantitatif berdasarkan 283 petani padi yang diambil melalui teknik cluster sampling. Pengambilan data menggunakan kuesioner Fatigue Severity Scale dan kuesioner Kecelakaan Kerja. Hasil penelitian menunjukkan bahwa 74,9% responden mengalami kelelahan kerja. Peringkat kejadian kecelakaan kerja tertinggi berdasarkan jenisnya yang terjadi pada responden yaitu tergelincir dengan nilai indeks sebesar 1,95. Berdasarkan objeknya yaitu karena alat pertanian dengan nilai indeks 1,95. Berdasarkan sifat luka yaitu luka ringan dengan nilai indeks 2,17. Berdasarkan letak lukanya adalah luka pada daerah tangan dengan nilai indeks 1,99. Berdasarkan hasil penelitian tersebut, responden sebagian besar mengalami kelelahan kerja dan mengalami beberapa kejadian kecelakaan kerja yang bervariasi. Adapun upaya yang dapat dilakukan sebagai tenaga kesehatan yaitu dengan memberikan pendidikan kesehatan terkait dampak yang ditimbulkan kelelahan kerja dan upaya untuk menjaga keselamatan diri dalam meminimalisir kejadian kecelakaan kerja.
Pengaruh Edukasi terhadap Kecemasan Pasien Kanker Kolorektal pada Kemoterapi Pertama Kali: Studi Kasus Azkiya, Mohammad Wavy; Ardiana, Anisah; Afandi, Alfid Tri
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Mei 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i1.934

Abstract

Kecemasan sebelum pengobatan adalah masalah umum di antara pasien yang menjalani kemoterapi untuk pertama kalinya. Kurangnya pengetahuan dan informasi mengenai proses pengobatan seringkali menjadi pemicu kecemasan tersebut. Penelitian ini bertujuan untuk menganalisis dampak edukasi dalam mengatasi kecemasan pada pasien kanker kolorektal yang menjalani sesi kemoterapi pertama di Ruang Bunaken RSUD Dr. Saiful Anwar Malang. Metode yang digunakan adalah analisis kualitatif dengan pendekatan studi kasus. Intervensi dan edukasi keperawatan pada pasien kemoterapi kanker kolorektal diberikan pada awal pengkajian menggunakan Hamilton Anxiety Rating Scale (HARS) dengan skor 21 (kecemasan sedang). Setelah diberikan edukasi, tingkat kecemasan menurun hingga skor HARS 9 (kecemasan ringan). Edukasi yang diberikan kepada pasien kemoterapi kanker kolorektal dapat secara efektif menurunkan tingkat kecemasan pada sesi pertama kemoterapi. Peran perawat sebagai pendidik sangat penting dalam menyampaikan informasi yang diperlukan untuk meningkatkan pengetahuan pasien dan kesiapan pengobatan. Kehadiran dan kesiapan perawat dalam mengelola efek samping kemoterapi berkontribusi terhadap keselamatan pasien. Dukungan keluarga, sebagai wadah untuk berbagi perasaan, kekhawatiran, dan harapan, dapat membantu meringankan beban kecemasan.
The Instruments Measuring Nurses’ Posttraumatic Growth During the Covid-19 Pandemic: A Scoping Review Handoko, Yudho Tri; Asmaningrum, Nurfika; Ardiana, Anisah
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3316

Abstract

Posttraumatic growth (PTG) refers to positive psychological changes that occur in individuals who have experienced traumatic events, such as nurses battling an underpressure situation during the COVID-19 pandemic. The attempts at measuring PTG are still limited due to the lack of instruments that suit natural variations caused by culture or language adaptation and sampling types. Although there are many studies regarding PTG, no comprehensive review has been found to identify the instrument measuring nurses' posttraumatic growth. Objective: The study aimed to identify research on instruments measuring nurses’ PTG during the COVID-19 pandemic. Method: Five online databases (PubMed, Wiley Online Library, Proquest, Science Direct, and Google Scholar) were put under analysis to identify studies that report information on instruments measuring nurses’ PTG. Only studies published between 2020-2024 were involved in the analysis. The selection process was done using Preferred Reporting Items for Systematic Reviews (PRISMA). Results: From the identification process, authors found 6,589 articles and after going through the screening and eligibility stages 24 studies were included in this review. Exploring PTG among nurses involves examining how they reflect upon and derive meaning from their experiences during challenging circumstances. Several instruments to measure PTG among nurses were identified, inter alia, Posttraumatic Growth Inventory (PTGI), Posttraumatic Growth Inventory Chinese versions (PTGI-C), Posttraumatic Growth Inventory-Expanded (PTGI-X), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Turkish, Polish, and Korean versions of PTGI. Conclusion: In general, the original version of PTGI has been adapted and translated into several languages to measure PTG among nurses during the COVID outbreak.
Transitional Care for Improving Health Care Quality in Hospital: A Literature Review Iriawandani, Debie Saktyana; Ardiana, Anisah; Rondhianto, Rondhianto
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4832

Abstract

The transition of care from hospital to home is a critical period for patients, especially those with chronic conditions such as heart failure. During the transition period, patients often experience difficulties managing their disease, which can lead to an increased risk of rehospitalization. This literature review aims to analyze scientific evidence about the effectiveness of transitional care interventions in improving the quality of health care in hospitals, especially for patients with chronic conditions. The method of this study is a literature review. This study used electronic databases such as PubMed, ScienceDirect and Google Scholar. The selected articles are quantitative research articles published within the last 5 years available in full text and not the result of a review. The results of the review show that transitional care interventions have a significant positive impact on the quality of health care. This intervention can increase self-management, treatment adherence and patient satisfaction with heart failure. Some components of effective interventions include patient education, care coordination, outpatient follow up and social support. Transitional care interventions are an effective strategy to improve the quality of health care, especially in patients with chronic conditions. The implementation of a comprehensive transitional care program in hospitals needs to continue to be improved to achieve optimal results.
Measurement of Spiritual Care Competence: A Literature Review Kurniasih, Wahyu; Wijaya, Dodi; Ardiana, Anisah
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6074

Abstract

The measurement of spiritual care competence is a crucial aspect of healthcare, particularly in nursing and mental health settings, where holistic care is emphasized to achieve well-being for patients, especially those with terminal conditions. However, determining the appropriate instrument to measure spiritual care competence in nurses is not an easy task. This study aims to identify the most suitable instruments for measuring spiritual care competence in nurses in Indonesia. The method used in this study is a literature review. The keywords used to search for relevant journals are "Nurse" AND "Competence" AND "Spiritual Care." The researcher utilized the Scopus, ScienceDirect, PubMed, and ProQuest databases. The journals included in the review are limited to those published in the last five years over the period from 2020 to 2024 and written in English. Initially, 2,301 journal articles were identified; following a screening and elimination process, 12 articles were selected as suitable for inclusion in this research. This study identified 2,301 journals, which were subsequently filtered for duplicates, irrelevant content, and interventions, resulting in 12 relevant journals. The review found that the instruments used to measure nurses' competence in spiritual care included the Spiritual Care Competence Scale (SCCS), the Spirituality and Spiritual Care Assessment Scale (SSCAS), the Spiritual Care Rating Scale (SSCRS), and the Spiritual Care-Giving Scale (SCGS). This review indicates that the variation in the use of instruments to measure nurses' competence in providing spiritual care is due to differences in respondent characteristics, as well as variations in beliefs and cultures.
Evaluating the Impact of the Primary Nursing Care Model on Nursing Outcomes: A Scoping Review Agustina, Baiq Linda; Ardiana, Anisah; A'la, Muhamad Zulfatul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6077

Abstract

The Primary Nursing Care Model (PNCM) aims to enhance continuity of care, nurse autonomy, and therapeutic nurse-patient relationships. While widely implemented, its outcomes vary across settings, requiring a comprehensive assessment of its broader impact on nursing outcomes. This scoping review examines the influence of PNCM on patient care quality, nurse competence, and patient satisfaction in diverse healthcare environments. This study aims to explore and analyze the impact of PNCM on nursing outcomes, focusing on patient care quality, nurse competence, and patient satisfaction. Additionally, it seeks to identify existing research gaps and provide insights into the model’s effectiveness across different healthcare settings. A systematic search was conducted in ProQuest, ScienceDirect, and PubMed for studies published between January 2020 and December 2024. From 880 identified articles, 212 underwent full-text screening, and 15 met the final inclusion criteria based on the Joanna Briggs Institute (JBI) framework. The review focuses on studies involving nurses and patients in hospitals, outpatient clinics, and community healthcare settings where PNCM is implemented. Key outcomes assessed include patient care quality, nurse competence, and patient satisfaction. PNCM enhances nursing outcomes by strengthening nurse-patient relationships, improving competence, and fostering a safety culture. It reduces care fragmentation, increases nurse accountability, and promotes holistic care. However, research gaps persist in evaluating long-term outcomes and its application to vulnerable populations. PNCM is effective in improving nursing outcomes and patient satisfaction. Further research should explore its long-term impact and adaptation for underserved populations to optimize its benefits.
The Factors Causing Work Fatigue among Nurses after COVID-19 Vaccination Afandi, Alfid Tri; Kurniawan, Dicky Endrian; Nur, Kholid Rosyidi Muhammad; Ardiana, Anisah; Asmaningrum, Nurfika; Purwandari, Retno
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51289

Abstract

Introduction: Work fatigue is a risk for all workers, including nurses, who are constantly working to help meet patient needs. The effects of work fatigue when providing nursing care to patients can have an impact on reducing the quality of work so that it can impact patient satisfaction in receiving services. The aims of the study are to determine the factors that cause work fatigue in nurses after the COVID-19 vaccination program. Method: This research used an observational design with a descriptive-analytical approach. The location of this research is hospitals in Jember with a population of nurses who work in hospital inpatient rooms using a simple random sampling technique. The total number of respondents obtained was 165 nurses. The research instrument used in data collection was the Job Fatigue Feelings Questionnaire, which had been modified from KAUPK2 and consisted of 17 question items. Statistical analysis in this research uses a constant comparative method. Results: Based on the demographic data of respondents as an item from the analysis of nurses' work fatigue, it was found that age, education, and working period influence the level of work fatigue (p=0.01; p=0.04; p=0.04) while gender, marriage, employment, and position didn’t influence the work fatigue of nurses (p=0.82; p=0.93; p=0.14; p=0.48). Conclusion: Work fatigue can affect the performance of nurses. The most influencing factors were age, education, and working period, while marital status, employment, nursing position in work, and gender did not influence the level of work fatigue of nurses.
Co-Authors Afandi, Alfid Agustina, Baiq Linda Ahmad Rifai Alfid Tri Afandi Allyarista, Dhea Firnanda Airin Alvinda Apriliatul Jannah Ardiyan Dwi Masaid Arif Candra Arifatunnahriyah, Octavia Aziz Putra Adhitama Azkiya, Mohammad Wavy Bagus Setyo Prabowo Candrayani, Melis Darmawan , I Kade Iman Dewi Aminah Dewi Gayatri Dini Kurniawati Diyah Ayuningrum Amini Dodi Wijaya Dwi Masahid, Ardiyan Dwi Nuria Arifin Dwi Wahyuni Endrian Kurniawan, Dicky Essy Sonontiko Sayekti Fariasih, Cucik Faridayanti, Erny Fauzatul Walidanik Gunawan, Arif Candra Hadi Prayitno, Hadi Hafan Sutawardana, Jon Handoko, Yudho Tri Hanny Rasni Ika Mardiyah Bratajaya Intan Ayu Nur Aini Iriawandani, Debie Saktyana Jannah, Latifah Nur Junaiti Sahar Kurnia Rahmawati Kurniasih, Wahyu Lantin Sulistiyorini, Lantin Mariatul Rochmawati Nuris Wahyuni Masahid, Ardiyan Dwi Meriroja, Agus Moh Halim Mukhlasin Muhamad Zulfatul A’la Muhammad Nur Khamid Muhammad Nur, Kholid Rosyidi Naela Farah Anisa Nafisatus Shofiyyah Ninna Rohmawati Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nuril Hudha Al Anshori Nurul Izzah Regita Cahyani Pamela, Cyrilla Ayu Prestasianita Putri Rahmawati, Iis Rakasiwi, Sabella Reiza Agustina Wulandari Retno Purwandari Retno Purwandari Retno Purwandari Riezky Dwi Eriawan Rondhianto Rondhianto Roymond H Simamora Sasi, Nugroho Pamungkas Sayekti, Essy Sonontiko Setyoningsih, Dies Rut Sofyan Nurdiansyah Suparman Suparman Suparman Suparman Suparman SUTRISNO Suyanti Suyanti Tantut Susanto Taufan Citra Darmawan Tri Gunarto, Sugito Umi Latifah Wahyuni, Mariatul Rochmawati Nuris Wahyuni, Mariatul Rochmawati Nuris Wantiyah Wantiyah Wardani, Noor Ika Widodo Eko Putra, Wisnu Yeni Pusparini Yudho Tri Handoko Yulia Kurniawati