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Journal : Jurnal NERS

Patients Empowerment Based on Experimential Learning to Behavior of Acute Compilation Prevention and Blood Glucose Levels of Patients DM Ernawati, Nunung; Suharto, Suharto; Dewi, Yulis Setiya
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.787 KB) | DOI: 10.20473/%oj.Ners102%y256-264

Abstract

Introduction: Acute complications are common in patients with Diabetes Mellitus (DM). To improve the behavior prevention of complications and control blood sugar levels, patients need to be equipped with knowledge about the disease process to built a positive attitude and good behavior. The aim of this study was to analyze the effect of patient empowerment based on experiential learning behavior on the prevention of complications and blood sugar levels. Methods: This study used a quasi-experimental design with pre-post test approach using control groups. Samples were 46 diabetic patients who take control in poly RS Mardi Waluyo Blitar taken by consecutive sampling. Data were collected using a questionnaire and checklist recall. Data were analyzed using paired t test, wilcoxon signed rank test and mann whitney. Results: The patient empowerment-based experiential learning have a significant impact on the behavior of prevention of complications. Discussion: Methods of experiential learning can be applied to improve the self-care of patients, especially those who have experienced an acute complications, so the patient is easier to implement behavioral prevention of complications and control blood sugar levels.Keywords: patient empowerment, experiential learning, behavioral prevention, blood glucose
Patient Safety Based Knowledge Management SECI to Improve Nusrsing Students Competency Harianto, Joanggi Wiriatarina; Nursalam, Nursalam; Dewi, Yulis Setiya
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.275 KB) | DOI: 10.20473/%oj.Ners102%y324-331

Abstract

Introduction: Patient safety is an important component of health services quality,and  basic principles of patient care. Nursing students also have a great potential to make an action that could endanger the patient, because hospital is one of student practice area. The purpose of this study was to improve the nursing students competency in patient safety by using knowledge management SECI approached. Method: The study used exploratory survey, and quasy experiment. The samples were some of nursing students of STIKes Muhammadiyah Samarinda who were on internship programme that selected using simple random sampling technique, in total of 54 students. This research’s variables were the knowledge management SECI based-patient safety and nursing student’s competency. The data were collected by using questionnaires and observation. The data were analyze by using Partial Least Square (PLS). Result: The result showed that there were significant influence the implementation of a model patient safety based knowledge management seci on increased competence nursing students. Discussion: Improved student competency in patient safety using SECI knowledge management was carried out in four phases, that is Socialization, Externalization, Combination, and Internalization. The result was a new knowledge related to patient safety that able to improve the student’s competency..Keywords: Patient safety, Knowledge management, SECI, competency
Patients Empowerment Based on Experimential Learning to Behavior of Acute Compilation Prevention and Blood Glucose Levels of Patients DM Nunung Ernawati; Suharto Suharto; Yulis Setiya Dewi
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.787 KB) | DOI: 10.20473/jn.v10i2.1321

Abstract

Introduction: Acute complications are common in patients with Diabetes Mellitus (DM). To improve the behavior prevention of complications and control blood sugar levels, patients need to be equipped with knowledge about the disease process to built a positive attitude and good behavior. The aim of this study was to analyze the effect of patient empowerment based on experiential learning behavior on the prevention of complications and blood sugar levels.Methods: This study used a quasi-experimental design with pre-post test approach using control groups. Samples were 46 diabetic patients who take control in poly RS Mardi Waluyo Blitar taken by consecutive sampling. Data were collected using a questionnaire and checklist recall. Data were analyzed using paired t test, wilcoxon signed rank test and mann whitney.Results: The patient empowerment-based experiential learning have a significant impact on the behavior of prevention of complications.Discussion: Methods of experiential learning can be applied to improve the self-care of patients, especially those who have experienced an acute complications, so the patient is easier to implement behavioral prevention of complications and control blood sugar levels.
Patient Safety Based Knowledge Management SECI to Improve Nusrsing Students Competency Joanggi Wiriatarina Harianto; Nursalam Nursalam; Yulis Setiya Dewi
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.275 KB) | DOI: 10.20473/jn.v10i2.1404

Abstract

Introduction: Patient safety is an important component of health services quality,and  basic principles of patient care. Nursing students also have a great potential to make an action that could endanger the patient, because hospital is one of student practice area. The purpose of this study was to improve the nursing students competency in patient safety by using knowledge management SECI approached.Method: The study used exploratory survey, and quasy experiment. The samples were some of nursing students of STIKes Muhammadiyah Samarinda who were on internship programme that selected using simple random sampling technique, in total of 54 students. This research’s variables were the knowledge management SECI based-patient safety and nursing student’s competency. The data were collected by using questionnaires and observation. The data were analyze by using Partial Least Square (PLS).Result: The result showed that there were significant influence the implementation of a model patient safety based knowledge management seci on increased competence nursing students.Discussion: Improved student competency in patient safety using SECI knowledge management was carried out in four phases, that is Socialization, Externalization, Combination, and Internalization. The result was a new knowledge related to patient safety that able to improve the student’s competency.
Self Management Program Meningkatkan Koping, Niat dan Kepatuhan Berobat Pasien PJK Hanim Mufarokhah; Suhartono Taat Putra; Yulis Setiya Dewi
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.189 KB) | DOI: 10.20473/jn.v11i1.1902

Abstract

Introduction: Management coronary artery disease required lifelong treatment. The successful management of CHD requires efective coping, intention and medication adherence of CHD’s patients. This study aimed to explain the changes of coping, intention, and medication adherence in patients with CHD after giving self management programme in RSUD Jombang based on Theory Planned Behavior.Methods: This study used a quasy experimental pretest-posttest control group design and 28 respondens selected by consecutive sampling. Independent variable was self management programme while dependent variables were coping, intention, medication adherence. Data were collected by using questonnaires measuring coping level, intention and medication adherence. The statistical test used was Mann Whitney, Wilcoxone Signed Rank and t-Test.Results: The result showed that 1) self management programme improve the level of coping in patients with CHD (p < 0,001), 2) self management programme improve the level of intention in patients with CHD (p < 0,001), 3) self management programme improve the level of medication adherence in patients with CHD (p < 0,001).Conclusion: To change a behavior requires improvement of coping and intentions. This is in according to the Theory of Planned Behavior that behavior change is influenced by the attitude toward the behavior, subjective norm, perceived behavioral control and intention.
The Incidence of VAP after VAP Bundle Intervention Among Patients with Mechanical Ventilation Diah Susmiarti; Harmayetty Harmayetty; Yulis Setiya Dewi
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.872 KB) | DOI: 10.20473/jn.v10i1.2106

Abstract

Introduction: Ventilator Associated Pneumonia (VAP) is a nosocomial infection in patients who use ventilator for more than 48 hours. The aimed of the study was to determine VAP incidence after VAP bundle application.Methods: This study used one-shot case study posttest only designed with samples of 6 individuals beginning on December 31, 2013 up to January 31, 2014. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Results: The results showed that the application of VAP bundle has infl uence in preventing VAP incidence. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Conclusion: This study need to be backed up furthermore with a larger sample size and continuous CPIS assessment is needed to identify VAP caused by bacteria, especially the late-onset bacteria, in patients using mechanical ventilation in longer a time.
Factors Affecting The Compliance Of Myanmar Nurses In Performing Standard Precaution Sa Sa Aung; Nursalam Nursalam; Yulis Setiya Dewi
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.404 KB) | DOI: 10.20473/jn.v12i1.2294

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Introduction: Exposure to pathogens is a serious issue for nurses. The literature explains that standard precaution have not consistently done in nursing. The purpose of this study was to analyze the factors affecting the compliance of nurses in Myanmar in performing standard precautions.Methods: This study used a cross-sectional design. Samples included 34 nurses in Waibagi Specialist Hospital (SHW), Myanmar. The independent variables were the characteristics of nurses, knowledge of standard precaution, and exposure to blood / body fluids and needle puncture wounds. The dependent variable was the performance of standard prevention. Data analyzed using descriptive analysis and logistic regression.Results: The result showed that almost respondents (91.18%) had a good knowledge about prevention standards and 73.5% of respondents had good adherence in performing standard precaution. However, in practice nurses have not been consistent in closing the needles that have been used correctly. The results showed that nurse characteristics did not significantly affect adherence to standard precaution with statistical test results as follows: age (p = 0.97), gender (p = 1.00), religion (p = 0.72), education (p = 0.85), work experience at SHW (p = 0, 84), education training program (p = 0.71), knowledge (p = 0.76), and needle stick injury (p = 0,17). But, there was a significant influence between adherence to standard precaution on the incidence of injury due to puncture needle with p value = 0.01.Discussion: The barriers to applying standard precautions by Myanmar nurses can be reduced by providing basic training, supervision and improvement of operational standard procedures.
Analysis of Nurse's Clinical Education Performance based on Work Theory and The Indicator of Competence Srinalesti Mahanani; Yulis Setiya Dewi; Widji Soeratri
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1577.038 KB) | DOI: 10.20473/jn.v9i2.2689

Abstract

Introduction: Clinical Learning is a process of transformation of the student to become a professional nurse. Clinical Nurse Educator contributes to improve the quality of clinical learning because of variety of roles ranging from planning, implementing and evaluating learning clinical practice. Improving the quality of clinical practice learning, can be reached by improving the performance of Clinical Nurse Educator. The aim of this study was to know the effect of psychological variables and organizational variables to the competence and performance of Clinical Nurse Educators. Sample was Clinical Nurse Educators who work inpatient wards at Kediri Baptist Hospital inpatient wards.Method: This study was conducted in two stages. Phase I measure the competence and performance of Clinical Nurse Educator by Supervisor and students, as well as psychological variables and organizational variables by using questionnaires. Phase II was done by Focused Group Discussion to discuss about the variables that affect Clinical Nurse Educator performance. Data processed using Partial Least Square with α = 0.05, path coefficient = 0.5 and t table = 1.96.Result: The results of this research is showed that Performance Nurse Educator can be improved by increasing Individual Competence with path coefficient= 0.600 and t = 6.741. The individual competence will be increase by improving pscychological aspect nurse educator such as perception, personal aspect, motivation, learning skill and attitude with path coefficient = 0.518 and t = 2.715. Psycological Aspect can be increasing by improving Organization Variable such as Organization Resource, Salary, Organization Structure and Job Description with path coefficient = 0.825 and t = 19.658.Discussion: The conclusion of this result that increase of nurse educator competence and performance can be effort by improving psycological aspect and organizational variable
Knowledge, Self Efficacy and Stress in Patient with Leprosy through Implementation of Support Group using Adaptation Theory Margareta Kewa Lamak; Kusnanto Kusnanto; yulis Setiya Dewi
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.487 KB) | DOI: 10.20473/jn.v9i1.2965

Abstract

Introduction: Assumption of leprosy that it is uncurable, hereditary, cursed, and impure disease causes the patients angry, disappointed even being introvert and leads them to a treatment adherence. The goal of this study was to explain the increasing of knowledge, self efficacy and the decreasing of stress in patient with leprosy by support group in Leprosy Hospital of Sumberglagah.Methods: This study was a quasy experiment study using pre test and post test nonequivalent control. Total sample was 28 respondents in inpatient ward and outpatient. The instruments were questionnaire and cortisol level. Data were then analyzed descriptively and statistically using Wilcoxon test, Mann-whitney test, paired test and independent t test with α 0,05.Results: Results showed that mean of age was 40,92 years old. Almost all of respondents were in primary education. Knowledge pre and post was 57,14% good; 100% good (p = 0,041). Self effi cacy pre and post was 42,86% high; 28,57% high (p = 0,307). Stres level pre and post was 35,71% normal; 50% normal (p = 0,046). Mean of cortisol level pre and post was 66,35 ± 28,72; 71,80 ± 23,84 (p = 0,598).Discussion: It can be concluded that support group increases knowledge and decreases stress but doesn’t increase self effi cacy and decrease cortisol level in patient with leprosy in Leprosy Hospital of Sumberglagah.
Model Of Emergency Department Nurse Performance Improvement Based on Association of Individual Characteristic, Organization Characteristic and Job Characteristic Maria Margaretha Bogar; Nursalam Nursalam; Yulis Setiya Dewi
Jurnal Ners Vol. 8 No. 2 (2013): Oktober 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.297 KB) | DOI: 10.20473/jn.v8i2.3829

Abstract

Introduction: Nursing care is integral part of health care and having important role in management of patient with emergency condition. The purpose of this research was to develop nurse performance improvement model based on individual, organization and job characteristics association in Emergency Department of RSUD dr TC Hillers Maumere. Method: This was an explanative survey by cross sectional approach held on July -August 2012. Respondents in this study were 22 nurses and 44 patients were obtained by purposive sampling technique. Data were analyzed by partial least square test and signi fi cant t value > 1.64 (alpha 10%). Result: Results showed that individual characteristic had effect on nurse performance (t = 7.59), organization characteristic had effect on nurse performance (t = 2.03) and job characteristic didn’t have effect on nurse performance (t = 0.88). Nurse performance had effect on patient satisfaction (t = 6.54) but nurse satisfaction didn’t have effect on nurse performance (t = 1.31), and nurse satisfaction didn’t have effect either on patient satisfaction (t = 0.94). Discussion: This research concluded that individual characteristics which in fl uence nurse performance in nursing care were ability and skill, experience, age, sex, attitude and motivation. Organization characteristic that influence nurse performance was reward while job characteristic that include job design and feedback didn’t influence nurse performance in nursing care. Nurse performance influenced patient satisfaction but nurse satisfaction didn’t influence patient satisfaction and nurse performance.
Co-Authors Abidah, Aqmarina Abrar H. Almutairi Abu Bakar Abu Bakar Achmad Fauzi Agus Santoso Budi Ahsan Ahsan Ainur Rusdi Akbar, Dian Rahmadin Alfaruq, Muhammad Fikri Alyaa Farouk A. Ibrahim Amel Dawod Kamel Goudia Andri Setiya Wahyudi Apriyanto, Yogo Arief Hargono Arifin, Hidayat Arina Qona'ah Azhadin, Rizky Nur B. Joshua Steve Abishek Damayanti, Elvi Kurnia Deni Yasmara Desi Susilawati, Desi Diah Ika Rahayu Diah Lestari Diah Susmiarti Dorkas -Agustina Dorman, Johanes Eban B. Dwi Astutik Dwi Puji Lestari, Dwi Puji Edra Ivannanda Hidayatullah Efendi, Cahyaningsih Efendi, Cahyaningsih Eka Mishbahatul Mar'ah Has Ekawati, Shintia Eugenia Maria da Silva Fahad, Mochammad Farapti Farapti Farid Enggal Dwiyanto Farisya Nurliana Fatin Ferry Efendi Filomena Adelaide de Matos Fitri, Nurul Fitri, Nurul Galih Indhiantoro Gudia, Amel Dawod Kamel Gunawan Gunawan Gusmaniarti, Gusmaniarti Hakim Zulkarnain Hakim Zulkarnain Hanim Mufarokhah Harigustian, Yayang Harmayetti Harmayetti Harmayetty, Harmayetty Hasanudin Hasanudin Hasymi, Yusran Hendrarti, Dwi Windyastuti Budi Herdina Mariyanti Hidayat Arifin I Ketut Eddy Purnama Ika Nur Pratiwi Ika Yuni Widyawati Ilya Krisnana, Ilya Indhiantoro, Galih Isdaryanti, Lisa Ismail, Fachril Joel Rey U. Acob Joni Haryanto Jujuk Proboningsih, Jujuk Kartika Dewi Arifianti Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Kusumadewi, Salsabila Rahma Laili, Nadia Rohmatul Laily Hidayati Latif, Rusnani AB Lidwina Dewiyanti Wea Lie Liana Fuadiati Lizy Sonia Benjamin Lizy Sonia Benjamin Lutfiyah, Kharisma Nuur M Kharis Khamdan Makhfudli Makhfudli Margareta Kewa Lamak Maria Margaretha Bogar Marina, Navy Sealsi Adinda Prisca Marina Maropi, Anuchit Matos, Filomena Adelaide de Minarko, Agustinus Mohammad Arifin Noor Murdiyanti, Dewi Nadia Rohmatul Laily Nagwa A. Afefy Ni Putu Diah Ayu Rusmeni Nihayati, Hanik Endang Nimah, Lailatun Ningsih, Nurulis Ika Fitri Astuti Norwinda, Norwinda Nunung Ernawati Nunung Ernawati Nurhidayah, Kiki Fajar Nurina Hasanatuludhhiyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Prasetiyo, Singgih Prihatma Kriswidyatomo Priya Sivaram Purwaningsih - Qona'ah, Arina Qona’ah, Arina Qorinah Estiningtyas Sakilah Adnani Qothrunnadaa, Azka Rachmat Hargono Rasyidah, Amira Farah Rifky Octavia Pradipta Rifky Pradipta Rosita Rosita Rosyid, Alfian Nur Sa Sa Aung Sakti Rahayu Sari, Purwanti Sartika Wulandari Serengga, I Made Dwi Budhiasa Ari Smriti Kana Mani Srianto, Puji Srinalesti Mahanani, Srinalesti Sriyono Sriyono Sriyono Sriyono Suadnyani, Ni Ketut Suarilah, Ira Sudarsono Suharto Suharto Suharto Suharto Suhartono Taat Putra Suharyono Suharyono Sukma Randani I Suparno Suparno Suryantoro, Satriyo Dwi Syahri, Alfi Sylvia Dwi Wahyuni Tabik, Albertina Dete Teguh Dwi Saputro, Teguh Dwi Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Titih Huriah Tomoko Hasegawa Wahyu Sri Astutik Wahyu Sri Astutik Wahyuni, Erna Dwi Wicaksono, Dimas Aryo Widji Soeratri Winarno, Didik Dwi Yazid, Syahrul Abdul Yazid, Syahrul Abdul Yeni Setyorini Yoyok Bekti Prasetyo Zamroni, Asroful Hulam