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Journal : Journal of Vocational Nursing

VARIATIONS OF NURSING DIAGNOSIS LANGUAGE IN STROKE PATIENTS BASED ON SDKI (STANDARD DIAGNOSIS NURSING INDONESIAN) Ilkafah, Ilkafah; Qur'aini, Ouvin; Susanto, Joko; Pangestu Mei Tyas, Anestasia; Harisa, Akbar
Journal of Vocational Nursing Vol. 5 No. 1 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i1.55014

Abstract

Introduction: The nursing system in Indonesia has an SDKI (Standard Diagnosis Nursing Indonesia) as the basis for determining nursing diagnoses. Inappropriate enforcement of nursing diagnoses based on the SDKI causes the objectives of the SDKI to not be fully achieved. Stroke is a state of cerebrovascular disease that can occur due to death in brain tissue caused by a lack of blood flow and oxygen flow to the brain. This study aims to find out the description of variations in writing nursing diagnoses in stroke patients based on the SDKI in Hospital RSUD Dr. Soegiri Lamongan. Methods: This research method is a documentation study, of 125 medical records of stroke patients at Hospital RSUD Dr. Soegiri Lamongan from August 2021 to February 2022, totaling 125 medical records. The data collection used consecutive sampling. The research was carried out in the working area of Hospital RSUD Dr. Soegiri Lamongan in March 2022. Results: The results showed that nursing diagnoses in patients with hemorrhagic stroke and non-hemorrhagic stroke were based on the SDKI Hospital RSUD Dr. Soegiri Lamongan, which are mostly written by nurses are impaired physical mobility (63%), variations in writing nursing diagnoses according to the SDKI (66%) and not according to the SDKI (34%), signs and symptoms in patients with hemorrhagic stroke and non-hemorrhagic stroke are mostly experienced weakness in moving the right extremity (31%). Conclusions: Nurses in establishing nursing diagnoses are appropriate based on the SDKI.
APPLICATION OF INDONESIAN NURSING DIAGNOSIS STANDARDS IN NURSING DIAGNOSIS DOCUMENTATION IN CHILDREN WITH DENGUE HEMORRHAGIC FEVER Tyas, Anestasia Pangestu Mei; Nuriantari, Risma Dysta; Mardhika, Amellia; Ilkafah, Ilkafah; Fadliyah, Lailatul; Sulpat, Emuliana
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63513

Abstract

Introduction: The Indonesian National Nurses Association has developed nursing language standards adapted to cultural differences and uniqueness of Indonesian nursing services, namely the Indonesian Nursing Diagnostic Standards. Dengue Hemorrhagic Fever cases in Indonesia have experienced a shortening cycle, which has led to a rise in the incidence rate (IR) and a fall in the case facility rate (CFR). This study was to learn how to describe the application of the Indonesian Nursing Diagnosis Standards (SDKI) in documenting nursing diagnoses in children with Dengue Hemorrhagic Fever (DHF). Methods: Retrospective descriptive research design with secondary data.  The secondary data used in the study, namely sourced from medical records from February 1, 2021 - March 31, 2022. The number of samples is 30 medical records using the total sampling technique. Data collection using observation sheet. Data analysis uses univariate analysis. Results: Most of the priority nursing diagnosis labels in DHF pediatric patients are by the Indonesian Nursing Diagnosis Standards, namely hyperthermia. However, all the writing of actual nursing diagnoses does not comply with the Indonesian Nursing Diagnosis Standards, which consists of writing three parts: [problems] related to [cause/related factors] as evidenced by [signs/symptoms], but the writing of nursing diagnoses is only in the form of problems or problems and causes. Conclusions: There needs to be a refreshing knowledge about the Indonesian Nursing Diagnosis Standards to improve the knowledge and skills of nurses in documenting nursing diagnoses.
MOTIVATION OF NURSES IN PROVIDING FIRST AID TO PATIENTS EXPERIENCING CARDIAC ARREST Putri, Ivananda Siera Lisna; Okviasanti, Fanni; Ilkafah, Ilkafah; Harianto, Susilo; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Nasir, Abd; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63841

Abstract

Introduction: Cardiac arrest is often found in patients in the inpatient room of Ibnu Sina Hospital, Gresik. Nurses as the first responders who find cardiac arrest in the treatment room must have high work motivation to provide first aid to patients before the code blue team arrives. The purpose of this study was to obtain a description of the work motivation of nurses in providing first aid to patients experiencing cardiac arrest in the inpatient room of Ibnu Sina Hospital, Gresik. Methods: This study used quantitative research with a descriptive approach. The sample of this study was some of the nurses in the inpatient room of Ibnu Sina Hospital, Gresik, which was taken using a purposive sampling technique of 55 respondents who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire. The data was processed using SPSS v.25 for frequency and percentage. Results: The results showed that most respondents had good work motivation, with 53 respondents (96.4%) providing first aid to patients experiencing cardiac arrest. Conclusions: Nurses are expected to maintain work motivation in providing first aid to patients experiencing cardiac arrest, especially in inpatient rooms, through good collaboration between teams, always receiving positive support in the form of recognition of achievements from colleagues, and increasing periodic certification training related to handling cardiac arrest patients because patient safety is the main priority.
WORK STRESS AMONG NURSES IN RURAL HOSPITAL Ilkafah, Ilkafah; Andrianto, Rohmad; Susanto, Joko; Tyas, Anestasia Pangestu Mei; Harisa, Akbar
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.44660

Abstract

Introduction: Work stress is part of a work problem or negligence usually causes the safety of patients who experience fatigue to nurses in hospitals, stressed nurses usually cause injury to patients because nurses not focus on serving patients, are less friendly, often dizzy, and if the number of patients too much of it is one of the things that affect work stress. This study aims to determine the description of work stress on nurses at rural hospital in Lamongan. Methods: The study is a quantitative descriptive research design, using a questionnaire and distributed to 97 nurses who are on inclusion criteria. Results: The results of this study were divided into 3 codes which were low, moderate, and high and the results of the study showed that the indicators of psychological symptoms were 80 respondents with a percentage of 82.5% in the low category, while the moderate category was 17 respondents with a percentage of 17. .5%, for indicators of physical symptoms as many as 94 respondents with a percentage of 96.9% in the low category, while for the moderate category as many as 3 respondents with a percentage of 3.1% in the moderate category, for indicators of behavioral symptoms as many as 97 respondents with a percentage of 100, 0% is included in the low category. Conclusion: Most of the results of the research on nurses at RSUD Dr. Soegiri Lamongan low work stress with a percentage of 100.0% .
NURSING CARE OF HYPERTHERMIA IN CHILDREN FEBRILE SEIZURES: A CASE REPORT Tyas, Anestasia Pangestu Mei; Rosa , Lailatul Fitria; Mardhika , Amellia; Sulpat , Emuliana; Fadliyah, Lailatul; Susanto , Joko; Ilkafah, Ilkafah
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.45277

Abstract

Introduction: Febrile seizures occur due to increased temperature due to extracranial processes. There is a predisposition Familial and more common in boys than girls. Prolonged and repeated attacks can cause severe disturbances in the child's brain, so the child has a mental disability. This case study aims to apply hyperthermia nursing care for children with febrile seizures in the pediatric inpatient room at Lamongan Hospital. Methods: The research design used is to study cases with a nursing care approach. The sample in this study was one child patient with febrile seizures: data collection techniques using interviews, observation, documentation studies, and physical examination. The research instrument used the pediatric nursing care assessment format. Results: After implementing nursing for 3x24 hours, the nursing diagnosis of hyperthermia is resolved. The risk of injury does not occur during the treatment period because the body temperature has reached 36.5 0 C, and the patient has never had another seizure. Conclusions: It is necessary to collaborate with professional care providers and family participation for the success of nursing care according to nursing care standards to prevent happening seizures repeated.
THE RELATIONSHIP OF NURSES' CARING BEHAVIORS AND THE IMPLEMENTATION OF PATIENT SAFETY IN EMERGENCY DEPARTMENT (ED) Ilkafah, Ilkafah; Indira Pramesty, Permata; Rahmadi Purwanto, Cucuk; Pangestu Mei Tyas, Anestasia; Susanto, Joko
Journal of Vocational Nursing Vol. 6 No. 1 (2025): MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i1.70520

Abstract

Introduction: Patient safety remains a primary concern in healthcare, focusing on the prevention of medical errors and adverse side effects affecting patients. Despite numerous efforts to improve patient safety, incidents continue to occur, resulting in significant harm to patients. One critical factor in addressing this issue is the role of caring behaviors. Nurses' caring behaviors can serve as a strategy to enhance patient safety. This study aimed to investigate the relationship between nurses' caring behaviors and the implementation of patient safety protocols in the Emergency Department (ED) of Dr. Soegiri Lamongan Hospital. Methods: A correlational research design was employed using a cross-sectional approach. The study involved 28 nurses working in the Emergency Room. The instruments used included the CBI-24 (Caring Behavior Inventory) and a patient safety implementation questionnaire based on the International Patient Safety Goals (IPSG). Data were analyzed using univariate analysis (frequency distribution and percentage) and bivariate analysis (Coefficient of Contingency, with a p-value < 0.05). Results: The results showed that most nurses exhibited caring behaviors, with 18 respondents (64.3%) demonstrating these behaviors, and the majority had implemented patient safety protocols, with 21 respondents (75%) adhering to these measures. The coefficient of contingency test yielded a p-value of 0.023. Conclusions: A significant relationship was found between nurses' caring behaviors and the implementation of patient safety in the Emergency Department. This study highlights the critical role that nurses' caring behaviors play in enhancing patient safety. It is recommended that nurses continue to improve their caring behaviors and implement patient safety measures effectively. This approach will contribute to providing professional and cautious services, thereby improving the overall quality and safety of patient care.
ANALYSIS OF FACTORS RELATED TO EMOTIONAL DEVELOPMENT IN ELEMENTARY SCHOOL CHILDREN Tyas, Anestasia Pangestu Mei; Putri Sherly, Pratama; Mardhika, Amellia; Fadliyah, Lailatul; Sulpat, Emuliana; Ilkafah, Ilkafah
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.78665

Abstract

Introduction: Middle childhood is a crucial period for developing emotions, including recognizing, expressing, and regulating them. Several factors influence a child’s emotional development. This study aimed to analyze the factors related to emotional development in elementary school children. Methods: This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 55 respondents selected using purposive sampling according to predetermined inclusion criteria. The independent variables were the child’s sex, gadget use, parents’ age, occupation, and education level. The dependent variable was emotional development. Data were collected using questionnaires assessing the child’s sex, parents’ age, education, and occupation, as well as the Pediatric Symptom Checklist–17 (Indonesian version) and a questionnaire on gadget use. Data were analyzed using the chi-square test and multiple logistic regression with the assistance of SPSS. Results: There was a significant relationship between gadget use and emotional development among children at school (p = 0.006), with an odds ratio of 5.365. This indicates that children who use gadgets are five times more likely to experience emotional problems than those who do not. Conclusions: It is necessary to establish parenting patterns for gadget use in the digital era, including setting clear rules and time limits, accompanying children during gadget use, selecting age-appropriate content, supervising online activities, and serving as role models for the wise use of gadgets to support the emotional development of school-aged children.
ACUTE PAIN NURSING CARE WITH CONGESTIVE HEART FAILURE Fitria, Fatkhiyatul; Ilkafah, Ilkafah; Prasetyo, Cucuk Rachmadi
Journal of Vocational Nursing Vol. 1 No. 2 (2020): October 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v1i2.23566

Abstract

Introduction: Patients with congestive heart failure usually have problems nursing chest pain. To reduce pain problems, there are several therapies that can be done, namely deep breath relaxation techniques, guide imagery techniques, and environmental management. The preferred therapy in this case is nonfaramcological, which is a deep breath relaxation technique. The purpose of this study was to provide acute pain nursing care for Congestive Heart Failure patients in the Heart Room at Dr. Soegiri Lamongan Hospital. Methods: Case study used to explore this study. Data collection is obtained through: interviews, observation, physical examination and documentation study. Analyzed case study results. From the discussion between literature review and case review, it is concluded that there is suitability from diagnosis to evaluation. Results: the case studies show an agreement between theoretical review and case review in patients. Evaluation of the Acute Pain nursing diagnoses, the problem was resolved on the third day. Conclusion: from the research conducted, found that deep breath relaxation technique is one of the effective non-pharmacological pain management methods to reduce pain.
NURSING CARE FOR ACUTE PAIN IN POST-OPERATION FRACTURES Ilkafah, Ilkafah; Lestari, Indah Dwi
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.26377

Abstract

Introduction: Fracture is a condition which will cause interference with mobilization and pain in patients. In a fracture patient, the patient will be surgically operated or operated on. Complaints that often arise in patients due to after surgery is pain. Pain is a major nursing problem in fractures. The purpose of this study was to carry out nursing care for patients with acute pain in patients with Sinusra Radius Fracture Post Surgery in Dr. Soegiri Lamongan. Methods: This research used qualitative research case study approach. The research subject used was one patient with a nursing problem that is Acute Pain in Post Sinusra Radius Fracture Surgery. This study used 1 patient as a participant on 26 September 2019 to 28 September 2019 in Bougenvil 1 room Dr. Soegiri Lamongan. Data collection uses assessment by interview, physical examination, supporting examination and supported by other documentation. Data analysis with this research was carried out while still paying attention to research ethics. Results: The results obtained are acute pain nursing problems, with priority nursing actions efforts to overcome decreased pain in patients. After doing care for three days, there are decrease in pain scale as evidenced by the pain scale on the third day, the client improved with the original scale of 5 to 3. Conclusion: The conclusion from the research conducted found that deep breathing relaxation technique is one of the effective non-pharmacological  pain management methods to reduce pain. To overcome the postoperative incident Sinus Radius Fracture, patients should take medication regularly, and control health services.  
NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT Tyas, Anestasia Pangestu Mei; Arisandy, Fatimahndya Maulitha De; Ilkafah, Ilkafah; Mardhika, Amellia; Sulpat, Emuliana
Journal of Vocational Nursing Vol. 3 No. 1 (2022): MAY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i1.35938

Abstract

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.