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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Silampari Jurnal Persada Husada Indonesia Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM JIKP Jurnal Ilmiah Kesehatan PENCERAH Jurnal Ilmiah Kesehatan Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Nursing Sciences Journal Nusantara Hasana Journal An Idea Health Journal Jurnal Keperawatan Jurnal Pengabdian Masyarakat dan Riset Pendidikan The Journal General Health and Pharmaceutical Sciences Research Malahayati International Journal of Nursing and Health Science Akademika Jurnal Teknologi Pendidikan Journal of Medical Surgical Concerns Holistik Jurnal Kesehatan Jurnal Keperawatan Nusantara Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH) Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH) Indonesian Journal of Global Health Research
Irna Nursanti
Universitas Muhammadiyah Jakarta
Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Konsep Teori Model Keperawatan Florence Nightingale Pada Pasien Dengan Ulkus Diabetikum Rawat Inap Arafah 2 Rs Islam Jakarta Cempaka Putih Edy Prayitno; Irna Nursanti
Jurnal Keperawatan Nusantara Vol 1 No 2 (2025): Desember
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/6pqtfm21

Abstract

Latar Belakang: Keperawatan adalah kegiatan pemberian asuhan kepada individu, keluarga, kelompok, atau masyarakat, baik dalam keadaan sakit maupun sehat (Permenkes, 2019). Florence Nightingale dikenal sebagai pendiri keperawatan modern. Teori Florence Nightingale tentang lingkungan menjelaskan konsep dan dasar-dasar lingkungan yang sehat dan bersih. Teori lingkungan Florence Nightingale berfokus pada lingkungan yang bersih untuk pasien. Konsep dalam teorinya adalah udara murni, cahaya, kebersihan, drainase yang efisien, dan air murni (Alligood, 2017). Teori keperawatan Nightingale sangat bermanfaat bagi dunia keperawatan, yang meletakan dasar teori keperawatan melalui filosofi keperawatan yakni dengan mengidentifikasi peran perawat dalam menemukan kebutuhan dasar manusia pada klien serta pentingnya pengaruh lingkungan di dalam perawatan orang sakit yang dikenal dengan teori lingkungannya. Tujuan: Menganalisis penerapan teori lingkungan Florence Nightingale dalam asuhan keperawatan. Metode: Pendekatan Studi kasus digunakan untuk mengevaluasi kondisi fisik, psikologis dan sosial pasien dengan ulkus diabetikum, DM tipe 2 di ruang rawat inap. Data di analisis berdasarkan konsep teori lingkungan Florence Nightingale dan proses keperawatan yang meliputi diagnosis, intervensi, implementasi dan evaluasi. Hasil: Hasil analisis menunjukkan bahwa penerapan teori lingkungan Florence Nightingale penting dalam menciptakan lingkungan yang mendukung pemulihan kondisi pasien. Perubahan  sistem ventilasi, kebersihan, pengendalian kebisingan,pendidikan tentang perilaku hidup bersih dan sehat meningkatkan efektivitas keperawatan. Kesimpulan: Penerapan teori lingkungan Florence Nightingale tetap relevan diterapkan pada pasien ulkus diabetikum di ruang rawat inap dengan menyesuaikan dengan perkembangan teknologi terkini.Perawat berfungsi  dalam pengendalian lingkungan untuk menciptakan kondisi yang optimal untuk penyembuhan pasien.
Becoming A Mother: Pendekatan Keperawatan Berbasis Mercer Pada Ibu Pascaoperasi Tumor CPA Agnes Elisabeth; Irna Nursanti
Jurnal Keperawatan Nusantara Vol 1 No 2 (2025): Desember
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/p6390p21

Abstract

Latar belakang: Teori Maternal Role Attainment–Becoming a Mother Ramona T. Mercer menjelaskan proses perkembangan identitas maternal melalui interaksi ibu, bayi, ayah, dan lingkungan. Ibu dengan kondisi kesehatan khusus, seperti tumor cerebellopontine angle (CPA), menghadapi hambatan fisik dan psikososial yang dapat mengganggu pencapaian peran keibuan. Tujuan: Mengkaji konsep teori Mercer dan menerapkan pendekatannya dalam asuhan keperawatan pada pasien dengan tumor CPA untuk mendukung pencapaian identitas keibuan. Metode: Studi analisis kasus dilakukan di Rumah Sakit Pusat Otak Nasional (RSPON) pada seorang ibu pascaoperasi kraniotomi pengangkatan tumor CPA. Pengumpulan data dilakukan melalui wawancara, observasi, dan telaah rekam medis. Analisis menggunakan kerangka teori Mercer yang mencakup mikrosistem, mesosistem, dan makrosistem serta tahapan becoming a mother. Diagnosa dan intervensi keperawatan disusun berdasarkan SDKI, SIKI, dan SLKI. Hasil: Pasien mengalami kecemasan, kelelahan, keterbatasan interaksi ibu–bayi, dan risiko pengasuhan tidak efektif akibat kondisi pascaoperasi serta keterpisahan fisik dari bayi. Intervensi berbasis teori Mercer, seperti peningkatan dukungan emosional, edukasi menyusui, manajemen kecemasan, serta fasilitasi keterlibatan suami dan keluarga, meningkatkan kepercayaan diri maternal, keterikatan ibu–bayi, serta kesiapan menjalankan peran keibuan. Kesimpulan: Teori Mercer efektif digunakan sebagai kerangka asuhan keperawatan pada ibu dengan kondisi neurologis kompleks. Pendekatan ini membantu perawat memfasilitasi identitas maternal melalui intervensi yang berfokus pada dukungan emosional, fungsi keluarga, dan adaptasi peran. Penerapan teori ini memiliki implikasi penting dalam praktik keperawatan maternitas, terutama pada populasi berisiko tinggi.
Challenges in Providing Holistic Nursing Care for Patients with Aplastic Anemia Using the Callista Roy Adaptation Model Mahmud, Lia Rizqa Amelia; Nursanti, Irna
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170111

Abstract

Aplastic anemia is a hematological disorder that has complex physiological and psychosocial impacts on patients, thus requiring a holistic nursing care approach. The Callista Roy Adaptation Model conceptualizes individuals as adaptive systems who respond to various stimuli through coping mechanisms in order to achieve equilibrium. This scientific study aimed to describe the application of the Roy Adaptation Model in nursing care for a patient with aplastic anemia accompanied by gastrointestinal bleeding. The study employed a case report design using the nursing process approach, including assessment, diagnosis, planning, implementation, and evaluation based on Roy’s four adaptive modes: physiological–physical, self-concept, role function, and interdependence. The results of nursing care indicated that the management of focal stimuli in the form of bleeding, as well as contextual and residual stimuli influencing the patient’s psychological condition, facilitated more positive adaptive responses. Nursing interventions in the physiological–physical mode contributed to the stabilization of the patient’s condition, while supportive approaches, therapeutic communication, and education in the self-concept mode helped reduce anxiety and improve self-acceptance. Support for role function and interdependence through family involvement strengthened the patient’s adaptation process during treatment. In conclusion, the Roy Adaptation Model is effective as a conceptual framework for nursing care in patients with aplastic anemia, as it integrates physiological, psychological, and social aspects comprehensively.Keywords: aplastic anemia; Roy adaptation model; holistic nursing care; case report; anxiety
Risk factors for stunting among children under five in dolok sanggul district: A case-control study Rinawati Sembiring; Henny Syapitri; Marthalena Simamora; Agnes Purba; Ivan Elisabeth Purba; Asima Sirat; Irna Nursanti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.251

Abstract

Introduction: Stunting remains a major public health challenge affecting children under five years of age in many developing countries, including Indonesia. Chronic undernutrition during early childhood can impair physical growth, cognitive development, and long-term health outcomes. Despite national efforts to reduce its prevalence, stunting continues to occur in many regions due to multiple biological, behavioral, and socioeconomic determinants. Therefore, this study aimed to analyze the risk factors associated with the incidence of stunting among children under five years of age in Dolok Sanggul District, North Sumatra, Indonesia. Research Methodology: This study employed an observational analytic design using a case–control approach. The study was conducted from March to July 2023 in Dolok Sanggul District. A total of 240 children under five years of age were included in the study, consisting of 120 stunted children (case group) and 120 non-stunted children (control group). Participants were selected using a simple random sampling technique from the population of registered children under five. Data were collected through structured interviews with mothers and anthropometric measurements using standardized instruments. Statistical analysis included descriptive analysis and bivariate analysis using the Chi-square test to determine the association between risk factors and stunting at a significance level of α = 0.05. Results: The results showed that several factors were significantly associated with the incidence of stunting. Low birth weight (p = 0.040), lack of exclusive breastfeeding (p = 0.030), inadequate complementary feeding (p < 0.001), poor maternal knowledge (p = 0.003), and low household economic status (p < 0.001) were significantly related to stunting among children under five. However, maternal education level was not significantly associated with stunting (p = 0.301). Conclusion: Stunting among children under five is influenced by multiple maternal, child, and socioeconomic factors. Interventions aimed at improving maternal nutrition, promoting exclusive breastfeeding, strengthening complementary feeding practices, and enhancing maternal knowledge are essential to prevent stunting. In addition, policies that address socioeconomic disparities and improve access to health services are crucial for sustainable stunting reduction
ASUHAN KEPERAWATAN DENGAN TUBERCULOSIS (TBC) DALAM PENDEKATAN TEORI FLORENCE NIGHTINGALE (MODERN NURSING) Fira Awanis Hazrina; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

The prevalence of TB worldwide has increased since 2018, where the number of TB cases was 6,116,536 cases, and in 2019 there were 10,400,000 cases of TB worldwide. Indonesia is ranked third highest after India and China. Based on this, there is an alternative care model theory to overcome the environment that can cause TB disease. Nightingale's conceptual model of nursing is one of them, Nightingale sees patients in the context of the entire environment consisting of the physical environment, psychological environment, and social environment. The purpose of this study is to improve health services in improving disease management conditions professionally and bringing individuals into optimal conditions for activities through fundamental initiatives that affect the environment. This study uses a method that is a nursing process approach based on the selected nursing theory. Techniques used in data collection are interviews, observation, physical examination and nursing care. The results showed that Florence's assessment focuses more on environmental conditions (physical, psychological and social environment). Focused on the individual's relationship with  the  environment,  namely:  lack  of  information  about environmental hygiene, ventilation, garbage disposal, environmental pollution, social communication and others.
APLIKASI TEORI MYRA ESTRIN LEVINE DALAM PRAKTEK KEPERAWATAN Euis Suhartini; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

Myra Estrin Levine's theory has a central role in guiding nursing practitioners in providing holistic care with a focus on understanding and meeting basic human needs. This study explores the application of this theory in nursing practice, highlighting the challenges of integrating the theory's principles into daily practice. Through a case study of a patient with a history of hypertensive disease and a kidney transplant, we demonstrate an attempt to apply the theory to formulate nursing diagnoses and design appropriate interventions. Although providing a solid foundation, the limitations of the theory, such as the focus on individualized disease and lack of support for health promotion, raise questions about the relevance and sustainability of application in diverse clinical contexts. Evaluation of an intervention based on Levine's conservation principles indicated improvements in thermoregulation and a decrease in patient anxiety. The conclusions highlight the need for further research to understand the application of this theory in a changing healthcare context, with in-depth reflection on the challenges and opportunities in applying its principles.
APLIKASI THEORY VIRGINIA HENDERSON DALAM ASUHAN KEPERAWATAN PADA KASUS POST-SECTIO CAESARIA Dian Anggur Yulianti; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

This study evaluated the impact of Sectio Caesarean delivery on the mother, showing that the risk of complications is five times higher than normal delivery. Sectio Caesarea causes postoperative pain and wounds, restricting the patient's movement and leading to stiff joints, poor posture, muscle contractures, and slow wound healing. Virginia Henderson's theory is the basis for nurses in restoring patient independence, focusing on 14 basic human needs. The case study of Mrs. D, a post-Sectio Caesarea patient without other complications, applied the purposive method. Data were obtained through observation, interview, and physical examination, and processed with Virginia Henderson's theory. The results showed that the application of the theory was effective in restoring the patient's independence, emphasizing the need for care based on basic human needs. The conclusion of the study confirms that Virginia Henderson's theory can be effectively applied in dealing with health problems in post-Sectio Caesarea patients.
MODEL TEORI KONSEP KEPERAWATAN NOLA J PENDER ‘HEALTH PROMOTION MODEL’ Euis Purwatyningsih; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

The Health Promotion Model by Nola J. Pender reflects an evolution in nursing approaches, moving beyond a reactive paradigm to a proactive focus on prevention and health promotion. Grounded in a holistic health philosophy, the model recognizes the complexity of interactions between physical, psychological, and social aspects in shaping a person's health. Building on previous theories, the model offers a solid empirical foundation, reinforcing its relevance in various contexts and populations. The model's strength lies in its deep orientation towards prevention, filling a void in nursing practice that previously underemphasized disease prevention efforts. While it empowers individuals to manage their own health, the model may be difficult to apply to individuals with low economic means or mental disabilities. Overall, the Health Promotion Model has been a major contributor in shifting the nursing paradigm towards prevention and health promotion.
APLIKASI PHILOSOPHIES TEORI CARING OLEH JEAN WATSON PADA PASIEN SEBELUM TINDAKAN ESHOPAGOGASTRODUODENOSKOPI DI UNIT ENDOSKOPI RS PRIMAYA BEKASI TIMUR Bayu Aji Sismanto; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

The effect of the patient's anxiety before performing an esophagogastroduodenoscopy (EGD) action affects the patients' hemodynamics, it can affect the process of such actions when they are performed, usually anxieties are affected by the feeling of being that appears as a result of poor perception of the action to be done, negative perceptions appear often caused by a lack of information about the actions to be performed. Nursing care is very influential to the patient, one of the nursing model theories that can be applied to patients undergoing esophagogastroduodenoscopy (EGD) with the theory of Human Caring by Jean Watson. The nursing process focuses more on health promotion, disease prevention, care for the sick, and physical recovery. The author differentiates the nursing case/orphanage report by applying Jean Watson's model theory using nursery process methods that include the examination, diagnosis, planning, implementation and evaluation of these nurses' orphanages. The result of the implementation that has been done is that the patient feels a change in perception in which the patient experiences a decrease in the level of anxiety after performing a personal caring approach in accordance with Jean Watson's Model Theory.
PHILOSOPHIES TEORI KEPERAWATAN HILDEGARD E. PEPLAU Yahya Yahya; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

This study examines the application of Hildegard E. Peplau's Nursing Interaction Theory in the context of anxiety management in patients who will undergo uterine removal surgery due to ovarian tumors. The research method used a qualitative approach with a case study approach on several patients. The results showed that nurses who applied the principles of Peplau's Theory succeeded in establishing a significant therapeutic relationship with patients, identifying factors that cause anxiety, and providing appropriate emotional support. Nursing interventions, such as creating a therapeutic atmosphere, providing education, and collaborating with the patient, proved effective in reducing the patient's level of anxiety. This study contributes to the development of an understanding of the application of Peplau Theory in daily nursing practice, especially in handling anxiety in patients preparing for surgery. The practical implications of this study can support nurses in providing holistic nursing care and focusing on the psychosocial aspects of patients.
Co-Authors Abdilah Septiana Putri Ade Asrianti Ade Asrianti Ade Indah Irmayanti Yusuf Ade Indah Irmayanti Yusuf Adi Fahrudin Agnes Elisabeth Agnes Purba Agus Khusaeni Agustin, Marini Alni Lisarni Amami Amami Amelia Hartika Rani Ana Rif’atus Sakinah Surosa Anita Setyawati Arianti, Mery Asima Sirat Asrul Fahmi Ayu Sundari Bayu Aji Sismanto Chairil Anwar Cornellia Moningka Cut Mutiya Bunsal Danur Azissah Roesliana Sofais Dayang Laily Dea Aprilya Depira Elza Nada DEWI ANGGRAINI Dewi Anggraini Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dian Anggur Yulianti Dian Fitria Diana Irawati Diana Irawati Diana Irawati Dwi Ayu Fajar Dwi Budiyati Edy Prayitno Eko Riyanti Elfira Husna Endang Zakaria Erian Fatria Etti Sumyati Euis Purwatyningsih Euis Suhartini Fadhillah, Harif Fauzi Asra Fazarudin Fazarudin Febrian Rahmat Suwandi Fira Awanis Hazrina Fitri Handayani Fitri Yanti Giri Widagdo Giri Widagdo Giri Widakdo Hadi, Muhammad Henny Syapitri Hesti Rahayu Ii ismail Iis Sri Hardiati Irawati, Diana Istinganah Ito Iswati Ivan Elisabeth Purba Joko Relo Sutopo Jumaiyah, Wati Khoiriyah Kurniati Kurniati Linlin Lindayani M Natsir Nugroho Mahmud, Lia Rizqa Amelia Marthalena Simamora Masliha, Masliha Mery Arianti Mira Rosmiatin Mira Rosmiatin Muniroh Mursiti Mursiti Mustopa Mustopa Nani Winani Nani Winani Natsir Hugroho Natsir Nugroho Nendra Bagus Pamungkas Ni Luh Putu Martini Ni Wayan Rindiasih Nia Triani Noviana Haryanti Nugroho, M Natsir Nurhayati Nurhayati Khaier Nyimas Heny Purwati Pitriyanti Pitriyanti Prihatini, Fitria Putri Permata Sari Raudatul Jannah Reni Andriyani Rinezia Rinza Farizal Rinni Novella Simatupang Rival Wastu Kencana Rohman Azzam Rohman Azzam Rohman Azzam Rosaliana Ayu Saputri Ruth Sarah Rahmania Sarida Surya Manurung Sembiring, Rinawati Shiva Zakiyatul Ula Silviani Dewi Slamet Slamet Slametiningsih Slametiningsih Suci Rahmadia Suharjo Suharjo Sunardi Supra Saba, Iba Suwalgiyah Tri Lestari Wanda Yuni Putri Wati Jumaiyah Westy Tahapary Wicke Afriza Yahya Yahya Yeni Purnamasari Yunike Edmaningsih