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STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS Astuti, Anggia; Abidin, Zainal; Wijaya, Dodi; Fibriansari, Rizeki Dwi; Yuliani, Nur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.694

Abstract

Background: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness. Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness. Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test. Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care.
IMPLEMENTASI HEAD-UP ELEVASI 30° PADA PASIEN STROKE DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF Khasanah, Yunnik Fatun; Fibriansari, Rizeki Dwi; Astuti, Anggia
Jurnal Penelitian Sains dan Teknologi Indonesia Vol 3 No 2 (2024): Jurnal Penelitian Sains dan Teknologi Indonesia (JPSTI)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpsti.v3i2.4041

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Stroke is a condition of lack of oxygen caused by blockage of blood vessels leading to the brain which causes cerebral disorders. A stroke occurs when blood flow to the brain is suddenly blocked for more than 24 hours because a blood vessel is blocked or ruptured. This can occur due to several factors, including uncontrolled blood pressure, headache, dizziness nausea, and vomiting. To overcome some of these problems, non-pharmacological therapy is needed, namely providing a head-up position with an elevation of 30° with the risk that cerebral perfusion can be effective. The aim is to explore medical surgical nursing care using the implementation of head-up elevation in stroke patients with nursing problems at risk of ineffective cerebral perfusion. This research used a case study design conducted on one respondent with the inclusion criteria being age over 50 years and risk factors for hypertension. This research was conducted for 3 days in the Kenanga Room at RSUD dr. Haryoto Lumajang in June 2024. Data collection used interview, observation, and documentation techniques with decisive intervention. The tools or instruments used are head-up SOPs and observation sheets. Implementation of 30° head-up elevation for 30 minutes for three days in stroke patients who were at risk of ineffective cerebral perfusion with initial blood pressure values of 161/101 mmHg to final blood pressure of 141/58 mm Hg and initial MAP results of 121 mmHg and final MAP of 85. 6 mmHg. It is recommended that nurses use it as a working guide for stroke patients with risk problems for ineffective cerebral perfusion through the implementation of 30° elevation head-up intervention. Thus, providing 30° elevation head-up therapy affects reducing intracranial pressure, the aim of which is to maximize venous return so that blood flow to the brain becomes smooth, increasing cerebral tissue metabolism and maximizing oxygenation of brain tissue so that the brain becomes more active.
Pengembangan Health Self-Empowerment: Analisis Indeks Massa Tubuh dan Gaya Hidup Masyarakat Agrikultural Fibriansari, Rizeki Dwi; Asmaningrum, Nurfika; Astuti, Anggia
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.103402

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Latar Belakang: Kesehatan merupakan aspek vital dalam kehidupan manusia dan erat kaitannya dengan indeks massa tubuh (IMT) dan gaya hidup. Konsep self-empowerment atau pemberdayaan diri semakin berkembang dalam dunia kesehatan, dengan fokus pada upaya individu untuk mengambil peran aktif dalam pemeliharaan dan peningkatan kesehatan mereka sendiri.Tujuan: Tujuan penelitian ini adalah menganalisis dan mengukur distribusi IMT dan gaya hidup sehat berbasis pengembangan Model Health Self-Empowerment.Metode: Rancangan penelitian menggunakan desain diskriptif analitik. Teknik pengambilan sampel menggunakan total sampling sebanyak 269 responden di area agrikultural. Pengumpulan data dilakukan dengan cara observasi, mengukur IMT dan kuesioner tentang perilaku gaya hidup sehat. Analisis data menggunakan statistik diskriptif.Hasil: Mayoritas responden adalah laki-laki (88%) dalam kelompok usia <40 tahun (48%). Kategori IMT overweight 55 responden (20,4%) dan obesitas sejumlah 27 responden (10%). Aktivitas gaya hidup sehat yang dominan dilakukan adalah perilaku hidup bersih (67%) dan yang jarang dilakukan makan teratur dan bergizi (54%).Kesimpulan: Usia produktif dengan prevalensi overweight dan obesitas pada kelompok agrikultural masih cukup tinggi. Perlunya perhatian terhadap perilaku makan dan manajemen berat badan sebagai bagian dari promosi gaya hidup sehat. Gaya hidup sehat masyarakat agrikultural perlu ditingkatkan terutama dalam aspek manajemen stres, pola makan, dan pemantauan kesehatan.
Implementation of Tomato Juice in Hypertension with Readiness to Improve Health Management in Farmers: Case Report: Case Report Khotijah; Istiqomah, Indriana Noor; Fibriansari, Rizeki Dwi; Azizah, Laili Nur
D'Nursing and Health Journal (DNHJ) Vol. 6 No. 1 (2025): Community-Based Health Management Procedures
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v6i1.1035

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ABSTRACT Introduction: Hypertension is a major concern in global health due to its high incidence rate. To overcome this problem, there needs to be a strong desire to manage the problem of readiness to improve health management. Efforts that can be made by maintaining a lifestyle in this case are strengthened by providing foods high in potassium, one of which is tomato juice. The purpose of this final project report is to describe the implementation of tomato juice in hypertensive. Method: This report uses a case study design, with participants including 1 member of the farmer group who has hypertension, is 45 years old, has no complications, meets 80% of the symptoms, and has major signs of readiness to improve health management. The study was conducted on June 1-7, 2024 using interview, observation, and documentation techniques. Result: Tomato juice was given for 7 days with a dose of 1 time a day, after meals. The results of the case study showed a decrease in systolic blood pressure of 5.3 mmHg and diastolic blood pressure of 4.8 mmHg and the evaluation criteria for readiness to improve health management increased with participants being able to take action to reduce risk factors, implementing care programs, fulfilling daily activities, not experiencing difficulties in implementing health programs and receiving family support.   Conclusion: Providing tomato juice can be educational material for farmer groups and health management in the community can improve healthy eating patterns by providing tomato juice to control blood pressure.
Pendekatan Population Centered Health Nursing Care Terhadap Peningkatan Kemampuan Petani dalam Penanganan Trauma di Pertanian Maisyaroh, Arista; Widianto, Eko Prasetya; Fibriansari, Rizeki Dwi; Sholeha, Lailatul; Handayani, Novita Tri
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (659.302 KB)

Abstract

Agricultural tools and machinery are currently widely used in agriculture to increase productivity. However, therate of trauma due to their use is still high; farmers are limited in handling trauma events in agricultural areas,leading to an increased risk of morbidity and mortality. This research aims to improve farmers' ability toperform trauma wound treatment of farming areas using the Population Centered Health Nursing Care (CHNC)approach. The study used an experimental, quasi design pre and post. The group treated 125 farmers fromCandipuro and a control group of 125 farmers from Pasirian, Tekung, Senduro, and Sumbersuko. The bivariateanalysis results using the Mann-Whitney U test on the treatment group obtained a significant value of 0.000(p<0,05). The test results differed from the control group, which did not have a substantial amount of 0.334 (p>0.05). It was concluded that increasing the ability of farmers after being given training was through thePopulation Centered Health Nursing Care approach. Developing a model for improving farmer safety is carriedout by developing health cadres in farmer groups.
EFFECT OF LEMON AROMATHERAPY IN PREGNANT WOMEN ON EMESIS GRAVIDARUM: A LITERATURE REVIEW Fibriansari, Rizeki Dwi; Hayati, Nurul
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.v4i1.43437

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Introduction: Pregnancy is a physiological event for a woman and in the first months of pregnancy, there is a feeling of nausea and vomiting (gravidarum emesis). Emesis complaints occur in 60-80% of primigravida and 40-60% of multigravida. Emesis gravidarum if not treated immediately can develop into hyperemesis gravidarum and can result in reduced fluids in the body, thus endangering the health of the mother and the development of the fetus. The purpose of this study is to examine scientific articles which discuss lemon aromatherapy in pregnant women to reduce emesis gravidarum. Methods: The method used in this study is a literature review with data collection techniques using PubMed and Scholar based on inclusion criteria, among others, the intervention in the form of giving lemon aromatherapy, using the quasi-experiment or pre-experimental design or literature review method, using Indonesian and English, published within 10 years (2017-2022). Keywords in the literature review used when searching "Pregnancy” AND "Emesis Gravidarum” OR "Lemon Aromatherapy”. Results: There were 37 journal articles found, and 9 articles that met inclusion criteria were reviewed. The results showed that based on the study conducted, can be seen that has the effect of giving lemon aromatherapy to reduce emesis gravidarum in pregnant women. This will stimulate the release of the beta-endorphin hormone to reduce the production of vomiting stimuli so that complaints of emesis gravidarum can be reduced. Conclusions: The provision of lemon aromatherapy given to pregnant women who experience mild to moderate emesis gravidarum can have an effect in the right way and technique. Lemon aromatherapy is given 2-3 drops, dripped onto tissue or cotton for 5-10 minutes, with 3 breaths. The application of lemon aromatherapy is expected to be applied in health and family services as a complementary therapy to reduce emesis gravidarum in pregnant women.
IMPROVING HEALTHY LIFESTYLE COMPLIANCE IN AGRICULTURAL COMMUNITIES THROUGH THE AGRONURSING MODEL: AN EXPERIMENTAL STUDY Astuti, Anggia; Fibriansari, Rizeki Dwi; Abidin, Zainal
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.2988

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Background : Agricultural workers are often overlooked, facing health risks such as pesticide exposure, poor dietary choices, and limited physical activity, which increase their vulnerability to chronic diseases. Psychosocial factors, including stress from uncertain crop yields and adverse weather, also contribute to mental health issues like anxiety and depression. This complex health landscape necessitates effective healthcare approaches that integrate traditional and contemporary systems to address both physical and mental health challenges. Aim: This study aims to evaluate the effectiveness of the Agronursing Model, which combines agronomy and nursing principles, in improving healthy lifestyle adherence among agricultural workers, ultimately enhancing their overall well-being. Method: An experimental quantitative method was employed, utilizing a descriptive analysis and survey approach to assess a Healthy Lifestyle Education intervention among 250 farmers in the Sukodono Health Center Working area, Lumajang Regency. Respondents were recruited through probability sampling, with data collected via questionnaires and observation sheets focusing on healthy lifestyle compliance. Results: The intervention resulted in notable improvements in activity patterns, dietary habits, and rest quality, demonstrating its positive impact. Enhancements included increased physical activity, better dietary adherence, reduced fatigue, and decreased financial anxiety and work-related stress.
PERSEPSI APLIKASI STANDART NURSING LANGUAGE DALAM DOKUMENTASI ASUHAN KEPERAWATAN Rizeki Dwi Fibriansari; Astuti, Anggia; Maisyaroh, Arista; Prasetya Widianto, Eko
Jurnal Penelitian Sains dan Teknologi Indonesia Vol 1 No 1 (2022): Jurnal Hasil Penelitian UNIVERSITAS JEMBER
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpsti.v1i1.73

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The quality of nursing documentation is strongly influenced by the nurse's compliance with the documentation rules set by the profession and the government. The implementation of nursing care documentation is used as a measuring tool to realize and observe the quality of nursing care services carried out in hospitals. This study aims to identify nurses' perceptions in the application of standard nursing language 3S (SDKI, SLKI, and SIKI) to nursing documentation. This research design was a descriptive study. The subjects of this study were standard nursing language in nursing care documentation. Data analysis in this study was carried out in data reduction, data presentation, and conclusion drawing stages. The data were validated by triangulation and triangulation methods. The results showed that 52% of nurses got their source of information from manuals and only 42.6% of nurses understood the standard application of the 3S nursing language. The cause of this problem is the recording of actions that are not complete and the assessment data is not consistent with the nursing diagnosis. In addition, the recording of nursing actions is too much so it takes up a lot of time for nurses. So, it is necessary to make a standard of nursing language according to 3S which is effective and efficient. Indonesian nursing standard documentation training needs to be carried out to equalize perceptions and have a good impact on nurses' knowledge and service quality.
PENDAMPINGAN KADER GAPOKTAN DALAM KOMUNIKASI PELAPORAN TANGGAP DARURAT TERHADAP KEJADIAN KEGAWATAN SEHARI-HARI DI AREA PERTANIAN Fibriansari, Rizeki Dwi; Maisyaroh, Arista; Widianto, Eko Prasetya
Jurnal Hasil Pengabdian kepada Masyarakat Universitas Jember Vol 2 No 2 (2023): Jurnal Hasil Pengabdian Kepada Masyarakat Universitas Jember
Publisher : LP2M Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpmunej.v2i2.441

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Daily emergencies happen all around us. The Indonesian people in general have not been well socialized when responding to life-threatening events, both in terms of reporting techniques, initial handling and transportation methods, increasing the risk of death or experiencing complications due to late or mishandling at the beginning of the incident. So that group-based mentoring is needed to be able to effectively train and teach the community the right methods and techniques. One of the groups of people who are prone to emergencies is the farmer group, because of the high risk of emergencies related to the work of farmers in agricultural areas. Assistance to community groups through Gapoktan (Farmer Group Association) meetings which are held regularly every month, so we provide assistance for the formation of Gapoktan cadres in Jatiroto District to be empowered in their groups in reducing the risk of emergencies due to trauma and illness due to work in the agricultural area. This activity is carried out through a series of assistance stages, starting from how the initial response, reporting techniques, asking for emergency assistance and first aid techniques to evacuation techniques to be moved to a health service place. Through the collaboration between the research group, Faculty of Nursing, University of Jember and the Agriculture and Health Office of Lumajang Regency, we provide assistance to Gapoktan Jatiroto District, Lumajang Regency. Assistance for the introduction of emergencies that threaten death due to accidents and occupational diseases as well as methods of reporting communication to PSC Si Lugas 119 Lumajang Regency. After mentoring is carried out, there is an increase in the ability of farmers to recognize and report emergencies, it is hoped that with community service, this Gapoktan assistance can reduce the risk of emergencies due to trauma and diseases due to work in the agricultural area.
ACCEPTANCE AND USE OF ARTIFICIAL INTELLIGENCE (AI) AMONG NURSING STUDENTS: A SCOPING REVIEW Annisa Pratiwi; Zainal Abidin; Rizeki Dwi Fibriansari; Anggia Astuti
Community of Publishing in Nursing Vol. 13 No. 5 (2025): Oktober 2025
Publisher : Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2025.v13.i05.p02

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Artificial intelligence (AI) had the potential to transform nursing education and practices. Nursing students need to be prepared to understand, accept, and use AI. However, nursing students experienced various challenges in using AI. This scoping review aimed to map the literature related to the acceptance and use of AI among nursing students. This scoping review followed the framework by Arksey and O’Malley. Inclusion criteria were AI-related studies involving nursing students, published in English (2015-2025), and available in full text. The search and selection of articles were shown in the PRISMA-SR flow diagram. Data extraction was done by creating a table. This research identified nine articles. Most studies reported positive attitudes and high readiness among nursing students to accept and use AI. Students used AI for learning, completing academic assignments, and supporting clinical practice. Influencing factors included AI literacy, personality, smart device addiction, and prior technology experience. Main challenges identified were lack of AI-focused training and curriculum, financial barriers, and concerns about data reliability. Nursing students generally demonstrated positive acceptance and use of AI, but significant gaps remained in training, curriculum integration, and access. These challenges are addressed through structured education, financial support, and ethical guidelines to optimize AI in nursing education and practices.