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The Effectiveness of Self-Directed Learning Readiness on Competency Achievement of Basic Nursing Clinical Practice Students Anggia Astuti; Dodi Wijaya; Nur Yuliani; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 1 No. 5 (2023): October 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i5.109

Abstract

Basic Nursing Clinical Practice is the first clinical learning experience for vocational nursing students. The achievement of complete competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved. Self-Directed Learning Readiness (SDLR) is a condition where students have full control in the process of making decisions related to their learning and accept full responsibility for it, even though later they need help and advice from lecturers and Clinical Instructors. Therefore, this research was conducted to determine the effectiveness of SDLR on the competency achievement of basic nursing clinical practice students. This study used a quasi-experimental design with one group pretest and posttest design. The sampling technique used total sampling, with as many as 91 respondents. Respondents were 2nd semester D3 Nursing Study Program students. The analysis used an independent sample t-test, with a 95% degree of confidence. 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. Of course, a high level of Self Directed Learning Readiness, can have a positive impact on student competency outcomes in carrying out Nursing Clinical Practice, where competency achievement targets will be met. Achievement of plenary competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved.
Implementasi Terapi Bermain (Play Dough) pada Anak Pre-School yang Menjalani Perawatan Hospitalisasi dengan Masalah Keperawatan Ansietas: Studi Kasus Musviro Musviro; Pita Nurparamitha Bahari; Sri Wahyuningsih; Nurul Hayati; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 1 No. 6 (2023): December 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i6.119

Abstract

Hospitalization is one of the causes of trauma and psychological trauma in children who are hospitalized. One of the impacts that often occurs in children undergoing hospitalization is anxiety. The aim of this research is to provide nursing care for children undergoing treatment in hospitals with anxiety problems using a playdough approach in the Bougenville Room at RSUD Dr. Haryoto Lumajang. Data collection used was interviews, observation, and documentation study of the anxiety experienced by patients. Research shows that play therapy using playdough is carried out for 15 to 30 minutes once a day makes children more interested and follow directions in playing so that they can divert their anxiety while they are in the hospital. This play therapy medium is effectively used to reduce anxiety in children when the child is in the hospital. Jam is a play therapy medium that is also useful for stimulating children's motor development because, in this play dough game, the way of playing uses the five senses, so it is effective as a learning medium given by parents to children.
Implementasi Promosi Pengasuhan dan Promosi Perlekatan pada Postpartum dengan Masalah Keperawatan Kesiapan Peningkatan Menjadi Orang Tua : Studi Kasus Musviro Musviro; Lili Nur Azlina; Sri Wahyuningsih; Nurul Hayati; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.151

Abstract

Parents must prepare emotionally and psychologically to face pregnancy, childbirth, and parenting so that they can be more confident about their role as parents later. Parents' duties include providing exclusive breast milk, which has benefits for their baby's health, but there are still many mothers who experience failure in breastfeeding at the beginning of the birth of their first baby. This research aims to provide nursing care to postpartum mothers with nursing problems of readiness to become parents using a parenting promotion and attachment promotion approach (breastfeeding technique education) in the lotus room at RSUD Dr. Haryoto Lumajang. Data collection was used through interviews, observation, and documentation studies. Research shows that if care promotion and attachment promotion (education on breastfeeding techniques) are carried out in accordance with the SDKI, SLKI and SIKI guidelines, nursing problems can be resolved, and the role of parents can improve. Actions to promote nurturing and promotion of breastfeeding attachment/attachment techniques are very important to help mothers find it easier to breastfeed their children because more information can increase parents' knowledge and skills, thus creating awareness to change behaviour according to their knowledge.
Overview of Self-Directed Learning Readiness (SDLR) in First-Year Nursing Students Anggia Astuti Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.186

Abstract

Self-directed learning (SDL) solves learning challenges using various learning tools. Nursing requires lifelong learning, and SDL is an important skill for practitioners to stay current and effective. It is required of nursing students to embrace SDL and hone these abilities. Nevertheless, there is no indication of this novel procedure in Lumajang. This study aims to assess nursing students' preparation for SDL and its impact on learning outcomes. This quasi-experimental study purposefully included 91 students who carry out basic nursing clinical practice as participants. The instrument used in this study was the Self-Directed Learning Readiness Scale (SDLRS) questionnaire developed by Fisher. The results of this study showed that there was an increase in the SDLR level from 9 students (9.9%) having a high SDLR level to 78 students (85.8%) and 82 students (90.1%) having a moderate SDLR level to 13 students (14.2%). The nursing students' average SDL preparedness level has a substantial impact on learning outcomes. Nursing training institutes should give the resources required to adopt SDL as a primary teaching technique to ensure competent lifelong professionals.
Penerapan Purse Lip Breathing Pada Pasien Asma Dengan Pola Nafas Tidak Efektif Rizeki Dwi Fibriansari; Imania Shafa Camila Say; Zainal Abidin
Health and Technology Journal (HTechJ) Vol. 3 No. 1 (2025): February 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i1.313

Abstract

Asthma is a leading cause of global morbidity and mortality, accounting for 17.4% of deaths worldwide.  As one of the top 10 non-communicable diseases, asthma significantly impacts patients and their families.  Characterized by recurrent and reversible airway obstruction, asthma often leads to ineffective breathing patterns.  This study explored the impact of pursed-lip breathing (PLB) therapy on reducing respiratory rate in asthma patients with ineffective breathing patterns at Dr. Haryoto Hospital, Lumajang.  A case study design was employed from June 14 to June 18, 2024, involving a single asthma patient who met the criteria of dyspnea, abnormal breathing patterns, and the use of accessory respiratory muscles.  Data collection included objective and subjective measurements using observation sheets, physical examination tools, and standard operational procedures.  PLB therapy was administered over five days, with three daily sessions, each lasting 5 to 15 minutes.  The patient, presenting with symptoms such as shortness of breath, chest tightness, prolonged expiratory phase, and abnormal breathing patterns, showed significant improvements following PLB therapy.  Results indicated a reduction in respiratory rate by 6.76 breaths per minute, an increase in SpO2 by 3.44%, and a decrease in pulse rate by 51.62 beats per minute.  PLB therapy effectively reduced respiratory effort, alleviated dyspnea, enhanced oxygen transport, and strengthened respiratory muscles.  This study demonstrates that PLB therapy is an effective non-pharmacological intervention for managing asthma symptoms.  Nurses are encouraged to incorporate PLB therapy into patient education to empower asthma patients to manage their symptoms independently.
Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Abstract

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.
Implementation of Lavender Aromatherapy for Post-Caesarean Section Mothers Experiencing Acute Pain Indahwati Ajiningwulan; Nurul Hayati; Musviro Musviro; Rizeki Dwi Fibriansari; Sri Wahyuningsih
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.491

Abstract

A Caesarean section is a surgical procedure through the abdominal wall and uterus to remove the fetus, which generally causes more severe postpartum pain than standard delivery. Pain due to surgery, if not immediately addressed, will hinder the mother's recovery process and the baby's breastfeeding process. One effort that can be done to reduce pain is with non-pharmacological methods, one of which is through the administration of lavender aromatherapy. This study aimed to explore the implementation of lavender aromatherapy administration for post-cesarean section mothers experiencing acute pain in the Lotus Room of Dr. Haryoto Lumajang Regional Hospital. The method used in this study was a case study involving one participant who met the inclusion criteria, namely a post-CS patient treated in the Lotus Room of Dr. Haryoto Lumajang Regional Hospital, exhibiting 5 out of 6 significant signs and symptoms of acute pain with a moderate to severe pain scale. Data was collected on March 18-20, 2025, using interviews, observation, and documentation techniques. The measurement instrument for the level of pain reduction was the Numeric Rating Scale (NRS) and the observation sheet for outcome criteria. Aromatherapy was implemented using a diffuser with five drops of lavender essential oil twice daily for 20 minutes. The study results showed a reduction in pain levels, with the following criteria: pain complaints decreased from 8 (severe) to 2 (mild), decreased grimacing, decreased anxiety, decreased protective behavior, improved pulse rate, and improved sleep quality. Pain management with one of the lavender aromatherapy interventions can reduce pain from 8 to 2 on NRS.
Improvement on the Ability of Triple Standards Nursing Documentation through Case Reflection: A Pilot Study Fibriansari, Rizeki Dwi; Maisyaroh, Arista; Kartono, Bambang Heri; Lestari, Tini
Fundamental and Management Nursing Journal Vol. 6 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.38062

Abstract

Introduction: :The Indonesia National Nurses Association (INNA) has issued tiples national nursing documentations as a standard. Professional nurse's developments program was included set of interventions to increase the ability of nurses to implement the triple standards. Nevertheless, study on the program's evaluation was scarce. The study aims to find out the improvement of the ability of nurses to do documentation nursing by Triple standards through case reflection at a regional general hospital in Indonesia. Methods: A pilot project consisted with series of identifications was initiated. This included problem identification, problem analysis, and preparation of a Plan of Action (POA) was conducted. The research was set at a regional general referral hospital in Indonesia on 25 nurses with a purposive sampling technique. Data collection was carried out using interview and observation techniques related to the ability of nurses to carry out triple nursing documentation, then problem-solving used a case reflection discussion approach. Results: There is an enhancement ability of nurses in nursing diagnoses by SDKI standard by 56% after cases reflection was delivered. An increase of 28% was documented on the nurse's ability for the following sections: preparation of intervention and outcomes following the triple standards. Conclusions: Case reflections positively impact nurses' ability to implement a standardized nursing documentation. The program helps nurses more precise and structured in carrying out documentation according to 3S standards. Better and more accurate documentation can lead to more appropriate and quality care, and facilitate better communication between members of the healthcare team.
IMPROVEMENT OF BASIC LIFE SUPPORT (BLS) FROM HAZARDOUS MATERIALS IN FARMERS: PENINGKATAN BASIC LIFE SUPPORT (BLS) DARI BAHAN BERBAHAYA PADA PETANI Rizeki Dwi Fibriansari; Arista Maisyaroh; Eko Prasetya Widianto
Borneo Nursing Journal (BNJ) Vol. 2 No. 1 (2020)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Identification of threats, vulnerabilities and ability of farmers in integrated nursing care-based emergency nursing in Lumajang District results in emergency risk results are still high and the ability of integrated farmers emergency response is still low. Management for integrated emergency risk reduction for farmers is needed by enhancing the capacity of farmers and reducing threats and vulnerabilities in agricultural areas. The purpose of this study is to improve the ability of farmers to provide basic life support (BLS) due to hazardous materials to farmers in Lumajang Regency. This study used a pre-post-test design method. Participants in this study were 30 participants who were selected by random sampling. Data analysis was performed using SPSS and hypothesis testing using the Wilcoxon Signed Rank Test with statistical test results p-value = 0,000 (α less than 0.05). This can show that there is a significant capacity improvement after conducting basic life support training due to hazardous materials to farmers.
PARTITION AND ROAD EXPLORATION IN AGRONURSING-BASED DEVELOPMENT: Eksplorasi Sekat Dan Jalan Dalam  Pengembangan Eduwisata Berbasis Agronursing Arista Maisyaroh; Anggia Astuti; Eko Prasetya Widianto; Rizeki Dwi Fibriansari; Muhammad Rizal
Borneo Nursing Journal (BNJ) Vol. 2 No. 1 (2020)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Saat ini terjadi pergeseran destinasi wisata, masyarakat tidak lagi berwisata untuk mendapatkan kesenangan saja tetapi lebih banyak berwisata untuk mendapatkan kesehatan, edukasi, dan bermanfaat secara fisik, psikologis, serta spiritual. Akan tetapi perpaduan wisata, budaya pedesaan, agrikultur dan kesehatan masih jarang terkaji, oleh karena itu tujuan penelitian ini adalah mendeskripsikan sekat dan jalan dalam perkembangan eduwisata berbasis agronursing. Desain penelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretatif. Pengambilan data dilakukan dengan cara wawancara mendalam menggunakan pertanyaan semistruktur yang melibatkan 10 orang petani di desa Burno. Data dikumpulkan dan dianalisis dengan menggunakan analisa tematik berdasarkan pendekatan Braun dan Clarke. Penelitian menghasilkan 5 tema yaitu melangkah sendiri, terkuncinya pasar, lemahnya akses program, pengorganisasian usaha desa, pemanfaatan potensi desa. Kesimpulan: Banyak dampak positif dari pengembangan eduwisata berbasis agronursing, baik dalam bidang ekonomi, kesehatan dan keberdayaan masyarakat. Namun hal ini perlu direncanakan secara hati-hati berkenaan dengan pelestarian lingkungan dan budaya lokal. Kerjasama yang baik antara pemerintah, masyarakat, dunia usaha sangat diperlukan untuk mengembangkan eduwisata berbasis agronursing yang berkelanjutan.