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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing e-Journal Pustaka Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat (IKESMA) Jurnal Berkala Epidemiologi Jurnal NERS Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education JKG (Jurnal Keperawatan Global) Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) UNEJ e-Proceeding Majalah Kesehatan FKUB Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Komunitas Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Journal of Nursing Care Poltekita : Jurnal Ilmu Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners ARTERI : Jurnal Ilmu Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Abdimasku : Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Nursing and Health Sciences Journal (NHSJ) An Idea Health Journal Journal of Applied Nursing and Health Nursing Information Journal Lentera Perawat Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Global Pharma Technology Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Health and Technology Journal (HTECHJ) Jurnal Kegawatdaruratan Medis Indonesia Jurnal Kesehatan dr. Soebandi Journal of Community Empowerment for Multidisciplinary (JCEMTY) International Journal of Community Services International Journal of Contemporary Sciences (IJCS) Malahayati International Journal of Nursing and Health Science DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat NurseLine Journal JI-KES (Jurnal Ilmu Kesehatan)
Rondhianto Rondhianto
Faculty Of Nursing, Universitas Jember, Jember, Indonesia
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The impact of self-care deficits and infection control among patients with tracheostomies in intensive care unit: A scoping review Aluh Eka Novianty; Rondhianto Rondhianto; Iis Rachmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.849

Abstract

Background: Patients in intensive care units (ICUs) with tracheostomies are particularly susceptible to nosocomial infections, notably ventilator-associated pneumonia (VAP) and lower respiratory tract infections. A key contributing factor is the presence of self-care deficits, as these patients are generally unable to maintain airway hygiene or perform tracheostomy wound care independently. These deficits are compounded by healthcare worker workload, constrained ICU resources, and the absence of standardized care protocols. A comprehensive synthesis of existing evidence is therefore necessary to clarify the relationship between self-care deficits and infection risk. Purpose: To explore and analyze the association between self-care deficits and infection incidence in ICU patients with tracheostomy, with a focus on identifying key risk factors, implementation challenges, and effective infection prevention strategies. Method: A systematic literature search was conducted using databases including ProQuest, JSTOR, BMC, and Google Scholar, covering studies published between January 2015 and December 2024. Of 1,157 articles initially identified, 35 were selected for full-text review based on predefined inclusion and exclusion criteria. Quality appraisal was conducted using the Joanna Briggs Institute (JBI) framework, yielding 11 articles for final inclusion. Results: Self-care deficits substantially contribute to nosocomial infection risk in ICU patients with tracheostomies. Identified risk factors include ineffective secretion management, poor oral hygiene, and improper suctioning techniques. Inadequate education for both patients and caregivers following ICU discharge further exacerbates this risk. Additional barriers include limited medical equipment availability, insufficient training in tracheostomy wound care, and healthcare provider burden. Furthermore, there is a lack of research addressing the long-term consequences of self-care deficits and the effectiveness of patient-centered educational interventions. Conclusion: Self-care deficits significantly elevate the risk of infection among ICU patients with tracheostomies, primarily due to impaired hygiene and secretion management. Contributing factors include insufficient resources, absence of standardized protocols, and limited educational support for patients and caregivers. Although nursing interventions have demonstrated potential in mitigating these risks, their implementation remains inconsistent. Further research is warranted to assess the long-term effectiveness of targeted, patient-centered self-care education strategies.
DEVELOPMENT OF CALM (CASE-BASED ADVANCED LEARNING FOR PAIN MANAGEMENT) TO IMPROVE THE ATTITUDES, KNOWLEDGE, AND BEHAVIOR OF FINAL-YEAR NURSING STUDENTS ON PAIN MANAGEMENT Rondhianto Rondhianto; Ika Adelia Susanti; Muhamad Zulfatul A’la; Farida Nur Qomariyah
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1072

Abstract

Background: Pain is a primary complaint among patients in healthcare services. The failure in pain management can increase morbidity and mortality rates. There is a need to improve nursing students' competencies through innovative Web-Based Learning (WBL) models, which leverage technology to create a comprehensive and interactive learning environment. This study aims to develop CALM (Case-based Advanced Learning for Pain Management) to enhance the attitudes and knowledge of final-year nursing students regarding pain.Method: The research design used was Research and Development (R & D), involving final-year nursing students from the Faculty of Nursing, University of Jember, who met the inclusion and exclusion criteria. The sampling technique used was purposive sampling. The research instruments used were the Knowledge and Attitude Survey Regarding Pain (KASRP), Nurse Behavior Questionnaire in Pain Management (NBQ-P), Focus Group Discussion (FGD) guide, and System Usability Scale (SUS). Data analysis was performed using descriptive statistical analysis.Results: The results of the study indicated that the knowledge and attitudes of final-year nursing students regarding pain fall into the low category (53.8%). In terms of pain management behavior, the majority of respondents were in the good category (55.90%). The development of CALM learning media resulted in six modules to be developed: pain assessment and evaluation; pain pharmacology; non-pharmacological interventions; pain in special populations; and cultural, spiritual, and ethical aspects of pain management. The feasibility test of CALM learning media showed positive results.Conclusions: The development of CALM learning media was highly accepted, functions optimally, facilitating access to pain-related information, and aligning with previous evidence regarding the effectiveness of e-learning and interprofessional curricula, which have the potential to enhance knowledge, assessment skills, and learning satisfaction among students
Co-Authors Abdillah, Achlish Afandi, Alfid Agil Agustin Agus Meriroja Agustin, Agil Ahdya Islaha Widyaputri Ahdya Islaha Widyaputri, Ahdya Ahmad Fathoni Ahmad Kudlori Ahmad Rifai Ahmad Rifai Ahsan Ahsan Ajeng Dian Sandika Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Alfid Tri Afandi Aluh Eka Novianty Alwan Wijaya Alwan Wijaya Alya 'Izzatur Rohmah Amadea Yollanda Ana Nistiandani Anggun Afrix Rozana Anis Fitri Nurul Anggraeni Anisah Ardiana Annisa Putri Zalsabila ARIF HIDAYATULLAH Artha Artha Artha Artha Ayu Kurnia Vidiany Ayu Kurnia Vidiany Baehaqi Baiq Linda Agustina Linda Baskoro Setioputro Baskoro Setioputro Basuki, Pinky Issabella Nanda Benjayamas Pilayon Chanicha Chaitonthueng Debie Saktyana Iriawandani Dermawan, Candra Devy Meylina Christy Dewi Amaliyah Wahidah Dhimas Rizky Handoko Dicky Andriansyah Dimas Hadi Prayoga Dina Helianti DINI KURNIAWATI Dini Kurniawati Dodi Wijaya Dodi Wijaya Dodi Wijaya Dodi Dodi, Dodi Wijaya Dwi Ochta Pebriyanti Dwi Yuni Lestari Eka Yufi Septriana Candra Endrian Kurniawan, Dicky Enggal Hadi Kurniyawan Eni Yuriasti Eni Yuriasti Erna Hartatik Erti Ikhtiarini Dewi Esti Utarti Evan Wahyuningsih Fadilah, superzeki Zaidatul Faiqoh Salsabillah Ufaidah Faizatiwahida, Novia Farida Nur Qomariyah Farida Nur Qomariyah Fatimah Zahra Febrian Maulana Putra Febrian Maulana Putra FITRI NURCAHYANI Fitriani Fitriani Fitriani Fuad Hasim Wafi Gigih Permana Kusuma Putra Gunarto, Sugito Tri Hafan Sutawardana, Jon Hartatik, Erna Hasan, Hafifah Hemu, Viky Noviani Heri Siswanto Heri Siswanto Heri Siswanto Heri Siswanto Iis Rachmawati Iis Rahmawati Ika Adelia Susanti Ilzam Suji Ajikumoro Indriana Noor Istiqomah Intan Nur Annisa Ismara Ketut Ima Iswatiningtyas, Nur Faiza Jannah, Latifah Nur Jon Haffan Sutawardana Juthaluck Saentho Kadek Novi Andani Karuniawaty, Sari Dewi Karuniawathy Ketut Ima Ismara Kiki Maria Kiki Maria Kudlori, Ahmad Kurniawan Setia Budi, Fandi Ahmad Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kusnanto Kusnanto Kusnul Kotimah Kusnul Kotimah Kustiarini, Ari Laili Nur Azizah Laili, Nadia Rohmatul Lantin Sulistiyorini, Lantin Latifah Nur Jannah Lianawati Lianawati Linda, Baiq Linda Agustina Mahdi , Nabilla Novia Mardiati Mardiati Mardiati Mardiati Mashuri Mashuri Mei Syafriadi Mohammad Shodikin Mohammad Shodikin Mokh. Sujarwadi Muhamad Zulfatul A’la Muhammad Aldi Muhammad Fakhrur Rozsy Muhammad Nur, Kholid Rosyidi Muhammad Wahdha Mukarromah, Siti Murdiyati Mukhammad Toha Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Mustakim Mustakim Mustakim Mustakim Nailul Aizza Rizqiyyah Ningsih, Sri Wahyuningsih Nining Wahyuni Yuriasti Niruwan Turnbull Nisak, Efir Rifatun Nistiandani, Ana Noor Ika Wardani Noor Ika Wardani Novita Nurkamilah Nur Fitria Ulfa Chasanah Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nursalam, Nursalam Olifia Nafa Jelita Olifia Nafa Jelita Orachorn Lumprom Pairin Yodsuban Pairin Yodsuban Pasanti, Jesicha Melni Peni Perdani Juliningrum, Peni Perdani Pinky Issabella Nanda Basuki Pradika Ghozi Syamsir Primasari Mahardhika Rahmawati Putri Yunitasari Putri, Kartika Nurif Adeline Putri, Nicky Septiana R Endro Sulistyono RA. Arsyifa Nanda Fedora Rahma Yunita Rahman, Zaiful Rahmatullah, M. Nauval Rahmawati, Iis ramadhan, firman Ratna Sari Hardiani Ridlwan Kamaluddin Rini Riyanti Ririn Halimatus Sa`diah Rismawan Adi Yunanto Rizki Fitriani, Atmim Rohananingsih, Rohananingsih Rohkmah, Dewi Rosalind Prihandini Rubiansyah, Getha Maharani Ruris Haristiani Ruris Haristiani Salma Dena Sinta Qur'aini Sinta Wijayanti Siswoyo SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siti Marina Wiastuti Soenarnatalina Melaniani Sri wahyuni Sugih Utami, Wiwien Sugito Tri Gunarto Suhari Suhari Suhari SUHARSONO Suharsono SUJARWANTO Sujarwanto Sutriani Undariningsih Sutrisno Sutrisno Sutrisno, Sutrisno Syamsiar, Pradika Ghozi syamsidar syamsidar Tantut Susanto Tantut Susanto Triandana, I Komang Leo Triandana Umardi , Adhelia Ananda Umayanah Umayanah Wahyuni, Ika Sri Wantiyah Wantiyah Wantiyah Wardani, Noor Ika Wardani, Novita Putri Eka Widya Maulina Cantika Putri Wulandari, Winda Cindy Yonda, Nila Nabila Yulia Misni Yulia Yulia, Yulia Misni Yuriasti, Eni Yuriasti, Nining Wahyuni Zahratul Umniyyah Zahreni Hamzah Zaiful Rahman Zaiful Rahman Zuhroidah, Ida