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All Journal Sodality: Jurnal Sosiologi Pedesaan Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal NERS MEDISAINS WARTA Jurnal Berita Ilmu Keperawatan JKG (Jurnal Keperawatan Global) IJNP (Indonesian Journal of Nursing Practices) AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat ABDIMAS SILIWANGI Manuju : Malahayati Nursing Journal Jurnal Ilmu Keperawatan Jiwa ComTech: Computer, Mathematics and Engineering Applications Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Indonesian Journal of Global Health research Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Unnes Journal of Mathematics Jurnal Multidisiplin Dehasen (MUDE) AGRIEKSTENSIA Prosiding University Research Colloquium J-ABDIPAMAS (Jurnal Pengabdian Kepada Masyarakat) Jurnal Pengabdian Masyarakat Jajama (JPMJ) Jurnal Berita Ilmu Keperawatan Jurnal Vokasi Indonesia Holistik Jurnal Kesehatan Journal of Publicness Studies
Arum Pratiwi
Universitas Muhammadiyah Surakarta
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Relaxation technique to reduce stress for a caregiver of a mental illness patient Arum Pratiwi; Rita Tri Subekti; Budi Kristanto; Abi Muhlisin
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.807 KB) | DOI: 10.30604/jika.v8i1.1586

Abstract

Background: Mental disorders require a long treatment which has an impact on the family's physical and psychological burden. Psychoeducation in the family becomes crucial to reduce stress on caregivers. Limited case studies still focus on providing therapy to families of mentally ill patients. This case reports aims to provide an overview and discourse on colleagues about how stress management is given to families with parents with mental disorders. Case presentation: A 32-year-old woman cares a mother with Schizophrenia. The woman was a main care provider in the family that complaint was anxiety at the thought of her mother suffering from a severe mental illness. Symptoms that appear in these women are sleep disturbances, headaches for a while, and difficulty concentrating. Examination of vital signs revealed normal pulse, blood pressure and body temperature. Stress management applied to these women is to provide progressive muscle relaxation therapy. The training was carried out at the family home for two activities, then the family was asked to do independent for one month. The achievement of stress management was measured using the Parenting Stress Scale between before and after relaxation exercises. There is a difference scores between before and after training from 81 to 72 but not significant. This is probably due to unresolved social support, one of which is stigma from neighbors. Conclusions: Relaxation technique procedures for severe mental illness caregivers have been successfully applied and have an effect on reducing stress levels, but there is no significant difference.Abstrak: Latar Belakang: Gangguan jiwa memerlukan penanganan yang lama yang berdampak pada beban fisik dan psikis keluarga. Psikoedukasi dalam keluarga menjadi sangat penting untuk mengurangi stres pada pengasuh. Studi kasus yang berfokus pada pemberian terapi kepada keluarga pasien gangguan jiwa masih terbatas. Laporan kasus ini bertujuan untuk memberikan gambaran dan wacana kepada sejawat tentang bagaimana manajemen stres diberikan pada keluarga dengan orang tua dengan gangguan jiwa. Presentasi kasus: Seorang wanita berusia 32 tahun merawat seorang ibu dengan Skizofrenia. Wanita tersebut adalah pemberi perawatan utama dalam keluarga yang mengeluhkan kecemasan karena memikirkan ibunya menderita gangguan jiwa kronis. Gejala yang muncul pada wanita tersebut adalah gangguan tidur, sakit kepala sesaat, dan sulit berkonsentrasi. Pemeriksaan tanda-tanda vital menunjukkan denyut nadi, tekanan darah dan suhu tubuh normal. Manajemen stres yang diterapkan pada wanita tersebut adalah dengan memberikan terapi relaksasi otot progresif. Pelatihan dilakukan di rumah keluarga selama dua kali, kemudian keluarga diminta untuk berlatih mandiri selama satu bulan. Pencapaian manajemen stres diukur dengan menggunakan Parenting Stress Scale antara sebelum dan sesudah latihan relaksasi. Ada perbedaan skor antara sebelum dan sesudah pelatihan dari 81 menjadi 72 tetapi tidak signifikan. Hal ini kemungkinan karena dukungan sosial yang belum terselesaikan, salah satunya adalah stigma dari tetangga. Kesimpulan: Prosedur teknik relaksasi pada caregiver gangguan jiwa berat telah berhasil diterapkan dan berpengaruh dalam menurunkan tingkat stres, namun tidak terdapat perbedaan yang signifikan.
Peningkatan Pengetahuan Tentang Kategori Pasien Gangguan Jiwa Pada Perawat Melalui Metode Simulasi Pratiwi, Arum; Kartiko, Juli Muhamad; Maharani, Devita; Fitriani, Nurlaila
Prosiding University Research Colloquium Proceeding of The 16th University Research Colloquium 2022: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Tujuan penelitian ini adalah untuk mengetahui pengaruh pelatihan pengkatagorian pasien dengan metode simulasi terhadap tingkat pengetahuan perawat di rumah sakit jiwa. Desain yang digunakan dalam penelitian ini adalah preeksperimental before after study. Jumlah sampel yang terlibat 68 perawat dengan kriteria minimal berlatar belakang sarjana dan sudah bekerja satu tahun. Kuesioner tingkat pengetahun berjumlah 20 item dengan rentang jawaban satu dan dua yang kesimpulan akhirnya menggunakan tiga area presentil yaitu baik, cukup dan kurang. Kuesioner diberikan pada responden sebelum dan sesudah pelatihan. Pelatihan dilakukan dengan ceramah dan simulasi yaitu praktik bersama mengkatagorikan pasien berdasar kasus gangguan jiwa. Uji statistik yang digunakan adalah Wilcoxon. Hasil penelitian ini menemukan bahwa rata-rata tingkat pengetahuan sebelum pelatihan 31,3 dan sesudah pelatihan 72,1; Selanjutnya uji perbedaan tingkat pengetahuan mempunyai probability -7,281 dengan nilai siknifikansi 0,001 yang bisa disimpulkan bahwa terjadi peningkatan pengetahuan setelah intervensi; oleh karena itu disarankan bahwa dalam pelatihan di bidang keperawatan selain ceramah sebaiknya dikombinasi dengan metode simulasi.
Story Telling as A Express Feeling Therapy for Patients with Depression: Gambaran Storytelling sebagai Terapi Mengungkapkan Perasaan pada Pasien Depresi Nurmalasari, Khani; Pratiwi, Arum
Prosiding University Research Colloquium Proceeding of The 18th University Research Colloquium 2023: Bidang Sosial, Ekonomi dan Psikologi
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Storytelling is an activity to develop emotions, morals and motivation that creates feelings of joy by providing real examples in the imagination so that someone will more easily absorb and understand the content of the story being told. The aim of this research is to determine the response to storytelling therapy through focus group discussions in depressed patients. This research uses quantitative research with a narrative descriptive approach. The sample for this research consisted of 20 respondents using a non-probability sampling method. Based on the results of research from 20 respondents, it was found that the response to storytelling therapy through focus group discussions was that the majority of patients were able to open up, namely 10 respondents (50%). The conclusion of this research is that all respondents had different responses when given therapy, including being confused, closing themselves off, and being able to open up.
Credential Method as A Measurement Tool for Nurses' Professionalism in A Hospital Sujiyanti, Sujiyanti; Pratiwi, Arum; Sugiharto, Sugiharto
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2913

Abstract

Credentials as an effort to maintain nurse competency and become the basis for granting clinical authority to nurses have not been implemented well. Implementation of processes for achieving goals varies across institutions. This research aims to identify the relationship between credentialing methods and the outcomes of the Ongoing Professional Practice Evaluation (OPPE) by investigating differences in OPPE scores based on years of experience. This is a quantitative research study with a descriptive correlational and comparative approach, involving 66 respondents who meet the criteria: Nurse PK I; less than 5 years of experience. Data analysis was conducted using Rank Spearman correlation and Kruskal-Wallis tests. The credentialing test method used a portfolio, interview, written test, and practical examination. The research results indicate that 48.48% of credentialing is done using these four methods. The majority of OPPE scores are rated as Good, accounting for 66.67%. The longer a nurse works, the better their performance rating. The Spearman rank test obtained a correlation coefficient of 0.353 with p= 0.004 (p<0.05), and the Kruskal-Wallis test obtained a Kruskal-Wallis value of 41.289 with p=0.000 (p<0.05). Conclusion: There is a relationship between credentialing methods and OPPE scores. The more credentialing methods used, the better the OPPE scores.
Emergency Service Response Time Performance Analysis in the Hospitals with Level Two Health Facilities: Comparative Study Lidiana, Exda Hanung; Pratiwi, Arum; Sugiharto
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 2 (2024): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i2.4711

Abstract

The Emergency Unit (ER) is a part of the hospital that provides rapid treatment for patients according to the severity of their condition. Response time is the speed of the medical team in the ER in treating patients, starting from the moment the patient arrives until medical action is given. Fast and precise response time can reduce the complications that can arise and the patient's cost burden. The number of patients and the number of nurses that are not comparable can affect the response time of nurses. Research observing and comparing response times is still very limited. This study aims to determine the difference in service response time in the ER in two hospitals with second-level health facilities. This type of research is quantitative using a descriptive comparative approach. The research method uses observation and questionnaire methods. Data collection directly using the stopwhatt tool. Sampling was taken using the Accidental sampling technique. Data analysis used the difference between two means test with Mann-Whitney. Observations were carried out on nurses in the emergency room totaling 52 observations in each hospital for three months. The results of the analysis show a value of P = 0.688, where this probability value is more than 0.05, so the hypothesis fails to be rejected, so it can be concluded that statistically there is no significant difference in the Response Time of nurses in the two Emergency Units. Nurses must provide a response time according to the regulations set by the Ministry of Health, namely less than five minutes.
TERAPI ELEKTRO KONVULSIF DAN DAMPAK PADA PASIEN SKIZOFRENIA DENGAN MASALAH UTAMA HALUSIANASI maharani, arlin oktavika; Pratiwi, Arum
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.37542

Abstract

Terapi Elektro Konvulsif (ECT) adalah pengobatan somatik yang melibatkan pemberian arus listrik pada otak melalui elektroda yang dipasang di pelipis, dan telah terbukti efektif dalam mengobati pasien dengan depresi yang resisten terhadap pengobatan serta skizofrenia. Penelitian ini bertujuan untuk mengidentifikasi respon fisiologis dan psikologis setelah penerapan ECT pada pasien skizofrenia dengan masalah utama halusinasi. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan deskriptif naratif. Sampel penelitian terdiri dari 20 pasien yang didiagnosis skizofrenia dengan halusinasi sebagai masalah utama, yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan dengan dua instrumen utama, yaitu data demografis dan semi-structured open-ended questions, melalui wawancara langsung dan tinjauan dokumen medis. Hasil penelitian menunjukkan bahwa respon fisiologis yang paling umum adalah sakit kepala (65%), sementara sebagian kecil responden mengalami mual (30%) dan muntah (10%). Dari sisi psikologis, 12 responden (60%) mengalami rasa takut dan cemas setelah terapi. Kesimpulan dari penelitian ini adalah bahwa respon fisiologis pada pasien pasca ECT bervariasi, dengan mayoritas pasien mengalami sakit kepala. Sedangkan respon psikologis, meskipun lebih banyak pasien yang merasa takut dan cemas, tidak semua pasien menunjukkan reaksi yang sama. Kesimpulan penelitian ini adalah bahwa semua responden memiliki respon fisiologis yang berbeda dan tidak semua responden yang mengalami respon psikologis takut dan cemas.
Time Motion Study Tindakan Invasif Menyuntik Intravena Perbedaan Antara Perawat Senior dan Junior Sukotjo, Ivanda Andinar; Pratiwi, Arum
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.13499

Abstract

ABSTRACT Nursing care management is a nursing service that is applied directly to patients. Nursing services to patients are oriented towards nursing needs and problems that have an impact on patient satisfaction. Time motion study is a measurement of the time required to perform a nursing action. Intravenous drug administration is an invasive action that introduces drugs through a sterile needle that is inserted into the patient's body tissue, namely the veins. The purpose of this study was to determine the difference in time regarding invasive intravenous injections in senior and junior nurses. The method used is quantitative with accidental sampling technique. The respondents studied amounted to 30 respondents. The instrument used was an observation sheet check list of nurses' skills and the length of time nurses perform intravenous injections. In this study using mann-whitney test data analysis. The results of this study showed a probability value of less than 0.05 with a significance of 0.001. So this study shows that there is a difference in time motion study of invasive intravenous injections between senior and junior nurses. Keywords: Time Motion Study, Intravenous Injections, Nursing Management ABSTRAK Manajemen asuhan keperawatan merupakan pelayanan keperawatan yang diaplikasikan langsung kepada pasien. Pelayanan keperawatan pada pasien ini berorientasi kepada kebutuhan dan permasalahan keperawatan yang berdampak pada kepuasan pasien. Time motion study merupakan pengukuranwaktu yang dibutuhkan untuk melakukan suatu tindakan keperawatan. Pemberian obat intravena merupakan suatu tindakan invasif yang memasukkan obat melalui jarum steril yang dimasukan ke dalam jaringan tubuh pasien yaitu pembulu darah vena. Tujuan penelitian ini adalah mengetahui perbedaan waktu tentang tindakan invasif menyuntik intravena pada perawat senior dan junior. Metode yang digunakan adalah kuantitatif dengan teknik accidental sampling. Responden yang diteliti berjumlah 30 responden. Instrumen yang digunakan adalah lembar observasi check list keterampilan perawat dan lama waktu perawat melakukan menyuntik intravena. Pada penelitian ini menggunakan analisi data uji mann- whitney. Hasil penelitian ini menunjukkan nilai probability kurang dari 0,05 dengan signifikansi 0,001. Maka penelitian ini menunjukkan adanya perbedaan time motion study tindakan invasif menyuntik intravena perbedaan antara perawat senior dan junior. Kata kunci: Time Motion Study, Intravena, Manajemen Keperawatan
Pencegahan insiden keselamatan pasien menggunakan patient safety enhancement strategy berbasis milieu therapy Saraswati, Kristanti Indah; Pratiwi, Arum; Hudiawati, Dian
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1688

Abstract

Background: Patient safety is a crucial aspect of healthcare services that must be a top priority for hospitals. Patient safety incidents can lead to serious injuries, increased healthcare costs, and damage to institutional reputation. Therefore, effective strategies are needed to prevent such incidents, one of which is the implementation of Milieu Safety, which emphasizes creating a safe and supportive environment for patients. Purpose: To examine and evaluate efforts to prevent patient safety incidents using the patient safety enhancement strategy based on milieu therapy. Method: This study employed a quasi-experimental design with a pretest-posttest nonequivalent control group approach. The sample consisted of 220 hospitalized patients, divided into intervention and control groups. Data were collected through the Safety Satisfaction in Healthcare Questionnaire (SSHQ), patient safety incident reports, and observations of Milieu Safety implementation using the Patient Care Safety Assessment Tool (PCSAT). Data analysis was conducted using the Mann-Whitney test to compare differences between the two groups. Results: The intervention group that implemented the Milieu Safety strategy showed a significant increase in patient satisfaction (p = 0.005) and maintained stability in patient safety incidents compared to the control group. Conclusion: The Milieu Safety strategy is effective in preventing patient safety incidents and improving the quality-of-care satisfaction. Integration of this principle into nursing Standard Operating Procedures (SOPs) is highly recommended.   Keywords: Milieu Therapy; Patient Safety Enhancement Strategy; Patient Safety Incident Prevention.   Pendahuluan: Keselamatan pasien adalah aspek penting dalam pelayanan kesehatan yang harus menjadi prioritas utama rumah sakit. Insiden keselamatan pasien dapat menyebabkan cedera serius, meningkatkan biaya, dan merusak reputasi. Oleh karena itu, diperlukan strategi efektif untuk mencegahnya, salah satunya melalui penerapan milieu safety yang menekankan pada terciptanya lingkungan aman dan mendukung bagi pasien. Tujuan: Untuk menelaah dan menilai upaya pencegahan pencegahan insiden keselamatan pasien menggunakan patient safety enhancement strategy berbasis milieu therapy. Metode: Penelitian dengan desain quasi-experimental menggunakan pendekatan pretest-posttest nonequivalent control group design. Sampelnya terdiri dari 220 pasien rawat inap yang dibagi menjadi kelompok intervensi dan kontrol. Data dikumpulkan melalui kuesioner kepuasan pasien (SSHQ), laporan insiden keselamatan, dan observasi penerapan Milieu Safety menggunakan Patient Care Safety Assessment Tool (PCSAT). Analisis data dilakukan dengan uji Mann-Whitney untuk membandingkan perbedaan antara kedua kelompok. Hasil: Kelompok intervensi yang menerapkan strategi milieu safety menunjukkan peningkatan signifikan dalam kepuasan pasien dengan p-value 0.005 dan stabilitas insiden keselamatan pasien, dibandingkan kelompok kontrol. Simpulan: Strategi milieu safety efektif dalam mencegah insiden keselamatan pasien dan meningkatkan kepuasan layanan perawatan. Integrasi prinsip ini dalam Standar Prosedur Operasional (SPO) keperawatan sangat direkomendasikan.   Kata Kunci: Milieu Therapy; Patient Safety Enhancement Strategy; Pencegahan Insiden Keselamatan Pasien.
Co-Authors Abi Muhlisin Agus Sudaryanto Agustina Ika Wulandari Akbar, Faliza Aidul Alfianti, Ade Leta Aliya, Rita Ambarwati, Okki Chandra An Nuuru, Hakim Rasyid Ana Oktarisa Andriyani, Selvya Hesti Arief Wahyudi Jadmiko Arif Widodo Ariyanto, Fajar Athallah, Ilham Iqbal Budi Kristanto Devita Maharani Dian Hudiyawati Dina Mayasari Dina Mayasari, Dina Dwi Ari, Purwaningtyas Lisa E. R. N, Hidayati, Eka Mutya Eka Nurhayati Enita Dewi Farid, Abdul Fitri, Aan Dwi Auliya Ganesa Gita Ayu Cahyani Hamyana Hari Kusnanto Hastara Dewi, Kenwi Hastono, Heru Puji Hemi Nursita Hudiawati, Dian Intan Roesyati Juli Muhamad Kartiko Kartiko, Juli Muhamad Kartinah Laksono Trisnantoro Lidiana, Exda Hanung maharani, arlin oktavika Maharani, Devita MH Dwi Nur Arif Muhammad Afandi Mulyono Mulyono Noor Alis Setiyadi Nugroho, Agustaria Budi Nugroho, Rino Ardhian Nurlaila Fitriani Nurlaila Fitriani nurmalasari, khani Nursita, Hemi P, Lita Hardyati Panggah Widodo Parjiyana Parjiyana Parjiyana Parjiyana, Parjiyana Putra, Adam Zegy Herlambang Raden Mohamad Herdian Bhakti Reni Kartika Sari Riswaka Sudjaswadi Rita Tri Subekti Rochmad - S. Sugiharto Sahuri Teguh kurniawan, Sahuri Teguh Saikhu, M. Saraswati, Kristanti Indah Selvya Hesti Andriyani Selvya Hesti Andriyani Setyorini, Fitri Ariani Shelvy Setyawati Sri Lestari Sri Mulyani Suasa Sugiharto Sujiyanti, Sujiyanti Sukotjo, Ivanda Andinar Sulastri Suryadi, Tatang Susilowati, Arlyn Dewi Syamsul Arifin Ulfah Nur Hanifah Umi Budi Rahayu Wahyudi, Chandra Tri Winarti, Wiwin Wisardoyo Wisardoyo Wiyoga, Aryasatya Cahya Wulandari, Niken Yuni Yuli Novitasari