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Penggunaan system klasifikasi pasien sebagai penentuan kebutuhan perawat profesional Balalembang, Febriani Zusje; Gero, Sabina; Iswanti, Dwi Indah; Pujiyanto, Tri Ismu; Widiyaningsih
Link Journal of Health Science Vol 1 No 1 (2024): September : Journal of Health Science
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljhs.v1i1.5

Abstract

Pendahuluan: Penggunaan PCS diharapkan mampu memetakan kebutuhan perawat yang sesuai dengan kompleksitas kondisi pasien, sehingga distribusi perawat menjadi lebih efektif dan efisien. Tujuan: menghitung kebutuhan perawat profesional berdasarkan Sistem Klasifikasi Pasien. Metode: desain penelitian kualitatif dengan pendekatan riset tindakan. partisipan Perawat di RSUD Teluk Bintuni. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi yang berkaitan dengan pengelolaan tenaga keperawatan di rumah sakit. Proses analisis data menggunakan pendekatan kuantitatif dan kualitatif dengan tematik. Hasil: Penggunaan PCS perlu untuk pembagian perawat profesional di agar meningkatkan pelayanan secara maksimal. Kekurangan sumber daya manusia khususnya perawat menjadi penyebab sistem dinas tiga shift belum dapat diterapkan. Selain itu, tawaran alternatif sistem dinas perawat menjadi tiga shift dengan memenuhi kebutuhan jam kerja 40 jam dalam seminggu diterima oleh para perawat dengan adaptasi dan evaluasi yang cukup untuk memastikan keberhasilan implementasi. Kesimpulan: mempertimbangkan penerapan PCS sebagai metode utama dalam pengelolaan tenaga keperawatan guna meningkatkan kualitas pelayanan kesehatan.
EFEKTIVITAS MASSAGE EFFLEURAGE DAN TERAPI MUSIK TERHADAP PENURUNAN TEKANAN DARAH PADA IBU BERSALIN DENGAN PRE EKLAMSI Lestari Puji Astuti; Zuliah Zuliah; Tri Ismu Pujiyanto
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2020): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v11i1.782

Abstract

ABSTRACTBackground: According to the Indonesian Health Demographic Survey (IDHS) in 2017, the direct cause of the maternal mortality rate (MMR) of 30% was preeclampsia. Preeclampsia can be treated pharmacologically and non pharmacologically. Non-pharmacological treatment is a natural treatment including effluerage massage and music therapy.Objective: To identify and analyze differences in blood pressure reduction in pre-eclampsia mothers before and after massage effleurage and music therapy in the Kragan II Puskesmas maternity room.Methods: The study design used the Two Group Post Test With Control Design. Sampling by accidental sampling. Sampling in this study were 40 women with preeclampsia. Test results using the Mann-Whitney test.Results: With effluarge massage the average blood pressure value was 22.0 while in music therapy 19.00 and obtained ρ was 0.002 (0.05). So Ho refused Ha accepted, which means there are differences in the effectiveness of massage effleurage and music therapy to reduce blood pressure in mothers giving birth with pre-eclampsia in health center II.Conclusion: Massage effleurage is more effective when compared to music therapy in reducing maternal blood pressure. It is expected that health workers to implement an effleurage massage program in women with preeclampsia. Keywords: Massage effleurage, Music Therapy, Preeclampsia 
Pengaruh Penerapan Supervisi Klinik Model Akademik terhadap Motivasi Kerja dan Kinerja Perawat Pelaksana di RSUD Mitra Sehat Kolinug, Villy Betsi; Pujiyanto, Tri Ismu; Hastuti, Witri
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20921

Abstract

ABSTRAK Supervisi merupakan suatu proses mengawasi, memberikan arahan, memperbaki, membimbing mengevaluasi yang dilakukan supervisor keperawatan guna meningkatkan kemampuan staf perawat sehingga dapat memberikan asuhan keperawatan yang berkualitas kepada pasien. Supervisi dari pimpinan atau kepala ruangan yang dijalankan dengan terstruktur dan berkelanjutan dapat meningkatkan motivasi kerja dan kinerja perawat.Salah satu bentuk supervisi klinik adalah supervisi model akademik yang terdiri dari tiga komponen yaitu: educative, supportive, dan managerial. Mengidentifikasi dan menganalisis Pengaruh Penerapan Supervisi Klinik model akademik terhadap motivasi kerja dan kinerja perawat pelaksana di RSUD Mitra Sehat. Penelitian yang digunakan adalah jenis penelitian Kuantitatif desain Quasy experiment dengan pendekatan pre post test with control group. Sampel penelitian ini terdiri dari 62 responden yaitu 26 responden kelompok intervensi dan 36 responden kelompok kontrol.Teknik pengambilan sampel adalah teknik purposive sampling uji analisis data menggunakan Uji Beda Wilcoxon test, Uji Mann-Whitney U serta uji Anova. Hasil penelitian menunjukkan ada peningkatan yang signifikan dimana  nilai p-value 0,001 untuk kedua kelompok dalam supervisi klinik sebelum dan sesudah pelatihan. Pelatihan supervisi klinik memberikan dampak bagi motivasi kerja dan kinerja perawat pelaksana dengan hasil uji menunjukkan bahwa p-value 0,001 pada dua kelompok. Penerapan supervisi klinik model akademik terhadap motivasi kerja dan kinerja perawat pelaksana di Rumah Sakit Umum Daerah (RSUD) Mitra Sehat. Rekomendasi, untuk meningkatkan penerapan supervisi klinik model akademik dilakukan secara konsisten, berkala dan berjenjang di ruang perawatan rawat inap. Kata Kunci: Supervisi Klinik, Model Akademik, Motivasi, Kinerja.  ABSTRACT Supervision is a process of supervising, providing direction, improving, guiding, evaluating carried out by nursing supervisors in order to improve the ability of nursing staff so that they can provide quality nursing care to patients. Supervision from the leader or head of the room that is carried out in a structured and sustainable manner can improve work motivation and nurse performance. One form of clinical supervision is academic model supervision which consists of three components, namely: educative, supportive, and managerial. was To determine the effect of the implementation of Academic Model Clinical Supervision on work motivation and performance of implementing nurses at Mitra Sehat Hospital. a quantitative research type with a quasi-experimental design with a pre-post test with control group approach. The sample of this study consisted of 62 respondents, namely 26 respondents in the intervention group and 36 respondents in the control group. The sampling technique was a purposive sampling technique, data analysis using the Wilcoxon Difference Test, Mann-Whitney U Test and Anova test. The results showed a significant increase where the p-value 0.001 for both groups in clinical supervision before and after training. Clinical supervision training has an impact on the work motivation and performance of implementing nurses with the test results showing that the p-value 0.001 in the two groups. This study concludes that there is an effect of the application of academic model clinical supervision on the work motivation and performance of implementing nurses at the Mitra Sehat Regional General Hospital (RSUD). Recommendations, to improve the application of academic model clinical supervision are carried out consistently, periodically and in stages in the inpatient care room. Keywords: Clinical Supervision, Academic Model, Motivation, Performance.
Efficacy of progressive muscle relaxation intervention in mitigating compassion fatigue symptoms among nursing supervisors in hospital settings Pujiyanto, Tri Ismu
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.329

Abstract

Background: Healthcare professionals, particularly nursing supervisors, face significant occupational wellness challenges related to compassion fatigue - a condition arising from prolonged exposure to patient suffering and administrative stressors. This investigation examined the therapeutic benefits of progressive muscle relaxation techniques in addressing compassion fatigue among nursing supervisors within hospital environments. Methods: A quasi-experimental study design incorporating pre-post assessment with control comparison was implemented. Thirty nursing supervisors from a general hospital participated through purposive selection, randomly allocated to treatment (n=15) and comparison groups (n=15). The treatment cohort received eight structured progressive muscle relaxation sessions across four weeks. Compassion fatigue assessment utilized the professional quality of life scale (ProQOL) version 5. Statistical evaluation employed paired and independent t-test analyses. Results: Treatment group participants demonstrated substantial compassion fatigue score reductions from 28.7±4.2 to 19.5±3.9 (p<0.001), whereas comparison group scores remained unchanged (p=0.082). Post-treatment between-group analysis revealed significant differences (p<0.001). Physical manifestation improvements included notable reductions in muscular tension and fatigue symptoms. Conclusion: Progressive muscle relaxation intervention effectively diminished compassion fatigue levels and associated somatic symptoms among nursing supervisors. This approach represents a practical, evidence-based, non-pharmacological strategy for addressing occupational health challenges in healthcare settings.