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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Nursing Care Jurnal Keperawatan Suaka Insan Padjadjaran Acute Care Nursing Journal (PACNJ)

Ati Surya Mediawati

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Author-ID : 3500042

Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Articles

HAMBATAN PERAWAT DALAM PELAKSANAAN STANDARD PRECAUTIONS DI INSTALASI GAWAT DARURAT RSUD SUMEDANG Dina Pranita; Ati Surya Mediawati; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 3 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Latar belakang: Standard precautions merupakan praktik pencegahan infeksi yang berlaku untuk semua perawatan pasien didalam memberikan layanan kesehatan namun beberapa penelitian menunjukkan pelaksanaan standard precautions belum optimal karena adanya hambatan yang dipersepsikan perawat.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hambatan yang dipersepsikan perawat dalam pelaksanaan standard precautions.Metode: Metode penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross-sectional pada 37 perawat di Instalasi Gawat Darurat RSUD Sumedang dengan menggunakan teknik total sampling. Instrumen penelitian menggunakan kuesioner yang terdiri dari 48 pernyataan, mencakup lima tindakan standard precautions (hand hygiene, penggunaan APD, praktik injeksi yang aman, desinfeksi lingkungan, dan kebersihan pernafasan / etika batuk dan bersin) dan telah melalui uji content dan face validity. Data dianalisis dengan menggunakan distribusi frekuensi dan disajikan dalam bentuk persentase tiap faktor hambatan.Hasil: Hasil penelitian menunjukkan bahwa terdapat beberapa hambatan yang dipersepsikan oleh perawat pada tindakan standard precautions. Hambatan yang paling dirasakan yaitu peralatan yang membuat iritasi kulit pada hand hygiene (37,8%), keterbatasan peralatan APD (45,9%), keterbatasan dukungan dan pengawasan dalam pelaksanaan standard precautions pada praktik injeksi yang aman (16,2%), meningkatnya jumlah pasien pada desinfeksi lingkungan (32,4%), dan keterbatasan peralatan pada praktik kebersihan pernafasan / etika batuk dan bersin (10,8%).Kesimpulan: Berdasarkan penelitian ini, pihak rumah sakit harus mengupayakan peralatan hand hygiene yang mengandung emolien/pelembab dan jenis alcohol handrub n-propanol untuk mengatasi iritasi kulit. Memperkuat penyediaan sarana secara benar dan teratur untuk mengatasi keterbatasan peralatan. Memperhatikan kajian jumlah rasio perawat dan pasien untuk praktik kerja yang aman. Selain itu, membentuk komunitas praktik, mensosialisasikan reward atau punishment untuk meningkatkan kepatuhan dalam pelaksanaan standard precautions.

The Mental Workload Of Nurses In The Role Of Nursing Care Providers Witri Destiani; Ati Surya Mediawati; Ryan Hara Permana
Journal of Nursing Care Vol 3, No 1 (2020): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v3i1.22938

The responsibility of nurses as nursing care providers is a factor that affects the mental workload. The mental workload of nurses as caregivers who have to work and interact with patients professionally for 24 hours would arise. It may because of continuous adaptation of time constraints in providing nursing care for 24 hours, unclear job demands, limited ability, lack of motivation and mood, and the psychological burden of the nurse. This study aimed to describe the mental workload in carrying out their role as the nursing care provider at eight inpatient wards, Sumedang public hospital. This research applied descriptive quantitative design. The mental workload was measured using the NASA-TLX instrument. The samples were 94 who works inpatient rooms, they were randomly selected through cluster sampling techniques. Analysis of the data was descriptive analysis. The results of the study showed that 67% of nursing nurses had a mental workload that was in the role of providing nursing care. Nurses have a high mental workload in providing nursing care in special surgical wards (53.8%) and child wards (50%). It is recommended that hospitals evaluate the work system of nurses to examine the physical, psychological and behavioral changes that occur to nurses. It is expected that nurses show good performance in carrying out their role as nursing care providers.

Pengaruh Brain Gym Terhadap Fungsi Kognitif Pasien Pasca Stroke Iskemik Di Rumah Sakit Umum Pusat (RSUP) Dr.Hasan Sadikin Bandung Kristian Labertus; Ati Surya Mediawati; Titis Kurniawan
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol 2 No 1 (2017): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v2i1.56

Latar Belakang : Jumlah penderita stroke iskemik di dunia dan Indonesia menunjukkan peningkatan setiap tahunnya. Salah satu dampak yang muncul pasca stroke adalah gangguan motorik, sensorik, dan kognitif. Gangguan kognitif dapat mengganggu aktivitas harian dan menurunkan kualitas hidup, sehingga diperlukan latihan brain gym sebagai stimulus untuk memperbaiki gangguan tersebut. Tujuan : Untuk mengetahui pengaruh latihan brain gym terhadap fungsi kognitif pada pasien pasca stroke iskemik yang mengalami gangguan kognitif. Metode : Penelitian ini menggunakan quasi experiment dengan desain time series ini melibatkan 42 responden yang direkrut dari pasien RSUP Dr.Hasan sadikin Bandung menggunakan consecutive sampling. Responden terbagi menjadi dua kelompok menggunakan random allocation (masing-masing 21 orang). Kelompok kontrol mendapatkan farmakoterapi dan fisioterapi, sedangkan kelompok intervensi mendapatkan tambahan latihan brain gym 3 kali seminggu selama 4 minggu. Evaluasi fungsi kognitif dilakukan pada awal minggu pertama dan setiap akhir minggu menggunakan Montreal Cognitive Assesment (MoCA). Data yang terkumpul dianalisis menggunakan analisis deskriptif dan inferensial (p value < 0,05). Hasil : Kelompok intervensi menunjukkan perbaikan yang lebih signifikan dan konstan selama penelitian di domain eksekutif, orientasi, delayed recall, atensi, penamaan, abstraksi, dan bahasa. Hal ini dibuktikan dengan uji repeated ANOVA dan Post-Hoc yang menunjukkan nilai kurang dari 0,05. Uji homogenitas karakteristik responden dan uji beda pretest menunjukkan hasil tidak berbeda secara signifikan (p>0,05). Kesimpulan : Dapat disimpulkan bahwa ada pengaruh latihan brain gym dalam memperbaiki domain eksekutif, orientasi, delayed recall, atensi, penamaan, abstraksi, dan bahasa pasien pasca stroke iskemik di RSUP Dr.Hasan Sadikin Bandung. Dengan demikian menjadi penting bagi pihak rumah sakit mempertimbangkan latihan brain gym sebagai bagian terapi dalam mengelola kerusakan fungsi kognitif pasien pasca stroke sebagai upaya meningkatkan kualitas hidup pasien.

Experiences of Aggressive Behavior Patient after Physical Restraint in Mental Hospital, A Qualitative Study Iyus Yosep; Ati Surya Mediawati; Ai Mardhiyah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 2 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Aims. The prevalence of Violence in nurses and patients is an important issue today. One of the handlings of violent patients in mental hospitals is restraint. Restraint becomes a difficult choice for nurses in mental hospitals. This choice is still made with ethical considerations to prevent a worse risk. Restraints can violate patient rights. But if not done can threaten the environment. After physical restraint the patient has special experiences that need to be evaluated by the mental health nurse. Purpose. The purpose of this study was to describe the experience of patients with physical violence after restraint at the Mental Hospital, West Java. Methods. The informant selection technique used in this study was purposive sampling. The number of informants in this study was six patients. Patients were selected based on two inclusion criteria, first; have ever done physical violence, secondly, have experienced physical restraint. Patients have been selected by the head of the ward and approved by the nursing ethics board. Data was collected through focus group discussions (FGD). Data was recorded using an audiovisual camera. The discussion was conducted over three sessions, in three days, each for 60 minutes. The collected data is typed verbatim. The thematic analysis used in this study refer to six steps qualitative analysis. Result. There are six themes that arise in the client's response to violent behavior during physical restraint. It includes ignoring the patient's basic needs, Feelings of anger and irritation, thinking that there is no perceived positive influence, controlling his behavior for fear of the next physical restraint, Surrender to the conditions experienced, Feelings of relief and joy after not undergoing physical restraint, there is a feeling of revenge and want to take revenge. Conclusion. The patient's experience with physical violence after the act of restraint reveals the occurrence of neglect of basic human needs, the emergence of feelings of anger and irritation and thinking that restraint is of no benefit. After going through the angry phase, there is a sense of resignation to the patient and the informant's efforts to control his behavior for fear of getting physical restraint again. However, there is also a feeling of resentment that is triggered by the experience of being treated inhumanely.

Description Of Perceptions Of The Donning And Doffing Of Personal Protective Equipment In Unpad Nursing Students Class Of 2017 Rizkika Nur Amalia; Etika Emaliyawati; Ati Surya Mediawati
Padjadjaran Acute Care Nursing Journal Vol 3, No 1 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Personal protective equipment (PPE) is one of the standard precautions to reduce the risk of infection spreading. Nursing students are expected to have the proper knowledge and attitude regarding the donning and doffing of PPE as taught during the educational period. This study was intended to understand the knowledge and attitude regarding the donning and doffing of PPE on the students in the Faculty of Nursing Universitas Padjadjaran class of 2017 who will attend nurse profession education.The method of this study was descriptive quantitative. The population of this study was the students in the Faculty of Nursing Universitas Padjadjaran class of 2017. The sampling method was total sampling with a response rate of 82.7% (n=205). The instrument used was an online questionnaire of knowledge and attitude regarding PPE built by the researcher. The validity assessed were the construct validity and the content validity. The reliability had Cronbach's alpha value of 0.913 (knowledge) and 0.808 (attitude). The data analysis used median and frequency distribution.The study result showed that 113 respondents (55.1%) had proper knowledge regarding PPE while 92 respondents (44.9%) lacked knowledge regarding PPE. The variable study result showed that 111 respondents (54.1%) had a positive attitude toward PPE and 94 respondents (45.9%) had a negative attitude toward PPE.More than half the students in the Faculty of Nursing Universitas Padjadjaran class of 2017 had proper knowledge and a positive attitude. Knowledge and attitude can be affected by training, experience, and the availability of PPE. Practice and training concerning PPE during the educational period can increase the ability of the students to donning and doffing PPE properly because the students can easily understand the basic principles and standard practices and implement them consistently. Therefore, to increase the knowledge and attitude, the revitalization of education and training is required.

Co-Authors Ai Mardhiyah Dina Pranita Etika Emaliyawati Iyus Yosep Kristian Labertus Ristina Mirwanti Rizkika Nur Amalia Ryan Hara Permana Titis Kurniawan Witri Destiani

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