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Effectivity of Restrain Management Training on Nurses at RSKD Dadi, South Sulawesi Province Anna. AS, A. Nur; Suarniati, St; Halim, Abdul; Nur, Wahyunita; Khairunnisah, Khairunnisah
Jurnal Kesehatan Manarang Vol 9 No 3 (2023): December 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i3.912

Abstract

Background: Schizophrenia is a mental disorder with a very high prevalence in Indonesia, which is around 7 million per 1000 population (Riskedas, 2018). Schizophrenia can cause sufferers to behave aggressively, which can cause injury to the patient himself or other people, including nurses. If the client's aggressive behavior increases, the actions that can be applied are crisis management and restraint strategies. Objective: to determine the effect of restraint management on the knowledge, skills, and attitudes of nurses at RSKD DADI, South Sulawesi Province. Method: The type of research used is a quasi-experiment. The sample was divided into two groups: intervention and control groups. This research was conducted in November 2022. The population for this study were nurses at RSKD DADI South Sulawesi Province; the sample was determined by consecutive sampling, namely 20 people in the intervention group and 20 people in the control group, so the total sample was 40 people. Results: There is a significant difference in the mean knowledge of nurses regarding restraint management between the control group (M=7.75, SD=1.585) and the intervention group (M=10.05, SD=3.170) with a t-test value of 3.359, and a p-value of <0.003. There is a significant difference in the mean skills of nurses between the control group (M=29.85, SD=3.92) and the intervention group (M=34.25, SD=1.743) with a t-test value of 5.646 and a p-value of <0.000. There is a significant difference in the attitudes of nurses between the control group (M=21.35, SD=4.107) and the intervention group (M=24.70, SD=5.611) with a t-test value of 2.258, and a p-value of <0.036. Conclusion: The research findings showed a significant increase in the mean scores of knowledge, attitude, and skills after participating in the restraint training.
Sosialisasi Pada Perawat tentang Restrain Pasien Perilaku Kekerasan di Klinik Jiwa Nur Illahi Hadiansyah, Tantan; Rusnaedi, Uce; Edyana, Asep; Anna. AS, A Nur; Nompo, Rifki Sakinah; Farkhah, Laeli; Hermiati, Dilfera; Pragholapati, Andria
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.16187

Abstract

ABSTRAK Perilaku kekerasan pada pasien dengan gangguan jiwa adalah tantangan serius bagi perawat di klinik jiwa. Penggunaan restrain adalah salah satu metode yang digunakan untuk menangani perilaku kekerasan, namun banyak perawat belum menerima pelatihan yang memadai mengenai prosedur ini, yang berdampak pada rasa percaya diri dan kesiapan mereka dalam menghadapi situasi tersebut. Sosialisasi ini bertujuan untuk meningkatkan pengetahuan, pemahaman, dan kemampuan perawat terhadap restrain pada pasien dengan perilaku kekerasan. Promosi Kesehatan dilaksanakan melalui beberapa tahapan. Sebelum sosialisasi, tingkat pengetahuan perawat mengenai penggunaan restrain relatif rendah, dengan skor pengetahuan rata-rata 4,29 dari 10 soal pilihan ganda. Setelah sosialisasi, skor pengetahuan meningkat signifikan dengan rata-rata skor 8,29. Hal ini menunjukkan peningkatan yang signifikan dalam pengetahuan dan kesiapan perawat setelah sosialisasi dilakukan. Kegiatan sosialisasi mengenai penggunaan restrain sangat penting untuk meningkatkan pengetahuan perawat dalam menangani pasien dengan perilaku kekerasan. Hasil penelitian ini menegaskan perlunya pelatihan berkelanjutan untuk memastikan penerapan restrain yang aman dan efektif. Kata Kunci: Pengetahuan Perawat, Restrain, Perilaku Kekerasan  ABSTRACT Violent behavior in psychiatric patients poses a significant challenge for nurses in mental health clinics. Restraint is one method used to manage violent behavior, but many nurses have not received adequate training in this procedure, impacting their confidence and preparedness in handling such situations. This socialization aims to enhance nurses' knowledge, understanding, and skills in restraining patients with violent behavior. Health promotion was carried out through several stages. Before the socialization, the nurses' knowledge of restraint use was relatively low, with an average knowledge score of 4.29 out of 10 multiple-choice questions. After the socialization, the knowledge scores significantly increased, with an average score of 8.29. This indicates a significant improvement in the knowledge and preparedness of the nurses after the socialization was conducted. Socialization activities regarding the use of restraint are crucial for enhancing nurses' knowledge in handling patients with violent behavior. This study's results emphasize the need for ongoing training to ensure the safe and effective application of restraints. Keywords: Nurses Knowledge, Restraint, Violent Behavior
Persepsi Perawat tentang Restrain Pada Pasien Perilaku Kekerasan di Klinik Jiwa Hadiansyah, Tantan; Edyana, Asep; AS, A. Nur Anna; Nompo, Rifki Sakinah; Farkhah, Laeli; Pragholapati, Andria
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16145

Abstract

ABSTRACT Psychiatric emergencies are often accompanied by violent behavior that requires immediate intervention. Nurses in psychiatric clinics frequently encounter patients exhibiting violent behavior, and restraint is one of the methods used. This study aims to understand nurses' perceptions of restraint on patients with violent behavior. The study aims to explore nurses' perceptions regarding the use of restraint on patients with violent behavior in psychiatric clinics and the factors influencing nurses' readiness and confidence in such situations. A qualitative descriptive approach with total sampling was used. Data were collected through in-depth interviews and participant observations of seven nurses at the Psychiatric Clinic. Data analysis was conducted using thematic analysis methods, including transcription, coding, categorization, identification of main themes, and data validation. Most nurses feel less confident in handling patients with violent behavior without restraint training. Longer work experience increases confidence but does not replace the need for formal training. Educational background influences nurses' theoretical knowledge but does not fully guarantee practical readiness in applying restraint. Restraint training is highly necessary to improve nurses' readiness and confidence in handling violent patients. Nurses with higher educational backgrounds still require practical training to ensure safe and effective application. Keywords: Nurse Perception, Restraint, Violent Behavior, Psychiatric Clinic  ABSTRAK  Kedaruratan psikiatri sering disertai perilaku kekerasan yang memerlukan intervensi segera. Perawat di klinik jiwa sering menghadapi pasien yang berperilaku kekerasan, dan restrain adalah salah satu metode yang diterapkan. Penelitian ini bertujuan memahami persepsi perawat terhadap restrain pada pasien dengan perilaku kekerasan. Penelitian ini bertujuan mengeksplorasi persepsi perawat mengenai penggunaan restrain pada pasien dengan perilaku kekerasan di klinik jiwa, serta faktor-faktor yang mempengaruhi kesiapan dan kepercayaan diri perawat dalam situasi tersebut. Pendekatan deskriptif kualitatif dengan total sampling digunakan. Data dikumpulkan melalui wawancara mendalam dan observasi partisipan terhadap tujuh perawat di Klinik Jiwa. Analisis data dilakukan dengan metode analisis tematik yang mencakup transkripsi, pengodean, kategorisasi, identifikasi tema utama, dan validasi data. Sebagian besar perawat merasa kurang percaya diri dalam menangani pasien dengan perilaku kekerasan tanpa pelatihan restrain. Pengalaman kerja yang lebih lama meningkatkan rasa percaya diri, namun tetap tidak menggantikan kebutuhan akan pelatihan formal. Latar belakang pendidikan mempengaruhi pengetahuan teoritis perawat, tetapi tidak sepenuhnya menjamin kesiapan praktis dalam penerapan restrain. Pelatihan restrain sangat diperlukan untuk meningkatkan kesiapan dan kepercayaan diri perawat dalam menangani pasien kekerasan. Perawat dengan latar belakang pendidikan tinggi tetap memerlukan pelatihan praktis untuk penerapan yang aman dan efektif. Kata Kunci: Persepsi Perawat, Restrain, Perilaku Kekerasan, Klinik Jiwa