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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Kedokteran Brawijaya Jurnal Administrasi Kesehatan Indonesia MEDISAINS Majalah Kesehatan FKUB Jurnal Perawat Indonesia Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research Jurnal Health Sains FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Caring : Jurnal Pengabdian Masyarakat International Journal of Science and Society (IJSOC) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Community Health and Preventive Medicine (JOCHAPM) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Journal of Psychiatry Psychology and Behavioral Research (JPPBR)
Kuswantoro Rusca Putra
Universitas Brawijaya
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Beban Kerja Mental Berhubungan dengan Keluhan Gangguan Muskuloskeletal pada Perawat di Rumah Sakit Rahmawati, Ike Nesdia; Pawestri, Frilian Niken; Putra, Kuswantoro Rusca; Ahsan; Wisnasari, Shila
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 12 No 1 (2024): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v12i1.630

Abstract

Gangguan muskuloskeletal merupakan tantangan signifikan dalam kesehatan dan keselamatan kerja bagi profesional kesehatan, khususnya perawat, yang berdampak pada kesejahteraan fisik mereka serta kualitas pelayanan yang mereka berikan. Penelitian ini bertujuan untuk menganalisis hubungan antara beban kerja mental dan keluhan muskuloskeletal paada perawat di Rumah Sakit Panti Waluya Sawahan, Malang. Penelitian ini menggunakan desain cross-sectional dengan jumlah sampel sebanyak 108 responden. Instrumen yang digunakan adalah kuesioner Nordic Body Map (NBM) dan NASA-TLX yang kemudian dianalisis menggunakan uji Spearman’s Rank. Hasil penelitian menunjukkan bahwa 49 responden (45,4%) merasakan beban kerja tinggi dan 60 responden (55,6%) melaporkan tingkat keluhan muskuloskeletal sedang, terutama di area punggung. Terdapat hubungan antara dua variabel dengan nilai p 0,000 (<0,05) dan nilai r 0,473 di mana semakin tinggi beban kerja, semakin tinggi keluhan muskuloskeletal yang dirasakan. Oleh karena itu, saat menjalankan pekerjaan, perawat harus menjaga daya tahan dan meningkatkan pengetahuan mereka tentang prinsip ergonomi.
Hubungan Kemampuan Berpikir Kritis Perawat Sebagai Prediktor Kegiatan Keselamatan Pasien Ningrum, Evi Harwiati; Rahmawati, Ike Nesdia; Eriprianto, Kukuh; Ahsan , Ahsan; Putra, Kuswantoro Rusca
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 12 No 1 (2024): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v12i1.666

Abstract

The ability to think critically regarding patient identification, administering blood transfusions, infection control, medication management, and fall and injury management. The ability to think critically is the basis for nurses in improving patient safety. The aim of this research is to analyze the relationship between nurses' critical thinking abilities as a predictor to patient safety activities. This research uses a cross sectional design.Researchers used The Nursing Critical Thinking in Clinical Practice to measure nurses' critical thinking abilities and Safety Care Activity to measure patient safety activities. Linear regression is used to analyze the relationship between critical thinking skills as a predictor of patient safety activities. The results of this study show that critical thinking skills are associated as a predictor of patient safety activities (p=<0.001). Every increase of one point in the critical thinking ability score increases 0.006 in the patient identification score (p=<0.001), 0.004 in the blood transfusion score (p=0.001), 0.005 medication (p<0.001), and 0.007 infection management and fall management (p<0.001). The conclusion of this research is that there is a relationship between critical thinking skills and patient safety activities. It is recommended that critical thinking skills be improved by implementing nursing rounds so that patient safety and the quality of nursing services improve.
Solutions to Overcome Burnout Symptoms in Nurses in the Covid-19 Isolation Room Kurniawan, Sylvia Jessy; Gede Utara Hartawan, I Gusti Agung; Rusca Putra, Kuswantoro
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.2s

Abstract

The Covid-19 pandemic has left healthcare workers working in uncertain and stressful situations to care for all patients with disabilities. The second wave of the Covid-19 pandemic that swept across the world caused many nurses in health facilities to experience fatigue in carrying out their duties. This study aims to determine the cause of burnout symptoms in isolation room nurses in the Covid-19 pandemic. The study was conducted at X Hospital in September-October 2021. The design of this study was descriptive analysis. Observations were made on the service system, data, and environment of the Covid-19 isolation room at X Hospital. Interviews and discussions were conducted with the head nurse, the head of the occupational safety and health committee, and the head of nursing medical services related to nurse burnout in the isolation room. 67.74% experienced emotional exhaustion in the medium and high categories in isolation room nurses in the second wave of the Covid-19 pandemic caused by a lack of staffing. The solution to detect and overcome burnout is to conduct mental health checks and regular medical check-up programs for further treatment by considering the comfort factor and high functional value.
Talk Show Program as an Effort to Build Brand Awareness of Udayana University Hospital's Instagram Wirya Pratama, I Wayan Agus; Gede Utara Hartawan, I Gusti Agung; Rusca Putra, Kuswantoro
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.16s

Abstract

Non-Covid-19 service closure has formed a stigma that hospitals only serve Covid-19 patients. This condition affects brand awareness and decreases the number of hospital visits. An interactive talk show using Instagram can be used to reintroduce hospital services to the public. This study aimed to measure the success of the talk show program in building brand awareness of Udayana University Hospital's Instagram account. One group pretest-posttest research was carried out at Udayana University Hospital on October 7, 14, and 21, 2021, by intervening with the Instagram content of Udayana University Hospital. After the live broadcast ended, the talk show content was published on the Instagram feed. The success of the talk show program was seen by comparing the audience growth, engagement rate, and brand awareness measurements before and after the talk show took place. Brand awareness can be seen in profiles, post-impressions, and profile visits to the Instagram account. The highest post-engagement (36.46%) was obtained in the first episode of the talk show and was in the very high category. Instagram followers and engagement rates increased and categorized very high. Profile impressions and visit profiles increased, indicating a wide range of content on the Udayana University Hospital's Instagram account. This study shows that talk show program can be implemented as a routine program that builds brand awareness on the Instagram account of Udayana University Hospital. This program can be used as a solution to introduce Udayana University Hospital to Instagram users by inviting quality guest stars and using easy-to-understand material.
ANALISIS KESEIMBANGAN KEHIDUPAN KERJA PADA KELELAHAN KERJA PERAWAT DI RUANG ISOLASI COVID-19 (STUDI KASUS RSI UNIVERSITAS ISLAM MALANG) Kuncoro, Wahyudi; Zuhriyah, Lilik; Putra, Kuswantoro Rusca; Lenggono, Kumoro Asto
Majalah Kesehatan Vol. 11 No. 2 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.02.3

Abstract

Keseimbangan kehidupan kerja perawat perlu diperhatikan oleh manajer rumah sakit karena dapat menimbulkan kelelahan kerja yang mengganggu proses pelayanan, pembiayaan, dan keselamatan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh keseimbangan kehidupan kerja pada kelelahan kerja perawat di ruang isolasi COVID–19. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Responden penelitian berjumlah 73 orang perawat yang bekerja pada Ruang Isolasi COVID-19 Rumah Sakit Islam Malang. Pengumpulan data menggunakan instrumen kuesioner keseimbangan kehidupan kerja (Greenhauss-Collin) dan Maslach Burnout Inventory (MBI).  Data dianalisis menggunakan regresi logistik. Hasil penelitian menunjukkan variabel work life balance memiliki pengaruh yang signifikan terhadap kelelahan kerja (p < 0.028). Selain itu juga ditemukan bahwa variabel umur, pendidikan, kerja shift memiliki pengaruh signifikan secara statistik terhadap kelelahan kerja. Sebagian besar perawat yang mengalami kelelahan memiliki proporsi keseimbangan kehidupan kerja tidak seimbang yang lebih tinggi. Sedangkan pada perawat yang tidak mengalami kelelahan memiliki proporsi keseimbangan kehidupan kerja yang seimbang. menunjukkan risiko untuk mengalami burnout pada orang dengan Work Life Balance yang tidak seimbang adalah 3,8 kali lebih besar daripada orang dengan Work Life Balance yang seimbang setelah variabel confounding umur, pendidikan, jenis kelamin, kerja shift, dan waktu bekerja dikontrol. Perawat yang memiliki keseimbangan kehidupan kerja tidak seimbang memiliki risiko 3,8 kali lebih besar mengalami kelelahan daripada perawat yang memiliki keseimbangan kehidupan kerja yang seimbang. Kesimpulan penelitian ini adalah keseimbangan kehidupan kerja memberikan pengaruh pada kelalahan kerja.
Brøset Violence Checklist (BVC) versus Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV): their sensitivity, specificity and accuracy as a predictor of violence in 24 hours among schizophrenia patients Yuniati, Wahyu; Putra, Kuswantoro Rusca; Widasmara, Dhelya
MEDISAINS Vol 18, No 2 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i2.7454

Abstract

Background: Brøset Violence Checklist (BVC) and Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV) are risk assessment instruments of violence that nurses can use in psychiatric services, but their accuracy of the instruments in predicting violent behavior in 24 hours need to be tested.Objective: This study aims to examine the sensitivity and specificity of BVC and DASA-IV instruments in predicting violent behavior within 24 hours and which is more accurate.Method: This is a diagnostic study with a cross-sectional approach. The sample of this study was 112 patients. The respondents' behaviors were observed, based on parameters assessed by BVC and DASA-IV as well as recording incidents of violent behavior using AOS (Aggression Observation Short) as the gold standard. Sensitivity, specificity, and Receiver Operating Characteristic (ROC) tests were conducted to assess the accuracy of the two instruments in predicting violent behavior within 24 hours.Results: 23.2% of the respondents in this study experienced violent behavior in the first 24 hours. BVC has a sensitivity value of 65.4% and specificity of 94.5%. DASA-IV has a sensitivity value of 69.2% and a specificity of 95.5%. The level of accuracy of BVC is 87.9%, and of DASA-IV is 92.2%.Conclusion: DASA-IV is more sensitive, higher in its specificity, and is more accurate in predicting violent behavior within 24 hours in schizophrenic patients compared to BVC
Over the head and lateral position technique for cardiopulmonary resuscitation: which one is better? Feorentina, Ivo; Putra, Kuswantoro Rusca; Suryanto, Suryanto
MEDISAINS Vol 18, No 2 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i2.7876

Abstract

Background: A high rate of cardiac arrest requires high-quality CPR. A valuable CPR rescuer has lower success than two or more rescuers, especially with the use of BVM. There is a complexity encountered with lateral CPR position as a commonly used position, which is the difficulty of position movement from compression to ventilation. On the other hand, Over the Head CPR position is used as an alternative position, which is considered more effective than a lateral position. It is also considered to be able to overcome the obstacles found in CPR with a single rescuer using BVM ventilation in the lateral position so that study is required to compare the quality of CPR between the two CPR positions.Technique: The quality of CPR between Over the Head position CPR and Lateral position CPR is compared. The technique testing was carried out on 24 students using a mannequin. CPR quality components include compression ratios: ventilation, speed, depth, hand placement, chest recoil, and the amount of time of chest compression interruption were observed strictly. The overall CPR quality score, particularly in terms of compression speed and the minimum interruption time of chest compression on Over the Head position, is better than lateral position CPR.Conclusion: Over the Head position, CPR significantly produces a better quality of CPR than Lateral position CPR.
Mind-body training and progressive muscle relaxation therapy on nurse with burnout syndrome Rahmayanti, Asih Devi; Putra, Kuswantoro Rusca; Yuliatun, Laily
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11011

Abstract

Background: Nurse burnout could affect nurse's professional competence. Either physical or emotional burnout was related to an ineffective individual coping and emotional intelligence. The nurse burnout could be coped with a direct intervention on the individuals who practically focused on the mind and body system.Purposes: This research was aimed to identify the effects of mind and body-based therapies (MBT and PMR) for nurse burnout.Methods: This research was quasi-experimental with two groups pretest-posttest design. The sample of this study was 50 nurses in the medical-surgical wards who were divided into intervention MBT and PMR with a simple random sampling technique. Collecting data using burnout syndrome measurements on nurses applied pre and post-intervention, which was analyzed by Wilcoxon and Mann-Whitney test.Results: The mean value of the burnout subscale decreased significantly (emotional exhaustion and depersonalization) and increased (personal accomplishment) after the MBT and PMR programs (p<0.05). The comparison of effect between the two intervention groups on nurse burnout syndrome found no significant positive difference in the mean scores (p>0.05). Conclusions: Mind body-based therapies (MBT and PMR) could reduce burnout syndrome significantly.
EVALUATION OF WORK-LIFE BALANCE, DEPRESSION, AND JOB PERFORMANCE IN RESIDENT DOCTORS Istiqomah, Ratri; Putra, Kuswantoro Rusca
Journal of Psychiatry Psychology and Behavioral Research Vol. 6 No. 1 (2025): Mental Health Portrait and Intervention to Build a Safe and Strong Environment
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2025.006.01.1

Abstract

Introduction: Mental health and work performance of resident doctors are critical, given the high workload and challenges in balancing professional duties with personal life. This study evaluates the condition of work-life balance (WLB), depression, and job performance among resident doctors in one of teaching hospital in Indonesia. This study aims to evaluate the impact of a mindfulness training program on WLB, depression, and job performance of resident doctors and assess the changes in these variables before and after the program. Methods: A total of 314 resident doctors were initially assessed, and 99 doctors with mild to severe depression were selected for the intervention. Of these, 70 doctors participated in a training program consisting of three sessions: effective communication, mindfulness, and patient safety. Pre-test and post-test assessments were conducted using the PHQ-9 for depression, IWPQ for job performance, and a work-life balance scale. Results: Before the intervention, most doctors reported low WLB (51.4%) and mild depression (72.9%). Job performance was predominantly rated as moderate (81.4%). After the intervention, there was a significant reduction in depression levels, with 38.6% of doctors reporting normal depression levels, 42.9% reporting mild depression, and 8.6% reporting severe depression. The p-value for depression was 0.000, indicating a significant improvement in the mental health of the doctors. However, the results for WLB did not show significant improvement (p = 0.303), and job performance also did not show significant improvement (p = 0.162) after the intervention. Despite a slight increase in the number of doctors reporting high job performance after the intervention (from 7.1% pre-intervention to 11.4% post-intervention), the change was not statistically significant. Discuss: The results of this study indicate that the training program significantly reduced depression among resident doctors, no significant improvements were observed in WLB or job performance. Despite the intervention’s focus on improving mental health, the findings suggest that external factors, such as workload and organizational support, may play a more significant role in influencing WLB and job performance. These results underscore the complexity of improving job performance and WLB, highlighting the need for a more holistic approach that combines mental health interventions with systemic changes in the work environment. Future studies should explore longer, more comprehensive interventions and address the structural factors affecting healthcare professionals’ WLB and job performance. Conclusion: The mindfulness and communication training intervention was effective in significantly reducing depression among resident doctors but did not significantly affect WLB or job performance. Further studies with different interventions may be required to achieve broader improvements in WLB and job performance.
Introduction Situation Background Assessment Recommendation (ISBAR) Checklist to Improve Nurses’ Handover Quality Yulianti, Lena; Putra, Kuswantoro Rusca; Lilik Supriati; Utami, Yulian Wiji; Aat Djanatunisah; Winda Yuniarsih
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62476

Abstract

Background: Patient transfer between hospital units, especially from the Emergency Department (ED) to the High Care Unit-Intensive Care Unit (HCU-ICU), carries a high risk of adverse events due to communication failures during handover. The Introduction, Situation, Background, Assessment, Recommendation (ISBAR) checklist is a structured communication tool designed to enhance handover quality but is underutilized in written patient transfer. This study aimed to evaluate the effectiveness of the ISBAR checklist in improving the quality of nurse handovers during ED to HCU-ICU patient transfers. Method: A pre-experimental study with a one-group pre-posttest design was conducted, in which ED nurses used the ISBAR checklist during patient handovers. Forty HCU-ICU nurses assessed the quality of the ED nurse handovers using the Handover Evaluation Scale (HES) questionnaire. A paired sample t-test was used to analyze the differences in handover quality before and after implementation. Result: The ISBAR checklist significantly improved nurses’ handover quality, with a p-value of 0.000 (p < 0,05). The effectiveness of the ISBAR checklist was analyzed using an N-gain score, resulting in a moderate improvement level of 0.34 (0.3 ≤ g ≥ 0.7). Conclusion: The ISBAR checklist is an effective tool for improving nurse handover quality in patient transfers. Hospitals should adopt ISBAR as a standardized handover protocol to enhance patient safety and continuity of care and establish a minimally interruptive environment during handover. Further research should explore long-term implementation and integration into electronic health records.
Co-Authors Aat Djanatunisah Achir Yani S. Hamid agus, Muharami Ahmad Hasyim Wibisono Ahsan Ahsan , Ahsan Ahsan Ahsan Alfrina Hany Alfrina Hany, Alfrina Amalia Rizki, Nurul Ani Budiati Ani Budiati Anwar, Mochamad Saiful Asih Devi Rahmayanti Asih Devi Rahmayanti Asih Devi Rahmayanti Budiati, Ani Dewa Gede Sanjaya Putra Dewi, Fajar Mulia Dhelya Widasmara Dinda Amalia Okvie Putri djauhari, thantowi Ekwantoro Ekwantoro Eriprianto, Kukuh Fa Rizki Bayu Perdana Bayu Perdana Fa Rizki Bayu Perdana Bayu Perdana, Fa Rizki Bayu Perdana Fajar Mulia Dewi Fajar Mulia Dewi Feorentina, Ivo Hardiyanto . Hardiyanto . Heriandi Sutadi I Gusti Agung Gede Utara Hartawan I Wayan Agus Wirya Pratama Ika Rizki Anggraini Ike Nesdia Rahmawati Ike Nesdia Rahmawati, Ike Nesdia Ike Nesdia Rahmawati3 Irwan Subekti Irwan Subekti, Irwan Istiqomah, Ratri Jamilatus Syamsiah Anwar Kartika, Annisa Wuri Kumoro Asto Lenggono Kuncoro, Wahyudi Kurniawan, Sylvia Jessy Laily Yuliatun Lilik Supriati Lilik Zuhriyah LInda WIeke Noviyanti Lisajidin, Muhamad Mifetika Lukitasari Mustikasari Mustikasari Ningrum, Evi Harwiati Noorhamdani AS Nurdiana, Sevia Nurul Muslihah Pawestri, Frilian Niken rahani ayu amalia Rahmayanti, Asih Devi Rani Rakhmawati Rani Rakhmawati, Rani Rinik Eko Kapti, Rinik Eko Rita Yuliana Sari Rr. Tutik Sri Hayati Rustiana Tasya Ariningpraja Setyoadi Setyoadi Setyoadi Setyoadi Setyoadi Setyowati Setyowati Suryanto Suryanto Syadilla, Iryne Putri Sylvia Jessy Kurniawan Tinggogoy, Meitha Vatmasari, Ratih Arum Wibisono, Ahmad Hasyim Winda Yuniarsih Wisnasari, Shila Yulian Wiji Utami Yulianti, Lena Yuniati, Wahyu