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Karakteristik Pasien Rawat Inap Meninggal ≥48 Jam Dirawat: Pelatihan Penelitian bagi Perawat Melati Fajarini; Sri Rahayu
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 6 No 1 (2020): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v6i1.1559

Abstract

Nurses need data on patient mortality ≥48 hours of care, but nurses' skills to get these data are lacking. Nurses' lack of skills to produce scientific evidence is one of the obstacles to evidence-based practice (EBP). Research training for nurses is carried out to overcome obstacles and answer research problems. Research mentoring training was carried out for three days in June 2019 using the EBP stage. 10 nurses participated in this training. The training results reported that all nurses could plan, carry out, and report the results of the research. The research that nurses conducted was a retrospective study to collect data from 62 medical records of patients who died ≥48 hours of treatment in March-May 2019. The results of the nurse's study found that most of the patients were male (51.6%), aged over 45 years ( 66.1%), died with a medical diagnosis of Tuberculosis (27.4%), stroke (17.7%), HIV (12.9%), and with an indication of being hospitalized in the ICU (53.2%). Through training for three days, nurses can produce scientific evidence and provide recommendations for improving hospital management services. Essential research training is carried out in clinical areas to improve evidence-based practice, which in turn can improve the quality of care and health status of patients.
Penguatan Kualitas Pendidik Klinik/Preseptor Klinik Melalui Peningkatan Kemampuan Evaluasi Pembelajaran Dengan Metode: Objective Structured Clinical Examination (OSCE) Tahap Basic Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini; Giri Widakdo
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.6880

Abstract

ABSTRAK Implementasi pendidikan tahap profesi ners adalah peserta didik menerapkan ilmu pengetahuan teori, konsep dan keterampilan teknis yang telah dikuasai pada program akademik pada klien langsung melalui program internship dimana peserta didik dibimbing oleh seorang perawat sebagai preceptor. Keberadaan pendidik klinik/preceptor sangat diperlukan dalam menjamin keterlaksanaan layanan pasien yang berkualitas serta menjamin kompetensi peserta didik. Disamping itu, pendidik klinik/preceptor juga diperlukan untuk mengurangi stres yang mungkin dialami oleh peserta didik sebagai lulusan sarjana keperawatan baru yang belum mengenal dunia kerja sebenarnya serta untuk menjamin bahwa tanggung jawab tidak sepenuhnya berada pada peserta didik, tidak diberikan secara lebih dini atau tidak seharusnya diberikan secara kurang tepat. Metoda pembelajaran pada tahap profesi berfokus pada pelaksanaan pendelegasian kewenangan dari preceptor kepada peserta didiknya. Sedangkan kegiatan evaluasi pada tahap profesi lebih terfokus pada pembuktian bahwa peserta didik telah memiliki kompetensi yang ditetapkan dan disertai dengan kemandirian dalam menjalankan kompetensinya sebagai cerminan kewenangan telah dimiliki. Tujuan dari pelatihan OSCE diharapkan dapat memberi pemahaman tentang evaluasi dengan metode OSCE, sehingga para evaluator dapat mengevaluasi secara objektif sesuai kemampuan mahasiswa. Metode yang akan dilakukan adalah pelatihan OSCE kepada preseptor klinik rumah sakit aliansi.  Hasil yang didapatkan pre-tes dengan nilai rata-rata 65, setelah diberikan pelatihan meningkat menjadi 85. Kesimpulan yang didapatkan terjadi peningkatan pemahaman preseptor mahasiswa. Kata Kunci: Kompetensi Klinik, OSCE, Pendidikan Keperawatan, Pendidik Klinik, Preseptor Klinik ABSTRACT The implementation of the nursing profession education stage is that students apply theoretical knowledge, concepts and technical skills that have been mastered in academic programs to clients directly through an internship program where students are guided by a nurse as a preceptor. The existence of clinical educators/preceptors is very necessary in ensuring the implementation of quality patient services and ensuring the competence of students. In addition, clinical educators / preceptors are also needed to reduce stress that may be experienced by students as new nursing graduates who are not familiar with the real world of work and to ensure that the responsibility is not entirely on the students, is not given earlier or should not be given. given incorrectly. The learning method at the professional stage focuses on implementing the delegation of authority from the preceptor to his students. Meanwhile, evaluation activities at the professional stage are more focused on proving that students have the competencies defined and accompanied by independence in carrying out their competencies as a reflection of the authority they have. The purpose of the OSCE training is expected to provide an understanding of evaluation using the OSCE method, so that evaluators can evaluate objectively according to students' abilities. The method that will be used is OSCE training for clinical precepts of alliance hospitals. The results obtained pre-test with an average value of 65, after being given the training increased to 85. The conclusion obtained was an increase in the understanding of students' precepts. Keywords: Clinical Competence, OSCE, Nursing Education, Clinical Educator, Clinical Precept
Evidence-based Practice and Information and Communication Technology: Stakeholders’ Insights Melati Fajarini; Sri Rahayu; Agus Setiawan
Jurnal Berita Ilmu Keperawatan Vol 15, No 2 (2022): July 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17727

Abstract

Stakeholders’ role to support evidence-based practice (EBP) and enhancing the use of information and communication technology (ICT) for EBP is essential. However, how EBP is supported and how ICT is utilized in health care providers is unknown. Aim: This study aims to explore stakeholders’ insights regarding the implementation of EBP and the use of ICT. A qualitative study with semi-structured face-to-face interview was used to obtain the aim. Using purposive sampling, eleven management representatives from public and private hospitals, clinics, and health office in Depok city, Indonesia were asked about EBP and ICT. Data were recorded, transcribed, and analyzed thematically. Five themes emerged from this study. EBP services availability and accessibility showed ICT sources were adequate, but still need improvement in the library and Education and Training Department (ETD); Healthcare workforce represented doctors and nurses who hardly generate research although permitted by the stakeholders; Health information system such as clinical cases forums in hospitals was established, but current evidence was rarely discussed; Funding for research and training related to EBP were not allocated; Leadership and governance showed there were limited policies on EBP and clinical instructors available in hospitals but generally work on supporting training and student practices. Although EBP implementation needs improvement, the stakeholders in this study mostly support EBP and enable ICT for EBP purposes. Advocacy on policy and resource arrangements is urged to support information initiatives.
Teknologi Pendidikan dalam Meningkatkan Kualitas Hidup dan Kepatuhan pada Penderita Hipertensi Firmansyah Firmansyah; Diana Irawati; Melati Fajarini
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5002

Abstract

This study aims to determine the effectiveness of educational technology in improving the quality of life and compliance in hypertensive patients. The research method is quasi-experimental, with a research design before and after educational interventions. The results showed that the majority of respondents aged >50 years were ten people (83.3%), female sex was eight people (66.7%), with high school education status were six people (50%), respondents had a history of hypertension numbering ten people (83.3 %), and the maximum BMI value is 25.1-27 of 7 people (58.3%). In conclusion, educational interventions with flipcharts can improve quality of life scores and enhance adherence to hypertension treatment, with attentive listening and dialogue built within health facilities and in community spaces that can facilitate decision-making about strategies to promote life improvements. Keywords: Hypertension, Quality of Life, Educational Technology
Aplikasi Cold Pack Penurunan Nyeri Pasca Kateterisas Jantung: Tinjauan Sistematis Wasis Widodo; Melati Fajarini; Wati Jumaiyah
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.208 KB) | DOI: 10.32583/keperawatan.v15i1.167

Abstract

Penyakit jantung koroner merupakan kondisi yang mengancam jiwa dan membutuhkan biaya yang besar dalam pengobatannya. Cold Pack merupakan intervensi untuk mengontrol nyeri. Cold Pack untuk pasien PCI sebagai metoda paling mudah, paling murah dan paling efektif untuk mengurangi nyeri radang akut. Rancangan yang digunakan yaitu menggunakan studi kasus (case study). Studi kasus dalam desain inovatif ini yaitu studi kasus dengan cara menerapkan hasil penelitian berupa memberikan kompres dingin dengan Cold Pack untuk mengurangi masalah gangguan rasa nyaman nyeri pada pasien dengan pasca PCI di RSUD Tarakan. Cold pack merupakan tindakan dalam memanfaatkan dingin untuk mengurangi nyeri, peradangan. Cold Pack gel diberikan selama 20 menit sebelum pencabutan sheath transfemoral yang ditujukan untuk mencegah terjadinya perdarahan atau hematoma yang mungkin dapat terjadi setelah dicabutnya sheath transfemoral.
The Effect of Telerehabilitation to Improve Quality of Life in Patient of Heart Failure (HF) Eza Kemal Firdaus; Diana Irawati; Melati Fajarini
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.816 KB) | DOI: 10.32583/keperawatan.v15i1.698

Abstract

Heart failure is one of the biggest causes of death worldwide. The fragility of heart failure patients becomes more vulnerable and at greater risk of physical, functional, cognitive, and emotional decline leading to decreased quality of life. Telerehabilitation provides rehabilitation services at a distance through information technology and telecommunications, such as telephone, internet, and video conferencing conducted at the patient's home as an effective and safe complementary alternative in improving the quality of life. This study aimed to determine the quality of life before and after the implementation of Telerehabilitation. A quasi-experimental study of a single group. A purposive sampling technique was used to collect the data, with a sample of 17 respondents. Data was collected using a Minnesota Living with Heart Failure Questionnaire (MLHFQ) before and after the intervention. The statistical test used was Paired Sample T Test. Heart failure patients will carry out a telerehabilitation program that has been agreed upon by the nurse and doctor. The results of the Paired Sample T Test Quality of Life above show the P value (Sig. 2-tailed) 0.00 or less than 0.005 (<0.05), so it can be concluded that the implementation of Telerehabilitation affects improving the quality of life in Heart Failure patients.
Penerapan Evidence Based Practice Nursing (EBPN) Modifikasi Miring Kiri dan Miring Kanan Menurunkan Back Pain Post Percutaneous Coronary Intervention Jum’atina Jum’atina; Wati Jumiati; Melati Fajarini
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5717

Abstract

This study aims to apply the identification of left and right oblique modifications to reduce back pain after percutaneous coronary intervention based on the results of Evidence-Based Practice Nursing (EBPN) research. The research method used is a case study. The case study in this innovative design is a case study by applying research results in identifying left and right oblique modifications to reduce back pain post-percutaneous coronary intervention. The results showed that adjusting the correct oblique and left diagonal positions was carried out after two hours of cardiac catheterization, namely for 30 minutes (15 minutes in the correct oblique position and 15 minutes in the left oblique position). In conclusion, giving accurate diagonal left oblique work is carried out in patients who experience post PCI back pain at the time of the study, having a pain scale of 5. After being given intervention, the pain scale is reduced to 3. Keywords: PCI, PJK, Right and Left Tilt Position
Penerapan Evidence Based Practice Nursing ( EBPN ) Elevasi Kaki terhadap Penurunan Foot Edema pada Pasien Congestive Heart Failure (CHF) Elidia Dewi; Wati Jumiati; Melati Fajarini
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5694

Abstract

failure (CHF) based on the results of Evidence-Based Practice Nursing (EBPN) research. The design used is using a case study. Case studies in this innovative design are case studies by applying research results in the form of providing leg elevation to reduce edema in CHF patients with leg edema at Tarakan Hospital. Doing foot elevation three times daily for two days can reduce leg edema in CHF patients. From the interventions carried out on the three patients, data were obtained on decreased edema in foot edema. Keywords: Elevation of the Feet, Edema, Congestive Heart Failure (CHF)
WEBINAR NATIONAL SPIRITUAL CARE PADA ERA PANDEMI COVID-19 BAGI PERAWAT DAN MAHASISWA KEPERAWATAN Murtiningsih; Sri Rahayu; Melati Fajarini; Andriati Reny Harwati; Siti Awa Abu Bakar; Turiman; Anik Sugiyanti; Nedra Wati Zaly; Muzamil; Teti Rahmawati; Ratna Sari Dewi; Dwi Agustina; Eddy Rosfiati; Nadirahillah; Suwarni Asman; Lia Rosita; Ade Kurniawan; Iis Safitri; Reza Rahmat
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 7 No. 3 (2023): Jurnal Panrita Abdi - Juli 2023
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v7i3.19310

Abstract

Patients suffering from Covid 19 will experience problems not only in the physical aspect but also psychologically, where the patient feels anxiety about the threat of death. Nursing care needs to be comprehensively bio-psycho-socio-spiritual, but not all nurses provide care from the spiritual aspect. Knowledge of patients and health workers about how to fulfill spiritual care needs still needs to be improved. Thus, there is a need for health information about the fulfillment of spiritual care in hospitals. Based on the problems experienced by Covid patients it is not only physical, so it is also necessary to provide spiritual nursing care to provide comprehensive nursing care. This activity aims to improve the knowledge and skills of nurses and nursing students in providing spiritual nursing care to patients. In this activity, lectures and discussions were held about virtual spiritual nursing care via Zoom and accompanied by demonstrations of examples of facilitating patient worship through videos created and uploaded on YouTube. This activity was carried out in collaboration between the STIKes Jayakarta institution, DPK PPNI STIKes Jayakarta, and DPD PPNI East Jakarta. This activity was attended by 354 participants with backgrounds from students, nurses, lecturers, and the general public from various provinces in Indonesia. The results of this community service activity were obtained after a lecture; participants had good knowledge about spiritual care during the COVID-19 pandemic, as much as 86.4%. ---  Pasien yang menderita Covid 19 akan mengalami masalah tidak hanya pada aspek fisik saja, tetapi juga mempengaruhi psikologis dimana pasien merasa cemas dengan ancaman kematian.  Asuhan keperawatan perlu diberikan secara komprehensif bio psiko sosio spiritual, akan tetapi belum semua perawat memberikan asuhan dari aspek spiritual. Pengetahuan pasien dan petugas kesehatan tentang cara pemenuhan kebutuhan spiritual care masih belum memadai. Sehingga, perlu adanya informasi kesehatan tentang pemenuhan spiritual care di rumah sakit. Berdasarkan permasalahan yang dialami pasien Covid tidak hanya fisik saja, sehingga perlu juga memberikan asuhan keperawatan spiritual agar asuhan keperawatan yang diberikan komprehensif. Kegiatan ini bertujuan meningkatkan pengetahuan dan keterampilan perawat dan mahasiswa keperawatan dalam memberikan asuhan keperawatan spiritual kepada pasien. Pada kegiatan ini dilakukan ceramah dan diskusi tentang asuhan keperawatan spiritual secara virtual melalui zoom dan disertai juga dengan demonstrasi contoh memfasilitasi ibadah pasien melalui video yang telah dibuat dan diunggah pada YouTube. Kegiatan ini terlaksana atas kerjasama antara institusi STIKes Jayakarta, DPK PPNI STIKes Jayakarta, dan DPD PPNI Jakarta Timur. Kegiatan ini diikuti oleh 354 orang peserta yang berlatar belakang mahasiswa, perawat, dosen, dan juga masyarakat umum dari berbagai provinsi di Indonesia. Hasil kegiatan pengabdian kepada masyarakat ini didapatkan setelah diberikan ceramah, peserta mempunyai pengetahuan yang baik tentang spiritual care selama pandemik COVID-19 sebanyak 86,4 %.
Intervensi Eye Mask terhadap Kualitas Tidur pada Pasien Coronary Artery Disease Habid Al Hasbi; Diana Irawati; Melati Fajarini; Sutanta Sutanta; Ady Tyawarman
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.4965

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This study aims to determine the effect of eye mask intervention on the sleep quality of coronary artery disease patients, which can be caused by many factors, including lighting, bedside monitor sound, the disease suffered, and nursing actions. This research method is quantitative with a quasi-experimental design with a control group pretest-posttest design. The research results showed that the p-value was 0.001 < 0.05, meaning there was a significant difference in the sleep quality of the intervention and control groups. In conclusion, eye masks are an easy intervention to implement and can significantly improve sleep quality in coronary artery disease patients treated in the Intensive Cardiac Care Unit. Keywords: Eye Mask, ICCU, Sleep Quality