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Clinical Judgement in ICU Nurse: A Concept Analysis Aryani, Denissa Faradita; Rustina, Yeni; Nurachmah, Elly; Dahlia, Debie; Gupta, Prateek; Apriyanti, Efa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.3269

Abstract

Clinical judgment is a critical and multifaceted process essential for ICU nurses, integrating technical expertise and interpersonal skills to ensure safe, effective patient care. Clinical judgment, recognized as a core competency in intensive care nursing, requires further conceptual clarity. This study aimed to define and analyze the concept of clinical judgment in ICU nurses using Walker and Avant’s eight-step concept analysis method. A comprehensive literature search was conducted across databases including CINAHL, Medline, Scopus, ProQuest, SpringerLink, ClinicalKey Nursing, EMBASE, ScienceDirect, EBSCOhost, and Google Scholar, covering publications from 1994 to 2024. The analysis identified key attributes of clinical judgment: clinical knowledge, critical thinking, practical wisdom, data prioritization, intuition, scientific analysis, evidence use, and interaction. Antecedents included education, knowledge, experience, analytical ability, and the nursing process. Consequences of clinical judgment were accurate responses, reflective practice, safe nursing care, and improved patient safety. Decision-making was identified as the primary empirical referent. This concept analysis demonstrates that clinical judgment in ICU nurses is developed through a synthesis of critical thinking, clinical expertise, and situational experience, reinforcing its significance in the delivery of high-quality critical care.
Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review Endah Dessirya; Kusnul Hasanah; Yeni Rustina; Happy Hayati; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.869

Abstract

Background: The transition of premature infants from the intrauterine to the extrauterine environment is a complex and challenging adaptation process for infants and their mother. Empowering parents through education and support is crucial in navigating these challenges. Propose: To review parental empowerment through early kangaroo care a holistic approach to neonatal health. Method: Systematic review research according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This literature research uses seven electronic databases, namely PubMed, Proquest, Sciencedirect, Wiley Online, Emerald insight, Sage Journals, and JSTOR. The data search began on September 30, 2024, using the keywords "parent" or "mother" or "maternal" and "infant" or "preterm" and "early" or "immediately" and "skin-to-skin" or "kangaroo-mother-care". The literature criteria used were full texts that discussed prematurity (newborns with a gestational age of <37 weeks), mothers who performed early KMC, parents who performed early KMC, the outcomes measured in this study were infant outcomes (morbidity, mortality, physiological status, weight, and length of stay) and maternal outcomes (exclusive breastfeeding, maternal mental health), and this study used a randomized control design. This study is registered with PROSPERO (CRD42025633170). Results: The search process identified 318 articles. Further screening resulted in a final sample of 7 articles. The review results showed that early KMC has benefits for both mothers and infants. Benefits of early KMC for mothers include increased exclusive breastfeeding, reduced depression, and increased maternal self-satisfaction in caring for preterm infants. Furthermore, in preterm infants, early KMC has been shown to improve physiological stability, weight gain, reduce mortality, morbidity, infections, weight gain, and reduce length of hospitalization. Conclusion: Early implementation of KMC not only provides clinical benefits for preterm infants, but also contributes to improved maternal mental health. These findings support the promotion of KMC as a standard intervention in neonatal intensive care units to optimize short- and long-term outcomes for mothers and preterm infants.
Understanding cultural barriers to the care of low-birth-weight infants in Papua, Indonesia: A qualitative descriptive study Situmorang, Hotnida Erlin; Rustina, Yeni; Novieastari, Enie
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3953

Abstract

Background: Low birth weight (LBW) is a persistent public health challenge globally, including in Indonesia, particularly in remote areas like Papua. While biological risks are well documented, the influence of sociocultural factors on LBW infant care remains underexplored. There is a critical gap in understanding how cultural beliefs and family dynamics act as barriers to effective caregiving in these settings. Objective: This study aimed to explore cultural barriers to the care of LBW infants in Papua, Indonesia. Methods: A qualitative descriptive design was employed. Data were collected through face-to-face, semi-structured interviews with ten mothers of LBW infants in Jayapura, Papua, from May to July 2024. Interviews were transcribed verbatim and analyzed using inductive thematic analysis. Results: Inductive thematic analysis resulted in six themes: (1) Traditions and traditional practices during pregnancy and childrearing; (2) Perceptions of herbal remedies and traditional practices in managing infant health and growth; (3) Traditional care practices for LBW infants and their adaptation within community health efforts; (4) Challenges and obstacles for parents in caring for LBW infants; (5) Family support, roles, and hospital-based education in LBW care; and (6) Parental understanding, needs, and expectations regarding LBW care. Conclusion: Despite improvements in health information and services, ongoing cultural negotiation is needed to achieve optimal family-based LBW care. Nurses and other health workers should enhance cultural competence and employ patient-centered, culturally sensitive nursing care that integrates local traditions with evidence-based practice, aiming to improve infant health and reduce complications.
Pengaruh Perawatan Metode Kanguru terhadap Respons Fisiologis Bayi Prematur Deswita, Deswita; Besral, Besral; Rustina, Yeni
Kesmas Vol. 5, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Saat ini, perawatan metode kanguru mulai dianjurkan bagi bayi prematur karena kelahiran prematur dan bayi dengan berat badan lahir rendah merupakan salah satu penyebab kematian bayi terbesar. Tujuan penelitian ini adalah untuk mengetahui pengaruh perawatan metode kanguru terhadap respons fisiologis bayi prematur. Desain quasi experiment one group pre and post-test dilakukan di 2 rumah sakit di Jakarta. Sebanyak 16 bayi prematur yang memenuhi kriteria inklusi dipilih sebagai sampel. Hasil penelitian menunjukkan bahwa terdapat pengaruh yang bermakna dari perawatan metode kanguru terhadap respons fisiologis bayi prematur seperti peningkatan suhu tubuh ke arah suhu normal (p value = 0,000), peningkatan frekuensi denyut jantung ke arah normal (p value = 0,003), dan peningkatan saturasi oksigen ke arah normal (p value = 0,023). Oleh karena itu, metode perawatan kanguru merupakan cara yang efektif, mudah, dan murah untuk merawat bayi prematur. As premature birth and low birth weight are the main cause of neonatal mortality, kangaroo mother care is now suggested to care premature infants. The purpose of this study was to identify the effect of kangaroo mother care on physiological response of preterm infants. A quasi experiment design with one group pre and post test design was conducted in two hospitals in Jakarta. Sixteen preterm infants matching the inclusive criteria were selected as sample. The study found significant effect of kangaroo mother care intervention on physiological response of preterm infants, i.e. increasing body temperature to normal (p value = 0,000), increasing heart rate to normal (p value = 0,003), and increasing oxygen saturation (p value = 0,023). Therefore, the kangaroo mother care is therefore an effective, simple, and cheap method to care the preterm infants.
Upaya Meningkatkan Berat Badan Bblr Melalui Intervensi Comfort Food For The Soul Kolcaba (Perawatan Metode Kanguru) Ayuda Nia Agustina; Yeni Rustina; Fajar Triwaluyanti
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 2 No. 1 (2018): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/s65cmq66

Abstract

Nutrisi yang adekuat diperlukan untuk proses penyembuhan, pertumbuhan dan perkembangan bayi berat lahir rendah, namun belum semua perawat mampu memfasilitasi pemenuhan kebutuhan nutrisi yang adekuat. Penelitian ini menganalisis penerapan model kenyamanan Kolcaba dalam memenuhi kebutuhan nutrisi pada bayi berat lahir rendah. Desain yang digunakan adalah studi kasus, terdapat lima kasus yang dibahas. Diagnosis keperawatan yang dirumuskan adalah: Ketidakefektifan pola menyusu pada bayi, ketidakseimbangan nutrisi: kurang dari kebutuhan tubuh, ketidakcukupan ASI, kekurangan volume cairan, risiko infeksi, ketidakefektifan termoregulasi: Hipotermia, pola nafas tidak efektif. Intervensi utama yang diterapkan adalah perawatan metode kanguru dan terapi musik. Hasil akhir penerapan model kenyamanan Kolcaba menunjukkan bahwa perawatan metode kanguru dan terapi musik dapat memfasilitasi pemenuhan kebutuhan nutrisi pada bayi berat lahir rendah ditunjukkan dengan adanya peningkatan berat badan per hari dan meningkatnya produksi ASI. Asuhan berpusat pada keluarga seperti perawatan metode kanguru penting untuk memfasilitasi kenyamanan dan pemenuhan kebutuhan nutrisi pada bayi berat lahir rendah.
Aplikasi Teori Transcultural Nursing melalui Intervensi Biological Maternal Sounds untuk Kebutuhan Perilaku Tidur-Terjaga Bayi Prematur di Ruang Perinatologi RSUPN Cipto Mangunkusumo Jakarta Hardini, Deisy Sri; Rustina, Yeni; Syahreni, Elfi
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Pentingnya bayi prematur mencapai perilaku tidur tenang dan terjaga tenang agar pengeluaran resting energy expenditure (REE) dapat diminimalkan sehingga energi yang dimiliki dapat digunakan untuk proses metabolisme guna mencapai pertumbuhan dan perkembangan optimal. Pendekatan Transcultural Nursing melalui intervensi keperawatan yang berbasis kultural adalah pemberian stimulasi biological maternal sounds (BMS). BMS merupakan stimulasi audiosensori dengan memperdengarkan suara rekaman dan denyut jantung ibu pada bayi prematur dengan menggunakan media audio untuk mengalihkan kebisingan yang muncul dalam lingkungan perawatan dan meminimalkan komplikasi iatrogenic. Penelitian ini bertujuan untuk menggambarkan penerapan teori Transcultural Nursing melalui intervensi BMS dalam memenuhi kebutuhan perilaku tidur-terjaga bayi premature dimana menciptakan kondisi lingkungan bayi sama seperti bayi saat berada didalam lingkungan rahim Ibu yaitu memperdengarkan rekaman suara Ibu pada frekuensi 500-1000 Hz atau sama dengan 20-50 dB. Penelitian ini menggunakan metode studi kasus dengan mengelola lima kasus bayi premature. Hasil penelitian ini adalah lima bayi dengan rerata usia koreksi lebih dari 30 minggu berespon positif setelah diberikan BMS, dengan menunjukkan rerata pencapaian status tidur tenang selama 35 menit dalam waktu 90 menit pengamatan. Hal ini menunjukkan bahwa pada usia diatas 30 minggu dalam proses perkembangan sistem auditori dan sistem neurobehaviour adalah terbentuknya hubungan antara lobus temporal dengan korteks auditori sehingga dapat mendengar dan berespon terhadap suara Ibunya, mulai membeda-bedakan suara yang ada disekitarnya, serta memulai perkembangan untuk fungsi bahasa dan bicara.
Effectiveness of Agent Disinfectant Prior to Intravenous Catheter Placement on Infection and Potential Adverse Effects Among Neonates: A Systematic Review Islamia, Ina; Rustina, Yeni; Huda, Mega Hasanul; Adawiyah, Robiyatul
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.5410

Abstract

Several disinfection agents have been proven to have controversial issues with neonates. These agents continue to be used to disinfect prior to the insertion of intravenous catheters, both peripheral and central venous catheters in neonatal care rooms. Objective to identify the effectiveness of disinfection agents used prior to intravenous catheter placement among neonates and the possible adverse events. A systematic review was conducted. Databases including Pubmed, Science Direct, Proquest, Ebscohost, Clinical Key Nursing, and Wiley were searched from inception to October 2024. The eligibility criteria were neonates who needed intravenous catheter placement (peripheral or central), with experimental research design, and articles written in English. The quality of studies was assessed depending on the study design. Our study is registered on PROSPERO number CRD42024618924. 1119 articles were found. After the screening processes, we finally included 7 articles. Disinfection agents frequently used in neonatal settings in the included studies were chlorhexidine (with varying concentrations), aqueous and alcohol-based, and povidone-iodine 10%. The disinfectant used prior to the insertion of the intravenous catheter was effective in reducing pathogen colonization on the skin and preventing bloodstream infection. Even so, there were some concerns regarding the adverse effects of the disinfectant agent used. The disinfection prior to invasive procedures in neonatal care is a debated topic. Despite this, inadequate disinfection poses more life-threatening due to the risk of bloodstream infection. Key factors to consider when choosing an appropriate topical agent disinfectant prior to intravenous catheter placement in neonates include gestational age, birth weight, and skin condition.
Effectiveness Infant Massage Provided by Mother on Weight Gain Among Premature Infants: A Systematic Review Hasanah, Kusnul; Dessirya, Endah; Rustina, Yeni; Adawiyah, Robiyatul; Huda, Mega Hasanul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6213

Abstract

Premature birth poses significant health challenges with implications of low birth weight in infants. Infant massage intervention by mothers shows potential in enhancing weight gain in premature infants and improving their neurological and emotional development. This study aims to evaluate the effectiveness of such interventions in promoting holistic growth in premature infants.Objective: This article aims to investigate the effectiveness of infant massage intervention involving mothers in enhancing weight gain in premature infants.Methods: This study employed a systematic review method. A search in the PubMed, Science Direct, Sage Journals, Scopus, Taylor & Francis, Proquest, Clinical Key to retrieve randomized controlled trial of premature infants receiving massage therapy by mother impact of weight gain on infant premature. The registration number was CRD42024622719.Results: Of 883 record article retrieved, 5 RCTs with 406 participans were included. Literature studies indicate that infant massage involving mothers has beneficial effects on premature infants, such as calorie intake, head circumference, body length, nerve development, length of stay (LOS), and sepsis incidence in premature infants. Massage therapy by the baby's mother also did not have any side effects or cause complaints, and no secondary effects were found.Conclusion: Infant massage by mothers is an effective intervention in enhancing weight gain in premature infants. Involving parents in the care of premature infants through interventions like this can provide significant benefits for the well-being and development of premature infants.
Upaya Konservasi Pada Neonatus dengan Non-nutritive Sucking dan Pijat Ekstremitas: Conservation Efforts in Neonates with Non-nutritive Sucking and Extremity Massage Halimah; Fajar Tri Waluyanti; Yeni Rustina
NERS Jurnal Keperawatan Vol. 12 No. 1 (2016): NJK Volume 12, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v12i1.259

Abstract

Pain is a discomfort sensational that felt by hospitalized neonates. The study use case study design of four babies who hospitalized in perinatology unit in RSAB Harapan Kita and Cipto Mangunkusumo hospital. The purpose of this case study is to analyze the fulfill comfort of neonates with NNS and extremities massage based on Levine Conservation Model application. The results is decrease neonates pain score with PIPP (Premature Infant Pain Profile), decrease in oxygen saturation changes, and heart rate changes in infants with invasive procedures. Although the fourth baby, no changes in pain scores with massage intervention extremities. Application of Levine Conservation Model in infants acute pain support for energy conservation, structural integrity, personal integrity, and social integrity. The study of pain management for neonates need to always be developed for support neonatal growth and development optimally.
Pengalaman Ibu dalam Merawat Bayi Berat Lahir Rendah (BBLR) Sesuai Nilai-Nilai Budaya Sunda, Jawa Barat Situmorang, Hotnida Erlin; not applicable, Setyowati; Rustina, Yeni; Novieastari, Enie
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14686

Abstract

ABSTRACT Low birth weight infants (LBW) remain one of the health concerns that require severe care because of the short-term and long-term impacts of LBW on children's health, growth, and development. Problems with LBW frequently arise when infants return home with their families, as home care is inextricably linked with parenting based on family socio-cultural patterns. Research related to the culture of low-birth-weight infant care at home has not been widely conducted. The purpose of the study was to explore mothers' experiences in caring for Low-birth-weight infants according to West Javanese cultural values. This qualitative study was conducted using a descriptive phenomenological approach. Ten indigenous Sundanese mothers from West Java who had low birth weight babies were purposively selected for this study. Data was obtained through semi-structured interviews, and then analyzed thematically. Three main themes were generated: mothers' knowledge and perceptions related to LBW infants; breast feeding and complementary feeding; LBW care in relation to cultural aspects. The conclusion that can be drawn from this study is increasing mothers' knowledge and proficiency in providing culturally responsive care for low-birth-weight babies is crucial. Nurses must prepare women thoroughly through culturally sensitive education while they are still in the hospital so that they can care for their newborns when they arrive home. Keywords: Mothers, Caregiving, Experiences, Low-birth-weight, Cultural  ABSTRAK Bayi berat lahir rendah (BBLR) masih menjadi salah satu masalah kesehatan yang memerlukan perhatian khusus karena dampak jangka pendek dan jangka panjang dari BBLR terhadap kesehatan, pertumbuhan, dan perkembangan anak. Masalah BBLR sering kali muncul ketika bayi kembali ke rumah bersama keluarganya, karena perawatan di rumah terkait erat dengan pola pengasuhan yang didasarkan pada pola sosial budaya keluarga. Penelitian yang berkaitan dengan budaya perawatan bayi BBLR di rumah belum banyak dilakukan. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman ibu dalam merawat BBLR menurut nilai-nilai budaya Sunda, Jawa Barat. Penelitian kualitatif ini dilakukan dengan menggunakan pendekatan fenomenologi deskriptif. Sepuluh ibu asli Sunda dari Jawa Barat yang memiliki bayi dengan berat badan lahir rendah dipilih secara purposif untuk penelitian ini. Data diperoleh melalui wawancara semi-terstruktur, dan kemudian dianalisis secara tematik. Tiga tema utama yang dihasilkan: pengetahuan dan persepsi ibu terkait BBLR; pemberian ASI dan MP-ASI; perawatan BBLR dalam kaitannya dengan aspek budaya. Kesimpulan yang dapat diambil dari penelitian ini adalah meningkatkan pengetahuan dan kemahiran ibu dalam memberikan perawatan yang tanggap budaya untuk BBLR sangat penting. Perawat harus mempersiapkan ibu secara menyeluruh melalui pendidikan yang peka budaya ketika mereka masih di rumah sakit sehingga mereka dapat merawat bayi mereka yang baru lahir ketika mereka pulang rumah. Kata Kunci: Ibu, Pengasuhan, Pengalaman, Bayi Berat Lahir Rendah, Budaya
Co-Authors Adawiyah, Robiyatul Agus Setiawan Aldri Frinaldi Allenidekania Allenidekania Amelia Arnis Anisa Oktiawati Anne-Marie Bergh Annida Falahaini Apriyanti, Efa Arie Kusumaningrum Aryani, Denissa Faradita Astuti Yuni Nursasi Ayu Ferissa Ayu Ferissa Simorangkir Ayuda Nia Agustina Bambang Supriyatno Besral . Dahlia, Debie - Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Efendi Defi Effendi Deisy Sri Hardini Desriati Devi Dessirya, Endah Deswita Deswita Deswita Devi, Desriati Dian Sari Dyah Dwi Astuti Efendi Defi Efendi, Defi Efendi, Defi Effendi, Defi Elfi Syahreni Elfi Syahreni Elfi Syahreni Elfi Syahreni Elfi Syahreni Elfira Awalia Rahmawati Elfrida Ratnawati Ella Nurlaella Hadi Ella Nurlela Hadi Elly Nurachmah Elsa Naviati Ema Hikmah Endah Dessirya Enie Novieastari Erna Julianti Erna Julianti ERNA RAHMA YANI Erni Setiyowati Eva Oktaviani Fajar Tri Waluyanti Fajar Triwaluyanti Farida Isroani Fariz Darari Firda Dewi Yani Fitri Wahyuni Fitri Wahyuni Francisca Shanti Kusumaningsih fransiska ompusunggu Fransiska Ompusunggu Gupta, Prateek Hadi Pratomo Hadiyati Fudla Halimah Hanny Handiyani Happy Hayati Hardini, Deisy Sri Hariyati, Rr.Tutik Sri Harjati, Tanty Hasanah, Kusnul Hemi Fitriani, Hemi Hening Pujasari Heriandi Sutadi Herlina Herlina Herlina Herlina Herlina Herlina Herlina Herlina Hermalinda Hermalinda Hermalinda Hermalinda, Hermalinda Hotnida Erlin Situmorang Ice Yulia Ieda Poernomo Sigit Sidi Imami Nur Rachmawati Insi Farisa Desy Arya Irianti, Dewi Islamia, Ina Jajang Gunawijaya Jamhari Jamhari Jen-Jiaun Liaw Justina Purwarini Justina Purwarini Justina Purwarini, Justina Khasanah, Nopi Nur Kuntarti Kusnul Hasanah Laksono Trisnantoro Laviana Nita Ludyanti Luknis Sabri Maria Ulfah Mariani, Dini Mariyam Mariyam mariyam mariyam, mariyam Marleny Susanthy Martiningsih Martiningsih, Martiningsih Mega Hasanul Huda Mega Hasanul Huda Merita Basril Milawati Milawati Moh. Heri Kurniawan Mudzakkir, Muhammad Muhammad, Gian Rasyiddin Nani Nurhaeni Natalia Devi Oktarina Natalia, Regina Neni Ampi Juwita Sirait Nining Caswini Ninis Indriani Nopi Nur Khasanah not applicable, Setyowati Nur Agustini Nurdina Widanti Nurlaelah, Siti Nyimas Hany Purwati Nyimas Heny Purwati Nyimas Sri Wahyuni Nyimas Sri Wahyuni Permaida, Permaida Poppy Fitriyani Qori’Ila Saidah Quail Rogers-Bloch Rahmadevita S.A.M Rahmadhani, Dewi Astika Reginald Gipson Rinik Eko Kapti Robiyatul Adawiyah Rr.Tutik Sri Hariyati Rulina Suradi Sayhreni, Elfi Sayhreni, Elfi Selviany, Melissa Septiana, Nenty Setiawati, Atik Setyowati Setyowati Siti Chodidjah Siti Muthoharoh Sri Hartini M.A, Sri Hartini Sri Hartini Mardi Asih, Sri Hartini Sugiarti Sugiarti Sugiarti Sugiarti Sugiarti, Sugiarti Sulistiyawati Sulistiyawati Sunarsih Sunarsih Suni Hariati Sutanto Priyo Hastono Suyami - Tanty Harjati Temmy Lanovia Anggraini Titik Ambar Asmarini Tomy Abuzairi Tri Budiati Tuti Nuraini Uray Pardinan Utario, Yossy Uut Uhudiyah Vera Yusnita Wahyuni, Nyimas Sri Wanda , Dessie Wardhani, Rachmayanti Purawita Werlyningsih Werlyningsih Widia Lestari Widyatuti Windi Nur Emiria Wiwin Wiarsih Yati Afiyanti Yuningsih, Risna Yusran Nasution Yusron Nasution Yusron Nasution Yuyun Setyorini Zolla Amely Ilda Zubaidah - Zubaidah -