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Upaya Peningkatan Kemampuan Adekuasi Perawat Ruang Hemodialisa di Rumah Sakit Islam Jakarta Cempaka Putih Aisyah Aisyah; Naryati Naryati; Giri Widakdo; Nuraenah Nuraenah; Harif Fadhillah; Ineke Kusuma Waluyo; Agniatul Mahmudah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 10 (2023): Volume 6 No 10 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i10.12151

ABSTRAK Gagal ginjal kronik (GGK) merupakan gangguan fungsi ginjal yang progresif dan tidak dapat pulih kembali, dimana tubuh tidak mampu memelihara metabolisme dan gagal menjaga keseimbangan cairan dan elektolit yang mengakibatkan terjadinya peningkatan ureum (Desfrimadona, 2016). Berdasarkan data trimester awal 2023, angka rata-rata kejadian anemia pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RS. Islam Jakarta Cempaka Putih, 163 pasien aktif dengan hemodialisis reguler, atau sebanyak 6-8 % mengalami anemia, dengan rata-rata nilai Hb<10 gram/dl, kelebihan cairan sebanyak 4-6 %, kurang dukungan keluarga 5-7% , dan karena biaya sebesar 5-10 %. Gambaran diatas menjelaskan bahwa pasien gagal ginjal kronik dengan hemodialisis di RSIJ Cempaka Putih , mengalami anemia renal dan kelebihan cairan masih cukup tinggi dan pencapaian adekuasi hemodialisis belum maksimal. Tujuan program kemitraan masyarakat (PKM) ini adalah umtuk meningkatkan kemampuan adekuasi perawat hemodialisa , sehingga dapat memberikan hasil yang maksimal pada tindakan hemodialisa yang dilakukan oleh pasien di Rumah Sakit Islam Jakarta Cempaka Putih. Metode yang akan diterapkan untuk mencapai tujuan/target program abdimas ini melalui pemberdayaan melalui pelatiahan adukasi perawat hemodialisis dengan narasumber yang kompeten dengan bidang tersebut. Adanya peningkatkan kemampuan adekuasi perawat hemodialisa. Terbentuknya tim adekuasi hemodialisa dan discharge planning. Kata Kunci: Hemodialisa, Manajemen Adekuasi ABSTRACT Chronic renal failure (CKD) is a progressive and irreversible disorder of kidney function, where the body is unable to maintain metabolism and fails to maintain fluid and electrolyte balance, resulting in an increase in urea (Desfrimadona, 2016). Based on data from the first trimester in 2023, the average incidence of anemia in chronic kidney disease patients undergoing hemodialysis in hospitals. Islam Jakarta Cempaka Putih, 163 active patients on regular hemodialysis, or as many as 6-8% have anemia, with an average Hb value <10 grams/dl, excess fluid of 4-6%, lack of family support 5-7%, and because the costs are 5-10%. The description above explains that patients with chronic renal failure on hemodialysis at RSIJ Cempaka Putih, experience renal anemia and fluid overload is still quite high and the achievement of hemodialysis adequacy is not yet optimal. The aim of this community partnership program (PKM) is to improve the adequacy capabilities of hemodialysis nurses, so that they can provide maximum results in hemodialysis procedures carried out by patients at the Jakarta Cempaka Putih Islamic Hospital. The method that will be applied to achieve the goals/targets of this community service program is through empowerment through hemodialysis nurse education training with resource persons who are competent in this field. Keywords: Hemodialysis, Adequacy Management

Pengaruh Edukasi Terintegrasi Terhadap Manajemen Adekuasi Asuhan Pasien Hemodialisis di Rumah Sakit Islam Jakarta Cempaka Putih Naryati Naryati; Giri Widakdo; Aisyah Aisyah; Nuraenah Nuraenah; Harif Fadhillah; Uus Husni Mahmud; Ineke Kusuma Waluyo; Rony Heryadi
Malahayati Nursing Journal Vol 5, No 10 (2023): Volume 5 Nomor 10 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i10.12153

ABSTRACT Patients with chronic kidney failure can improve the quality and quantity of life by undergoing kidney replacement therapy. In clients with kidney failure, to eliminate residual toxins, excess fluid and to improve electrolyte adequacy using the principles of external and internal dialysis osmosis systems, hemodialysis is required. Based on data taken in the first trimester of 2023, the average rate of anemia in chronic kidney disease patients undergoing regular hemodialysis in hospitals. Islam Jakarta Cempaka Putih is known to have 163 active patients on regular hemodialysis or as many as 6-8% have anemia with an average HB value 10 grams/dl, an average of 4-6% excess fluid, 5-7% less family support, Because the fees are 5-10%. The description above explains that in patients on hemodialysis for chronic kidney disease at RSIJ Cempaka Putih, the rate of renal anemia and fluid overload is still quite high and the achievement of hemodialysis adequacy has not yet been achieved to the maximum. Integrated educational implementation is to maintain Kt/V, Kt/V is the ratio of urea clearance or clearance (K) and hemodialysis time (t) to the distribution volume of urea in human body fluids (V) thus making hemodialysis effective for cleaning toxins waste from body metabolism. The aim of this study was to analyze the effect of integrated education on adequacy in patients undergoing hemodialysis at the Jakarta Cempaka Putih Islamic Hospital. The research method that the researcher will carry out is quantitative analysis with a cohort approach, using the Dependent T Test. Furthermore, the targeted outputs are teaching materials for adequacy management in hemodialysis patients, final research reports, publication of scientific journals of at least Sinta 4, Integrated Education Benner on Adequacy Management. The statistical test results obtained a value of 0.0001, so there was an average difference between the first and second knowledge adequacy measurements for respondents (hemodialysis nurses) after the intervention. The influence of integrated education on the adequate management of care for hemodialysis patients at the Jakarta Cempaka Putih Islamic Hospital. Keywords: Integrated Education, Adequacy Management, Hemodialysis ABSTRAK Penderita penyakit gagal ginjal kronik untuk meningkatkan kualitas dan kuantitas hidupnya dengan melakukan terapi pengganti ginjal. Pada klien gagal ginjal untuk menghilangkan sisa toxik, kelebihan cairan dan untuk memperbaiki ketidakseimbangan elektrolit dengan prinsip osmosis system dialisa eksternal dan internal diperlukan tindakan yaitu hemodialisa. Berdasarkan data yang diambil pada tri-semester awal 2023, angka rata-rata anemia pada pasien penyakit ginjal kronik yang menjalani hemodialisis secara reguler di RS. Islam Jakarta Cempaka Putih diketahui sejumlah 163 pasien aktif dengan hemodialisis reguler atau sebanyak 6-8 % mengalami anemia dengan rata-rata nilai HB10 gram/dl, Kelebihan cairan rata-rata 4-6 %, Dukungan keluarga 5-7% kurang, Karena biaya 5-10 %. Gambaran diatas menjelaskan bahwa pada pasien dengan hemodialisis pada penyakit ginjal kronik di RSIJ Cempaka Putih, angka anemia renal dan kelebihan cairan masih cukup tinggi dan pencapaian adekuasi hemodialisis belum pada pencapian yang maksimal. Implementasi edukasi Terintregasi adalah untuk mempertahankan Kt/V, Kt/V adalah rasio dari bersihan urea atau klirens (K) dan waktu hemodialisis (t) dengan volume distribusi urea dalam cairan tubuh manusia (V) sehingga membuat hemodialisis menjadi efektif untuk membersihkan toksin-toksin sisa metabolisme tubuh. Tujuan penelitian ini adalah untuk menganalisis pengaruh edukasi terintegrasi terhadap adekuasi pada pasien yang menjalani hemodialisis di rumah sakit islam jakarta cempaka putih. Metode penelitian yang akan peneliti lakukan adalah analisis kuantitatif dengan pendekatan Kohort, dengan menggunakan Uji T Dependent. Selanjutnya luaran yang ditargetkan adalah bahan ajar manajemen adekuasi pada pasien hemodialisis, Laporan akhir penelitian, Publikasi jurnal ilmiah minimal Sinta 4, Benner Edukasi Terintegrasi terhadap Manajemen Adekuasi. Hasil uji statistic didapatkan nilai 0,0001, sehingga terdapat perbedaan rata-rata antara pengukuran pengetahuan adekuasi pertama dan kedua bagi responden (perawat hemodialisa) setelah dilakukan intervensi. Adanya pengaruh edukasi terintegrasi terhadap manajemen adekuasi asuhan pasien hemodialisis di rumah sakit islam jakarta cempaka putih. Kata Kunci: Edukasi Terintegrasi, Manajemen Adekuasi, Hemodialisis

Pengaruh Perawat Penanggung Jawab Asuhan pada Metode Asuhan Keperawatan Profesional terhadap Mutu Pelayanan Eni Widiastuti; Naryati Naryati; Aisyah Aisyah; Giri Widakdo; Nur Aenah; Harif Fadillah
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23277

ABSTRACT The public's need for quality healthcare services is increasing along with technological advances in the healthcare sector. Professional nursing care is a necessity to improve the quality of nursing services and patient satisfaction through the responsibilities of a professional nurse, namely the Nurse in Charge of Care.The researcher's objective was to identify the influence of the Nurse in Charge of Care in the Professional Nursing Care Method on the quality of nursing services based on patient satisfaction and care documentation. The research method used a pre-experimental one-group pre-post test design. The population and sample in this study were nurses and patients in one medical-surgical inpatient ward totaling 22 nurses and 30 patients. The results showed a significant difference in patient satisfaction before and after the implementation of the Nurse in Charge of Care in the Professional Nursing Care Method (p = 0.025). There was a significant difference in the completeness of documentation between before and after the implementation of the Nurse in Charge of Care in the Professional Nursing Care Method (p = 0.001). The Responsibilities of the Nurse in Charge of Care in the Professional Nursing Care Model influence the quality of nursing services based on patient satisfaction and documentation of care which is part of the Patient's Medical Record.Further research is needed with repeated measurements of satisfaction and documentation to determine the effectiveness of the Nurse in Charge of Care in the Professional Nursing Care Method on service quality. Keywords: Professional Nursing Care Method, Patient Care Documentation, Patient Satisfaction, Nurse in Charge of Care. ABSTRAK Kebutuhan masyarakan akan pelayanan kesehatan yang berkualitas semakin meningkat seiring dengan kemajuan teknologi dibidang kesehatan. Asuhan keperawatan profesional menjadi kebutuhan untuk meningkatkan kualitas pelayanan keperawatan dan kepuasan pasien melalui tanggung jawab seorang perawat profesional yaitu Perawat Penaggung Jawab Asuhan. Tujuan peneliti mengidentifikasi pengaruh Perawat Penaggung Jawab Asuhan pada Metode Asuhan Keperawatan Profesional terhadap mutu pelayanan keperawatan berdasarkan kepuasan pasien dan dokumentasi asuhan. Metode penelitian pre eksperimen one group pre-post test design. Populasi dan sample pada penelitian ini adalah perawat dan pasien pada satu ruang rawat inap medikal bedah berjumlah 22 perawat dan 30 pasien. Hasil menunjukkan terdapat perbedaan yang signifikan kepuasan pasien sebelum dan sesudah penerapan Perawat Penaggung Jawab Asuhan pada Metode Asuhan Keperawatan Profesional ( p=0,025). Terdapat perbedaan yang signifikan kelengkapan dokumentasi antara sebelum dan sesudah penerapan Perawat Penaggung Jawab Asuhan pada Metode Asuhan Keperawatan Profesional (p=0,001). Tanggung Jawab Perawat Penaggung Jawab Asuhan pada Model Asuan Keperawatan Profesional mempengaruhi mutu pelayanan keperawatan berdasarkan kepuasan pasien dan dokumentasi Asuhan yang merupakan bagian dari Rekam Medis Pasien. Penelitian lanjutan diperlukan dengan pengukuran kepuasan dan dokumentasi secara berulang untuk mengetahui efektifitas Perawat Penaggung Jawab Asuhan pada Metode Asuhan Keperawatan Profesional terhadap mutu pelayanan. Kata Kunci: Metode Asuhan Keperawatan Profesional, Dokumentasi Asuhan Pasien, Kepuasan Pasien, Perawat Penaggung Jawab Asuhan

The Effect of Nursing Supervision on the Quality of Interprofessional Collaboration Among Nurses in Inpatient Wards Anih Anih; Muhammad Hadi; Naryati Naryati; Harif Fadhillah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2038

Interprofessional Collaboration (IPC) is essential for improving healthcare quality and patient safety in inpatient settings. This study aimed to analyze the effect of nursing supervision on IPC quality in inpatient wards. A quasi-experimental design was used with intervention and control groups, each consisting of 20 nurses with total sampling. IPC quality was measured five times (p1–p5) using an IPC instrument. The intervention group received structured nursing supervision, while the control group did not receive any intervention. The data were analyzed using descriptive and inferential statistics with multivariate analysis with GLM. The results showed a significant and consistent increase in IPC scores in the intervention group from the first to the fifth measurement, whereas the control group showed only a slight improvement. Multivariate analysis yielded a p-value of 0.001, indicating a statistically significant difference between the two groups. In conclusion, nursing supervision significantly improves the quality of Interprofessional Collaboration in inpatient wards.

The Effect of Transformational Leadership on the Quality of Nurses' Interprofessional Collaboration in Inpatient Wards Syahrir Aprizal; Muhammad Hadi; Naryati Naryati; Harif Fadhlillah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2084

The quality of healthcare services is influenced by healthcare workers' ability to perform effective interprofessional collaboration (IPC). Transformational leadership of head nurses plays an important role in improving communication, coordination, and teamwork among healthcare professionals in inpatient wards. This study aimed to analyze the effect of transformational leadership of head nurses on the quality of interprofessional collaboration among staff nurses in hospital inpatient wards. This study used a quasi-experimental design with a non-equivalent control group design. The sample consisted of 50 respondents, including 25 participants in the intervention group and 25 in the control group selected using purposive sampling. The intervention group received supervision and transformational leadership reinforcement for one month. The instruments used were transformational leadership and PINCOM-Q questionnaires, which were valid and reliable with Cronbach's Alpha values of 0.912 and 0.894, respectively. The data were analyzed using General Linear Model Repeated Measure (GLM-RM). The mean transformational leadership score in the intervention group increased from 139.84 to 179.64, while the control group remained relatively stable. Multivariate analysis showed a significant difference in the intervention group (p=0.002; Partial Eta Squared=0.349). The mean IPC score in the intervention group increased from 62.56 to 71.80 with significant results (p=0.010; Partial Eta Squared=0.281). GLM-RM analysis demonstrated a significant effect of the intervention on transformational leadership (F=120.745; p<0.001) and IPC (F=7.543; p=0.008). Supervision and transformational leadership reinforcement were effective in improving transformational leadership among head nurses and the quality of interprofessional collaboration among staff nurses in hospital inpatient wards.

Pengaruh Edukasi Audiovisual Pasien Pasca Operasi Strabismus Terhadap Kemampuan Koordinasi Penglihatan Rosaliana Ayu Saputri; Muhammad Hadi; Naryati Naryati; Tini Suminarti
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20024

ABSTRACT Strabismus, commonly known as crossed eyes, is a condition in which both eyes are misaligned when focusing on the same object. One or both eyes may deviate inward (esotropia), outward (exotropia), upward (hypertropia), or downward (hypotropia). This condition results from an imbalance in the neuromuscular system that controls eye movement, impaired brain-eye coordination, and abnormal binocular vision. This study aims to analyze the effect of audiovisual-based education on visual coordination in patients after strabismus surgery. The study employs theGeneralized Linear Model Repeated Measure (GLM-RM) method to examine differences in the effects of audiovisual education between the intervention and control groups. Results: The GLM-RM analysis indicated a significant difference between the intervention and control groups after receiving audiovisual education, with a mean difference of 97.78 and a p-value of 0.000. The Greenhouse-Geisser test showed a significance value of 0.000, while the test of between-subjects effects revealed a statistically significant difference between the two groups (p-value = 0.000). Additionally, the parameter estimates test confirmed a significant effect of audiovisual education on patients’ visual coordination over time (p-value = 0.000). Conclusion: Audiovisual-based education has a significant positive impact on improving visual coordination in patients following strabismus surgery. Keywords: Audiovisual Education, Visual Coordination, Strabismus. ABSTRAK Strabismus atau mata juling merupakan kondisi di mana kedua mata tidak sejajar saat melihat suatu objek. Salah satu atau kedua mata dapat mengalami deviasi ke dalam (esotropia), ke luar (eksotropia), ke atas (hipertropia), atau ke bawah (hipotropia). Kondisi ini disebabkan oleh ketidakseimbangan sistem neuromuskular yang mengatur pergerakan bola mata, gangguan koordinasi otak dan mata, serta kelainan penglihatan binokular. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi berbasis audiovisual terhadap koordinasi penglihatan pada pasien pascaoperasi strabismus. Desain penelitian ini menggunakan metode Generalized Linear Model Repeated Measure (GLM-RM) untuk menganalisis perbedaan efek edukasi audiovisual antara kelompok kontrol dan intervensi. Hasil analisis GLM-RM menunjukkan adanya perbedaan yang signifikan antara kelompok intervensi dan kontrol setelah diberikan edukasi audiovisual, dengan nilai mean difference = 97,78 dan p-value = 0,000. Uji Greenhouse-Geisser menunjukkan signifikansi sebesar 0,000, sedangkan uji test of between-subjects effects mengindikasikan adanya perbedaan signifikan antara kedua kelompok dengan p-value = 0,000. Selain itu, berdasarkan uji parameter estimates, terdapat perbedaan yang signifikan dalam pengaruh edukasi audiovisual terhadap koordinasi penglihatan pasien pascaoperasi dari waktu ke waktu (p-value = 0,000). Edukasi berbasis audiovisual berpengaruh secara signifikan dalam meningkatkan koordinasi penglihatan pasien setelah menjalani operasi strabismus. Kata Kunci: Edukasi Audiovisual, Koordinasi Penglihatan, Strabismus.

Edukasi dan Skrining Kesehatan bagi Lansia untuk Pencegahan Komplikasi Penyakit Kronis Siti Latipah; Naryati Naryati; Giri Widakdo; Nurenah Nurenah; Hafizhah Diyanah Zhafirah; Nabillah Hassanah; Muhammad Fakhrian Saputra
Pelita: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 4 (2025): Pelita: Jurnal Pengabdian kepada Masyarakat
Publisher : Perkumpulan Kualitama Edukatika Indonesia

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

The community service activity entitled “Healthy Living in Facing Chronic Diseases in Elderly: Towards Healthy and Active Elderly” was conducted at Posyandu Lansia Cendana, RW 04, Sumur Batu Village, Kemayoran, Central Jakarta. This program aimed to enhance the knowledge and awareness of elderly individuals regarding chronic disease management through structured health education and basic health screening. The activity employed a participatory and educational approach, including interactive counseling, healthy lifestyle training, elderly exercise sessions, and simple health assessments (blood pressure, random blood glucose, body mass index, and waist circumference). A total of 100 elderly participants took part, supported by healthcare professionals, local cadres, and community leaders. The results showed that most participants were women (87%) aged between 61 and 79 years. Screening data revealed that the majority of participants had a body mass index in the overweight category (48%) and waist circumference above the normal limit, indicating a high risk of metabolic disorders. Moreover, random blood glucose results suggested that many participants were in the prediabetic range. Statistical analysis demonstrated a significant improvement in knowledge scores before and after the educational intervention (p = 0.014), indicating the effectiveness of the program in improving elderly participants’ understanding of chronic disease prevention and management. This activity proved effective in promoting awareness, healthy lifestyle adoption, and early detection of chronic disease complications among the elderly. Furthermore, it positively influenced psychosocial well-being by enhancing confidence and social engagement. It is recommended that similar programs be conducted regularly and integrated into community-based elderly health initiatives, such as Posyandu Lansia, with active involvement of local health cadres to ensure program sustainability.

Peningkatan Implementasi Conference di Rawat Inap Rumah Sakit Islam Jakarta Cempaka Putih Aisyah Aisyah; Naryati Naryati; Giri Widakdo; Nuraenah Nuraenah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27327

ABSTRAK Conference keperawatan (meliputi pre-conference dan post-conference) merupakan forum komunikasi penting untuk menjaga kontinuitas asuhan, keselamatan pasien, dan kualitas pelayanan di ruang rawat inap. Namun, pelaksanaannya di lapangan sering kali menghadapi kendala seperti keterbatasan waktu, belum optimalnya standar operasional, serta keterampilan komunikasi klinis yang belum seragam. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan pemahaman dan kemampuan tenaga kesehatan dalam menjalankan conference secara sistematis dan efektif di Rumah Sakit Islam Jakarta Cempaka Putih. Metode pelaksanaan meliputi sosialisasi, edukasi interaktif, simulasi/roleplay kelompok kecil, serta pendampingan yang diikuti oleh 30 peserta perawat. Evaluasi keberhasilan dilakukan melalui pengukuran pre-test dan post-test. Hasil kegiatan menunjukkan peningkatan pemahaman dan keterampilan peserta yang signifikan, di mana nilai rata-rata pre-test sebesar 59,59 (SD ± 11,91) meningkat menjadi 95,96 (SD ± 6,93) pada post-test dengan nilai p = 0,001. Selain itu, kegiatan ini berhasil menyusun draf Standar Operasional Prosedur (SPO) pelaksanaan conference. Kesimpulannya, kegiatan sosialisasi dan pelatihan roleplay efektif meningkatkan kapasitas perawat dalam mengimplementasikan conference di ruang rawat inap. Kata Kunci: Conference Keperawatan, Kemampuan Perawat, Keselamatan Pasien, Kontinuitas Asuhan, Rawat Inap ABSTRACT Nursing conference, including pre- and post-conferences, serves as a vital communication forum to maintain continuity of care, safety, and quality of service in inpatient wards. However, optimal implementation is often hindered by limited time, lack of structured guidelines, and suboptimal clinical communication among nursing staff. This community service (PKM) project aimed to enhance the understanding and skills of healthcare personnel in conducting systematic nursing conferences at Rumah Sakit Islam Jakarta Cempaka Putih. The intervention comprised training, clinical education, and small-group roleplay simulations involving 30 nurses. Evaluation was conducted using a pre-test and post-test design. The results demonstrated a significant improvement in participant knowledge and skills, with the mean score increasing from 59.59 (SD ± 11.91) during the pre-test to 95.96 (SD ± 6.93) in the post-test (p = 0.001). Additionally, standard operating procedures (SOPs) for nursing conferences were established. In conclusion, structured education and roleplay simulations significantly improve nurses' capacity to execute effective clinical conferences, thereby supporting patient safety and quality nursing care. Keywords: Inpatient Ward, Nursing Conference, Nursing Skills, Patient Safety, Quality of Care

Refleksi Kekuatan Diri sebagai Upaya Peningkatan Kesehatan Jiwa dan Harga Diri Remaja Korban Perundungan Giri Widakdo; Aisyah Aisyah; Naryati Naryati; Slametiningsih Slametiningsih; Elli Hidayati; Rahayu Hanan Labibah; Oki Rizkia Ainurahma Diniar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27398

ABSTRACT Adolescence is a crucial transitional phase characterized by physical, cognitive, and psychosocial changes. Psychosocial issues, such as bullying, often trigger a decline in self-esteem, anxiety, and even depression among adolescents. This community service initiative aims to enhance the self-esteem and mental resilience of students at SMKN 39 Central Jakarta through an intervention involving the "Self-Strength Reflection Game." The implementation method comprises three main stages: (1) Preparation and Assessment, (2) Implementation, and (3) Evaluation and Follow-up Support. The results indicate an improvement in student understanding and awareness (with a 100% active participation rate) regarding recognizing emotions, identifying personal strengths, and transforming maladaptive behaviors into assertive ones. Furthermore, the initiative successfully produced a teaching module titled "Innovation for a Healthy, Bullying-Free School Family Resilience," a booklet, and reflection cards integrated with the school's School Health Unit (UKS). Keywords: Self-Strength Reflection, Self-Esteem, Adolescent Mental Health, Bullying, Healthy School. ABSTRAK Masa remaja merupakan fase transisi krusial yang ditandai dengan perubahan fisik, kognitif, dan psikososial. Masalah psikososial seperti perundungan (bullying) sering kali memicu penurunan harga diri, kecemasan, hingga depresi pada remaja. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan harga diri dan ketahanan mental siswa di SMKN 39 Jakarta Pusat melalui intervensi Permainan Terapi Refleksi Kekuatan Diri. Metode pelaksanaan meliputi tiga tahapan utama: (1) Tahap Persiapan dan Pengkajian, (2) Tahap Pelaksanaan, dan (3) Tahap Evaluasi serta Pendampingan. Hasil kegiatan menunjukkan adanya peningkatan pemahaman dan kesadaran siswa (100% tingkat partisipasi aktif) dalam mengenali emosi, mengidentifikasi aspek positif diri, serta mengontrol perilaku maladaptif menjadi asertif. Selain itu, kegiatan ini berhasil menghasilkan modul ajar "Inovasi Sekolah Sehat Bebas Perundungan Ketahanan Keluarga", booklet, serta media kartu refleksi yang terintegrasi dengan unit UKS sekolah. Kata Kunci: Refleksi Kekuatan Diri, Harga Diri, Kesehatan Jiwa Remaja, Perundungan (Bullying), Sekolah Sehat.

Kinerja Pelaksanaan Ronde Keperawatan Metode 8p Terhadap Kualitas Pelayanan Keperawatan di Rumah Sakit Premier Jatinegara Jakarta Agus Khusaeni; Muhammad Hadi; Naryati Naryati; Tini Suminarti
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19916

ABSTRACT Nursing is a profession with a professional function to help identify and address the immediate needs of patients and provide assistance to meet those needs. Hourly Rounds are performed using the “8P” method, which includes: Pain, Potty (bathroom needs), Position (patient position), Pump (infusion pump), Periphery (environment), Plan (action plan), Possessions (patient belongings security), and Parting (rechecking patient needs before leaving the room). This method is expected to identify patient needs. This study aims to identify the direct and indirect relationships between the performance of nursing rounds using the 8P method and the quality of nursing services at Premier Jatinegara Hospital.The method used in this study is descriptive analytic to analyze the direct and indirect relationships between the performance of nursing rounds using the 8P method and the quality of nursing services. The path analysis results found that out of five independent variables, four variables had significant relationships with the implementation of the 8P round: workload (p-value = 0.033), supervision (p-value = 0.008), leadership style (p-value = 0.013), and teamwork (p-value = 0.038). However, reward and punishment had no significant relationship with the implementation of the 8P round (p-value = 0.612). Based on the path analysis, it was found that workload and leadership style had both direct and indirect relationships with the quality of nursing services through the implementation of the 8P nursing round (p-value 0.05).The conclusion of this study is that there is a direct and indirect relationship between the nurse's workload and the leadership style used toward the quality of nursing services through the implementation of the 8P nursing round. Keywords: Nursing Service Quality, Nursing Rounds, Performed, 8P Method. ABSTRAK Keperawatan adalah suatu profesi yang mempunyai fungsi profesional yaitu membantu mengenali dan menemukan kebutuhan pasien yang bersifat segera dan memberikan bantuan untuk pemenuhannya. Hourly Round yaitu ronde yang dilakukan dengan menggunakan “8 P” yaitu Pain (nyeri), Potty (kebutuhan ke kamar mandi), Position (posisi pasien), Pump ( alat infus yang terpasang), Periphery (lingkungan), Plan (rencana tindakan), Possesions (keamanan barang milik pasien) dan Parting (tanyakan kembali kebutuhan pasien sebelum meninggalkan ruangan) diharapkan dapat menemukan kebutuhan pasien. Penelitian ini dilakukan untuk mengidentifikasi hubungan langsung dan tidak langsung kinerja pelaksanaan ronde keperawatan metode 8p terhadap kualitas pelayanan keperawatan di Rumah Sakit Premier Jatinegara. Desain penelitian ini menggunakan deskriptif analitik untuk menganalisia hubungan langsung dan tidak langsung kinerja pelaksanaan ronde keperawatan metode 8p terhadap kualitas pelayanan keperawatan. Dari hasil path analysis jumlah sample 110 perawat ditemukan lima variabel independent, empat variabel diantaranya memiliki hubunganyang signifan terhadap pelaksanaan ronde 8P yaitu bebn kerja (p-value = 0,033), Supervisi (p-value = 0,008), gaya kepemimpinan (p-value = 0,013), dan teamwork (p-value = 0,038). Sedangkan reward dan punishment tidak memiliki hubungan yang bermakna terhadap pelaksanaan ronde 8P(p-value = 0,612). Berdasarkan hasil Analisa Jalur didapatkan beban kerja dan gaya kepemimpinan memiliki hubungan langsung dan tidak langsung dengan kualitas pelayanan keperawatan melalui pelaksanaan ronde keperawatan 8P (p-value 0,05). Terdapat hubungan langsung dan tidak langsung beban kerja perawat dan gaya kepemimpinan yang digunakan terhadap kualitas pelayanan keperawatan melalui pelaksanaan ronde keperawatan dengan metode 8P. Kata Kunci: Kinerja, Kualitas Pelayanan Keperawatan, Metode 8P, Ronde Keperawatan.

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