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Preventive bacterial translocation and control of Ventilator-Associated Pneumonia: A qualitative study Yulis Setiya Dewi; Arina Qona'ah; Hidayat Arifin; Rifky Pradipta; Lizy Sonia Benjamin
Jurnal Keperawatan Padjadjaran Vol. 10 No. 3 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i3.2195

Abstract

Background: Bacterial translocation is one cause of ventilator-associated pneumonia among patients treated in the Intensive Care Unit. The study aimed to observe critical nurses information about bacterial translocation prevention and ventilator-associated control in clinical settings. Methods: A qualitative phenomenology design was undertaken from July to September 2021. We recruited 40 critical nurses in government and educational hospitals in Surabaya, Indonesia. The in-depth online interview was conducted during the interview process and analysed using Colaizzi’s technique. Results: We emerged five themes that consist of 1) limited of nurse’s competence, 2) unsupported work environment, 3) barrier of human resource management, 4) work motivation, and 5) development of bacterial translocation preventive tools. Conclusion: Prevention of bacterial translocation is needed by developing tools and accessible by nurses. Whereases, the capacity and ability need to be developed by training. Nurses and Hospital Managers consider putting the attention of evidence-based tools in clinical settings.
FIRST AID TRAINING IN ACCIDENT FOR SENIOR HIGH SCHOOL STUDENTS: EFFORTS TO IMPROVE STUDENT’S KNOWLEDGE AND SKILLS Arina Qona'ah; Erna Dwi Wahyuni; Anestasia Pangestu Mei Tyas; Amellia Mardhika; Hikmah Lia Basuni; Anita Dwi Ariyani
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 5 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v5i1.45099

Abstract

Introduction: Lamongan is one of the areas on the north coast with very high traffic accident rate. First aid for accident victims is an important part of the management of accident victims. Students who are in the adolescent age group can become first responders for accident victims. The purpose of this community service activity is to increase students' knowledge and skills in providing first aid to accident victims. Methods: First aid training activities for accidents use lecture, discussion, demonstration and role play methods. The training participants were 50 students of SMKN 1 Lamongan. The material presented in the training includes basic life support, dressings and splints as well as evacuation and transportation. Training using audio visual media and teaching aids. Evaluation of the training using the questionnaires given at the beginning and at the end of the training. Results: The results of the pre test showed that 28 students (56%) had low knowledge, while 22 students (44%) had moderate knowledge. The results of the post test after being given education and training to students were as many as 20 students (40%) had moderate knowledge and 30 students (60%) had high knowledge. Conclusion: First aid training for accident victims for SMKN 1 Lamongan students can increase students' knowledge and skills in performing first aid to accident victims. Students are expected to act as first responders for traffic accident victims.
Bridging Innovation to Prevent Ventilator-Associated Pneumonia: A Descriptive Qualitative Study among Critical Care Nurses Yulis Setiya Dewi; Arina Qona'ah; Hidayat Arifin; Rifky Octavia Pradipta; Rosita Rosita; Lizy Sonia Benjamin
Jurnal Keperawatan Padjadjaran Vol. 9 No. 3 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i3.1923

Abstract

Background: Ventilator-Associated Pneumonia (VAP) is still a concern for individuals who are dependent on a ventilator. It is envisaged that the growth of technology-based innovations would lead to the creation of remedies for the prevention of VAP. Purpose: The purpose of this study was to learn more about ICU nurses’ perspectives on nursing innovations to avoid VAP in patients who are on ventilators. Methods: Throughout July and August of 2021, a descriptive qualitative research study was conducted. Through the use of the snowball sampling approach, a total of 30 critical care nurses were recruited. During the interview procedure, each participant had around 40 minutes of time for an in-depth interview using a semi-structured format. In order to analyse the findings of the interviews, the technique proposed by Colaizzi was used. Results: The following four themes emerged: 1) Development of tools to prevent infection, 2) Innovation to monitor cuff tension, 3) Improvement of nurses’ skills and knowledge in using technology, and 4) Nurses’ burden in using technology. Conclusion: Nurses may benefit from considering VAP management as a part of technology-based innovation strategy. Nurses have praised the invention for measuring and monitoring the ETT cuff as a source of optimism for future advancement.
Multifaceted Roles of Nurses in Mitigating Climate Change-Related Health Impacts: A Scoping Review Nadia Rohmatul Laili; Apriana Rahmawati; Arina Qona'ah
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002004

Abstract

Climate change is increasingly amplifying global morbidity and mortality, disproportionately affecting vulnerable populations and placing sustained pressure on health systems. Nurses, as the largest segment of the healthcare workforce, are strategically positioned to mitigate climate change-related health impacts; however, the scope and empirical basis of these roles remain insufficiently consolidated. This scoping review aimed to map and critically examine the multifaceted roles of nurses in addressing climate-related health consequences. A comprehensive search of SCOPUS, PubMed, ProQuest, and ScienceDirect identified 15 articles eligible for inclusion in this review. Four core nursing roles were identified: (1) integrating climate change into nursing curricula and community health education, (2) advancing research on planetary health, (3) influencing climate-related health policies, disaster preparedness, and resilience strategies, and (4) providing climate-responsive care to vulnerable populations. A key finding was the predominance of normative and conceptual literature, revealing a substantial gap between expected nursing roles and empirically supported practices, particularly in direct caregiving interventions.
Triage in Emergency Management in the Emergency Department: A Systematic Review Richal Grace Zefanya Uly; Sriyono Sriyono; Arina Qona'ah
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5607

Abstract

Triage is a vital process aimed at categorizing patients based on the severity of their conditions, allowing for quicker and more efficient management. This review gathers and analyzes the results of various studies related to triage methods used in the Emergency Department (ED), their impact on wait times, and patient clinical outcomes. The findings suggest that standardized triage systems can significantly enhance workflow efficiency in the ED, reduce mortality, and improve patient satisfaction. A total of 1,440 articles were identified from various databases: 251 from PubMed, 1,090 from ScienceDirect, 83 from Google Scholar, 3 from Scopus, and 13 from ProQuest. After removing duplicates, 1,125 articles remained, title screening reduced this to 114 articles, followed by abstract screening which resulted in 31 articles. Finally, 13 articles were selected for full-text review. In conclusion, there is a need for the integration of evidence-based triage systems to review the importance of developing adaptive triage protocols to improve the effectiveness of emergency case management in the ED. However, challenges in implementation, such as adequate training and resource limitations, need to be addressed to achieve optimal outcomes.
Manajemen Nyeri Nonfarmakologis Pasca Kateterisasi Jantung melalui Akses Femoral: A Systematic Literature Review Yuni Dwi Hastuti; Ninuk Dian Kurniawati; Arina Qona'ah
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61364

Abstract

Latar Belakang: Kateterisasi jantung merupakan prosedur medis untuk mendiagnosis dan mengobati beberapa masalah jantung. Pasien yang menjalani kateterisasi jantung, khususnya dengan akses femoral, mungkin mengalami ketidaknyamanan, seperti nyeri, baik sebelum, selama, maupun setelah pelepasan selubung. Manajemen nyeri nonfarmakologis semakin banyak digunakan karena efek samping pengobatan farmakologis. Manajemen nyeri nonfarmakologis dapat membantu mengurangi nyeri ringan hingga sedang, sehingga mengurangi kebutuhan analgesik berkelanjutan. Tujuan: Menganalisis efektivitas manajemen nyeri nonfarmakologis setelah kateterisasi jantung. Metode: Artikel diperoleh dari lima sumber elektronik: Scopus, EBSCOhost, ScienceDirect, Sage Journals, dan Garuda. Artikel-artikel ini menggunakan metode kuasi-eksperimental dan RCT (Randomized Controlled Trials). Hasil: Intervensi yang dapat diterapkan sebelum pelepasan selubung yaitu aromaterapi, reiki, dan akupresur, dan setelah pelepasan selubung meliputi penggunaan kompres dingin, ice bag, dan cryotherapy. Selain itu, terdapat intervensi yang diterapkan sebelum, selama, dan setelah pelepasan selubung, seperti penggunaan stress ball dan kombinasi relaksasi otot perut dan deep, slow breathing. Di satu sisi, intervensi nyeri yang tidak terkait dengan waktu pelepasan selubung, yaitu, autogenic training, hand massage, dan virtual reality, sedangkan penerapan manuver valsalva terbatas selama pelepasan selubung. Kesimpulan: Manajemen nyeri nonfarmakologis terbukti efektif dalam mengurangi nyeri setelah kateterisasi jantung dengan akses femoral baik sebelum, selama, atau setelah pelepasan selubung. Kata Kunci: Kateterisasi Jantung, Akses Femoral, Manajemen Nyeri