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All Journal Jurnal Penelitian STIKES Kediri Journal Of Nursing Practice Journal of Applied Nursing and Health Jurnal Abdi Kesehatan dan Kedokteran Physical Therapy Journal of Indonesia Jurnal Penelitian Keperawatan International Journal of Health Concord
Heru Suwardianto
STIKES RS. BAPTIS KEDIRI
Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Hubungan Pengetahuan Triage Perawat dengan Lama Bekerja di Puskesmas: A Cross-Sectional Study: Relationship Between Nurses’ Triage Knowledge and Length of Service in Community Health Centers: A Cross-Sectional Study Suwardianto, Heru; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Vijay, P Vijay; Kumar, K. Sesha
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.129

Abstract

Emergency and disaster situations demand rapid, accurate, and well-coordinated responses from healthcare professionals. Triage is a critical process for prioritizing patients based on severity, ensuring optimal use of limited medical resources. Nurses are often the first responders responsible for triage implementation, especially in community health centers (Puskesmas) in Indonesia. Knowledge of triage systems, particularly the Simple Triage and Rapid Treatment (START) method, is essential for achieving optimal patient outcomes. This study aimed to examine the relationship between nurses’ triage knowledge and length of service in community health centers, providing insights for targeted training and emergency preparedness strategies. A cross-sectional correlational study was conducted with 32 nurses from 19 community health centers in Cirebon, Indonesia, selected through purposive sampling. Triage knowledge was assessed using a validated 16-item questionnaire, with scores categorized into low, moderate, and high. Length of service was measured in years. Data were collected via an online session and analyzed using descriptive statistics and Pearson correlation analysis with a significance level of p < 0.05. Most nurses demonstrated high triage knowledge (75%) with a mean score of 13.0 ± 2.74. Knowledge was highest in disaster definitions (93.8%) and START triage concepts (93.8%), while the most errors occurred in identifying green-labeled (68.8% incorrect) and white-labeled patients (59.4% incorrect). Pearson correlation showed a weak, non-significant positive relationship between length of service and triage knowledge (r = 0.083; p = 0.650). The findings indicate that length of service alone does not ensure higher triage knowledge, especially in community health centers with limited exposure to emergencies. Continuous professional development, scenario-based simulations, and structured training are essential to maintain and enhance nurses’ triage competence. These results can inform the development of targeted educational programs and policies to strengthen emergency preparedness in primary healthcare settings.
Pengaruh Edukasi Pencegahan Stroke terhadap Pengetahuan pada Lansia di Gereja Isa Al-Masih Kota Kediri: The Effect of Stroke Prevention Education on Knowledge of Elderly at the Church of Isa Al-Masih, Kediri City Maharani H, Claudy; Widiastutik, Cornelia; Ayu W, Debora Aurelia; Nugraha, Jonathan Adjie; Ambu K, Maria Aldanita; Devinda P.M, Putri; Puspita, Nanda; Suwardianto, Heru
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.130

Abstract

Stroke is one of the leading causes of disability and mortality among the elderly. Preventive efforts focusing on increasing knowledge and awareness are essential to reduce stroke risk and improve quality of life. This study used a pre–post-test design with 62 elderly participants who regularly attended the Church Isa Al-Masih in Kediri City. The intervention consisted of stroke prevention education delivered through a standardized procedure (SOP) using leaflets and flipbooks. Knowledge was assessed with a 6-item questionnaire covering hypertension, causes of high blood pressure, normal blood pressure ranges, medication adherence, diet, and breathing relaxation techniques. Data were collected before and after the education and analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test. The Wilcoxon test indicated a significant increase in participants’ knowledge following the stroke prevention education (p < 0.05). Structured, interactive, and community-based education enhanced understanding of stroke risk factors, blood pressure management, medication adherence, diet, and relaxation techniques. Stroke prevention education is effective in enhancing knowledge among elderly individuals and may encourage preventive health behaviors. Community-based approaches can serve as a model for similar health promotion programs targeting older adults.
Hubungan Antara Lama Bekerja dan Aspek Afektif Triage START pada Perawat Puskesmas: The Relationship Between Length of Work Experience and the Affective Aspect of START Triage Among Community Health Center Nurses Suwardianto, Heru; Mahyuvi, Tata; Jaoquim, Pinto; Atta-Doku, John Foster; Ferede, Abebaw Jember
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.131

Abstract

Emergency situations and mass casualty incidents require nurses to make rapid, accurate, and evidence-based decisions, particularly in triage using the Simple Triage and Rapid Treatment (START) system. Nurses’ affective competence, including confidence, motivation, and emotional readiness, is crucial for effective triage. However, the relationship between length of service and affective competence remains underexplored in Indonesian community health centers. This cross-sectional study involved 27 nurses from 18 community health centers in Banten Province, Indonesia. A 15-item 4-point Likert questionnaire assessed affective competence in START triage, categorized into low, moderate, and high levels. Descriptive statistics and Pearson correlation analyzed the relationship between length of service and affective competence, with significance set at p < 0.05. Respondents were nearly evenly distributed by gender (48.1% male, 51.9% female) with a mean age of 37.07 ± 7.01 years and mean work experience of 14.81 ± 7.40 years. Most nurses (70.8%) demonstrated high affective competence, 29.2% moderate, and none low. Participants reported high confidence in understanding, explaining, and applying START, although some experienced difficulty in real-life scenarios. Correlation analysis indicated no significant relationship between length of service and affective competence (r = -0.053, p = 0.793). Nurses’ affective competence appears more influenced by training and practical experience than years of service. Structured training programs are essential to enhance affective competence in START triage, regardless of professional tenure.
Association Between Length of Work Experience and Spiritual Intelligence Among Adult Medical–Surgical Nurses: A Cross-Sectional Study Suwardianto, Heru; Santoso, Teguh; Mahyuvi, Tata; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Pinto, Joaquim; Kumar, Sesha
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.21

Abstract

Background: Spiritual Intelligence (SI) is essential for nurses caring for critically ill surgical patients. Previous studies suggest work experience may influence SI, but the extent and specific dimensions affected remain unclear. This study addresses this gap by analyzing the relationship between work experience and four SI dimensions: Critical Existential Thinking (CET), Personal Meaning Production (PMP), Transcendental Awareness (TA), and Conscious State Expansion (CSE) Methods: A cross-sectional study was conducted among 35 nurses working in adult surgical wards at two public hospitals in Kediri, Indonesia. Inclusion criteria were registered nurses with at least six months of experience in surgical wards; exclusion criteria were nurses on leave or with incomplete data. Purposive sampling was used. Independent variable: work experience (years); dependent variable: spiritual intelligence measured using the Spiritual Intelligence Self-Report Inventory (SISRI-24). Data analysis followed the STROBE guideline and was performed using Lambda tests with α < 0.05. Descriptive statistics were reported for key variables, including mean work experience Result: The mean work experience of participants was 7.3 ± 4.1 years. Work experience was significantly associated with Personal Meaning Production (PMP) (p = 0.034) and Conscious State Expansion (CSE) (p = 0.007), indicating that nurses with longer experience are better able to find life meaning and expand spiritual awareness. No significant relationships were observed for Critical Existential Thinking (CET) and Transcendental Awareness (TA). Conclusion: Work experience positively influences certain SI dimensions (PMP and CSE) but not others (CET and TA). These findings suggest that additional factors, such as education, personal experiences, and workplace environment, contribute to SI development. Practical implications: Healthcare institutions should implement spiritual reflection and mindfulness training to support nurses’ well-being. Future research should include larger samples and explore cultural and intervention-based influences on SI development.
Burnout Differences Between Critical Care and Inpatient Nurses: A Cross-sectional Study Suwardianto, Heru; Doku, John Foster Atta; Ferede , Abebaw Jember
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.23

Abstract

Background: Burnout is a common occupational risk among nurses, affecting well-being and patient care. However, limited evidence from low- and middle-income settings compares burnout across different clinical units. The extent of variation between Critical Care and Adult Inpatient Units remains unclear. This study therefore aimed to measure and compare burnout levels between nurses in these two settings and examine their implications for staff well-being and care quality. Methods: A cross-sectional study was conducted and reported in accordance with the STROBE guidelines. A purposive sampling technique was used to recruit 97 nurses (21 from Critical Care Units and 76 from Adult Inpatient Units). Inclusion criteria were registered nurses with ≥6 months of experience in their assigned unit, while nurses on extended leave or undergoing training were excluded. The independent variable was the clinical unit type, and the dependent variable was burnout. Burnout was assessed using the validated Maslach Burnout Inventory (MBI), which measures emotional exhaustion, depersonalization, and reduced personal accomplishment. Data were collected through self-administered questionnaires under researcher supervision, and analyzed using descriptive statistics and the Mann–Whitney U test, with statistical significance set at p < 0.05. Result: Nurses in Adult Inpatient Units experienced higher levels of burnout, with 42.1% reporting moderate burnout and 5.3% high burnout, whereas nurses in Critical Care Units reported primarily low burnout (85.7%) and no high burnout. Emotional exhaustion was the most prominent dimension, followed by depersonalization and reduced personal accomplishment. The difference in burnout levels between units was statistically significant (U = 528.000, Z = -2.751, p = 0.006). Conclusion: Burnout is more pronounced among nurses in Adult Inpatient Units, which may compromise patient care quality, safety, and communication. Targeted interventions—including workload management, psychosocial support, and resilience training—are essential to mitigate burnout, enhance staff well-being, and improve patient outcomes.
Level Of Perception Emergency Skills In Youth Red Cross Suwardianto, Heru
Journal Of Nursing Practice Vol. 2 No. 1 (2018): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v2i1.38

Abstract

Background: The state of emergency at school is a crisis condition of an environmental or individual condition. An emergency situation can happen to anyone, anywhere, anytime. Critical patients are a condition of one or more system organ failures that are irreversible. Purpose : The purpose of this study is to determine the level of perception emergency skills in youth red cross at Senior High School 3 Kediri City. Methods : Research Design was descriptive analitic. The population was the students who are members of the youth red cross at the Senior High School 3 Kediri City. Sample ware 35 respondents based on inclusion and exclusion criteria using purposive sampling. The variable ware skill in performing the act of measurement of blood pressure, pulse, temperature position the victim fainted because of low blood pressure, position the victim fainted because of asthma, open wounds dressing, splinting of extremities injured or fracture, cardiopulmonary resuscitation, removing off helmet and fixation of the neck victims of traffic accidents. Measuring devices using Analog Range Scale (ARS 1-10): Skill. Result : The results showed that the mean score of less than 5 was on the skill lift the victim fainted because of low blood pressure (4.60 ± 2.51), splinting of extremities injured or fracture (4.77 ± 2.52), cardiopulmonary resuscitation, and removing the helmets and fixation of neck victims of traffic accidents (1.63 ± 2.47). The results of the study also found that 8 groups of data had a skewness ratio of -2 / + 2, and a group of non-distributed data on cardiopulmonary resuscitation skills (3.42), and removal of helmets and neck injuries for traffic casualties (4.77 ). Conclusion : Increased preparedness with training is required in schools to reduce the risk of emergency or disaster events
Pain Level in Critical Patients With Sleep Hygiene Care In Intensive Care Unit Suwardianto, Heru; Sari, Dyah Ayu Kartika Wulan
Journal Of Nursing Practice Vol. 3 No. 1 (2019): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v3i1.61

Abstract

Bacground: Complaints in critical patients are an unpleasant experience as long as patients are admitted to the ICU. Critical patients with pain are still common and need collaboration to reduce patients in the ICU.Purpose: The purpose of this study was to determine the Pain Level Description of Critical Patients with Sleep Hygiene Care in the Intensive Care Unit.Method: Research design is descriptive-analytic. The study population was all critical patients in the ICU. The study sample was a portion of critical patients who received 170 sleep hygiene care patients. The sampling technique is purposive sampling. The research variable is a description of the patient's pain level. The research instrument used a questionnaire. Data were collected and analyzed using the frequency distribution method.Result: The results of the pain indicator on the Facial Expression study found that the majority of respondents showed grimacings (46.6%), Body movements study found that most showed restlessness (39.4%), Vocalization found that almost all respondents showed Tolerating ventilator or movement / Talking in normal tone / no sound (72.9%), Muscle tension assessment found that most respondents showed Relaxed as much (51.8%). The results of the study showed that the pain scale based on CPOT of the majority of respondents had mild pain as many as 64 respondents (37.6%).Conclusion: Pain description in critical patients with sleep hygiene care shows that there are still many patients who feel pain and need identification and further intervention to reduce it.
Co-Authors ., Erawati ., Erawati Ahmad Guntur Alfianto Akde Triyoga Amaral, Octavio Daniel Bria Ambu K, Maria Aldanita Atta-Doku, John Foster Ayu W, Debora Aurelia Christantie Effendy Devinda P.M, Putri Doku, John Foster Atta Erlin Kurnia Erwin Puji Astuti Ferede , Abebaw Jember Ferede, Abebaw Jember Honggu, Anugrah Desi Sari Jaoquim, Pinto Kumar, K. Sesha Kumar, Sesha Kurniawati, Fidiana Kurniawati, Fidiana Lerrick, Susana Lilik Setiawan Magdalena, Gloria Putri Maharani H, Claudy Mahyuvi, Tata Nugraha, Jonathan Adjie Permatasari, Okta Christie Pinto, Joaquim Pujianingsih, Ribka Elrin Puspita, Nanda Sari, Dyah Ayu Kartika Wulan Sianturi, Samgar Julius SRI SETIYARINI, SRI Teguh Santoso Vijay, P Vijay Widayati, Stephanie Aurellya Putri Widiastutik, Cornelia Yoyok Febrijanto Yuliantin, Novi Yuliantin, Novi