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Optimalisasi Peran Keluarga Melalui Edukasi dan Simulasi Terapi Relaksasi Autogenik sebagai Upaya Suportif Adaptif Pasien Stroke di Masyarakat Israfil, Israfil; Wulandari, Sarah Kartika; Swarjana, I Ketut; Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Pangruating Diyu, Ida Ayu Ningrat; Putra, Komang Ardidhana Nugraha; Indrayani, Ni Luh Dwi
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.268

Abstract

Pasien stroke mengalami perubahan respons yang sangat kompleks pada aspek fisik, psikologis dan sosial yang membutuhkan adaptasi. Terapi relaksasi autogenik merupakan salah satu intervensi terapi yang mampu meningkatkan adaptasi, mobilisasi, dan kualitas hidup pasien stroke dimasyarakat dengan dukungan keluarga sebagai support sistem paling utama. Tujuan kegiatan pengabdian kepada masyarakat ini adalah mengedukasi dan mensimulasikan kepada keluarga tentang terapi relaksasi autogenik sebagai upaya suportif adaptif pasien stroke dimasyarakat. Kegiatan dilaksanakan pada bulan Mei 2024 kepada keluarga pasien stroke dan masyarakat Desa Basangalas. Kegiatan dilaksanakan dengan metode edukasi dan simulasi dengan tahapan menggunakan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Sebanyak 100% peserta yang terlibat tidak mengetahui tentang terapi relaksasi autogenik. Setelah mendapatkan edukasi dan simulasi semua peserta memiliki pengetahuan yang baik dan mampu mempraktikkan terapi relaksasi autogenik sebagaimana yang diedukasi dan disimulasikan. Metode edukasi dan simulasi berhasil meningkatkan pengetahuan dan keterampilan keluarga dan masyarakat tentang terapi relaksasi autogenik. Terapi relaksasi autogenik diharapkan dapat menjadi bekal keluarga dan masyarakat dalam memberikan dukungan perawatan dan adaptasi kepada pasien stroke dimasyarakat. Kami menyarankan terapi relaksasi autogenik menjadi salah satu pilihan rencana intervensi keperawatan komunitas dan keluarga dalam upaya meningkatkan adaptasi  pasien stroke di masyarakat.
Pelatihan Teknik Mobilisasi Lansia untuk Caregiver dalam Perawatan Jangka Panjang: Peningkatan Pengetahuan dan Keterampilan Mobilisasi Agustini, Ni Luh Putu Inca Buntari; Dewi, Ni Putu Ayu Ratna; Israfil, Israfil; Suyasa, I Gede Putu Darma; Putra, Komang Ardidhana Nugraha; Arnaya, I Gede Putu Suka
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.330

Abstract

Pelatihan teknik mobilisasi untuk caregiver menjadi komponen penting dalam perawatan jangka Panjang lansia. Kegiatan pengabdian kepada masyarakat bertujuan untuk meningkatkan keterampilan caregiver dalam membantu mobilisasi lansia, mengurangi risiko cedera, serta meningkatkan kualitas hidup lansia dan keluarga sebagai caregiver. Metode PKM berupa pelatihan berupa ceramah dan demonstrasi dengan melibatkan 35 keluarga lansia di Desa Basangalas, Karangasem, Provinsi Bali pada bulan Mei 2024. PKM dilaksanakan melalui tiga tahapan, yaitu: analisis kebutuhan, pelaksanaan, dan evaluasi. Materi pelatihan mencakup prinsip-prinsip dasar mobilisasi, teknik transfer, penggunaan alat bantu, pencegahan jatuh dan pencegahan cedera pada caregiver. Hasil pre-test menunjukan 26 (74,3%) partisipan memiliki pengetahuan kurang dan 32 (91,4%) partisipan memiliki keterampilan kurang dalam mobilisasi lansia. Sedangkan, nilai post-test didapatkan seluruh partisipan 35 (100%) memiliki pengetahuan dan keterampilan yang baik setelah diberikan pelatihan mobilisasi lansia. Hal ini menunjukan bahwa ada peningkatan pengetahuan dan keterampilan mobilisasi lansia pada partisipan setelah diberikan penyuluhan dan pelatihan. Saran bagi masyarakat dengan lansia imobilitas dapat mengimplementasikan teknik mobilisasi secara berkelanjutan dan peneliti selanjutnya dapat mengembangkan modul pelatihan.
Heating pad vs. infusion warmer to prevent hypothermia in intraoperative patients: which one is more effective? Arinjaya, I Gede Eka; Suyasa, I Gede Putu Darma; Rismawan, I Made; Suyasa, Agus Baratha
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11034

Abstract

Background: The use of heating pads and infusion warmers on intraoperative patients has been proven to prevent hypothermia. However, the differences in the effectiveness of the two methods have not been studied.Purpose: This study aims to compare the effectiveness of a heating pad and infusion warmer in preventing hypothermia (decreased body temperature and the incidence of shivering) in intraoperative patients.Methods: This research was a quasi-experimental design by a Posttest-Only Design with Nonequivalent Groups. The populations in this study were surgical patients with regional anesthesia, with a total sample of 64 respondents (32 respondents in the heating pad group and 32 respondents in the infusion warmer group) selected randomly. The incidence of hypothermia was perceived from two indicators: a decrease in body temperature and the prevalence of shivering, which was observed and recorded during the intraoperative period. The data were analyzed by discrimination tests (mean discrimination test and proportion discrimination test) to determine the difference in the effectiveness of the two groups.Results: The average decrease in body temperature during the intraoperative period (0-40 minutes of operation) in the group given the infusion warmer was greater than the group given the heating pad (p<0.001). The group given the infusion warmer was 8.750 times more likely to experience shivering than the group given the heating pad (p<0.001; OR=8.750).Conclusion: Using a heating pad is better in preventing hypothermia in intraoperative patients than using an infusion warmer.
PENILAIAN KINERJA MANAJER KEPERAWATAN BERDASARKAN BALANCED SCORE CARD DAN FUNGSI MANAJEMEN: LITERATUR REVIEW Yulistina, Putu Desi; Suyasa, I Gede Putu Darma; Rismawan, I Made; Sandra, Putu Yudara
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2468

Abstract

One reason for the need for standardized assessment of nurse managers is to ensure their performance evaluations are consistent and objective. This research aimed to be used as a reference in conducting performance assessments at the nurse manager level. This research uses the Literature review method using the PRISMA flow diagram. An article search using 3 journal databases including Scopus, Google Scholar, and Pubmed, obtained 20 final articles published between 2018 and 2023. The results of the research show that the performance assessment of nurse managers includes 4 BSC perspectives and is oriented towards management functions and the five core competency domains of nursing. The performance assessment of nurse managers includes competency knowledge, skills and attitudes which are then linked to the implementation of management roles and functions (planning, organizing, driving and controlling) both from the dimensions of human resources, environment and business or cost control. The performance assessment of nurse managers can be adjusted to the level or career path of nurse managers from level I to level V which is divided into top, middle and low managers. Assessment instruments related to assessing the performance of nurse managers have not been standardized and are still diverse. Several regulations in Indonesia do not yet include competency and assessment standards for nurse managers. The BSC can be used as basis for preparing nurse manager performance assessment instrument which includes 4 perspectives, oriented towards management functions, and 5 core nursing competency domains.
Leadership in Nursing: Styles, Challenges, and Barriers Kamaryati, Ni Putu; Putu Darma Suyasa, I Gede; Putu Dina Susanti, Ni Luh; Ratih Comala Dewi, Ni Made; Aries Susanti, Ni Putu; Yudi Wahyu, I Made
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54393

Abstract

Background: Leadership is a crucial component of nursing management, where leadership style plays a significant role in its effective implementation. Challenges and barriers in leadership execution are essential aspects that need attention. Leadership is about the ability of an individual to influence the behavior of others towards a goal. This literature review aimed to identify effective leadership styles, as ideal leadership is a key aspiration for every organization. Methods: This study was a literature review using the PICO framework to formulate article questions. The search for articles was conducted via PubMed, Google Scholar, ScienceDirect, and Wiley using the keywords "leadership in nursing" AND "challenges" AND "barriers." A total of 15 articles were selected based on inclusion criteria. Results: Several leadership styles are evident in nursing, with transformational leadership being regarded as the most effective. In practice, the primary challenge faced is communication, while the major obstacles include issues related to workplace culture and professionalism. Conclusion: Leaders with strong leadership skills positively impact nursing care management, inspiring and motivating staff while enhancing the quality of services.
Development of a self-care guideline to prevent rehospitalization in stroke patients: a modified Delphi study Putra, Komang Ardidhana Nugraha; Suyasa, I Gede Putu Darma; Kamaryati, Ni Putu; Dharmapatni, Ni Wayan Kesari
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48937

Abstract

Introduction: Since 2007, the number of stroke cases in Indonesia has continued to increase. Stroke patients who have passed the acute phase of stroke still have a risk of recurrent stroke and rehospitalization. This study aimed to develop self-care guidelines to prevent the rehospitalization of stroke patients. Methods: A three-round modified Delphi study was applied to a panel of 24 experts with different fields of expertise, consisting of doctors, nurses, families, and patients. In the first round, data were collected through a literature review and semi-structured interviews. In the second and third rounds, data were collected using a survey questionnaire on a 9-point Likert scale. Results: The first round produced seven themes around self-care activities, including drug therapy, physical exercise, diet and nutrition, stress management, self-motivation, functional status screening, and control for risk factors. In the second round, all types of self-care in the first round were agreed upon for content in preparing the guidebook. The third round resulted in agreement on the guidebook that had been designed, with scores of 8 and above by 100% of the expert panel. Conclusions: The development of a self-care guidebook to prevent rehospitalization of stroke patients through a three-round Delphi study has reached a consensus among the entire panel of experts.  Further research by testing guidebooks in the healthcare system is needed to determine their effectiveness in preventing re-hospitalization in stroke patients.
Socialization and Simulation of Learning Style Identification with The Vark Approach for Students and Lecturers Swarjana, I Ketut; Buntari Agustini, Ni Luh Putu Inca; Suyasa, I Gede Putu Darma; Israfil, Israfil; Tanuparbrungson, Supawan; Indrayani, Ni Luh Dwi; Pangruating Diyu, Ida Ayu Ningrat; Edi Sanjana, I Wayan
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i2.411

Abstract

Learning style is one of the main elements for students and lecturers to determine the right learning support. The VARK (Visual, Aural, Reading, Kinesthetic) approach is one approach that can be used to identify a person's learning style. Unfortunately, not everyone knows this approach to help determine their learning style. The purpose of this community service activity is to socialize and simulate the VARK approach in identifying learning styles. This activity was carried out in May 2024 at Itekes Bali, Denpasar, Indonesia. A total of 52 participants were involved in this activity, consisting of 42 students and 10 lecturers. Participants in this activity came from Itekes Bali, Denpasar, Indonesia, and from Saint Louis College, Bangkok, Thailand. This activity was carried out with the stages of Preparation, Action, Reflection and Evaluation (PARE). The results of the activity showed that most (67%) participants had insufficient knowledge about the VARK approach in identifying learning styles, and all participants (100%) participants succeeded in having good knowledge about the VARK approach in identifying their learning styles after this activity was carried out. The conclusion is that this educational and simulation activity has succeeded in increasing the knowledge of all participants about the VARK approach in identifying learning styles.
The Impact of Implementing the Modular Professional Nursing Practice Model on Nurse Work Motivation at Unicare Clinic Bali Nugrahini, Ni Luh Gede Hari; Suyasa, I Gede Putu Darma; Adianta, I Ketut Alit; Agustini, Ni Komang Tri
Babali Nursing Research Vol. 5 No. 3 (2024): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.53387

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Background: The implementation of the Professional Nursing Practice Model (PNPM) has not been carried out by all health institutions in Indonesia, which causes the work of nurses to be less effective and affects nurses' work motivation. This study aimed to determine the impact of PNPM on nurses’ motivation at Unicare Clinic Bali. Methods: This study used a quasi-experimental design with a control group. A total sampling method involved 140 nurses divided into intervention and control groups. The variables identified were the components of work motivation, which consist of organizational culture, leadership, communication, work activities, and compensation. The research instrument used was a standard work motivation questionnaire based on Herzberg's theory. Data analysis was conducted using a paired t-test to measure the difference between the control and intervention groups and an independent t-test to determine the difference between intervention groups. Results: The results showed differences in nurses' work motivation scores in the intervention group before and after the intervention. There is a significant difference between work motivation between the intervention and control groups with t-value 2,432> t-table 1,667 tables and p value<0.05. Conclusion: There was an increase in nurses' work motivation components in applying the Modular PNPM. Nurses can play an active role in providing suggestions to improve the quality of nursing services, and evaluation of the PNPM can be carried out on an ongoing basis to maintain its effectiveness and efficiency.
GAMBARAN PENGETAHUAN KELUARGA DENGAN HIPERTENSI TENTANG PERAWATAN MANDIRI HIPERTENSI PADA MASA PANDEMI COVID-19 ni kadek sutini; Kadek Ayu Ananda Maharini; Ni Wayan Sukma Antari; I Gede Putu Darma Suyasa
JURNAL MEDIKA USADA Vol 5 No 2 (2022): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v5i2.138

Abstract

Background: People with hypertension are a vulnerable group to morbidity and mortality, especially during the Covid-19 pandemic. During the period of social restrictions, self-management of hypertension is recommended for patients especially in controlling their blood pressures. Families play an important role in the self-management carried out by the patient at home. Purpose: This study aimed to identify knowledge of families with hypertension about the self-management of hypertension. Methods: This study employed a descriptive design with a cross-sectional approach. The research was carried out in Serangan Village, South Denpasar District for 1 month. This study involved 145 families with hypertension. Data was collected using questionnaires. The data wqs analyzed univariately using SPSS version 20. Results: showed that most families had adequate knowledge of hypertension self-management (66.2%). However, the remaining 33.8% indicated poor knowledge on self-management. Based on the six components of hypertension self-management, most families in this study had adequate knowledge on diet management (66.2%), physical activity management (67.6%), stress management (89.0%), alcohol intake management (53.8%), smoking habit management (85.5%) and medication adherence (92.4%). Conclusion: Health care workers are suggested to strengthen family education about hypertension self-management especially those indicating poor knowledge via home visits with Pandemic protocols.
Development of a palliative end of life care (PEOLC) model based on transcultural nursing for patients in need of long-term care Buntari Agustini, Ni Luh Putu Inca; Swarjana, I Ketut; Israfil, Israfil; Suyasa, I Gede Putu Darma
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.65544

Abstract

Introduction: Palliative end-of-life care (PEOLC) is heavily impacted by culture and always discusses death, bereavement, uncertainty, loss, grief, and incurable disease. Long-term care and more culturally sensitive nursing care are essential to address the diverse needs of patients. This study aimed to develop a PEOLC model grounded in transcultural nursing principles, with a focus on enhancing the quality of care for patients requiring long-term support. Methods: This study employed a cross-sectional explanatory design involving 180 patients with chronic illnesses as participants selected using simple random sampling. The proposed model involved eight variables: patient factors, nurse factors, service factors, family factors, technology factors, the PEOLC model, quality of life, and quality of death. A valid questionnaire was used to collect data, and we employed SEM-PLS to analyse the results. Results: The PEOLC model had an R2 value of 0.61. These findings showed that 60.1% of the variability of PEOLC variables was explained by the patient, family, nurse, service, and technology aspects. For each construct, a value of Q2 > 0 (0.083) indicated that the model was appropriate. The path coefficient value of 0.343 indicates that the service factors make the most significant contribution to the PEOLC model. Conclusions: This research led to the development of the PEOLC model, which comprises eight variables. It provides a comprehensive framework for integrating transcultural nursing principles into long-term care and emphasises the importance of cultural sensitivity in delivering personalised and effective end-of-life care.
Co-Authors A.A. Ayu Yuliati Darmini Adnyanita, Anak Agung Istri Citra Agus Ari Pratama Agustini , Ni Luh Putu Inca Buntari Agustini, Ni Komang Tri Agustini, Ni Komang Tru Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita Apiradee Pimsen Aries Susanti, Ni Putu Arinjaya, I Gede Eka Arnaya, I Gede Putu Suka Artsanthia, Jintana Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Chi-Jane Wang Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Dr. Ni Luh Dwi Indrayani Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Nengah Agus Mega Aryawan I Putu Gede Darmayasa I Wayan Remiasa Ida Ayu Ketut Adi Setiawati Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni IGN Made Kusuma Negara Kusuma Negara Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Jaya Kusuma, I Made Kadek Ayu Ananda Maharini Kadek Buja Harditya Kadek Sriasih Kamaryati, Ni Luh Putu Kenbubpha, Kedsaraporn Kesari Darmapatni, Ni Wayan ketut hendra yanti dewi Ketut Widia Komang Asrini Widya Tri Lestari Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Kusuma, I Made Jaya Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Leni Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ari Widayani Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Manik Elisa Putri Ni Made Milapastiniari Ni Made Nurtini Ni Made Sri Rahyanti Ni Made Wirantini Ni Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Deani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nooiad, Ganyanee Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Pande Putu Ida Oktaviani Pangruating Diyu, Ida Ayu Ningrat Pimsen, Apiradee Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putri, Ni Made Manik Elisa Putu Adinda Saraswati Putu Awik Sirna Wardani Putu Inge Ruth Suantika Putu Noviana Sagitarini Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sagita, Ni Wayan Riska Sandra, Putu Yudara Sani, Ari Wina Sanjana, I Wayan Edi Sarah K Wulandari Serinadi, Desak Made Sri Ariani Sri Dewi Megayanti Sriasih, Ni Kadek Strisanti, Ida Ayu Suptika suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Vitug, Portia Zoleta- Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wulandari, Sarah K Wulandari, Sarah K. Wulandari, Sarah Kartika yanti dewi, ketut hendra Yoga, Sukma Wisnu Yogi RS, I Gusti Agung Yudi Wahyu, I Made Yulistina, Putu Desi Yusniawati, Yustina Ni Putu