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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.
Hubungan Pengetahuan Dan Perilaku Vulva Hygiene Saat Menstruasi Dengan Keparahan Pruritus Vulvae Swantari, Ni Kadek Devariyani; I Gede Putu Darma Suyasa; Ni Wayan Manik Parwati
Jurnal Ilmu Kesehatan MAKIA Vol 12 No 2 (2022): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v12i2.217

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Pengetahuan dan perilaku vulva hygiene saat menstruasi sangat penting dimiliki remaja putri untuk mencegah terjadinya masalah pada genetalia seperti pruritus vulvae. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan dan perilaku vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae pada remaja putri. Penelitian ini adalah penelitian kuantitatif korelasional dengan pendekatan cross-sectional. Populasi penelitian ini sebanyak 314 orang dengan jumlah sampel 192 orang. Teknik pengambilan sampel dengan teknik non probability sampling menggunakan total sampling. Pengumpulan data dilakukan secara online menggunakan kuesioner dengan google formulir dan dianalisis dengan Spearman’s Rho Correlation. Hasil temuan menunjukkan bahwa tingkat pengetahuan vulva hygiene cukup (41,2%), tingkat perilaku vulva hygiene baik (51,0%), dan tingkat keparahan kejadian pruritus vulvae ringan (43,2%) pada siswi SMP Widyasakti. Dari 79 responden yang memiliki tingkat pengetahuan vulva hygiene cukup, sebanyak 33 (41,8%) responden mengalami pruritus vulvae dengan tingkat keparahan ringan. Dan dari 98 responden yang memiliki tingkat perilaku vulva hygiene baik, sebanyak 44 (44,9%) mengalami pruritus vulvae dengan tingkat keparahan ringan. Kesimpulan pada penelitian ini adalah tidak terdapat hubungan yang bermakna antara tingkat pengetahuan vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae. Terdapat hubungan yang bermakna antara tingkat perilaku vulva hygiene saat menstruasi dengan tingkat keparahan kejadian pruritus vulvae.
Attitudes Toward Older People Among Nursing Students in Southeast Asia: A Narrative Review Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek; Israfil, Israfil; Rittiruang, Amonwan
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.623

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The rapid growth of the older population worldwide has had significant consequences in the health care system, especially in preparing prospective nurses as health workers with positive attitudes towards older people. Unfortunately, students' attitudes have been reported to vary from positive attitudes to indications of ageism towards the older age group. This study aimed to identify and describe current findings regarding nursing students' attitudes toward older people in Southeast Asian countries. This study was conducted using a narrative review approach. The literature was sourced from international databases: PubMed, Science Direct, EBSCOhost, and ProQuest. Keywords included "attitude" AND "older people" OR "elderly" OR "older Adult” AND "nursing student". A total of 154 articles were found and there were 7 articles that met the inclusion criteria from five Southeast Asian countries: Indonesia, Malaysia, Thailand, Philippines, and Vietnam. In general, nursing students in the five Southeast Asian countries have positive attitudes toward elderly health and are highly willing to become elderly nurses as their future career. The attitudes toward older people among nursing students are associated with the level of nursing students' knowledge about older people’s health, subjective norms towards older people, perceived behavioral control, good intentions, having learning experiences with project-based learning about older people’s health on campus, and having experience caring for older people during the education process. Incorporating more comprehensive Gerontic nursing content into the nursing education curriculum, including theoretical knowledge and direct practice opportunities, is imperative to increase students’ positive attitude toward older people.
Simulation in Nursing Education: A Narrative Review of Strategies, Outcomes, and Challenges Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.622

Abstract

Simulation-based education is a vital component of modern nursing education, providing a safe, controlled environment for students to develop clinical competencies. It bridges the gap between theory and practice by fostering experiential learning, critical thinking, and decision-making. This narrative review explores simulation strategies in nursing education, assesses educational outcomes, and identifies implementation challenges. A literature search was conducted in PubMed, Scopus, CINAHL, and ScienceDirect for articles published between 2020 and 2025. Studies discussing simulation strategies, outcomes, and barriers in undergraduate nursing education were included. Common simulation methods include high-fidelity manikins, standardized patients, virtual simulations, and hybrid models. These approaches enhance clinical skills, communication, teamwork, confidence, and knowledge retention. Simulation also supports reflective practice and safe error correction. However, barriers such as high costs, limited faculty expertise, time constraints, and inconsistent evaluation methods persist. Simulation enhances learning outcomes in nursing education but requires strategic integration, adequate resources, and faculty training. Addressing these challenges can maximize its impact and better prepare students for clinical practice. The outcome of this review highlights that well-implemented simulation strategies significantly improve nursing students’ clinical competence, critical thinking, and readiness for real-world healthcare environments, ultimately contributing to safer and higher-quality patient care.
A Systematic Review of Educational Interventions to Improve Self-Care Behaviors in Hypertensive Patients Ni Ketut Erawati; I Gede Putu Darma Suyasa; I Kadek Nuryanto; Ni Made Manik Elisa Putri
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63496

Abstract

Introduction: Hypertension remains one of the most prevalent non-communicable diseases worldwide, including in Indonesia. Due to its often asymptomatic nature, the condition is frequently neglected by patients, increasing the risk of complications and negatively impacting their quality of life. While pharmacological treatment is essential, hypertension management is closely tied to self-care practices, which remain a persistent challenge. One strategy to improve self-care behavior in hypertensive patients is through education. This study aims to systematically review the effectiveness of various educational interventions in enhancing self-care behavior among hypertensive patients.Methods: This study employed the PRISMA Flowchart for article selection across three databases—ScienceDirect, PubMed, and Google Scholar—with inclusion criteria limited to articles published between 2021 and 2025. Of 394 initially identified articles, 15 met the inclusion criteria after PRISMA-based screening.Results: The review analyzed 15 studies comprising diverse educational interventions, including group-based education sessions, video-assisted learning, digital and mobile health (mHealth) tools, individualized counseling, and community-based programs. These interventions significantly improved key aspects of self-care, such as medication adherence, dietary regulation, physical activity, stress management, and regular blood pressure monitoring.Conclusion: This systematic review demonstrates that a wide range of educational interventions effectively enhance self-care behaviors among hypertensive patients. Tailoring interventions to patient needs and utilizing technology may further improve outcomes. These findings underscore the importance of incorporating structured education into hypertension management strategies.
Social Isolation and Its Impact on the Health Status of Older People in the Community: A Narrative Review Suyasa, I Gede Putu Darma
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63501

Abstract

Introduction: Older people often face multifaceted challenges encompassing physical, psychological, and social dimensions. Among these, social isolation is a significant concern, frequently resulting from age-related degenerative changes, the loss of loved ones, or abandonment by family members. Numerous studies have indicated that social isolation can adversely affect the health and well-being of older people. However, comprehensive syntheses of recent research examining the impact of social isolation on the health status of community-dwelling older people remain limited and insufficiently explored. This study aimed to identify and summarize the latest findings regarding social isolation's impact on older people's health status.Methods: This narrative review design used databases PubMed, Science Direct, and EBSCOhost. Keywords include "social isolation" OR "loneliness" AND "older people". Literature selection was carried out non-systematically and analyzed descriptively.Results: Our search found 87 articles; 11 met the inclusion criteria. Most studies were from China (4), the United States (3), and others from England, Brazil, and Colombia. Key finddings indicated that older people living with social isolation have a high risk of depression, cognitive decline, dementia, Alzheimer's disease, changes in biochemical parameters in blood glucose and triglycerides, physical weakness and disability, difficulties in ADL and IADL, disorders, low self-assessment of health, risk of falls, low utilization of health care facilities, poor emotional well-being, and higher risk of death.Conclusion: Social isolation has been shown to have a very negative impact on the health status of older people. Community nurses need to enhance the implementation of home visit programs to support socially isolated older people better. Future research should focus on conducting longitudinal and intervention-based studies to investigate the causal relationships between social isolation and health outcomes.
Effectiveness of home-based cardiac rehabilitation programs on health outcomes of persons with heart failure: An umbrella review Promwong, Waiyaporn; Meenongwah, Jaroonsree; Kenbubpha, Kedsaraporn; Suyasa, I Gede Putu Darma
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3994

Abstract

Background: Home-based cardiac rehabilitation (HBCR) serves as a crucial alternative to center-based cardiac rehabilitation (CBCR) for patients with heart failure (HF), aiming to enhance access and adherence. However, evidence of its effectiveness is dispersed across numerous systematic reviews with varying findings, necessitating a high-level synthesis to clarify HBCR’s overall impact. Objective: To synthesize and critically evaluate evidence from systematic reviews and meta-analyses on the effectiveness of home-based cardiac rehabilitation in improving health outcomes among patients with heart failure. Design: An umbrella review of systematic reviews and meta-analyses Data Sources: A systematic search was conducted in the Cochrane Library, JBI Evidence Synthesis, PubMed, Medline, CINAHL, Epistemonikos, and ThaiJo databases for studies in English or Thai up to April 11, 2025. Review Methods: The review adhered to JBI and PRISMA guidelines. Outcomes included functional capacity, quality of life (QOL), mortality, hospital readmissions, and adverse events. Study quality was assessed using the JBI checklist. Results: Fifteen systematic reviews and meta-analyses met the inclusion criteria, all of which were of high methodological quality. The evidence consistently demonstrates that HBCR significantly enhances functional capacity compared to usual care, with outcomes comparable to those of CBCR. However, findings for other outcomes were inconsistent; HBCR’s impact on QOL and left ventricular ejection fraction (LVEF) varied due to program content and methodological heterogeneity, and it did not significantly reduce mortality or hospital readmissions compared to usual care or CBCR. No significant differences in adverse events were observed between HBCR, CBCR, and usual care. Conclusion: HBCR is a safe and effective intervention for improving functional capacity in patients with heart failure, offering a viable alternative to CBCR. However, its effects on quality of life, hospital readmissions, and mortality remain inconsistent. These findings highlight HBCR’s potential role in expanding access, though further research is needed to optimize program design. Registry: PROSPERO (CRD42023484051)
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 Agustini, Ni Putu Inca Buntari Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita 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 Agustini, Ni Luh Putu Inca Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Ayu Puja Astuti Dewi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Wayan Remiasa Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni IGN Made Kusuma Negara Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Kadek Ayu Ananda Maharini Kadek Buja Harditya 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 Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari 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 Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putu Adinda Saraswati Putu Awik Sirna Wardani 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 suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Trisna, Made Oktaviani Bulan 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 Yudi Wahyu, I Made Yulistina, Putu Desi