Utami Rachmawati
Fakultas Ilmu Keperawatan Universitas Indonesia

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Preparing Nursing Students for Inter-Professional Collaborative Practice through Simulation-Based Inter-Professional Education: A Systematic Review Utami Rachmawati; Muhammad Jauhar; Lita Heni Kusumawardani; Rasdiyanah Rasdiyanah; I Gusti Ayu Putu Desy Rohana
JENDELA NURSING JOURNAL Vol 6, No 1 (2022): JUNE 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i1.8452

Abstract

Background: Interprofessional Education (IPE) is an integrated education concept to improve collaboration capabilities initiated by WHO. Interprofessional collaboration practices are expected to minimize medication errors, improve quality of care and patient safety.Purpose: to analyze integrative research on the role of simulation-based interprofessional education (IPE) in preparing nursing students to an interprofessional collaboration practices. Methods: a systematic literature review search of four databases of indexed international journals, namely Science Direct, PubMed, ProQuest, and EBSCO was conducted. Inclusion criteria used for the search include original research, publication time 2016-2020, English-written, and accessible in full text. Studies were included if they have keywords of “knowledge” OR “perception” AND “interprofessional education” AND “nursing student”. Research articles were critically appraised and analyzed through a table containing the title, author, year, methodology, results, and recommendations. Lastly, data were synthesized narratively to address the study aims.Results: there were 13 research articles that met the criteria. IPE can be implemented in the form of simulations, elective courses, and workshops integrated with the curriculum. The results showed an improvement of knowledge, attitudes, perceptions, skills, readiness, and competency of nursing students after simulation-based IPE implementation. Finally, simulation-based IPE implementation prepares nursing students to excel in interprofessional collaboration practicesConclusion: simulation-based IPE should be integrated into the higher education health curriculum especially on clinical nursing practice and professional training. Further investigation is needed to identify relationship conflict, role conflict and performance satisfaction amongst IPC health staff. 
Improved completing-treatment support among tuberculosis support group members through the CERMAT (Smart Against TB Transmission) program Atuti Yuni Nursasi; I Gusti Ayu Putu Desy Rohana; Utami Rachmawati; Rezky Mulyana
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.66457

Abstract

Tuberculosis (TB) was declared a global emergency for humanity by the World Health Organization in 2015. According to Global Report TB data in 2016, Indonesia is one of the 30 countries in the world that has the highest TB caseload, especially Human Immunodeficiency Virus (HIV)-TB and (Multi Drug Resistant Tuberculosis (MDR) TB) cases during the 2016-2020 period (Global Tuberculosis Report, 2016). The high rise of MDR TB cases has great potential for transmission and an increase in the number of new TB cases. Efforts to optimize the handling of care and treatment, as well as to accelerate the determination of the diagnosis need to be conducted vigilantly on all lines, especially efforts to increase the ability to prevent transmission, provide quality follow-up care, and community-based treatment. Forming support groups is one of community health nursing strategies for TB prevention. A support group provides assistance to increase TB medication adherence and reduce TB transmission. TB control strategies are conducted by implementing CERMAT (Smart Against TB Transmission) to TB support groups that combine education intervention and skills to prevent TB transmission in the community setting. Community health nursing though the nursing process has established a system with recognition of the variables that affect health status and individual behaviors against TB disease. The nursing strategy intervention in the community is done at all levels, such as health education, group process, partnership, and community empowerment. The CERMAT package implemented in the TB support group is an evidence-based nursing practice. It was applied to 70 samples of adult TB clients at Curug, Cimanggis, Depok. The sampling was selected with a non-probability quota sampling technique. This study used an experimental design with paired t-test data analysis to determine the improvement in the skills of the TB support group after the support group intervention was done. It showed there was influence of the CERMAT method on the level of good support for completing TB treatment in Curug Village, with increased the mean of completed treatment by 2.42 with a p value 0.00 (p <0.05). The CERMAT method can be applied as one of the nursing interventions to increase TB clients’ adherence. This intervention can be done by the person who is responsible for the TB program at the Community Health Center. The CERMAT method needs to be continued and evaluated regularly by involving health care volunteers.
Empowering community health volunteer on community-based tuberculosis case management programs in lower-income countries: A systematic review Muhamad Jauhar; I Gusti Ayu Putu Desy Rohana; Utami Rachmawati; Lita Heni Kusumawardani; Rasdiyanah Rasdiyanah
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.026 KB) | DOI: 10.22146/jcoemph.47148

Abstract

Globally, almost 40% of tuberculosis clients are undiagnosed and delayed treatment. This condition leads to disease transmission and increasing new cases. Healthcare workers and community health volunteers as an active case finding frontliner and case manager in the community. The elevated numbers of new case findings and comprehensive management of diseases are the successful indicators of the tuberculosis prevention program. This study identified research articles related to community health volunteer empowerment in tuberculosis case management. Literature study of 20 articles from journal database, such as: Science Direct, Proquest, Scopus, and EBSCO for the last 5 years. It used keywords tuberculosis, community volunteer or empowerment, community-based early case finding. Data were analyzed in tables consist of title, author, year, methodology, result, and recommendation. The empowerment of the community health volunteers was effective in increasing tuberculosis case finding, especially in the border areas, remote areas and rural area. The existence of the community health volunteers brought tuberculosis services closer to the community and able to minimize barriers of health access and costs. Increasing the capacity of the community health volunteers is needed to support their role. Community health volunteers with a history of tuberculosis or from a family with tuberculosis are more acceptable in the community so the success of case finding and treatment is achieved. Community health volunteers worked through home visits were able to change community’s perspectives, promote the formation of health seeking behavior and minimize public-stigma. The empowerment of the community health volunteers is essentially needed as the alternative strategies to find new cases in the community and strengthen its management. There need to provide a wholesome moral and material support from the government for the community health volunteers. This can be integrated into the management of tuberculosis programs in primary health care facilities.
Community based intervention: Local village preparedness in prevention and control of COVID-19 Muhamad Jauhar; Rasdiyanah Rasdiyanah; Lita Heni Kusumawardani; Utami Rachmawati; I Gusti Ayu Putu Desy Rohana
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.63934

Abstract

The COVID-19 pandemic has become a global concern since it has severely affected various aspects of life such as health, economy, society, culture, and religion. Community empowerment in breaking the chain of region-based COVID-19 spread is an effective approach that can be taken. This intervention is an important alternative measure to slow the morbidity and mortality of COVID-19 that continue to occur in Indonesia. This article aimed to describe the implementation of a community-based COVID-19 prevention program that was conducted among 280 families in six sub-districts in Brebes Regency from May to June 2020. The assessment used a questionnaire of COVID-19 transmission risk, with a total of 29 indicators developed based on references from the Indonesian Ministry of Health. The preliminary assessment of our program found several aspects that were related to the risk of COVID-19 transmission in the village and observed that there was insufficient public knowledge about COVID-19 including poor practice of health protocols and the negative stigma of society towards patients with COVID-19. The community-based program involved several activities, which namely consisted of program introduction, coordination with stakeholders, community assessments, group discussions, village community deliberations, health education about COVID-19 and 6 step hand washing, distribution of cloth masks, socialization of mask usage and care, socialization of pregnancy checks during the pandemic, provision of hand washing facilities in front of the house, activities evaluation, follow-up plans, and closings.  Furthermore, the aforementioned activities also used videos, posters, leaflets, WhatsApp, as well as Zoom Cloud Meetings as the media. The evaluation phase of the program showed a better understanding related to COVID-19 and health protocol practice in each region. Community empowerment and collaboration with health care facilities can be pursued as a frontline solution to tackle the transmission of COVID-19. Good support and active community participation can contribute to improve the public health status.
PREVENTION OF HYPERTENSION RISK FACTORS IN ADOLESCENTS: SELF-EFFICACY AND PREVENTIVE PRACTICES Silvia Elki Putri; Junaiti Sahar; Utami Rachmawati
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 6 No. 4 (2022): DESEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v6i4.1511

Abstract

The double burden of communicable and non-communicable diseases (NCDs) since the beginning of 2020 in Indonesia has put adolescents at risk of developing hypertension. The purpose of this community engagement is to promote the eagerness and ability of adolescents to prevent hypertension from an early age, as we observed the increasing self-efficacy and hypertension prevention practices. The health promotion program was carried out at Darul Ilmi Middle School, Depok combining offline and online activities with as many as seven sessions with the involvement of the school authorities. A total of 68 students were included in this program. The results of this Health Promotion Program were: the release of the School Internal Supervisory Team Certificate for the implementation of health promotion activities to prevent hypertension risk factors; health promotion videos that can be used as media for health promotion activities to prevent hypertension risk factors; hypertension screening amongst the 68 students showed that 5.9% had blood pressure 140/90 mmHg; increasing adolescent self-efficacy of 61.76% and adolescent hypertension prevention practices of 60.29% after the implementation of 7 sessions of health promotion program to prevent hypertension risk factors. School involvement strengthens the implementation of health promotion programs for adolescents.