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PENGALAMAN PERAWAT PUSKESMAS KOTA MALANG DALAM PENATALAKSANAAN HENTI JANTUNG (OUT-OF-HOSPITAL CARDIAC ARREST) Risna Yekti Mumpuni; Indah Winarni; Ali Haedar
MEDICA MAJAPAHIT Vol 9 No 1 (2017): Medika Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Abstract

Henti jantung dapat terjadi dimana saja dan kapan saja. Penatalaksanaan OHCA diberikan segera setelah pasien dipastikan tidak memiliki denyut nadi karotis dengan menerapkan Basic Life Support  yang dapat dilakukan baik oleh orang awam maupun tenaga kesehatan, termasuk perawat Puskesmas. Perawat Puskesmas dapat berperan sebagai first responder yang bertugas untuk mengenali tanda henti jantung dan menginisiasi pertolongan awal. Tujuan penelitian ini untuk memaknai pengalaman perawat Puskesmas dalam penatalaksanaan OHCA. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi interpretif, dilakukan di Puskesmas Kedungkandang dan Puskesmas Kendalkerep. Partisipan adalah empat orang perawat Puskesmas yang pernah melakukan penatalaksanaan OHCA. Data dikumpulkan melalui in-depth interview dengan pertanyaan terbuka. Analisis data dilakukan dengan menggunakan thematic analysis oleh Braun & Clarke (2006). Hasil penelitian menemukan tujuh tema yang menggambarkan pengalaman perawat Puskesmas dalam melakukan penatalaksanaan henti jantung, yaitu: ((1) berupaya mempertahankan profesionalisme dalam melakukan BLS, (2) memberikan dukungan psikologis yang bertujuan untuk menenangkan keluarga, (3), merasa terpanggil untuk memberikan pertolongan (4), memantapkan keinginan untuk menolong pasien, (5) tidak merasakan kepuasan batin setelah memberikan pertolongan, (6) menyadari bahwa pelayanan yang diberikan belum memenuhi standar untuk merawat pasien henti jantung, serta (7) mengharapkan ada perbaikan pelayanan bagi pasien henti jantung. Makna pengalaman perawat Puskesmas dalam penatalaksanaan OHCA adalah perawat berusaha menembus segala dependensinya demi mempertahankan profesionalisme. Melihat dari seluruh fenomena tersebut, perlu dilakukan perbaikan di semua aspek untuk menyediakan pelayanan yang berkualitas bagi pasien henti jantung.
Differences in Triage Accuracy for Respiratory Emergency Cases between Academic and Professional Level Nursing Students Using the Early Warning System Score (EWSS) Vita Maryah Ardiyani; Wahyu Dini Metrikayanto; Ani Sutriningsih; Putu Sintya Arlinda; Risna Yekti Mumpuni; Yati Srihayati; Rosly Junaedi; Indah Dwi Pratiwi; Wyssie Ika Sari; Hardiyanto
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.720

Abstract

Background: EWSS functions as a cumulative scoring framework that standardizes the clinical assessment of acute illness severity through systematic evaluation of vital sign measurements. Purpose: EWSS is a simple scoring system utilizing the Track & Trigger method based on patients' vital signs to detect early signs of clinical deterioration. It employs physiological parameters to identify patients with severe infections and facilitate triage decisions based on the severity level. Methods: The objective of this study is to compare the accuracy of triage determination in respiratory emergency cases between two groups of students: academic-level nursing students and professional-level nursing students, using the Early Warning System Score (EWSS) instrument. The research was implemented at nursing undergraduate education institutions in Malang City and Malang Regency. The sample consisted of 100 nursing students, divided into two groups: 50 academic-level students and 50 professional-level students. Each respondent was given 10 respiratory emergency vignette cases and performed triage assessments using the EWSS instrument. Results: The analysis showed that the Mann-Whitney test has a significance value 0.45, indicating no significant difference in triage accuracy using EWSS between academic-level and professional-level students. Almost all respondents were able to accurately determine triage for both groups using the EWSS method. Conclusion: EWSS can be broadly utilized by both academic and professional-level nursing students. The triage instrument based on patients' clinical signs and symptoms, EWSS is expected to be widely adopted, including by the general public.
Hubungan Durasi Penggunaan Gadget Dengan Interaksi Sosial Pada Remaja Kelas X Di SMK Diponegoro Tumpang Anita Mardiana; Risna Yekti Mumpuni; Kurnia Laksana
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

In today's digital era, gadgets have become an integral part of everyday life, especially among teenagers. Excessive use of gadgets can affect adolescents' social interactions, which are an important phase in their psychosocial development. This causes changes in the way teenagers interact. This study aims to analyze the relationship between the duration of gadget use and social interaction in grade X adolescents at SMK Diponegoro Tumpang. The method used is correlational with a quantitative approach using a cross-sectional design. The sample in this study was 58 students with a Purposive Sampling sampling technique. The independent variable in this study is the duration of gadget use and the dependent variable is social interaction which is measured using a questionnaire on the level of gadget use duration and social interaction. The data analysis used is the Spearman Rank Test, the results show a value of p = 0.000 where p (˂0.05) and the correlation coefficient value (r = -0.439) this indicates that there is a relationship between the duration of gadget use and social interaction in adolescents. And there is a moderate negative relationship between the duration of gadget use and social interaction, which means that the longer the duration of gadget use, the lower the social interaction in adolescents. With the increasing use of gadgets among teenagers which often has a negative impact on social interaction relationships, it is hoped that this study can provide useful information for parents, educators, and teenagers themselves to manage gadget use more wisely.