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All Journal Jurnal Keperawatan (JKEP) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Proceeding ISETH (International Summit on Science, Technology, and Humanity) Malahayati International Journal of Nursing and Health Science
Krisna Yetti
Universitas Indonesia
Computer Science & IT Education Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Optimalisasi Fungsi dan Peran Manajemen Keperawatan pada Level Kepala Ruang dalam Pendokumentasian Supervisi Berbasis IT Eva Oktaviarini; Krisna Yetti; Ade Suhendri; Muhammad Hadi
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6806

Abstract

This research aims to optimize the role of the head of the room in implementing supervision with IT-based documentation at the Khidmat Sehat Afiat Hospital, Depok, which can then improve the performance of nurses which will influence the goals and vision of the hospital. This research method uses a case study approach with interviews, document review and observation, as well as carrying out problem analysis using fishbone analysis. The research results showed that when identifying the need to improve the implementation of tiered nurse supervision related to electronic-based documentation, improving supervision guidelines, SPO assessment formats, preparing schedules, socializing and testing electronic-based supervision instruments that had to be developed during the implementation phase. The evaluation phase requires support with monitoring and evaluation. Conclusion. This innovation in IT-based monitoring documentation received a positive response and was enthusiastically accepted by all management management levels in the hospital. So as to facilitate the implementation of supervision and can improve the quality of service. Keywords: IT-Based Documentation, Service Quality, Clinical Supervision
Optimization of the Role and Function of Ward Manager in the Development of the Family Meeting Innovation Program in the Intensive Care Unit Arhamsyah Arhamsyah; Krisna Yetti; Tuti Afriani; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5376

Abstract

Hospitalization in the ICU has an impact on families, making it essential to meet the needs of families in the care of patients in the ICU. Caring for patients in the Intensive Care Unit (ICU) requires family support and involves various health disciplines, including the active role of the head nurse. The head nurse can facilitate all parties to be involved in patient management, one of which is through family meetings. (family meeting). A family meeting is an important forum to discuss the patient's condition, prognosis, and care preferences, to listen to the family's concerns, and to make decisions about appropriate treatment goals. Objective to enhance family satisfaction in patient care in the ICU through the development of an innovative family meeting program. Using the case report method in managing care in the ICU through stages of data collection, problem identification, discussion, and determining alternative solutions. Utilizing fishbone analysis to find the root cause of the problem. Once the problem is identified, the next steps include prioritizing the issues, developing a plan of action, implementing it, and conducting evaluations along with follow-up plans. The development of the family meeting innovation program with the establishment of guidelines for the implementation of family meetings, Standard Operating Procedures (SOP), and documentation formats for family meetings. The implementation of family meetings serves as a programmed communication medium between families and caregiving professionals, thereby enhancing the satisfaction of patient families.
Enhancing Nurses' Ethical Knowledge in Hospitals Through the Initiation of Nursing Ethic Navigation and A Nurses' Ethical Guideline E-Book Citra Hafilah Shabrina; Krisna Yetti; Hanny Handiyani; Shanti Farida Rachmi; Erna Puspita Sari; Roro Tutik Sri Hariyati
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6399

Abstract

Nurses in hospitals often face complex ethical situations; however, there are still gaps in the understanding and application of nursing ethical principles, and a structured, easily accessible ethical guideline is not yet available. This study aims to develop two main solutions Nursing Ethic Navigation (an ethical guideline web search engine) and the Nurses' Ethical Guideline E-Book using John Kotter’s Eight-Step Change Model approach. The method used is a case study conducted at Hospital X during September–October 2024, encompassing problem identification, action planning, implementation, and evaluation. The respondents in this study were the Head Nurse, Primary Nurse, Nursing Department staff, members of the Nursing Committee, and nurses in the IGD-COT unit at Hospital X. Data were collected through interviews, observations, and questionnaires, then analyzed using problem priority scoring and a fishbone diagram to identify root causes as the basis for developing action plans and change strategies. The results showed a significant improvement in nurses’ knowledge, awareness, and ability to apply ethical principles after the intervention. Digital media such as the e-book and web-based tools proved effective as learning platforms and practical references that can be accessed anytime. This study recommends expanding the implementation of ethical guidelines to other service units, supported by managerial involvement and continuous evaluation, to ensure integration into the organizational culture and daily nursing practice.
Use of medium cut-off membrane dialyzer compared to high flux membrane dialyzer in improving the clearance of middle to large molecule uremic toxins: A Systematic Review Wasal Desrial Siregar; Krisna Yetti; Agung Waluyo; yulia yulia
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.934

Abstract

Background: The loss of kidney function in patients with kidney disease leads to the accumulation of dissolved substances known as uremic toxins, which can negatively impact patient health. Membranes with a high number of pores, such as those in high-flux dialyzers, allow some medium-sized molecules like beta-2 microglobulin to pass through. However, these membranes are less effective at filtering out larger dissolved substances. Larger medium-sized molecules (>25 kD) need to be removed either by convection or through the use of highly permeable membranes such as Medium Cut-Off (MCO) membranes. Therefore, it is important to understand the improvement in uremic toxin clearance when using MCO dialyzers compared to high-flux dialyzers. Purpose: To evaluate and compare the effectiveness of using medium cut-off (MCO) membrane dialyzer with high flux membrane dialyzer. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients with chronic kidney disease undergoing hemodialysis, I: Use of dialyzers with medium cut-off (MCO) membrane, C: Use of dialyzer with high flux membrane, O: Increased clearance of uremic toxins of middle to large molecules, such as β2-microglobulin, kappa and lambda free light chains, S: Randomized controlled trials. The article search was conducted systematically using the keywords: "Medium cut-off dialyzer" AND "High flux dialyzer" AND "Uremic toxins" AND "Middle molecules" AND "Large molecules" AND "Clearance Hemodialysis". Results: The use of MCO membranes was more effective in eliminating medium-to-large uremic toxins while maintaining safety and regulation comparable to conventional hemodialysis with high-flux dialyzers. MCO membranes were also more effective even with low blood flow, without significantly increasing albumin loss. Additionally, MCO membranes contributed to reducing inflammation and allowed for shorter recovery times post-hemodialysis treatment. Conclusion: Given its comparable safety to high-flux dialyzers, the use of MCO membranes can be expanded in clinical practice at hemodialysis centers, including those in resource-limited settings.
Co-Authors Ade Suhendri Ade Suhendri Agung Waluyo Agus Sudaryanto Ahsan Ahsan Anik Maryunani Anik Maryunani Arhamsyah Arhamsyah Citra Hafilah Shabrina Cori Tri Suryani D Daryani Deby Zulkarnain Rahadian Syah, Deby Zulkarnain Rahadian Dudi Mashudi Dyah Fitri Wulandari Dyah Fitri Wulandari Endang Sudjiati Erna Puspita Sari Eva Oktaviarini Hadi, Muhammad Hanny Handiyani Junaiti Sahar Khairul Nasri Khairul Nasri Kristina Ana La Ode A. Rahman Lia Dwi Jayanti Masfuri - Mastia Wiraya Megawati Tabroni Mery Anglelia Sirait Mu'minah Mu'minah Nurdiana Nurdiana Okti Sri Purwanti Roro Tutik Sri Hariyati Shanti Farida Rachmi Tuti Afriani Tuti Herawati Wasal Desrial Siregar Yulia Yulia Yunisar Gultom