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Analisis Ketepatan Triage Pada Pasien di Instalasi Gawat Darurat Sholehah, Baitus; Laili, Anisa Nur; Azizah, Arika
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.302

Triage nurses have an important role to save patients, patients who come to the emergency department are stabilized and categorized based on severity. The accuracy of triage is a guarantee of patient safety. The purpose of this study was to analyze the relationship between the level of nurse knowledge and the accuracy of triage in patients in the emergency department. The research design in this study used a quantitative research design with a cross sectional approach. Research data were collected using a research instrument with a questionnaire of nurse knowledge and Standard Operational Procedure (SOP) triage accuracy. Data were analyzed with the SPSS program presented in the form of frequency tables and cross tables to analyze the relationship between the level of knowledge and accuracy of triage. Data analysis using Kendall's test. The results of the study obtained a Sig. (2-tailed) of 0.000 (<0.005), it can be concluded that there is a relationship between the level of nurse knowledge and the accuracy of triage in patients. The Correlation Coefficient value is positive at 0.648, it can be concluded that the direction of the relationship between the two variables is unidirectional and has a strong relationship, this shows that a good level of nurse knowledge will affect the accuracy of appropriate triage, in this case the nurse's knowledge about triage is very important and needs to be improved so that the accuracy of triage is in accordance with the patient's condition.

FAKTOR-FAKTOR YANG MEMPENGARUHI KASUS STUNTING PADA BALITA DI WILAYAH PAKUNIRAN Mahsusiah, Windy Ayu Oktavil; Munir, Zainal; Sholehah, Baitus
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 3 (2024): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i3.2364

Background: Stunting is one of the nutritional problems in the world. Stunting occurs due to the impact of chronic malnutrition in the first 1000 days of a child's life. Parents play an important role in paying attention to their children's development and supporting efforts to overcome their children's nutritional problems. Preventing malnutrition in children starts with the mother, a mother's health is very important for the health of her child in the future, maternal malnutrition can disrupt the development of the fetus in the womb. Objective: To determine the factors that influence cases of stunting in toddlers. Method: This study used a cross sectional design, the population in this study was mothers who had stunted toddlers in the Pakuniran area, totaling 115 respondents. Bivariate data analysis used the Spearman test. Results: Of the several factors tested, there are 4 independent variables that are related to the dependent variable, namely; Early Marriage (P=0.000), Blood Supplement Tablets (P=0.000), Animal Protein (P=0.034), Antenatal Care Visit (P=0.011). Conclusion: it can be concluded that there is a significant relationship between early marriage, blood supplement tablets, animal protein, antenatal care visits on stunting cases in toddlers in the Pakuniran area. Suggestion: This research suggests that the government and health workers can provide counseling on a scheduled basis and in groups about the importance of preventing stunting in toddlers who are at risk of stunting.

HUBUNGAN OVERWEIGHT DENGAN KEJADIAN CHF (CONGESTIVE HEART FAILURE) DI RUANG RAWAT INAP RUMAH SAKIT RIZANI PAITON PROBOLINGGO Irani, Yunita; Sholehah, Baitus; Khotimah, Husnul
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i4.2391

Background: Congestive Heart Failure (CHF) is a growing health problem with high mortality and morbidity rates in both developed and developing countries. At Rizani Paiton Hospital Probolinggo, CHF is among the top ten most common cases. Overweight is one of the factors that worsen the condition of CHF patients, measured through Body Mass Index (BMI). Objective: To determine the relationship between overweight and the incidence of CHF in the inpatient ward of Rizani Paiton Hospital Probolinggo. Methods: This analytical study used direct observation and Gamma correlation analysis, involving 60 patient samples. Results: The significance value (sig) of 0.000 (p < 0.05) indicates a very significant correlation between overweight and the incidence of CHF. The correlation value of 0.922 shows a very strong and positive relationship, meaning that the higher the patient's BMI, the greater the risk of CHF. Conclusion: Overweight has a significant correlation with the incidence of CHF. Weight management is important as a preventive measure against CHF. Dietary control is necessary to reduce the risk of CHF.

Hubungan Dukungan Keluarga dan Efikasi Diri dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) pada Pasien TB Paru di Puskesmas Kabupaten Situbondo Rahman, Handono Fatkhur; Widad, Sofil; Sholehah, Baitus
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 5, No 4 (2024)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v5i4.9052

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, primarily affecting the lungs and leading to significant health challenges. In 2021, 450,000 cases of multidrug-resistant tuberculosis (MDR-TB) were reported, marking a 3.1% increase from the previous year. Family support plays a vital role in motivating patients to adhere to treatment regimens, while high self-efficacy boosts patients' confidence in completing therapy. Adherence to tuberculosis treatment is defined as completing a six-month course of therapy without interruptions. This study aimed to analyze the relationship between family support, self-efficacy, and adherence to anti-tuberculosis medication (OAT) among pulmonary TB patients in Situbondo District. A cross-sectional design was employed, involving 112 respondents selected through Slovin's formula from a population of 156 TB patients at Besuki and Panji Health Centers. Data collection utilized validated questionnaires on family support, self-efficacy, and medication adherence, analyzed using the Spearman test. Results revealed a significant relationship between family support and adherence (p=0.000; r=0.443) and between self-efficacy and adherence (p=0.000; r=0.537). The study concludes that both family support and self-efficacy are crucial factors influencing adherence to tuberculosis treatment among pulmonary TB patients in Situbondo.

HUBUNGAN RESPON TIME DENGAN PENGAMBILAN KEPUTUSAN KLINIS PERAWAT PADA PASIEN CONGESTIVE HEART FAILURE DI RSUD dr.ABDOER RAHEM KABUPATEN SITUBONDO : THE RELATIONSHIP OF RESPONSE TIME WITH CLINICAL DECISION MAKING OF NURSES IN CONGESTIVE HEART FAILURE PATIENTS AT Dr. ABDOER RAHEM RSUD SITUBONDO DISTRICT Siti Zulfiana Safitri; Baitus Sholehah; Husnul Khotimah
Jurnal Ilmiah Pamenang Vol. 6 No. 2 (2024): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v6i2.269

Abstrak Latar belakang: Gagal jantung kongestif (CHF) terjadi saat jantung tidak mampu memompa darah dengan baik, sering disebabkan oleh kebiasaan tidak sehat atau penyakit seperti hipertensi dan diabetes. Akibatnya, jaringan tubuh kekurangan oksigen dan nutrisi. Dalam situasi darurat, IGD, ICU, dan ICCU berperan penting dalam menyelamatkan nyawa pasien. Kecepatan respon time perawat menjadi indikator utama dalam meningkatkan kualitas perawatan dan pengambilan keputusan klinis.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara respon time dengan pengambilan keputusan klinis perawat pada pasien congestive heart failure di RSUD dr. Abdoer Rahem, Kabupaten Situbondo.. Metode: Penelitian ini menggunakan pendekatan deskriptif kuantitatif dengan desain cross-sectional. Jumlah responden sebanyak 51 perawat, dengan teknik total sampling. Instrumen yang digunakan meliputi lembar observasi untuk respon time dan kuesioner skala Likert untuk pengambilan keputusan perawat. Data dianalisis menggunakan Uji Gamma. Hasil: Hasil uji korelasi Gamma menunjukkan nilai p sebesar 0,048 (< 0,05), yang berarti terdapat hubungan signifikan antara respon time dan pengambilan keputusan klinis perawat pada pasien congestive heart failure di RSUD dr. Abdoer Rahem, Situbondo. Nilai korelasi 0,998 menunjukkan korelasi positif dengan kekuatan yang sangat kuat.. Kesimpulan: Penelitian di RSUD dr. Abdoer Rahem menunjukkan bahwa respon time yang cepat pada pasien Congestive Heart Failure (CHF) berhubungan signifikan dengan pengambilan keputusan klinis perawat. Dari 51 perawat, 85% pasien menerima respon cepat, yang meningkatkan efisiensi keputusan klinis serta mendukung keselamatan dan kepuasan pasien. Respon time yang cepat menjadi faktor penting dalam efektivitas tindakan klinis dan keselamatan pasien. Abstrac Background: Congestive Heart Failure (CHF) occurs when the heart is unable to pump blood effectively, often caused by unhealthy habits or diseases such as hypertension and diabetes. As a result, body tissues become deprived of oxygen and nutrients. In emergency situations, the Emergency Department (ED), Intensive Care Unit (ICU), and Intermediate Care Cardiac Unit (ICCU) play a crucial role in saving patients' lives. The speed of nurses' response time becomes a primary indicator for improving the quality of care and clinical decision-making.Objective: This study aims to determine the relationship between response time and clinical decision-making by nurses for patients with congestive heart failure at RSUD dr. Abdoer Rahem, Situbondo District. Methods: This study employs a quantitative descriptive approach with a cross-sectional design. The total number of respondents is 51 nurses, using total sampling technique. The instruments used include observation sheets for response time and Likert scale questionnaires for nurses' decision-making. Data were analyzed using the Gamma Test. Results: The results of the Gamma correlation test show a p-value of 0.048 (< 0.05), indicating a significant relationship between response time and clinical decision-making by nurses for patients with congestive heart failure at RSUD dr. Abdoer Rahem, Situbondo. The correlation value of 0.998 indicates a positive correlation with a very strong strength. Conclusion: The research at RSUD dr. Abdoer Rahem indicates that quick response times for patients with Congestive Heart Failure (CHF) are significantly related to the clinical decision-making of nurses. Of the 51 nurses surveyed, 85% of patients received prompt responses, enhancing the efficiency of clinical decisions and supporting patient safety and satisfaction. Quick response times are essential factors in the effectiveness of clinical actions and patient safety.

SYSTEMATIC REVIEW : KONFIGURASI STAF DI DALAM AMBULAN Sholehah, Baitus
Jurnal Keperawatan Profesional Vol 10, No 1 (2022): Medical Surgical
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v10i1.4091

Emergency Medical Service (EMS) is a comprehensive system that provides health and safety services for emergency victims. Ambulances are one component of EMS available 24 hours per day in most hospitals, Ambulance staff provide an important life-saving role in the EMS system. This systematic review discusses the configuration of the staff in the ambulance and is carried out through several stages, namely, formulating research questions, identifying the feasibility of articles, selecting articles to be included, screening articles, and evaluating articles. The article selection process was set out in a systematic review framework and based on that framework, 9 articles were obtained. The articles are then summarized and assessed by JBI in each article. This study looks at the effectiveness of staff configurations in ambulances with various configuration models. The staff configuration model across the country differs in the number of staff the level of training staff has.

PKM Pemberdayaan Siswa MA ZAHA Pakuniran Probolinggo Sebagai First Responder dalam Memberikan Resusitasi Jantung Paru (RJP) Pada Kasus Cardiac Arrest Sholehah, Baitus; Ningsih, Nur Kholimah
Journal of Health Innovation and Community Service Vol. 1 No. 2 (2022): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v1i2.65

Background: Cardiac arrest is an emergency condition that can threaten human life, therefore cardiac arrest must get first aid as soon as possible to avoid death. First aid that can be done by giving Cardiopulmonary Resuscitation (CPR). Purpose The purpose of this service is to empower MA ZAHA 04 Pakuniran Students as First Responders in Providing Cardiopulmonary Resuscitation (CPR) in Cardiac Arrest Cases and the BLS rapid reaction team. Method: The method used in this service consists of a preparation stage by coordinating with partners and a service permit, followed by the implementation stage, namely by providing training to students on Cardiopulmonary Resuscitation (CPR) and the final stage, namely closing, by evaluating participants training on knowledge and skills in providing basic life support. Result: This service activity went according to expectations, as well as the participants who were very enthusiastic and attended the training wisely. Conclution: The community service carried out increases students' knowledge and skills by being able to demonstrate CPR (hand only CPR) and being able to identify signs of cardiac arrest.

Relationship Between Level of Knowledge and Nurse Compliance in the Implementation of Standard Operational Procedures (SOP) for Infusing in the Emergency Installation Unit. Sholehah, Baitus; Holifah, Siti
Adult Health Nursing Journal Vol 1, No 1 (2024): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v1i1.9339

Introduction: Emergency Department is the main entry point for hospital services in providing first aid to patients. One of the common infections in hospitals is nosocomial infection. The success of controlling nosocomial infections in infusion procedures is not determined by advanced equipment but by the behavior of healthcare workers in properly caring for patients.. Objectives: This study aims to analyze the relationship between knowledge level and nurses' compliance with the Standard Operating Procedure (SOP) for Infusion Placement in the Emergency Department of RSU dr. H. Koesnadi Bondowoso.. Methods: The study was conducted in January 2016 at the Emergency Department of RSU dr. H. Koesnadi Bondowoso. A correlational design with a cross-sectional approach was used. The population consisted of all nurses in the Emergency Department, with a total sample of 18 participants, selected using total sampling technique. Data were collected through questionnaires and observation sheets, then analyzed using SPSS "Spearman Rho" with a significance level of 5%. Results: The Spearman Rho test results at a 5% significance level (α) showed a P value of 0.001, concluding that p ≤ 0.05, so H1 is accepted, and Ho is rejected. This indicates a significant relationship between knowledge level and nurses' compliance with the SOP for Infusion Placement in the Emergency Department of RSU dr. H. Koesnadi Bondowoso. Conclusions: The findings demonstrate that nurses' knowledge is fundamental in adhering to the SOP for Infusion Placement, thereby preventing nosocomial infections.

Self-Efficacy, Dietary Adherence, and Medication Compliance among Hypertension Patients. Andayani, Sri Astutik; Sholehah, Baitus; Kamaruzzaman, Muh.
Adult Health Nursing Journal Vol 1, No 1 (2024): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v1i1.9261

Introduction: Hypertension is a significant non-communicable disease that is a global health priority due to its status as a major risk factor for cardiovascular conditions such as stroke, heart failure, and myocardial infarction. A lack of public awareness regarding the detrimental effects of hypertension remains a critical issue, compounded by non-compliance with dietary and medication regimens, which exacerbates the condition of hypertensive patients. Objectives: This study aims to identify the factors influencing dietary adherence and medication compliance among hypertensive patients. Methods: A cross-sectional design was employed in this study, which focused on hypertensive patients from Alasbayur Village and Campoan Village, totaling 500 individuals. Using the Slovin formula, a sample of 222 participants was selected. Data were collected through a closed questionnaire, where respondents indicated their answers by marking their responses. Data analysis included bivariate analysis using the Spearman test and multivariate analysis using logistic regression. The research was conducted between March and April 2023. Results: Among the factors tested, four independent variables were significantly associated with adherence to diet and medication: perceived severity (P = 0.005), perceived benefits (P = 0.017), cues to action (P = 0.019), and self-efficacy (P = 0.021). Two variables showed no significant association: perceived vulnerability (P = 0.34) and perceived barriers (P = 0.165). Conclusions: The study identifies four variables that are significantly related to dietary adherence and medication compliance in hypertension patients. Conversely, perceived vulnerability and perceived barriers are not significantly associated with adherence, suggesting that other factors may influence these behaviors.

Analisis Ketepatan Triage Pada Pasien di Instalasi Gawat Darurat Sholehah, Baitus; Laili, Anisa Nur; Azizah, Arika
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.302

Triage nurses have an important role to save patients, patients who come to the emergency department are stabilized and categorized based on severity. The accuracy of triage is a guarantee of patient safety. The purpose of this study was to analyze the relationship between the level of nurse knowledge and the accuracy of triage in patients in the emergency department. The research design in this study used a quantitative research design with a cross sectional approach. Research data were collected using a research instrument with a questionnaire of nurse knowledge and Standard Operational Procedure (SOP) triage accuracy. Data were analyzed with the SPSS program presented in the form of frequency tables and cross tables to analyze the relationship between the level of knowledge and accuracy of triage. Data analysis using Kendall's test. The results of the study obtained a Sig. (2-tailed) of 0.000 (<0.005), it can be concluded that there is a relationship between the level of nurse knowledge and the accuracy of triage in patients. The Correlation Coefficient value is positive at 0.648, it can be concluded that the direction of the relationship between the two variables is unidirectional and has a strong relationship, this shows that a good level of nurse knowledge will affect the accuracy of appropriate triage, in this case the nurse's knowledge about triage is very important and needs to be improved so that the accuracy of triage is in accordance with the patient's condition.

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