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Intervention to Reduce Burnout Among Nurses: A Scoping Review Lestari, Putu Indah Jelita Lestari; Swarjana, I Ketut; Adianta, I Ketut Alit; Sutini, Ni Kadek
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71521

Abstract

Background: Burnout among operating room nurses negatively affects patient safety and quality of care, highlighting the need for effective and accessible interventions in high-intensity clinical environments. Digital media–based relaxation approaches, particularly smartphone video interventions, offer a low-cost, flexible, and scalable solution. Therefore, this scoping review aims to map and synthesize the existing evidence on interventions to reduce burnout among nurses, with a particular focus on digital relaxation strategies delivered through smartphone videos. Methods: This literature review examined previous research findings in published articles. Article searches were conducted through PubMed and Science Direct using the keywords "Burnout interventions and treatment" for English-language articles and "burnout interventions AND treatment" for Indonesian-language articles. Fifteen articles were extracted based on the inclusion criteria. Results: Of the 313 identified articles (271 PubMed; 42 ScienceDirect), 308 were screened after removing duplicates; 50 were read in full; and 15 studies were included. The majority reported a reduction in burnout or its components (emotional exhaustion and depersonalization) and/or an improvement in professional quality of life following the intervention. Technology-based interventions (video/smartphone, mHealth, SMS) have demonstrated consistent effects and ease of implementation; however, the heterogeneity of instruments and monitoring duration limits generalizability. Conclusion: The review indicates that digital and smartphone-based relaxation interventions effectively reduce burnout levels among nurses, particularly in high-stress environments such as operating rooms. These methods are flexible, accessible, and cost-effective, making them a promising complementary strategy for burnout management. However, differences in study design, instruments, and intervention duration suggest a need for more standardized and longitudinal research to ensure sustainable and generalizable outcomes.
Pre-Hospital Burn Management Practices: A Scoping Review I Gusti Ngurah Agung Indra Dinata Jaya Putra; I Ketut Swarjana; I Nengah Adiana; Anak Agung Istri Wulan Krisnandari
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71535

Abstract

Introduction: Burn injury remains a global health problem with high morbidity and mortality. Although appropriate pre-hospital burn first aid can reduce complications, community knowledge, attitudes, and practices regarding correct burn management remain inadequate.Methods: This literature review applied the PCC framework. The Population included communities and individuals; the Concept covered correct and incorrect burn first aid practices; and the Context focused on pre-hospital burn management. Eligible studies were experimental, cross-sectional, or cohort designs published in English or Indonesian within the past ten years and available in full text. Narrative, integrative, scoping, systematic reviews, and meta-analyses were excluded. Literature searches were conducted in PubMed and ScienceDirect using relevant keywords.Results: A total of 449 articles were initially identified from the PubMed and ScienceDirect databases. After screening, 313 articles remained, of which 86 were excluded. Of the 227 full-text reports assessed, 187 were inaccessible. Forty studies were then evaluated for eligibility, and 25 were excluded because they did not discuss burn first aid (n = 10), were not community-focused (n = 8), or were irrelevant to the pre-hospital context (n = 7). In total, 15 studies met the inclusion criteria. The findings revealed that community knowledge, attitudes, and practices regarding burn first aid were generally low.Conclusion: Pre-hospital burn management practices remain inadequate, with persistent misconceptions. Further research is needed to identify determinants influencing burn first aid behaviors to inform targeted community-based health education interventions.
Factors Associated with Anxiety among Nurses and Midwives during the Covid-19 Pandemic in the Emergency Unit and Polyclinic of the Mangusada Regional Hospital, Badung Regency I Ketut Swarjana; I Nengah Suarmayasa; Ni Nyoman Darmini; Putu Ayu Utami Dewantari; Ni Wayan Niwiraga; Ni Made Arie Dwijayanti; Ni Luh Putu Ary Swandani; Ni Luh Eka Purnamasari; Ni Luh Tia Risna Dewi
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.360

Abstract

ABSTRACT Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare workers on the frontline dealing with Covid-19. The large number of healthcare workers who have been exposed to and died due to Covid-19 causes anxiety for both nurses and midwives who work in hospitals. Objective: This study aimed to assess the factors associated with anxiety among nurses and midwives in the emergency unit and outpatient department of Mangusada Regional Hospital. Methods: This study used a cross-sectional design involving 95 samples consisting of nurses and midwives working in the emergency unit and the outpatient department of Mangusada Regional Hospital which was selected using a total sampling technique. Data were collected using a questionnaire developed by the researchers. Furthermore, data collection was done online using a Google form that has been shared with respondents. Furthermore, the data were analyzed using univariate, bivariate, and multivariate analysis. Results: Of the total 95 respondents, 21 (22.1%) respondents experienced anxiety. Furthermore, multivariate analysis found that family history of exposure to Covid-19 (AOR: 19.39), history of comorbidities (AOR: 10.73), and support from family, colleagues, and superiors (AOR: 7.87) were significantly associated with anxiety among nurses and midwives during the Covid-19 pandemic. Conclusion: Hospital management needs to pay special attention to minimizing the anxiety experienced by nurses and midwives during the Covid-19 pandemic through the provision of social support from family, colleagues, and superiors.
Determinan Persepsi Perawat Tentang Peran Case Manager Ni Luh Putu Lusiana Devi; I Ketut Swarjana; Ni Putu Ayu J Sastamidhyani; I Gusti Agung Tresna Wicaksana
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 4 No. 2 (2021)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v4i2.1136

Abstract

Case manager belum melakukan peran dengan optimal. Case manager seperti pelengkap standar akreditasi. Banyak faktor terlibat dalam timbulnya berbagai persepsi ini. Penelitian ini bertujuan untuk mengidentifikasi determinan persepsi perawat tentang peran case manager. Penelitian kuantitatif dengan desain cross-sectional ini melibatkan 296.876 perawat sebagai populasi. Metode sampling menggunakan multistage random sampling, didapatkan sampel sebanyak 399 perawat. Instrumen penelitian menggunakan kuesioner persepsi tentang case manager, kuesioner pengetahuan tentang case manager dan kuesioner kepuasan kerja yang telah dilakukan uji validitas dan reliabilitas.  Kuesioner kelelahan kerja yang telah baku juga digunakan pada penelitian ini dengan nilai cronbach alpha (0,921). Setiap responden telah mengisi kuesioner terstruktur melalui google form dan telah dianalisis menggunakan deskriptif statistik, chi square-test dan binary logistic regression. Penelitian ini menemukan bahwa sebagian besar atau sebanyak 205 (51%) perawat memiliki persepsi positif tentang peran case manager. Faktor pengetahuan dan kepuasan kerja dikaitkan dengan persepsi perawat tentang peran case manager (p=0,002 dan p=0,006). Faktor determinan persepsi tentang peran case manager pada perawat adalah pengetahuan (Adj. OR=2,36, 95% CI 1,30-4,26, p 0,005). Temuan ini mendukung teori yang mana pengetahuan dan kepuasan kerja terkait dengan persepsi tentang peran case manager.
Knowledge, Attitude, and Practice in Choking Management among Toddlers: A Scoping Review Pige Rade Sairo; I Ketut Swarjana; I Ketut Alit Adianta; Ni Komang Tri Agustini
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.357

Abstract

Choking remains a leading cause of morbidity and mortality among children under five, commonly triggered by food and small objects, yet community knowledge and practices are often inadequate. This scoping review aimed to map existing evidence on educational interventions for paediatric choking management among toddlers. Literature searches were conducted in PubMed, Science Direct, and other databases for studies published published in 2019-2024, applying the PICO framework targeting parents, teachers, caregivers, and healthcare providers. The initial search identified 674 records, with 14 studies meeting inclusion criteria after systematic screening. Studies employed pre-experimental, quasi-experimental, cross-sectional, or randomised designs with sample sizes ranging from 30-447 participants. Educational interventions using audiovisual media, demonstrations, counselling, and simulations consistently enhanced knowledge and skills, with audiovisual approaches showing the most notable effects. Despite improvements in knowledge acquisition, gaps remained between theoretical understanding and practical application in real-life choking incidents. This review contributes to the scientific literature by providing comprehensive mapping of effective educational strategies and identifying the persistent theory-practice gap, informing evidence-based intervention design for enhanced community preparedness.
Co-Authors A.A. Ayu Yuliati Darmini AAA Yuliati Darmini Abdul Haris Adi Satriani, Ni Luh Agustini, Ni Komang Tri Agustini, Ni Rai Sintya Anak Agung Istri Wulan Krisnandari Ansan, Yoseph Maurits Barata, Agus Christiani, Ayu Meidita Darmini, Yuliati Desto Arisandi Drs. I Wayan Darsana,M.Ed . Edi Sanjana, I Wayan Farindira Vesti Rahmasari Gst. Kade Adi Widyas Pranata I Dewa Ayu Mas Manik Astawastini I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gede Satria Astawa I Gusti Agung Saraswati Jelantik I Gusti Agung Tresna Wicaksana I Gusti Ayu Rai Rahayuni I Gusti Ngurah Agung Indra Dinata Jaya Putra I Gusti Ngurah Made Kusuma Negara I Kadek Nuryanto I Ketut Alit Adianta I Made Rismawan I Nengah Adiana I Nengah Suarmayasa I Nengah Suarmayasa I Nengah Suarmayasa I Nyoman Widiadnyana I Putu Gde Yudara Sandra Putra I Wayan Agus Maharyawan Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu Indrayani, Ni Luh Dwi Israfil, Israfil Kadek Buja Harditya Kartiningsih, Ni Luh Putu Lestari, Putu Indah Jelita Lestari Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Mahaputra, I Nyoman Arya Ni Kadek Adityarini Ni Kadek Sutini Ni Luh Adi Satriani Ni Luh Dwi Indrayani Ni Luh Eka Purnamasari Ni Luh Meli Antari Ni Luh Putu Ary Swandani Ni Luh Putu Aryswandani Ni Luh Putu Eka Purnamasari Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Lusiana Devi Ni Luh Tia Risna Dewi Ni Made Arie Dwijayanti Ni Made Arie Dwijayanti Ni Made Sri Rahyanti Ni Made Utari Dewi Ni Nyoman Ari Kundari Dewi Ni Nyoman Darmini Ni Nyoman Nuartini Ni Putu Ayu J Sastamidhyani Ni Putu Ayu Utami Dewantari Ni Wayan Ayu Eka Perantini Ni Wayan Kesari Dharmapatni Ni Wayan Niwi Raga Ni Wayan Niwi Raga Ni Wayan Niwiraga NLP Dina Susanti Noviana Sagitarini, Putu Nyoman Widiasih Pangruating Diyu, Ida Ayu Ningrat Pige Rade Sairo Prima Widya Ridwanti, Luh Putu Putra, Komang Ardidhana Nugraha Putu Ayu Mita Indrayanthi Putu Ayu Utami Dewantari Rahayuni, IGA Rai Sarah Kartika Wulandari Satriani, Ni Luh Adi Sekardiani, Ni Luh Putu Setyonugroho, Winny Sri Dewi Megayanti Sriasih, Ni Kadek Suarmayasa, I Nengah Suarmayasa, I Nengah Tanuparbrungson, Supawan Tri Wulandari Kesetyaningsih Veithzal Rivai Zainal Wahyuningsih, Luh Gde Nita Sri Wijaya, I Made Agus Budi Wiranata, I Nyoman Wulandari, Sarah Kartika Yudara Sandra Putra, Putu Gde Yustina Ni Putu Yusniawati