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Nursing Skills in Handling Earthquakes and the Implications for Nursing Education: A Narrative Review Setiawan, Deris Riandi; Emaliyawati, Etika; Trisyani, Yanny; Nuraeni, Aan; Noya, Fricilia; Harlasgunawan, Alia Rahmi; Rahman, Luthfi; Sugiharto, Firman
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59062

Many countries have high earthquake activities. As an integral part of the emergency response team, nurses play a critical role in disaster management. This review aimed to identify nurses' skills in dealing with earthquakes and their implications for the importance of nurse education in this area. This study used a narrative review. The literature was searched using three databases: CINAHL, PubMed, and Scopus, using the keywords "Nurses OR Nurse OR Personnel Nurses OR Registered Nurses AND Clinical Competence OR Competency, Clinical OR Clinical Skill AND Earthquakes." The analysis was carried out descriptively and qualitatively using a thematic analysis approach. The resultsshows that eight studies were analyzed in this review. Nursing competency in earthquake disasters includes skills and knowledge important for preparing, responding to, and recovering from pre- and post-disaster conditions. The results of this research classify nurses' skills into five categories: knowledge of disaster management, clinical skills and patient care, protective measures and safety leadership, communication and coordination, and psychological and social support. Conclusion: The review results highlight the importance of increasing nurses' skills through training and knowledge in disaster preparedness for nurses, emphasizing a deep understanding of emergency medical management and post-disaster recovery. The importance of adapting nursing education curricula and using effective teaching strategies to ensure that nurses have sufficient skills and knowledge to face complex disaster challenges. Keywords: Clinical competence, disaster management, nursing skills.

Eksplorasi dampak kesepian pada pasien di intensive care unit (ICU): Tinjauan sistematik Setiawan, Deris Riandi; Kosasih, Cecep Eli; Mirwanti, Ristina
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.799

Background: Loneliness is a significant emotional challenge for Intensive Care Unit (ICU) patients that is often exacerbated by physical and social isolation due to visiting restrictions. This condition can impact the mental and physical well-being of patients, making it important for healthcare providers to develop a deep understanding of loneliness in ICU patients. Purpose: To explore the impact of loneliness in intensive care unit (ICU) patients. Method: The narrative review research design was derived from quantitative and qualitative studies using the Reporting for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The article selection process used questions with a population, concept, and context (PCC) approach including; P: Intensive Care Unit (ICU) patients; C: impact of loneliness; and C: ICU patient outcomes. Inclusion criteria for this narrative review were accessible full-text articles, published in English, articles with both qualitative and quantitative designs, and published within a 5-year period (2019-2024). A search was conducted on three major databases (CINAHL, PubMed, and Scopus) yielding a total of 52 articles and after an elimination process, 5 articles were obtained for review. Results: Loneliness in ICU patients has a significant impact on emotional, physical, and social health, including decreased mental health, quality of life, and increased risk of death. Conclusion: This review emphasizes the importance of a holistic approach in ICU care that includes physical, psychological, and social aspects of patients. Optimal psychosocial support is expected to reduce the negative impact of loneliness and improve the quality of life of ICU patients. Suggestion: Health workers can improve a more holistic approach by paying attention to psychological, social, and emotional support. This is expected to reduce feelings of loneliness experienced by patients and ultimately accelerate the recovery process and improve the quality of life of patients in the ICU environment. Keywords: Intensive Care Unit (ICU); Loneliness; Patients. Pendahuluan: Kesepian merupakan tantangan emosional signifikan bagi pasien di Intensive Care Unit (ICU) yang sering diperburuk oleh isolasi fisik dan sosial akibat kebijakan pembatasan kunjungan. Kondisi ini dapat memengaruhi kesejahteraan mental dan fisik pasien, sehingga penting bagi tenaga medis untuk mengembangkan pemahaman mendalam mengenai rasa kesepian pada pasien ICU. Tujuan: Untuk mengeksplorasi dampak kesepian pada pasien intensive care unit (ICU). Metode: Desain penelitian tinjauan naratif didapat dari penelitian studi kuantitatif dan kualitatif menggunakan panduan Reporting for Systematic Reviews and Meta-Analysis (PRISMA). Proses pemilihan artikel menggunakan pertanyaan dengan pendekatan population, concept, dan context (PCC) meliputi; P: Pasien di Intensive Care Unit (ICU); C: dampak loneliness; dan C: outcomes pasien di ICU. Kriteria inklusi pada tinjauan naratif ini adalah artikel full text dapat diakses, dipublikasikan dalam Bahasa Inggris, artikel dengan desain kualitatif dan kuantitatif serta dipublikasikan dalam rentang 5 tahun (2019-2024). Pencarian dilakukan pada tiga database utama (CINAHL, PubMed, dan Scopus) yang menghasilkan total 52 artikel dan setelah proses eliminasi, didapatkan 5 artikel untuk telaah. Hasil: Perasaan kesepian pada pasien ICU berdampak signifikan pada kesehatan emosional, fisik, dan sosial, yang mencakup penurunan kesehatan mental, kualitas hidup, dan peningkatan risiko mortalitas. Simpulan: Tinjauan ini menegaskan pentingnya pendekatan holistik dalam perawatan ICU yang mencakup aspek fisik, psikologis, dan sosial pasien. Dukungan psikososial yang optimal diharapkan dapat mengurangi dampak negatif kesepian dan meningkatkan kualitas hidup pasien ICU. Saran: Tenaga kesehatan dapat meningkatkan pendekatan yang lebih holistik dengan memperhatikan dukungan psikologis, sosial, dan emosional. Hal ini diharapkan dapat mengurangi perasaan kesepian yang dialami pasien dan pada akhirnya mempercepat proses pemulihan dan meningkatkan kualitas hidup pasien di lingkungan ICU. Kata Kunci: Intensive Care Unit (ICU); Kesepian; Pasien.

The Effect of Student-Centered Learning with the Make a Match Method on Nursing Students’ Knowledge of Patient Safety Goals Rejeki, Yunita Fitri; Setiawan, Deris Riandi; Hasanah, Adinda Triani Nur
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1702

Understanding nursing students’ knowledge of the six patient safety goals is essential to prevent adverse events. Innovative and interactive learning strategies are needed to strengthen students’ comprehension of these goals. The make-a-match method, as a cooperative learning approach, encourages active engagement and is expected to enhance knowledge retention. This study aimed to examine the effect of patient safety goals education on the knowledge of undergraduate nursing students using the make-a-match method. A pre-experimental one-group pretest–posttest design was conducted with 69 undergraduate nursing students selected through purposive sampling. Data were collected using a structured patient safety goals knowledge questionnaire. The Wilcoxon signed-rank test was applied to analyze the differences between pretest and posttest scores, with a significance level of 0.05. Prior to the intervention, most participants demonstrated a moderate level of knowledge (63.8%). Following the intervention, the majority of students achieved a good level of knowledge (91.3%). Statistical analysis using the Wilcoxon test revealed a significant improvement in knowledge scores (p = 0.001, p 0.05). The findings indicate that education using the make-a-match method is effective in improving nursing students’ knowledge of patient safety goals. This method may serve as a valuable learning strategy in nursing education to strengthen patient safety competencies.

Strategi Nutrisi Pada Pasien Hiperglikemia di Intensive Care Unit (ICU): Scoping Review Ramdani, Dadan; Asmara, A. Danang; Setiawan, Deris Riandi; Septiawan, Stepanus Prihasto
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49982

Hyperglycemia is a common condition in Intensive Care Unit (ICU) patients caused by metabolic stress and insulin resistance, which increases the risk of cardiovascular complications, organ dysfunction, and infections. Proper nutritional management plays a crucial role in controlling blood glucose levels in ICU patients. This study aims to explore various nutritional strategies for patients with hyperglycemia in the ICU. The method used is a scoping review of six articles published between 2014 and 2024, which include both enteral and parenteral nutrition. The analysis results show that enteral nutrition focuses on high protein intake, adequate fat, and carbohydrate restriction. Some studies also recommend consuming high-protein fruits to help control blood glucose levels. Parenteral nutrition with vitamin D3 and calcium has also been shown to influence glucose control. The conclusion of this study is that proper nutritional management can optimize blood glucose control in ICU patients and reduce the need for insulin. This research is expected to serve as a reference for healthcare professionals in designing more effective nutritional strategies for hyperglycemic patients in the ICU.

Pengaruh Video Edukasi terhadap Pengetahuan Kesiapsiagaan Kader Menghadapai Bencana Gempa Bumi Puspitasari, Putri; Amrullah, Jahidul Fikri; Riandi, Deris
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.46075

Indonesia adalah negara yang sering mengalami bencana gempa bumi dan bencana alam lainnya, karena posisinya di Cincin Api Pasifik. Anggota masyarakat, terutama mereka yang memegang peran kepemimpinan di bidang kesehatan atau organisasi masyarakat, memainkan peran krusial dalam upaya persiapan bencana, salah satunya adalah kader. Namun, pemahaman kader tentang cara bersiap menghadapi gempa bumi bervariasi dan terkadang tidak memadai. Memberikan kader pendidikan berkualitas tinggi, seperti video instruksional, merupakan salah satu cara untuk meningkatkan pemahaman mereka. Tujuan penelitian ini adalah untuk mengetahui apakah pemahaman kader tentang persiapan bencana gempa bumi dipengaruhi oleh video edukatif. Sebanyak 47 kader dipilih secara acak menggunakan metode sampling berstrata proporsional, penelitian ini menggunakan desain pre-eksperimental pre-test dan post-test. Kuesioner persiapan bencana gempa bumi berbasis pengetahuan digunakan sebagai alat ukur. Skor median pre-test adalah 50,00 pada analisis univariat, sedangkan skor median post-test adalah 80,00. Uji Wilcoxon menghasilkan nilai p-value 0,000 pada analisis bivariat. Hal ini menunjukkan bahwa video edukasi memang memiliki dampak terhadap pemahaman kader tentang persiapan bencana gempa bumi. Pendidikan ulang kepada masyarakat tentang persiapan bencana gempa bumi harus dilakukan oleh kader.

Kuesioner Pengkajian Kesepian di Ruang Intensive Care Unit: Tinjauan Naratif Setiawan, Deris Riandi; Rejeki, Yunita Fitri; Hastuti, Emma Aprilia
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48554

Kesepian merupakan tantangan emosional yang signifikan bagi pasien di Intensive Care Unit (ICU) yang sering diperburuk oleh isolasi fisik dan sosial akibat kebijakan pembatasan kunjungan. Kesepian dapat mempengaruhi kesejahteraan mental dan fisik. Penelitian ini penting untuk meninjau kuesioner pengkajian kesepian secara akurat. Studi ini bertujuan untuk meninjau penggunaan kuesioner pengkajian kesepian pada pasien ICU dan mengevaluasi keefektifan berbagai instrumen dalam mengidentifikasi tingkat kesepian. Desain tinjauan ini menggunakan metode naratif berdasarkan pendekatan PRISMA-ScR, dengan kriteria kelayakan artikel meliputi studi kuantitatif dan kualitatif yang dipublikasikan dalam rentang tahun 2019-2024. Pencarian dilakukan di tiga database utama, yaitu CINAHL, PubMed, dan Scopus, yang menghasilkan 33 artikel. Setelah melalui proses eliminasi, delapan artikel dipilih untuk analisis lebih lanjut. Studi-studi yang dianalisis menggunakan beberapa instrumen pengukuran kesepian seperti De-Jong Gierveld Loneliness Scale (DJGLS), UCLA Loneliness Scale (UCLA-LS), dan 3-Items Loneliness Scale. Hasil kajian menunjukkan bahwa kuesioner-kuesioner ini efektif dalam mengidentifikasi kesepian pada pasien ICU, meskipun terdapat perbedaan kekuatan dan kelemahan dalam penggunaannya. Tinjauan ini memberikan wawasan baru bagi tenaga kesehatan dalam menangani aspek psikologis pasien ICU, yang sering kali terabaikan, serta pentingnya memilih instrumen yang tepat sesuai dengan kondisi pasien.

Pengaruh Pendidikan Bantuan Hidup Dasar Terhadap Pengetahuan Anggota Unit Kegiatan Mahasiswa Tim Kesehatan Sarjana Keperawatan Stikes Dharma Husada Bandung Prayitno, Hery; Puspitasari, Putri; Setiawan, Deris Riandi
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 4, No 2 (2020): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v4i2.1018

Latar Belakang: Henti jantung dan henti nafas merupakan insiden kegawatdaruratan yang membutuhkan Bantuan Hidup Dasar (BHD). Angka kematian yang diakibatkan penyakit kardiovaskular dengan membutuhkan BHD di dunia sebesar 85%. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Pendidikan Kesehatan tentang Bantuan Hidup Dasar terhadap Pengetahuan Anggota Unit Kegiatan Mahasiswa Tim Kesehatan Sarjana Keperawatan Tingkat 1 STIKes Dharma Husada Bandung. Metode: Jenis penelitian berupa Pre-Eksperimen dengan menggunakan one grup pretest-posttest design. Populasi dan sampel penelitian sebanyak 25 responden degan menggunakan sampel jenuh. Hasil: Hasil penelitian menunjukan terjadi peningkatan pengetahuan, sebelum diberikan pendidikan kesehatan rata-rata nilai 47,20 dan setelah diberikan pendidikan kesehatan rata-rata nilai 66,53. Hasil uji Wilcoxon didapatkan p value = 0.000 < 0.05 menunjukan terdapat perbedaan bermakna antara pengetahuan sebelum dan sesudah diberikan pendidikan kesehatan. Oleh karena itu, materi bantuan hidup dasar diharapkan menjadi materi utama dan menjadi kemampuan dasar yang harus dimiliki oleh semua kalangan termasuk mahasiswa keperawatan.

From Corona Virus to Heartache: Investigating Acute Pericarditis after Covid-19 Asmara, A Danang; Ramdani, Dadan; Setiawan, Deris Riandi; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3338

Cardiovascular disorders have been associated with coronavirus disease 2019 (COVID-19). One of the emerging complications is acute pericarditis, characterized by inflammation of the pericardium. Pericarditis is a complication that arises after COVID-19 infection because the virus can cause widespread inflammation, including in the pericardium, the outer layer of the heart. Risk factors that may exacerbate pericarditis in COVID-19 patients include the severity of COVID-19 disease, an immunocompromised state, or an excessive immune system response to infection. The aim of the study is to describe a case of acute pericarditis that occurred after Severe Acute Respiratory Syndrom - Coronavirus 2 (SARS-CoV-2) infection. This study used a case study design. This study was conducted on one of the patients who experienced pericarditis after Covid-19. Researchers conducted nursing assessments and analyzed nursing data. Data analysis was carried out descriptively to describe the results of nursing assessment. A few days after experiencing SARS-CoV-2 pneumonia, 51-year-old Mr. S. developed chest pain that became more painful during exertion, and received a diagnosis of acute pericarditis. As a result, medical treatment was escalated with clinical improvement continuing to improve. Electrocardiography showed elevation in ST segment and depression in PR interval. Echocardiography showed grade I diastolic phase disruption. Acute pericarditis is a rare complication following viral infection. This report shows the assessment and management of acute pericarditis so as to prevent complications that can occur.

Nursing Process for Critical Patients and Their Families in Cardiac Intensive Care Unit Setiawan, Deris Riandi; Ramdani, Dadan; Larashati, Defa; Noya, Fricilia; Yusanti, Irma; Anna, Anastasia
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3481

The Cardiac Intensive Care Unit or CICU is a hospital unit specifically for treating acute cardiovascular disease. The implementation of structured nursing standards is very important to ensure optimal quality of care. This narrative review was conducted to compare the application of the NANDA NIC-NOC (3N) model and the 3S Model in improving the quality of care in the CICU. Objective: This study aims to explore the application of nursing standards using the NANDA NIC-NOC model and the Indonesian Nursing Standards 3S (SDKI, SLKI, SIKI) in improving the quality of care in the CICU. Methods: The research design used in this study was a narrative review by searching for articles from PubMed with the keywords Nurses's Roles OR Roles, Nurse's OR Role, Nurse's OR Nurse Role AND Management, Airway OR Airway Control OR Control, Airway. Inclusion criteria included accessible full-text articles in English. Data was analyzed descriptively Results: From the research, 5 articles were obtained that were relevant to the research. This research conducted in several countries found that the implementation of nursing standards can improve the quality of care and patient outcomes in CICUs. The use of NIC and NOC standards helps nurses plan, implement and evaluate patient care systematically and effectively. Conclusions: Implementation of nursing standards has great potential in improving the quality of care in CICUs. There are limitations in empirical validation and adaptation to local context that need to be addressed. Recommendations for further research and development of intensive training programs are needed to ensure the effectiveness and sustainability of implementation of these nursing standards.

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