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PENGARUH PENDIDIKAN KESEHATAN MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP KELUARGA TENTANG SPEECH THERAPY PADA PASIEN STROKE DI IRNA SERUNI A RSUD DR. SOETOMO SURABAYA (The Influence Of Health Education With Booklet Media On Knowledge And Attitudes Towa Nimah, Lailatun; Nurwahyuni, Tutuk; Wahyuni, Erna Dwi
JURNAL NERS LENTERA Vol. 6 No. 1 (2018): Maret
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v6i1.1858

Abstract

Introduction: Stroke included into the blood vessel disease. Stroke is the leading cause ofcommunication disorder that aphasia and dysarthria. Speech therapy is absolutely necessary to overcome communication disorders. Family empowerment through health education is very important to optimize speech therapy. This study aimed to determine the influence of health education with booklets on knowledge and attitudes of families of stroke on speech therapy at IRNA Seruni A Hospital Dr. Soetomo Surabaya. Method: The design of this study is pre-experimental with intervention Health education use booklet, design were analyzed by Wilcoxon sign rank test. The population in this study were all cases of stroke. The sampel in this study were the patient’s familiy with aphasia five person and dysartria 11 person who taken by consecutive sampling. Independent variables was health education with booklet media and dependent variable were the knowledge and attitude.Result: The results showed that the health education with booklet media about speech therapyhas significant influence to improve the knowledge (aphasia p = 0,038; dysartria p = 0,003) dan attitude (aphasiap = 0,042; dysartriap = 0,003)..Instrument use questionare. Discussion: It can be concluded that health education with booklet media on speech therapyhas influence in increasing of knowledge and attitudes of families on speech therapy. therefore, for future research needs to do research on the effect of health education with booklet media on behavior / psychomotor family of speech therapy.
Factors Related to the Quality of Nursing Care Documentation Susiana, Endang; Wahyuni, Erna Dwi; Asmoro, Candra Panji
Fundamental and Management Nursing Journal Vol. 2 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v2i1.12340

Abstract

Introduction: Nursing documentation is a legal aspect that protects nurses in providing nursing services, but incomplete documentation is still found. The purpose of this study was to analyze the relationship between motivation, supervision, and workload with the quality documentation of nursing care in the Medical Inpatient Dr. Soetomo Hospital Surabaya.Method: This study used a descriptive correlation design with a cross-sectional approach. The population was 135 nurses and 100 nurses were obtained by simple random sampling. Independent variables are motivation, supervision, and workload. The dependent variable is the quality documentation of nursing care. Data were obtained by motivation, supervision and observation sheets: TMS (Time Motion Study), SAK (Nursing Standards) and analyzed with Spearman's Rho, Regression Logistic with α=95%.Result: There was a relationship between motivation (p = 0,000; r = 0,363) with the quality of nursing care documentation, there was a relationship between supervision (p = 0,012; r = 0,310) and the quality of nursing care documentation and there was a relationship between workload (p = 0,002; r = 0,299) with the quality of nursing care documentation.Conclusion: There was a relationship between motivation, supervision, and workload with the quality of nursing care documentation. It is known that motivation was the most related factor in the quality of nursing documentation.
Nurses Experience of Prone Position in The Absence of Positioning Tool, and Suggestion of Prone Position Tool: A Phenomenology Study Sriyono, Sriyono; Zulkarnain, Hakim; Wahyuni, Erna Dwi; Sudarmaji, Wikan Purwihantoro; Proboningsih, Jujuk; Mosteiro-Diaz, María Pilar
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1542

Abstract

During the COVID-19 pandemic which is a non-natural disaster, the ARDS cases (Acute Respiratory Disease Syndrome) rocketed. Despite the advantages of prone positioning for ARDS care, ICU staff seldom use it due to the unavailability of positioning tools, making it a challenging task for nurses. This study aims to investigate nurses' experiences with manual prone positioning and propose ICU-friendly prone position tools. This research method used a qualitative phenomenology theory study to 15 ICU nurses who were experienced in prone positioning at least 10 times to intubated patients and had complaints about the intervention. The experience was gathered using structured questions and recorded. The data was analyzed following Colaizzi’s thematic method, and all the emerged themes were collected and reported. The research results show that fifteen interviewed nurses noted that prone positioning is physically demanding and requires a coordinated team with a minimum of three staffs, 2 handles patient positioning, 1 leader securing the intubation tube. Before starting, the team assesses the difficulty level. Recommended tools include a slide sheet with handles, a modified Vollman prone positioner, and a crane-like prone harness. The conclusion is nurses find tools highly beneficial for prone positioning but will improvise with available resources like underpads as a ring-shaped pillow if tools are unavailable.              
Entrepreneurship in Social Media Literacy and Intentions for Diabetes Prevention among Adolescent Students Pratiwi, Ika Nur; Prabawati, Dita Dwi Oktav; Wahyuni, Erna Dwi; Nursalam, Nursalam; Widyawati, Ika Yuni; Yahaya, Nor Aziyan
Aptisi Transactions On Technopreneurship (ATT) Vol 8 No 1 (2026): March
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/att.v8i1.626

Abstract

Diabetes Mellitus (DM) prevention behavior is essential for reducing DM incidence among adolescents, a population increasingly exposed to lifestyle risks and heavily engaged with digital platforms. Social media provides a promising channel for health promotion, yet limited evidence explains how literacy in this medium supports preventive behaviors. This study aims to analyze the correlation between social media literacy and intention with DM prevention behavior among adolescent students. A cross-sectional design with purposive sampling was conducted involving 231 students aged 16 years in East Java, Indonesia. Data were collected using questionnaires measuring social media literacy, intention, and DM prevention behavior, while Spearman’s rho correlation <0.05 was applied for analysis. Descriptive findings showed that 58% of participants were female, 67.1% used more than three social media platforms, 39% accessed social media 3–4 hours daily, and 4.3% had a family history of DM. The analysis revealed significant positive correlations between social media literacy (p<0.001, r=0.325) and intention (p<0.001; r=0.305) with DM prevention behavior. Adolescents with higher literacy and stronger intentions were more likely to exhibit proactive DM prevention actions. These results demonstrate that emerging technologies, particularly social media, hold substantial potential as promotive and preventive tools for adolescent health. Enhancing social media literacy can improve adolescents’ ability to identify, interpret, and apply credible health information, supporting healthier behavioral choices. The study suggests that integrating digital health literacy into adolescent-focused programs may strengthen early preventive efforts and reduce future DM risk.
Remote Digital Support for Adults with Pulmonary Tuberculosis: A Systematic Review Yulmira Tisel; Ira Suarilah; Erna Dwi Wahyuni
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46969

Abstract

Remote digital health services, including Video Directly Observed Therapy (VDOT) and Wirelessly Observed Therapy (WOT), offer a promising alternative to traditional Directly Observed Therapy (DOT) for tuberculosis (TB) treatment adherence. This systematic review, following PRISMA guidelines, analyzed 10 randomized controlled trials (RCTs) involving 2,226 participants across seven countries. Results showed remote interventions improved medication adherence by 93% and increased sputum conversion rates to 73%. Most participants (84–100%) preferred digital services due to convenience, reduced travel burden, and better communication with healthcare providers. Remote digital health enables flexible, patient-centered care, particularly beneficial in areas with limited healthcare access, while addressing barriers of conventional DOT. However, successful implementation depends on robust technological infrastructure, continuous training for healthcare workers, and patient engagement strategies. Further multicenter studies are needed to validate these findings and guide policy adoption. This review highlights the efficacy and acceptability of remote digital health in TB care, advocating for its integration into treatment programs to enhance compliance and outcomes. Keywords: Remote digital health, pulmonary tuberculosis, medication adherence, health risks, health service
The Effectiveness of Early Interventions in Post-Ischemic Stroke Patients on Neurological Recovery And Quality of Life: A Systematic Review Wisnu Guntur Prakoso; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52684

Abstract

Abstract Introduction: Individuals recovering from ischemic stroke often endure significant neurological impairments, including motor deficits, cognitive challenges, and emotional disturbances. These complications substantially reduce their quality of life and impose a heavy burden on both the healthcare system and caregivers. Objective: This systematic review aims to evaluate the effectiveness of early interventions in improving neurological recovery and quality of life in post-ischemic stroke patients. Method: A structured literature review was conducted following the PRISMA guidelines. Five major databases (Scopus, PubMed, Science Direct, Web of Science, and ProQuest) were systematically searched using defined keywords. Articles were screened and selected based on pre-established eligibility criteria, and quality appraisal was carried out using Joanna Briggs Institute (JBI) tools. Results: A total of 11 studies met the inclusion criteria. Most early interventions were initiated within 24 to 72 hours after stroke onset. The results consistently showed that early rehabilitation, nursing care, occupational therapy, and other multidisciplinary approaches contributed to significant improvements in neurological function, daily living activities, and health-related quality of life. Conclusion: Early interventions administered during the acute phase of ischemic stroke are effective in enhancing recovery and improving quality of life. These findings highlight the importance of timely, structured, and multidisciplinary stroke rehabilitation programs as a standard part of stroke management. Keywords: Early intervention, ischemic stroke, neurological recovery, quality of life, stroke rehabilitation
A Systematic Review of Pressure Ulcers Prevention Wahyuni, Erna Dwi; Dewi, Yulis Setiya; Laili, Nadia Rohmatul; Kurniawati, Ninuk Dian; Wulandari, Sartika; Gunawan, Gunawan; Lestari, Diah
Fundamental and Management Nursing Journal Vol. 6 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.41956

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Introduction: Pressure ulcers in high-risk patients are contributes to patient burden and cost financially. Identifying strategies on the prevention of high ulcers among those with high risk is necessity. Nevertheless, an intense study exploring those issues is scarce. The study aimed to analyze the prevention method and their effectiveness in pressure ulcer prevention. Method: This study used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) to guide the systematic review process. The article searches were conducted on Web of Science (WOS), ScienceDirect, Wiley Online Library, and Scopus using the keywords used Decubitus Ulcer, Pressure Ulcer, Management, and Prevention, and any possible combinations. Results: A total of 18 studies met the inclusion criteria for this review and show some different prevention for a pressure ulcer. The findings of the present study are foam dressings, support surfaces, repositioning, topical-based interventions, wearable patient sensors, and two distinct endotracheal tube fixations affect the incidence of pressure ulcers. Conclusions: This current review emphasized a bundle care consisted of two methods or more are effective to reduce the incidence of pressure ulcers rather than a single treatment. Nurses should consider intervention to prevent ulcers among high-risk patients by way analyses of each single treatment prior bundling. Further study investigating factors associated wound's ulcer healing is necessary.
Effectiveness of Scoring Systems in Preventing Abdominal Trauma Emergencies Dance Nong Daniel nong dance; Sriyono Sriyono; Erna Dwi Wahyuni; Siska Ayu
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23841

Abstract

ABSTRACT Abdominal trauma is one of the leading causes of morbidity and mortality in emergency cases, with an incidence rate of 7-10% of all trauma cases. Accurate and timely assessment is crucial to determine the need for surgical intervention and prevent fatal complications. Evaluating the effect of scoring system-based abdominal assessment instruments on the prevention of emergencies and patient clinical outcomes. A systematic review of quantitative studies was conducted. Full-text articles were retrieved from four databases: Web of Science, ScienceDirect, ProQuest, and PubMed for the period 2020-2025. The keywords used were: Abdominal Trauma OR Abdominal Injury AND Assessment OR Scoring OR Initial Assessment OR Preliminary OR Evaluation AND Emergency. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) criteria. A narrative analysis was conducted to present the effectiveness of scoring-based abdominal assessment in preventing emergencies. A comprehensive analysis of 15 studies evaluated five major scoring systems: CASS, BATSS, ISS, RTS, and TRISS. BATSS showed the best diagnostic performance with excellent surgical intervention prediction capabilities, achieving sensitivity of up to 100% and specificity of nearly 97%. CASS showed wider performance variability but still provided satisfactory prediction accuracy. ISS proved effective in predicting morbidity and mortality, with critical values indicating very high-risk patients. TRISS demonstrated superior performance as a predictor of mortality with near-perfect prediction accuracy, making it a highly reliable instrument for mortality risk stratification. Abdominal assessment instruments based on scoring systems significantly influence the prevention of emergencies through early identification of high-risk patients, optimization of the use of diagnostic modalities such as CT scans, and facilitation of timely clinical decision-making. BATSS shows superiority in predicting the need for surgical intervention, while TRISS excels in predicting mortality. Implementation of this scoring system can improve the quality of triage and initial management of abdominal trauma in the emergency room. Keywords: Abdominal Trauma , Assestment,  Emergency.
The Effectiveness of Artificial Intelligence in the Early Detection of STEMI: A Systematic Review Rizki Nur Azhadin; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57907

Abstract

Abstract Introduction: ST-Elevation Myocardial Infarction (STEMI) is one of the most critical manifestations of acute coronary syndrome and requires rapid diagnosis and timely intervention to reduce morbidity and mortality. Recent advances in Artificial Intelligence (AI), particularly in machine learning and deep learning, offer promising solutions for improving the accuracy and speed of early STEMI detection through real-time analysis of electrocardiogram (ECG) and clinical data. Methods: A comprehensive literature search was conducted using five major databases (Scopus, PubMed, ProQuest, ScienceDirect, and Web of Science) for peer-reviewed articles published between 2015 and 2025. Study selection followed the PRISMA guidelines, and methodological quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist. Data synthesis was performed narratively, focusing on diagnostic accuracy, clinical outcomes, and AI application types. Results: Fifteen studies met the inclusion criteria. The majority reported that AI-based models, particularly those using ECG input, achieved diagnostic accuracies exceeding 90%. Several studies demonstrated that AI outperformed traditional risk scoring systems like the TIMI score. Additionally, AI applications were shown to support remote monitoring and facilitate timely interventions in emergency cardiac care settings. Discussion: The findings of this review indicate that artificial intelligence has substantial potential to enhance early STEMI detection through improved diagnostic accuracy and faster clinical decision-making. AI-based ECG interpretation demonstrated superior performance compared to traditional diagnostic methods, which may reduce delays in reperfusion therapy and improve patient outcomes. Furthermore, AI integration in prehospital settings and remote monitoring systems supports early triage and timely intervention, particularly in resource-limited environments. However, challenges such as data heterogeneity, limited external validation, and ethical considerations remain important barriers to widespread implementation. These findings highlight the need for further large-scale multicenter studies to confirm the clinical effectiveness of AI-based diagnostic tools in real-world emergency cardiac care. Conclusion: AI has demonstrated high potential in improving early STEMI diagnosis, accelerating clinical decision-making, and enhancing patient outcomes in acute cardiac emergencies. However, successful implementation requires addressing external validation, data quality, clinician training, and ethical concerns. Integrating AI into emergency cardiac nursing practice may transform the delivery of care in resource-limited and time-sensitive environments.
Nursing Assessment in Intensive Care Unit: A Systematic Review Safrullah Safrullah; Tintin Sukartini; Erna Dwi Wahyuni
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6760

Abstract

Nursing assessment in critical patients in the ICU is a complex process that is essential for supporting standard interventions to improve the safety and quality of nursing care. This study aims to identify and analyze various literature related to nursing assessments and nursing care based on ICU service standards. A total of 293 articles were initially identified from various databases: 52 from PubMed, 145 from ScienceDirect, 83 from Google Scholar, 10 from Scopus, and 3 from ProQuest. After removing 85 duplicate articles, 208 articles remained. The screening process based on title identification, further reduced 55 articles. Subsequent abstract screening yielded 31 articles. Finally, a full text review of these articles resulted in 10 articles selected for inclusion. The literature review found that pre-arrival assessments help prepare for patient care needs before ICU arrival. Quick checklist based assessments can quickly and systematically identify early critical conditions in patients. Comprehensive assessments, using an integrated and ongoing patient assessment format, combined with progress notes and sophisticated monitoring tools, can enhance the efficiency of patient care. The conclusion is that implementing Nursing Assessment through a systematic approach to ICU services significantly contributes to optimizing the quality and safety of critical patient care.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah Yusuf, Ah Ah. Yusuf Alfaruq, Muhammad Fikri Alfi Syahri Alit Armini, Ni Ketut Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Dance Nong Daniel nong dance Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Diah Lestari, Diah Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Edy Nugroho Eka Misbahatul Mar'ah Has Ekawati, Shintia Elok Faradisa Eti Rahmawati Ferry Efendi Fitria, Mawaddah Gunawan Gunawan Gunawan Gunawan Hakim Zulkarnain Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Hartono Hartono Hery Sasongko Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana Ika Nur Pratiwi Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Jia-You Ye Joni Haryanto Jujuk Proboningsih, Jujuk Kinanthi Rosyana Konita Shafira Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Lucy Kartika Dewi Lutfiyah, Kharisma Nuur M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli María Pilar Mosteiro-Diaz Maropi, Anuchit Martini Sriwulaningdyah Mosteiro-Diaz, María Pilar Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novalia Puspitasary Novita Fajriyah Nursalam . Nursalam Nursalam Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Prabawati, Dita Dwi Oktav Primadiana, Dinda Berlian Qona'ah, Arina Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Rizki Dwi Cahyono Rizki Nur Azhadin S.Pd. M Kes I Ketut Sudiana . Safrullah Safrullah Sena Wahyu Purwanza, Sena Wahyu Setho Hadisuyatmana Silvia Lusiana Suwandi Sirikanok Klankhajhon Siska Ayu Soares, Domingos Sriyono Sriyono Sriyono Sriyono Sriyono Sriyono Suadyani, I Ketut Suarilah, Ira Sudarmaji, Wikan Purwihantoro Sukma Randani I Susiana, Endang Tintin Sukartini Sukartini, Tintin Sukartini Wieji Santosa Wikan Purwihantoro Sudarmaji Wimar Anugrah Romadhon Wimar Anugrah Romadhon Wisnu Guntur Prakoso Yahaya, Nor Aziyan Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Yulis Setiya Dewi Yulmira Tisel Zuhriya, Cholilatul