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Manajemen cairan pasien congestif hearth failure menggunakan aplikasi edukasi presisi management cairan: Tinjauan sistematis Kristiyan, Andy; Kurniawati, Ninuk Dian; Junait, Junait
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 10, No 1 (2024): JUNI
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.10.1.29-36

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Pendahuluan: CHF atau congestif hearth failure merupakan masalah kesehatan yang progresif dengan angka mortalitas dan morbiditas yang tinggi di negara maju maupun negara berkembang termasuk Indonesia. Cara terbaik dalam mengontrol kekambuhan dari gejala CHF salah satunya mengelola keseimbangan cairan dalam tubuh. Artikel ini bertujuan untuk menjelaskan manajemen cairan pasien CHF dan salah satu metode yang digunakan adalah aplikasi edukasi presisi manajemen cairan. Metode: Artikel ini merupakan literatur review dimana artikel dicari melalui penelusuran Google Scholer dengan kata kunci edukasi presisi dan managemen cairan CHF dan education precision dan fluid management chf. Dibatasi tahun 2020. Hasil: Didapatkan 10 artikel terkait, dimana manajemen cairan bisa dilakukan dengan pembatasan sodium dan cairan, edukasi menggunakan cardicraf, penggunaan aplikasi android dalam pembatasan sodium dan cairan, edukasi manajemen cairan dengan booklet. Belum pernah dibuat apliksi terkait edukasi presisi manajemen cairan.Simpulan: Manajemen cairan bisa dilakukan dengan berbagai cara, salah satunya dengan aplikasi edukasi presisi manajemen cairan.
INCREASING THE CAPACITY OF FISHERMEN IN HANDLING DROWNING VICTIMS IN THE COASTAL BEACH AREA Dewi, Yulis Setiya; Zulkarnain, Hakim; Kurniawati, Ninuk Dian; Sriyono, Sriyono; wahyuni, Erna Dwi; Qona'ah, Arina; Maropi, Anuchit
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 7 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v7i1.64750

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Introduction: Fishermen often face extreme climates and weather that are life-threatening when at sea. The lack of knowledge of fishermen about first aid for drowning victims can increase the death rate due to drowning. This community service activity aimed to increase the knowledge and skills of fishermen in providing first aid to drowning victims. Methods: This community service was carried out on 30 fishermen who live in the Coastal Area of Paciran Village, Lamongan Regency. The method used is through education and training which includes health promotion and training for drowning victims. Education activities are carried out directly to fishermen with the theme of handling drowning victims. The training materials provided to fishermen are basic life support and handling choking victims. The training is carried out through lectures, demonstrations - simulations and discussions. Results: Fishermen's knowledge before the activity was 6 people (20%) in the poor category, 10 people (33.3%) in the sufficient category, and 14 people (46.7%) in the good category. While knowledge after the activity 1 person (3.3%) had poor knowledge, 2 people (6.7%) in the sufficient category, and 27 people (90%) in the good category. The pre-test and post-test results showed an increase in fishermen's knowledge about first aid for drowning victims. Conclusion: Increasing the capacity of fishermen in providing first aid to drowning victims can be done through health education and training. Training activities can be integrated into fishermen's programs or activities so that fishermen's capacity will be more optimal.
A Systematic Review of Knowledge, Attitudes and Practices among Healthcare Workers on Personal Protective Equipment against Covid-19 Superzeki Zaidatul Fadilah; Ninuk Dian Kurniawati; Praba Diyan
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.747

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Coronavirus 2019 (COVID-19) is an acute respiratory disease that is emerging and spreading rapidly around the world. The rapid spread of COVID-19 poses new challenges in infection control. A comprehensive understanding of personal protective equipment (PPE) among health workers is essential. This study aims to conduct a systematic review of the knowledge, attitudes and practices of using PPE among health workers to prevent COVID-19 infection. The systematic review searched five electronic databases (Scopus, Pubmed, Science Direct, CINAHL, and Proquest) for previous studies published between 2019 and 2021. We found eleven studies that met the inclusion criteria in the review. Most of the health workers have good knowledge, positive attitudes and bad practices towards using PPE to prevent COVID-19 infection. The most important recommendation for increasing knowledge, attitudes and practices (KAP) is to equip health workers with a periodic training program on the use of PPE to combat COVID-19.
Life Support Vs Life Cost: Ethical Conflicts in Critical Care Decision Making-A Case Report Wijayanti, Nunik; Martani, Hersinta Retno; Kurniawati, Ninuk Dian
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.v7i5.6951

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This case study describe patient receiving treatment in the ICU requested leave against medical advice (LAMA) due to financial limitation regarding hospital bills. This situation presents an ethical dilemma, as the patient requires emergency surgery and mechanical ventilation, making it unfeasible to discontinue the procedure. This study aims to highlight the strategic role of ICU nurses in mediating discharge requests, while upholding patient safety and respecting the family's values and decisions. A man after a traffic accident with a diagnosis of multiple skull fractures and Epidural Hematom (EDH). The patient’s family has provided written informed consent for this case report.This case has been documented in accordance with the CARE Case Report Guidelines. Following the nurse communicated with the case manager and a family conference was held with the medical team, the family decided to agree to surgery on the patient and the costs would be discussed with the extended family. Nurses not only play an active role as coordinators or mediators in providing patient care but also must identify potential financial resources available to the patient's family. This is done to prioritize the patient's interests.
DETERMINANTS OF NURSES’ DISASTER PREPAREDNESS IN FLOOD PRONE AREAS: APPLICATION OF PROTECTION MOTIVATION THEORY Chasanah, Nur Rofiqoh; Kurniawati, Ninuk Dian; Tristiana, Rr Dian
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.80086

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Background: Floods are among Indonesia’s most frequent and destructive natural disasters, posing serious threats to public health and service continuity. Nurses in community health centers play a critical role in disaster preparedness, especially in flood-prone regions. Guided by the Protection Motivation Theory (PMT), this study examined the relationships among response efficacy, self-efficacy, response cost, motivation, and disaster preparedness among nurses in flood-prone areas of Gresik District. Methods: A cross-sectional correlational study was conducted among 78 nurses selected through proportionate random sampling from flood-prone community health centers. Inclusion criteria were at least one year of work experience and voluntary participation. Data were collected using validated self-administered questionnaires based on PMT constructs: response efficacy (10 items), self-efficacy (10 items), response cost (8 items), motivation (10 items), and disaster preparedness (12 items), rated on a 5-point Likert scale. Reliability coefficients were acceptable (Cronbach’s α = 0.76–0.89). Data were analyzed using descriptive statistics and Spearman’s rho correlation tests. Results: Most nurses demonstrated high disaster preparedness. Response efficacy (ρ = 0.000; r = 0.470) and self efficacy (ρ = 0.011; r = 0.287) were positively correlated with motivation, whereas response cost (ρ = 0.000; r = –0.438) was negatively correlated. Motivation also showed a significant positive relationship with disaster preparedness (ρ = 0.000; r = 0.402). Conclusions: Response efficacy, self-efficacy, and response cost are key cognitive predictors of motivation influencing nurses’ disaster preparedness. Strengthening motivation through education, simulation-based training, and organizational support can enhance preparedness, patient safety, and healthcare quality during flood emergencies.
Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Suniyadewi, Ni Wayan; Arief, Yuni Sufyanti; Kurniawati, Ninuk Dian; Rismayanti, I Dewa Ayu; Trisnadewi, Ni Wayan; Iswatun, Iswatun
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56812

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Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.
NURSES’ EXPERIENCES IN PROVIDING SPIRITUAL CARE OF PATIENTS WITH HEART FAILURE Okviasanti, Fanni; Ilmy Muhalla, Hafna; Harianto, Susilo; Rahmadi Purwanto, Cucuk; Yusuf, Ah; Dian Kurniawati, Ninuk; Lin, Mei-Feng
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.78597

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Introduction: Spirituality plays an important role in the physical health of patients with chronic diseases. This study aimed to explore the experiences of nurses in providing spiritual care to patients with heart failure (HF) in Indonesia. Method: This study employed a descriptive exploratory design with a qualitative approach. Thirteen nurses from the cardiology unit were selected using purposive sampling. Data were collected through semi-structured interviews and field notes. Thematic analysis was conducted to analyze the data. Results: Five major themes emerged, including perceptions regarding spiritual care, the importance of meeting the spiritual needs of patients, implementation of spiritual care, obstacles in providing spiritual care, and nurses’ hopes. Most participants associated spiritual care with religious practices. All participants believed that the spiritual needs of patients with HF must be met. However, spiritual care was still rarely implemented. Nurses commonly assisted patients in performing religious practices rather than addressing existential needs. The barriers to providing spiritual care originated from patients, nurses, and the availability of tools. The nurses hoped that specific personnel could provide spiritual care and that spiritual guidance activities in the hospital could be reactivated. Conclusions: Spiritual care remains a neglected aspect in the treatment of patients with HF. Facilitating religious practices is the primary intervention that fulfills the spiritual needs of patients with HF in Indonesia.
Development of 3S-Based Nursing Care Instruments (SDKI, SLKI, SIKI) in Patients with Ventilators Ambarwati, Diah Retno; Kurniawati, Ninuk Dian; Airlangga, Prananda Surya; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (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.v6i1.2629

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Documentation instrument for quality nursing care according to standards. However, there is no instrument for nursing care for patients installing ventilators according to Indonesian nursing standards. This research aims to develop a 3S-based nursing care instrument (SDKI, SLKI, SIKI) for ventilator patients. The research design is Research and Development carried out in 2 stages. The first phase population is 100 nursing care. The first stage was FGD 1, divided into 3 groups, namely 10 executive nurses, 6 nursing management staff, and 1 expert. The second stage population was 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an instrument for documenting nursing care for ventilator patients. The analysis uses the CVI and KR20 tests. Results: Evaluation of nursing care instruments shows that aspects of nursing outcomes, implementation, and evaluation are not by standards. Instrument development consists of 5 main problems that often arise in ventilator patients. The I-CVI result is ≥ 0.78, which is interpreted as valid. The KR result is > 0.6, which means it is reliable. The recommendation from the research results is that the development of nursing care instruments can be applied in treating patients with ventilators. Conclusion: The development of a nursing care instrument was declared to be valid and reliable in categories in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Development of Standard Operating Procedures (SPO) for Management of "Danger" in Emergency Patients with Anxiety Disorder Muftikhar, Zulfian Kurniadi; Yusuf, Ah.; Rusdi, Ainur; Kurniawati, Ninuk Dian; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The Emergency Unit is the first department to provide action to patients in emergencies to save lives, however patients with psychiatric anxiety disorder still receive general treatment. The Emergency Unit is the first department to provide action to patients in an emergency to save lives, however, patients with psychiatric anxiety disorders still receive general care. Therefore, this research aims to develop SOPs for handling emergency patients with anxiety disorders. Method: The research design was Research and Development carried out in 2 stages. The first phase population was 5 SOPs for emergency management. The first stage was FGD 1, divided into 3 groups, namely 17 executive nurses, 6 nursing management staff, and 2 experts (academics and practitioners). The population for the second stage of SPO development was filled by 5 nurses. The second stage was carried out FGD 2 with participants from 6 levels of nursing management. The sample used in this research was purposive sampling. The design developed is an SOP for the management of emergency patients with anxiety disorder. The analysis uses the CVI and KR20 tests. Results: There ware no SOPs for handling emergency patients with anxiety disorders. The development of SPO combines psychiatric emergency management in the form of environmental manipulation, verbal de-escalation, mechanical fixation, and pharmacological intervention with medical emergency management procedures including primary survey (airway, breathing, circulation, disability). The validity results show the CVI test is 0.8-1 and the KR20 is 0.83. Research recommendations that the development of SPO can be applied in the treatment of emergency patients with anxiety disorder. Conclusion: The development of SPO is declared to be valid and reliable in categories both in terms of functionality, efficiency, and usability, so it is recommended that nurses use it to improve the quality of hospital services.
Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit Astuti, Nining Puji; Sriyono, Sriyono; Yunitasari, Esti; Kurniawati, Ninuk Dian; Baidhowy, Arief Shofyan
Indonesian Journal of Global Health Research Vol 6 No 1 (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.v6i1.2664

Abstract

Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.
Co-Authors -, Ririn Probowati Abdan Syakura Abidah, Aqmarina Abu Bakar Abu Bakar Achmad Fauzi Achmad Tirmidzi Adi Sukma Septiana Adi Sukrisno Aesthetica Islamy Agoesta Pralita Sari Agostinha Soares Agostinha Soares Ah Yusuf, Ah ah. Yusuf Ahmad Mufid Sultoni Ahsan Ahsan Ainul Mufidah Ambarwati, Diah Retno Amin Rahmawati Purwaningrum Aminuddin, Achmad Thobib Andri Setiya Wahyudi Andri Setya Wahyudi Andri Setya Wahyudi Andy Kristiyan Ardi, Ekal Maulana Arief, Yuni Sufyanti Arina Qona'ah Ariningpraja, Rustiana Tasya Asroful Hulam Zamroni Ayatulloh, Daviq Baidhowy, Arief Shofyan Bakhtiar, Arief Budi Utomo Candra Panji Asmoro, Candra Panji Chasanah, Nur Rofiqoh Cucuk Rahmadi Purwanto Dadik Dwi Fata Suparda Dariroh, Khoirotur Rizkia Deni Yasmara Desky, Meutia Azkia M Dessy Era Puspitasari Dewa Kadek Adi Surya Antara Dewi, Fifi Rahmawati Diah Lestari, Diah Dian Naelatul Karimah Dorman, Johanes Eban B. Dwi Dina Romantika Dwi Maryuni Dwi Uswatun Sholikhah Dwikora Dwikora Dwikora Novembri Utomo Dyah Sekaringtyas Ciptaningrum Efendi, Cahyaningsih Eka MHas Elida Ulfiana Elok Faradisa Elvi Kurnia Damayanti Erna Dwi W Erwansyah, Rio Ady Esti Yunitasari Fanni Okviasanti Firman Oswari Fransisco Godinho Pereira Gunawan Gunawan Hakim Zulkarnain hammad, hammad Harianto, Susilo Hariyati, Leli Ika Harmayetti Harmayetti Harmayetty, Harmayetty Hartin I.K Nadi Hasanudin Hasanudin Henry Saktiana Herdina Mariyanti Herminia Maria Ximenes Hersinta Retno Martani I Ketut Sudiana Ifada Nurrohmaniah Ika Nur Pratiwi Ika Puspita Sari Ika Yuni Widyawati Ike Nesdia Rahmawati Ilmiatun, Nur Annisa Inda Rian Patma Putri Indarwati , Retno Intan Munawaroh Irvana, Titi Roedhotul Iswatun, Iswatun Johanes Eban B. Dorman Junait Junait Junait, Junait Karingga, Devangga Darma Khotimatul Husna Kristiawati Kristiawati Kristiyan, Andy Kusnanto Kusnanto Kusnanto Kusnanto Laely Sholihah Lailatun Nikmah Lailatun Ni’mah Laili, Nadia Rohmatul Lailiah, Novianti Laily Hidayati Lataima, Nurmawati S Lema, Elizabeth Risha Murlina Lin, Mei-Feng Madiha Mukhtar Mairo, Ratu Izza Auwah Makhfudli Makhfudli Maria Theresia Dhiu Maropi, Anuchit Martani, Hersinta Retno Martini, Made Yuni Melan Apriaty Simbolon Moecharom Moecharom Muftikhar, Zulfian Kurniadi Muhalla, Hafna Ilmy Muhammad Amin Muhammad Iqbal Muhammad Sajidin Muhammad Zaki Nadia Rohmatul Laily Ni Wayan Trisnadewi, Ni Wayan Nihayati, Hanik Endang Nining Puji Astuti Noviani Nastiti Susantiningdyah Nur, Akbar Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nuzul Qur'aniati Pella, Yosin Herloheti Praba Diyan Pradanie, Retnayu Prananda Surya Airlangga Pratiwi, Baiq Rista Ananta Priyantini, Diah Puji Astuti Purwaningsih - Qona'ah, Arina Rahmadani, Nida Harosa Rini Winasih Rini Winasih, Rini Rismayanti, I Dewa Ayu Rizki Nur Azhadin Rizki Puji Agustin RR Dian Tristiana Rusdi, Ainur Saktiana, Henry Santi Dwi Lestari Sari, Diah Nur Indah Sellyta, Anggraini Yudia Sila, Nissa Aruming Siti Nur Cahyaningsih Sriyono Sriyono Sriyono Sriyono Sriyono Suarilah, Ira Suciari, Ana Suharto Suharto Suis Galischa Wati Sukma Randani I Suniyadewi, Ni Wayan Suparda, Dadik Dwi Fata superzeki Zaidatul Fadilah Tabik, Albertina Dete Tiara Aninditha Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Titiek Berniyanti Tri Nurhudi Sasono Triana, Wiwin Yuli Ulin Marliana Wahyudi, Andri Setya Wahyuni, Erna Dwi Wijayanti, Nunik Wilandika, Angga Yulia Kurniawati Yulis Setiya Dewi Yulita Thadea Retanubun Yuni Damayanti Zahra, Naili Raudiatus Zamroni, Asroful Hulam