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Journal : Jurnal Studi Keperawatan

Penerapan Supervisi Model Klinis Terhadap Pencapaian Budaya Keselamatan Pasien Di Rumah Sakit Muawanah Muawanah; Heru Purnomo; Khoirul Sofyan; Pambayun S Uripno; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 3, No 1 (2022): MARCH 2022
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (821.488 KB) | DOI: 10.31983/j-sikep.v3i1.8362

Abstract

Latar Belakang :Supervisi merupakan bagian dari fungsi directing pengarahan yang berperan mempertahankan agar kegiatan yang telah diprogram dapat dilaksanakan dengan baik dan lancar terutama dalam menjaga keselamatan pasien. Kompetensi tindakan keperawatan yang telah berjalan selama ini masih jauh dari harapan dan tujuan pelayanan. Kinerja perawat yang belum mencapai standar yang telah ditetapkan dapat mengakibatkan penyimpangan tindakan sesuai SOP, sehingga menimbulkan cedera, kerugian, bahkan komplain dari pasien dan masyarakat. Perawat perlu berbenah untuk mengurangi dampak yang diakibatkan oleh kurangnya kinerja dan kompetensi perawat, salah satunya dengan melakukan supervisi klinik. Upaya meminimalisir terjadinya insiden keselamatan pasien, maka manajemen rumah sakit perlu menciptakan budaya safety.Tujuan : Dapat dijadikan referensi dalam melakukan supervisi klinis untuk meningkatkan keselamatan pasien di rumah sakitMetode : Kajian literatur (literatur review) dengan pendekatan PubMed, dan Google scholar dengan kriteria Inklusi:  Jurnal terpublikasi dalam kurun waktu 5 tahun terakhir, Jurnal sudah terindeks dan terdaftar pada jurnal nasional maupun internasional, dan terpublikasi dalam bentuk full text. Kriteria Eksklusi: Jurnal penelitian terpublikasi dalam bentuk abstrak, tidak terindeks pada jurnal nasional maupun internasionalHasil : Literatur review berdasarkan  full text didapatkan artikel dari Pubmed : 10349 dan  Google scholar : 69, Artikel dengan  kemiripan tidak sama dan diambil yang paling berhubungan sebanyak 5 artikel. Terdapat hubungan supervisi klinis dengan peningkatan keselamatan pasien, Jika penerapan budaya keselamatan pasien baik maka mutu pelayanan Rumah Sakit akan meningkat dan lebih berkualitas.Kesimpulan : terdapat hubungan supervisi klinis dengan peningkatan keselamatan pasien hal ini dibuktikan dari hasil penelitian yang  telah dilakukan. Komunikasi  dan pengawasan supervisor pada perawat pelaksana secara berkesinambungan  merupakan salah satu hal penting dalam peningkatan keselamatan  pasien. Kata Kunci: Supervisi keperawatan; Budaya keselamatan pasien
The Influence of Socialization Activity in Group Therapy to Socialization Capabilities Cipto Cipto; Siswoko Siswoko; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 1, No 2 (2020): September 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.696 KB) | DOI: 10.31983/j-sikep.v1i2.6345

Abstract

Social isolation is interpersonal relation disorders that caused by personal inflexibility, until maladaptive behavior and disturb the function of individual in relation. It isthe third largest mental disorder diagnosis in the hospital. This condition describe that it requirestherapiesfor decreasing cases. One of them is Socialization Activity in Group Therapy that facilitates clients doing socialization in group. The influence of Socialization Activity in Group Therapy to socialization capability in clients with social isolation was measured in this study. The method of it used experimental study with pretest and post-test one group design. Samples selected using purposive sampling(32 samples). In pretest, socialization capabilities of clients were assessed using GAT observation sheet, after that the intervention of Socialization Activity in Group Therapy was given every week until seven week for seven steps. At post-test, Socialization Activity in Group Therapy was evaluated using same tool in pretest. The result showed that the mean of socialization capabilities at pre-test was 2.73 and 6.70 at post-test, there was a statistically high significant difference with paired t-test at p 0,001 or 00,05 score.
Analysis of the Results of Ginger and Beras kencur for increasing Breast Milk Production Epi Saptaningrum; Cipto Cipto; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 3, No 2 (2022): SEPTEMBER 2022
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (973.614 KB) | DOI: 10.31983/j-sikep.v3i2.9136

Abstract

Background: The period of breastfeeding is a period of development in the human life cycle, in which the mother experiencing postpartum lactation period that has been born. In the period of breastfeeding, postpartum mothers experience a variety of problems related to breastfeeding. One of the problems that often arise and are found in women during lactation ahead of today is about the production of milk. All women experience postpartum lactation future. Along with the development of technology and science, traditional medicine related to an increase in milk production is also not forgotten. Objective: This study aimed to determine differences in the effect of buffoonery and rice kencur to lactation in Blora district Method: This research was quasy Experiment and design research with post test only control group design. The population is postpartum mothers a number of 54 respondents were divided into three (3) groups: 18 respondents were given treatments concoction of ginger, 18 respondents were given treatments kencur herb rice and 18 respondents were not given treatments. Results: The analysis used is a statistical test of Kruskal-Wallis test. Giving temulawak and beras kencur equally affect the smoothness of breastfeeding on postpartum mother, but the most dominant influence on lactation on postpartum mother is the provision of beras kencur And sig: 0.00. Of the mean (average) and sig is 0.05, it can be interpreted that after being given a different treatment is true. Keywords: Temulawak; saffron-coloared rice ; increased milk production
Basic Services at Primary Health Care based on Satisfaction Levels Epi Saptaningrum; Joni Siswanto; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 2, No 1 (2021): March 2021
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.374 KB) | DOI: 10.31983/j-sikep.v2i1.6802

Abstract

Research background : Primary Health Care one of the public health services has the main task of providing community health development and basic health services, through increasing public access to health services with a priority for promotive and preventive efforts combined in a balanced manner with curative and rehabilitative efforts. (MOH, 2003). One of the indicators of the success of individual health services at primary health care is patient satisfaction. Satisfaction according to Kotler (in Supranto, 2001) is defined as a post-consumption assessment, that a selected product can meet or exceed consumer expectations, thereby affecting the decision-making process for repurchasing the same product.Research purposes: To determine the level of patient satisfaction with basic health services in Primary Health Care throughout Blora Regency which is seen from the dimensions: responsiveness (responsiveness), reliability (reliability), assurance (assurance), empathy (empathy) and tangible (direct evidence).Research Methods: Design This study was a cross-sectional descriptive survey, conducted in 10 primary health care included in the Blora Regency area. The research subjects were inpatients and outpatients. Samples were taken as many as 300 respondents. The sampling technique in this study was cluster and random sampling in the selection of health centers and the selection of respondents using accidental sampling. Data were collected using a questionnaire consisting of 42 question items. To analyze data using a frequency distribution using a computerResearch Discusion : shows the tendency of patients to be satisfied and very satisfied with the services provided by the health center. Although few are dissatisfied. However, from one puskesmas to another varies in the level of satisfaction.Conclusion: Patients are more satisfied and very satisfied than those who are less satisfied with the services of health workers at the primary health care
Tingkat Kecemasan Perawat dalam Menangani Pasien Covid-19 di Wilayah Kabupaten Blora Dwi Juliantina; Epi Saptaningrum; Nella Marsela; Nunuk Wahyu Astuti; Nia Dwi Astuti; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9600

Abstract

Nowadays, the world is still at the time of the COVID-19 pandemic, where cases are still increasing every day. Nurses as the front line in treating COVID-19 patients have a major role in providing direct services to patients. Therefore, nurses are at high risk of dealing with psychological conditions such as anxiety. Nurses who are directly involved in handling and treating COVID-19 patients are at risk of experiencing psychological issues. Method: This research is descriptive research using a cross-sectional with a survey via google form. The population in this research were nurses at Three Blora District Hospitals, they are  RSUD Dr. R. Soetijono Blora, RSU Permata Blora, and RSUD Dr. R. Soeprapto Cepu. Researchers will use a sample of 20 nurses in each hospital. Results: The results of the analysis of the data collected from the 40 COVID-19 nurses revealed that 52,5% of the respondents experienced mild anxiety; 27,5% had moderate anxiety; 10% had severe anxiety; while 10% did not experience any anxiety. Covid-19 nurses who are women, 35-45 years old, Diploma Three of Nursing tend to have higher levels of anxiety. Conclusion: Marital status, hospital support and depression levels are the factors that affect the level of anxiety among COVID-19 nurses in hospitals. Hospital support is a significant factor affecting anxiety levels.Keywords: Covid-19, Nurses, Anxiety.
Korelasi Pengetahuan dan Sikap Ibu Nifas terhadap Implementasi Ambulasi Dini Siswoko, Siswoko; Cipto, Cipto; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol 5, No 2 (2024): SEPTEMBER 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i2.12163

Abstract

Latar Belakang: Angka kematian ibu di Indonesia masih tinggi, salah satu upaya untuk mengurangi angka kematian ibu adalah dengan perawatan masa nifas. Perawatan ibu nifas dalam 6 – 8 jam pertama bertujuan untuk mencegah perdarahan nifas karena atonia uteri. Berdasarkan pra survey di Puskesmas Kunduran Kabupaten Blora diketahui hasil wawancara kepada 10 ibu post partum didapatkan hanya 4 ibu yang melaksanakan ambulasi dini yaitu mobilisasi dini post partum.Tujuan penelitian ini adalah Untuk mengetahui hubungan antara pengetahuan dan sikap ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran.Metode Penelitian: Jenis penelitian ini adalah penelitian analitik. Metode penelitian ini menggunakan metode survey dengan melakukan pendekatan secara cross sectional.  Populasi penelitian ini adalah semua ibu nifas normal 6-8 jam post partum dengan teknik pengambilan sampel adalah sampling jenuh sebanyak 58 orang. Analisa data yang digunakan adalah Chi Square dan Koreksi Yates.Hasil Penelitian: Berdasarkan penelitian diperoleh hasil tingkat pengetahuan ibu nifas tentang ambulasi dini dalam kategori cukup yaitu sebanyak 31 orang (53,5%). Sikap ibu nifas adalah negatif yaitu sebanyak 30 orang (51,72%). Pelaksanaan ambulasi dini kategori kurang yaitu sebanyak 33 orang (56,9%).Kesimpulan: Ada hubungan pengetahuan dan sikap pada ibu nifas tentang ambulasi dini dengan pelaksanaan ambulasi dini di Puskesmas Kunduran Keyword :  Pengetahuan, Perilaku Kesehatan, Masa Nifas, Ambulasi Dini Post Partum
Pengaruh Teknik Relaksasi Terhadap Penurunan Nyeri Epigastrium Pada Pasien Gastritis Nuryanti, Erni; Abidin, M. Zainal; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol 1, No 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.813 KB) | DOI: 10.31983/j-sikep.v1i1.5643

Abstract

ABSTRACTBackground: Today the frequency of psychosomatic illnesses experienced by a person is increasing. One such psychosomatic disease is gastritis. Pharmacotherapy for gastritis often results in less satisfactory results. Meanwhile the other alternatives to overcome these problems can be done with relaxation exercises. Relaxation can increase the sensitivity of baro-reflect and decrease sympathetic nerve activity and activate the correction so that there will be a decrease of pain level.Objective: To know the effect of relaxation technique on the reduction of epigastria pain in gastritis patients.Research Method: The design of the research used is one group pre test and post test design, where the patient came to check the level of pain with the scale of pain then done relaxation. After the relaxation was done and then re-check in the same way. Bivariate analysis used Wilcoxon Test.Results: The statistical results obtained p = 0,000 (P 0.05) which means that there is a very significant difference in the average value of the pain scale before relaxation with the average of pain scale after relaxation.Conclusion: There is a relaxation effect on the reduction of epigastria pain in gastritis patients Keyword : Relaxation, Pain, Epigastria
Kajian Karakteristik Penderita Gagal Ginjal Kronis Dalam Terapi Hemodialisis Cipto, Cipto; Siswoko, Siswoko; Normawati, Ajeng Titah; Uripno, Pambayun Sugeng
Jurnal Studi Keperawatan Vol 5, No 1 (2024): MARCH 2024
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v5i1.11279

Abstract

Characteristics that greatly influence a person's lifestyle include chronic kidney failure sufferers undergoing hemodialysis therapy. Patients with chronic kidney failure experience a gradual decline in kidney function which is quite severe. This is caused by various diseases that are progressive and generally cannot be recovered. The aim of this research is to determine the picture of chronic kidney failure undergoing hemodialysis therapy. This research method is descriptive quantitative by explaining the distribution of frequencies and percentages. The sample in this study amounted to 30 people with the criteria being patients suffering from chronic kidney failure who underwent hemodialysis with compensatory awareness. The research was conducted at the Blora District Hospital by researchers in October 2023. The results of the study showed that the majority of kidney failure patients undergoing hemodialysis therapy were women, the age characteristics reached early old age or in the range of 45 to 55 years, the majority had a high school or equivalent education, and the average is a housewife. Most of the responders had undergone hemodialysis for more than two years. Based on these results, it can be a basis or suggestion for developing further studies to analyze the correlation of each characteristic with the phenomenon of symptoms that occur in hemodialysis patients.Keywords: chronic renal failure, hemodialysis, characteristics
Deskripsi Riwayat Penyakit Pada Pasien Dengan Terapi Hemodialisa Mu'awanah, Mu'awanah; Purnomo, Heru; Suhardono, Suhardono; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol 6, No 1 (2025): MARCH 2025
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v6i1.12612

Abstract

Latar belakang Terapi hemodialisis merupakan bentuk terapi penggantian fungsi ginjal yang paling banyak dilakukan dan layanan kesehatan dengan benban pembiayaan yang berat. Pengkajian riwayat penyakit pasien merupakan elemen yang penting dalam pemberian asuhan keperawatan guna menjadi landasan dalam menegakan diagnostic dan merumuskan intervensi keperawatan yang tepat.Tujuan penelitian yaitu dapat memperoleh gambaran riwayat penyakit pada pasien dengan terapi  Hemodialisa di  RSUD dr. R. Soetijono BloraMetode penelitian ini menggunakan metode Deskriptif Retrospektif dengan menggunakan data sekunder berupa rekam medik atau status pasien Hemodialisa yang tersimpan di bagian Rekam Medik RSUD dr. R. Soetijono Blora.Hasil penelitian kurun waktu mulai bulan Januari 2021 sampai dengan bulan  Desember 2022 didapatkan 115 kasus dengan terapi Hemodialisis yang sebagian besar berusia 56 – 65 tahun, jenis kelamin didominasi perempuan yang diduga pengaruh estrogen ginjal, adapun pasien dengan terapi Hemodialisis sebagian besar memiliki riwayat penyakit Diabetes Melitus (40,9%).Implikasi: Peningkatan jumlah kasus pasien dengan terapi Hemodialisa akan berdampak pada kesiapan layanan kesehatan dalam mempersiapan fasilitas, sumber daya, biaya dan teknologi untuk mengatasi permasalahan yang terjadi pada pasien dengan terapi Hemodialisa.Simpulan penelitian bahwa pasien dengan terapi hemodialisis sebagian besar mempunyai riwayat penyakit Diabetes Melitus
Pengaruh Teknik Relaksasi Terhadap Penurunan Nyeri Epigastrium Pada Pasien Gastritis Nuryanti, Erni; Abidin, M. Zainal; Normawati, Ajeng Titah
Jurnal Studi Keperawatan Vol. 1 No. 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v1i1.5643

Abstract

ABSTRACTBackground: Today the frequency of psychosomatic illnesses experienced by a person is increasing. One such psychosomatic disease is gastritis. Pharmacotherapy for gastritis often results in less satisfactory results. Meanwhile the other alternatives to overcome these problems can be done with relaxation exercises. Relaxation can increase the sensitivity of baro-reflect and decrease sympathetic nerve activity and activate the correction so that there will be a decrease of pain level.Objective: To know the effect of relaxation technique on the reduction of epigastria pain in gastritis patients.Research Method: The design of the research used is one group pre test and post test design, where the patient came to check the level of pain with the scale of pain then done relaxation. After the relaxation was done and then re-check in the same way. Bivariate analysis used Wilcoxon Test.Results: The statistical results obtained p = 0,000 (P <0.05) which means that there is a very significant difference in the average value of the pain scale before relaxation with the average of pain scale after relaxation.Conclusion: There is a relaxation effect on the reduction of epigastria pain in gastritis patients Keyword : Relaxation, Pain, Epigastria