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Analisis Faktor Risiko Ketidakpatuhan Penerapan Early Warning Score Terhadap Mortalitas Pasien Sutrisno, Sutrisno; Pramusinto, Handoyo; Setiyarini, Sri
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 2 (2022): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i2.188

Abstract

Early Warning Score (EWS) is tool that could be applicated to know the early deterioration of the patient. There are seven criteria/indicator in the EWS, these are temperature, O2 saturation, heart rate, O2 supplement, systolic blood pressure, respiratory rate, consciousness. The ability to know the worsening condition in these seven indicators will help the medical team to give prompt treatment to the patients.  Wates General Hospital is one of the hospitals in Indonesia that has carry out the EWS system.  There is no research conducted on Early Warning Scores in that hospital. The objective to look at the risk of non-compliance with the implementation of EWS on the patient's mortality rate and to see other risk factors for patient mortality. This is an analytic observational study with a case-control retrospective design. Calculation of samples in the case and control groups with purposive sampling method with a total sample of 328 consisting of 82 cases (mortality) and 246 control groups (no mortality patients).  Data analysis bivariate data is analized with statictic chi square test and logistic regression. Results The risk for non-compliance to EWS implementation is significantly affect the patient mortality with p-value score of 0,001 (p<0.05). Other risk factors that significantly affect the patient’s mortality are patient severity level, heart disease, stroke, pneumonia, and sepsis. Compliance with the EWS protocol is statistically significant correlation with patient mortality. Implementing good EWS will help medical tim to know early the patient's condition. patient mortality is significantly affected by non-compliance with EWS implementation.
Nurses’ perception on Initial Implementation of Early Warning System: A Mixed Method Study Sujalmo, Purwadi; Setiyarini, Sri; Walsh, Kenneth; Greenwood, Melanie
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.368 KB) | DOI: 10.20884/1.jks.2022.17.1.4927

Abstract

The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deterioration. The research design for this study was mixed-method sequential explanatory. A purposive sampling approach was used to recruit the participants. Closed and open-ended questionnaires were distributed (n = 53) to adult unit nurses and the data was analyzed by using descriptive statistics. Focus group discussions were conducted to evaluate the implementation process and the results obtained were analyzed by using thematic analysis. Both data were integrated by using a joint display table. We found that 79% of nurses indicated that they needed education about how to use the EWS and 92% of nurses required education on physiology and management of the deteriorating patient. Three themes emerged: (1) the nurses’ experience of EWS Implementation, (2) the impact of EWS implementation, and (3) ameliorating the EWS Implementation. The participants showed that the EWS has been used for the assessment, documentation, and communication process of deteriorating patient management. The EWS is a complex tool for nurses, and they need support from stakeholders to maintain and optimize the advantages.
PENGETAHUAN GURU SEKOLAH LUAR BIASA TENTANG PERTOLONGAN PERTAMA PADA CEDERA: A SCOPING REVIEW Ikhsan, Raodah Tul; Setiyarini, Sri
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 9, No 3 (2024)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v9i3.599

Abstract

ABSTRAK Sekitar lima dari seratus siswa penyandang disabilitas mengalami cedera setiap tahunnya di sekolah. Guru adalah penanggung jawab anak-anak yang berada di lingkungan sekolah sehingga setiap guru perlu dan harus mampu memberikan pertolongan pertama pada anak ketika mengalami cedera atau kondisi buruk di lingkungan sekolah. Tujuan: Menganalisis pengetahuan guru sekolah luar biasa tentang pertolongan pertama pada cedera. Metode: Scoping review dengan pencarian artikel menggunakan empat database, yaitu Proquest, EBSCOHost, Scopus, dan Wiley Online serta melalui Google Scholar dan manual search melalui Google. Kriteria inklusi antara lain (1) subjek penelitian adalah guru sekolah luar biasa; (2) membahas hal terkait pertolongan pertama; (3) literatur berupa artikel ilmiah yang dipublikasi dalam 12 tahun terakhir (2013–2024); (4) open access; (5) artikel dalam bahasa Inggris atau bahasa Indonesia; dan (6) penelitian dengan metode kuantitatif atau kualitatif. Seleksi artikel menggunakan diagram PRISMA flow. Rayyan Ai digunakan untuk melakukan proses penjaringan artikel yang duplikat dan membantu proses seleksi artikel. Hasil: Sebanyak enam artikel memenuhi kriteria untuk dilakukan analisis. Sebagian besar artikel menjelaskan bahwa pengetahuan guru terkait pertolongan pertama masih rendah (66,6%), sebagian besar responden belum pernah mendapatkan pelatihan pertolongan pertama (50%), dan umumnya jenis pertolongan pertama di lingkungan sekolah adalah kasus cedera dan kegawatdaruratan medis (83,3%). Diskusi: Rendahnya pengetahuan guru sekolah luar biasa dalam memberikan pertolongan pertama dapat menghambat pemberian pertolongan pertama di sekolah. Adanya beberapa program, seperti pelatihan pertolongan pertama berupa edukasi dan praktik skill dapat meningkatkan pengetahuan guru terkait pertolongan pertama. Kesimpulan: Tingkat pengetahuan pertolongan pertama pada guru sekolah luar biasa mayoritas rendah. Direkomendasikan adanya program pelatihan pertolongan pertama dan pedoman yang dapat dimanfaatkan guru dalam memberikan pertolongan kepada siswa.   Kata Kunci: guru sekolah luar biasa, pengetahuan, pertolongan pertama cedera Special Needs School Teachers’ Knowledge of First Aid for Injuries: A Scoping Review ABSTRACT  Approximately five out of every 100 students with disabilities experience injuries annually in schools. Teachers are responsible for children under their supervision at school, making it essential for every teacher to possess the skills and ability to provide first aid when children experience injuries or adverse conditions at school. Objective: To analyze the knowledge of special needs school teachers regarding first aid for injuries. Methods: A scoping review was conducted by searching articles across four databases: ProQuest, EBSCOHost, Scopus, and Wiley Online, as well as Google Scholar and manual searches via Google. Inclusion criteria included: (1) study subjects being special needs school teachers; (2) discussing first aid; (3) literature in the form of scholarly articles published within the last 12 years (2013–2024); (4) open access; (5) articles written in English or Indonesian; and (6) studies using quantitative or qualitative methods. Article selection was guided by the PRISMA flow diagram. Rayyan AI was used to screen duplicate articles and assist in the article selection process. Results: Six articles met the criteria for analysis. Most articles revealed that teachers' knowledge of first aid was low (66.6%), the majority of respondents had never received first aid training (50%), and common first aid cases in schools included injuries and medical emergencies (83.3%). Discussion: Limited knowledge among special needs school teachers regarding first aid may hinder the provision of appropriate care in schools. Several programs, such as training that incorporates education and practical skills, can enhance teachers' knowledge of first aid. Conclusion: The majority of special needs school teachers have low levels of knowledge about first aid. It is recommended to implement first aid training programs and provide guidelines to support teachers in providing aid for students effectively.   Keywords: special needs school teachers, knowledge, first aid for injuries
Factors associated with health preparedness (istithaah) status among Hajj pilgrims in Indonesia: a cross-sectional study Sugeng, Sugeng; Setiyarini, Sri; Probosuseno, Probosuseno; Kertia, Nyoman
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.58887

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Introduction: The Hajj pilgrimage presents unique health challenges due to the large gatherings, particularly affecting elderly participants with preexisting conditions. Health istithaah, referring to physical and mental readiness for Hajj participation, is crucial for ensuring the safety of pilgrims. This study aimed to identify the factors associated with health istithaah status among Indonesian Hajj pilgrims. Methods: This descriptive correlational study examined 1,305 pilgrims scheduled for the 2023 Hajj pilgrimage. The data collected included health istithaah status, age, gender, and medical diagnoses based on ICD-10. The analysis employed Chi-Square tests and multivariate logistic regression (p < 0.05). Results: Of the participants, 772 (59.2%) had unassisted health istithaah, while 533 (40.8%) required assistance. Diabetes mellitus showed the highest association with requiring assistance (PR = 4.938, 95% CI = 3.354–7.270, p = 0.001), followed by symptoms and signs not classified elsewhere (PR = 4.071, 95% CI: 3.091–5.362, p = 0.001) and essential hypertension (PR = 3.467, 95% CI = 2.565–4.685). Age and multiple diagnoses were significantly associated with health istithaah status (p = 0.001), while gender showed no significant association (p = 0.246). Conclusion: Age, multiple diagnoses, and chronic conditions, particularly diabetes, were key factors associated with requiring health istithaah assistance among Indonesian Hajj pilgrims. These findings emphasize the need for targeted health assessments and support for high-risk pilgrims.
Bullying on Nursing Students Ghafara, Rais Azka; Achmad, Bayu Fandi; Harjanto, Totok; Setiyarini, Sri
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17859

Abstract

Bullying on nursing students occurred in more than half of the population. The incidents of bullying left negative impacts on the victims physically, psychologically, and socially. This study identifies the bullying case on nursing care students during academic learning and the roles of the students when bullying occurred. This descriptive quantitative study applied a survey design. This study used Adolescent Peer Relations Instrument (APRI), distributed via Google Form. The respondents were nursing program students that selected convenience sampling. The sample applied some inclusion criteria: the students had to undergo face-to-face learning and online learning. The sampling stage resulted in 207 respondents from three grades. The study analyzed the data with univariate analysis, in the forms of percentages and frequencies. Verbal bullying occurred with a percentage of 31.4%, social bullying with a percentage of 12.16%, and physical bullying with a percentage of 2.32%. The researchers found that 151 respondents, 78.74%, were bullying victims. A percentage of 93.23% of respondents, 193 respondents were women. A percentage of 85.71%, 12 respondents out of 14 respondents, were male. A percentage of 0.96%, 2 respondents, committed the bullying action. A percentage of 45.89%, 95 respondents defended the victims. 100 respondents or 48.45% of participant in this study were outsiders when bullying happened. This study concluded that most students ever experienced bullying cases with the most incidents of verbal bullying. Most students played the role of outsiders during the incidents of bullying.
The Voice of the Qur'an's Potential in Pain Management : Review Study Purnawan, Iwan; Widyastuti, Yunita; Setiyarini, Sri; Probosuseno, P
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.16990

Abstract

Pain is multidimensional. Pharmacological therapy is still not optimal and has unwanted side effects. Therefore, a safe, effective, and comprehensive non-pharmacological therapy is needed to compensate for the lack of pharmacological therapy. Listening to the recitation of the Quran in several studies has been shown to have a relaxing effect in various situations. The study aims to see whether listening to the Quran as a type of non-pharmacological therapy will help people overcome pain. Method used is comprehensive search on multiple databases (Clinical Key, Cochrane Lab, Medline, Host EBSCO, ProQuest, Science Direct, and Springer Link) using the term "Quran, Holy Quran, Koran, Quran, Pain, Pain Management, and endorphins.". There were 209 articles found, and after several screening stages, 9 articles met the inclusion and exclusion criteria. The level of evidence and the Cochrane Collaboration's tool for assessing the risk of bias was used to assess the article's quality. The result is listening to The Qur'an has been shown to reduce pain in post-surgery, blood sampling, wound care, dysmenorrhea, and childbirth. Some studies are still lacking evidence and are biased. Listening to the Quran is highly recommended for use as a health service.
Palliative care outcomes in adult intensive care units: A scoping review of potential quality indicators Suwardianto, Heru; Setiyarini, Sri; Effendy, Christantie
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.284

Abstract

Background: While critical care focuses on survival, it may unintentionally overlook aspects of comfort, dignity, and communication that are essential to quality end-of-life care. This scoping review aimed to identify existing outcome indicators, highlight gaps, and propose potential quality indicators for palliative care in ICU settings. Methods: Fifty-seven databases were searched for relevant publications published between January 2000 and December 31, 2024. The inclusion criteria were full-text, peer-reviewed journal articles in English, consisting of final versions of original or review studies conducted in adult ICUs. Case studies, perspectives, editorials, and reports were excluded. This study used the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) approach. We reviewed the literature across multiple databases, including PubMed, ProQuest, EBSCOhost, Scopus, ScienceDirect, and BASE. We carried out the ScR according to the structure suggested by Arksey and O'Malley. Results: This review included 57 studies, with a total of 158 codes representing 122 unique codes, which were grouped into 29 sub-themes (categories of palliative care outcomes) within five main themes: communication and palliative care consultation, end-of-life care decisions, symptom management and comfort, psychosocial well-being of patients and families, and ethics and the role of clinicians in palliative care. Additionally, unique categories were identified to reflect each of these themes. Conclusion: Outcomes have been highlighted as unique and significant palliative care outcomes for adult patients in ICU critical care settings, potentially becoming candidate quality indicators. The candidate outcome indicators for palliative care in the ICU in the future will contribute to more measurable and standardized outcome assessments.
Manajemen Nutrisi Pascaoperasi melalui Jejunostomi pada Lansia dengan Perforasi Duodenum di Instalasi Rawat Intensif: Case Report Madany, Nur Putri; Setiyarini, Sri; Widhiastuti, Sri
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104934

Abstract

Background: Duodenal perforation is a rare and life-threatening condition. Hence, postoperative nutritional management is challenging, especially in elderly with severe perforation. Enteral nutrition via jejunostomy is used in this case. Unfortunately, there are limited case studies related to nutritional management, specifically through jejunostomy, in elderly patients with duodenal perforation.Objective: To understand nutritional management via jejunostomy in elderly patients with duodenal perforation.Case report: A 72-year-old female patient with duodenal perforation underwent operations and jejunostomy placement. The initial phase relied on parenteral nutrition. Enteral nutrition via jejunostomy was given gradually and adjusted based on enteral tolerance.Outcome: Evaluation showed that there was enteral feeding intolerance characterized by increased intraduodenal drainage and diarrhea. Adjustments in nutritional administration were applied until enteral tolerance improved. However, the patient's metabolic condition was worsened, causing mortality.Conclusion: Nutritional management through jejunostomy in elderly patients with duodenal perforation faces challenges in achieving enteral tolerance despite adjustments in the nutritional administration. Enteral feeding intolerance is influenced by advanced age, severity of perforation, and comorbidities, which are also factors in patient mortality. Further research is needed to provide evidence-based guidelines for nutritional management via jejunostomy in patients with duodenal perforation.INTISARILatar belakang: Perforasi duodenum merupakan kondisi yang jarang terjadi, tetapi mengancam jiwa. Manajemen nutrisi pascaoperasi menjadi tantangan, terutama pada pasien lansia dengan perforasi yang parah. Nutrisi enteral melalui tindakan jejunostomi digunakan pada kasus seperti ini. Sayangnya, belum banyak studi kasus terkait manajemen nutrisi, khususnya melalui jejunostomi pada pasien lansia dengan perforasi duodenum.Tujuan: Laporan ini bertujuan untuk mengetahui manajemen nutrisi melalui jejunostomi pada pasien lansia dengan perforasi duodenum.Laporan kasus: Pasien perempuan berusia 72 tahun dengan perforasi duodenum menjalani dua kali operasi dan pemasangan jejunostomi. Fase awal mengandalkan nutrisi parenteral. Nutrisi enteral melalui jejunostomi diberikan bertahap dan dilakukan penyesuaian berdasarkan toleransi enteral.Hasil: Evaluasi menunjukkan adanya intoleransi enteral, ditandai dengan peningkatan drainase intraduodenal dan diare. Penyesuaian pemberian nutrisi dilakukan hingga toleransi enteral membaik. Namun, kondisi metabolik pasien memburuk hingga menyebabkan mortalitas.Kesimpulan: Manajemen nutrisi jejunostomi pada lansia dengan perforasi duodenum menghadapi tantangan dalam mencapai toleransi enteral, meskipun telah dilakukan penyesuaian pada metode dan kecepatan pemberian. Intoleransi enteral dapat dipengaruhi oleh faktor usia lanjut, tingkat keparahan perforasi, dan komorbiditas, yang juga menjadi faktor mortalitas pasien. Penelitian lebih lanjut diperlukan untuk memberikan panduan berbasis bukti, mengenai manajemen nutrisi melalui jejunostomi pada pasien dengan perforasi duodenum. 
The Validity, Reliability, and Inter-Rater Reliability of Knowledge, Attitude, and Psychomotor Instrument among Health Worker Ayuningtyas, Pusparini Anggita; Faizatiwahida, Novia; Setiyarini, Sri; Alim, Syahirul
MEDIA ILMU KESEHATAN Vol 14 No 2 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i2.1684

Abstract

Background: Health cadres have the potential to play a crucial role in community empowerment and disaster preparedness. Instruments are needed to support the development of comprehensive and efficient earthquake preparedness education programs for health cadres.Objective: This study assess the accuracy and consistency of cognitive, affective, and psychomotor instruments in carrying out earthquake disaster preparedness in health cadres.Methods: A cross-sectional study involving 90 respondents.Results: The results of this study showed that all (n=90) participants were women with an average age of 31 years with an average education of senior high school. All participants were active health cadres. The instrument used in the study was validated through content validity (Pearson Product Moment) and biserial correlation, as well as Cohen's kappa. Utilizing internal consistency reliability, this study found satisfactory inter-item reliability for all cognitive (0.703-0.722) and affective (0.671-0.700) items, as well as all psychomotor items (0.464-1.000).Conclusion: This instrument can be used to measure cognitive, affective, and psychomotor skills of health cadres.
Emotional Dysregulation and its Association with Non-Suicidal Self-Injury Among Nursing Students at Universitas Gadjah Mada Nur Halimah, Faiha; Warsini, Sri; Setiyarini, Sri
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 7 No. 2 (2025): September 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v7i2.76739

Abstract

Introduction: College students often experience difficulties in managing their emotions effectively (emotional dysregulation), where individuals with high levels of emotional dysregulation tend to use non-suicidal self-injury (NSSI) as a form of emotional management and to cope with negative influences. Research on the relationship between emotional dysregulation and NSSI among nursing students has not been conducted. Method: This study is a correlational analytical study with a cross-sectional design. The study population consisted of nursing students of the Faculty of Medicine, Public Health, and Nursing of Universitas Gadjah Mada (FK-KMK UGM). From this population a sample of 130 students was obtained through convenient sampling because the topic raised was sensitive so that respondents could participate in this research without being known by anyone else except the researcher. To measure the emotional dysregulation and non-suicidal self-injury the instruments of Difficulties in Emotion Regulation Scale (DERS) and the Self-Harm Inventory (SHI) were used. Data analysis employed the Spearman Rank Correlation test. Results: Part of the nursing students (59.2%) of FK-KMK UGM experienced emotional dysregulation, but the majority (77.7%) did not engage in NSSI. Emotional dysregulation differed significantly only based on cohort, while NSSI did not show significant differences based on all respondent characteristics (age, gender, cohort, and residence). Correlation analysis of emotional dysregulation and NSSI yielded a correlation coefficient (r) of 0.496 with a significance value (p) of 0.001. Conclusions: There was a significant relationship with moderate strength and a positive direction between emotional dysregulation and NSSI among nursing students at FK-KMK UGM.