Claim Missing Document
Check
Articles

Found 32 Documents
Search

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.
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

Abstract

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.
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.
Implementation of Emergency Team Management Activation and Code Blue in Regional General Hospitals: Case Study Faizatiwahida, Novia; Irnu, Julfilkar Adnan; Rukhama, Rafi Achmad; Hemu, Viky Noviani; Suprayogi, Suprayogi; Alfrisa, Bagus; Wahyudi, Purnomo; Setyobudi, Hari; Triatmojo, Setyo; Setiyarini, Sri; Kusuma, Happy Indah
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.12330

Abstract

Regional general hospitals, as the first line of healthcare services, still face the challenge of high patient mortality and morbidity rates. Efforts to reduce these rates can be achieved through the implementation of the Team Medical Emergency (TME) and Code Blue systems as early detection mechanisms and rapid response to emergency situations. This study aims to determine the implementation of TME and Code Blue at Dr. Soedirman Regional General Hospital, Kebumen. The research method used a case study design with secondary data collected from May 2022 to February 2023. Data were analyzed to determine the distribution of TME and Code Blue activations based on case type, gender, and service unit. The results showed that TME and Code Blue activations were most common in patients with internal medicine cases, male patients, and in adult inpatient wards. These findings indicate that the implementation of the TME and Code Blue systems is significantly influenced by factors such as case type, patient characteristics, and treatment location. The general implications of this study are the need to optimize healthcare worker training, strengthen early detection systems, and continuously evaluate TME and Code Blue implementation to reduce mortality and morbidity in regional hospitals.
An Education and Training Program on Disaster Triage for Nurses and Nursing Students: Literature Review Faizatiwahida, Novia; Setiyarini, Sri; Alim, Syahirul
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 1 (2024): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i1.3882

Abstract

Natural disasters continue to increase globally yearly. Over 1.6 billion people live in disaster-prone areas, conflict zones, and displacement areas. The impacts of disasters highlight the importance of disaster preparedness to minimize errors in disaster triage management. However, nurses' knowledge and skills in implementing initial triage procedures are still adequate. This scooping review aims to find an overview of implementing disaster triage education and training programs. This research is a scooping review using the Prisma flow chart in its implementation. This study showed significant results in all articles (n = 14) in increasing knowledge, attitudes, skills, awareness, preparedness, accuracy, and learning motivation in conducting disaster triage. The methods used are simulation methods (live, virtual reality, and screen-based) and training and education methods (lectures, discussions, videos, roleplay, and games) with material on disaster triage, START triage, and SALT triage concepts. This study concluded that disaster triage education for nurses and nursing students is very important to be provided by carrying out the latest methods so that the results are more effective.
Nurses’ Perspectives on Sleep Promotion Practices in Indonesian ICUs: A Multicenter Cross-Sectional Study Setiyarini, Sri; Listyaningrum, Desy; Hersinta Retno Martani; Sujalmo, Purwadi; Kusumawati, Happy Indah
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.311

Abstract

Background: Critically ill patients commonly experience sleep disturbance, which has the potential to increase mortality and morbidity. Therefore, implementing interventions to enhance sleep quality is crucial. This study aimed to explore Indonesian nurses' perceptions of patients' sleep and to investigate the relationship between sleep promotion practices and the quality of sleep of patients in the Intensive Care Unit (ICU). Methods: : A cross-sectional study design was used. A total of 211 nurses working in 10 ICU settings across 14 hospitals in Indonesia were involved using convenience sampling. The SLEEPii questionnaire was used to collect data from nurses who work in ICU for a minimum of one year.  Data was analyzed using frequency, mean (±SD), Median (±IQR), the Spearman Rank test, Kendal tau, and Kruskal-Wallis test. This study was reported in accordance with the STROBE guidelines. Results: 211 nurses from 14 hospitals in Indonesia reported that critically ill patients had sleep duration less than four hours (46.4%) and had fair sleep quality (58.8%). Sleep duration had significant differences between hospital status (p=0.004), and general hospital classification (0.002). Significant differences were also reported between sleep quality with ICU number of each Hospital (p=0.023), hospital status (p=0.047), and general hospital classification (0.032). Even though all participant reported that none of the ICU have protocol to promote sleep, this study found that duration of sleep correlate with control environmental noise levels (p=0.036), receiving medications for sleep (p=0.021), and activity to keeping ICU rooms dark at night (p=0.043), adhere to a clustered sleep protocol designed (p=0.001) and create conditions for a dedicated sleeping (p=0.004). Controlling environmental noise levels also correlated with sleep quality. Conclusion: Most of the critically ill patients had fair sleep quality. Findings suggest the urgent need for standardized sleep promotion protocols in Indonesian ICUs.