Claim Missing Document
Check
Articles

Found 34 Documents
Search

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.
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.