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Pengalaman Belajar Mahasiswa Keperawatan dalam Praktik Klinik Heyni Fitje Kereh; Erna Rochmawati
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.2745

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This study aims to identify nursing student learning experiences in clinical practice. The method used is a literature review of relevant articles in the Pubmed, Google Scholar and ScienceDirect databases. The results show that clinical education is important in integrating nursing learning and application. Nurse educators and clinical nurses should strive to create an environment conducive to maximizing clinical learning for nursing students and educational institutions should plan and design activities to support the implementation of clinical practice. In conclusion, there are four aspects of experience, namely psychological aspects, physical aspects, environmental aspects and social aspects. Keywords: Nursing Students, Learning Experience, Clinical Practice
Educational Media Related to Nutrition and Fluids for Patients with Chronic Kidney Failure: Literature Review Herlina Tiwa; Erna Rochmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 1 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1085.471 KB) | DOI: 10.33755/jkk.v8i1.291

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Aim: This review aims to identify and analyze the existing literature related to educational media regarding the provision of nutrition and fluid education in patients with kidney failure Methdos :This research is a literature review approach where the research sources are taken from two databases, namely Pubmed and Google Scholar.Articles were screened using inclusion criteria published in 2015-2021, in the form of journals, English and Indonesian, quasi-experimental research designs and True Experiments, so that six suitable articles were found. The keywords used were “Nutrition Education OR fluid education AND Kidney Failure OR Chronic Kidney Failure; “Chronic Kidney Failure” AND Education on Nutrition and Fluids AND Educational Media”. Results : Of the 2,203 articles that meet the requirements as many as 6 articles. The results of the review show that various media are used for health education related to nutrition and fluids in patients with kidney failure. The media used from simple ones such as booklets to complex applications such as audio-visual media for health education about diet in the intervention group with various media showed significant results compared to the control group. From the results of the review, it was found that simple to complex educational media showed a significant influence on the patient's fluid intake, the patient's quality of life, thereby improving the quality of life. Conclusions : Health education with various educational media can improve dietary compliance of CKD patient, so that nurses are expected to be able to apply various educational media, so that they can meet the nutritional and fluid intake needs of patients with chronic kidney failure.
Complementary and Integrative Interventions for Improving Fatigue and Quality of Life in Adults Receiving Hemodialysis: A Review Ade Komariah; Erna Rochmawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (778.336 KB) | DOI: 10.30604/jika.v7iS2.1385

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Fatigue is a common symptom experienced by patients receiving hemodialysis and can significantly decrease patients' quality of life. Some studies have been conducted using complementary and integrative interventions, but a synthesis of the available evidence is still limited. The review aimed to map complementary and integrative interventions and summaries the potential benefit in fatigue and quality of life. Scoping review framework from Joanna Briggs Institute was adopted. A defined search strategy was used in reviewing literature from Emerald, Pro Quest, PubMed, Science Direct, and Scopus. Studies were selected for further evaluation based on relevance to the inclusion criteria. Findings were then summarized and reported based on PRISMA for Scoping Review guidelines. A total of 14 studies from 1128 searches were included in the review. Non-pharmaceutical interventions included educational-based interventions, aromatherapy, massage, and breathing exercises. Many studies demonstrated that the interventions improved fatigue status and quality of life. Complementary interventions provide benefits for patients in managing fatigue and improving their quality of life. The findings of this review will contribute to integrating complementary therapy into the nursing practice. Additional studies are needed to clarify the potential value of available complementary and integrative interventions in the hemodialysis setting. Abstrak: Kelelahan sebagai gejala umum yang dialami oleh pasien yang menerima hemodialisis dapat secara signifikan menurunkan kualitas hidup pasien. Beberapa penelitian telah dilakukan dengan menggunakan intervensi komplementer dan integratif tetapi sintesis pada bukti yang tersedia masih terbatas.  Tinjauan ini bertujuan untuk memetakan intervensi komplementer dan integratif dan merangkum potensi manfaat dalam kelelahan dan kualitas hidup. Kerangka kerja tinjauan pelingkupan dari Joanna Briggs Institute diadopsi. Strategi pencarian yang ditentukan digunakan dalam meninjau literatur dari Emerald, Pro Quest, PubMed, Science Direct, dan Scopus. Studi dipilih untuk evaluasi lebih lanjut berdasarkan relevansi dengan kriteria inklusi. Temuan kemudian diringkas dan dilaporkan berdasarkan pedoman PRISMA for Scoping Review. Sebanyak 14 studi dari 1128 pencarian dimasukkan dalam ulasan.  Intervensi non-farmasi termasuk intervensi berbasis pendidikan, aromaterapi, pijat, olahraga dan latihan pernapasan. Banyak penelitian menunjukkan bahwa intervensi meningkatkan status kelelahan dan kualitas hidup.  Intervensi komplementer memberikan manfaat bagi pasien dalam mengelola kelelahan dan meningkatkan kualitas hidup. Temuan ulasan ini akan berkontribusi pada integrasi terapi komplementer dalam praktik keperawatan.  Studi tambahan diperlukan untuk memperjelas nilai potensial dari intervensi komplementer dan integratif yang tersedia dalam pengaturan hemodialisis.  
Gambaran Tekanan Darah dan Hemoglobin Pasien Gagal Ginjal Yang Menjalani Terapi Hemodialisis Endrat Kartiko Utomo; Erna Rochmawati
Jurnal Keperawatan Duta Medika Vol. 1 No. 1 (2021): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (732.506 KB) | DOI: 10.47701/dutamedika.v1i1.1610

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Introduction: Hypertension and anemia are included in the focus of care in chronic renal failure patientsundergoing hemodialysis. This is because the incidence of hypertension and anemia can aggravate kidneydisease and can cause difficulties in kidney patients undergoing hemodialysis.Objectives: This study aims to determine the blood pressure and hemoglobin levels of patients with chronickidney failure undergoing hemodialysis therapy.Methods: This research is a descriptive study, with a total sample of 48 patients using a side probabilitytechnique with a purposive sampling type and with inclusion criteria: patients aged 18-65 years, male andfemale, patients undergoing hemodialysis therapy for more than 3 months, the patient received hemodialysistherapy twice a week, and the patient was willing to be a respondent.Results: The mean blood pressure of chronic renal failure patients undergoing hemodialysis therapy was 162.5mmHg (systolic) and 88.5 mmHg (diastolic). Meanwhile, the average hemoglobin level of patients with chronicrenal failure undergoing hemodialysis therapy was 10 g/dl.Conclusions: The blood pressure of patients with chronic renal failure was categorized as hypertension and thepatient's hemoglobin level was still normal. With the results of this study, it is hoped that it will become areference or reference for health workers and researchers in formulating interventions for patients in thefuture
PRECEPTORSHIP IN IMPROVING THE COMPETENCE OF NEW NURSES IN HOSPITALS: A LITERATURE REVIEW Jery Pandelaki; Erna Rochmawati
Jurnal Keperawatan dan Kesehatan Vol 13 No 1 (2022): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.137 KB) | DOI: 10.54630/jk2.v13i1.169

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Introduction: A quality nursing care requires competent nurses, however, nurses who have just graduate are often considered not competent and lack of confidence. The preceptorship program is carried out to improve the abilities and competencies of new nurses. This review aims to evaluate the preceptorship program for new nurses and the impact of the program from available literatures. Objectives: Analysis of factors related to preceptorship in increasing new nurses in hospitals Methods: This review used three data bases including: Pub Med, Science Direct, EBSCO. The keywords used are 'preceptorship', 'novice nurse', 'new nurses', 'competence', and 'turn over'. We included publications in English from 2000-2021. Results: A total of six of the 346 articles were included in the book.359 nurses were involved in the preceptorship program from the selected articles.The length of the teaching program varies, carried out between 6 months – 12 months.The preceptorship program has an internal impact on new nurses and hospitals.New nurses can improve their competence, confidence, communication skills, and ability to improve complex skills.In addition, the preceptorship program also has a managerial impact, including an increase in the retention of new nurses and a reduction in the turnover rate of new nurses. Discussions:The effects obtained from the evaluation and implementation of the preceptorship program consist of two internal effects consisting of increased competence, communication, professional relations, and self-confidence and managerial effects consisting of increased new nurse retention and decreased turnover.This program can be implemented in hospital so that it can improve the quality of nursing services. Keywords: preceptorship, novice nurse, competence, turn over
Implementation of Tracing System for Covid-19: A Literature Review Dwi Yulianingsih Putri Hanardi; Erna Rochmawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.278 KB) | DOI: 10.30604/jika.v7i2.1036

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COVID19 virus spreads very fast and can result in death. COVID19 incident has also impacted all sectors of life.  Governments in many countries made various efforts to control the rate of transmission including developing and implementing contact tracing for COVID19. Contact tracing or tracing systems is a priority effort Contact tracing or tracing systems is a priority effort to contain the spread of the coronavirus and reduce mortality due to covid19. This paper aims to analyze the implementation covid-19 tracing system as an effort to restrain the covid-19 outbreak. The following bibliographic databases were searched to identify potentially relevant documents: SCOPUS, EBSCOHost, EMERALD, ScienceDirect, and PubMed. The search strategy was developed by the first author and further refined through team discussions. The final search results are exported to EndNote, and duplicates are removed automatically and manually. Then for the report format, follow PRISMA. 12 articles were included in the review. We found several things in analyzing the implementation of contact tracing such as the impact of implementing contact tracing, contact tracing management, and obstacles to implementing contact tracing in controlling covid19 outbreak. Contact tracing or tracing systems have a positive impact on reducing and controlling the transmission and spread of the COVID19 disease. Abstrak: Virus COVID19 menyebar sangat cepat dan dapat mengakibatkan kematian. Wabah COVID19 juga berdampak pada semua sektor kehidupan. Pemerintah di banyak negara melakukan berbagai upaya untuk mengendalikan laju penularan termasuk mengembangkan dan menerapkan pelacakan kontak COVID19. Pelacakan kontak atau sistem pelacakan merupakan upaya prioritas menahan laju penularan virus corona dan mengurangi angka kematian akibat covid-19. Makalah ini bertujuan untuk menganalisis penerapan sistem pelacakan covid19 sebagai upaya pengendalian wabah covid-19. Basis data bibliografi berikut dicari untuk mengidentifikasi dokumen relevan yang potensial: SCOPUS, EBSCOHost, EMERALD, ScienceDirect, dan PubMed. Strategi pencarian dikembangkan oleh penulis pertama dan disempurnakan lebih lanjut melalui diskusi tim. Hasil pencarian akhir diekspor ke End Note, dan duplikatnya dihapus secara otomatis dan manual. Kemudian untuk format laporan, mengikuti PRISMA. 12 artikel dimasukkan dalam review. Kami menemukan beberapa hal dalam menganalisa pelaksanaan contact tracing seperti dampak penerapan pelcakan kontak, manajemen pelcakan kontak, dan kendala penerapan pelcakan kontak dalam pengendalian wabah covid19. Pelacakan kontak atau sistem pelacakan berdampak positif dalam mengurangi dan mengendalikan penularan dan penyebaran penyakit COVID19.
Deteksi Risiko Stroke Dan Edukasi Sebagai Upaya Pencegahan Primer Terjadinya Stroke Erfin Firmawati; Erna Rochmawati; Ismail Setyopranoto
Jurnal SOLMA Vol. 12 No. 2 (2023)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v12i2.11834

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Latar belakang. Stroke adalah penyakit neurovaskular yang merupakan penyakit ketiga terbanyak dan penyebab kematian kedua di dunia. Prevalensi stroke di Indonesia mengalami peningkatan. Meningkatnya prevalensi stroke dapat disebabkan oleh pencegahan stroke yang rendah. Faktor-faktor yang mempengaruhi perilaku pencegahan stroke adalah pengetahuan dan kesadaran. Upaya untuk mengurangi kejadian stroke adalah pencegahan primer. Metode. Pengabdian  masyarakat yang dilakukan di Kendangan, Caturharjo Sleman yang meliputi dua kegiatan. Kegiatan pertama adalah deteksi risiko stroke menggunakan Stroke Risk Scorecard, pemeriksaan tekanan darah, berat badan, pengukuran glukosa darah dan kadar kolesterol. Deteksi risiko stroke diikuti oleh 67 orang.  Kegiatan kedua adalah pemberikan edukasi kesehatan tentang pencegahan stroke. Hasil. Hasil deteksi faktor risiko menemukan bahwa orang yang berisiko tinggi terkena stroke berjumlah 4 orang (6%), dan 63 orang berisiko rendah terkena stroke (94%). Orang dengan hipertensi 31 (46%), hiperkolesterolemia 26 (38%), merokok 7 (10%), tidak pernah berolahraga 50 (74%), dan overwigth7 (10%). Pendidikan stroke diikuti oleh 36 orang. Pengetahuan meningkat setelah diberikan pendidikan (skor 15) dengan skor pre-test rata-rata 59,41 (min-max 20-100) dan post-test 74,41 (min-max 30-100).  Kesimpulan. Sebagian besar masyarakat memiliki resiko rendah terkena stroke. Edukasi deteksi risiko stroke dan pencegahan primer merupakan  upaya penting  untuk mencegah stroke, sehingga dianjurkan untuk dilakukan  secara terus menerus.  
Patient Safety Incident Differences Between Accredited and not Accredited Primary Health Center Arlina Dewi; Nevi Seftaviani; Erna Rochmawati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83109

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The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients’ safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients’ safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife’s treatment while transferring and about the education involved minor harm.
Deteksi Risiko Stroke Dan Edukasi Sebagai Upaya Pencegahan Primer Terjadinya Stroke Erfin Firmawati; Erna Rochmawati; Ismail Setyopranoto
Jurnal SOLMA Vol. 12 No. 2 (2023)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v12i2.11834

Abstract

Latar belakang. Stroke adalah penyakit neurovaskular yang merupakan penyakit ketiga terbanyak dan penyebab kematian kedua di dunia. Prevalensi stroke di Indonesia mengalami peningkatan. Meningkatnya prevalensi stroke dapat disebabkan oleh pencegahan stroke yang rendah. Faktor-faktor yang mempengaruhi perilaku pencegahan stroke adalah pengetahuan dan kesadaran. Upaya untuk mengurangi kejadian stroke adalah pencegahan primer. Metode. Pengabdian  masyarakat yang dilakukan di Kendangan, Caturharjo Sleman yang meliputi dua kegiatan. Kegiatan pertama adalah deteksi risiko stroke menggunakan Stroke Risk Scorecard, pemeriksaan tekanan darah, berat badan, pengukuran glukosa darah dan kadar kolesterol. Deteksi risiko stroke diikuti oleh 67 orang.  Kegiatan kedua adalah pemberikan edukasi kesehatan tentang pencegahan stroke. Hasil. Hasil deteksi faktor risiko menemukan bahwa orang yang berisiko tinggi terkena stroke berjumlah 4 orang (6%), dan 63 orang berisiko rendah terkena stroke (94%). Orang dengan hipertensi 31 (46%), hiperkolesterolemia 26 (38%), merokok 7 (10%), tidak pernah berolahraga 50 (74%), dan overwigth7 (10%). Pendidikan stroke diikuti oleh 36 orang. Pengetahuan meningkat setelah diberikan pendidikan (skor 15) dengan skor pre-test rata-rata 59,41 (min-max 20-100) dan post-test 74,41 (min-max 30-100).  Kesimpulan. Sebagian besar masyarakat memiliki resiko rendah terkena stroke. Edukasi deteksi risiko stroke dan pencegahan primer merupakan  upaya penting  untuk mencegah stroke, sehingga dianjurkan untuk dilakukan  secara terus menerus.  
Treatment Preference For Patients With Chronic Obstructive Pulmonary Disease: A Review Agung Rejecky; Erna Rochmawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (741.429 KB) | DOI: 10.30604/jika.v7iS2.1391

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Chronic Obstructive Pulmonary Disease (COPD) is a chronic illness that requires regular treatment to relieve symptoms and reduce the frequency of relapses and the severity of exacerbations. Treatment options for COPD are pharmacological and non-pharmacological therapies, and patients can prefer the type of treatment. The inhaler is one of the options for pharmacological therapy, where there are several types of inhalers, including metered dose inhalers (MDI), soft mist inhalers (SMI) and dry powder inhalers (DPI). To date, there is no synthesis on the patient's preference of treatment for COPD. The review aimed to synthesize available evidence on patients' preferences for COPD treatment. Three databases, which include PubMed, Ebsco, and Scopus, were searched using terms related to "Patient Preference", "Preference Treatment", "Chronic Obstruction Pulmonary Disease", and "Chronic Airway Obstruction Disease". From the three databases, 2,757 articles were obtained and screened from a title with EndNote to remove duplication. The author and the team discuss the abstract and the full text to decide whether it meets the inclusion criteria. A total of 10 articles were included. We found patients prefer dry powder inhalers, spray inhalers, and relaxation by imagining a beautiful place as an option. The results of the literature review show that there are several preferences for COPD therapy; DPI inhalers are preferred because they are easy to use and have a low error rate. Abstrak: Penyakit Paru Obstruktif Kronik (PPOK) adalah penyakit kronis yang memerlukan pengobatan secara teratur untuk meredakan gejala, mengurangi frekuensi kekambuhan dan tingkat keparahan eksaserbasi. Pilihan pengobatan untuk PPOK adalah terapi farmakologis dan nonfarmakologis, dan pasien dapat memilih jenis pengobatan. Inhaler merupakan salah satu pilihan terapi farmakologi, dimana terdapat beberapa jenis inhaler diantaranya metered dose inhaler (MDI), soft mist inhaler (SMI) dan dry powder inhaler (DPI). Sampai saat ini, tidak ada sintesis pada preferensi pengobatan pasien dengan COPD. Tinjauan ini bertujuan untuk mensintesis bukti yang tersedia tentang preferensi pasien terhadap pengobatan PPOK. Tiga basis data yang meliputi PubMed, Ebsco, dan Scopus dicari menggunakan istilah-istilah yang terkait dengan “Preferensi Pasien”, “Pengobatan Preferensi”, “Penyakit Paru Obstruksi Kronis”, dan “Penyakit Obstruksi Jalan Napas Kronis”. Dari ketiga database tersebut diperoleh 2.757 artikel, dan disaring dari judulnya dengan EndNote untuk menghilangkan duplikasi. Penulis dan tim berdiskusi untuk menentukan abstrak dan teks lengkap untuk memutuskan apakah memenuhi kriteria inklusi. Sebanyak 10 artikel dimasukkan. Kami menemukan pasien lebih memilih inhaler bubuk kering (DPI), inhaler semprot (SMI), dan relaksasi dengan membayangkan tempat yang indah sebagai pilihan. Hasil tinjauan pustaka menunjukkan bahwa terdapat beberapa preferensi untuk terapi PPOK yaitu penggunaan inhaler DPI lebih disukai karena mudah digunakan dan memiliki tingkat kesalahan yang rendah.