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All Journal Jurnal Keperawatan Muhammadiyah MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Adi Husada Nursing Journal Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Indonesian Academia Health Sciences Journal International Journal of Scientific Multidisciplinary Research (IJSMR) Jurnal Pengabdian Masyarakat
Wijaya, Siswanto Agung
FIK UMSurabaya, Surabaya
Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Compliance In The Implementation Of Hand Hygiene Activities By Nurses At Siti Khodijah Muhammadiyah Hospital, Sepanjang Branch–Sidoarjo Ida Agustiningsih; Siswanto Agung Wijaya
International Journal of Scientific Multidisciplinary Research Vol. 1 No. 10 (2023): November 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ijsmr.v1i10.6600

Abstract

Compliance with hand hygiene activities is an important aspect in maintaining patient health, preventing the spread of nosocomial infections, and improving nursing clinical practice standards. This study aims to analyze the level of compliance with the implementation of hand hygiene activities by nurses in several inpatient service units. This research method uses a quantitative descriptive approach involving a sample of nurses from several inpatient rooms. Data was collected through direct observation of the practice of 5 moments of hand hygiene as well as a questionnaire regarding compliance procedures for implementing hand hygiene activities. The results of the study showed that the level of compliance with the implementation of the 5 moments hand hygiene activities among inpatient room nurses was 94% for the moments before carrying out aseptic procedures, with almost all service units achieving a high level of compliance. Meanwhile, the moment before contact with the patient was 87%. Factors that influence compliance include knowledge, attitudes, accessibility of hand hygiene facilities, available time, and organizational culture. This research provides deeper insight into the obstacles faced by nurses in maintaining compliance with the implementation of hand hygiene activities. The results of this research can be used as a basis for developing interventions aimed at increasing and maintaining compliance with the implementation of hand hygiene activities, including training, supervision and facility improvements
Family Empowerment Method Modern Dressing Based to Increase Diabtes Mellitus Patients with Diabetic Ulcer Retno Sumara; Siswanto Agung Wijaya; Diah Priyantini; Aries Chandra Anandita; Sevia Ofarisma N
International Journal of Scientific Multidisciplinary Research Vol. 1 No. 10 (2023): November 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ijsmr.v1i10.6602

Abstract

Diabetic ulcer is lower extremity illness in diabetic patients with sensory, motoric, autonomic neuropathy, and or limbs blood vessel disorder as the characteristics. Patients with diabetic ulcer often experience psychological stress as the result of the infection of the ulcer itself or the operation procedure, thus negatively affects patients’ self-concept, self-worth, quality of life, physiological and psychological health, hope to recover, and their spirituality. This research aimed to recognize the effect of family empowerment method modern dressing based in inflating diabetic ulcer patients’ quality of life. This research utilized pre-experimental with one group pretest-posttest design. The population and sample in this research are diabetic ulcer patients. The sampling technique used was purposive sampling with the total of 53 respondents. The instrument used was WHOQOL (The World Health Organization of Quality of Life). The research found that patient’s QoL before family empowerment was given, the moderate QoL (Quality of Life) was 41 respondents (77.4%) and the good QoL was 12 respondents (22.6%). After the treatment using the aforementioned method, the good QoL increased to 28 respondents (52.8%), the moderate QoL became 7 respondents (13.2%) and the very good QoL increased as much as 18 respondents (34%). Wilcoxon analysis test resulted ρ 0,000, meaning that there was an effect of family empowerment method modern dressing based to patients with diabetic ulcer
Artificial intelligence for improving the monitoring of hemodynamic changes in the ICU: a systematic review of predictive algorithms and clinical outcomes Nugroho Ari Wibowo; Siswanto Agung Wijaya; Diah Priyantini; Daviq Ayatulloh; Ade Faiz Ahmadi
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i1.31162

Abstract

Background: Hemodynamic instability is a major predictor of organ failure and mortality in ICU patients. Conventional monitoring often fails to detect early deterioration, which has encouraged the use of artificial intelligence (AI) to improve the detection and prediction of hemodynamic instability. Methods: This systematic review followed the PRISMA 2020 guidelines and analyzed studies using machine learning or deep learning to predict hypotension, vasopressor requirements, or hemodynamic instability in adult ICU patients. Six major databases were screened, and 16 studies met the inclusion criteria. Due to heterogeneity in model design and outcomes, the findings were synthesized narratively. Results: The included studies comprised retrospective model development, multicenter validation, prospective evaluation, and two randomized clinical trials. Multivariable models such as the hemodynamic stability index (HSI) demonstrated strong predictive performance (AUROC 0.76–0.90). Dynamic models such as TvHEWS consistently provided stable predictions with reduced false alarms. Waveform-based predictors, including the hypotension prediction index (HPI), were able to anticipate hypotension 5–15 minutes before onset, even in patients with sepsis. Personalized approaches, such as DynaCEL and HM-TARGET, generated patient-specific hemodynamic targets. Prospective studies showed a reduction in the duration of hypotension, although evidence regarding effects on mortality and organ failure remains limited. Conclusion: Artificial intelligence has the potential to improve the accuracy of hemodynamic monitoring and enable earlier intervention in the ICU. However, large-scale clinical trials are still needed to confirm its benefits on meaningful clinical outcomes.
The Effect of Peer Group Education on Nurses’ Ability to Implement an Early Warning System for Stroke Patients Siswanto Agung Wijaya; Eni Sumarliyah; Fathiya Luthfil Yumni; Wiwin Risnawati; Melli Mufidah
Adi Husada Nursing Journal Vol 12 No 1 (2026): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v12i1.702

Abstract

Nurses face challenges with Early Warning System (EWS) assessments, which can delay the identification of deteriorating conditions in stroke patients, increasing the risk of severe outcomes like unplanned ICU transfers, cardiac arrest, and mortality. This study aimed to determine the effect of peer group education on nurses’ ability to perform the Early Warning System in stroke patients. This study used pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 nurses selected using purposive sampling at the Multazam Stroke Unit of Haji General Hospital, East Java, Surabaya. Data were collected using an observation checklist to assess nurses’ ability in implementing the EWS before and after a peer group education intervention. The intervention was conducted in two 60-minute sessions delivered by the researcher and included education on the concept of EWS, EWS procedures for stroke patients, and practical training on EWS implementation through lectures, discussions, question-and-answer sessions, and evaluation activities. Data were analyzed using the Wilcoxon Signed Rank Test. Prior to the intervention, 56.7% of nurses had adequate ability and 43.3% had good ability in implementing the EWS. Following the peer group education intervention, all nurses (100%) demonstrated good ability. Statistical test showed a significant improvement in nurses’ ability following the intervention (p = 0.000). Peer group education was effective in improving nurses’ ability to implement the EWS for stroke patients. This educational approach may be used as a continuing professional development strategy to enhance nurses’ competence in early detection and management of patient deterioration in clinical settings.
The Effect of Spiritual Care Development to Reduce the Level of Depression in the Families of Intensive Care Patients Nugroho Ari Wibowo; Diah Priyantini; Siswanto Agung Wijaya; Kristin Widiyowati; Nanik Dwi Lestari
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.3854

Abstract

Depression is a mental condition that affects a person's physical, psychological and social functioning. Depression occurs when problems in life arise, such as feeling disappointed, lost, depression is also a form of feeling sad, which can cause unhappiness and hopelessness. This study aimed was to analyze the effect of spiritual care development to reduce the level of depression in the families of intensive care patients. This research design uses Quasy experiment pre and posttest. The population is all families of patients in the Intensive Care ward at RSUD Haji Surabaya, totaling 108 respondents. The sample size was 85 respondents who met the inclusion criteria. The independent variable from the research is spiritual care with the intervention medium being a spiritual kit and the dependent variable is the level of depression in the family who keeps the patient in the intensive care room. Data was collected using the Beck's Depression Inventory questionnaire and then analyzed using the Wilcoxon Signed rank test. The Z score value for the pre-post variable for the incidence of depression is -5.940 with a p value of Asymp. Sig. (2-tailed) of .000 < 0.05, it can be seen that there is a significant influence between the results of the level of depression before and after the spiritual therapy kit. Developing spiritual care using the spiritual kit method can reduce the level of depression in the families of intensive care patients.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND FAMILY RESILIENCE IN PARENTS OF CHILDREN WITH DISABILITIES Reliani Reliani; Indah Setiyowati; Anis Rosyiatul Husna; Chlara Yunita Prabawati; Diah Priyantini; Siswanto Agung Wijaya
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.88434

Abstract

Introduction: Parents raising a child with disabilities experience a range of complex physical, psychological, social, and economic challenges. Internal psychological factors, particularly self-efficacy, often influence a parent's ability to cope with these difficulties. Higher levels of self-efficacy improve a family's capacity to adapt to and recover from the stress of caregiving, a concept known as family resilience. This study aims to explore the relationship between self-efficacy and family resilience among parents of children with disabilities. Method: This study employed a quantitative correlational design with a cross-sectional approach. The study population consisted of 59 parents of children with disabilities, selected using total sampling. Data were collected using a modified self-efficacy questionnaire based on Bandura’s theory and a family resilience questionnaire adapted from Walsh’s model. Data analysis was conducted using Spearman Rank correlation with a significance level of α = 0.05. Results: The findings indicated that the majority of respondents exhibited high self-efficacy (94.9%) and high family resilience (96.6%). A very strong positive correlation was identified between self-efficacy and family resilience (r = 0.809; p < 0.001). Conclusion: The study reveals a strong link between self-efficacy and family resilience in parents of children with disabilities. It underscores the need to enhance parental self-efficacy to boost family resilience when facing caregiving challenges.
The Effectiveness of Spiritual-Based Relaxation Technique on Patients With Post-Traumatic Stress Disorder After Treatment in an Integrated Cardiac Intensive Care Unit Diah Priyantini; Suyatno Hadi Saputro; Siswanto Agung Wijaya; Daviq Ayatulloh
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.32489

Abstract

Background: Patients who have undergone treatment in an Integrated Cardiac Intensive Care Unit may experience psychological distress after discharge, including symptoms of post-traumatic stress disorder. Exposure to life-threatening cardiac events, invasive procedures, uncertainty, and the intensive care environment may contribute to persistent fear, intrusive memories, sleep disturbance, and emotional dysregulation. Spiritual-based relaxation technique, including Spiritual Emotional Freedom Technique, combines relaxation, spiritual affirmation, acceptance, and body-based stimulation to reduce emotional distress. Objective: This study aimed to examine the effectiveness of a spiritual-based relaxation technique in reducing post-traumatic stress disorder symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. Methods: A pre-experimental one-group pretest–posttest study was conducted among 30 patients who had completed treatment in an Integrated Cardiac Intensive Care Unit. Participants were selected using purposive sampling. The intervention consisted of spiritual-based relaxation sessions delivered over three consecutive days. Post-traumatic stress disorder symptoms were measured before and after the intervention using a standardized PTSD symptom questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: The mean age of participants was 56.4 years, and most participants were male. The mean PTSD symptom score decreased from 42.6 ± 7.8 before the intervention to 28.9 ± 8.1 after the intervention. The median PTSD score decreased from 43.0 to 29.0. The Wilcoxon signed-rank test showed a statistically significant reduction in PTSD symptoms after the intervention (Z = −4.62, p < .001). The mean score reduction was 13.7 points, indicating clinically meaningful improvement after spiritual-based relaxation. Conclusion: Spiritual-based relaxation technique was effective in reducing PTSD symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. This intervention may be considered as a simple, low-cost, and holistic nursing approach to support psychological recovery after intensive cardiac care. Further studies using randomized controlled designs and larger samples are recommended.
RESILIENCE AS A DETERMINANT OF QUALITY OF LIFE IN POST-DISASTER RELOCATION COMMUNITIES: EVIDENCE FROM THE MOUNT SEMERU ERUPTION Siswanto Agung Wijaya; Diah Priyantini; Nugroho Ari Wibowo; Vijay Wahyu Handoyo Adi
Indonesian Journal of Community Health Nursing Vol. 11 No. 2 (2026): AUGUST 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i2.85890

Abstract

Introduction: The 2021 eruption of Mount Semeru caused severe damage and forced the affected residents to be permanently relocated to residential areas. Although relocation improves physical safety, relocated communities continue to face psychological, social, and economic challenges that may affect their well-being. Resilience is recognized as a key factor supporting adaptation after disasters; however, evidence on its association with quality of life in long-term relocation settings remains limited. This study aims to determine the relationship between resilience and quality of life in adults relocated to residential areas.   Method: Analytic correlational study with a cross-sectional design was conducted in January 2024 in Mount Semeru Relocation area. A total of 111 respondents were recruited using purposive sampling, with eligibility based on age (>18 years), residency duration (≥6 months), disaster exposure, literacy, and willingness to participate. Resilience was measured using the Connor–Davidson Resilience Scale (CD-RISC), while quality of life was assessed using the WHOQOL-BREF. Data were analyzed using descriptive statistics and Spearman’s rho correlation.   Result: Most respondents demonstrated moderate resilience, and more than half reported good quality of life. Statistical analysis revealed a significant positive association between resilience and quality of life (r = 0.337; p < 0.001), indicating that individuals with higher resilience tend to experience better physical, psychological, social, and environmental well-being in the resettlement setting.   Conclusion: Resilience is an important determinant of quality of life among communities permanently relocated after the Mount Semeru eruption. Efforts to strengthen psychosocial support, enhance livelihood recovery, and foster social cohesion are essential to improve long-term adaptation and well-being in post-disaster relocation environments.   Keywords: Mount Semeru Eruption, Quality of Life, Relocation, Resilience
Hubungan Tingkat Pengetahuan Dengan Kepatuhan Vaksinasi Covid-19 Siswanto Agung Wijaya; Nugroho Ari Wibowo; Dian Putri Rahayu
Indonesian Academia Health Sciences Journal Vol 3 No 1 (2022): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v3i1.23433

Abstract

Objective: to analyze the relationship between knowledge level and Covid-19 vaccination compliance in Suwaru, Kebonagung Sawahan Nganjuk. Methods: This study used a correlation analytic design with a cross sectional approach. The sample size of 81 respondents was taken using purposive sampling technique according to the inclusion and exclusion criteria. The independent variable is the level of knowledge and the dependent variable is Covid-19 vaccination compliance. The instrument used in this research is a questionnaire via google form. This study was analyzed using univariate and bivariate with Spearman rank correlation test Results: The results of the Spearman rank correlation test show the relationship between the level of knowledge and adherence to the Covid-19 vaccination p = 0.000 and the level of the correlation coefficient is 0.472. Conclusion: There is a relationship between the level of knowledge and compliance with Covid-19 vaccination in Suwaru, Kebonagung Sawahan Nganjuk, it is hoped that the community will increase the level of knowledge about the uses, benefits, side effects of Covid-19 vaccination to improve community compliance in carrying out Covid-19 vaccinations
Gambaran Tingkat Stress Pada Pasien Covid-19 Di Ruang Isolasi Siswanto Agung Wijaya; Ratna Agustin; Dian Putri Rahayu
Indonesian Academia Health Sciences Journal Vol 5 No 2 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v2i2.23436

Abstract

Objective: to identify the level of stress experienced by covid-19 patients in the Al-Aqsa isolation room . Methods: This article This study used a descriptive method that was carried out on patients who were confirmed positive COVID-19 in the Al-Aqsa isolation room on the 6th floor of the Haji General Hospital Surabaya with the Accidental Sampling . The samples obtained were 30 respondents. The research instrument used in this research aiming at describing the stress experienced by respondents was DASS 42 questionnaire Results: The results showed that 23.3% of respondents experienced normal stress conditions, 53.3% experienced mild stress, 20.0% of respondents experienced moderate stress, and 3.3% of respondents experienced severe stress Conclusion: 7 (23.3%) respondents experienced moderate stress, 16 (53.3%) respondents experienced mild stress, 6 (20.0%) respondents experienced moderate stress, and 1 (3.3%) respondent experienced severe stress. Which is suspected to be influenced by age and gender factors
Co-Authors Ade Faiz Ahmadi Adyani, Asta Anandhita, Aries Chandra Anis Rosyiatul Husna, Anis Rosyiatul Ari, Nugroho Aries Chandra Anandhita Aries Chandra Anandita Aries Chandra Anindhita Averose Millania Tsani Ayatulloh, Daviq Badriyah, Fatin Lailatul Budi Cahyono Chlara Yunita Prabawati Daviq Ayatulloh Daviq Ayatulloh Dian Putri Rahayu Dyah Priyantini Eni Sumarliyah, Eni Fathiya Lutfil Yumni Fathiya Lutfil Yumni Fathiya Luthfil Yumni Hidayat, Mohammad Kuntadi Syamsul Ida Agustiningsih Indah Setiyowati Indarti Indarti Jihan Fachriyah Hasany Kristin Kristin Kristin Widiyowati Lidyawati, Winda Martini Sri Wulaningsing Melli Mufidah Nanik Dwi Lestari Nanik Dwi Lestari Nashrullah, Rofiq Farhi Nugroho Ari Wibowo Nur Mukarromah Priyantini, Diah Rahayu, Dian Putri Ratna Agustin Reliani Reliani, Reliani Retno Sumara Rofiqi, Erfan Rusdi, Ainur S, Suyatno H Saputro, Suyatno Hadi Septian Galuh Winata Sevia Ofarisma N Suyatno Hadi Saputro Vijay Wahyu Handoyo Adi Wiwin Risnawati