Eka Afrima Sari
Fakultas Keperawatan, Universitas Padjadjaran

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HAMBATAN PADA PELAKSANAAN SELF CARE HIPERTENSI: Scoping Review Constantius Augusto; Eka Afrima Sari; Iwan Shalahuddin
Jurnal Kesehatan Vol 15, No 2 (2022): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v15i2.19470

Abstract

Meningkatnya kasus pasien hipertensi mengalami komplikasi karena tidak optimalnya tindakan self – care pada pasien. Sehingga perlu diketahui hambatan – hambatan dalam melaksanakan self – care hipertensi. Penelitian sebelumnya hanya membahas mengenai faktor hambatan pada pasien hipertensi. Sedangkan hambatan secara keseluruhan belum ditemukan. Maka penelitian ini dilakukan untuk menemukan hambatan dalam melakukan self – care hipertensi. Tujuan dari penelitian ini adalah untuk menemukan apa saja hambatan dalam mengimplementasikan self – care hipertensi dari beberapa penelitian sebelumnya yang kemudian akan dibagi menjadi beberapa kategori menurut sumber faktor penghambatanya. Metode penelitian scoping review. Pencarian literatur menggunakan database PubMed dan CINAHL, serta search engine Google Scholar. Literatur yang digunakan adalah penelitian eksperimental dan non – eksperimental, menggunakan artikel berbahasa Indonesia dan Inggris, rentang waktu terbit studi adalah 10 tahun terakhir (2012 – 2022), populasi penelitian adalah pasien hipertensi dewasa dan lansia. Kemudian artikel dilakukan ekstraksi data, analisa data secara kualitatif, dan hasil analisa dimasukan dan dilakukan pengelompokan berdasarkan sumber faktor hambatan self – care yang ditemukan. Hasil penelitian ditemukan 16 artikel dan dari ke 16 artikel tersebut hampir seluruhnya menyebutkan faktor hambatan dalam melakukan self – care hipertensi berasal dari pasien. Kesimpulan bahwa hampir seluruh faktor penghambat dalam melakukan self – care hipertensi berasal dari pasien. Rekomendasi diharapkan perawat untuk meningkatkan hubungan komunikasi, keterampilan, dan jumlah tenaga kerja dalam memberikan bantuan self –care. Pasien, keluarga, caregiver, dan masyarakat berkontribusi penuh dalam proses pendidikan self – care hipertensi. Serta peneliti selanjutnya untuk melanjutkan penelitian ini dan menemukan inovasi dalam upaya deteksi awa
In-House Training Perawat Terkait Perawatan Integratif di Area Keperawatan Medikal Bedah Nursiswati Nursiswati; Bambang Aditya Nugraha; Sri Hartati Pratiwi; Hasniatisari Harun; Urip Rahayu; Eka Afrima Sari; Chandra Isabella Hostanida Purba; Titis Kurniawan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.12169

Abstract

ABSTRAK Perawatan integratif dapat meningkatkan kualitas pelayanan keperawatan yang akan berkontribusi kepada peningkatan derajat kesehatan dan kualitas hidup pasien. Penerapan perawatan integratif membutuhkan kemampuan perawat dalam mengelola upaya preventif, promotif dan rehabilitatif secara efektif pada saat memberikan asuhan keperawatan pada area keperawatan medikal bedah (KMB). Pengabdian pada masyarakat ini dilakukan dengan tujuan untuk meningkatkan kapasitas perawat dalam perawatan integratif di area keperawatan medikal bedah. Metoda yang digunakan adalah in-house training berupa ceramah dan tanya jawab interaktif kepada 9 preseptor klinik dan 3 clinical case manager di RSUD Sumedang. Materi yang disampaikan diantaranya adalah Continuity of care pada chronic disease, Protocol follow up care pada area KMB, Transitional care, dan Discharge planning. Evaluasi kegiatan menggunakan analisis pre-posttest. Hasil kegiatan menunjukkan adanya peningkatan poin nilai rata-rata pre-post test (3,09). Nilai rata-rata pre-test sebesar 56 dan post-test sebesar 69,09. Dengan demikian, upaya yang sudah dilakukan bermanfaat dalam meningkatkan kapasitas perawat khususnya pengetahuan dan keterampilan menginisiasi integrative care. Upaya tersebut dapat diulang dengan target sasaran perawat medikal bedah lainnya selain perseptor maupun case manager. Kata Kunci: Keperawatan Medikal Bedah, Kapasitas Perawat, Perawatan Integratif, Preceptor, Case Manager, Pengabdian Masyarakat  ABSTRACT Integrative Care could increase quality nursing services to be contribute to enhance the patient’s health status and quality life. Application of the integrative care requires the ability of nurses to effectively manage preventive, promotive and rehabilitative measurements when providing nursing care in the medical surgical nursing (MSN) area. This community service conducted with the purpose for increasing capacity of the nurses in integrative care in the MSN area. The method used was in -house training through interactive presentation and interactive  discussion to nine clinical preceptors and three clinical case managers at Sumedang District Hospital. The topic presented included Continuity of care in chronic disease, Protocol follow-up care in the MSN area, Transitional care, and Discharge planning. The evaluation and outcome analysis using pre-post test design. The results of the program showed an increase in the average pre-post test score points (3.09). The average pre-test score was 56 and the post-test was 69.09. Thus, this community program that have been made are beneficial in increasing capacity nurse specifically knowledge and skills to initiate the integrative care . The future program is needed with other medical surgical nurses non preceptors and case managers. Keywords: Medical Surgical Nursing, Capacity Nurse, Integrative Care, Preceptor, Case Manager, Community Service
Skill and performance to formulate evidence-based practice among nursing students: A qualitative study Carissa Muthia Putri Nugroho; Titis Kurniawan; Hasniatisari Harun; Nursiswati Nursiswati; Eka Afrima Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13392

Abstract

Background: The PICO framework is frequently applied to formulate question for conducting literature searching in the evidence-based practices (EBPs) development. However, students experienced challenges in fitting the clinical questions into PICO's format. In Indonesia, the EBP was mostly taught conventionally through lectures and discussions. There was no specific evaluation for assessing the accuracy of the PICO formula. Previous studies indicated that incorporating visual art in learning effectively improves students' observation skills, self-confidence, communication skills, and promotes transformational learning.Purpose: To describe the implementation of the PICO game and visual art as an EBP learning method and evaluate the accuracy of the PICO formula and the visual art created by nursing students, including their perspectives on the applied EBP learning method.Method: This descriptive study was conducted at a secondary hospital in Sumedang District, West Java-Indonesia, in July 2023. Totally 53 nursing profession program (NPP) students of a University in Indonesia were voluntarily recruited as participants. They divided into 9 groups and received a description of how to play the PICO game and visual art for developing the PICO formula question. Each group required to develop PICO questions from the PICO trigger pictures and keywords on the PICO worksheets and to draw at least one visual art illustration from the developed PICO question. At the end of those sessions, they were also required to provide opinions on this EBP learning approach. The PICO question accuracy was assessed using the PICO formula observation sheet, while the visual art compatibility was measured using the visual art observation sheet. Quantitative data were analyzed descriptively and the students’ perspectives on the EBP learning processes were analyzed by identifying the topic mostly described.Results: There were 63 PICO formulas and 18 visual art illustrations. Most of the PICO formulas (93.7%) were identified as accurate. However, more than one-third (41.3%) of the PICO formula did not include the C (comparison) component. More than half of the developed visual art illustrations (61%) were inappropriately describing the developed PICO formula. Participants reported that using PICO Games and visual art was an interesting and fun approach that enhanced their comprehension of the PICO question formula, EBP, and improved their teamwork capacity.Conclusion: The PICO game and visual art learning method facilitates high accuracy of the PICO question formula and is perceived as an effective and interesting EBP learning method. However, as the “C” (comparison) is the PICO component mostly found uncompleted, it is important to elaborate more on this issue in the EBP learning session. It is also important to extend the duration of the EBP learning method to facilitate students drawing the expected visual art appropriately. Further studies are needed to further confirm and follow up on the findings of this study.