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All Journal Nurse and Health: Jurnal Keperawatan Media Keperawatan: Politeknik Kesehatan Makassar NERS Jurnal Keperawatan
Fakrul Ardiansyah
Poltekkes Kemenkes Pontianak
Health Professions Nursing Public Health

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EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY Fakrul Ardiansyah; Revani Hardika; Tika Desvicasari Hustra
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.527

Abstract

Background: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit. Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age > 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.
Active Cycle Of Breathing Technique Terhadap Fungsi Paru pada Pasien Paska Operasi Bedah Jantung: Active Cycle of Breathing Technique on Pulmonary Function in Patients Post Cardiac Surgery Fakrul Ardiansyah; Elly Nurachmah; Muhamad Adam
NERS Jurnal Keperawatan Vol. 17 No. 1 (2021): NJK Volume 17, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v17i1.129

Abstract

The pulmonary complication after cardiac surgery is estimated to be 2-4%. These complications increase the length of hospital stay and increase cost. Postoperative cardiac surgery care focuses on pulmonary function with active cycle of breathing technique (ACBT). This study aimed to identify the effectiveness of ACBT in recovery pulmonary function in postoperative cardiac surgery. This study used pra experiment method involving 30 respondents with purposive sampling technique in adult surgery intensive care unit and Surgical ward. This group applies ACBT for 4 days: 2x/day, duration 15 minutes/session on 1st and 2nd day after surgery; 1x/day, duration 15 minutes/session on 3rd and 4th day after surgery. The Peak Expiratory Flow Rate is evaluated with Peak flow meter tools. The pretest data were obtainedd on the pre operation and the post test data were obtained on the 3rd day after surgery. This data analyzies with distribution mean and wilcoxon. The result distribution means of Peak Expiratory Flow (PEF) pretest is 420,33 l/minute and the post test is 432,33 l/minute. The result of wilcoxon test is p=0,001< α=0,05, it is show that significant effect in PEF (Peak Expiratory Flow) pre, 3rd day PEF. ACBT consists of deep breathing and hold breathing, so the air flow easier and the discharge mucous, on the last step is the huffing technique. It is not required stretgh to discharge mucous and reduce pain. ACBT can be used as a nursing intervention for airway management to recovery pulmonary function in postoperative cardiac surgery.
PENERAPAN TERAPI LUKA TEKANAN NEGATIF TERHADAP PENURUNAN TINGKAT INFEKSI LUKA OPERASI.: Application Of Negative Pressure Wound Therapy To Reduce The Rate Of Surgical Wound Infection Fakrul Ardiansyah; Ade Ewa; Raju Kapadia; H. Amandus H. Amandus; Azhari Baedlawi; Vitria Wuri Handayani; Halina Rahayu; Puspa Whardani
Media Keperawatan: Politeknik Kesehatan Makassar Vol 15 No 2 (2024): Media Keperawatan: Poltekkes Kemenkes Makassar
Publisher : Jurusan Keperawatan

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Abstract

Negative pressure wound therapy has prevented postoperative wound complications, the surgical wound infection in high-risk patients such as postoperative gastrointestinal patients. Purpose This study aims to identify the results of nursing care and the negative pressure wound therapy on the level of infection in Mrs. J with septic shock in Dr. Abdul Aziz Singkawang. The method used by the author is a case study of nursing care starting from assessment, nursing diagnosis, nursing intervention, implementation, and evaluation of nursing and negative pressure wound therapy from May 9, 2022, to May 11, 2022. The results show that this study's nursing problems are spontaneous ventilation disorders, aspiration risk, gastrointestinal motility dysfunction, hypervolemia, and impaired skin/tissue integrity. After 3 days of implementation, it showed that the nursing problem didn't resolve and the negative pressure wound therapy could reduce the rate of surgical wound infection. The negative pressure wound therapy found a decrease in the rate of surgical wound infection, a decrease in the amount of exudate (14 ml to 9 ml), and a burning sensation (39.2°C to 37.9°C). Negative pressure wound therapy can reduce exudate, stabilizes the skin temperature around the wound, and reduces the number of bacteria, which is the wound healing process. Our suggestion is that negative pressure wound therapy can be applied with more samples and a longer time.
Co-Authors Ade Ewa Azhari Baedlawi Elly Nurachmah H. Amandus H. Amandus Halina Rahayu Handayani, Vitria Wuri Muhamad Adam Puspa Whardani Raju Kapadia Revani Hardika Tika Desvicasari Hustra