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Burnout Among Nurses During the Covid-19 Pandemic Henny Yulianita; Furkon Nurhakim; Anik Sulistiawati; Irman Somantri; Kosim Kosim; Kurniawan Yudianto; Firman Sugiharto
Malahayati Nursing Journal Vol 5, No 4 (2023): Volume 5 Nomor 4 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i4.9302

ABSTRACT Burnout is a global phenomenon. The prevalence of burnout among nurses in Indonesia is around 60%. During the COVID-19 pandemic, the number of patient visits to the Public health centre has increased. This study aims to describe burnout in nurses at the Public health centre during the COVID-19 pandemic. This study uses a quantitative descriptive with a cross-sectional approach. The population is 40 health centre nurses using a sampling technique that is the total population. This study used the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as an instrument with final validity test values ranging from -0.701 to 0.966 and a reliability test of 0.83. Data analysis uses univariate analysis, which is shown in the form of a frequency distribution. Almost all respondents experienced moderate burnout, as many as 34 nurses (85%). Based on the burnout dimension show that the dimensions of emotional exhaustion are 27 nurses (67.5%), the dimension of depersonalization is 31 nurses (77.5%), and the dimension of achievement decline is 29 nurses (72.5%), mostly in the medium category. The high burnout of Public health centre nurses will affect the performance of nurses in providing nursing services to patients. The impact of the pandemic has also become a source of stress for nurses in providing services. The possibility of nurses coming into contact with asymptomatic COVID-19-infected patients is substantial. This becomes a burden for nurses in providing services. Keywords: Burnout, Covid-19, Health Centre, Nurse, Pandemic

Length of Stay pada Pasien Infark Miokard Akut Tipe Stemi setelah Menjalani Percutaneous Coronary Intervention : a Narrative Review Firman Sugiharto; Azalia Melati Putri; Aan Nuraeni; Henny Yulianita
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9737

ABSTRACT Cardiovascular disease especially ST segment elevation (STEMI) is still a major health problem with high morbidity and mortality rates. Although recent advances in the treatment of STEMI patients have yielded better results, the need for intensive care of patients with a prolonged length of stay (LOS) can increase the burden of health care costs. An understanding of the description of LOS in STEMI patients and the factors that influence it as an effort to improve the quality of care and shorten LOS. To describe length of stay (LOS) in acute myocardial infarction patients with STEMI after treatment percutaneous coronary intervention.This study used narrative review design. The databases used were Pubmed, Ebscohost, Scopus, Taylor and Francis, and Google Scholar. The strategy for searching articles using the PCC framework with the keywords namely “Adults”, “Length of Stay”, “Percutaneous Coronary Intervention” and “Myocardial Infarction”. The results showed that 20 articles were analyzed and most of the articles said that the shortest LOS in STEMI patients after PCI was only 5.9 hours, while the longest LOS was 14 days. Most of the articles said that the LOS in STEMI patients after PCI was prolonged. Many factors affect the duration of LOS in STEMI patients, namely age, gender, complications (bleeding), history of comorbidities (diabetes mellitus, hypertension, and kidney failure), and disease severity are the predictors most experienced by STEMI patients. Keywords: Length of Stay, Myocardial Infarct, STEMI ABSTRAK Penyakit kardiovaskular khususnya STEMI masih menjadi permasalahan kesehatan utama dengan tingkat morbiditas dan mortalitas yang tinggi. Meskipun kemajuan terbaru dalam penanganan STEMI telah memberikan hasil yang lebih baik, kebutuhan perawatan intensif pasien dengan durasi length of stay (LOS) yang memanjang dapat meningkatan beban biaya perawatan kesehatan. Pemahaman mengenai gambaran LOS pasien STEMI serta faktor yang mempengaruhinya penting diketahui sebagai upaya untuk meningkatkan kualitas perawatan dan mempersingkat LOS. Untuk mendeskripsikan LOS atau lama rawat Pasien Infark miokard dengan STEMI setelah percutaneous coronary intervention. Penelitian ini menggunakan desain narrative review. Basis data yang digunakan meliputi Pubmed, EBSCO-host, Scopus, Taylor and Francis, dan Google Scholar. Strategi pencarian artikel menggunakan kerangka kerja PCC dengan kata kunci “Adults”, “Length of Stay”, “Percutaneous Coronary Intervention” and “Myocardial Infarction”. Hasil penelitian menunjukkan, dari 20 artikel yang dianalisis, sebagian besar artikel menyebutkan bahwa LOS terpendek pada pasien STEMI pasca PCI hanya 5,9 jam, sedangkan LOS terlama adalah 14 hari. Sebagian besar artikel mengatakan LOS pada pasien STEMI setelah PCI memanjang. Banyak faktor yang mempengaruhi lama LOS pada pasien STEMI yaitu usia, jenis kelamin, komplikasi (perdarahan), riwayat penyakit penyerta (diabetes melitus, hipertensi, dan gagal ginjal), dan tingkat keparahan penyakit merupakan prediktor yang paling banyak dialami oleh pasien STEMI. Kata Kunci: Lama Rawat, Infark Miokardial, STEMI

Pengaruh Range of Motion Terhadap Peningkatan Kemampuan Activity Daily Living pada Pasien Pasca Operasi Fraktur Ekstremitas Bawah: Narrative Review Henny Yulianita; Firman Sugiharto; Nita Fitria; Dyah Setyorini; Andis Permana; Bunga Aviera; Dini Mulya; Fitri Yani; Meuthia Saulikha; Oktaviani Fauziah; Sarah Retno; Gihon Jessi
Malahayati Nursing Journal Vol 5, No 11 (2023): Volume 5 Nomor 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i11.9739

ABSTRACT Postoperative fracture patients are prone to immobilization problems due to the appearance of pain so they feel afraid to move their limbs. Activity exercises that can be done for patients with postoperative lower extremity fractures are Range of Motion (ROM). The purpose of this review is to identify the effect of ROM intervention to increase Activity Daily Living (ADL) in lower extremity post-op patients. This research uses narrative review method. Literature search from the EBSCOhost, Garuda, and Google Scholar databases with the keywords ROM OR Range of Motion OR Range Of Movement” AND “Post-operative fracture OR Post-op Fractures” AND “Lower limb OR leg OR knee OR foot OR tibia OR femur” AND “Activity daily living OR Activity daily care OR ADL''. Articles were selected using the PRISMA 2020 guidelines. The results obtained were 5 articles that discussed ROM interventions to improve ADL. There are interventions in the form of active ROM and passive ROM. The conclusion that from the five articles analyzed, it was found that ROM intervention can be given to postoperative lower extremity fracture patients because it can improve ADL by reducing muscle and joint stiffness and preventing muscle atrophy in patients. Keyword: Activity Daily Living, Lower Limb, Range Of Motion. ABSTRAK Pasien post operasi fraktur rentan mengalami masalah imobilisasi akibat munculnya rasa nyeri sehingga mereka merasa takut untuk menggerakan anggota tubuhnya. Latihan aktivitas yang dapat dilakukan kepada pasien fraktur post operasi ekstremitas bawah adalah Range of Motion (ROM). Tujuan dari studi literatur ini adalah untuk mengidentifikasi pengaruh intervensi ROM untuk meningkatkan Activity Daily Living (ADL) pada pasien post-op ekstremitas bawah. Penelitian ini menggunakan metode narrative review. Pencarian literatur dari database EBSCOhost, Garuda, dan Google Scholar dengan kata kunci ROM OR Range of Motion OR Range Of Movement” AND “Post-operative fracture OR Post-op Fractures” AND “Lower limb OR leg OR knee OR foot OR tibia OR femur” AND “Activity daily living OR Activity daily care OR ADL’’. Artikel diseleksi menggunakan pedoman PRISMA 2020. Hasil didapatkan 5 artikel yang membahas intervensi ROM untuk meningkatkan ADL. Terdapat intervensi berupa ROM aktif dan ROM pasif. Dapat disimpulkan bahwa dari kelima artikel yang dianalisis didapatkan bahwa intervensi ROM dapat diberikan pada pasien fraktur post operasi ekstremitas bawah karena dapat meningkatkan ADL dengan mengurangi kekakuan otot dan sendi serta mencegah atropi otot pada pasien. Kata Kunci:Aktivitas Harian, Ekstremitas Bawah, Range of Motion.

Intervensi Pembersihan Lendir pada Pasien Gagal Pernapasan dengan Ventilator: Sebuah Narratif Review Etika Emaliyawati; Aan Nuraeni; Ristina Mirwanti; Firman Sugiharto; Diana Kusuma Astuti; Evania Altsa Radinka; Siti Nur Damayanti
Malahayati Nursing Journal Vol 5, No 9 (2023): Volume 5 Nomor 9 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i9.10045

ABSTRACT Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or dysfunction of the lungs. Patients with respiratory failure use mechanical ventilation for breathing apparatus. However, mechanical ventilation often interferes with airway clearance and coughing. So intervention is needed to remove mucus from the airways. This study aimed to identify interventions that can be performed to reduce and clear mucus in patients with respiratory failure who are attached to a mechanical ventilator. This study used the narrative review method with the keywords “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. The databases used include Scopus, PubMed, EBSCO, Oxford. The results of 5 articles were obtained which consisted of various effective interventions for removing secretions such as ventilator hyperinflation mode, head down tilt position, manual chest compression (MCC), mechanical insufflation-exsufflation (MI-E), and chest physiotherapy. This intervention is effective in expelling mucus, increases expiratory flow bias which has the potential to increase secretions removal maneuvers, facilitates mucus cleaning during suctioning, and increases aeration in the dorsal lung without affecting blood gas analysis results. These various interventions can be a choice of solutions to help problems that arise due to the use of mechanical ventilation. Keywords: Acute Respiratory Failure, Mucus Suction, Ventilator ABSTRAK Gagal napas akut (GGA) merupakan gangguan fungsi pompa otot pernapasan atau disfungsi pada paru-paru. Penderita gagal napas menggunakan ventilasi mekanik untuk alat bantu napas. Namun, ventilasi mekanis sering mengalami gangguan pembersihan lendir saluran napas dan batuk. Sehingga diperlukan intervensi untuk mengeluarkan lendir dari saluran napas. Penelitian ini bertujuan untuk mengidentifikasi intervensi-intervensi yang dapat dilakukan dalam menurunkan dan membersihkan lendir pada pasien dengan gagal napas yang terpasang ventilator mekanik. Penelitian ini menggunakan metode narrative review dengan kata kunci “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. Database yang digunakan antara lain scopus, pubmed, EBSCO, oxford. Didapatkan hasil 5 artikel yang terdiri dari berbagai intervensi yang efektif untuk mengeluarkan sekret seperti mode hiperinflasi ventilator, posisi head down tilt, manual chest compression (MCC), mechanical insufflation-exsufflation (MI-E), dan fisioterapi dada. Intervensi ini efektif dalam pengeluaran mukus, meningkatkan aliran ekspirasi bias yang berpotensi meningkatkan manuver pengeluaran sekret, mempermudah pembersihan mukus ketika suction, dan meningkatkan aerasi di bagian dorsal paru tanpa mempengaruhi hasil analisa gas darah. Berbagai intervensi ini dapat menjadi pilihan solusi untuk membantu permasalahan yang ada akibat penggunaan ventilasi mekanik. Kata Kunci: Gagal Napas Akut, Penghisapan Lendir, Ventilator

Literature Review: Intervensi Prone Positioning Dalam Pengelolaan Pasien dengan Acute Respiratory Distress Syndrome Etika Emaliyawati; Titin Sutini; Ermiati Ermiati; Asep Solehudin; Firman Sugiharto; Restuning Widiasih
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.15090

ABSTRACT Acute Respiratory Distress Syndrome (ARDS) is one of the causes of most patients being admitted to the Intensive Care Unit (ICU) and has the potential to cause death due to inadequate gas exchange due to fluid in the alveoli. One of the interventions given is prone positioning to increase lung expansion. This study examines the benefits and impact of prone positioning intervention in ARDS patients. This literature review uses the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines with the keywords "ARDS, effectiveness, and prone positioning" using the Science Direct, PubMed, and Google Scholar databases. The inclusion criteria were full text in English or Indonesian with no restriction a publication year. 4,164 articles were collected according to keywords, and five articles that had gone through elimination and met the inclusion criteria were selected. Prone positioning in ARDS patients can reduce mortality and increase PaO2/FiO2. However, there are drawbacks, such as causing pressure ulcers in certain areas and does not reduce the potential complications of VAP. Prone positioning benefits patients by reducing mortality and increasing PaO2/FIO2. In practice, prone positioning must be supported by the presence of trained medical personnel, and possible complications must be reduced. Keywords: ARDS, Effectiveness, Prone Positioning ABSTRAK ARDS atau Acute Respiratory Disstress Syndrom merupakan salah satu penyebab kebanyakan pasien masuk Intensive Care Unit (ICU) dan berpotensi menyebabkan kematian sebab pertukaran gas inadekuat akibat cairan di alveolus, salah satu intervensi yang diberikan adalah prone positioning untuk meningkatkan ekspansi paru. Penelitian ini bertujuan untuk melihat manfaat dan dampak dari intervensi prone positioning pada pasien ARDS. Literature review ini menggunakan panduaan Preferred Reporting Items for Systematic Reviews (PRISMA) dengan kata kunci “ARDS, efektivitas, dan prone positioning”dengan menggunakan database Science Direct, PubMed, dan GoogleSchollar. Kriteria inkluasi yaitu fulltext berbahasa Inggris atau Indonesia dan tidak ada retrisksi tahun publikasi. Terkumpul 4.164 artikel sesuai dengan kata kunci dan terpilih 5 artikel yang telah melalui eliminasi dan sesuai dengan kriteria inklusi. Prone posisitioning pada pasien ARDS dapat mengurangi angka kematian dan meningkatkan PaO2/FiO2, meskipun terdapat kekurangan seperti mengakibatkan pressure ulcer di bagian tertentu dan tidak mengurangi potensikomplikasi VAP. Prone positioning bermanfaat untukpasien sebab mengurangi angka kematian dan meningkatkan PaO2/FIO2. Dalam praktiknya, prone positioning harus ditunjang dengan kehadiran tenaga medis terlatih, dan mengurangi komplikasi yang mungkin terjadi. Kata Kunci: ARDS, Efektivitas, Prone Positioning

Gambaran Tingkat Pengetahuan Mahasiswa Universitas Padjadjaran tentang Resusitasi Jantung Paru Orang Dewasa Dylla Istiazahra; Cecep Eli Kosasih; Ristina Mirwanti; Firman Sugiharto
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.10207

ABSTRACT Cardiac Arrest or cardiac arrest is a factor in the cause of death from heart disease which is the number one cause of death in the world. The incidence of cardiac arrest can be reduced by providing pre-hospital assistance by bystanders, namely Cardio Pulmonary Resuscitation (CPR). Knowledge is very closely related to education where it is expected that someone with higher education will be directly proportional to the wider knowledge. This study aimed to describe the level of knowledge of Adult Cardiac Arrest Resuscitation in Cardiac Arrest victims by Padjadjaran University students. This study used a descriptive quantitative method. The population in this study were active students of Padjadjaran University, Jatinangor campus (N=22.389). The sampling technique used proportional sampling with a total sample of 393 student using the Taro Yamanee calculation. The instrument used was an instrument from previous study with a validity test (a ≤ 0.05), a Cronbach’s alpha reliability test of 0.73%. The data were analyzed using the univariate analysis method. The findings showed that the level of knowledge about CPR by Padjadjaran University students is in a good category (66.4%). The source of information that respondents receive about CPR comes from social media (27%). From the findings of this study, it is expected that health education can be implemented by spreading information evenly on social media. Moreover, health education can also be considered for inclusion in the learning curriculum for all faculties. Keywords: Cardiac Arrest, Cardiopulmonary Resuscitation, Knowledge ABSTRAK Henti jantung menjadi faktor penyebab kematian dari penyakit jantung yang menjadi penyebab kematian nomor satu di dunia. Kejadian henti jantung dapat diturunkan dengan memberikan pertolongan pra rumah sakit oleh bystander yaitu Resusitasi Jantung Paru (RJP). Pengetahuan sangat erat kaitannya dengan pendidikan di mana diharapkan seseorang dengan pendidikan tinggi, maka akan berbanding lurus dengan pengetahuan yang semakin luas. Penelitian ini bertujuan untuk mendeskripsikan tingkat pengetahuan mahasiswa Universitas Padjadjaran tentang Resusitasi Henti Jantung Dewasa pada korban Henti Jantung. Penelitian ini menggunakan metode deskriptif kuantitatif. Populasi dalam penelitian ini adalah mahasiswa aktif Universitas Padjadjaran Kampus Jatinangor (N=22.389). Teknik pengambilan sampel menggunakan proporsional sampling dengan jumlah sampel sebanyak 393 orang menggunakan perhitungan Taro Yamanee. Instrumen yang digunakan adalah instrumen dari penelitian sebelumnya dengan uji validitas (a ≤ 0,05), uji reliabilitas Cronbach’s alpha sebesar 0,73%. Data dianalisis dengan menggunakan secara analisis univariat. Hasil penelitian menunjukkan bahwa tingkat pengetahuan tentang CPR mahasiswa Universitas Padjadjaran berada pada kategori baik (66,4%). Sumber informasi yang diterima responden tentang CPR berasal dari media sosial (27%). Dari temuan penelitian ini, diharapkan pendidikan kesehatan dapat dilaksanakan dengan menyebarkan informasi secara merata di media sosial. Selain itu, pendidikan kesehatan juga dapat dipertimbangkan untuk dimasukkan dalam kurikulum pembelajaran untuk semua fakultas. Kata Kunci: Henti jantung, Pengetahuan, Resusitasi Jantung Paru

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