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Nana Rochana, Nana
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Nursing

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Triage process in Emergency Departments: an Indonesian Study Rochana, Nana; Morphet, Julia; Plummer, Virginia
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.116 KB) | DOI: 10.14710/jil.%v.%i.27-37

Abstract

Background: Triage process has rapidly developed in some countries in the last three decades in order to respond to the demand for emergency services by growing population and emergency health needs. However, this development does not appear to match in Indonesian hospitals. The triage process in Indonesia remains obscure.Purpose: This study aimed to describe triage process in Indonesia from a range of different perspectives.Methods: The research design of this study was descriptive qualitative using semistructured interviews of 12 policy makers or persons responsible from 5 different organizations which informed triage practice in Indonesia. The data were analyzed using a three step content analysis.Results: The result produced 3 themes. First, four steps of triage process ranging from receiving to prioritizing were reported as the triaging procedures in Indonesia which were almost similar to the international literature except for a re-triage step. Second,primary and secondary triage processes were also applied in all emergency departments in Indonesia. Last, no prolonged waiting time in Indonesia could be assumed whether the triage process was effective and efficient or it was only a quick process of sorting to rapidly increase the number of patients in the treatment rooms. Out of the themes, the result also indicated that the involvement of nurses in health policy development inIndonesia needed supportConclusion: Triage process in Indonesia still needs improvements. Patient’s re-triage and evaluating secondary triage should be given more frameworks in the future. An effective and efficient triage process in Indonesia will best manage the number of patients in the treatment rooms and therefore further observational researches on patterns and trends are needed. Moreover, including the role of nurses as policy makers in the curriculum of nursing undergraduate and post-graduate degrees would give nurses the evidence to seek out policy making positions in the future
Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study Utami, Reni Sulung; Pujianto, Ahmat; Setyawan, Dody; Naviati, Elsa; Rochana, Nana
Nurse Media Journal of Nursing Vol 10, No 3 (2020): (December 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i3.31302

Abstract

Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nurses’ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out.Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC.Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes.Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nurses’ emotions. Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.
Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review Trisnaningtyas, Wenny; Retnaningsih, Retnaningsih; Rochana, Nana
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.28881

Abstract

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients. 
Thariqah-Based Neck Exercise Program Reduces Headache Intensity Among Indonesian College Students Sukarmin, Sukarmin; Nurachmah, Elly; Yona, Sri; Gayatri, Dewi; Rochana, Nana
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.65016

Abstract

Background: Headaches are common among students due to academic stress and poor sleep habits. One way to reduce headaches is through neck exercises using Thariqah movements. Previous studies have focused only on physical neck exercises, yet a more holistic approach by combining dzikr (Laa ilaha ilallah) recited Thariqah movements with the exercises has never been studied.Purpose: This study aimed to determine the impact of Thariqah-based neck exercises on headache intensity experienced by college students.Methods: The study used a two-arm parallel randomized controlled trial design. College nursing students were recruited through purposive sampling and then sequentially randomized, with 64 respondents in each group. Participants in the intervention group performed Thariqah-based neck exercises during dzikr three times per week for three weeks, while those in the control group received educational leaflets on headache management. Headache intensity was measured using the Numeric Pain Scale (0-10 scale). Data were analyzed using the Wilcoxon and Mann-Whitney tests.Results: The results showed that Thariqah-based neck exercises performed during dzikr had a significant effect on reducing headache intensity among students (p= 0.000). The differences in headache intensity before and after the intervention were also significant between the intervention and control groups (p=0.000).Conclusion: Neck exercises based on Thariqah movements accompanied by dzikr recitation may serve as a practical option for self-therapy or complementary therapy in managing mild to moderate headache complaints. The integration of physical and spiritual elements offers potential benefits for both physical relief and emotional well-being.   
Co-Authors Dewi Gayatri Elly Nurachmah Elsa Naviati Julia Morphet, Julia Laksono Trisnantoro Pujianto, Ahmat Reni Sulung Utami Retnaningsih Retnaningsih Sri Yona Sukarmin Trisnaningtyas, Wenny Virginia Plummer, Virginia