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All Journal MEDISAINS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan BSI Belitung Nursing Journal Journal Of Nursing Practice Jurnal Keperawatan Muhammadiyah The Indonesian Journal of Infectious Diseases Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Journal of Nursing Care Jurnal Perawat Indonesia Media Karya Kesehatan JPP Jurnal Kesehatan Poltekkes Palembang Malahayati International Journal of Nursing and Health Science Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Majalah Kesehatan Indonesia MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Holistik Jurnal Kesehatan Medical-Surgical Journal of Nursing Research Journal of Multidisciplinary Research Holistik Jurnal Kesehatan Jurnal Info Kesehatan
Ristina Mirwanti, Ristina
Universitas Padjadjaran
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Cognitive Disorders in Post-Stroke Patients Pratiwi, Sri Hartati; Sari, Eka Afrima; Mirwanti, Ristina
Majalah Kesehatan Indonesia Vol. 5 No. 1: April 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2024203

Abstract

Blood circulation disorders in post-stroke patients can cause cognitive disorders. Cognitive disorders in post-stroke patients can include memory impairment, difficulty speaking, difficulty understanding things, difficulty communicating, and mood disorders. The presence of cognitive disorders in stroke patients can worsen the patient's post-stroke condition, requiring longer treatment time. This study aimed to identify the level of cognitive disorders in post-stroke patients. This research is a descriptive study to identify dementia in post-stroke patients. The sampling technique was accidental sampling for two weeks at the Neurology Polytechnic and Stroke Clinic at one of the hospitals in Bandung, totaling 83 people. The questionnaire used in this research was the Mini-Mental State Examination (MMSE). The collected data is analyzed and presented using frequency and percentage distributions. The results of this study showed that the majority of post-stroke patients (72.3%) did not experience dementia or did not experience cognitive impairment, 15.66% experienced mild cognitive impairment, and 12.04% experienced severe cognitive impairment. From the results of this study, it can be concluded that some post-stroke patients do not experience cognitive impairment, but some post-stroke patients experience severe cognitive impairment. Cognitive impairment in stroke patients can worsen the patient's condition and increase the length of treatment time. Based on the results of this research, health workers especially nurses, are expected to be able to carry out early assessments and provide particular interventions for post-stroke patients aimed at preventing the worsening of dementia and improving the patient's cognitive abilities. The intervention can be in the form of education, psychological support, and social support in the form of counseling during rehabilitation.
The Implementation of Passive Leg Raising in Shocked Patients: Scoping Review Verawaty, Rotua Rina; Kosasih, Cecep Eli; Mirwanti, Ristina
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1597

Abstract

Shock is a life-threatening condition. It is essential to perform hemodynamic support on shocked patients to restore adequate circulation. Passive leg raising (PLR) is a critical act to assess fluid responsiveness which can provide significant information about fluid needs of shocked patients. The present study aimed to identify the implementation of passive leg raising in shocked patients. The scoping review was the method used in the present study. Relevant literatures were obtained from PubMed, CINAHL and Google Scholar Search engines from 2013 to 2023. The articles were manually extracted through tabulation and the data were thematically analyzed with an exploratory descriptive approach. Nine articles were found relevant and hence were included in the present study. The findings of the 9 articles revealed that the implementation of passive leg raising in shocked patients was an early strategy in assessing fluid responsiveness and fluid administration could be decreased after 48 hours of ICU admission. The findings of the current study suggested that the implementation of PLR significantly assessed fluid responsiveness which in the end guided in conducting fluid resuscitation in shocked patients and could reduce fluid administration in shocked patients for the first 48 hours of ICU admission. Therefore, health professionals working in critical care units including critical care nurses should consider performing PLR to shocked patients.              
Acute Decompensated Heart Failure Pasca Kardioversi pada Pasien Lansia dengan Diabetes Mellitus dan Chronic Kidney Disease : Sebuah Laporan Kasus Sugiharto, Firman; Larashati, Defa; Sari, Wulan Puspita; Prawesti, Ayu; Mirwanti, Ristina; Nuraeni, Aan
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15108

Abstract

ABSTRACT Acute decompensated heart failure (ADHF) is one of the spectrum of heart failure (HF). ADHF is defined as a clinical syndrome characterized by worsening HF symptoms, in which decreased cardiac output is the main characteristic leading to inadequate tissue perfusion and systemic venous congestion. ADHF is a strong predictor of readmission and post-hospitalization death, with a mortality rate of 20% after discharge from the hospital. Nurses have an essential role in comprehensive nursing care. A 73-year-old man came to the emergency room with complaints of palpitations without chest pain; the patient denied orthopnea and complained of swelling in both legs. The patient had a history of coronary heart disease (CHD), having been treated in 1998 for cardiac stent installation. The patient was treated in the ICU due to ventricular arrhythmia and hypotension. What is interesting about this case is that apart from the patient experiencing recurrent Ventricular Tachycardia (VT), the patient also had no complaints of shortness of breath, and a Blood Gas Analysis (BGA) examination found the patient to have hyperoxemia and the results of a diagnostic thorax examination showed no pulmonary oedema. Patients receive diuresis, inotropic, anti-arrhythmic and electrolyte fluid therapy. The patient was treated in the ICU for ten days and then moved to the inpatient room. This case report emphasizes the importance of accurate initial assessment of ADHF patients and the role of nurses in intensive care for ADHF patients. Nurses must be able to recognize signs and symptoms of ADHF emergencies early so that the goals of ADHF therapy to increase organ perfusion and limit the increase in severity of heart injury can be carried out quickly and precisely. Treatment of ADHF patients requires appropriate nursing interventions so that the quality of life of patients with HF can be improved. The nurse's role in preparing discharge planning as an essential preventive measure is to reduce the risk of readmission. Keyword: Acute Decompensated Heart Failure, Elderly, Intensive Care Unit, Nursing Care.  ABSTRAK Acute decompensated heart failure (ADHF) merupakan salah satu spektrum dari Heart failure (HF). ADHF didefinisikan sebagai sindrom klinis yang ditandai oleh gejala HF yang memburuk, di mana penurunan curah jantung menjadi karakteristik utama yang mengarah pada perfusi jaringan yang tidak adekuat dan kongesti vena sistemik. ADHF merupakan prediktor kuat terjadinya rawat inap kembali dan kematian pasca rawat inap dengan angka kematian sebesar 20% setelah keluar dari rumah sakit. Perawat memiliki peran penting dalam menilai secara komprehensif dalam asuhan keperawatan. Pria berumur 73 tahun datang ke IGD  dengan keluhan jantung berdebar tanpa ada nyeri dada, ortopnea disangkal oleh pasien, dan mengeluh bengkak pada kedua kaki. Pasien memiliki riwayat penyakit jantung coroner (CHD), pernah dirawat pada tahun 1998 untuk pemasangan stent jantung. Pasien dirawat di ICU dikarenakan kondisi Ventrikel aritmia dan hipotensi. Hal menarik dari kasus ini, selain pasien mengalami Ventrikel Takikardia (VT) berulang, pasien juga tidak memiliki keluhan sesak nafas dan pemeriksaan Analisa Gas Darah (AGD) ditemukan pasien mengalami hiperoxemia serta hasil pemeriksaan diagnostik thorax foto menunjukan tidak adanya pulmonary edema. Pasien mendapatkan terapi diuresis, inotropik, anti-aritmia dan cairan elektrolit. Pasien dirawat di ICU selama 10 hari lalu pindah ke ruang rawat inap. Pada case report ini menekankan pada pentingnya ketepatan pengkajian awal pasien ADHF dan peran perawat dalam perawatan intensif pasien ADHF. Perawat harus mampu mengenali tanda dan gejala kegawatan ADHF secara dini sehingga tujuan terapi ADHF untuk meningkatkan perfusi organ dan membatasi peningkatan keparahan cedera jantung dapat dilakukan secara cepat dan tepat. Perawatan pasien ADHF memerlukan interevensi keperawatan yang tepat sehingga kualitas hidup pasien dengan HF dapat ditingkatkan. Peran perawat dalam mempersiapkan discharge planning sebagai tindakan preventif penting dilakukan untuk mengurangi resiko readmisi. Kata Kunci:  Acute Decompensated Heart Failure, Asuhan Keperawatan, Intensive Care Unit, Lansia.
Gambaran Tingkat Pengetahuan Mahasiswa Universitas Padjadjaran tentang Resusitasi Jantung Paru Orang Dewasa Istiazahra, Dylla; Kosasih, Cecep Eli; Mirwanti, Ristina; Sugiharto, Firman
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

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
Faktor Penghambat Persiapan Weaning pada Pasien Terpasang Ventilasi Mekanik dengan Respiratory Failure di Ruang Intensive Care Unit (ICU) Nurazizah, Auliyaurrahmah; Mirwanti, Ristina; Prawesti, Ayu
Jurnal Keperawatan Muhammadiyah 2024: EDISI KHUSUS II
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Respiratory failure is the failure to provide oxygen to the entire body and the exchange of gases from the atmosphere to the blood. One of the treatments carried out in patients with respiratory failure is the installation of invasive or non-invasive mechanical ventilation. Weaning is a gradual process of reducing ventilator support carried out at the end of ventilator use. The weaning process can be successful or unsuccessful. This case report aims to discuss the inhibiting factors for weaning preparation in patients with mechanical ventilation with respiratory failure in the Intensive Care Unit (ICU). The design of this study uses the case report method to report the inhibiting factors for weaning preparation in patients with mechanical ventilation with respiratory failure in the Intensive Care Unit (ICU). A patient, a 25-year-old man came to the hospital, was transferred to the ICU due to respiratory failure after urethroplasty surgery with a condition that was already intubated with an endotracheal tube and under sedation. On the 9th day of treatment in the weaning readiness monitor. Based on the results of the monitor, it was found that the patient had a history of asthma and infection so that the nurse carried out collaborative interventions so that the asthma he had was controlled and also prevented infection. In patients, it was found that there were inhibiting factors for weaning, namely comorbid diseases and infections. For the prevention of primary infection that can be done is to maintain hand and environmental hygiene.
Construct Validity of Perceived Behavioral Control Instrument Among Patients with Coronary Artery Disease Nuraeni, Aan; Sulistiani, Eka; Sutini, Titin; Mirwanti, Ristina; Prawesti Priambodo, Ayu; Sugiharto, Firman
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.503

Abstract

Perceived Behavioral Control (PBC) is a key construct in the Theory of Planned Behavior (TPB) that plays an important role in predicting adherence to lifestyle changes among patients with coronary artery disease (CAD). Although the role of PBC has been widely discussed in health behavior research, no instrument has been specifically developed and validated to measure PBC in patients with cardiovascular disease (CVD), particularly CAD. This study used the Rasch analysis approach to evaluate the construct validity and reliability of the Perceived Behavioral Control Scale Related to Cardiovascular Disease (PBCCVD). This was a cross-sectional study involving 92 post-hospitalization CAD patients selected through convenience sampling. The PBCCVD instrument consists of 22 items using a 4-point Likert scale, developed based on TPB theory and previous studies and validated by experts. Data analysis was conducted using Winsteps software, covering reliability, separation, fit statistics, and unidimensionality. The instrument demonstrated high reliability (Cronbach's alpha = 0.86; item reliability = 0.94; person reliability = 0.86). The item and person separation indices were 4.18 and 2.74, respectively. All items met the fit criteria. The explained variance was 34.9%, and the eigenvalue of the first contrast was 2.6054, indicating a possible additional subdimension. The PBCCVD is a reliable and reasonably valid instrument for measuring perceived behavioral control in CAD patients. Although there is an indication of another underlying dimension, the instrument can still be effectively used in both clinical and research settings.
Gambaran Burnout pada Perawat di Instalasi Gawat Darurat (IGD) RSUD Al-Ihsan Provinsi Jawa Barat Oktaviana, Mariska; Fitria, Nita; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20092

Abstract

ABSTRACT Burnout is a psychological problem resulting from emotional and interpersonal stress that occurs continuously in the workplace. The high workload of nurses can physical and psychological problems that can lead to burnout. This study amins to describe the incidence of burnout in emergency nurses at Al-Ihsan Hospital, West Java Province. The quantitative descriptive study design with total sampling of emergency nurses at Al-Ihsan Hospital, West Java Province (N=62). The instrument used was the Copenhagen Burnout Inventory (CBI), analyzed using univariate analysis. Data collection was carried out from 4-7 January 2025. The results of this study indicate that most respondents (83.9%) experienced low personal burnout, most respondents (79%) experienced low work-related burnout, and most respondents (83.9%) experienced low client-related burnout. The conclusion of this study is that there are emergency nurses who experience low personal burnout, work-related burnout, and client-related burnout. Based on the results of the study, it is suggested for institution to conduct stress management training programs and conduct training related to communication skills and training to improve the ability to adjust to carrying out multiple roles. It is also recommended for nurses to improve the quality of social support from both fellow nurses and nurse managers and implement workplace stretching exercise interventions to increase muscle flexibility and improve physical fitness. Keywords: Client-Related Burnout, Emergency Department, Nurses, Personal Burnout, Work-Related Burnout.  ABSTRAK Burnout merupakan masalah psikologis akibat dari stres emosional dan interpersonal yang terjadi secara terus-menerus di tempat kerja. Tingginya beban kerja perawat dapat menimbulkan masalah fisik dan psikologis yang dapat berujung pada burnout. Penelitian ini bertujuan untuk mengetahui gambaran burnout pada perawat IGD RSUD Al-Ihsan Provinsi Jawa Barat. Rancangan penelitian deskriptif kuantitatif dengan total sampling perawat IGD RSUD Al-Ihsan Provinsi Jawa Barat (N=62). Instrumen yang digunakan adalah Copenhagen Burnout Inventory (CBI), dianalisis menggunakan analisis univariat. Pengambilan data dilakukan pada tanggal 4-7 Januari 2025. Hasil penelitian ini menunjukkan bahwa sebagian besar responden (83,9%) mengalami personal burnout yang rendah, sebagian besar responden (79%) mengalami work-related burnout yang rendah, dan sebagian besar responden (83,9%) mengalami client-related burnout yang rendah. Simpulan dari penelitian ini adalah personal burnout, work-related burnout, dan client-related burnout pada perawat IGD berada dalam kategori rendah. Berdasarkan hasil penelitian tersebut, disarankan bagi institusi untuk mengadakan program pelatihan manajemen stres dan melakukan pelatihan terkait keterampilan berkomunikasi dan pelatihan untuk meningkatkan kemampuan menyesuaikan diri untuk menjalankan peran ganda. Disarankan juga bagi perawat untuk meningkatkan kualitas dukungan sosial baik dari sesama perawat maupun manajer perawat dan menerapkan intervensi workplace stretching exercise guna meningkatkan fleksibilitas otot dan meningkatkan kebugaran fisik. Kata Kunci: Client-Related Burnout, Instalasi Gawat Darurat, Perawat, Personal Burnout, Work-Related Burnout.
Strategies To Improve Nurse Compliance With Ventilator-Associated Pneumonia Bundle Implementation In Intensive Care Units: A Scoping Review Permana, Septa; Kosasih, Cecep Eli; Mirwanti, Ristina
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.55

Abstract

Background: Ventilator-associated pneumonia (VAP) remains a leading cause of morbidity and mortality among patients in intensive care units (ICUs). Nurses play a central role in preventing VAP through consistent implementation of evidence-based prevention bundles. Although VAP bundles are widely recommended, suboptimal adherence among nurses continues to contribute to high VAP incidence rates, highlighting the need for strategies that improve compliance. Objective: This scoping review aimed to identify and synthesize interventions designed to enhance nurse compliance with VAP bundle implementation in ICU settings. Methods: A scoping review was conducted using the Population–Concept–Context (PCC) framework, focusing on nurses, interventions to improve VAP bundle compliance, and ICU settings. Electronic databases—including PubMed, Cochrane Library, ProQuest, EBSCOhost, ScienceDirect, ClinicalKey, SAGE Journals, and Google Scholar—were searched for full-text articles published in English between 2016 and 2021. Study selection followed the PRISMA framework. Data were extracted, analyzed, and synthesized narratively. Results: From 945 identified records, eight studies met the inclusion criteria. The reviewed literature identified educational and training programs, experiential learning strategies, interprofessional collaboration, and real-time compliance monitoring dashboards as effective interventions to improve nurse adherence to VAP bundles. Conclusion: Multifaceted interventions, particularly continuous education supported by supervision and monitoring, are effective in enhancing nurse compliance with VAP bundle implementation. Sustained organizational support is essential to improve adherence and reduce VAP incidence in ICU settings.
Management of Sepsis Bundle by Nurses in Hospitals: A Scoping Review Nurdiansyah; Trisyani, Yanny; Mirwanti, Ristina
The Indonesian Journal of Infectious Diseases Vol. 11 No. 2 (2025): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v11i2.310

Abstract

Background: Sepsis is one of the leading causes of mortality in hospitals, with a significant death rate. The management of sepsis bundles was developed by the Surviving Sepsis Campaign (SSC).  Sepsis bundles include early identification, lactate measurement, antibiotic administration, and fluid resuscitation, and have been effective in reducing mortality rates. Nurses play a strategic role in implementing these bundles, as they are often the first to recognize the early signs of sepsis. However, implementation in clinical settings often faces challenges, including high workloads, limited resources, and insufficient understanding of protocols. Methods: This study used a scoping review method to explore the implementation of sepsis bundles by nurses in hospitals. Literature searches were conducted in PubMed, CINAHL/MEDLINE, Scopus, and ScienceDirect, using the following inclusion criteria: English-language articles with free full-text access and published from January 2014 to June 2024. Results: Of the 211 identified articles, 9 met the inclusion criteria and were analyzed. The findings reveal that effective implementation of sepsis bundles can improve nurses' adherence to protocols and reduce mortality rates. Factors such as continuous education, protocol revisions, leadership support, and optimal staffing policies are key to successful implementation. Conclusion: This study concludes that nurse-led sepsis bundles require a multidimensional approach to enhance clinical outcomes and operational efficiency for hospital sepsis patients.  
Perspektif dan Tantangan Perawat dalam Implementasi Family-Centered Care di NICU dan PICU: Suatu Narrative Review Hendrawati, Sri; Mirwanti, Ristina; Fitri, Siti Ulfah Rifa'atul
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 1 (2026): SENTRI : Jurnal Riset Ilmiah, Januari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i1.5548

Abstract

Family-Centered Care (FCC) is an essential approach in pediatric and neonatal healthcare that positions families as partners in care, particularly in high-complexity settings such as the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU). Although FCC has been widely recognized for its benefits to patients and families, its implementation in intensive nursing practice remains challenging. This narrative review aims to synthesize existing evidence regarding nurses’ perspectives and the challenges encountered in implementing FCC in NICU and PICU settings. A literature search was conducted across Cinahl from EbscoHost, Pubmed, ScienceDirect, and Google Scholar, covering publications from 2016 to 2025. Article selection was guided by the PEO framework, with nurses as the population, FCC implementation as the exposure, and perspectives and challenges in practice as the outcomes. Ten eligible articles were included and analyzed using a narrative synthesis approach. The findings indicate that nurses generally perceive FCC as a valuable and meaningful approach in neonatal and pediatric intensive care. However, implementation is constrained by multidimensional challenges, including high workload, limited time and resources, unclear boundaries of family involvement, complex communication with emotionally distressed families, and insufficient organizational and policy support. These challenges frequently place nurses in dilemmas between maintaining clinical safety and responding to family needs. Consistently across the reviewed studies, inadequate nurse-to-patient ratios and rigid institutional policies emerged as the primary barriers to effective FCC implementation. This review highlights the need for systemic support, structured education, and a shift toward a more collaborative and family-inclusive care culture. Strengthening institutional policies and enhancing nurses’ communication competencies are critical to promoting sustainable FCC implementation in NICU and PICU settings.
Co-Authors Aan Nuraeni Abdullah, Dirman AI MARDHIYAH, AI Aini, Astri Mufti Ali, Samin M. Amalia, Selly Nurhasanah Anastasia Anna Anissa, Lisa Mutiara Anissa, Lisa Mutiara Anita Setyawati Asmara, A Danang Cahyani, Gita Cahyo, Firman Dwi Cecep Eli Kosasih Christina, Mikha Deris Riandi Setiawan Donny Nurhamsyah Efri Widianti Eka Afrima Sari Elsadai, Elsadai Etika Emaliyawati Fikriya, Aeni Freitas, Lurdes Acorta Hana Rizmadewi Agustina Handayani, Audia Harlasgunawan, Alia Rahmi Heriyansyah, Heriyansyah Ihsan, Farly Irman Somantri Istiazahra, Dylla Jabareen, Raifa Khoirunnisa, Fadila Kurhayati, Kurhayati Kusman Ibrahim Laili Rahayuwati Larashati, Defa Lilis Mamuroh Maria komariah Masruroh, Rurin Maulana, Sidik Mulya, Adelse Prima Mulyani, Tita Nasrullah, Kurnia Nenden Nur Asriyani Maryam Niken Ambarwati, Niken Nintyas, Felantina Restyar Nita Fitria Noor, Farisha Noya, Fricilia Nur Azmi, Nur Nuraeni, Aan Nuraeni, Aan Nuraeni Nuraeni, Aan Nuraeni Nurazizah, Auliyaurrahmah Nurdiansyah Nurdiansyah Nurdiansyah Nurhayati, Resti Nur’aeni, Aan Oktaviana, Mariska Palo, Daud Pamungkas, Sultan Muhammad Wahyu Pen, Inggried Angelica Valentina Wiliyams Permana, Septa Pratitis, Izzati Adha Priambodo, Ayu Prawesti Purnama, Anita Putri, Hani Amelia Rachmi, Fitria Rachmi, Fitria Rahman, Lutfi Raini Diah Susanti Ramadani, Regina Cahya Rausanfikra, Syiffa Salsabila Reis, Silvestre Dos Risnandar, Mochammad Wisnu Roulita, Roulita Rukmasari, Ema Ryan Hara Permana Sandra Pebrianti Santi Ariyanti Saparingga Dasti Putri Sari, Wulan Puspita Sesilia, Fitri Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sri Hendrawati Sugiharto, Firman Sukmawati Sukmawati Sulistiani, Eka Suryani Suryani Tambunan, Natalia Theresia Eriyani Titin Sutini Trisyani , Yanny Verawaty, Rotua Rina Wijayanti, Nunik Wiliastuti, Ulfah Nasti Yanny Trisyani Yanti Hermayanti Yuliandani, Erin Yusanti, Irma Yusshy Kurnia Herliani, Yusshy Kurnia