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All Journal Jurnal NERS MEDISAINS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jendela Nursing Journal (JNJ) BAGIMU NEGERI : JURNAL PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan BSI Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah The Indonesian Journal of Infectious Diseases NUSANTARA : Jurnal Ilmu Pengetahuan Sosial Jurnal Kreativitas PKM 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 Seminar Nasional Keperawatan J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal 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 Padjadjaran Acute Care Nursing Journal (PACNJ) Bagimu Negeri : Jurnal Pengabdian Kepada Masyarakat 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
Department Of Critical Care And Emergency Nursing, Faculty Of Nursing, Universitas Padjadjaran, Bandung
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Cross-Reactivity of Guillain-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with Complications Respiratory Failure: Case Report Harlasgunawan, Alia Rahmi; Palo, Daud; Abdullah, Dirman; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3441

Abstract

Guillain-Barre Syndrome (GBS) and Thrombotic Thrombocytopenic Purpura (TTP) are two medical conditions that are rare but can cause serious complications if they appear simultaneously. Both conditions involve autoimmune mechanisms and can result in organ failure, including respiratory failure. Although there are several case reports of each condition, research exploring the interaction between GBS and TTP in the context of respiratory failure is limited. Purpose: The aim of this study is to describe a case of cross-reactivity of Guillian-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with complications respiratory failure. Methods: This research uses a case study design involving an adult patient who was treated at a hospital in Bandung. Data was collected through a comprehensive nursing assessment. Patients provided informed consent before data were collected. Data analysis was carried out descriptively to describe clinical findings and patient management results. Results: The patient is a young woman 27 year old admitted to hospital with a diagnosis of GBS. Eleven days before entering the hospital the patient experience dascending paralysis, fever, nausea and vomiting.TTP cross-reactivity and peripheral nervous system inflammation in GBS.Complications of respiratory failure requiring invasive mechanical ventilation (IMV) in the ICU. Laboratory and radiological examinations supported the diagnosis, and medical intervention was performed according to protocol for both conditions. This shows the importance of close monitoring and prompt treatment to prevent further complications. These findings emphasize the need for a multidisciplinary approach in managing patients with complex medical conditions. Conclusion: An in-depth understanding of the interaction between GBS and TTP is essential for effective clinical management, especially in preventing and managing complications of respiratory failure.
Septic Shock due to Acinetobacter Baumannii Infection with Complications of Acute Respiratory Distress Syndrome: A Case Report Christina, Mikha; Noya, Fricilia; Freitas, Lurdes Acorta; Reis, Silvestre Dos; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3466

Abstract

Sepsis shock, characterized by sepsis-induced circulatory or metabolic disturbances, remains the leading cause of death in ICUs globally. Infection by Acinetobacter baumannii, which is frequently found in medical environments, can trigger life-threatening sepsis shock. This condition occurs when the bacteria or its bacterial products trigger adverse reactions from the immune system. ARDS, as a serious complication, results from endothelial damage that causes fluid to enter the alveoli, disrupting gas exchange and leading to respiratory failure. Purpose to describe a case in a patient diagnosed with epilepticus, with a history of autistic disorder, and non-specific pneumonia aged 30 years. This case report reviews a 30-year-old man admitted with a diagnosis of status epilepticus, with a history of autistic disorder, and non-specific pneumonia. The patient showed progressive improvement with initial therapy, including antiepileptic therapy and empirical antibiotics for pneumonia. However, the patient's condition deteriorated later, resulting in Acute Respiratory Distress Syndrome (ARDS) due to septic shock by Acinetobacter baumannii. The patient required mechanical ventilation and intensive management, including a change in antibiotic therapy and tracheostomy. With appropriate intervention, the patient showed improvement and was successfully discharged from mechanical ventilation. This patient with severe ARDS caused by sepsis shock due to Acinetobacter baumannii infection, demonstrates the importance of prompt and appropriate management of the complications of sepsis to prevent the patient's death. Acinetobacter baumannii infection causing ARDS and sepsis shock is a serious and rarely reported case, where aggressive treatment of sepsis with appropriate antibiotics and careful management of mechanical ventilation can improve the progression of ARDS.
Assessment of Cryptococcal Meningitis Concurrent with Multidrug-Resistant Tuberculous Meningitis: A Case Report Elsadai, Elsadai; Priambodo, Ayu Prawesti; Mirwanti, Ristina; Sesilia, Fitri; Heriyansyah, Heriyansyah
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3489

Abstract

Cryptococcal meningitis is an infection that attacks the tissue lining the brain and spinal cord, caused by the fungus Cryptococcus neoformans. This infection mainly occurs in individuals with a weakened immune system, such as people with HIV/AIDS. The spread of this fungus into the central nervous system can result in serious conditions, even fatal if not treated quickly and appropriately. Objective: to present a rare and complex case report of a patient with concurrent cryptococcal meningitis and multiresistant tuberculous meningitis, as well as evaluate the management strategies used in the patient's care. Method: Case study was conducted through a comprehensive approach including health history assessment, physical examinations, psychosocial analysis, customized nursing assessment forms, electronic medical record reviews, laboratory diagnostics, imaging studies, and multidisciplinary consultations to ensure accurate diagnosis and effective interventions Mrs. R, a 33 year old woman with a final diagnosis including Pneumonia with aspiration mechanism, Cryptococcal Meningitis, Grade II MDR TB Meningitis complicated by arteritis, as well as several other conditions including Hyponatremia, hypochloremia, and hypocalcemia due to insufficient intake, Chronic Suppurative Otitis Media (CSOM) and Typhoid Fever. Results: The patient was diagnosed with aspiration pneumonia, cryptococcal meningitis, multiresistant tuberculous meningitis, as well as other conditions such as hypernatremia, hypokalemia, hypocalcemia, chronic suppurative otitis media, and typhoid fever. Despite treatment, the patient's condition worsened, leading to respiratory failure and death from aspiration pneumonia. Conclusions: This case report highlights the diagnostic and therapeutic challenges in managing concurrent cryptococcal meningitis and multiresistant tuberculous meningitis. This emphasizes the importance of a comprehensive approach in diagnosis and management in patients with complex concurrent infections, even without HIV. This case also emphasizes the need for further research and improved strategies for managing rare and complex infections such as this.
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.
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.
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Abdullah, Dirman Agustini Muzalifah AI MARDHIYAH, AI Aini, Astri Mufti Aldiano Alham Alex Setiawan Ali, Samin M. Amalia, Selly Nurhasanah Ananda, Rahmatika Anastasia Anna Anastasia Yovita Anissa, Lisa Mutiara Anissa, Lisa Mutiara Anita Setyawati Ashamar Puri Apsari Asmara, A Danang Asti Oktavianti Cahyani, Gita Cahyo, Firman Dwi Cecep Eli Kosasih Chandra Isabella Hostanida Purba Christina, Mikha Deris Riandi Setiawan Donny Nurhamsyah Donny Nurhamsyah Dylla Istiazahra Efri Widianti Eka Afrima Sari Elsa Egawati Sonandar Elsadai, Elsadai Etika Emaliawati Etika Emaliyawati Farah Nibras Farly Ihsan Fikriya, Aeni Firman Dwi Cahyo Firman Sugiharto Freitas, Lurdes Acorta Hana Rizmadewi Agustina Handayani, Audia Harlasgunawan, Alia Rahmi Hartiah Haroen Heriyansyah, Heriyansyah Iduliah Fitriani Ikeu Nurhidayah Intan Nurbaiduri Iriani, Nitha Putri Irma Mawarni Putri Irman Somantri Jabareen, Raifa Jemi Rahmani Abdullah Khoirunnisa, Fadila Kintan Komala Kurhayati, Kurhayati Kusman Ibrahim Laili Rahayuwati Larasati, Adhisti Sophia Larashati, Defa Lia Puji Astuti Lilis Mamuroh M Reza Saputra Maria komariah Masruroh, Rurin Maulana, Sidik Meisha Nurlianti Hidayat Melinda Ardian Dwi Cahya Moch. Didik Nugraha Muhamad Gustaf Al Fajar Muhammad Iqbal Mulya, Adelse Prima Mulyani, Tita N Nunik Virgianty Nada Shofi Nadiya Miftah Karima Nancy Veronica Nasrullah, Kurnia Nenden Nur Asriyani Maryam Neng Anisa Purnama Cahya Nida, Shoffatun Nidya Fildza Niken Ambarwati, Niken Nintyas, Felantina Restyar Nita Fitria Noor, Farisha Noya, Fricilia Nunik Wijayanti Nur Azmi, Nur Nur Oktavia Hidayati Nuraeni, Aan Nuraeni, Aan Nuraeni Nuraeni, Aan Nuraeni Nurazizah, Auliyaurrahmah Nurdiansyah Nurdiansyah Nurdiansyah Nurhayati, Resti Nurhidayat, Reski Nurlaeci Nurlaeci Nurlatifah, Novie Nursyafaat, Anastia Nur’aeni, Aan Oktaviana, Mariska Oktaviani, Dwi Putri Palo, Daud Pamungkas, Sultan Muhammad Wahyu Pen, Inggried Angelica Valentina Wiliyams Permana, Septa Prakhasa, Zivanka Aurelia Sheva Pratitis, Izzati Adha Priambodo, Ayu Prawesti Purnama, Anita Putri Karisa Putri, Hani Amelia Putri, Tegar Wulandari Rachmi, Fitria Rachmi, Fitria Rahayu Merdekawati Rahman, Lutfi Rahmi Fitriyani Rahmi Fitriyani Raini Diah Susanti Raissa Fatimah Ramadani, Regina Cahya Ramdhaniati, Thusiani Rausanfikra, Syiffa Salsabila Reis, Silvestre Dos Restuning Widiasih Rini Riandini Risma Dwiriyanti Risnandar, Mochammad Wisnu Roulita Roulita, Roulita Rukmasari, Ema Ryan Hara Permana Ryan Hara Permana Salsabila, Syifa Sandra Pebrianti Sandra Restuti Santi Ariyanti Santi Ariyanti Saparingga Dasti Putri Sari, Wulan Puspita Selly Nurhasanah Amalia Septiani, Indri Sesilia, Fitri Silvia Azkhari Sinta Dwi Ananda Siti Ulfah Rifa’atul Fitri Sri Hartati Pratiwi Sri Hendrawati Sugiharto, Firman Sukmawati Sukmawati Sulistiani, Eka Sunita, Elni Suryani Suryani Syahida Ayu Tambunan, Natalia Taqiyya, Azizah Vella Theresia Eriyani Titin Sutini Trisyani , Yanny Verawaty, Rotua Rina Wahyu Pratiwi Warisya Miftah Amanda Wijayanti, Nunik Wiliastuti, Ulfah Nasti Wina Supriatna Yanny Trisyani Yanny Trisyani Yanny Trisyanni Wahyuni Yanti Hermayanti Yuliandani, Erin Yupira Dera Sopyanti Yusanti, Irma Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia