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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Indonesian Journal of Global Health research Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat Journal of Nursing Invention Jurnal Lentera Sains Medisina Health Research Journal of Indonesia Majalah Cendekia Mengabdi
Yunina Elasari, Yunina
STIKES Sari Mulia
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Upaya Peningkatan Pengetahuan Perawat Dalam Pencegahan Risiko Jatuh Di Bangsal Kelas 2 Rs Bhayangkara Polda Lampung Rahmawati, Nabila Dwi; Elasari, Yunina; Wulandari, Rizky Yeni
Sains Medisina Vol 3 No 4 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i4.726

Abstract

Insiden keselamatan pasien di Indonesia diketahui bahwa terdapat 7.465 kasus pada tahun 2019, yang terdiri dari 171 kematian, 80 cedera berat, 372 cedera sedang, 1183 cedera ringan, dan 5659 tidak ada cedera. Di Indonesia terdapat 2.877 rumah sakit yang telah terakreditasi, namun hanya 12% insiden keselamatan pasien dengan jumlah laporan sebanyak 7465 Kasus. Tujuan penulisan karya ilmiah ini adalah untuk Mengetahui Upaya pencegahan resiko jatuh di Bangsal kelas 2 RS bhayangkara polda Lampung. Penulisan karya ilmiah ini dengan menggunakan studi kasus. Pengumpulan data dilakukan pada bulan 9-11 Maret 2024. Didapatkan masalah berupa belum optimalnya pelaksanaan resiko jatuh. Rencana yang akan dilakukan yaitu memberikan edukasi kepada perawat terkait pencegahan resiko jatuh di Ruang Bangsal kelas 2 RS Bhayangkara Polda Lampung. Hasil evaluasi kegiatan ini terdapat peningkatan pengetahuan resiko jatuh perawat dari 54% menjadi 75%. Saran pada penelitian ini kepada perawat untuk melakukan pengecekan terhadap pemasangan handrail pasien dan memberi esukasi kepada keluarga tentang pentingnya pemasangan handrail guna mencegah kejadian jatuh para pasien.
Optimalisasi Pencegahan Resiko Jatuh Di Ruang Penyakit Dalam Rsud Pringsewu Listiana; Wulandari, Rizki Yeni; Elasari, Yunina
Sains Medisina Vol 3 No 4 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i4.727

Abstract

Menurut Komisi Nasional Keselamatan Pasien Rumah Sakit(KNKPRS) tahun 2019 jumlah kejadian nyaris cidera (KNC) sebanyak 2534, kejadian tidak cidera (KTC) sebanyak 2554, dan kejadian tidak diharapkan (KTD) sebanyak 2567 kasus. Sedangkan yang menyebabkan kematian sebanyak 243, cidera berat 89, cidera sedang 449, cidera ringan 1247 dan tidak cidera sebanyak 5630. Tujuan untuk mengetahui upaya peningkatan Pencegahan resiko jatuh di ruang penyakit dalam RSUD Pringsewu. Penulisan karya Ilmiah ini dengan menggunakan pendekatan studi kasus. Pengumpulan data dilakukan melalui proses wawancara, observasi dan pengkajian di ruang Penyakit Dalam Rsud Pringsewu Pada tanggal 11 Mei 2024. Hasil dari penelitian didapatkan ada peningkatan pengetahuan dari 51% Menjadi 82%. Diharapkan Kepada perawat untuk melakukan pengkajian resiko jatuh dan pelaksanaan resiko jatuh untuk melaksanakan asuhan keperawatan agar mutu pelayanan menjadi maksimal.
Penerapan Fungsi Pengarahan (Pre Dan Post Conference) Di Ruang Penyakit Dalam Rumah Sakit Umum Daerah Pringsewu Yuliyanto, Dian; Wulandari, Rizki Yeni; Elasari, Yunina
Sains Medisina Vol 3 No 4 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i4.729

Abstract

Pelayanan keperawatan di Indonesia pada saat ini masih dalam suatu proses profesionalisasi, yaitu terjadinya suatu perubahan dan perkembangan karakteristik sesuai tuntutan secara global dan lokal Untuk mewujudkannya maka perawat harus mampu memberikan asuhan keperawatan secara profesional kepada klien yaitu salah satunya pelaksanaan pre post conference sebagai komunikasi antar perawat. Komunikasi antar perawat sangat banyak kendala. Kendala tersebut berupa miskomunikasi antar perawat pelaksana tentang kurang pemahaman perawat tentang pentingnya pelaksanaan pre dan post conference. Tujuan dalam penulisan karya ilmiah ini untuk mengetahui Penerapan fungsi penerapan (pre dan post conference) di ruang penyakit dalam rumah sakit umum daerah pringsewu. Penulisan karya ilmiah ini dilakukan dengan metode, pengumpulan data menggunakan kuesioner ,lembar observasi Dan dengan menggunakan metode wawancara pada tanggal 16 Mei 2024. Pengkajian dilakukan dengan 4 orang perawat ditemukan bahwa kegiatan pre dan post conference belum optimal dilakukan hanya melakukan di dinas pagi dan siang. Pengkajian yang dilakukan yaitu mengenai data umum dan masalah yang berhubungan dengan manajemen keperawatan di Ruangan Penyakit dalam yang berkaitan dengan fungsi pengarahan (pre dan post conference) yang belum optimal. Hasil dari karya Ilmiah ini adalah diperoleh bahwa tersosialisasinya 9 dari 13 perawat tentang pre dan post conference dengan menggunakan media Booklet. Diharapkan perawat di ruang Penyakit dalam melanjutkan dan menerapkan pre dan post conference dengan baik.
Hubungan Peran Kader Dengan Capaian Temuan Kasus TB di Wilayah Kerja UPTD Puskesmas Bumi Agung Kecamatan Abung Timur Kabupaten Lampung Utara Bagus Sajiwo, M Dimas; Elasari, Yunina; Nugroho, Tri Adi; Surmiasih
Health Research Journal of Indonesia Vol 3 No 5 (2025): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v3i5.579

Abstract

Pendahuluan: Peran kader sangat penting untuk penemuan kasus TBC sehingga dapat  mencapaian target pemerintah. Fenomena masalah yang ada ditempat penelitian itu tidak mencukupi ketercapaian angka puskesmas. Kemampuan kader berperan aktif untuk melakukan investigasi kontak dalam rangka penemuan suspek TBC dapat ditingkatkan melalui kegiatan pendampingan. Pelaksanaan pada penemuan capaian pasien terbukti masih belum berjalan optimal karenakan peran kader itu sendiri, berdasarkan data temuan capaian temuan tedapat 19 kasus terduga yang positif. Tujuan: Tujuan penelitian untuk mengetahui hubungan peran kader dengan capain temuan kasus tb di Wilayah Kerja UPTD Puskesmas Bumi Agung Kecamatan Abung Timur Kabupaten Lampung Utara. Metode: Jenis penelitian ini adalah kuantitatif menggunakan desain penelitian yang digunakan adalah cross sectional. Sampel dalam penelitian ini berjumlah 60 responden dengan teknik Total sampling. Penelitian ini dilakukan di Wilayah Kerja UPTD Puskesmas Bumi Agung pada tanggal 05-22 Desember 2024. Pengumpulan data mengunkan lembar kuisioner secara univariat dan bivariat, Analisa data mengunakan (Uji Chi-Square). Hasil: Hasil Penelitian didapatkan bahwa Diketahui dari 60 responden dengan pelaksanaan penemuan kasus tb sebanyak 41 (68,3%) responden tidak menemukan juga, sebanyak 19 (31,7%) responden ditemukan kasus tb. Hasil uji statistik diperoleh p-value = 0,001 yang berarti p<α = 0,05 (Ha diterima dan Ho ditolak), maka dapat disimpulkan bahwa ada hubungan pelaksanaan peran kader dengan capaian temuan kasus tb di Wilayah Kerja UPTD Puskesmas Bumi Agung. Simpulan: Diharapkan menjadi bahan pertimbangan penyusunan program Kegiatan Pelayanan Keperawatan Kesehatan masyarakat dalam mengatasi rendahnya capaian penemuan Kasus tb bagi kader TB untuk dapat membantu masyarakat untuk memeriksa kesehatannya di puskesmas dan fasilitas pelayanan kesehatan terdekat.
Factors Associated with Readmission Events for BPJS Health Patients in Hospitals Elasari, Yunina; Wulandari, Rizki Yeni; Nugroho, Tri Adi
Indonesian Journal of Global Health Research Vol 6 No S5 (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.v6iS5.4542

Abstract

The incidence of inpatient readmissions within 30 days is an indicator of the quality management system and service costs in the National Health Insurance (JKN) program. The high incidence of readmissions creates inefficiency and is detrimental not only to BPJS Health as the guarantor, but also to the patients themselves. Readmissions are also a sign of poor quality of health services in hospitals. Summary of JKN data from 2015 to 2019, the hospital readmission rate was 561 per 10,000 cases or 5.61%. This figure is still above the ideal figure, namely above 1%. This study aims to determine the factors associated with the incidence of BPJS Health patient readmissions in hospitals. Quantitative research method with a cross sectional research design on data collected retrospectively. The research sample was taken using a total sampling technique by taking all inpatients at Mutiara Bunda Hospital, Tulang Bawang Regency in 2023, namely 8879 patients. The research data were processed using the person chi-square correlation test. The results of the analysis showed that there was a significant relationship between gender (p < 0.001) and length of stay (p = 0.046) with the incidence of readmissions. There was no relationship between age (p = 0.177) and case severity (p = 0.914) with the incidence of readmission. Hospital management is expected to be able to improve the quality and efficiency of health services through planning the discharge of patients from the moment they are admitted to the hospital, providing education, and continuity of service by prioritizing age at risk to reduce the incidence of readmissions in hospitals.
Hubungan Psychosocial Care Perawat Dengan Kecemasan Pasien di Ruang Rawat Inap Dewasa RSUD Dr. H. Abdul Moeloek Provinsi Lampung Elasari, Yunina; Brinka, Belli; Agustriyani, Feri; Wahyudi, Dian Arif
Journal of Nursing Invention Vol. 4 No. 2 (2023): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v4i2.310

Abstract

Background: Anxiety is one of the primary indicators of the quality of health services in hospitals. It often occurs in hospitalized patients. Data from WHO in 2016 shows that about 3.6% of the entire population in the world is experiencing mental anxiety disorders. Psychosocial nursing care, which is psychological and social care, can reduce the anxiety level of inpatients. Objective: The study aimed to determine the correlation between psychosocial nursing care with patient anxiety in the adult inpatient room at the Regional Public Hospital of Dr.H Abdul Moeloek in Lampung Province. Method: The research design employed in this study was descriptive correlation utilizing a cross-sectional method. The population in this study was 112 patients in the adult inpatient rooms at the Regional Public Hospital of Dr.H Abdul Moeloek in Lampung Province, with samples of 100 people Result: The bivariate analysis in this research is conducted using the Chi-Square test. The research findings obtained p-value= 0.000, showing a significant relationship between psychosocial nursing care and patient anxiety in adult inpatient rooms. Conclusion: Psychosocial nursing care encompasses the domains of empathy, support, and information fulfillment. The importance of nurses in providing complete and accurate information about the patient's health condition in the inpatient room in an effort to reduce patient anxiety.
Faktor-Faktor yang Berhubungan Dengan Lama Hari Rawat Pasien BPJS Kesehatan di Rumah Sakit Mardi Waluyo Kota Metro Atmojo, Catur Yuli; Elasari, Yunina; Surmiasih, Surmiasih; Nugroho, Tri Adi
Journal of Nursing Invention Vol. 5 No. 2 (2024): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v5i2.539

Abstract

Background: Length of hospitalization is indicator accomplishment of patient care in hospital. Long hospitalization causes increased treatment costs, whereas hospitalization that is too short will increase the risk of patient re-admission. The majority of inpatients in Indonesia are Health patients of social insurance administration organization with a payment system based on the ina-cbgs claim package which seeks to shorten patient treatment time to avoid economic losses so that the Length of hospitalization value is still below 6-9 days. Objective: The research to determine the correlation between sociodemographic factors and length of stay for health patients of social insurance administration organization in Mardi Waluyo Hospital at Metro City. Method: This observational analysis study was designed to collect data retrospectively using a cross-sectional design. are all Health participants of social insurance administration organization who will be treated at Mardi Waluyo Hospital in Metro City 2022, with a total of 13.903 patients. The sampling technique used total sampling. Data were analyzed used the Chi Square test Result: The results of the analysis show that there is a significant correlation between (age p= <0.001); (gender p=<0.001); (treatment class p= 0.001), (type of disease p= 0.001); and (number of disease diagnoses p=<0.001) with length of stay. Conclusion: It is recommended that research sites conduct a more in-depth analysis of factors related to length of hospitalization so that the services provided to patients are more effective and efficient and can increase patient satisfaction.
Pengaruh Pelaksanaan Discharge Planning Terstruktur Terhadap Kepuasan Pasien di Rumah Sakit Natar Medika Neliwati; Elasari, Yunina; Wulandari, Rizki Yeni; Kurniawan, Moh Heri
Journal of Nursing Invention Vol. 5 No. 2 (2024): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v5i2.681

Abstract

Background: Discharge Planning is a continuous process that must be started or implemented since the patient is admitted and hospitalized in the hospital with the aim of helping patients and families in improving or maintaining their health. Discharge planning for patients who are being treated has not been implemented optimally because the role of nurses is still limited to carrying out routine activities only, namely only in the form of information about the re-check schedule Objective: The purpose of this study is to optimize the implementation of Discharge planning at Natar Medika Hospital. Method: The research design used was quantitative research with a pre-experimental approach conducted on August 1-25, 2024. The sample in this study was 40 patients in the inpatient room of Natar Medika Hospital, with a purposive sampling technique. The statistical test in this study used the Wilcoxone test. Results: The results of the univariate analysis obtained results from 40 respondents before being given socialization of the implementation of discharge planning, the most was less than 30 people (75%), after being given socialization, the most was good with 35 people (85.5%), the results of the bivariate analysis showed a p-value of 0.000 <0.05 there was an effect of socialization on the implementation of structured discharge planning at Natar Medika Hospital in 2024, and the implementation of structured discharge planning at Natar Medika Hospital has been running optimally. Conclusion: The suggestion from this study for the management of Natar Medika Hospital is to carry out a supervision process related to the implementation of discharge planning for nurses so that structured discharge planning activities when patients are treated at the hospital until the patient is declared home can run optimally.
Hubungan Pengetahuan Perawat Tentang CPPT Dan Penerapan Handover Menggunakan Metode SBAR Dengan Kualitas Asuhan Keperawatan Wulandari, Rizki Yeni; Elasari, Yunina; Surmiasih; Jingga Marsanda, Jingga
Journal of Nursing Invention Vol. 6 No. 1 (2025): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v6i1.690

Abstract

Background: CPPT and SBAR communication during handover are essential components in nursing care. However, some nurses are still not optimal in documenting CPPT and implementing SBAR during shift handovers. This can affect the continuity and quality of nursing care provided to patients in hospital inpatient units. Objective: This research to examine the relationship between nurses' knowledge of CPPT and the implementation of handover using the SBAR method with the quality of nursing care in the inpatient unit of RSU Muhammadiyah Metro. Method: This study applied a quantitative approach with a cross-sectional research design and analysed data using the Gamma statistical test. The research sample consisted of nurses in the inpatient ward of Muhammadiyah Metro General Hospital, with a total of 107 respondents selected through proportionate stratified random sampling. The research instruments used three questionnaires: a questionnaire on nurses' knowledge about Integrated Patient Development Notes (CPPT), a Situation, Background, Assessment, Recommendation (SBAR) handover method questionnaire, and a nursing care quality questionnaire. The research was conducted from September 13-20, 2024. Result: There is a significant relationship between nurses' knowledge of Integrated Patient Progress Notes (CPPT) and the quality of nursing care, with a p-value of 0.007. Additionally, there is a significant correlation between the implementation of patient handover using the Situation, Background, Assessment, Recommendation (SBAR) method and the quality of nursing care, with a p-value of 0.011. Conclusion: The hospital is expected to conduct supervision on CPPT documentation and the implementation of SBAR handover method, to improve the quality of nursing care provided to patients.
Hubungan Pelaksanaan Discharge Planning Terstruktur Dengan Kepatuhan Kontrol Ulang Pasien Rawat Inap Di Rumah Sakit Natar Medika greita andriana; Elasari, Yunina; Setiawan, Moh Heri; Wulandari, Rizki Yeni
Journal of Nursing Invention Vol. 6 No. 1 (2025): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v6i1.698

Abstract

Background: One of the qualities of health services is post-inpatient patient compliance with control examinations after undergoing in-patient treatment at the hospital. Factors that can cause compliance to return control are the provision of discharge planning. Discharge planning has an important influence on health services, including reducing the occurrence of rehospitalization. Meanwhile, the current phenomenon is that the implementation of discharge planning at Natar Medika Hospital is still not good, this can be proven from the results of the pre-survey, 5 out of 10 patients stated that discharge planning was not implemented. by nurses properly. Purpose: This study was to determine the relationship between the implementation of discharge planning and compliance with re-control of post-inpatient patients at Natar Medika Hospital. Method: This research uses the Analytical Survey method with a cross sectional approach. The sample in this study amounted to 94 respondents using proportionate stratified random sampling technique. This research was carried out from July 22 to September 7 2024. Results: The research that was carried out found that 85 (90.5%) respondents were in the good category in implementing discharge planning. Meanwhile, 88 (93.6%) respondents underwent re-control after hospitalization. The statistical test results obtained p-value = 0.002, which means p<α = 0.005. Conclusion: There is a relationship between the implementation of structured discharge planning and patient compliance with post-hospitalization follow-up. It is hoped that the results of this research can increase nurses' motivation in implementing discharge planning better, so that patients do not experience rehospitalization before it is time for control patients.
Co-Authors Agustriyani, Feri Alxenia, Salsabila Anggi Regita , Bella Atmojo, Catur Yuli Bagus Sajiwo, M Dimas Brinka, Belli Cahya Kinanti, Adelia Futri, Yuli Sena greita andriana Jingga Marsanda, Jingga Kurnia, Desti Kurniawan, Moh Heri Kurniawan, Moh. Heri Listiana Neliwati Nugroho, Tri Adi Nur Anggraini, Silvia Nurhakiki, Nurhakiki Nurjanah, Fadilla Rahmawati, Nabila Dwi Rizki Yeni Wulandari Saputri, Rani Kurnia Sari, Dina Yulia Sari, Fitri Ana Septiana, Marisa Setiawan, Moh Heri Subari, Ahmad Surmiasih Surmiasih Surmiasih, Surmiasih Tri Adi Nugroho Wahyudi, Dian Arif Wulandari, Rizky Yeni Yeni Wulandarai, Rizki Yugiyanti, Desita Yuliyanto, Dian