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The Degree of Diabetic Wounds Affects Kidney Function Damage Windartik, Emyk; Rahmawati, Ima; Jariyah, Ita Ainun; Merbawani, Raras; Lestari, Indah; Roâ€™ifah, Ifa; Andriyanto, Arief
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: The peripheral neuropathy is the cause of hospitalization for patients with diabetes mellitus (DM) and damages kidney function due to the circulatory system with high sugar levels. High sugar levels in DM patients with diabetic wounds can trigger glomerular damage resulting in the decrease of kidney function.Purpose: This study aims to analyze the relationship between the degree of diabetic wounds and kidney functions in patients with DM.Methods: A cross-sectional study was conducted on 723 DM patients who experienced diabetic wounds in a hospital in Mojokerto, East Java, Indonesia. A purposive sampling technique was used to recruit the samples. The data of this study were medical records of diabetic patients. A simple linear regression test was employed to analyze the data.Results: The result showed that the degree of diabetic wound was significantly related to kidney function damage (p=0.000). The relationship between the degree of diabetic wounds and the decline in kidney function was shown by an R-squared value of 0.768, meaning that the degree of diabetic wound affected the decline of kidney function by 76.8%, while the 23.2% was affected by other factors.Conclusion:The degree of diabetic injury affects the decline of kidney function in DM patients by 76.8%. Nurses should do health promotion about controlling blood sugar levels in DM patients with the prevention of four pillars of diabetes, including education, nutrition, physical activity, and stress.Â

Implementation of Primary Team Professional Nursing Practice Methods In Hospital: A Systematic Review Merbawani, Raras; Munfadlila, Asef Wildan
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.145

Background: The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals.Purpose: The purpose of this study was to determine the application of MPKP in hospitals.Methods: This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). Â Results: The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses have to make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model. Â Conclusion: The better the implementation of the Professional Nursing Practice Method (MPKP) is carried out, the better the services provided by the hospital to patients

Paragraph Shrinking Strategy for Teaching Reading Nursing Student Wildan, Asef; Zainudin, Moh; Merbawani, Raras
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 1 No. 1 (2022): Vol. 1 No. 1 2022
Publisher : Kirana Publisher (KNPub)

The goal of this study is to determine whether or not the paragraph-shrinking strategy significantly affected students' reading comprehension. This study used an experimental design with a posttest-only control group. The control class received treatment using the usual technique, while the experimental class received treatment using the paragraph shrinking strategy. This study used a multiple-choice reading test as its instrument. This instrument was valid because it was based on the syllabus and had subject validity that had been taught in the past. Because the writer had tested the instrument and divided the reliability in half, it was then reliable. After that, the writer utilized Gay's suggested t-test procedure to examine the data and determine whether the hypothesis was correct.

Physical Activity on Coronary Heart Disease Patients Merbawani, Raras
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 1 No. 1 (2022): Vol. 1 No. 1 2022
Publisher : Kirana Publisher (KNPub)

Lack of physical activity is associated with weight gain, being overweight and obesity which are the main factors causing modern diseases such as coronary heart disease. It is estimated that during the last 15 years, 8.7 million of the world's population have died from coronary heart disease, an increase of 12.2% from 2000. Regular physical activity can reduce the risk of morbidity and mortality of all risks of cardiovascular disease including coronary heart disease. This study aims to describe physical activity in patients with coronary heart disease. The research design used in this study is descriptive with a retrospective approach. The population in this study were all patients with coronary heart disease at Cardiology Departement in Hospital Dr. Wahidin Sudiro Husodo for the period July 2018. The sample size was 102 respondents using Consecutive Sampling techniques. This research was conducted on 2-14 July 2018. The results of this study indicate that almost half of respondents with low intensity of physical activity were 50 people (49.0%)

ANXIETY LEVELS AND PERCUTANEOUS CARDIAC INTERVENTION (PCI) IN STEMI AND NSTEMI PATIENTS AT BANGIL HOSPITAL MERBAWANI, RARAS
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 3 (2023): VOLUME 7 ISSUE 3 DECEMBER 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss3/514

According to the World Health Organization, coronary heart disease, including STEMI and NSTEMI, is the leading cause of noncommunicable disease-related mortality worldwide. First treatment for STEMI-NSTEMI patients was reperfusion with Percutaneous Coronary Intervention (PCI). Anxiety increases the difficulty of controlling cardiac disease in patients with a diagnosis of STEMI and NSTEMI who will undergo PCI surgery. This study employs a cross-sectional correlation analysis methodology. Patients with coronary heart disease diagnosed with STEMI and NSTEMI who are receiving treatment at Bangil Hospital constituted the population. Forty respondents were selected using a technique called purposive sampling. Percutaneous Coronary Intervention (PCI) is the independent variable. While apprehension levels are the dependent variable. At a Sig (2-tailed) value of 0.05, Ho was rejected and H1 was accepted, indicating that there was a correlation between preparation for surgery (Giving Informed Consent) Percutaneous Coronary Intervention and anxiety levels in STEMI - NSTEMI patients at Bangil Hospital. Consent was obtained prior to the decision to perform PCI. If the patient agrees to informed consent, the procedure will continue; if the patient refuses, the procedure will not be performed. The conclusion of this study is that Percutaneous Coronary Intervention (PCI) procedures are associated with a lower level of anxiety the better the preparation for surgery (providing informed consent) is.

Systematic Review: Implementation of Primary Team Professional Nursing Practice Methods in Hospital Merbawani, Raras; Munfadlila, Asef Wildan
Journal for Quality in Public Health Vol. 5 No. 1 (2021): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v5i1.240

The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals. The purpose of this study was to determine the application of MPKP in hospitals. This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses must make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model.

Health Education Effected Public Knowledge To Prevention Of Dengue Hemorrhagic Fever (DHF) Merbawani, Raras; Asef Wildan Munfadlila
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 2 No. 3 (2023): Vol. 2 No. 3 2023
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v2i3.132

Problems The government's present approach to the challenges the DHF disease faces in Indonesia is insufficient. Though, in order to regulate the DHF condition, public support is essential. The fact that the general public does not participate in Mosquito Nest Eradication (PSN) initiatives shows how poorly understood and known DHF illness prevention is by the general population. Examine the impact of health education on the community's awareness of DHF prevention. Pretest-posttest design with a single group, pre-experimental investigation. The population of Village Sumberwuluh Subdistrict Dawarblandong Regency Mojokerto, which consists of 289 homes and is entirely under inquiry, was represented by one responder who was between the ages of 18 and 35 in each of the 289 households. This is a simple random sampling technique. 44 people comprise the huge sample. questionnaire-based instrument study using SAP. The results showed that 32 respondents (72.7%) had sufficient knowledge of DHF prevention before obtaining health education, and 23 respondents (52.3%), after getting health education, had sufficient knowledge of DHF prevention. Based on the Wilcoxon Signed Rank statistical test results, H1 is accepted and H0 is denied, which indicates that health education has an impact on community understanding on DHF prevention. When more data is acquired and health education is observed, a better understanding of DHF prevention is attained.

Chemotherapy Patients' Pain Levels and Their Ability to Perform Activities of Daily Living (Adl) Merbawani, Raras
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 2 No. 4 (2023): Vol. 2 No.4 2023
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v2i4.262

Chemotherapy induces pain in individuals with cancer, leading to various physical consequences such as fatigue, reduced appetite, vomiting, and compromised muscle strength. As a consequence of this effect, activities of daily living (ADL) are disrupted. The purpose of this study was to determine the relationship between pain intensity and capacity to perform activities of daily living (ADL) among chemotherapy patients in the Bangil Pasuruan Regional Hospital's Chemotherapy Room. This study employs a correlational design and a cross-sectional methodology. All 31 chemotherapy patients in the Chemotherapy Room at Bangil Pasuruan Regional Hospital comprised the population of this investigation. Utilizing consecutive sampling, a sample of twenty-three individuals was collected between April 15 and May 15, 2023. The investigation utilized the Barthel index and numeric pain scale as its instruments. For data analysis, the Spearman Rho Test was utilized. 18 respondents (78.3%) reported experiencing moderate discomfort, and the majority of respondents (15 respondents, or 65.2%) reported having mild ADL abilities, according to the findings of the study. The Spearman test yielded a p-value of 0.0 and a correlation coefficient of 0.722; therefore, H 1 is accepted. This indicates that there is a significant relationship between the intensity of pain and the ability of chemotherapy patients to perform activities of daily living (ADL) in the Chemotherapy Room at Bangil Pasuruan Regional Hospital. Specifically, as the intensity of the pain increases, so does the degree of dependence of the patients on ADL. A decrease in muscle strength brought on by pain diminishes the ability to perform ADLs. It is the responsibility of hospital nurses to assist chemotherapy patients with activities of daily living (ADLs) and to instruct them in non-pharmaceutical relaxation and distraction techniques to alleviate discomfort.

Juridical Analysis Of Nurses' Legal Liability For Negligence In Providing Nursing Services Merbawani, Raras
Innovative: Journal Of Social Science Research Vol. 4 No. 2 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i2.11528

Perawat merupakan salah satu profesi tenaga kesehatan yang memberikan pelayanan kesehatan yang dalam kesehariannya berhubungan langsung dengan pasien atau tenaga kesehatan lainnya. Tujuan penelitian ini adalah untuk melakukan analisis yuridis tentang tanggung jawab Perdata perawat atas kelalaian dalam memberikan pelayanan keperawatan. Metode penelitian ini menggunakan Statute Approach legistatif dan regulasi dengan Conseptual Approach. Bahan hukum berupa konsep hukum dan literatur tentang hal yang sedang diselidiki, meliputi: 1) Undang-Undang Nomor 36 Tahun 2009; 2) Undang-Undang Nomor 38 Tahun 2014 tentang Keperawatan; 3) Peraturan Pemerintah Nomor 32 Tahun 1996; 4) Keputusan Menteri Kesehatan, Polisi Kesehatan No. 1239/Menkes/SK/XI/2001; 5) UU Kesehatan Nomor 36 Tahun 2009. Tanggung jawab hukum perawat dalam melakukan tindakan medis, meliputi standar keperawatan, kompetensi profesional, informed consent, dokumentasi, keselamatan pasien, kehadiran perawat dan kewajiban dalam tugas, privacy, melapor kondisi pasien. Tanggung jawab etik perawat dalam melakukan tindakan medis, meliputi otonomi pasien, persetujuan informatif, non-maleficence, beneficence, keadilan, integritas profesional, kepatuhan terhadap kode etik keperawatan, kolabotif, pengembangan profesional. Perlindungan hukum bagi profesi perawat, meliputi lisensi dan regulasi profesi, undang-undang ketenagakerjaan, kode etik keperawatan, perlindungan tuntutan hukum, asuransi malpraktik, hak untuk menolak tindakan medis, pengaduan profesional. Perawat merupakan salah satu profesi tenaga kesehatan yang memiliki tanggung jawab dalam melakukan tugasnya dalam memberikan asuhan secara kompeten. Kode etik keperawatan merupakan standar etika dalam profesi keperawatan. Kode etik keperawatan dijadikan sebagai landasan dalam praktik keperawatan terkait tanggung jawab secara etik, hukum, dan perlindungan perawat dalam praktiknya.

Nursing Professional Students' Perceptions Of The Indonesian Nursing Code Of Ethics Merbawani, Raras; Rofi'ah , Ika Ainur
Innovative: Journal Of Social Science Research Vol. 5 No. 1 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i1.18192

Abstrak Kode etik keperawatan profesional merupakan dasar bagi praktik keperawatan yang etis dan bertanggung jawab yangmenekankan pentingnya kompetensi dalam memberikan perawatan yang sesuai dengan ilmu pengetahuan dan praktik terkini. Tujuan penelitian ini untuk mengetahui persepsi mahasiswa profesi ners tentang kode etik keperawatan Indonesia. Penelitian ini adalah penelitian deskriptif kuantitatif. Sampel penelitian ini berjumlah 23 mahasiswa profesi ners Universitas Bina Sehat PPNI yang sedang menjalani pendidikan profesi di Rumah Sakit Al Islam H. Mawardi Sidoarjo yang diambil dengan teknik total sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner Persepsi tentang Kode Etik Keperawatan. Data dianalisis dengan menggunakan analisis univariat dan disajikan dalam bentuk distribusi frekuensi. Hasil penelitian meliputi: 1) Seluruh responden memahami definisi kode etik (100.0%); 2) Sebagian besar responden sering menerapkan kode etik (87.0%) dan melaksanakan prinsip kode etik (100.0%); 3) Sebagian responden memiliki hambatan kurang pengetahuan (39.1%) dan hambatan dipengaruhi oleh lingkungan (87.0%); 4) Sebagian besar responden sangat setuju kode etik menjadi pedoman asuhan keperawatan (73.9%) dan dianggap penting sosialisasi kode etik di institusi pendidikan (95.7%); 5) Seluruh responden memahami kode etik perawat dan klien (100.0%); 6) Seluruh responden memahami kode etik perawat dan praktik (100.0%); 7) Seluruh responden memahami kode etik perawat dan masyarakat (100.0%); 8) Seluruh responden memahami hubungan baik dengan teman sejawat sangat penting (100.0%) dan sebagian besar memahami bahwa perawat bertindak melindungi klien (91.3%); 9) Seluruh responden memahami kode etik perawat dan profesi (100.0%). Kode etik keperawatan memiliki peranan yang sangat penting dalam praktik keperawatan. Pemahaman terhadap kode etik keperawatan khususnya Kode Etik Keperawatan Indonesia menjadikan dasar seorang perawat untuk menjalankan profesinya dalam memberikan asuhan keperawatan. Kata Kunci: Kode Etik Keperawatan, Kode Etik Keperawatan Indonesia, Keperawatan, Mahasiswa Keperawatan Abstract The professional nursing code of ethics is the basis for ethical and responsible nursing practice which emphasizes the importance of competence in providing care by current science and practice. This research aims to determine the perceptions of nursing professional students regarding the Indonesian nursing code of ethics. This research was quantitative descriptive research. The sample for this research consisted of 23 professional nursing students from Bina Sehat PPNI University who were undergoing professional education at Al Islam H. Mawardi Hospital, Sidoarjo, taken using a total sampling technique. Data was collected using the Perceptions of Nursing Code of Ethics questionnaire. Data were analyzed using univariate analysis and presented as a frequency distribution. The research results include: 1) All respondents understand the definition of a code of ethics (100.0%); 2) Most respondents often apply the code of ethics (87.0%) and implement the principles of the code of ethics (100.0%); 3) Some respondents had barriers of lack of knowledge (39.1%) and barriers influenced by the environment (87.0%); 4) The majority of respondents strongly agree that the code of ethics is a guideline for nursing care (73.9%) and consider it important to disseminate the code of ethics in educational institutions (95.7%); 5) All respondents understand the code of ethics for nurses and clients (100.0%); 6) All respondents understand the nurse's code of ethics and practice (100.0%); 7) All respondents understand the code of ethics for nurses and the community (100.0%); 8) All respondents understand that good relationships with colleagues are very important (100.0%) and most understand that nurses act to protect clients (91.3%); 9) All respondents understand the code of ethics for nurses and the profession (100.0%). The nursing code of ethics has a vital role in nursing practice. Understanding the nursing code of ethics, especially the Indonesian Nursing Code of Ethics, is the basis for nurses to carry out their profession in providing nursing care. Keywords: Nursing Code of Ethics, Indonesian Nursing Code of Ethics, Nursing, Nursing Students

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