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All Journal Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Kreativitas PKM Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Malahayati International Journal of Nursing and Health Science Abdimas Galuh : Jurnal Pengabdian Kepada Masyarakat Reswara: Jurnal Pengabdian Kepada Masyarakat Jurnal Health Sains TANJUNGPURA JOURNAL OF NURSING PRACTICE AND EDUCATION MAHESA : Malahayati Health Student Journal Malahayati International Journal of Nursing and Health Science Jurnal Ilmiah Kesehatan Sandi Husada
Tafwidhah, Yuyun
Departemen Keperawatan, Universitas Tanjungpura
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Cegah Depresi Remaja Melalui Edukasi dalam Meningkatkan Pengetahuan Harga Diri Triyana Harlia Putri; Yuyun Tafwidhah; Fitri Fujiana; Dinda Maharani; Dialika Putri Miptaza
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.12329

Abstract

ABSTRAK Pada siklus kehidupan, masa remaja merupakan periode kritikal dalam menentukan identitas diri, sehingga kerap kali terjadi perubahan fisik dan mental. Kecenderungan permasalahan mental seperti deperesi telah dikaitkan dengan rendahnya harga diri pada remaja. Namun, informasi mengenai harga diri belum didapatkan dengan baik oleh remaja khususnya pada anak SMP. Oleh sebab itu, diperlukannya upaya promotif untuk menambah pengetahuan terkait peningkatan harga diri pada remaja sehingga dapat menurunkan angka kejadian harga diri rendah pada remaja. Metode peningkatan pengetahuan dilakukan dengan Pendidikan kesehatan sebanyak 30 siswa/i SMP Negeri 5 Kota Pontianak. Adapun teknik yang digunakan untuk menyampaikan materi yaitu ceramah, diskusi, dan demonstrasi selain itu juga memanfaatkan media audio visual dan buku saku. Bedasarkan Hasil pre-test didapatkan rata-rata pengetahuan siswa tentang harga diri adalah 5.89 ± 2.55 sedangkan post-test adalah 8.12 ± 1.97. Hasil analisis menunjukkan terdapat perbedaan tingkat pengetahuan yang signifikan dengan nilai 0,001 yang lebih kecil dari nilai p-value< 0,005, maka dapat disimpulkan bahwa pemberian Pendidikan kesehatan mengenai harga diri dapat meningkatkan pengetahuan siswa. pihak sekolah dapat meningkatkan frekuensi bimbingan konseling dalam rangka mencegah terjadinya depresi, serta dalam Upaya meningkatkan harga diri remaja diperlukan penguatan melalui afirmasi positif yang dapat diterapkan selama proses pembelajaran oleh guru SMP. Kata Kunci: Harga Diri, Pengetahuan, Remaja  ABSTRACT In the life cycle, adolescence is a critical period in determining one's identity, so physical and mental changes often occur. The tendency for mental problems such as depression has been linked to low self-esteem in adolescents. However, information about self-esteem has not been well received by teenagers, especially junior high school students. Therefore, promotional efforts are needed to increase knowledge regarding increasing self-esteem in adolescents so that it can reduce the incidence of low self-esteem in adolescents. The method of increasing knowledge was carried out with health education for 32 students of SMP Negeri 5 Pontianak City. The techniques used to deliver the material are lectures, discussions and presentations, apart from that, they also use audio-visual media and pocket books. Based on the pre-test results obtained, the average student knowledge about self-esteem was 5.89 ± 2.55 while the post-test was 8.12 ± 1.97. The results of the analysis show that there is a significant difference in knowledge levels with a value of 0.001 which is smaller than the p-value <0.005, so it can be concluded that providing health education regarding self-esteem can increase students' knowledge. Schools can increase the frequency of counseling in order to prevent depression, as well as in an effort to increase the self-esteem of teenagers who need strengthening through positive affirmations which can be applied during the learning process by junior high school teachers. Keywords: Adolescents, Self-Esteem, Knowledge
DUKUNGAN DAN HAMBATAN DALAM PELAKSANAAN PRAKTIK PERAWATAN KESEHATAN MASYARAKAT (PERKESMAS): A SYSTEMATIC REVIEW Yuyun Tafwidhah; Triyana Harlia Putri
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1235

Abstract

Public health care (perkesmas) is one of the activities organized by puskesmas to improve the degree of public health and as an effort to increase the reach of health services and program coverage. Perkesmas needs to pay attention to support and obstacles to determine the right strategy for its management. The purpose of this systematic review is to determine the support and obstacles in the implementation of perkesmas. The literature search method is carried out on the PubMed, Science Direct, and Mendeley databases published in 2019 – 2023, the results of original research and articles can be accessed in full text. The keywords used in the search were 'community nurses', 'community nursing', and 'community nursing management'. The results show the required nurse competence not only in nursing but also in non-nursing. Management support is carried out to improve inter- and interprofessional cooperation. Barriers encountered include poverty, homelessness, poor health literacy, language, limited access to health services to lack of stakeholder attention. Conclusions in the management of perkesmas can pay attention to the support and obstacles identified.
PENINGKATAN PENGETAHUAN SANTRI SEBAGAI UPAYA PEMBIASAAN PERILAKU HIDUP BERSIH DAN SEHAT Yuyun Tafwidhah; Triyana Harlia Putri
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 8 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i8.2849-2856

Abstract

Pondok pesantren memiliki permasalah kesehatan diantaranya memiliki beberapa kesamaan dibandingkan dengan kondisi yang di alami anak sekolah pada umumnya. Akar permasalahan kesehatan tersebut berawal dari kurangnya budaya dalam penerapan PHBS oleh santri. Padahal siswa yang berada pada tahap perkembangan remaja merupakan usia efektif dalam menanamkan perilaku hidup bersih dan sehat. Sebagai Upaya untuk meningkatkan pengetahuan santri dalam menerapkan perilaku hidup bersih dan sehat merupakan tujuan dari kegiatan ini. Metode peningkatan pengetahuan dilakukan dengan mendidik 33 santri dengan teknik ceramah, diskusi, dan demonstrasi. Materi yang disampaikan berupa 8 indikator perilaku hidup bersih dan sehat di sekolah dengan menggunakan media audio visual dan alat peraga. Evaluasi dilakukan dengan kuesioner yang diberikan sebelum dan sesudah pelaksanaan pendidikan. Hasil pre-test menunjukkan rata-rata pengetahuan siswa tentang perilaku hidup bersih dan sehat adalah 34 sedangkan post-test adalah 77. Hasil analisis menemukan bahwa terdapat perbedaan yang signifikan dalam peningkatan pengetahuan dengan nilai 0,000 yang berarti lebih kecil dari p-value< 0,005, sehingga dapat disimpulkan pemberian edukasi PHBS teruji dapat menambah pengetahuan pada peserta didik. Adanya peningkatan informasi oleh santri yang berada di Pasantren, dapat menjadikan perilaku hidup bersih dan sehat sebagai kebiasaan sehari-hari.
Basic life support knowledge among nurses at public health center in rural Banten Province, Indonesia Priyo Sasmito; Mikawati Mikawati; Fika Indah Prasetya; Yetti Syafridawita; Nunuk Sri Purwanti; Yuyun Tafwidhah; Mochamad Budi Santoso; Nisa Arifani
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.13096

Abstract

Background: Public Health Center (PHC) is one of the primary healthcare facilities that has an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients, especially in rural areas. Nurses are an important component of health workers in PHC. Basic Life Support (BLS) knowledgeis the basic component of building a qualified resuscitation.Purpose: To analyze the relationship between demographic characteristics of PHC’s nurses in a rural area and their knowledge about BLS.Method: An observational analytical study with a cross-sectional approach involved 32 PHC nurses with total sampling techniques. The data was analyzed with the Spearman Rho and Fisher Exact test.Results: 32 nurses were involved. Most respondents are male (18/56.25%), have a Diploma educational background (23/71.88%), and non-government employees (24/75%). The average age of respondents was 34.75 years, and the average worked for 9.25 years. The level of knowledge of BLS was mostly more than 56% (25/78.1%). The knowledge average was 74.06+ 8.93 with a median of 75 anda score range of 50-85. Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS. Age and length of work variables have a significant correlation with knowledge. Calculated rs was -0.043 with a p-value of 0.008 (α 0.05) for age and rs value of -0.353 with a p-value of 0.024 (α 0.05) for length of work.Conclusion: Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS.There is a sufficient and significant relationship between the age and length of workwith knowledge of BLS with the opposite direction of the relationship.The older and longer a nurseworks, the lowerthe nurse’s knowledge of BLS.  Routine BLS training sessions or emergency drills in PHC both online and offline can be some solution in partnership with emergency organizations and nearby referral hospitals.
Pencegahan Depresi melalui Edukasi dalam Meningkatkan Harga Diri Lansia Triyana Harlia Putri; Faisal Kholid Fahdi; Yuyun Tafwidhah; Nadia Rahmawati; Titan Ligita; Ervina Lili Neri; Yoga Pramana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 12 (2023): Volume 6 No 12 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i12.12517

Abstract

ABSTRAK Lansia dapat mengalami gangguan psikologis, salah satunya adalah depresi. Kurangnya integrasi antara kesehatan mental dan layanan kesehatan dalam sistem kesehatan masyarakat dalam pencegahan permasalahan kesehatan mental. Oleh sebab itu, salah satu startegi yang bisa diterapkan adalah pendidikan kesehatan. Untuk meningkatkan pengetahuan lansia terkait meningkatkan harga diri guna mencegah depresi. Metode pendidikan kesehatan yang digunakan dalam menyampaikan materi yaitu ceramah, diskusi, refleksi dan demonstrasi dengan menggunakan media video dan buku saku. Nilai pretest rerata pengetahuan lansia yaitu 4,11 dan rerata posttest yaitu 7,47. Hasil analisis menunjukkan nilai p-value lebih kecil dari 0,05. Terdapat peningkatan pengetahuan pada lansia terhadap pencegahan depresi melalui kegiatan edukasi tersebut. Kata Kunci: Lansia, Depresi, Harga Diri  ABSTRACT Elderly people can experience psychological disorders, one of which is depression. Lack of integration between mental health and health services in the public health system in preventing mental health problems. Therefore, one strategy that can be implemented is health education. To increase the elderly’s knowledge regarding increasing self-esteem to prevent depression. Health education methods used in conveying materials are lectures, discussions, reflection and demonstrations by using video media and pocket books. The average pretest score for elderly knowledge is 4.11 and the average posttest score is 7.47. The analysis results show that the p-value is smaller than 0.05. There is an increase in knowledge among the elderly regarding preventing depression through these education activities. Keywords: Elderly, Depression, Self-Esteem
PENCEGAHAN DAN PENGENDALIAN HIPERTENSI BAGI MASYARAKAT DESA PUNGGUR KECIL Titan Ligita; Yoga Pramana; Ervina Lili Neri; Triyana Harlia Putri; Nadia Rahmawati; Faisal Kholid Fahdi; Yuyun Tafwidhah; Firza Arfandy
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 7, No 4 (2024): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v7i4.1402-1406

Abstract

Kejadian hipertensi di Desa Punggur kecil tidak dapat diabaikan sehingga menjadi masalah kesehatan masyarakat yang perlu diperhatikan melalui pengenalan tanda dan gejala hipertensi dengan tepat. Ketepatan pencegahan penyakit hipertensi dilakukan melalui kegiatan edukasi dan skrining yang tepat bagi masyarakat yang berisiko mengalami hipertensi. Kegiatan pengabdian Masyarakat ini melibatkan sejumlah lebih dari 40 masyarakat berusia lanjut. Selain itu, yang turut hadir dalam kegiatan ini adalah petugas Puskesmas dan para kader posyandu. Kegiatan pengabdian Masyarakat diawali dengan pre-tes dan dilanjutkan dengan pemutaran video edukasi mengenai pengendalian tekanan darah (hipertensi). Para peserta mengerjakan soal post test setelah mendapatkan edukasi. Terdapat peningkatan nilai rata-rata pada post test (baik) dibandingkan dengan nilai rata-rata pada pre-test (cukup). Masyarakat usia lanjut ini juga mengikuti senam jari dan pemeriksaan tekanan darah. Dari hasil pemeriksaan tekanan darah, sebagian besar peserta edukasi masuk dalam kategori Hipertensi Tingkat II. Tim pengabdian kepada Masyarakat ini pun memberikan alat pemeriksaan tekanan darah kepada kader untuk dapat dipergunakan dalam kegiatan pemeriksaan saat berlangsung Posyandu Lansia.
Implementasi Manajemen Nyeri Menggunakan Stretching Exercise pada Asuhan Keperawatan Keluarga Lansia dan Pensiunan dengan Masalah Nyeri Sendi Delia Mentari; Ikbal Fradianto; Yuyun Tafwidhah
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14426

Abstract

ABSTRACT Joint disease is a disorder characterized by pain in the joints, accompanied by stiffness, redness, and swelling. This condition is not caused by trauma or accidents but by inflammation in the joints. Approximately 335 million people worldwide are affected by joint disease. Some common types of joint diseases include osteoarthritis, pain due to high levels of uric acid (hyperuricemia) in both acute and chronic forms, as well as rheumatoid arthritis. Joint pain is often associated with aging or known as a degenerative disease, thus the prevalence of joint pain in the elderly continues to increase each year. One therapy that can be used to alleviate joint pain is muscle stretching exercise or stretching exercise. This method helps maintain muscle flexibility and strength, thereby reducing tension in the joints and relieving pain. Implements pain management using stretching exercises in family nursing care of elderly and retired families with joint pain problem. The case study was conducted in a family at the developmental stage of the elderly and retirees with joint pain problems which were carried out in the working area of the Kampung Bangka Pontianak Community Health Center with a frequency of 6 meetings. The instruments that are used were SOP stretching exercise checklist sheets and pain scale measurement using the Numerical Rating Scale (NRS). After the implementation of the stretching exercise demonstration for 4 meetings, there was a decrease in the pain scale experienced by respondents from the previous 7 scale (severe pain) to 3 scale (mild pain). Respondents and families were able to remember and demonstrate the stretching exercises that had been taught. The implementation of stretching exercise demonstrations to families of the elderly and retirees with joint pain problems can reduce the pain scale that the elderly felt, so it is hoped that the elderly are able to do stretching exercises independently or with family support. Keywords: Stretching, Joint Pain, Family, Elderly  ABSTRAK Penyakit sendi merupakan gangguan yang ditandai dengan nyeri pada persendian, disertai kekakuan, kemerahan dan pembengkakan. Kondisi ini bukan disebabkan oleh benturan atau kecelakaan, melainkan oleh peradangan pada sendi. Penyakit sendi ini dialami oleh sekitar 335 juta penduduk di seluruh dunia. Beberapa jenis penyakit sendi yang umum adalah osteoarthritis, nyeri akibat tingginya kadar asam urat (hiperurisemia) baik dalam bentuk akut maupun kronis, serta rematoid arthritis. Nyeri sendi seringkali dikaitkan dengan pertambahan usia atau dikenal sebagai penyakit degeneratif, sehingga prevalensi nyeri sendi pada lansia terus meningkat setiap tahunnya. Salah satu terapi yang dapat digunakan untuk mengatasi nyeri sendi adalah latihan peregangan otot atau stretching exercise. Metode ini membantu menjaga fleksibilitas dan kekuatan otot, sehingga dapat mengurangi ketegangan pada sendi serta mengurangi rasa nyeri. Mengimplementasikan manajemen nyeri menggunakan stretching exercise pada asuhan keperawatan keluarga lansia dan pensiunan dengan masalah nyeri sendi. Studi kasus dilakukan pada satu keluarga tahap perkembangan lansia dan pensiunan dengan masalah nyeri sendi yang dilaksanakan di wilayah kerja Puskesmas Kampung Bangka Pontianak dengan frekuensi pertemuan sebanyak 6 kali. Instrumen yang digunakan yaitu lembar ceklist SOP stretching exercise dan lembar pengukuran skala nyeri menggunakan Numerical Rating Scale (NRS). Setelah implementasi demonstrasi stretching exercise selama 4 kali pertemuan, terjadi penurunan skala nyeri yang dialami responden dari yang sebelumnya skala 7 (nyeri berat) menjadi skala 3 (nyeri ringan). Responden dan keluarga mampu mengingat dan mendemonstrasikan kembali stretching exercise yang sudah diajarkan. Pemberian implementasi demonstrasi stretching exercise pada keluarga lansia dan pensiunan dengan masalah nyeri sendi dapat menurunkan skala nyeri yang dirasakan lansia, sehingga diharapkan lansia mampu melakukan stretching exercise secara mandiri atau dengan dukungan keluarga. Kata Kunci: Stretching, Nyeri Sendi, Keluarga, Lansia 
Health-seeking behavior in Indonesia especially in outer Baduy ethnic with heart disease Priyo Sasmito; Fika Indah Prasetya; Umi Kalsum; Yuyun Tafwidhah; Kurnia Arik Nugroho; Yeni Koto; Nurfanida Librianty; Nunuk Purwanti; Mochamad Santoso
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 1 (2024): Volume 7 Number 1
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i1.181

Abstract

Background: Unlike the community in general, the Baduy community in Kanekes Village has a unique way of looking at the modern world, including their sight of modern medicine. Even though they know traditional medicine, in the current context, their traditional medicine efforts have not been able to fully answer the health problems they face today, one of which is cardiac events. Purpose: This study aims to analyze the factors that influence the pattern of health-seeking behavior of the Outer Baduy community against heart disease Method: This study is an analytical observational study with a cross-sectional approach to the Outer Baduy community that was diagnosed or suspected of having cardiac problems in 2023. Data was taken using the questionnaire sheets containing data on respondents' characteristics, and their first experience of having heart attack symptoms. The outcome was their health-seeking behavior when facing the circumstances categorized into traditional and modern behavior. The data was analyzed using the Fisher Exact Test to find out the relationship between variables Results: Thirty-six respondents are involved in this study. Most respondents were male (25/69.4%) and were in the age range from 48 to 76 years old, had an educational background graduated from elementary school (16/44.4%), worked as traders (18/50.0%), had insurance (26/72.2%) and experiencing symptoms of typical heart disease (30/83.3). Most of the respondents seek modern medicine when experiencing a typical heart attack. There is a p-value of more than 0.05 between age, sex, education level, and occupation with health-seeking behavior. Insurance ownership and respondents' experience of feeling heart attack symptoms to health-seeking behavior p values of 0.000 and 0.002 (< α 0.05) respectively. Conclusion: Most respondents seek modern medical help when experiencing typical heart disease. There is no significant relationship between age, sex, education level, and occupation with health-seeking behavior in heart disease. Insurance ownership and experiencing typical symptoms of heart disease significantly affect the health-seeking behavior of the Outer Baduy community. The results of this study can be a consideration for local health policyholders in creating cardiovascular emergency health education programs for the community. The combination of modern curative medicine and traditional preventive medicine can be one approach in the health sector that can be done by the government to reduce morbidity and mortality due to cardiovascular events in the Baduy community. Further studies are needed to explore the Outer Baduy community's knowledge and perception of cardiovascular events and the barriers they face to getting the necessary medication.
Skrining Penyakit Tidak Menular (PTM): #GERMAS untuk Hidup Sehat Tafwidhah, Yuyun; Maulana, Muhammad Ali; Purwanti, Nera Umilia; Rahmawati, Nadia; Najini, Robby; Mahyarudin, Mahyarudin; Liana, Delima Fajar; Pramana, Yoga; Mita, Mita
Abdimas Galuh Vol 6, No 2 (2024): September 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i2.14963

Abstract

Pemeriksaan kesehatan secara berkala merupakan salah satu pilar Gerakan Masyarakat Hidup Sehat (GERMAS) yang berguna untuk mendeteksi keberadaan faktor risiko Penyakit Tidak Menular (PTM). Tujuan dari pengabdian masyarakat ini yaitu melakukan skrining PTM meliputi pengukuran tekanan darah, pemeriksaan gula darah, kolesterol, dan asam urat. Metode pelaksanaan skrining PTM yaitu pendaftaran dan wawancara faktor risiko PTM, pengukuran antropometri, pemeriksaan penunjang serta konseling dan edukasi. Skrining ini dilakukan pada 2 (dua) tempat dengan sasaran usia lebih dari 15 tahun. 155 peserta berhasil dijaring dengan hasil karakteristik sebagian besar adalah perempuan dan berada pada usia remaja akhir serta dewasa akhir. Analisis selanjutnya menunjukkan sebagian besar berada dalam kategori normal dan optimal untuk pemeriksaan tekanan darah dan sebagian besar berada dalam kategori normal untuk pemeriksaan gula darah. Temuan lain gambaran pemeriksaan kolesterol yang menghasilkan lebih dari separuh peserta dalam kategori buruk serta hampir separuhnya memiliki kadar asam urat tidak normal. Skrining PTM berguna mengetahui faktor risiko PTM lebih awal agar dapat diambil tindakan berikutnya sebagai langkah pencegahan. Upaya yang dapat diambil antara lain melakukan pola hidup sehat dan berkonsultasi lebih lanjut kepada tenaga kesehatan.
National early warning system adherence: Is nurses’ clinical competence involved associated with protocol in a hospital in Indonesia? Sasmito, Priyo; Ahmadi, Ahmadi; Mulyati, Leli; Prasetya , Fika Indah; Maryam, Andi; Sujana, Treesia; Tafwidhah, Yuyun; Elis, Andi
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 2 (2024): Volume 7 Number 2
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i2.180

Abstract

Background: The implementation of the Early Warning System (EWS) in developing countries still faces many obstacles. The National Early Warning Score (NEWS) is one of the most frequently used EWS. The factors affecting its compliance are still being studied. Purpose: To analyze the involvement of nurse clinical competence in adherence to the National Early Warning Score (NEWS) protocol in a hospital in Indonesia. Method: This study is an observational analytic study with a cross-sectional approach to nurses in the medical ward. Nurse characteristics consisting of age, gender, education level, work experience, and knowledge of NEWS were measured and recorded. Nurse clinical competence level is the main independent variable. The outcome measured was nurse adherence to the protocol which was assessed by looking at the records in the NEWS observation sheet. Data was analyzed using Chi-Square, Fisher Exact Test, and Spearman Rho. Results: Thirty-five nurses were involved in the study. Respondent were 38.7 years old on average, had an average work experience of 7.1 years, and had an average knowledge of NEWS of 77.2+7.2 (good). The majority of respondent were females (20/57.1%), had diploma education (20/57.1), and were at clinical competency level I (26/74.3%). In the NEWS score < 5, most respondent adhered to the protocol (21/60.0%), but the majority did not adhere to the protocol at the NEWS score ˃.6 (28/80.0%). A p-value of > 0.05 was obtained in the analysis of the relationship between age, education level, and work experience with protocol adherence on a NEWS score of ˃.6 Conclusion: The majority of respondent have not adhered to the NEWS ˃.6 protocol. There is a significant relationship between age, education level, work experience, and NEWS ˃.6 protocol adherence. There was no relationship between nurses' clinical competence and adherence to the NEWS protocol at either a score of < 5 or ˃.6. Further studies are needed to confirm the results of this study.
Co-Authors Agung Krisdianto, Muhammad AHMADI Amaliah, Lili Anggi Lestari, Aprilia Apparesya, Nabila Afifah Arifani, Nisa Bernadus, Janno Berty Bradly Cecep Eli Kosasih Delia Mentari Delima Fajar Liana Dialika Putri Miptaza Diana Ulfah Dinda Maharani Dini Septiany, Anisha Elis, Andi Ernawati . Ervina Lili Neri Faisal Kholid Fahdi Fauzan, Suhaimi Fika Indah Prasetya Fika Indah Prasetya Firza Arfandy Fitri Fujiana Fradianto, Ikbal Hadijah Hadijah Ismail, Madi Kurnia Arik Nugroho Kusuma, Widya Tresna Mahyarudin, Mahyarudin Maryam, Andi Maulana, M. Ali Maulana, Muhammad Ali Maulidia, Aqilah Mikawati Mikawati Mita Mita, Mita Mochamad Budi Santoso Mochamad Santoso Muhammad Luthfi Mulyati, Leli Nadia Rahmawati Najini, Robby Nera Umilia Purwanti, Nera Umilia Nisa Arifani Nunuk Purwanti Nunuk Sri Purwanti Nurfanida Librianty Prasetya , Fika Indah Prasetya, Fika Indah Pratama, Erja Natha Adit Priyo Sasmito Rahayu, Uni Hardika Rahmawati, Nadia Sasmito, Priyo Sri Sumartini Treesia Sujana Tri Wahyuningtyas, Tri Triyana Harlia Putri Umi Kalsum Yeni Koto Yetti Syafridawita Yoga Pramana