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Serious adverse events and missed observations impact of limited resources of nurses based on national early warning score (NEWS) Sasmito, Priyo; Mulyati, Leli; Prasetya, Fika Indah; Bernadus, Janno Berty Bradly; Sumartini, Sri; Arifani, Nisa; Tafwidhah, Yuyun; Ulfah, Diana
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 4 (2024): Volume 7 Number 4
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i4.430

Abstract

Background: Since become an obligation for hospital, Early Warning System (EWS) are widely used. National Early Warning Score (NEWS) is common EWS adopted in Indonesia. There are not many studies evaluating the implementation of the in hospitals with limited resources in Indonesia. Purpose: To analyze the NEWS performance in the medical ward at one regional hospital in Serang District, Banten Province, Indonesia. Method: Observational analytic study with retrospective approach using NEWS observation sheet of 163 medical adult patients. NEWS's performance was assessed by analyzing the amount of observation that was not carried out in the first 24 hours of hospitalization according to hospital safety protocols. The observed outcome was the occurrence of serious adverse events (SAE), unplanned Intensive Care Unit (ICU) admission, and in-hospital mortality.  The data analyzed with Fisher Exact Test and Spearman Rho. Results: Participants' age mean of 48.2 years old (range 17-85). Most were male (87/53.4%) with a NEWS score of 0 in the first 24 hours of hospitalization (91/55.8%). Of 72 (44.2%) missed observation patients, 8 (4.9%) experienced SAE, 5 (3.1%) transferred to the ICU, and 3 (1.8%) died in the ward. There are significant relationship (p-value 0.001) between missed observation and the occurrence of SAE and unplanned ICU admission (p-value 0.015). There is no relationship between missed observation and in-hospital mortality. Conclusion: About forty percent of NEWS observation frequency in medical wards is still not under safety protocols that have been made by the hospital. Missed observation associated with SAE and unplanned ICU admission. Hospital stakeholders need to evaluate the implementation of NEWS in the hospital ward and take strategic action to increase its effectiveness.
Advanced cardiac life support in out-of-hospital cardiac arrest: A case study Sasmito, Priyo; Kosasih, Cecep Eli; Sumartini, Sri; Tafwidhah, Yuyun; Arifani, Nisa; Apparesya, Nabila Afifah; Kusuma, Widya Tresna; Amaliah, Lili
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 7 (2024): Volume 7 Number 7
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i7.619

Abstract

Background: Public Health Center (PHC), especially in rural areas, is one of the primary healthcare facilities that have an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients. Despite of limited facilities, prehospital resuscitation can be performed by optimizing the available emergency facilities and infrastructure. Purpose: To provide a comprehensive overview of the resuscitation management of OHCA patients at a PHC in East Java Province in Indonesia. Method: Case study of a 43-year-old woman who was brought to PHC by residents after suddenly losing consciousness while working. The clinical condition when the patient arrived was unresponsive, no pulse, no respiratory effort, cold extremities, and oxygen saturation of 80%, the patient was medically diagnosed as OHCA. Results: Resuscitation organization was carried out by involving 1 doctor, 2 nurses, and 1 midwife. The patient was given basic life support (BLS) and Advanced Cardiac Life Support (ACLS) by optimizing diagnostic tools, airway, breathing, circulation, and available drugs. The patient successfully Return of Spontaneous Circulation (ROSC) after the third cycle and successfully reached the referral hospital to receive further life support. Conclusion: ACLS in the prehospital setting at PHC in Indonesia has a potential to be performed. Inter-professional collaboration, airway, breathing, and circulation optimization in providing BLS and ACLS on OHCA patients can increase the patient's chance of getting further care in the hospital.
Hubungan Komunikasi Terapeutik Perawat Terhadap Tingkat Kecemasan Orang Tua di Ruang Perawatan II Rawat Inap Anak di RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak Rahayu, Uni Hardika; ., Ernawati; Tafwidhah, Yuyun
Tanjungpura Journal of Nursing Practice and Education Vol 2, No 2 (2020): December
Publisher : School of Nursing, Faculty of Medicine, Tanjungpura University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v2i2.44245

Abstract

Latar Belakang: Komunikasi terapeutik merupakan komunikasi yang dilakukan perawat dalam upaya mempercepat proses penyembuhan pasien anak. Hambatan dalam komunikasi terapeutik yaitu kecemasan yang dirasakan orang tua pasien anak. Upaya untuk menurunkan kecemasan orang tua pasien anak dapat dilakukan melalui pelaksanaan teknik komunikasi terapeutik perawat. Tujuan: Mengetahui hubungan antara komunikasi terapeutik perawat terhadap tingkat kecemasan orang tua di Ruang Perawatan II Rawat Inap Anak RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak. Metode: Penelitian kuantitatif menggunakan desain observasional analitik dengan rancangan cross sectional terhadap 82 responden orang tua pasien anak dengan teknik consecutive sampling. Metode analisis data menggunakan uji chi-square. Hasil: Karakteristik responden berdasarkan usia sebagian besar berusia 26-35 tahun dalam kategori dewasa awal (53,7%), jenis kelamin yaitu perempuan (75,6%), dan tingkat pendidikan berpendidikan SMA (48,8%). Penerapan komunikasi terapeutik menunjukkan hasil kurang baik (62,2%), dan tingkat kecemasan orang tua pasien anak menunjukkan kecemasan ringan (46,3%) serta sedang (12,2%). Hasil uji statistik diperoleh nilai p value = 0,004 (p< 0,05). Kesimpulan: Terdapat hubungan antara komunikasi terapeutik perawat terhadap tingkat kecemasan orang tua di Ruang Perawatan II Rawat Inap Anak RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak. Kata Kunci: Komunikasi Terapeutik, Kecemasan Orang Tua Pasien Anak Referensi: 35 (2005-2017) ABSTRACT Background: Therapeutic communication is communication by nurses in an effort to accelerate the healing process of pediatric patients. Obstacles in therapeutic communication are anxiety felt by parents of pediatric patients. Efforts to reduce the anxiety of parents of pediatric patients can be done through the implementation of nurse therapeutic communication techniques. Purpose: Knowingthe relationship of nurse therapeutic communication on anxiety level of parent in the Care Room II Inpatient of the Children of Hospital Sultan Syarif Mohamad Alkadrie Pontianak. Methode: Quantitative research uses observational analytic design with a cross sectional design of 82 respondents parents of pediatric patients with consecutive sampling technique. Data analysis method uses chi-square test. Results: Characteristics of respondents based on the age of most respondents aged 26-35 years in the category of early adulthood (53.7%), sex, namely women (75.6%), and education level of high school education (48.8%). Application of therapeutic communication showed less results good (62.2%), and parents' anxiety level of children showed mild anxiety (46.3%) and moderate (12.2%). Statistical test results obtained p value = 0.004 (p <0.05). Conclusion: There is a relationship between the therapeutic communication of nurses on anxiety level of parent in the Care Room II Inpatient of the Children of Hospital Sultan Syarif Mohamad Alkadrie Pontianak. Keywords: Therapeutic Communication, Parents Anxiety of Pediatric Patients Referensi : 35 (2005-2017).
Verbal Abuse Orangtua Terhadap Perkembangan Kognitif Anak Usia Sekolah: Literatur Review Hadijah, Hadijah; Tafwidhah, Yuyun; Fauzan, Suhaimi
Tanjungpura Journal of Nursing Practice and Education Vol 2, No 2 (2020): December
Publisher : School of Nursing, Faculty of Medicine, Tanjungpura University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v2i2.46146

Abstract

Latar Belakang: Tahap perkembangan kognitif anak usia sekolah merupakan awal dari kemampuan anak untuk berpikir dimana anak mempunyai kemampuan individu untuk menghubungkan, menilai, dan mempertimbangkan suatu kejadian atau peristiwa. Kekerasan verbal terhadap anak akan menumbuhkan sakit hati hingga membuat anak berpikir seperti kerap diucapkan oleh orangtuanya dan sebagian besar pemberian nama jelek berhubungan kecerdasaan anak, seperti idiot, tolol, sok pintar, bodoh. Tujuan: Mengindentifikasi verbal abuse orang tua terhadap perkembangan kognitif anak usia sekolah. Metode: Metode yang digunakan adalah literatur review dengan melakukan pencarian melalui Google Scholar, Reasearch Gate, dan Kata kunci yang digunakan yaitu kekerasan verbal orangtua, perkembangan kognitif anak usia sekolah. Hasil : Hasil yang ditemukan dalam pengkajian literatur review ini didapatkan banyak anak yang mengalami verbal abuse dan kebanyakan orangtua tidak menyadari bahwa ada dampak berkepajangan dari kekerasan verbal yang telah dilakukan oleh mereka. Kesimpulan: Perilaku orangtua yang melakukan tindakan verbal abuse sangat berkaitan dengan perkembangan kognitf anak usia sekolah Kata Kunci : Verbal Abuse Orangtua, Perkembangan Kognitif Anak Usia Sekolah Referensi Kata Kunci :Verbal Abuse Orangtua, Perkembangan Kognitif Anak Usia Sekolah Background : The stage of cognitive development of school age children is the beginning of the child's ability to think where the child has the individual ability to connect, assess, and consider an event or event. Verbal violence against children will cause heartache to make children think as often said by their parents and most of the giving of bad names is related to children's intelligence, such as idiots, idiots, smartass, stupid. Objective : The purpose of this study was to identify verbal abuse of parents on the cognitive development of school-age children. u Method : This type of research uses the literature review method by searching through Google Scholar, Reasearch Gate. The keywords used are verbal abuse parents, cognitive development of school-age children Results : In the review literature review found that many children experienced verbal abuse and most parents did not realize that there was a long term impact of verbal violence that had been done by them. Conclusion :The behavior of parents who perform verbal abuse acts is closely related to the cognitive development of school age children Keywords :Verbal Abuse by Parents, Cognitive Development of SchoolAge Children
Menyemai Kesadaran Perilaku Hidup Bersih dan Sehat Sejak Dini: Strategi Penguatan Pada Anak Usia Sekolah Tafwidhah, Yuyun; Pramana, Yoga; Pratama, Erja Natha Adit; Ismail, Madi
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 6, No 1 (2025)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v6i1.5036

Abstract

Perilaku Hidup Bersih dan Sehat (PHBS) adalah kebiasaan yang dilakukan untuk menjaga kesehatan diri dan lingkungan sekitar. Kebiasaan sederhana dalam PHBS antara lain menjaga kebersihan diri dan lingkungan melalui cuci tangan pakai sabun (CTPS), membuang sampah pada tempatnya, serta mengonsumsi makanan bergizi dan sehat. PHBS bukanlah hal baru, berbagai upaya telah dilaksanakan untuk mempromosikan PHBS. Kenyataannya PHBS belum dilaksanakan dengan baik termasuk pada anak usia sekolah. Keterbatasan sarana prasarana untuk melakukan PHBS menjadi faktor penghambat utama dalam menerapkan PHBS dengan benar. Kegiatan ini bertujuan untuk melakukan penguatan PHBS khususnya pada anak usia sekolah. Sasaran anak usia sekolah dipilih karena pada masa ini anak dalam tahap belajar dan mudah menerima pengetahuan. Kegiatan menggunakan metode ceramah, diskusi, dan demonstrasi kepada 29 anak usia sekolah. Materi yang disampaikan tentang pentingnya PHBS dengan demonstrasi cuci tangan pakai sabun. Tahap evaluasi dilakukan sebelum dan setelah sesi pembelajaran. Hasil menunjukkan bahwa pengetahuan mengalami peningkatan signifikan yang semula rata-rata 62,41 naik menjadi 80,34. Peningkatan ini diharapkan dapat mendorong kesadaran siswa untuk menerapkan PHBS sebagai kebiasaan sehari-hari
Overview of Emotional Intelligence (EI) of implementing nurses in providing nursing services in inpatient wards at hospitals Mita, Mita; Tafwidhah, Yuyun; Maulana, M Ali
Jurnal Ilmiah Kesehatan Sandi Husada Vol 13 No 2 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v13i2.1224

Abstract

Introduction: Emotional intelligence is an important skill that health professionals such as nurses must possess. Emotional intelligence leads to mental health, self-care, and job satisfaction. The purpose of this study was to determine the level of emotional intelligence of nurses in the hospital, which consists of components of self-awareness, emotional management, motivation, empathy, and skills. Research Methodology: The research method was a quantitative survey involving 111 associate nurses from 10 treatment rooms selected using a purposive sampling technique. The research instrument used a nurse characteristics questionnaire and an emotional intelligence questionnaire. Result: The results showed that the characteristics of the respondents were primarily female. Namely, 70 nurses (63.1%) and the level of education in the nursing profession was higher than the Diploma but not much different, namely 59 and 50 respondents, respectively. The average age of respondents is 31 years, and the average length of work is 6.54 years. The results of nurses' emotional intelligence are at a high level, namely as much as 70.3%; high emotional intelligence can support the ability of nurses to provide nursing services. Nurses must consider emotional intelligence development. Conclusion: This can have a good impact on the nursing services provided. Nurses will reach bio-psycho-social and spiritual well-being. Implementing EI in nursing practice within inpatient wards is essential for enhancing the quality of care provided to patients and the well-being of nursing staff. Investing in training programs that foster emotional intelligence could significantly improve healthcare outcomes, reduce burnout, and create a more supportive work environment
NERS CILIK: PEMBERDAYAAN SISWA SEBAGAI PELOPOR KESEHATAN DI SEKOLAH Tafwidhah, Yuyun; Mita, Mita; Agung Krisdianto, Muhammad; Luthfi, Muhammad; Wahyuningtyas, Tri; Maulidia, Aqilah; Dini Septiany, Anisha
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 8, No 3 (2025): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v8i3.964-971

Abstract

Program “Ners Cilik” merupakan upaya pemberdayaan siswa sebagai pelopor kesehatan di sekolah yang sejalan dengan tujuan Usaha Kesehatan Sekolah (UKS). Pemberdayaan siswa ini membutuhkan pendekatan yang berkelanjutan agar dampak positifnya dapat bertahan lama. Siswa yang mengikuti program ini akan terus berganti setiap tahunnya seiring dengan kenaikan kelas. Oleh karenanya perlu kembali dihidupkan secara rutin agar siswa baru dapat mengikuti jejak pendahulunya dalam mendukung kesehatan di sekolah. Kegiatan ini bertujuan untuk memberikan penguatan pengetahuan dan keterampilan kepada siswa kelas 4 dan 5 Sekolah Dasar sebagai Ners Cilik. Dengan melibatkan 30 siswa, kegiatan dilakukan dengan metode kombinasi ceramah, demonstrasi, pemutaran video, dan sesi tanya jawab. Materi yang diberikan yaitu pengenalan Ners Cilik, Perilaku Hidup Bersih dan Sehat (PHBS) termasuk di dalamnya pencegahan terhadap penyakit menular dan tidak menular, serta Pertolongan Pertama Pada Kecelakaan (P3K). Evaluasi dilakukan sebelum dan sesudah kegiatan dengan hasil menunjukkan peningkatan rata-rata dari 64,76 menjadi 72,38. Dengan peningkatan ini diharapkan siswa dapat berperan aktif dalam membantu meningkatkan kesehatan di sekolah dengan menyebarkan informasi dan melakukan aksi nyata untuk mewujudkan lingkungan sekolah sehat.
The Effect of Health Education Using Poster Media on Mothers’ Knowledge Level About Toddler Malnutrition in the Working Area of Saigon Health Center, East Pontianak Anggi Lestari, Aprilia; Fradianto, Ikbal; Tafwidhah, Yuyun
Jurnal Health Sains Vol. 5 No. 11 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i11.1402

Abstract

Nutritional deficiencies in toddlers can lead to growth and development disturbances, one of which is the occurrence of malnutrition. One of the main factors contributing to malnutrition in toddlers is the lack of knowledge among mothers about the nutrition required for their children. To improve this knowledge, one of the efforts that can be made is through continuous counseling using educational media, such as posters that are visually designed to be appealing, thus being effective in the learning process. This study aims to determine the effect of health education using posters on mothers' knowledge about toddler malnutrition in the working area of Saigon Health Center in East Pontianak. This study uses a quantitative pre-experimental method with a one-group pretest-posttest design. A total of 45 respondents were selected using probability sampling with a cluster random sampling technique. Data analysis was conducted using the Paired sample t-test. The results showed that most of the respondents' children were aged ≤ 2 years (66.7%), with the highest level of maternal education being high school (42.2%), and the majority of respondents' ages ranged from 20 to 42 years, with an average age of 31.42 years. The results of the Wilcoxon test showed a p-value of 0.001, indicating a significant improvement in mothers' knowledge about toddler malnutrition after receiving health education using posters.