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All Journal Jurnal Keperawatan BSI Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Ira Mehara Wati, Ira Mehara
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Health Professions Medicine & Pharmacology Nursing Physics Public Health

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PENGARUH SUPERVISI KLINIS TERHADAP PENATALAKSANAAN UNIVERSAL PRECAUTION OLEH PERAWAT (LITERATURE REVIEW) Wati, Ira Mehara
KEPERAWATAN Vol 2, No 2 (2014): Jurnal KEPERAWATAN
Publisher : LPPM BSI Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.412 KB)

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Abstract - The cases of nosocomial infection and low safety nurses Is still rampant and it make health care provided has not been said to be good. Culture of safety for patients or nurses are influenced by universal precaution containment procedures that can not be separated with clinical supervision. Implementation of clinical supervision is to help evaluate nursing actions so in accordance with the standard. During the implementation of clinical supervision in the management of universal precautions has not been done in a structured and not optimally. This article aims to identify and review of previous studies related to the influence of universal precautions supervise management. The method used is to review the literature of nursing, medicine, and public health from tahun1987 to 2013 using 12 related articles of universal precautions and supervision as reference. The results of the literature review showed that clinical supervision affect the application of universal precautions by nurses. The conclusion obtained is that clinical supervision is very instrumental in the achievement of the implementation of nursing practice to conform to the standards that have been defined, in this case in order to achieve universal culture of safety precautions so as to prevent infection and accidents for nurses.Keyword : Universal Precautions, Supervision, Safety Culture, Infection, Nosocomial Bibliography: 29, 1998-2013 Abstrak - Masih maraknya kasus infeksi nosocomial dan rendahnya keselamatan kerja perawat membuat pelayanan kesehatan yang diberikan belum dikatakan baik. Budaya safety bagi pasien atau perawat dipengaruhi oleh penatalaksaan universal precaution yang tidak terlepas dengan pengawasan atau supervisi klinis. Pelaksanaan supervisi klinis dimaksud untuk membantu mengevaluasi tindakan keperawatan sehingga sesuai dengan standar. Selama ini pelaksanaan supervisi klinis dalam penatalaksanaan universal precaution belum dilakukan secara terstruktur dan optimal. Artikel ini bertujuan untuk mengidentifikasi dan mengulas penelitian sebelumnya terkait pengaruh supervisi terhadap penatalaksanaan universal precaution.Metode yang digunakan adalah mengulas literatur keperawatan, kedokteran, dan kesehatan masyarakat dari tahun1987 sampai 2013 dengan menggunakan 12 artikel terkait universal precaution dan supervisi  sebagai referensiHasil ulasan literatur menunjukan bahwa supervisi klinis berpengaruh  terhadap penerapan universal precaution oleh perawat.Kesimpulan yang didapatkan adalah bahwa supervisi klinis amat berperan dalam tercapainya penerapan praktik keperawatan agar sesuai dengan standar yang sudah ditetapkan, dalam hal ini adalah universal precaution guna tercapainya budaya safety sehingga mencegah infeksi dan kecelakaan kerja bagi perawat. Kata Kunci : Universal Precaution, Supervisi, Budaya Safety, Infeksi, NosocomialBibliografi : 29, 1998-2013 
Development of an AI-Based Clinical Decision Support System for Standardized Nursing Diagnoses in Indonesia Kumala, Tria Firza Kumala; Nurbayanti, Siti; Wati, Ira Mehara; Yulita, Rita Fitri; Sudrajat, Diwa Agus
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.932

Abstract

Background: The implementation of the Indonesian Nursing Diagnosis Standards (IDHS) in clinical practice continues to encounter obstacles, including limited time for assessment, documentation burden, and inconsistency in diagnostic interpretation among nurses. Advancements in artificial intelligence (AI) offer opportunities to design clinical decision support systems that may enhance the accuracy, uniformity, and efficiency of nursing diagnoses. Objective: This study aimed to explore nurses’ experiences, challenges, and expectations regarding the use of IDHS and to assess the initial feasibility of developing an AI-based system to support standardized nursing diagnoses. Methods: A descriptive qualitative design was employed using in-depth interviews with five nurses from diverse clinical settings, including emergency, critical care, inpatient, outpatient, and community services. Thematic analysis was conducted to identify perceptions and needs related to IDHS and AI. Content validity of the preliminary system design was evaluated by three expert validators using the Item-Level Content Validity Index (I-CVI) and the Scale-Level Content Validity Index/Average (S-CVI/Ave). Results: Five major themes emerged: (1) varied experiences in formulating nursing diagnoses, (2) inconsistent use of IDHS in practice, (3) challenges related to documentation and diagnostic interpretation, (4) positive attitudes toward AI integration in clinical workflows, and (5) the need for features such as automated diagnostic suggestions, clarification of clinical criteria, and integration with electronic medical records. Content validity testing demonstrated strong agreement among experts, with I-CVI values ranging from 0.80 to 1.00 and an S-CVI/Ave of 0.92. Conclusion: The study indicates that integrating AI into the IDHS-based diagnostic process holds substantial potential to improve diagnostic quality, standardization, and clinical efficiency. The content validity results support further development and prototype testing in subsequent research phases
Co-Authors Kumala, Tria Firza Kumala Nurbayanti, Siti Sudrajat, Diwa Agus Yulita, Rita Fitri