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Skill and performance to formulate evidence-based practice among nursing students: A qualitative study Carissa Muthia Putri Nugroho; Titis Kurniawan; Hasniatisari Harun; Nursiswati Nursiswati; Eka Afrima Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
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.v6i8.13392

Abstract

Background: The PICO framework is frequently applied to formulate question for conducting literature searching in the evidence-based practices (EBPs) development. However, students experienced challenges in fitting the clinical questions into PICO's format. In Indonesia, the EBP was mostly taught conventionally through lectures and discussions. There was no specific evaluation for assessing the accuracy of the PICO formula. Previous studies indicated that incorporating visual art in learning effectively improves students' observation skills, self-confidence, communication skills, and promotes transformational learning.Purpose: To describe the implementation of the PICO game and visual art as an EBP learning method and evaluate the accuracy of the PICO formula and the visual art created by nursing students, including their perspectives on the applied EBP learning method.Method: This descriptive study was conducted at a secondary hospital in Sumedang District, West Java-Indonesia, in July 2023. Totally 53 nursing profession program (NPP) students of a University in Indonesia were voluntarily recruited as participants. They divided into 9 groups and received a description of how to play the PICO game and visual art for developing the PICO formula question. Each group required to develop PICO questions from the PICO trigger pictures and keywords on the PICO worksheets and to draw at least one visual art illustration from the developed PICO question. At the end of those sessions, they were also required to provide opinions on this EBP learning approach. The PICO question accuracy was assessed using the PICO formula observation sheet, while the visual art compatibility was measured using the visual art observation sheet. Quantitative data were analyzed descriptively and the students’ perspectives on the EBP learning processes were analyzed by identifying the topic mostly described.Results: There were 63 PICO formulas and 18 visual art illustrations. Most of the PICO formulas (93.7%) were identified as accurate. However, more than one-third (41.3%) of the PICO formula did not include the C (comparison) component. More than half of the developed visual art illustrations (61%) were inappropriately describing the developed PICO formula. Participants reported that using PICO Games and visual art was an interesting and fun approach that enhanced their comprehension of the PICO question formula, EBP, and improved their teamwork capacity.Conclusion: The PICO game and visual art learning method facilitates high accuracy of the PICO question formula and is perceived as an effective and interesting EBP learning method. However, as the “C” (comparison) is the PICO component mostly found uncompleted, it is important to elaborate more on this issue in the EBP learning session. It is also important to extend the duration of the EBP learning method to facilitate students drawing the expected visual art appropriately. Further studies are needed to further confirm and follow up on the findings of this study.
The Effect of Progressive Muscle Relaxation for Fatigue in a Patient with Tuberculosis and Pneumonia Rahmania, Sina Sabila; Nugraha, Bambang Aditya; Sari, Eka Afrima
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64860

Abstract

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.
Self-Esteem Pasien Gagal Ginjal Kronis di Unit Hemodialisis RSUD Welas Asih Jawa Barat Afina Chairunnisa; Maria Komariah; Eka Afrima Sari
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24304

Abstract

ABSTRACT Patients with chronic kidney disease (CKD) undergoing hemodialysis face not only physical burdens, but also psychological, social, and spiritual challenges. One of the psychological impacts often experienced is a decline in self-esteem due to dependence on dialysis machines, changes in body image, and limitations on social activities. Low self-esteem can affect compliance with therapy and impact the patient's quality of life. This study aims to determine the level of self-esteem in CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. This study uses a quantitative descriptive design with a cross-sectional approach. The data used were secondary data from a study by lecturers at the Faculty of Nursing, Padjadjaran University, entitled “Harmony in Health: The Intersection of Natural Resources and Well-Being,” which was conducted in September–October 2024. The research instrument used was the Rosenberg Self-Esteem Scale (RSES) and was analyzed using univariate analysis. The results showed that most CKD patients undergoing hemodialysis were in the low self-esteem category (66.67%). Low self-esteem was more prevalent among female respondents, those who were married, had a secondary education, were unemployed, had undergone hemodialysis for ≥12 months, and had a history of comorbidities such as hypertension. This study indicates that low self-esteem remains a prominent psychological issue among CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. These findings emphasize the importance of addressing psychological aspects as part of nursing care, particularly in supporting patients' self-acceptance and adaptation to chronic illness. Keywords: Chronic Kidney Disease, Hemodialysis, Self-Esteem.  ABSTRAK Pasien gagal ginjal kronis (GGK) yang menjalani hemodialisis tidak hanya menghadapi beban fisik, tetapi juga tantangan psikologis, sosial, dan spiritual. Salah satu dampak psikologis yang sering dialami adalah penurunan self-esteem akibat ketergantungan pada mesin dialisis, perubahan citra tubuh, serta keterbatasan aktivitas sosial. Rendahnya self-esteem dapat memengaruhi kepatuhan terhadap terapi dan berdampak pada kualitas hidup pasien.  Penelitian ini bertujuan untuk mengetahui gambaran tingkat self-esteem pada pasien GGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Data yang digunakan merupakan data sekunder dari penelitian dosen Fakultas Keperawatan Universitas Padjadjaran dengan judul “Harmony in Health: The Intersection of Natural Resources and Well-Being” yang dilaksanakan pada bulan September–Oktober 2024. Instrumen penelitian yang digunakan adalah Rosenberg Self-Esteem Scale (RSES) dan dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa sebagian besar pasien GGK yang menjalani hemodialisis berada pada kategori self- esteem rendah (66.67%).Self-esteem rendah lebih banyak ditemukan pada responden perempuan, menikah, tingkat pendidikan menengah,tidak bekerja, yang menjalani hemodialisis ≥12 bulan, serta dengan riwayat penyakit penyerta seperti hipertensi.Penelitian ini menunjukkan bahwa self-esteem rendah masih menjadi masalah psikologis yang menonjol pada pasienGGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Temuan ini menegaskan pentingnya perhatian terhadap aspek psikologis sebagai bagian dari asuhan keperawatan, khususnya dalam mendukung penerimaan diri dan adaptasi pasien terhadap penyakit kronik Kata Kunci: Gagal Ginjal Kronis, Hemodialisis, Self-Esteem.
Hubungan Frekuensi Konsumsi Kopi dengan Tingkat Konsentrasi Belajar pada Mahasiswa Fakultas Keperawatan Universitas Padjadjaran Adli Wistara; Eka Afrima Sari; Bambang Aditya Nugraha
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24542

Abstract

ABSTRACT Coffee is one of the most widely consumed beverages among college students due to its caffeine content, which acts as a stimulant to the central nervous system and serves to increase alertness and cognitive function. However, excessive coffee consumption can cause side effects such as sleep disturbances and decreased cognitive performance.This study aims to determine the relationship between coffee consumption frequency and learning concentration levels among students at the Faculty of Nursing, Padjadjaran University. This study used a correlational quantitative design with proportionate stratified random sampling technique. The sample consisted of 251 students from the Faculty of Nursing, Padjadjaran University. The research instruments used were a coffee drinking habit questionnaire to measure the frequency and amount of coffee consumption, and a learning concentration instrument to measure attention during learning, with a reliability value of ≥0.80 in previous studies. Data analysis was performed univariately using frequency distribution and bivariately using the Spearman Rank test. The results showed that most respondents had a low frequency of coffee consumption and a moderate level of concentration. Bivariate analysis showed no significant relationship between the frequency of coffee consumption and the level of concentration (p=0.137; p0.05). This study concludes that the frequency of coffee consumption is not a major factor affecting students' concentration. It is recommended that further research examine other variables such as sleep quality, academic stress, learning motivation, and study habits. Keywords: Coffee Consumption Frequency, Caffeine, Learning Concentration, Nursing Students.  ABSTRAK Kopi merupakan salah satu minuman yang banyak dikonsumsi mahasiswa karena kandungan kafein yang berperan sebagai stimulan sistem saraf pusat dan berfungsi meningkatkan kewaspadaan serta fungsi kognitif. Namun, konsumsi kopi yang berlebihan dapat menimbulkan efek samping seperti gangguan tidur dan penurunan performa kognitif. Penelitian ini bertujuan untuk mengetahui hubungan frekuensi konsumsi kopi dengan tingkat konsentrasi belajar pada mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Penelitian ini menggunakan desain kuantitatif korelasional dengan teknik proportionate stratified random sampling. Jumlah sampel sebanyak 251 mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Instrumen penelitian ini menggunakan kuesioner kebiasaan minum kopi untuk mengukur frekuensi dan jumlah konsumsi kopi, serta instrumen konsentrasi belajar untuk mengukur perhatian saat belajar, dengan nilai reliabilitas ≥0,80 pada penelitian sebelumnya. Analisis data dilakukan secara univariat menggunakan distribusi frekuensi dan bivariat menggunakan uji Spearman Rank. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki frekuensi konsumsi kopi rendah dan tingkat konsentrasi belajar pada kategori cukup. Analisis bivariat menunjukkan tidak terdapat hubungan yang signifikan antara frekuensi konsumsi kopi dan tingkat konsentrasi belajar (p=0,137; p0,05). Penelitian ini menyimpulkan bahwa frekuensi konsumsi kopi bukan faktor utama yang mempengaruhi konsentrasi belajar mahasiswa. Disarankan penelitian selanjutnya meneliti variabel lainnya seperti kualitas tidur, stres akademik, motivasi belajar, dan kebiasaan belajar. Kata Kunci: Frekuensi Konsumsi Kopi, Kafein, Konsentrasi Belajar, Mahasiswa Keperawatan.
Biopsychospiritual Approach Using Combined Murottal Therapy and Silver Dressing for Pain and Second-Degree Burns Wounds: A Case Study Siti Fauziah; Hasniatisari Harun; Eka Afrima Sari
Multidisciplinary Journals Vol. 3 No. 2 (2026): 2026
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mj.v3i2.1545

Abstract

Second-degree burns are tissue injuries that cause disruption of skin integrity, severe pain, and a high risk of infection. Burn management requires adequate wound care and effective pain control. Silver sulfadiazine dressings function as antimicrobial agents to prevent infection, while Qur’anic murottal therapy serves as auditory distraction to reduce pain perception through relaxation mechanisms and decreased physiological stress responses. This case study aims to describe the combination of murottal therapy and silver dressing in pain management and wound care for a second-degree burn using a biopsychospiritual approach in a patient with 22.5% TBSA second-degree burns on days 7 to 10 of treatment. Interventions included daily wound care with topical silver sulfadiazine and sterile dressings, as well as murottal therapy of Surah Ar-Rahman for approximately 15 minutes before, during, and 30 minutes after wound care. Evaluation was conducted using the Bates-Jensen Wound Assessment Tool (BWAT) and Numeric Rating Scale (NRS) over four days. The results showed that the wound was in the early proliferative phase with a stable BWAT score of 27 and no signs of secondary infection. Pain scores decreased gradually throughout the intervention, with an average reduction of two points after each session, accompanied by increased relaxation and comfort following wound care. The combination of silver dressing and murottal therapy in this case helped control pain and supported the wound healing process both physiologically and psychologically.
Co-Authors Aan Nuraeni Adinda Putri Lestari Adli Wistara Afina Chairunnisa Ahmad Ihsan Fathurrizki Anggi Jamiyanti Annisa Nurbaiti Rahmah Arifin, M Z Atlastieka Praptiwi Aulia, Hannifa Dwi Bambang Aditya Nugraha Bambang Aditya Nugraha Carissa Muthia Putri Nugroho Cecep Eli Kosasih Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Constantius Augusto Daila Dahlia Rojabani Dandi Trianta Barus Delia Amalia Deshita Rimadania Desri Kristina Silalahi Dien Rahmawati Diena Yudiarti Dwi, Tia E, Ermiati Ermiati Ermiati Ermiati Ermiati Fadillah, Jasmine Fasya Fatimah, Sari Filiyanti Halim GERALDI, ARIK Hamidah . Hamjah, Apip Harun, Hasniatisari Harun, Hasniatisari Hesti Platini Hesty Susanti Husneni Mukhtar Iwan Shalahuddin Karina, Grashiva Putri Kusnahadi Susanto lukman, dede Maria Komariah Megalita Dwika Stevani Mira Trisyani Mujahidah, Shafira Aulia Musawi, Husein Nita Fitria Nur'aeni, Yuni Nursiswati Puspita, Tita Putri Noor Kholisoh Purnama Wati Putwi Rizki Sakinah Rahayu Merdekawati Rahmania, Sina Sabila Rahmawati, Syifa Eka Ramdani Ramdani Ristina Mirwanti Rohaeti, Sri Elis Rohayanti, Yanti Rojabani, Daila Dahlia Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sandra Pebrianti Sarah Arnika Simatupang Sari, Yuyun Kartika Sastianingsih, Siska Seizi Prista Sari Setiani, Haniifah Sheizi Prista Sari Sicilia, Asha Grace Sifva Fauziah Siska Sastianingsih Siti Fauziah Sri Hartati Pratiwi SUDIYONO, OOY ARIE Sutandi, Andi Suto Setiyadi Taty Hernawaty Teuku Zulkarnain Muttaqien Titis Kurniawan Titis Kurniawan Trias Eka Nurlela Tsauroh, Salsabila Fiqrotu Tuti Pahria Urip Rahayu Wafiq Nurul Azizah Willy Anugrah Cahyadi Windiramadhan, Alvian Pristy Yoga Pujiraharjo Yosilistia, Yosilistia Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia