Irna Nursanti
Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Jakarta, Indonesia

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ASUHAN KEPERAWATAN DENGAN TUBERCULOSIS (TBC) DALAM PENDEKATAN TEORI FLORENCE NIGHTINGALE (MODERN NURSING) Fira Awanis Hazrina; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

The prevalence of TB worldwide has increased since 2018, where the number of TB cases was 6,116,536 cases, and in 2019 there were 10,400,000 cases of TB worldwide. Indonesia is ranked third highest after India and China. Based on this, there is an alternative care model theory to overcome the environment that can cause TB disease. Nightingale's conceptual model of nursing is one of them, Nightingale sees patients in the context of the entire environment consisting of the physical environment, psychological environment, and social environment. The purpose of this study is to improve health services in improving disease management conditions professionally and bringing individuals into optimal conditions for activities through fundamental initiatives that affect the environment. This study uses a method that is a nursing process approach based on the selected nursing theory. Techniques used in data collection are interviews, observation, physical examination and nursing care. The results showed that Florence's assessment focuses more on environmental conditions (physical, psychological and social environment). Focused on the individual's relationship with  the  environment,  namely:  lack  of  information  about environmental hygiene, ventilation, garbage disposal, environmental pollution, social communication and others.
APLIKASI THEORY VIRGINIA HENDERSON DALAM ASUHAN KEPERAWATAN PADA KASUS POST-SECTIO CAESARIA Dian Anggur Yulianti; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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This study evaluated the impact of Sectio Caesarean delivery on the mother, showing that the risk of complications is five times higher than normal delivery. Sectio Caesarea causes postoperative pain and wounds, restricting the patient's movement and leading to stiff joints, poor posture, muscle contractures, and slow wound healing. Virginia Henderson's theory is the basis for nurses in restoring patient independence, focusing on 14 basic human needs. The case study of Mrs. D, a post-Sectio Caesarea patient without other complications, applied the purposive method. Data were obtained through observation, interview, and physical examination, and processed with Virginia Henderson's theory. The results showed that the application of the theory was effective in restoring the patient's independence, emphasizing the need for care based on basic human needs. The conclusion of the study confirms that Virginia Henderson's theory can be effectively applied in dealing with health problems in post-Sectio Caesarea patients.
MODEL TEORI KONSEP KEPERAWATAN NOLA J PENDER ‘HEALTH PROMOTION MODEL’ Euis Purwatyningsih; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

The Health Promotion Model by Nola J. Pender reflects an evolution in nursing approaches, moving beyond a reactive paradigm to a proactive focus on prevention and health promotion. Grounded in a holistic health philosophy, the model recognizes the complexity of interactions between physical, psychological, and social aspects in shaping a person's health. Building on previous theories, the model offers a solid empirical foundation, reinforcing its relevance in various contexts and populations. The model's strength lies in its deep orientation towards prevention, filling a void in nursing practice that previously underemphasized disease prevention efforts. While it empowers individuals to manage their own health, the model may be difficult to apply to individuals with low economic means or mental disabilities. Overall, the Health Promotion Model has been a major contributor in shifting the nursing paradigm towards prevention and health promotion.
PHILOSOPHIES TEORI KEPERAWATAN HILDEGARD E. PEPLAU Yahya Yahya; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

This study examines the application of Hildegard E. Peplau's Nursing Interaction Theory in the context of anxiety management in patients who will undergo uterine removal surgery due to ovarian tumors. The research method used a qualitative approach with a case study approach on several patients. The results showed that nurses who applied the principles of Peplau's Theory succeeded in establishing a significant therapeutic relationship with patients, identifying factors that cause anxiety, and providing appropriate emotional support. Nursing interventions, such as creating a therapeutic atmosphere, providing education, and collaborating with the patient, proved effective in reducing the patient's level of anxiety. This study contributes to the development of an understanding of the application of Peplau Theory in daily nursing practice, especially in handling anxiety in patients preparing for surgery. The practical implications of this study can support nurses in providing holistic nursing care and focusing on the psychosocial aspects of patients.
PENERAPAN KONSEP TEORI MODEL KEPERAWATAN MADELEINE M LEININGER MODEL KONSEPTUAL KULTUR KEPERAWATAN PADA ASUHAN KEPRAWATAN ULKUS CRURIS DEXTRA DI RUANGAN RAWAT INAP Suharjo Suharjo; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 4 (2024): ZAHRA (JOURNAL OF HEALTH AND MEDICAL RESEARCH)
Publisher : CV. ADIBA AISHA AMIRA

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This study discusses the application of nursing care to Mrs. S with dextra cruris ulcers, referring to the nursing model and theory of Madeleine M. Leininger's concept. The case study method was used with a nursing approach based on Leininger's theory. Data were collected through interviews, observations, physical examinations, and documentation studies using an assessment format according to the theory. The results of the assessment identified factors such as technology, social, cultural values, policies, economics, and education that influence nursing care. Two nursing problems were found, namely Ineffective Health Maintenance and ineffective breathing patterns. Interventions were based on the Standardized Individualized Nursing Steps and Standardized Individualized Nursing Interactions. After three days of nursing care, both problems were partially resolved. The conclusion of the study emphasizes the importance of nurses in providing quality nursing care with the Madeleine M. Leininger approach. It is hoped that this will improve overall nursing services.