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Wahyuningsih, Luh Gde Nita Sri
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Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Case Manager Experience in Health Services in Regional Hospitals in Bali Susilayasa, I Komang Alit; Susanti, Ni Luh Putu Dina; Wahyuningsih, Luh Gde Nita Sri; Wulandari, Ida Ayu Putri
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3219

Abstract

The complexity of patient problems and service management involving multiple professions has the potential to cause patient safety problems. Hospitals need a design or strategy to be able to carry out service processes with a focus on improving service quality and patient satisfaction, namely case management. This research is to explain the case manager's perception of their role and function, describe the role and function of the case manager in implementing case management as well as obstacles in implementing case management in hospitals. Data was collected by conducting interviews with participants who met the inclusion criteria. There are five themes resulting from this research: helping to implement patient centered care, implementing case management in hospitals, first manager of quality control and controlling hospital costs, implementing case management in government hospitals still encountering obstacles. The perception of the role and function of the case manager is well known, the role and function in implementing case management is also quite good and there are still obstacles in implementation, namely from patients, initial screening in the room, hospital organizations, clinical leaders and case managers.
The Relationship between Length of Work and Educational Level of Anesthetists on the Level of Knowledge About Non-Pharmacological Therapy in Treating Post-Spinal Anesthesia Hypotension Parwati, Putu Atika; Arta, Sang Ketut; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3515

Abstract

Pharmacological therapy in treating hypotension after spinal anesthesia causes various side effects including tachycardia, headache, edema, body electrolyte imbalance, acid base imbalance, volume overload, anaphylaxis and coagulopathy. Non-pharmacological therapy can be an alternative choice to avoid the side effects of pharmacological therapy. Knowledge is one of the things needed in implementing non-pharmacological therapy. Knowledge is influenced by several factors, including education level and length of work. Through this research, we want to know the relationship between length of work and level of education with the level of knowledge of non-pharmacological therapy. The research design used is correlation analytical research with a cross-sectional approach. The population taken were anesthetists in Bali using a total sampling technique. The sample in this study was 102 anesthetists using a total sampling technique. Bivariate analysis with the chi square test was carried out to test the relationship between length of work and level of education with the level of knowledge of non-pharmacological techniques in treating hypotension. The results of the study concluded that the level of knowledge had a significant relationship with length of work (p < 0.001) and level of education (p < 0.001).
Factors Related to Patient Safety Culture in the Operating Room Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Putri, I Gusti Ayu Nandita Arta
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3988

Abstract

Patient safety culture remains a major concern globally, particularly in anesthesia and surgical services. Considering that surgical and anesthesia services involve various types of invasive procedures that can cause death or complications. This study aims to determine factors related to patient safety culture in the operating room. This quantitative correlation research involved 56 nurses and nurse anesthetists at Hospital A and Hospital B. The sampling technique used was cluster sampling-total sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test. To ensure the validity and reliability of the questionnaire, content validity was assessed by experts in the field to confirm that the questions covered all relevant aspects of patient safety culture in the operating room. Reliability was evaluated using Cronbach's alpha, which demonstrated a high level of internal consistency. These measures ensured that the questionnaire accurately and reliably captured the factors related to patient safety culture among the participating nurses and nurse anesthetists. This research found that patient safety culture in the operating room was in the poor category as many as 30 nurses and nurse anesthetists (54%). Training and knowledge about patient safety factors were associated with patient safety culture in the operating room (p= 0.045 and p<0.001). Support from hospital management is very necessary to be able to accommodate all staff in the operating room in implementing an optimal patient safety culture through outreach and training.
Factors Related to Pain Intensity Post-SC with Spinal Anesthesia Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Harditya, Kadek Buja; Dewi, Ni Nyoman Ari Kundari; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4816

Abstract

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.
The Relationship between Knowledge and the Application of Ethical Principles of Anesthesia Principals Dewi, Ni Nyoman Ari Kundari; Suyasa, Agus Baratha; Devi, Ni Luh Putu Lusiana; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4817

Abstract

Anesthesia technicians in providing health services should be guided by the code of ethics of anesthesia technicians. This can certainly have a positive impact on health services and patients of course. This study aims to determine the relationship between knowledge and ethical principles of anesthesia. The anesthesia team is said to have a high risk of committing deviations in providing services.The impact that can arise if anesthesiologists do not apply ethical principlesnamely patient satisfaction can be reduced towards the services provided, due to the suboptimal performance of anesthesiologists. The purpose of this study was to determine the relationship between knowledge and the application of ethical principles of anesthesiologists in Bali. This study used a correlational analytical approach with a cross-sectional approach. The sample in this study was 141 respondents taken using probability sampling techniques with simple random sampling types. Data were collected using questionnaires and analyzed using statistical inference. The questionnaire used was a standard questionnaire with a reliability value of 0.6. The results showed that there was a relationship between knowledge and the application of ethical principles of anesthesiologists in respondents, which found a p-value of <0.001.
Factors Influencing Anesthesia Technicians in Providing Anesthesia Education to Surgical Patients with Cardiovascular Disorders Parwati, Putu Atika; Arta, Sang Ketut; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5603

Abstract

Education on anesthesia for cardiovascular disorders includes matters related to anesthesia from pre, intra, to post anesthesia and will affect how prepared the patient is to face post-anesthesia conditions. Education on anesthesia has not been implemented optimally, its implementation only focuses on pre-anesthesia preparation, while for intra and post anesthesia its implementation has not been optimal. This is influenced by several factors. Through this study, we want to know the factors that influence anesthesiologists in providing education on anesthesia procedures in surgical patients with cardiovascular disorders. The research design used was a correlation analytic study with a cross-sectional approach. The population taken was anesthesiologists in Indonesia with a purposive sampling technique. The sample in this study was 254 anesthesiologists with a purposive sampling technique. Bivariate analysis with the chi square test was carried out to test the factors that influence anesthesiologists in providing education on anesthesia procedures in surgical patients with cardiovascular disorders. The results of the study concluded that work patterns had a significant relationship with the provision of education (p <0.001), while length of work (p 0.823) and workload (p 0.113) were not significantly related to the level of education provision. Further research is recommended on the dominant factors that influence the provision of education on anesthesia procedures in surgical patients with cardiovascular disorders.
Nurse's Knowledge Of Telenursing Implementation In Nursing Services Gandamayu, Ida Bagus Maha; Wahyuningsih, Luh Gde Nita Sri; Sastamidhayani, Putu Amy J
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.882 KB)

Abstract

The development of technology has penetrated the world of health, especially nursing. Telenursing is a form of technology that helps nurses in providing nursing services to patients to be more effective and efficient. This study aims to identify and analyze conflict management for undergraduate nursing students in the implementation of the learning process at the Institute of Technology and Health ( ITEKES) Bali. This study aims to determine nurses' understanding of the implementation of telenursing. A total of 143 people (100%) had a very good understanding of what telenursing is, the benefits, barriers and technicians for implementing telenursing, while for knowledge about forms of telenursing there were still some respondents who did not know about other forms of telenursing as many as 43 people (30.07 %).The results of this study indicate that nurses already have good knowledge about the implementation of telenursing.
Analysis of Nurse Performance in Improving the Quality of Hospital Services Wahyuningsih, Luh Gde Nita Sri; Susanti, NLP Dina; Mahardika, I Made Rai
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51341

Abstract

Background: Nurse performance is one measure of the quality of services provided in hospitals which will indirectly influence patient satisfaction. Objective: This study aims to analyze the performance of nurses in providing nursing care and to determine the relationship between nurse performance and service quality. Method: The research design used was descriptive correlation to determine the relationship between nurse performance and service quality. The research instrument uses a questionnaire given via Google Form with two answer choices yes and no. The sample was calculated using the Slovin formula so that a sample size of 130 people was obtained plus a 10% chance of dropping out, resulting in 143 people from 193 nurses as population. Result: The research results showed that good nurse performance can provide good quality service, namely 130 people (91%). Meanwhile, poor nurse performance will result in poor service quality for 7 people (4.9%). The statistical test results using the Chi Square test were p=0.003, Conclusion: There is a relationship between nurse performance and service quality. Performance is one indicator of the quality of service in a hospital
Hubungan Paparan Informasi dengan Tingkat Kecemasan Pada Ibu Hamil Agustini, Ni Komang Tri; Sagitarini, Putu Noviana; Wahyuningsih, Luh Gde Nita Sri
Jurnal Kebidanan Malakbi Vol 5 No 2 (2024): Agustus 2024
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v5i2.685

Abstract

Anxiety is a common experience during pregnancy and can have significant implications for both the mother's health and the developing fetus. One factor that can contribute to maternal anxiety is exposure to information. The vast amount of information available to pregnant women through various sources, such as books, websites, and social media, can be overwhelming and confusing. Furthermore, the quality and accuracy of information available online can vary widely. This can make it difficult for pregnant women to determine which sources are reliable and trustworthy. As a result, they may become overwhelmed with doubt and uncertainty, leading to increased anxiety. The purpose of the study was to determine the relationship between exposure to information and the level of anxiety of pregnant women. The study used a descriptive cross-sectional correlation design using the Pregnancy Anxiety Questionnaire-Revised for All Pregnant Women Regardless of Parity (PRAQ-R2). The sample used 80 respondents using consecutive sampling technique. Data analysis using Chi Square test. The results showed that information exposure including exposure to information (p=0.01), confidence in information (p=0.009), and information support (0.021) were associated with the level of anxiety of pregnant women. This study highlights the importance of providing clear, accurate, and supportive information to pregnant women to help reduce anxiety and promote positive mental health outcomes.
Implementation of Digital based Handover as an Effort to Improve Safety and Continuity of Patient Care Susanti, Ni Luh Putu Dina; Wahyuningsih, Luh Gde Nita Sri; Parwati, Putu Atika; Jiyestha Aji Dharma Aryasa
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.999

Abstract

Background: Digital-based handover systems have emerged as an innovative approach to standardize communication, support clinical decision-making, and enhance the integration of patient information across shifts and care units. Purpose: this study was to evaluate the implementation of a digital weighing system as an effort to improve safety and continuity of service for patients. Methods: This study used a non-experimental quantitative design with a cross-sectional approach. The sample for this study was the entire population, consisting of 220 respondents. Data collection was conducted using a standardized questionnaire with a Cronbach's alpha value of 0.88 and a Likert scale of 1–5. The data were then analyzed using descriptive statistics, normality tests, Pearson's correlation test, and simple/multiple linear regression to see the strength of the relationship and the contribution of independent variables to the dependent variable. Results: Base on result the implementation of digital weighing, the higher the safety and continuity of patient care. The r value is in the strong relationship category, indicating that the variables in this study have a strong relationship. Conclusion: The implementation of a digital-based handover system is not only a technological innovation, but also a strategic intervention in efforts to improve patient safety and continuity of service.
Co-Authors Agustini, Ni Komang Tri Ahmad, Rahmat Aris Budi Sulistyo, Aris Budi Arta, Sang Ketut Christiani, Ayu Meidita Devi, Ni Luh Putu Lusiana Dewi, Ni Nyoman Ari Kundari Dewi, Putu Sundari Gandamayu, Ida Bagus Maha I Ketut Swarjana Ida Ayu Putri Wulandari Jiyestha Aji Dharma Aryasa Kadek Buja Harditya Mahardika, I Made Rai Maharyawan, I Wayan Agus Ni Luh Darmayanti Ni Luh Putu Dina Susanti Ni Luh Putu Surya Astitiani Nugrahini, Ni Luh Gede Hari Parwati, Putu Atika Purnawati, Ni Luh Gede Putu Purnawati Putra, Putu Agus Sujana Putri, I Gusti Ayu Nandita Arta Sastamidhayani, Putu Amy J Sastamidhyani, Putu Ayu J Setiabudi, I Ketut Sriasih, Ni Kadek Susanti, NLP Dina Susilayasa, I Komang Alit Suyasa, Agus Baratha Vitalia Fina Carla Rettobjaan Widnyani, Ni Made Yudiastra, Putu Pande