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The Effectiveness of The National Institutes of Health Stroke Scale (NIHSS) in Determining Nursing Diagnoses in Stroke Patients: A Scoping Review. Fitriana, Erlis Eka; Haryanto, Haryanto
Journal of Nursing Science Update (JNSU) Vol. 12 No. 1 (2024): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.01.04

Abstract

The symptoms of a stroke can vary depending on which part of the brain is affected, potentially leading to severe consequences or difficulties. This scoping review aims to assess the effectiveness of the NIHSS in establishing nursing diagnoses in stroke patients. The review involved searches on Google Scholar, ResearchGate, and PubMed from 2012 to January 2023. The identification and selection of literature followed Moher's guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2009, resulting in ten articles for discussion. The study utilized the National Institutes of Health Stroke Scale (NIHSS) criteria to evaluate the severity of strokes by assessing neurological impairments. The analysis followed Arksey and O'Malley's model.  The study findings highlighted a significant relationship between NIHSS scores and nursing diagnoses, showing a positive trend where higher NIHSS scores were associated with increased nursing diagnoses. In conclusion, integrating the NIHSS with complementary assessment instruments is crucial in refining nursing diagnoses among stroke patients and enhancing the standard of care and patient prognosis.
FAKTOR-FAKTOR YANG MEMPENGARUHI PRAKTIK INTERPROFESIONAL EDUCATION (IPE) DI PERGURUAN TINGGI KESEHATAN SEBAGAI STRATEGI PENCAPAIAN INTERPROFESIONAL COLLABORATION (IPC) : LITERATURE REVIEW: Factors Influencing Interprofessional Education (IPE) Practices in Health College as a Strategy for Achieving Interprofessional Collaboration (IPC): Literature Review Lestari, Astuti; Fitriana, Erlis Eka; Vianny, Afrida; Tinungki, Yeanneke Liesbeth; Suriadi, Suriadi
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 10 No. 3 (2024): JiKep | Oktober 2024
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v10i3.2187

Abstract

Pendahuluan: Peningkatan penuaan populasi pasien dan peningkatan prevalensi penyakit kronis menjadi tantangan layanan kesehatan lebih kompleks untuk diatasi. Para profesional kesehatan perlu strategi menerapkan praktik Interprofesional  Colaboration berjalan efektif demi tercapainya peningkatan derajat kesehatan masyarakat yang dipersiapkan sejak menjadi siswa profesional kesehatan melalui praktik Interprofesional Education (IPE). Praktik IPE di Perguruan tinggi kesehatan tidak mudah diaplikasikan dan banyak tantangan yang dihadapi sebagai penyelenggara praktik IPE. Tujuan: dari review ini adalah untuk mengetahui praktik IPE di perguruan tinggi kesehatan sebagai strategi untuk mencapai praktik IPC di layanan untuk menguji faktor yang mempengaruhi praktik IPE, menginformasikan strategi mengantisipasi faktor yang mempengaruhi sehingga perguruan tinggi kesehatan dapat merencanakan dari level administrasi dan manajemen. Metode: penelitian ini adalah literature review. Faktor yang memengaruhi praktik IPE di perguruan tinggi kesehatan sebagai strategi untuk mencapai praktik IPC yang efektif  diantaranya: penyampaian, hambatan, strategi implementasi, persepsi siswa, perencanaan, pengaturan klinis, pengalaman siswa, sikap anggota fakultas, perilaku dan kesiapan. Hasil: Penelitian ini memberikan penjelasan dan menemukan sepuluh faktor yang menjadi landasan bagi pihak akademisi dalam mewujudkan praktik IPC yang efektif yaitu penyampaian, hambatan, strategi implementasi, persepsi siswa, perencanaan, pengaturan klinis, pengalaman siswa, sikap anggota fakultas, hasil perilaku dan kesiapan yang dapat mempengaruhi praktik Interprofessional Education (IPE) di perguruan tinggi kesehatan sebagai strategi pencapaian Interprofessional Collaboration (IPC).
Validity and reliability test of NIHSS-SDKI and CNS-SDKI in determining actual nursing diagnosis and severity of stroke patients Fitriana, Erlis Eka; Haryanto, Haryanto; Supriyadi, Supriyadi
MEDISAINS Vol 22, No 3 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i3.23111

Abstract

Background: The National Institutes of Health Stroke Scale (NIHSS) and The Canadian Neurological Stroke Scale (CNS) are two assessment tools often used for the assessment of neurological status in stroke patients. However, there are no assessment tools that use the standard nursing diagnoses developed in Indonesia, namely the Standar Diagnosis Keperawatan Indonesia (SDKI),  developed by the Indonesian National Nurses Association organization.Objective: This study aims to test the validity and reliability of the NIHSS and CNS combined with the SDKI so that they can be used to ensure the accuracy of the measuring instrument, determine its consistency, improve the quality of the assessment, and provide a basis for further research.Methods: This study is an observational study with a cross-sectional study design. The study was conducted at hospitals in Pontianak City, namely Tanjungpura University and Sultan Syarif Mohammad Alkadrie Hospital. The population in this study were all non-hemorrhagic stroke patients treated in the hospital, with a sample size of 30 patients. Sampling in this study was conducted using purposive sampling. Data collection began with the preparation of NIHSS and CNS instruments combined with SDKI, and then respondents' demographic data were collected. Data were analyzed using Pearson Correlation with SPSS statistical tools.Results: Based on the results of the validity and reliability tests, it was found that the NIHSS-SDKI and CNS-SDKI had a calculated r value> from the r table and Cronbach alpha value> 0.7 so that the NIHSS and CNS instruments were declared valid and reliable.Conclusion: Research on the NIHSS-SDKI and CNS-SDKI is valid and reliable, and it can be used as a tool to measure severity and help nurses make nursing diagnoses in accordance with the Indonesian Nursing Diagnosis Standards.
Empowering wound care nurses in the assessment and early detection of diabetic foot ulcers through Indonesia-Malaysia international collaboration Haryanto, Haryanto; Khairillah, Yuyun Nisaul; Fitriana, Erlis Eka; Mentari, Tiara Amalia
Community Empowerment Vol 10 No 6 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13310

Abstract

This community service initiative aimed to enhance the knowledge and skills of wound care nurses in the assessment and early detection of diabetic foot ulcers (DFU). The program was a collaborative effort between the Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat and Universiti Malaysia Sarawak (UNIMAS). The methodology included lectures, discussions, hands-on practice, and evaluation using a one-group pre-test and post-test design to measure the intervention's effectiveness. Results demonstrated a significant increase in nurses' knowledge, with the average pre-test score improving from 75 to 88 after the intervention. This indicates that international collaboration is effective in improving the knowledge and skills of wound care nurses. Furthermore, regular, scheduled training sessions are recommended to maintain and enhance nurses' competency in diabetic wound management.