Tukimin bin Sansuwito
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Enhancing Nurse-Patient Communication: A Comprehensive Systematic Review Of Effective Strategies Suraya, Citra; Tukimin bin Sansuwito; Regidor III Poblete Dioso; Aris Citra Wisuda
Journal Of Nursing Science Research Vol. 1 No. 2 (2024): Journal of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v1i2.504

Abstract

Background: Practical communication skills are imperative in nursing to ensure patient safety and comfort. Studies reveal that nurses often fail to implement therapeutic communication fully, resulting in dissatisfaction from beginning to end patient care. Objective: This study seeks to pinpoint strategies to enhance nurses' communication proficiency with patients. Method: Employing a systematic review approach, this research delved into journals archived in the EBSCO E. Journal, Elsevier Science Direct, Pubmed, CINAHL Complete, and Google Scholar databases, alongside nursing management and leadership literature. The operational definition encapsulates the endeavors undertaken by nurses to refine communication strategies with their patients. The study was conducted across diverse clinics and hospitals, encompassing all nurses within these settings, with the research sample comprising those lacking robust communication strategies. Data was gathered through the administration of questionnaires and the utilization of observation sheets. Results: Findings underscored that training initiatives bolstered nurses' confidence in delivering comprehensive patient care. Furthermore, culturally sensitive communication skill guides proved instrumental in augmenting nurse-patient communication and patient satisfaction. Moreover, tailored therapeutic communication programs designed for pediatric nurses yielded favorable outcomes, fostering secure and healthy interactions, nurturing trust, and expediting recovery. Short workshops emerged as another effective avenue for refining nurses' communication skills. Consequently, implementing training sessions, comprehensive guides, specialized programs, and brief workshops is pivotal in elevating communication between nurses and patients.
DETERMINANTS OF ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.590

Abstract

Hospitalization is a stressful experience for preschool children, which can trigger anxiety due to unfamiliar surroundings, medical procedures, and separation from family. Understanding the factors that influence this anxiety is important to support children's psychological well-being. This study aims to identify the determinants of anxiety in preschool children who are hospitalized at the Siti Khadijah Islamic Hospital, Palembang. Methods A quantitative descriptive study was conducted in April 2024 involving 124 preschool children who were hospitalized. Data were collected through structured questionnaires filled out by caregivers and direct observation of children's behavior. The variables studied included age, gender, previous hospitalization experience, parental presence, type of illness, and length of hospitalization. Descriptive statistical analysis and correlation were used to process the data. The results of this study found several factors to have a significant effect on anxiety levels, such as the absence of parents, no previous hospitalization experience, invasive medical procedures, and longer hospitalization length. Age and gender also played a role; girls and younger children showed higher anxiety. The presence of parents, especially mothers, helped reduce anxiety. Children with previous hospitalization experience tended to adapt more easily. The conclusion of the study found that Anxiety of preschool children who are hospitalized is influenced by various factors such as age, gender, presence of parents, previous hospitalization experience, type of action and length of treatment. Family-based care approaches and parental presence are very important in reducing anxiety and supporting children's emotional health.
IMPLEMENTASI MODUL CITRA DALAM PRAKTIK KEPERAWATAN ANAK UNTUK MENURUNKAN KECEMASAN ANAK PRASEKOLAH YANG MENJALANI RAWAT INAP DI RUMAH SAKIT Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Masniati Arafah; Fermata Sari; Dian Emiliasari; Isrizal; Nuriza Agustina; Rifka Zalila
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 3 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/yprerx11

Abstract

Anxiety in preschool children during hospitalization can affect their psychological well-being, cooperation during procedures, and recovery process. This community service program aimed to implement the CITRA Module (Communication Through Interactive Therapeutic and Reflective Storytelling Approach) in nursing practice to reduce anxiety among hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang. The program was conducted from July to September 2025 and involved 10 nurses as training participants and 30 preschool children as intervention recipients. The method applied was training and education combined with clinical mentoring, including therapeutic storytelling education, simulation of CITRA implementation, direct clinical practice in pediatric wards, and evaluation through descriptive observation of children’s behavior and emotional responses. The results of descriptive evaluation showed a notable improvement in nurses’ therapeutic communication skills after training and mentoring. In addition, approximately 80% of children demonstrated a decrease in anxiety indicators such as excessive crying, physical tension, and fear of procedures. The CITRA Module proved to be feasible and practical to implement, enabling nurses to build more positive therapeutic interactions with children and enhance the quality of pediatric nursing care. This program is recommended for sustainable implementation in pediatric clinical nursing practice.