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Embracing innovation framework and transformative paradigm: A practical application in the ultralight project Widiasih, Restuning; Pramukti, Iqbal; Aini, Farah Huwaida Qurrota; Popoola, Tosin
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2679

Abstract

Higher education, as a centre for research and innovation in the era of transformative learning, is encouraged to conduct research and innovation that can lead to innovation and impact in the areas of health, economy, and sustainability. Innovation requires a framework that functions as an essential guide for development. However, limited innovation frameworks can be applied in nursing, including maternity nursing. This study discusses the M-Motion framework as an alternative framework for developing maternity nursing innovation research. M-Motion comprises of three steps of: pre-innovation, innovation, and post-innovation and it is applied to the Ultralight Project. The project aims to improve pregnancy and fetal health by using the DetectMe device to integrate mothers’ self-monitoring data into online health systems so that the condition of pregnant women and their babies is promptly and accurately monitored. The application of the M-Motion framework to the Ultralight Project is a step in the right direction as it helps in illustrating the sequence between research and innovation, especially as it relates to the acceleration of reducing maternal and fetal mortality rates.
THE RELATIONSHIP OF PEER SUPPORT WITH BREAST SELF EXAMINATION BEHAVIOR IN ADOLESCENT WOMEN Sukmawati, Sukmawati; Yuliani, Lala; Nurhakim, Furkon; Mamuroh, Lilis; Widiasih, Restuning
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2825

Abstract

Breast cancer is the highest case in women every year. Breast cancer can attack all age groups including adolescents. Breast self-examination behavior (BSE) is one of the most effective methods of early detection of breast cancer. One of the factors that influence the practice of BSE in young women is peer support. Aims: to determine the relationship of peer support with breast self-examination behavior (BSE) in adolescents. Design of this study was the descriptive correlational. The sample consisted of 219 students of SMAN Sumedang with proportionate random sampling technique. The instrument of this study was the BSE behavior and peer support questionnaires. The instrument was tested for validity and reliability, the result was a validity test 0.3 and a reliability test of 0.9. Result: the majority of respondents (80.8%) did not practice BSE, peer support to almost all teenage girls (91.3%) in the low support category. Peer support and BSE behavior in young girls had a significant relationship (sig. 2-tailed = 0,000). Based on the results of the study, it was concluded that the   practice of BSE and peer support in teenage girls were in low category, there was a significant relationship between the two. It is hoped that health workers can collaborate with schools to provide continuous health education about the importance of BSE for young women.
DETERMINANTS OF PREGNANCY COMPLICATIONS: AN ANALYSIS OF INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY DATA (IDHS) 2017 Tsuraya Salsabila, Salma; Widiasih, Restuning; Mamuroh, Lilis
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 1 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.194

Abstract

Indonesia is the third country with the highest maternal mortality rate (MMR) in Southeast Asia and has not yet reached the SDGs target. Many maternal deaths in Indonesia are caused by pregnancy complications. Information on factors that influence pregnancy complications in Indonesia is still limited, especially those that use large amounts of data. The purpose of this study was to analyse the factors that influence the occurrence of pregnancy complications in provinces with different MMR levels, namely Papua, West Java and DKI Jakarta. This study used a descriptive correlational design using secondary data from the 2017 Indonesian Demographic and Health Surveys (IDHS). Data were obtained from the official website, dhsprogram.com. The population in the study was women of reproductive age (WRA) in Indonesia. Sampling used cluster sampling technique. Inclusion criteria were WUS aged 15-49 years who had or were experiencing pregnancy in the last 5 years when the survey was conducted, namely 1,451 samples. The analysis conducted was univariate analysis to describe the proportion of pregnancy complications and data distribution based on the independent variables studied and bivariate chi square analysis to see the relationship between the independent and dependent variables. The findings showed that the majority of WRA from the three provinces experienced uncomplicated pregnancies. Bivariate analysis showed no significant association between age, parity, birth interval, education level, smoking lifestyle, antenatal care visits, and husband support with pregnancy complications among women in Papua and DKI Jakarta provinces. Meanwhile, in West Java Province there was a significant association between smoking lifestyle and pregnancy complications, however, the other six factors were not associated. The study concluded that pregnancy complications are influenced by other factors that more strongly affect pregnancy complications. It is recommended for future research to examine other variables that have not been studied in this study. In addition, strategic planning is also needed to reduce the number of high-risk pregnant women in the provinces of Papua, West Java, and DKI Jakarta.
Non-pharamacological Interventions for Preeclampsia Management in Pregnant Women: A Literature Review Widiasih, Restuning; Darmawan, Cahya Widyarahayu; Nugroho, Carissa Muthia Putri; Safitri, Dania Iva; Mumtazah, Dina Zahrotunnisa; Indriani, Novi; Aulia, Rahma Elfa; Solihin, Yasmin Salsabila
Journal of Nursing Care Vol 7, No 3 (2024): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v7i3.61401

Abstract

Background: Preeclampsia is one of the leading causes of high maternal and child mortality worldwide, including Indonesia. Comprehensive studies on the application of non-pharmacological approach in reducing preeclampsia symptoms are still limited. This review aims to identify the effectiveness of non-pharmacological nursing interventions for preeclampsia in pregnant women. Methods: A literature search was conducted to identify relevant articles in three databases of PubMed, EBSCOHost, and Scopus. The studies reviewed were in English on the effectiveness of various non-pharmacological interventions for pregnant women with preeclampsia. The article selection was in accordance to the PRISMA guidelines for scoping reviews using the terms (“preeclampsia” OR “pre-eclampsia”) AND (“nursing intervention” OR “nursing care”) AND (“blood pressure” OR “blood pressure determination” OR “arterial pressure”). Selected studies were based on original research, either a randomized clinical tial or quasi-experimental studies, focusd on pregnant women or mothers with preeclampsia, and were published in the last ten years (2014-2024). Journal eligibility was assessed using the Joanna Briggs Institute Critical Appraisal. Results: The number of articles reviewed was seven. Findings suggest that pharmacologic management plays an important role in the control of preeclampsia, but non-pharmacologic interventions also provide significant benefits with a lower risk of adverse effects. Various non-pharmacological interventions that have been proven effective in reducing blood pressure in pregnant women with preeclampsia are Progressive Muscle Relaxation (PMR), breathing exercise, stretching exercise, autogenic training, and foot massage. Conclusion: Integration of non-pharmacological interventions in the management of preeclampsia is very important to reduce blood pressure and improve maternal and fetal well-being. Expanding the implementation of the interventions mentioned in the study should be done in further studies to measure its effects on the quality of life of the pregnant women and their compliance in preeclampsia management.Keywords: Nursing interventions, Preeclampsia, Pregnancy
INTERVENSI SEFT (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) UNTUK MENGATASI KECEMASAN DAN NYERI PASCA SECTIO CAESAREA: A Case Report Yoviana, Istiani; Maryati, Ida; Widiasih, Restuning
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 6 (2024): SENTRI : Jurnal Riset Ilmiah, Juni 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i6.3019

Abstract

Latar Belakang: Kecemasan mempengaruhi intensitas nyeri yang dirasakan pasien pasca caesar. Jika dibiarkan, maka akan berpengaruh terhadap proses penyembuhan pasien dan lama rawat di rumah sakit. Perawat sebagai pemberi asuhan keperawatan perlu memperhatikan aspek bio-psiko-spiritual pasien. Intervensi SEFT diyakini dapat mempengaruhi ketiga aspek tersebut dan memiliki efektivitas dalam mengatasi kecemasan dan mengurangi nyeri pasca SC. Tujuan: melakukan intervensi SEFT untuk mengatasi kecemasan dan nyeri pasca SC. Metode: Studi ini merupakan studi kasus deskriptif dengan metode asuhan keperawatan pada ibu pasca SC dengan masalah keperawatan kecemasan dan nyeri akut, lalu diberikan intervensi SEFT satu kali dalam sehari selama tiga hari dengan analisis hasil menggunakan instrumen Hamilton Rating Scale for Anxiety (HRS-A) untuk menilai tingkat kecemasan dan Numeric Rating Scale (NRS) untuk menilai tingkat nyeri.Hasil: Setelah diberikan intervensi terdapat penurunan tingkat kecemasan menjadi 15 (kecemasan ringan) dan tingkat nyeri yang dievaluasi perharinya selalu mengalami penurunan yang dimana evaluasi hari terakhir menunjukan skala 3/10 (nyeri ringan). Kesimpulan dan Saran: Hasil studi kasus ini menunjukan bahwa intervensi SEFT (Spiritual Emotional Freedom Technique) ini berpengaruh pada penurunan tingkat kecemasan dan tingkat nyeri yang dirasaka ibu pasca SC. Pengaplikasian intervensi ini direkomendasikan untuk dilakukan secara rutin selama kecemasan dan nyeri masih dirasakan oleh ibu pasca SC.
Penerapan Instrumen Pengetahuan Ibu Hamil tentang Penghitungan Gerakan Janin pada Ibu Hamil di Wilayah Kecamatan Sukawening Azzahra, Mutiara Camelia; Widiasih, Restuning; Sukmawati
Jurnal sosial dan sains Vol. 5 No. 4 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i4.32129

Abstract

Pemantauan gerakan janin penting dilakukan untuk meningkatkan kemampuan ibu mengenali tanda komplikasi kehamilan dan mempererat ikatan dengan janin, namun masih banyak ibu yang belum mendapat informasi mengenai pentingnya hal ini, dan masih terbatas kajian terhadap pengetahuan ibu tentang observasi kesehatan janin. Penelitian ini bertujuan untuk mengetahui dan mendapatkan gambaran pengetahuan ibu hamil dalam pemantauan mandiri gerak janin di Kecamatan Sukawening Garut, supaya memahami bagaimana ibu hamil merasakan gerakan janin dan pengambilan keputusan untuk menghubungi tenaga kesehatan terkait masalah pada janin. Penelitian ini menggunakan pendekatan deskriptif kuantitatif dengan desain analitik cross- sectional dan menggunakan kuesioner Pregnant Women’s Knowledge about Fetal Movement yang berisi pertanyaan pengetahuan dasar ibu hamil tentang penghitungan gerak janin dan sumber edukasi yang digunakan. Instrumen ini telah diuji validitas dengan nilai 0,297-0,632 dan reliabilitas dengan Cronbach’s Alpha 0,671 sehingga terbukti valid dan reliabel. Teknik pengambilan sampel dilakukan dengan purposive sampling, dengan jumlah ditentukan menggunakan rumus Slovin sebanyak 62 ibu hamil di Kecamatan Sukawening. Pengolahan data dilakukan dengan distribusi frekuensi.Hasil penelitian didapatkan sebagian besar (75,8%) responden tidak tahu cara menghitung gerak janin, 69,4% memahami pentingnya menghitung gerak janin, hampir setengahnya (48,4%) melakukan setiap hari, 59,7% sumber informasi berasal dari petugas kesehatan yaitu bidan. Petugas kesehatan perlu meningkatkan metode penyampaian informasi tentang cara menghitung gerakan janin dan menyediakan pendidikan rinci penilaian gerakan janin.
Adolescent Education as a Strategy to Enhance Knowledge on Iron Supplementation Ermiati, Ermiati; Widiasih, Restuning; Emaliyawati, Etika; Sutini, Titin; Srimurni, Nita Ayu
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.61851

Abstract

Iron Supplementation is a crucial intervention for adolescent girls, both in the present and for their future health. Adolescents, particularly females, are at a higher risk of developing anemia compared to other age groups, primarily due to increased blood loss during menstruation. This community engagement initiative aimed to enhance adolescent knowledge regarding the role of iron supplementation in the prevention of anemia. The intervention employed a structured health education program delivered through PowerPoint presentations, informational leaflets, and educational videos. The program was conducted among 36 female students. Data were collected using pre- and post-intervention knowledge assessments, and analyzed by comparing the mean scores before and after the educational session. The findings demonstrated a significant improvement in knowledge, with the mean score increasing from 57.78 in the pre-test to 83.06 in the post-test. Based on these results, it is recommended that iron supplementation education be sustained and integrated into routine school-based supplementation programs to optimize awareness and compliance among adolescent girls.Keywords: Adolescent girls, anemia, blood supplement tablet, health eduacation.
Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia Widiasih, Restuning; Sunjaya, Deni Kurniadi; Rahayuwati, Laili; Rusyidi, Binahayati; Ermiati; Sari, Citra Windani Mambang; Mardani; Rusdi; Tung, Serene En Hui
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3722

Abstract

Background: Stunting remains a critical public health issue in Indonesia, threatening the well-being of future generations. Community involvement, particularly by health cadres, is essential for effective prevention. However, structured assessments and follow-up initiatives to enhance their participation remain limited. Objective: This study aimed to evaluate health cadres' knowledge, roles, and skills in stunting prevention programs. Methods: A mixed-methods design with an embedded approach was applied in three phases. Phase 1: A quantitative survey assessed stunting knowledge among 193 cadres across 10 stunting locus villages in Bangka Belitung Province, Indonesia (October–December 2022). The survey tool was adapted from previous studies and analyzed using the RASCH IRT model and descriptive statistics. Phase 2: Qualitative data were collected through semi-structured interviews with 20 cadres selected from the survey pool, and analyzed thematically. Phase 3: The same 20 cadres were observed conducting anthropometric measurements to assess skill accuracy. Results: Knowledge levels were generally low, with 52% of cadres scoring low to very low and only 48% achieving moderate to high scores. Three themes emerged: 1) cadres’ perspectives on the causes and consequences of stunting, 2) their roles and actions in stunting prevention, and 3) their experiences during the COVID-19 pandemic. Observations revealed significant inaccuracies in anthropometric measurement techniques. Conclusion: There is a clear need to improve cadres’ knowledge and skills, especially in anthropometric assessment. Recommendations include implementing certification-based training, introducing innovative and standardized measurement tools, and offering accessible web-based learning platforms. Nurses play a crucial role in supporting cadre training and ensuring accurate growth monitoring at the community level.
A Scoping Review of Factors Associated with Self-Management Among Patients with Breast Cancer Ruth Jamlaay; Restuning Widiasih; Mira Trisyani
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.679

Abstract

Self-management in patients with breast cancer plays an essential role in improving the quality of life of breast cancer patients. Self-management behaviour changes along with the treatment period and varies in patients with different demographic and psychosocial characteristics. However, systematic identification of self-management factors in this population is still lacking. This review aimed to identify factors that influence self-management in patients with breast cancer. This study used a scoping review. Literature was searched from three databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and additional literature was identified using Google Scholar, using the keywords "Self-management OR self-care AND breast cancer OR breast neoplasm OR breast tumours AND factors or causes or influences or reasons or determinants or predictors or contributors." The analysis was carried out thematically with a descriptive exploratory approach. A total of 11 articles were analyzed in this review. Several factors influence self-management in patients with breast cancer, including chemotherapy status, duration of illness, patient's personal experience, age, education level, social support, anxiety, self-efficacy, self-compassion, understanding of the condition, adaptation and acceptance of life with lymphedema. This findings underscore the importance of developing comprehensive interventions that address these diverse factors to enhance self-management. These interventions should include patient education, psychological support, and social assistance to improve patients' ability to manage their condition. A holistic approach, incorporating medical care, emotional well-being, and social support, is essential to improving the overall quality of life for breast cancer patients.
The Effect of Antenatal Diaphragmatic Breathing Exercise in Preventing Decreased Uterine Contractions in Caesarean Section Patients Haryani, Euis Tuti; Widiasih, Restuning; Murtiningsih, Murtiningsih; Suryati, Yayat; Nurbayanti, Siti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.7112

Abstract

The number of sectio caesarea (sc) deliveries has increased, the main side effect of sc is bleeding caused by inadequate contractions. Understanding the risk of atony management is very important starting from antenatal care, various education is given to mothers including doing aerobic exercises including diphragmatic breathing as a prevention of uterine atony. The aim of this study was to see the effect of antenatal diaphgramatic breathing (dbe) exercise on preventing a decrease in uterine contractions in CS patients. This research method used a quasi-experimental posttest nonequivalent design with control group design, the sample in this study were 3rd trimester pregnant women who were at risk of being elective, totaling 56 people by using incidental sampling techniques, using the uterine contraction observation sheet instrument, data analysis used the chi square test. The results of the study showed that there was a significant effect of antenatal dbe implementation on preventing a decrease in intraoperative uterine contractions after the placenta came out. However, there was no effect of antenatal dbe on preventing uterine contractions 1-2 postoperative sc.
Co-Authors Adawiyah, Nabilah Al Adistie, Fanny Aini, Farah Huwaida Qurrota Akbar, Ruli Nur Amalia Rizqi Sholihah Amalia Rizqi Sholihah An'nisaa Heriyanti Anita Setyawati Ardianti, Aprilia Aulia Ardiyanti, Anis Ashamar Puri Apsari Aulia, Rahma Elfa Azzahra, Mutiara Camelia Binahayati Rusyidi Binahayati Rusyidi Chatarina Umbul Wahyuni Citra Windani Mambang S Citra Windani Mambang Sari Darmawan, Cahya Widyarahayu Dedi Kurnia Deni Kurniadi Sunjaya Desy Indrayani Devita Madiuw Dewi Andriani Dewi Puspasari E, Ermiati Ermiati Ermiati - Ermiati E Ermiati E Ermiati Ermiati Ermiati Ermiati Ermiati Ermiati Ermiati, Ermiati, Etika Emaliyawati Farah Huwaida Qurrota Aini Filaili, Noer Fithriyah, Noor Geuis A Mulyasari Geuis Anggi Gita Mujahidah Hana Rizmadewi Agustina Handayani, Leni Riksa Handayani, Nurhalimah Tri Hariyawinata, Nanda Riksa Haryani, Euis Tuti Hendrawati Hendrawati Hendrawati Hendrawati Hendrawati Hendrawati Hendrawati, Hendrawati Hesti Platini Ida Maryati Ida Nurhidayah INDRIANI, NOVI Iqbal Pramukti Istiani Yoviana Jamlaay, Ruth Jayanti, Tri Nur Kim Hee Kyung Kurniawati, Anastasya Peni Kusman Ibrahim Laili Rahayuwati Lestari, Silvani S Lia Ramadanti Lilis Mamuroh Lupita Sari Maharani, Nur Mardani Marlina, Yani Marshanda Syaharani Putri Maruf, Irma Rachmawati Meita Dhamayanti Mira Trisyani Mira Trisyani Mira Trisyani Mira Trisyani Koeryaman Mumtazah, Dina Zahrotunnisa Muniri, Ayu Murtiningsih Murtiningsih Murtiningsih Nafisah, Nadila Zahra Napisah, Pipih Natasha, Windy Nelson, Katherine Nenden Nur Asriyani Maryam Neneng R Puspitasari Ningrum, Vica Cahya Nita Arisanti Noer Filaili Nugroho, Carissa Muthia Putri Nur Oktavia Hidayati Nuraeni, Imel Nurbayanti, Siti Nurdani, Gema Riksa Nurhakim, Furkon Nurhakim, Furkon Nurina Sari Supriatna Nurrizkiani, Rizka Riksa Pitriani, Rita Riksa Popoola, Tosin Putri, Dania Adzilla Putri, Yayu Handayani Syaidar Raini Diah Susanti Ramadanti, Lia Ramdani, Sucia S Ratna Pratiwi Ristina Mirwanti Rita Magdalena br. Tarigan Rusdi Ruth Jamlaay Safitri Ati, Nimas Safitri, Dania Iva Saleha, Nurmukaromatis Saputri, Melisa Fitria Sari, Citra Windani Mambang Sari, Rinda Intan Siska, Geuis Anggi Slamet Riyanto Solehudin, Asep Solihin, Yasmin Salsabila Sri Hendrawati Srimurni, Nita Ayu Sugiharto, Firman sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sutendi, Ludyta Yuniar Tabah, Hikmah Mesti Tata Sudrajat Tetti Solehati Tetti Solehati Titin Sutini Titin Sutini, Titin Tsuraya Salsabila, Salma Tung, Serene En Hui Tuti Anggriani Utama Urip Rahayu Urip Rahayu Urip Rahayu, Urip Utari, Ardhini Dwi Vici Triyunita Sabiyanto Yanti Hermayanti Yayat Suryati Yoviana, Istiani Yuliani, Lala