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Optimalisasi Peran Keluarga Melalui Edukasi dan Simulasi Terapi Relaksasi Autogenik sebagai Upaya Suportif Adaptif Pasien Stroke di Masyarakat Israfil, Israfil; Wulandari, Sarah Kartika; Swarjana, I Ketut; Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Pangruating Diyu, Ida Ayu Ningrat; Putra, Komang Ardidhana Nugraha; Indrayani, Ni Luh Dwi
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.268

Pasien stroke mengalami perubahan respons yang sangat kompleks pada aspek fisik, psikologis dan sosial yang membutuhkan adaptasi. Terapi relaksasi autogenik merupakan salah satu intervensi terapi yang mampu meningkatkan adaptasi, mobilisasi, dan kualitas hidup pasien stroke dimasyarakat dengan dukungan keluarga sebagai support sistem paling utama. Tujuan kegiatan pengabdian kepada masyarakat ini adalah mengedukasi dan mensimulasikan kepada keluarga tentang terapi relaksasi autogenik sebagai upaya suportif adaptif pasien stroke dimasyarakat. Kegiatan dilaksanakan pada bulan Mei 2024 kepada keluarga pasien stroke dan masyarakat Desa Basangalas. Kegiatan dilaksanakan dengan metode edukasi dan simulasi dengan tahapan menggunakan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Sebanyak 100% peserta yang terlibat tidak mengetahui tentang terapi relaksasi autogenik. Setelah mendapatkan edukasi dan simulasi semua peserta memiliki pengetahuan yang baik dan mampu mempraktikkan terapi relaksasi autogenik sebagaimana yang diedukasi dan disimulasikan. Metode edukasi dan simulasi berhasil meningkatkan pengetahuan dan keterampilan keluarga dan masyarakat tentang terapi relaksasi autogenik. Terapi relaksasi autogenik diharapkan dapat menjadi bekal keluarga dan masyarakat dalam memberikan dukungan perawatan dan adaptasi kepada pasien stroke dimasyarakat. Kami menyarankan terapi relaksasi autogenik menjadi salah satu pilihan rencana intervensi keperawatan komunitas dan keluarga dalam upaya meningkatkan adaptasi pasien stroke di masyarakat.

Parental role conflict in night shift nursing workers: A perspective on feminist ethics towards nursing career development Indrayani, Ni Luh Dwi; Kao, Chi-Yin
Innovation in Health for Society Vol 4 No 2 (2024): July - December
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ihs.11814

The source of professional nurses is inevitably needed in the near future. Contradictory, the nursing professional source remains debatable, as the fact of the occurrence of a nursing turnover rate. Studies reported personal reasons influenced the nurse turnover rate in which parental role conflict was included. The current study utilizes feminist ethics to explore parental role conflict in nurses, specifically in relation to their professional career development in nursing. Applying a feminist ethics approach to understanding parental role conflicts enables a comprehensive analysis of prospective alternatives from both policy and educational perspectives. Prospective alternatives grounded in feminist ethics can effectively address the moral imperatives of respecting nurses' career development preferences and general rights. This paper contributes to developing novel solutions for the ethical dilemmas of parental issues and night shifts in healthcare settings that could benefit healthcare professionals. Keywords: Feminist ethics; night shift nurses; nursing career development;parental role conflict; hospital

Socialization and Simulation of Learning Style Identification with The Vark Approach for Students and Lecturers Swarjana, I Ketut; Buntari Agustini, Ni Luh Putu Inca; Suyasa, I Gede Putu Darma; Israfil, Israfil; Tanuparbrungson, Supawan; Indrayani, Ni Luh Dwi; Pangruating Diyu, Ida Ayu Ningrat; Edi Sanjana, I Wayan
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i2.411

Learning style is one of the main elements for students and lecturers to determine the right learning support. The VARK (Visual, Aural, Reading, Kinesthetic) approach is one approach that can be used to identify a person's learning style. Unfortunately, not everyone knows this approach to help determine their learning style. The purpose of this community service activity is to socialize and simulate the VARK approach in identifying learning styles. This activity was carried out in May 2024 at Itekes Bali, Denpasar, Indonesia. A total of 52 participants were involved in this activity, consisting of 42 students and 10 lecturers. Participants in this activity came from Itekes Bali, Denpasar, Indonesia, and from Saint Louis College, Bangkok, Thailand. This activity was carried out with the stages of Preparation, Action, Reflection and Evaluation (PARE). The results of the activity showed that most (67%) participants had insufficient knowledge about the VARK approach in identifying learning styles, and all participants (100%) participants succeeded in having good knowledge about the VARK approach in identifying their learning styles after this activity was carried out. The conclusion is that this educational and simulation activity has succeeded in increasing the knowledge of all participants about the VARK approach in identifying learning styles.

Trends of concept analysis in nursing science with Walker and Avant approaches: a literature review Indrayani, Ni Luh Dwi
Innovation in Health for Society Vol 5 No 1 (2025): January - June
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ihs.12858

Walker and Avant have been pivotal in guiding researchers toward publishing concept analysis articles. However, limited studies have explored the trends of concept analysis within the nursing context. This topic is particularly relevant today as it can inspire and inform future concept analysis publications. This study utilized a literature review design to examine the evolution of concept analysis in nursing. A total of 54 articles were identified through a systematic search across six databases. These articles were categorized into four key themes: psychological responses, healthcare system improvement, behavior, and patient-focused concepts. A comprehensive table was developed to summarize how each concept was defined by scholars, and trends over a five-year period were analyzed. The findings revealed that psychological responses were the most frequently studied theme and vice versa, research focusing on behavior showed a decline over time. Despite this trend, patient-centered concepts demonstrated consistent attention throughout the period. The study also highlighted a consistent emphasis on understanding psychological impacts and promoting patient involvement in decision-making processes. Based on these findings, future research should focus on developing caring interventions that address patients' psychological needs. Such research will further strengthen the role of nursing in fostering holistic innovation care. Keywords: Caring intervention, concept analysis, future publication, holistic innovation, psychological needs

Peningkatan Kesehatan pada Hipertensi Berbasis Perawatan Jangka Panjang Suantika, Putu Inge Ruth; Sutini, Ni Kadek; Indrayani, Ni Luh Dwi; Dari, Ni Putu Desy Ratna Wulan; Megawati, Putu Vera; ArizonaVallentino, I Gede Rendy; Syukri, Muhammad
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 5 (2025): Volume 8 No 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i5.19518

ABSTRAK Hipertensi menjadi salah satu masalah kesehatan global dengan prevalensi yang terus meningkat. Pengelolaan hipertensi memerlukan pendekatan komprehensif, termasuk intervensi nonfarmakologis seperti senam hipertensi berbasis perawatan jangka panjang. Dalam hal ini, pendekatan Interprofessional Education (IPE) dan Interprofessional Collaboration (IPC) berperan penting dalam memastikan kolaborasi yang efektif antarprofesi kesehatan untuk meningkatkan kualitas pelayanan dan edukasi kepada masyarakat. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan masyarakat tentang hipertensi, keterampilan melaksanakan senam hipertensi secara mandiri, serta memperkuat kerja sama lintas profesi melalui IPE dan IPC. Kegiatan dilakukan melalui penyuluhan menggunakan media power point, leaflet, dan video senam, serta evaluasi pengetahuan peserta dengan pre-test dan post-test. Pelaksanaan mengintegrasikan prinsip IPE dan IPC dalam pendekatannya. Terdapat peningkatan pengetahuan lansia terhadap hipertensi yang ditunjukkan dari hasil post test lebih tinggi daripada skor pre test. Lansia juga mampu melakukan senam hipertensi secara mandiri dengan panduan video, didukung oleh kerja tim yang kolaboratif antarprofesi. Penyuluhan berbasis media edukasi dengan pendekatan IPE dan IPC efektif meningkatkan pengetahuan dan keterampilan masyarakat dalam pengelolaan hipertensi.. Kata Kunci: Hipertensi, IPE, IPC, Edukasi, Perawatan Jangka Panjang ABSTRACT Hypertension is one of the most significant global health problems, with an increasing prevalence each year. Managing hypertension requires a comprehensive approach, including nonpharmacological interventions such as long-term hypertension exercise programs. In this context, Interprofessional Education (IPE) and Interprofessional Collaboration (IPC) play a crucial role in ensuring effective collaboration among healthcare professionals to improve service quality and community education. The aims is to enhance community knowledge about hypertension, develop skills in independently performing hypertension exercises, and strengthen interprofessional collaboration through IPE and IPC. The program was conducted through health education using power point presentations, leaflets, and exercise videos. Pre-test and post-test evaluations were used to measure participants’ knowledge. The implementation incorporated IPE and IPC principles in its approach. There was an increase in the elderly's knowledge about hypertension, as indicated by the post-test results being higher than the pre-test scores.. Participants were also able to independently perform hypertension exercises guided by educational videos, supported by effective interprofessional team collaboration. Health education using interactive media, supported by IPE and IPC approaches, effectively improved community knowledge and skills in hypertension management.. Keywords: Hypertension, IPE, IPC, Health Education, Long-Term Care.

Pemberdayaan Keluarga Berbasis Video Edukasi dalam Pencegahan dan Perawatan Dekubitus Pada Pasien Post Stroke di RSUD Kabupaten Klungkung Susanti, Ni Putu Aries; Agustini, Ni Luh Putu Inca Buntari; Wahyuni, Ni Komang Sri; Wahyu, I Made Yudi; Israfil, Israfil; Indrayani, Ni Luh Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 4 (2025): Volume 8 No 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i4.18074

ABSTRAK Stroke merupakan penyebab utama gangguan neurologis di seluruh dunia, dengan sepertiga dari penderitanya memerlukan istirahat di tempat tidur dalam jangka waktu yang lama. Efek samping yang umum terjadi akibat istirahat di tempat tidur yang lama adalah dekubitus. Dengan menggunakan materi edukasi berbasis video, kegiatan pengabdian masyarakat (PKM) ini bertujuan untuk meningkatkan pemahaman dan kecakapan anggota keluarga dalam mencegah dan menangani dekubitus pada pasien stroke. Perencanaan, implementasi, dan evaluasi merupakan teknik yang digunakan. Akun media sosial resmi rumah sakit (YouTube, Instagram, dan Facebook) digunakan untuk menyebarluaskan video edukasi secara daring. Selanjutnya dilakukan pula penyuluhan secara langsung pada 26 keluarga pasien stroke dari ruang perawatan Kamasan, Takmung, dan Pikat. Terakhir, video edukasi diputar berulang-ulang di ruang tunggu Poliklinik, ruang operasi, dan unit perawatan intensif. Kuesioner digunakan untuk mengukur tingkat pengetahuan peserta pada penyuluhan langsung. Evaluasi setelah satu bulan, video yang diunggah di media sosial Youtube telah ditonton lebih dari 600 kali, menunjukkan keberhasilan penyampaian informasi. Sebanyak 92,3% peserta penyuluhan langsung menunjukkan pengetahuan kurang pada pre-test. Setelah edukasi, semua peserta pada post-test menunjukkan peningkatan pengetahuan yang baik. Peserta yang menonton video di ruang tunggu, selama satu bulan dipilih secara acak untuk mengisi kuesioner pengetahuan. Sebanyak 32 peserta didapatkan memiliki pengetahuan yang baik. Edukasi melalui media video efektif dalam meningkatkan pengetahuan masyarakat tentang pencegahan dan perawatan dekubitus pada pasien stroke. Dengan kemajuan teknologi, diharapkan masyarakat lebih mudah mengakses pengetahuan kesehatan melalui media sosial, dan petugas kesehatan dapat lebih kreatif dalam menyajikan informasi kesehatan. Kata Kunci: Dekubitus, Penyuluhan, Sosial Media, Stroke,Video Edukasi ABSTRACT Stroke is a leading cause of neurological disorders worldwide, with one-third of sufferers requiring prolonged bed rest. A common side effect of prolonged bed rest is pressure ulcers. By using video-based educational materials, this community service activity (PKM) aims to improve the understanding and skills of family members in preventing and treating pressure ulcers in stroke patients. Planning, implementation, and evaluation are the techniques used. The hospital's official social media accounts (YouTube, Instagram, and Facebook) were used to disseminate educational videos online. Furthermore, direct counseling was also carried out on 26 families of stroke patients from the Kamasan, Takmung, and Pikat treatment rooms. Finally, the educational video was played repeatedly in the Polyclinic waiting room, operating room, and intensive care unit. A questionnaire was used to measure the level of knowledge of participants in direct counseling. Evaluation after one month, the video uploaded on social media Youtube had been watched more than 600 times, indicating the success of information delivery. A total of 92.3% of direct counseling participants showed insufficient knowledge in the pre-test. After education, all participants in the post-test showed a good increase in knowledge. Participants who watched the video in the waiting room, for two weeks were randomly selected to fill out a knowledge questionnaire. A total of 32 participants were found to have good knowledge. Education through video media is effective in increasing public knowledge about prevention and care of pressure ulcers in stroke patients. With the advancement of technology, it is expected that the public will find it easier to access health knowledge through social media, and health workers can be more creative in presenting health information. Keywords: Decubitus, Counseling, Social Media, Stroke, Educational Videos

Enhancing awareness and preventing musculoskeletal disorders through stretching exercises in the Kintamani highlands Indrayani, Ni Luh Dwi; Kamaryati, Ni Putu; Sriasih, Ni Kadek; Wulandari, Sarah Kartika; Suantika, Putu Inge Ruth
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12907

Musculoskeletal discomfort is a common problem among adults, especially those living in mountainous areas. If left untreated, this condition can lead to long-term musculoskeletal diseases. This community service program aims to increase public awareness and understanding of the importance of preventing musculoskeletal disorders through the implementation of proper physical stretching exercises. The methods used in this program include community education on the physical activities needed to prevent muscle and joint problems, consultations, and stretching practices supported by community assistance. By involving health workers and community leaders, this program provides counseling and training on six types of static stretching. As a result, there was a significant increase in the community's understanding and ability to demonstrate effective stretching techniques. The community also showed active involvement in raising awareness about the importance of musculoskeletal health and successfully implementing strategies for the prevention of muscle and joint diseases. Through a holistic approach involving community leaders and local health workers, understanding of musculoskeletal disorders increased, leading to a positive impact on the quality of life for the community, especially in highland areas.

Simulation in Nursing Education: A Narrative Review of Strategies, Outcomes, and Challenges Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.622

Simulation-based education is a vital component of modern nursing education, providing a safe, controlled environment for students to develop clinical competencies. It bridges the gap between theory and practice by fostering experiential learning, critical thinking, and decision-making. This narrative review explores simulation strategies in nursing education, assesses educational outcomes, and identifies implementation challenges. A literature search was conducted in PubMed, Scopus, CINAHL, and ScienceDirect for articles published between 2020 and 2025. Studies discussing simulation strategies, outcomes, and barriers in undergraduate nursing education were included. Common simulation methods include high-fidelity manikins, standardized patients, virtual simulations, and hybrid models. These approaches enhance clinical skills, communication, teamwork, confidence, and knowledge retention. Simulation also supports reflective practice and safe error correction. However, barriers such as high costs, limited faculty expertise, time constraints, and inconsistent evaluation methods persist. Simulation enhances learning outcomes in nursing education but requires strategic integration, adequate resources, and faculty training. Addressing these challenges can maximize its impact and better prepare students for clinical practice. The outcome of this review highlights that well-implemented simulation strategies significantly improve nursing students’ clinical competence, critical thinking, and readiness for real-world healthcare environments, ultimately contributing to safer and higher-quality patient care.

Education and Simulation of Range of Motion (ROM) for Caregivers to Improve the Quality of Life of Older People in the Community Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Israfil, Israfil; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari; Oka Putra, I Nyoman Trisna Oka Putra
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.509

The aging process has caused various health problems, including limited physical mobility due to muscle weakness, joint stiffness, and certain chronic disease conditions. Efforts to maintain the health of older people can be done through Range of Motion (ROM) exercises, with the family as caregivers having an essential role in doing so. This community service activity aims to improve the knowledge of elderly caregivers by providing education and simulations on ROM exercises for older people. A total of 41 caregivers from Melinggih Village, Gianyar Regency and Pedungan Village, Denpasar City were involved in this activity in March 2025. The activity was carried out using the education and simulation method, with stages using the PARE (Preparation, Action, Reflection, and Evaluation) approach. The results of the Wilcoxon statistical test obtained a p-value < 0.001 with Z = - 3.65, which showed a significant difference in the level of caregiver knowledge about ROM exercises in older people before and after the activity. Good knowledge increased from 63% to 100%, and poor knowledge decreased from 31.7% to 0%. This shows that community service activities with education and simulation methods have successfully increased caregivers' knowledge and practical abilities in performing ROM exercises for older people. ROM exercises can be an easy choice for caregivers as an effective way to maintain the health of older people in the community, support long-term care programs, and thus improve the quality of life for the older people in the community.

Empowering Caregivers to Improve Working Posture Management for Preventing Musculoskeletal Injuries in Long Term Care Settings Indrayani, Ni Luh Dwi; Buntari, Ni Luh Putu Inca Agustini; Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Duygulu, Sergul; Portia, Vitug; Israfil, Israfil; Sagita, Ni Wayan Riska
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.522

Physically demanding tasks in long-term care, such as lifting and repositioning patients, increase caregivers' risk of musculoskeletal disorders, highlighting the need for empowerment through targeted education and skills training to ensure safe practices. This community service aimed to evaluate the effectiveness of an educational training program for caregivers, focusing on working posture management and technique in transferring older people to reduce the risk of musculoskeletal injuries. A pre- and post-intervention design was used to assess cognitive improvement and participant satisfaction among 41 caregivers in community setting. Results showed a marked increase in correct responses across all questionnaire items following the training, indicating improved knowledge and satisfaction throughout the training. The increased to 95.1% after the training was found, indicating a significant gain in knowledge about the basic concepts of transfer techniques. Participants expressed high satisfaction, with simulation-based learning identified as the most effective instructional method. The findings suggest that targeted, practical training can enhance caregivers’ competencies and contribute to safer caregiving practices. Despite these positive outcomes, limitations included a participant bias, limited follow-up, or the socio-economic context of the participants in short-term evaluation. Future programs are recommended to include follow-up assessments and wider community involvement to ensure long-term impact and sustainability.

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