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All Journal Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Indonesian Journal of Global Health research Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan
Kadir, Afrizal Nur
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Humanities Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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EVALUATION OF DISCHARGE READINESS IN A PATIENT WITH SECONDARY STROKE: A CASE STUDY Kadir, Afrizal Nur; Septianingrum, Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.73

Abstract

Background: Early readmission in stroke survivors remains a critical issue, particularly in patients with mild initial symptoms but who experience early recurrence within a short period. Evaluating both patient and caregiver readiness for discharge is essential to improve home care outcomes and prevent avoidable hospitalizations. Objectives: This case study aims to assess discharge readiness in a post-stroke patient and their caregiver using the PATH-s instrument and examine its implications for readmission prevention. Methods: A descriptive single-case study was conducted involving a 66-year-old male with a secondary ischemic stroke within 30 days of the initial attack. Data were collected via clinical records and interviews. Discharge readiness was evaluated using the Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument, consisting of 25 items. The assessment was guided through a structured interview due to the patient's limited ability to self-complete the questionnaire. Results: The PATH-s assessment yielded a total score of 69 out of 100, indicating a moderate level of discharge readiness. The average score per item was 2.67 out of 4, suggesting a need for additional support in specific areas. The domains identified for improvement included financial capacity, home and transportation accessibility, long-term prognosis, and patient insight about stroke. Conclusion: Evaluating discharge readiness in the patient and family caregiver helped increase awareness of home care limitations and guided appropriate nursing interventions. These findings highlight the value of structured assessments like PATH-s in supporting clinical decision-making and individualized discharge planning.
Assessment Tools for Post-Stroke Discharge Readiness: A Literature Review Kadir, Afrizal Nur; Septianingrum, Yurike; Aprilian, Arvino; Wijayanti, Lono; Soleha, Umdatus
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.v7i5.6699

Abstract

Stroke survivors are at high risk of hospital readmission due to recurrent stroke, comorbidities, and inadequate discharge preparation. Readiness for hospital discharge plays a pivotal role in ensuring a safe transition of care and improving post-stroke outcomes. Evaluating patient and caregiver readiness for hospital discharge is essential to reduce the likelihood of readmission and optimize home care outcomes. This review aimed to identify, describe, and evaluate existing tools used to assess discharge readiness in post-stroke patients, and examine their effectiveness in supporting care transitions and preventing hospital readmissions.Methods: A systematic review was conducted in accordance with PRISMA guidelines. Four databases-PubMed, Science Direct, Clinical Key, and Google Scholar—were searched for relevant articles published between 2021 and 2025 using predefined keywords related to stroke, discharge readiness, transition of care, and readmission. After screening 202 initial records, 34 articles were selected for full-text review. Ten studies met the inclusion criteria and were then critically appraised using the Joanna Briggs Institute (JBI) checklist to assess methodological quality and risk of bias. The included studies were synthesized narratively based on study design, assessment tools used, psychometric properties, and their impact on discharge readiness and hospital readmission outcomes. The review identified several validated tools, including the Readiness for Hospital Discharge Scale (RHDS), the Preparedness Assessment for the Transition Home After Stroke (PATH-s), and the Caregiver Contribution to Self-Care Inventory (CC-SC-CII-v2). These tools varied in focus, population, and application context. While some showed strong psychometric properties and predictive power for readmission, others highlighted the need for caregiver inclusion and context-specific adaptation. However, inconsistencies in implementation, limited integration into clinical workflows, and lack of long-term outcome evaluations remain significant barriers. This review enhances understanding of discharge readiness assessment tools in post-stroke care and underscores their value in reducing readmissions and optimizing care transitions.
RESPONS EMOSIONAL DAN STRATEGI KOPING MAHASISWA KEPERAWATAN UNIVERSITAS ISLAM NEGERI JAKARTA Ernawati, Ernawati; Ardiyati, Adelina Vidya; Pelawati, Ratna; Kadir, Afrizal Nur
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 2 (2025)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i2.686

Abstract

Tujuan: mengetahui gambaran respons emosional yang dirasakan serta strategi koping yang digunakan mahasiswa dalam menghadapi pembelajaran daring. Metode: Jenis penelitian ini ialah kuantitatif deskriptif berupa studi observasional dengan pendekatan cross sectional. Sampel berjumlah 205 mahasiswa yang terdiri atas 4 angkatan berbeda yang diambil menggunakan teknik quota sampling. Instrumen yang digunakan dalam penelitian ini yaitu PANAS-SF (Positive Affect Negative Affect Schedule-Short Form) untuk respons emosional dan ACS(Academic Coping Strategies) Scale untuk strategi koping. Pengambilan data dilakukan pada bulan Mei–Juni 2021. Analisis data dilakukan dengan uji chi square. Hasil: Penelitian diperoleh 205 responden dengan persebaran berdasarkan jenis kelamin yaitu 188 perempuan (91,7%) dan 17 laki-laki (8,3%). Respons emosional berupa afeksi positif sebanyak 126 mahasiswa (61,5%) dan afeksi negatif sebanyak 79 mahasiswa (38,5%). Strategi koping yang digunakan berupa approach coping sebanyak 154 mahasiswa (75,1%), avoidance coping sebanyak 24 mahasiswa (11,7%), social support coping sebanyak 27 mahasiswa (13,2%). Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara respons emosional dan strategi koping mahasiswa (p-value < 0,05). Mahasiswa yang menggunakan approach dan social support coping sebagian besar adalah mereka yang memiliki afeksi positif, sedangkan yang menggunakan avoidance coping sebagian besar adalah mereka yang memiliki afeksi negatif. Diskusi: Mahasiswa yang menggunakan approach dan social support coping sebagian besar adalah mereka yang memiliki afeksi positif, sedangkan yang menggunakan avoidance coping sebagian besar adalah mereka yang memiliki afeksi negatif. Hasil penelitian ini juga menunjukkan sebagian besar mahasiswa memiliki respons emosional positif dan cenderung menggunakan strategi koping pendekatan (approach coping), yang berhubungan dengan kemampuan regulasi emosi, resiliensi, dan kesejahteraan psikologis yang lebih baik selama perkuliahan daring.  Kesimpulan: Penelitian ini merupakan temuan awal atau case identification terkait rincian respons emosional dan strategi koping mahasiswa sehingga dapat menjadi bahan pertimbangan dan dasar penelitian selanjutnya yang lebih rinci.  Kata Kunci: Pembelajaran Daring, Respons Emosional, Strategi Koping Emotional Responses and Coping Strategies Among Nursing Students At The State Islamic University Of Jakarta ABSTRACTObjective: This research aims to explore the emotional responses experienced and coping strategies employed by nursing students in facing online learning. Methods: This research employed a quantitative descriptive design using an observational cross-sectional approach. The sample consisted of 205 students across four academic cohorts, selected using a quota sampling technique. The instruments used were the Positive Affect and Negative Affect Schedule–Short Form (PANAS-SF) to assess emotional responses and the Academic Coping Strategies (ACS) Scale to assess coping strategies. Data collection took place from May to June 2021. Data were analyzed using the Chi-Square test. Results: Of the 205 respondents, 188 (91.7%) were female and 17 (8.3%) were male. A total of 126 students (61.5%) experienced positive affect, while 79 students (38.5%) reported negative affect. Regarding coping strategies, 154 students (75.1%) used approach coping, 24 (11.7%) used avoidance coping, and 27 (13.2%) employed social support coping. Statistical analysis revealed a significant correlation between emotional responses and coping strategies (p < 0.05). Most students who used approach and social support coping strategies reported positive affect, whereas those who employed avoidance coping predominantly reported negative affect. Discussion: Students who used approach and social support coping were mostly those with positive affect, while those who used avoidance coping were mostly those with negative affect. The results of this study also showed that most students had positive emotional responses and tended to use approach coping strategies, which are associated with better emotional regulation, resilience, and psychological well-being during online lectures.  Conclusion: This research serves as a preliminary finding or case identification regarding nursing students’ emotional responses and coping strategies, providing a foundation for future, more in-depth research.Keywords: online learning, emotional response, coping strategies
Co-Authors Aprilian, Arvino Ardiyati, Adelina Vidya Ernawati Ernawati Pelawati, Ratna Septianingrum, Yurike Soleha, Umdatus Wijayanti, Lono