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All Journal Ahmar Metastasis Health Journal (AMHJ) Jurnal Penelitian Inovatif
Oktorra, Elsya Jaisi
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Humanities Dentistry Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Analisis Peran Berpikir Kritis dalam Pengambilan Keputusan Klinis Perawat terhadap Keselamatan Pasien: Kajian Scooping Review Oktorra, Elsya Jaisi; Khairunnisa, Musyrifah; Amalia, Najwa Syifa; Kusnadi, Rachel Nazwa Sunardita; Ridwan, Heri; Haryeti , Popon
Jurnal Penelitian Inovatif Vol 5 No 2 (2025): JUPIN Mei 2025
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jupin.1492

Abstract

Berkurangnya kemampuan perawat untuk berpikir kritis dalam membuat keputusan klinis merupakan masalah yang serius karena dapat membahayakan keselamatan pasien. Berpikir kritis, pengambilan keputusan klinis, dan keselamatan pasien terkait satu sama lain. Tujuan dari penelitian ini adalah untuk menemukan hubungannya.  Metode Scoping review digunakan untuk menganalisis 9 artikel yang relevan. Kata kunci “Berpikir Kritis”, “Keselamatan Pasien” dan “Pengambilan Keputusan Klinis” digunakan untuk mencari literatur dari database ilmiah pada Google Scholar, PubMed, dan ScienceDirect. Hasil penelitian menunjukkan bahwa perawat yang memiliki kemampuan berpikir kritis yang baik memiliki risiko lebih rendah untuk melakukan kesalahan pengambilan keputusan, sehingga meningkatkan keamanan pasien dan kualitas perawatan. Selain itu, penelitian ini menemukan bahwa berpikir kritis berdampak pada proses klinis, kualitas dokumentasi keperawatan, dan kemampuan untuk menangani situasi darurat dengan tepat. Oleh karena itu, peningkatan pelatihan berpikir kritis harus menjadi bagian penting pada asuhan keperawatan. Pelatihan tersebut diharapkan dapat membantu perawat membuat keputusan yang lebih logis, berbasis bukti, dan berorientasi pada keselamatan pasien.
Corticosteroids as “God Drugs”: Between Therapeutic Efficacy and Side Effects Oktorra, Elsya Jaisi; Permana, Dicka Trie; Amanda, Revana Putri; Fitriyani, Fitriyani; Puspita, Reva Sri; Nurcholisa, ⁠Siti; Putri, Rd. Natasya Aurellia; Ridwan, Heri
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.713

Abstract

Corticosteroids are potent anti-inflammatory and immunosuppressive agents widely used in clinical practice due to their rapid therapeutic effects. Despite their proven efficacy, prolonged and inappropriate use is associated with a wide range of adverse effects affecting multiple organ systems. This systematic review aimed to evaluate the therapeutic benefits of corticosteroids and to summarize their reported side effects based on literature published between 2015 and 2025. A systematic search was conducted using Google Scholar, PubMed, and ScienceDirect with the keywords “corticosteroids,” “benefits,” and “side effects.” Eligible studies were full-text, open-access articles published in English or Indonesian. Eight articles met the inclusion criteria and were analyzed descriptively. The findings indicate that corticosteroids are effective in managing inflammatory conditions such as asthma, autoimmune diseases, atopic dermatitis, nephrotic syndrome, and postoperative inflammation. However, long-term use is associated with metabolic and endocrine disturbances (hyperglycemia and Cushing’s syndrome), musculoskeletal complications (osteoporosis and osteonecrosis), dermatological effects (skin atrophy and irritation), ocular disorders (increased intraocular pressure and glaucoma), and cardiovascular effects. Systemic corticosteroids pose the highest risk of adverse effects, while topical and ocular formulations predominantly cause local reactions but may still lead to serious complications with prolonged use. Children and older adults are particularly vulnerable. In conclusion, corticosteroids remain essential in clinical therapy, but their use must be rational, closely monitored, and supported by patient education to minimize long-term risks.
Co-Authors Amalia, Najwa Syifa Amanda, Revana Putri Fitriyani Fitriyani Haryeti, Popon Khairunnisa, Musyrifah Kusnadi, Rachel Nazwa Sunardita Nurcholisa, ⁠Siti Permana, Dicka Trie Puspita, Reva Sri Putri, Rd. Natasya Aurellia Ridwan, Heri