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All Journal MAHESA : Malahayati Health Student Journal Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Journal of Health and Nutrition Research
Tsauroh, Salsabila Fiqrotu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Merawat di Bawah Tekanan: Faktor Risiko Kejadian Burnout pada Perawat Maternitas dan Bidan: Scoping Review Puspitasari, Halfie Zaqiyah Gusti; Selwis Raistanti, Sihqina Ramadhani; Tsauroh, Salsabila Fiqrotu; Agustin, Agustin; Hutami, Nurfitria Anisa; Riyati, Riyati; Mokodompit, Hariansyah; Viegas, Bonifacio de Jesus; Hapsari, Elsi Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.107591

Abstract

Background: Several factors such as high job demands, unsupportive health care environment, and low salary contribute to burnout among maternity nurses and midwives. Untreated burnout can have a negative impact on the quality of care, the mental health of midwifery nurses and midwives, and therefore patient well-being.Objective: To identify risk factors for burnout among maternity nurses and midwives.Method: This study was a scoping review in accordance with Updated Methodological Guidance for The Conduct of Scoping Reviews 2020. Articles were obtained from three electronic data sources, namely PubMed, ScienceDirect, and Wiley. Inclusion criteria included English-language article, published between 2020 and 2024, and original research articles on burnout among maternity nurses and midwives. Articles that did not meet the criterion, such as focusing on maternity nurses and midwives in education context, were excluded. Article selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) Guidelines 2020 and quality assessment used the Joanna Briggs Institute (JBI) Critical Appraisal Checklist 2020 and Mixed Methods Appraisal Tool (MMAT) 2018.Results: A total of 32.803 articles were found in the search. After screening, eight articles that met the criteria were selected and analyzed further. Based on the analysis results, it was found that the identified risk factors causing burnout in maternity nurses and midwives included socioeconomic status, work experience and duration, unpleasant experiences, job demands, and commitment.Conclusion: Socioeconomic status, work experience and duration, unpleasant experiences, job demands, and commitment contribute to burnout among maternity nurses and midwives. Therefore, further research is needed to develop burnout prevention strategies to improve the well-being of maternity nurses and midwives.INTISARILatar belakang: Tuntutan pekerjaan yang tinggi, lingkungan fasilitas kesehatan yang kurang mendukung, hingga gaji yang rendah, menjadi beberapa faktor pemicu burnout pada perawat maternitas. Burnout yang tidak ditangani dapat berdampak negatif pada kualitas pelayanan, kesehatan mental perawat maternitas dan bidan, serta kesejahteraan pasien.Tujuan: Mengidentifikasi faktor risiko burnout pada perawat maternitas dan bidan.Metode: Penelitian ini merupakan tinjauan cakupan sesuai dengan pedoman Updated Methodological Guidance for The Conduct of Scoping Reviews tahun 2020. Artikel diperoleh dari tiga sumber data elektronik, yaitu PubMed, ScienceDirect, dan Wiley. Kriteria inklusi mencakup artikel berbahasa Inggris yang diterbitkan antara 2020–2024 dan merupakan artikel penelitian orisinal tentang burnout pada perawat maternitas. Artikel yang tidak memenuhi kriteria, yakni berfokus pada perawat atau bidan dalam konteks pendidikan, telah dikeluarkan. Seleksi artikel mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) tahun 2020 serta penilaian kualitas menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Checklist tahun 2020 dan Mixed Methods Appraisal Tool (MMAT) tahun 2018.Hasil: Sebanyak 32.803 artikel ditemukan dalam penelusuran. Setelah dilakukan skrining, didapatkan 8 artikel yang memenuhi kriteria untuk dianalisis lebih lanjut. Berdasarkan hasil analisis, didapatkan bahwa faktor risiko yang teridentifikasi menyebabkan burnout pada perawat maternitas dan bidan di antaranya adalah status sosial demografi, pengalaman dan waktu kerja, pengalaman tidak menyenangkan, tuntutan pekerjaan, dan komitmen.Simpulan: Status sosial demografi, pengalaman dan waktu kerja, pengalaman tidak menyenangkan, tuntutan pekerjaan, dan komitmen, dapat berkontribusi menyebabkan burnout. Oleh karena itu, penelitian lebih lanjut diperlukan untuk mengembangkan strategi pencegahan burnout dalam rangka meningkatkan kesejahteraan kerja pada perawat maternitas dan bidan. 
Pencegahan Kekambuhan Asma dan Pengelolaan Cushing Syndrome: Studi Kasus Tsauroh, Salsabila Fiqrotu; Kurniawan, Titis; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14076

Abstract

ABSTRACT Iatrogenic cushing syndrome is a complication for asthma patients due to long-term use of steroid drugs. This risk is increasingly higher as the recurrence rate in increases asthma patients (poor asthma control). Asthma management has been shown to be effective in reducing asthma recurrence, there’s limited literature how to manage asthma in patients with cushing’s syndrome. This study aims to explain how to implement management and prevention of asthma recurrence in cushing syndrome patients undergoing treatment at one of regional general hospitals in the West Java. This case study uses a descriptive design described narratively. A woman (56) was admitted to the adult internal medicine room with weakness, breathlessness and itching. The face looks round (moonface), there’s fat on the shoulder (buffalo hump), lines (striae) appear on abdomen. Patients has history of asthma since kid. Family said patient had been taking corticosteroid medication for± 10 years. Patient claimed unaware about managing asthma. Asthma Control Test score before intervention was given 11 (not controlled). During treatment, patient and their families receive nursing intervention, pharmacology therapy, education and discussion about asthma management and how to prevent asthma recurrence that can reduce of using corticosteroid. At the end of intervention, patient and their family expressed better knowledge about asthma management. Symptoms of weakness, breathlessness, and itching had subsided by the end of treatment period. Patient had started asthma management after being discharged from hospital, but the smoke-free home had not been implemented optimally so patient relapsed once on the fourth day of discharged from hospital. Asthma management education is an effective strategy in prevention and management of cushing syndrome in asthma patients, however management will not be optimal without family support and those closest to them. Education provided during treatment needs to be followed up during the post-treatment period through regular follow up to ensure that programmed treatment can run as it should  Keywords: Asthma, Asthma Management, Case Study, Cushing Syndrome  ABSTRAK Iatrogenic cushing syndrome adalah salah satu komplikasi bagi pasien asma akibat penggunaan obat steroid jangka panjang. Resiko ini semakin tinggi seiring tingginya angka kekambuhan pasien asma (asma kontrol buruk). Manajemen asma telah terbukti efektif dalam mengurangi kekambuhan asma, sedikit literatur mendiskusikan bagaimana manajemen asma pada pasien dengan cushing syndrome. Case study ini bertujuan untuk memaparkan bagaimana implementasi pengelolaan dan pencegahan kekambuhan asma pada pasien cushing syndrome yang menjalani perawatan di salah satu rumah sakit umum daerah di wilayah Jawa Barat. Studi kasus ini menggunakan desain deskriptif dan diuraikan secara naratif. Seorang perempuan (56 thn) dirawat di ruang penyakit dalam dewasa dengan keluhan lemas, sesak, dan gatal. Wajah tampak bulat (moonface), pada daerah bahu terdapat penumpukan lemak (buffalo hump), tampak guratan garis (striae) pada abdomen. Pasien memiliki riwayat asma sejak kecil. Keluarga mengatakan bahwa pasien mengkonsumsi obat kortikosteroid ketika asma kambuh selama ± 10 tahun. Pasien mengatakan belum mengetahui terkait mengelola asma yang baik agar tidak kambuh. Skor Asthma Control Test sebelum diberikan intervensi adalah 11 (tidak terkontrol). Selama dirawat pasien dan keluarga diberikan intevernsi keperawatan, terapi farmakologi dan menerima edukasi dan diskusi mengenai manajemen asma yang baik dan cara pencegahan kekambuhan asma sehingga dapat mengurangi penggunaan obat kortikosteroid. Diakhir masa perawatan, pasien dan keluarga menyatakan paham mengenai manajemen asma. Keluhan lemas sudah tidak ada, sesak dan gatal berkurang. Setelah pulang dari rumah sakit, keluarga mengatakan telah mengurangi faktor pencetus kekambuhan asma pada pasien, namun rumah bebas asap rokok belum dilakukan secara maksimal oleh keluarga sehingga pasien kambuh satu kali di hari keempat pulang rawat. Edukasi manajemen asma merupakan strategi yang efektif dalam pencegahan dan pengelolaan cushing syndrome pada pasien asma, namun meski dimikian pengelolaan tidak akan maksimal tanpa dukungan keluarga dan orang terdekat. Edukasi yang diberikan selama dirawat perlu untuk ditindak lanjuti selama masa pasca rawat melalui follow up secara berkala untuk menjamin perawatan yang diprogramkan dapat berjalan sebagaimana mestinya. Kata Kunci: Asma, Cushing Syndrome, Manajemen Asma, Studi Kasus
The Types of Support That Enhance Body Image in Patients with Breast Cancer: A Scoping Review Christaputri, Silvia Tri Wahyu; Triyanto, Arifin; Tsauroh, Salsabila Fiqrotu; Mulyainuningsih, Wa Ode Saridewi; Effendy, Christantie
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.559

Abstract

Patients with breast cancer often experience dissatisfaction with themselves as a result of the treatment process they undergo, potentially resulting in a negative body image and affecting the effectiveness of treatment and their quality of life. Therefore, support is needed to address this issue. This study aims to identify the types of support that can be provided to improve body image in patients with breast cancer through a scoping review. We conducted a search using five databases, including ScienceDirect, Wiley, Scopus, ClinicalKey, and ProQuest. The inclusion criteria used were English-language articles and original research articles published between January 2020 and May 2025. Review articles, books, and pilot studies were excluded. The screening procedure was conducted in accordance with the PRISMA 2020 guidelines, and article eligibility was assessed by three researchers using the JBI Critical Appraisal Checklist (2020). Ten articles were obtained, indicating that various forms of support can be provided, such as social support (from family, friends, prominent figures, important or special people, and health workers); partner support; psychological support carried out through clinical interventions; and support from groups of fellow breast cancer survivors, but social support from family being the most commonly implemented form. This support helps patients in the process of improving body image that has changed due to the treatment process; however, in practice, the provision of a single type of support cannot stand alone. These findings affirm that providing support to enhance a positive body image in patients requires thorough attention. Further research is expected to explore the effectiveness of each type of support and involve more than one form of support to produce more comprehensive findings.
Co-Authors Agustin Agustin Arifin Triyanto Christantie Effendy Christaputri, Silvia Tri Wahyu Eka Afrima Sari, Eka Afrima Elsi Dwi Hapsari Hutami, Nurfitria Anisa Mokodompit, Hariansyah Mulyainuningsih, Wa Ode Saridewi Puspitasari, Halfie Zaqiyah Gusti Riyati, Riyati Selwis Raistanti, Sihqina Ramadhani Titis Kurniawan Viegas, Bonifacio de Jesus