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All Journal Malahayati International Journal of Nursing and Health Science
Ni Luh Dwi Indrayani
Fakultas Kesehatan, Institut Teknologi dan Kesehatan Bali
Health Professions Nursing Public Health

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A management approach to nursing education for preventing post-cataract surgery infections: A scoping review I Nyoman Widiadnyana; I Ketut Swarjana; Ni Luh Dwi Indrayani; I Gede Satria Astawa
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.882

Abstract

Background: Cataracts remain the leading cause of blindness globally, and surgery is the primary treatment. Inadequate postoperative care can lead to serious complications, including endophthalmitis. Nurse-led education is critical for prevention, and its impact can be strengthened through a management function approach. Purpose: To review nursing education strategies for preventing postoperative cataract infection from a management function perspective. Method: A scoping review was conducted following PRISMA guidelines using the PCC framework (P: nurse, C: educational management, C: postoperative cataract infection). Searches were performed in PubMed (MeSH terms) and Science Direct (standard keywords) for English-language, full-text articles published between 2014 and 2024. Narrative, integrative, scoping, and systematic reviews, as well as meta-analyses, were excluded. Results: The search retrieved 166 articles (75 PubMed, 91 Science Direct). After screening and eligibility assessment, 12 articles were included. Although none explicitly examined management functions, analysis revealed their implicit application. Educational interventions, when systematically planned, organized, implemented, and evaluated, enhanced effectiveness in preventing postoperative cataract infections. Conclusion: Incorporating a structured management function approach can improve the effectiveness of nursing education in preventing postoperative cataract infections. No studies were found that directly applied this framework in cataract postoperative care, indicating a gap for future research.
Emergency care for palliative patients in the emergency room: A literature review Ni Luh Putu Inca Buntari Agustini; Ni Luh Dwi Indrayani; I Nyoman Widiadnyana; Ni Luh Putu Yudi Aprianini; Putu Indah Jelita Lestari; Ni Ketut Erawati; I Made Jaya Kusuma; Vinda Ekabudiningsih
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.743

Abstract

Background: A lot of research has been done on the treatment of palliative patients who come to the emergency department. Although there are several models, it is still difficult to integrate palliative care into the ED. Purpose: To determine how emergency care for palliative patients is implemented in the emergency department.   Method: The PCC framework (Population: palliative patients, Concept: emergency care, Context: emergency department) was used to generate the article questions for this literature review. A search for articles was conducted during November and December, 2024. Pubmed, the ScientDirect database and other resources were used as data sources. “Palliative care" OR "palliative medicine" OR "hospice and palliative care nursing" AND "emergency treatment" OR "emergency medical services" AND "emergency room" OR "ER" were used as keywords. Results: Emergency care for palliative patients in emergency room has been implemented with a focus on symptom management and reducing the patient's suffering, maintaining patient comfort and involving families in decision making, with effective communication being essential. However, there are still serious barriers and challenges such as lack of staff education, problems with current emergency department systems and processes. Conclusion: The knowledge and skills of nurses and other health workers need to be improved and more in-depth studies need to be carried out so the implementation of palliative patient care in emergency cases can be optimized.
Post-cataract surgery infection prevention and postoperative care: A scoping review Ni Putu Sri Rahayu Dirantini; I Ketut Swarjana; Ni Luh Dwi Indrayani; I Gusti Agung Tresna Wicaksana
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.4111

Abstract

Background: Post-cataract surgery infections, particularly endophthalmitis, are rare but potentially vision-threatening complications. Postoperative care and patient education are essential for infection prevention and early detection. However, evidence on infection postoperative care remains fragmented across different aspects. Purpose: To summarize research findings on post-cataract surgery infections, care strategies, and factors affecting post-cataract surgery patients. Method: A scoping review was conducted following PRISMA-ScR using the Population, Concept, and Context (PCC) framework. The population included patients undergoing cataract surgery or having undergone cataract surgery, the concept focused on Postoperative infection, Infection prevention, Postoperative self-care, Education, Medication adherence, Follow-up, and Endophthalmitis and the context included Home-care, Hospital discharge, Outpatient, and Community settings. A literature search was conducted using MeSH terms in PubMed, keywords in ScienceDirect, and other relevant sources. Studies published between February 2016 and January 2026 were considered. Eligible studies were English-language, full-text original research articles. Narrative reviews, integrative reviews, scoping reviews, systematic reviews, and meta-analyses were excluded. Results: The search retrieved 2,413 articles (1.645 from PubMed and 768 from ScienceDirect). Following PRISMA screening, nine articles were included in the final review. The included studies examined infection prevention, infection incidence, patient-level determinants, patient knowledge, medication adherence, and discharge education to support postoperative cataract care. Conclusion: Comprehensive postoperative care may improve adherence, self-care, and clinical outcomes after cataract surgery. Further research is needed to strengthen the evidence and identify effective infection prevention strategies.
Human factors and ergonomics strategies in cardiopulmonary resuscitation: A systematic review of rescuer fatigue and CPR quality outcomes Ni Wayan Sukerti; Ni Luh Putu Inca Buntari Agustini; Ni Luh Dwi Indrayani; I Wayan Edi Sanjana
MIN Vol. 9 No. 8 (2026): Volume 9 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i8.4353

Abstract

Background: High-quality cardiopulmonary resuscitation (CPR) is physically and cognitively demanding, while rescuer fatigue can reduce chest-compression performance. Human Factors and Ergonomics (HFE) provides a systems-based approach integrating posture, workload, teamwork, technology, and the clinical environment. Purpose: To synthesize primary evidence regarding the effects of HFE-informed CPR education and performance strategies on rescuer fatigue and CPR quality. Method: This systematic review followed the PRISMA 2020 guidelines. PubMed, ScienceDirect, SpringerLink, and Google Scholar were searched for peer-reviewed primary studies published between January 2020 and December 2025. Eligible studies examined at least one HFE component and reported fatigue, CPR-quality, or team-performance outcomes. Twenty primary studies were included, critically appraised using design-appropriate Joanna Briggs Institute tools, and narratively synthesized because of methodological heterogeneity. Results: Real-time feedback, ergonomically appropriate positioning, workload management, planned compressor rotation, effective leadership, and team-based simulation generally improved compression depth, compression rate, chest-compression fraction, and team coordination. Conversely, prolonged chest compressions, suboptimal posture, forward leaning, personal protective equipment, and demanding patient positions increased rescuer fatigue. Nevertheless, evidence directly evaluating a comprehensive HFE-based CPR training program specifically for nurses remained limited. Conclusion: HFE-informed strategies can improve immediate CPR performance, strengthen team coordination, and support fatigue management. However, a standardized nurse-focused HFE training program should be evaluated through robust multicenter clinical studies assessing fatigue, CPR quality, skill retention, musculoskeletal effects, and patient-centered outcomes.
Co-Authors I Gede Satria Astawa I Gusti Agung Tresna Wicaksana I Ketut Swarjana I Made Jaya Kusuma I Nyoman Widiadnyana I Wayan Edi Sanjana Ni Ketut Erawati Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Yudi Aprianini Ni Putu Sri Rahayu Dirantini Ni Wayan Sukerti Putu Indah Jelita Lestari Vinda Ekabudiningsih