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All Journal Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Ni Luh Putu Inca Buntari Agustini
Fakultas Kesehatan, Institut Teknologi dan Kesehatan Bali
Health Professions Nursing Public Health

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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.
Nurses’ compliance with the five moments of hand hygiene and healthcare-associated infections I Gusti Ngurah Aryana; Ni Luh Putu Inca Buntari Agustini; I Ketut Alit Adianta; Putu Noviana Sagitarini; I Gede Putu Darma Suyasa
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.1692

Abstract

Background: Adherence to the five moments of hand hygiene in hospital settings plays a crucial role in preventing healthcare-associated infections (HAIs). Despite the widespread dissemination and acceptance of these guidelines, nurses’ compliance rates remain suboptimal in many healthcare institutions. Numerous factors have been identified as influencing nurses’ adherence to the five moments of hand hygiene. Purpose: To identify factors associated with nurses' compliance with the five moments of hand hygiene in reducing healthcare-associated infections. Method: This study employed a quantitative, non-participatory observational design using a cross-sectional correlational approach. A total of 334 nurses from Prof. Dr. I.G.N.G. Ngoerah General Hospital were recruited as participants. Data were collected through structured questionnaires and analyzed using univariate, bivariate, and multivariate statistical methods. Results: Overall, the compliance rate of nurses with the five moments of hand hygiene was 62.0%. The main factors significantly associated with compliance included the type of treatment room (p = 0.007; AOR = 2.116; 95% CI: 1.225–3.656), belief (p = 0.001; AOR = 16.596; 95% CI: 4.726–58.279), and glove use (p = 0.001; AOR = 5.957; 95% CI: 3.430–10.340). Conclusion: The key determinants affecting compliance with the five moments of hand hygiene include nurses’ beliefs, the use of gloves, and the type of treatment room. Beyond the variables examined in this study, additional predictors such as patient conditions, stress levels, workload, and socio-cultural influences may also contribute to variations in nurses’ adherence to the five moments of hand hygiene.
Integrasi pertolongan pertama dan aktivasi ambulans: Sebuah tinjauan literatur I Pasek Wayan Agung Susila; Ni Luh Putu Inca Buntari Agustini; Ida Ayu Ningrat Pangruating Diyu; I Wayan Edi Sanjana
Hik Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1687

Abstract

Background: Rapid response to medical emergencies is a crucial factor in reducing patient mortality and morbidity. However, the ambulance calling system in Indonesia still faces various challenges, such as limited access to information, delayed responses, and lack of integration with emergency command centers. Purpose: To review various studies related to the development of mobile/web-based applications for emergency medical services, and to identify research gaps and opportunities for further development. Methods: A search was conducted using the PubMed and ScienceDirect databases, followed by a review and synthesis process using PRISMA. An initial 219 articles were found, of which 15 were included in the study. Results: The application is capable of facilitating ambulance ordering, real-time location tracking, and accelerating emergency response. However, most studies are limited to technical function tests with small sample sizes and have not measured the application's effectiveness on clinical indicators. Conclusion: Innovation in web-based and mobile emergency applications has significant potential to improve response speed, ambulance calling accuracy, and community empowerment in first aid. However, further research is still needed with a broader scope, strong quantitative methods such as quasi-experiments or RCTs, as well as multi-dimensional evaluations involving technical, clinical, and user experience aspects.   Keywords: Emergency Medical Services; First Aid; Mobile Application.   Pendahuluan: Respon cepat terhadap keadaan gawat darurat medis menjadi faktor penting dalam menurunkan mortalitas dan morbiditas pasien. Namun, sistem pemanggilan ambulans di Indonesia masih menghadapi berbagai kendala, seperti keterbatasan akses informasi, keterlambatan respon, dan kurangnya integrasi dengan pusat komando darurat. Tujuan: Untuk meninjau berbagai penelitian terkait integrasi pertolongan pertama dan aktivasi ambulans. Metode: pencarian artikel dilakukan database PubMed dan ScienceDirect kemudian proses review dan sintesis dilakukan menggunakan PRISMA. Artikel awal yang ditemukan adalah 219, kemudian 15 artikel disertakan dalam penelitian. Hasil: Menunjukkan bahwa aplikasi mampu memfasilitasi pemesanan ambulans, pelacakan lokasi real-time, dan percepatan respon darurat. Namun, sebagian besar studi masih terbatas pada uji fungsi teknis dengan sampel kecil, belum mengukur efektivitas aplikasi pada indikator klinis. Simpulan: Inovasi aplikasi darurat berbasis web maupun mobile memiliki potensi besar dalam meningkatkan kecepatan respon, akurasi pemanggilan ambulans, dan pemberdayaan masyarakat dalam pertolongan pertama. Namun, masih diperlukan penelitian lanjutan dengan cakupan yang lebih luas, metode kuantitatif yang kuat misalnya quasi-experiment atau RCT, serta evaluasi multi-dimensi yang melibatkan aspek teknis, klinis, dan pengalaman pengguna. Kata Kunci: Aplikasi Seluler; Layanan Medis Darurat; Pertolongan Pertama.
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 PUTU DARMA SUYASA I Gusti Ngurah Aryana I Ketut Alit Adianta I Made Jaya Kusuma I Nyoman Widiadnyana I Pasek Wayan Agung Susila I Wayan Edi Sanjana Ida Ayu Ningrat Pangruating Diyu Ni Ketut Erawati Ni Luh Dwi Indrayani Ni Luh Putu Yudi Aprianini Ni Wayan Sukerti Putu Indah Jelita Lestari Vinda Ekabudiningsih