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All Journal Journal of Nursing Care Indonesian Journal of Global Health research
Yusanti, Irma
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Physics Public Health

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Electrolyte Management and Monitoring to Prevent Complications MMA: A Case Report Ali, Samin M.; Azmi, Nur; Yusanti, Irma; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3424

Abstract

Methylmalonic acidemia (MMA) is a rare metabolic disorder caused by the body's inability to break down certain proteins and fats, leading to a buildup of toxic methylmalonic acid. MMA symptoms vary and can cause serious complications if not treated appropriately. Purpose : to explanation of electrolyte management and monitoring to prevent complications on patient with methylmalonic acidemia. Method : this study used case study. Collecting data used nursing assessment. An 8 year old patient with MMA, cough accompanied by vomiting, decreased appetite, and dehydration came to the emergency room in critical condition. The patient showed signs of dehydration, metabolic acidosis, and electrolyte disturbances that required immediate treatment. Results: Management of MMA involves adequate hydration, management of hypoglycemia, correction of metabolic acidosis, and careful monitoring of electrolytes. Additional therapies such as L-Carnitine supplementation and intensive clinical monitoring are also necessary to prevent life-threatening complications. Conclusion: Rapid and appropriate treatment of the metabolic crisis in MMA is essential to prevent serious complications and improve the patient's prognosis. Regular monitoring of electrolytes and clinical parameters as well as comprehensive therapy can help improve the quality of life of individuals with MMA.
Nursing Process for Critical Patients and Their Families in Cardiac Intensive Care Unit Setiawan, Deris Riandi; Ramdani, Dadan; Larashati, Defa; Noya, Fricilia; Yusanti, Irma; Anna, Anastasia
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3481

Abstract

The Cardiac Intensive Care Unit or CICU is a hospital unit specifically for treating acute cardiovascular disease. The implementation of structured nursing standards is very important to ensure optimal quality of care. This narrative review was conducted to compare the application of the NANDA NIC-NOC (3N) model and the 3S Model in improving the quality of care in the CICU. Objective: This study aims to explore the application of nursing standards using the NANDA NIC-NOC model and the Indonesian Nursing Standards 3S (SDKI, SLKI, SIKI) in improving the quality of care in the CICU. Methods: The research design used in this study was a narrative review by searching for articles from PubMed with the keywords Nurses's Roles OR Roles, Nurse's OR Role, Nurse's OR Nurse Role AND Management, Airway OR Airway Control OR Control, Airway. Inclusion criteria included accessible full-text articles in English. Data was analyzed descriptively Results: From the research, 5 articles were obtained that were relevant to the research. This research conducted in several countries found that the implementation of nursing standards can improve the quality of care and patient outcomes in CICUs. The use of NIC and NOC standards helps nurses plan, implement and evaluate patient care systematically and effectively. Conclusions: Implementation of nursing standards has great potential in improving the quality of care in CICUs. There are limitations in empirical validation and adaptation to local context that need to be addressed. Recommendations for further research and development of intensive training programs are needed to ensure the effectiveness and sustainability of implementation of these nursing standards.
Translation and Validity Content Testing of The Quality Clincial Placement Evaluation Instrument Ilfanty, Ananda Rafa; Yusanti, Irma; Anna, Anastasia
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64563

Abstract

Clinical learning environments are fundamental to nursing education, and their quality must be systematically evaluated. The Quality Clinical Placement Evaluation (QCPE) instrument is widely used to assess clinical placements; however, an Indonesian version has not been previously available. This study aimed to translate, culturally adapt, and assess the content validity of the QCPE instrument in the Indonesian context. A methodological study was conducted using a structured translation process comprising forward translation, synthesis, backward translation, and developer review to ensure conceptual equivalence. Content validity was evaluated by three Nursing Professional Practice experts who assessed each item for relevance, clarity, and essentiality. Quantitative analysis was performed using the Item Content Validity Index (I-CVI), Scale Content Validity Index (S-CVI/UA and S-CVI/Ave), and Content Validity Ratio (CVR). The Indonesian QCPE demonstrated good content validity. Most items achieved an I-CVI of 1.00, indicating high relevance. S-CVI/ UA values ranged from 0.82 to 0.95, and S-CVI/Ave values ranged from 0.94 to 0.98, reflecting strong overall agreement among experts. CVR values ranged from 0.33 to 1.00. One item from each questionnaire was removed due to limited relevance to the Indonesian nursing education context, resulting in a final version with 20 items for the Professional Student Questionnaire and 16 items for the Supervisory Nurse Questionnaire. The Indonesian version of the QCPE instrument demonstrates strong content validity and is suitable for evaluating clinical learning environments. Further studies are recommended to establish construct validity and reliability prior to widespread use.Keywords: Content Validity, Clinical Learning Environment, Cross-Cultural Adaptation, Nursing Education
Co-Authors Ali, Samin M. Anastasia Anna Ayu Prawesti Priambodo Ilfanty, Ananda Rafa Larashati, Defa Noya, Fricilia Nur Azmi, Nur Ristina Mirwanti, Ristina Setiawan, Deris Riandi