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All Journal Health and Technology Journal (HTECHJ)
Ni Luh Putu Thrisna Dewi
Professional Nurse Program, STIKES Wira Medika Bali, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Management of Fatigue in Post-Stroke Patients Ni Luh Putu Thrisna Dewi; Anak Agung Sri Sanjiwani; Ni Made Nopita Wati; Ketut Lisnawati
Health and Technology Journal (HTechJ) Vol. 1 No. 4 (2023): August 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i4.49

Abstract

Post-stroke patients often have sequelae that are difficult to avoid. One of the impacts that can occur after a stroke is the onset of cognitive impairment, physical disability, and even death due to the extent of brain damage that occurs. Another impact of stroke is Fatigue Post Stroke (FPS), where most stroke patients experience fatigue, and this condition can persist even though other symptoms caused by stroke have improved. This literature review aims to determine the appropriate management of fatigue after a stroke. The method in this study is a literature review by collecting published literature from databases such as ResearchGate, Google Scholar, and PLOS using Boolean stroke management and post-stroke fatigue. The literature search focused on articles related to fatigue in stroke patients. Both used RCT (Randomized Control Trial) design, Quasi Experiment, Qualitative study, and Survey study from the year (2015-2022).  Based on the results of data extraction from the author, two themes can be taken by the author, post-stroke patients who experience fatigue and fatigue management in stroke. The update in this literature review is the manifestation of fatigue conditions that, on average, will be experienced by stroke patients. If not handled properly, it will have a worse impact physically and psychologically, which can certainly interfere with the recovery process. So, it is necessary to appropriately manage both physical exercise and psychological interventions following the fatigue conditions of post-stroke patients. We recommend that in health services, nurses pay more attention to patient responses related to fatigue to provide appropriate nursing interventions and increase patients' desire to undergo rehabilitation.
Implementation of Case Discussion Reflection to Improve Nurse Professionalism: A Literature Review Ni Made Nopita Wati; Ni Luh Putu Thrisna Dewi; Ketut Lisna Wati; Anak Agung Sri Sanjiwani
Health and Technology Journal (HTechJ) Vol. 1 No. 4 (2023): August 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i4.50

Abstract

Patient safety is a global issue. Nurses are expected to enhance their abilities and skills in providing quality and safe healthcare to patients. Case-based reflection is one effective method to improve nurses' understanding of complex clinical situations and enhance their performance in addressing challenges in clinical practice. This study aims to explore implementing case discussion reflection to improve nurse professionalism. The method used in this study was a literature review through electronic databases, including ProQuest, Science Direct, PubMed, and Google Scholar. Inclusion criteria for the literature review process were national and international journals discussing the implementation of case-based reflection in hospitals, nursing professionalism, articles published in the last five years (2018-2022), articles written in Indonesian or English, full-text journal articles, and open access. The electronic database search through ProQuest, Science Direct, PubMed, and Google Scholar yielded 85 articles. After abstract screening and exclusion of articles published before 2018, duplicates/same journals, and irrelevant topics, 21 articles remained. Further screening of all articles resulted in 6 articles that will be reviewed for data extraction. The review findings indicate that through case-based reflection, nurses can expand their knowledge and skills in identifying, evaluating, and managing patient care more effectively. This can positively impact healthcare quality, patient safety, and patient satisfaction with the services provided. Therefore, the implementation of case-based reflection is crucial in enhancing nursing professionalism.
Co-Authors Anak Agung Sri Sanjiwani Anak Agung Sri Sanjiwani Ketut Lisna Wati Ketut Lisnawati Ni Made Nopita Wati