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All Journal Jurnal Keperawatan Muhammadiyah Indonesian Academia Health Sciences Journal
Daviq Ayatulloh
Fakultas Ilmu Kesehatan, Universitas Gresik
Health Professions Nursing

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Faktor yang Mempengaruhi Emotional Exhaustion pada Perawat di Rumah Sakit: A Cross-Sectional Study Daviq Ayatulloh; Diah Priyantini; Ahmad Hasan Basri; Ade Faiz Ahmadi
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i2.30841

Abstract

Introduction: Emotional exhaustion among hospital nurses represents a major occupational health challenge, particularly in healthcare systems facing increasing service demands and workforce constraints. Identifying organizational determinants based on the Job Demands–Resources (JD-R) framework is essential to inform context-specific workforce strategies. Methods: A cross-sectional study was conducted among 72 nurses working in various clinical units at a hospital in Gresik, Indonesia. Cluster sampling was applied to ensure proportional representation across units. Emotional exhaustion was measured using the Emotional Exhaustion subscale of the Maslach Burnout Inventory–Human Services Survey. Job demands (workload, emotional demands, role conflict, workplace incivility) and job resources (supervisor support, organizational support, team support, job autonomy) were assessed using validated questionnaires. Data were analyzed using multiple linear regression to determine the relative contribution of each predictor. Results: Job demands and job resources were significant predictors of emotional exhaustion (p < 0.001), accounting for 50% of the variance. Workload emerged as the strongest positive predictor, followed by emotional demands. Among job resources, supervisor support demonstrated the most substantial protective effect. Higher job demands were associated with increased emotional exhaustion, whereas stronger job resources were associated with reduced levels of exhaustion. Discussion: The findings reinforce the JD-R framework, highlighting the interplay between structural workload pressures and organizational support mechanisms in shaping nurse wellbeing. Organizational strategies focusing on workload management and strengthening supervisory support may contribute to reducing emotional exhaustion in hospital settings.
The Relationship Between Competence and Skills with Nurses’ Performance in Providing Nursing Care: A Correlational Study Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i2.30867

Abstract

Introduction: Nurses’ performance in providing nursing care is influenced by multiple professional factors, including competence and clinical skills. Understanding the relationship among these variables is essential to improve healthcare quality and patient safety in hospital settings. This study aimed to examine the relationship between competence and skills with nurses’ performance in providing nursing care. Methods: A quantitative correlational study with a cross-sectional design was conducted among 172 nurses working in various hospital units. Data were collected using validated structured questionnaires measuring competence, clinical skills, and performance. Descriptive statistics were used to summarize respondent characteristics and variable distributions. Cross-tabulation and Chi-square tests were applied to determine the association between variables, with a significance level set at p < 0.05. Results: Most nurses demonstrated moderate competency (39.0%) and moderate skills (39.5%), while performance was predominantly categorized as adequate (40.7%). Chi-square analysis revealed a statistically significant association between competency and performance (χ² = 148.32, df = 4, p < 0.001). Similarly, a significant relationship was found between skills and performance (χ² = 136.47, df = 4, p < 0.001). Nurses with higher levels of competence and skills were more likely to demonstrate good performance. Conclusion: Competence and clinical skills are significantly associated with nurses’ performance in providing nursing care. Strengthening competency-based development and continuous skills training may enhance performance outcomes and support improved healthcare quality.
Autogenic Relaxation as a Form of Non-Pharmacological Supportive Intervention for Headaches in Hypertensive Patients Diah Priyantini; Noryani Noryani; Suyatno Hadi Saputro; Retno Sumara; Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension is a major public health problem and is frequently associated with headache, which can significantly interfere with daily activities. Pharmacological therapy remains the most common treatment; however, long-term use may lead to side effects and reduced adherence. Therefore, non-pharmacological supportive therapies, such as autogenic relaxation, are increasingly considered as alternative approaches. This study aimed to evaluate the effectiveness of autogenic relaxation therapy in reducing headache intensity among patients with hypertension. This research employed a case intervention approach conducted at a community health center in Surabaya, Indonesia. Four patients diagnosed with hypertension participated in the study. Data collection was carried out through home visits, including interviews, observation, and review of health history over the past six months. Blood pressure was measured using a tensiometer, and headache intensity was assessed using the Numeric Rating Scale (NRS) and PQRST method. Participants were guided to perform autogenic relaxation therapy twice weekly and independently at home for 20 minutes per session. The results demonstrated that all participants initially experienced moderate headache intensity (NRS 4–6). After the intervention, there was a consistent reduction in pain levels, with all participants reporting mild headache intensity (NRS 2–3). The most notable reduction was observed after the second session of therapy, indicating a progressive improvement in pain control. In conclusion, autogenic relaxation therapy is effective in reducing headache intensity among patients with hypertension. This non-pharmacological approach can be considered a simple, safe, and accessible intervention to complement conventional treatment and improve patient well-being.
The Effectiveness of Spiritual-Based Relaxation Technique on Patients With Post-Traumatic Stress Disorder After Treatment in an Integrated Cardiac Intensive Care Unit Diah Priyantini; Suyatno Hadi Saputro; Siswanto Agung Wijaya; Daviq Ayatulloh
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.32489

Abstract

Background: Patients who have undergone treatment in an Integrated Cardiac Intensive Care Unit may experience psychological distress after discharge, including symptoms of post-traumatic stress disorder. Exposure to life-threatening cardiac events, invasive procedures, uncertainty, and the intensive care environment may contribute to persistent fear, intrusive memories, sleep disturbance, and emotional dysregulation. Spiritual-based relaxation technique, including Spiritual Emotional Freedom Technique, combines relaxation, spiritual affirmation, acceptance, and body-based stimulation to reduce emotional distress. Objective: This study aimed to examine the effectiveness of a spiritual-based relaxation technique in reducing post-traumatic stress disorder symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. Methods: A pre-experimental one-group pretest–posttest study was conducted among 30 patients who had completed treatment in an Integrated Cardiac Intensive Care Unit. Participants were selected using purposive sampling. The intervention consisted of spiritual-based relaxation sessions delivered over three consecutive days. Post-traumatic stress disorder symptoms were measured before and after the intervention using a standardized PTSD symptom questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: The mean age of participants was 56.4 years, and most participants were male. The mean PTSD symptom score decreased from 42.6 ± 7.8 before the intervention to 28.9 ± 8.1 after the intervention. The median PTSD score decreased from 43.0 to 29.0. The Wilcoxon signed-rank test showed a statistically significant reduction in PTSD symptoms after the intervention (Z = −4.62, p < .001). The mean score reduction was 13.7 points, indicating clinically meaningful improvement after spiritual-based relaxation. Conclusion: Spiritual-based relaxation technique was effective in reducing PTSD symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. This intervention may be considered as a simple, low-cost, and holistic nursing approach to support psychological recovery after intensive cardiac care. Further studies using randomized controlled designs and larger samples are recommended.
Hubungan Quality of Nursing Work Life terhadap Kepatuhan Pendokumentasian Bundle Prevention Phlebitis Riski Dwi Prameswari; Dwi Ayu Angraini; Daviq Ayatulloh; Retno Twistiandayani
Indonesian Academia Health Sciences Journal Vol 5 No 1 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i1.23395

Abstract

Introduction: Incomplete documentation often occurs as a result of nurses' non-compliance in carrying out professional work, where documents should have completeness and accuracy in accordance with standard operating procedures in hospitals. The aim of this research is to analyze the relationship between quality of nursing work life (QNWL) and compliance with phlebitis prevention bundle documentation. Methods: Quantitative research with a cross sectional approach conducted in February 2024 at RSUD Ibnu Sina Gresik. The sample size was 148 respondents from 203 populations recruited using probability type cluster random sampling. The independent variable is QNWL and the dependent variable is compliance with phlebitis prevention bundle documentation. Correlation test using spearmen rho with SPSS version 22 software. Results: The research results showed that the QNWL of nurses was in the sufficient category at 75% and compliance with documentation of the pheblitis prevention bundle was mostly in the adequate category at 44.6%. The results of the correlation test show that there is a significant relationship, namely p-value 0.001 (p<0.05). The Correlation Coefficient value is 0.261, which means there is a strong correlation between QNWL and compliance with phlebitis prevention bundle documentation. Conclusion: This research provides the view that improving the quality of life of nurses' performance will increase nurses' compliance in carrying out phlebitis prevention bundle documentation.
Hubungan Motivasi dengan Kinerja Perawat di Ruang Instalasi Perawatan Rumah Sakit Daviq Ayatulloh; Retno Twistiandayani; Ahmad Hasan Basri
Indonesian Academia Health Sciences Journal Vol 2 No 1 (2021): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v2i1.23397

Abstract

Work motivation is motivated by the need in a person to influence the person's behavior, High motivation a person is expected to lead to positive behaviors that will ultimately result in good performance in the work. One that is often the cause of reduced performance is the lack of internal and external motivation in the work. The design of this study using cross-sectional methods. The sampling method used is Probability Sampling. Samples taken by 35 respondents are nurses who work in the Inpatient Room RSI Sakinah Mojokerto, in May 2014. Research data was taken using a questionnaire. After the tabulated data were analyzed using the Spearman Rho test with significance level 0.05. The results showed motivation of nurses working in the high category by 23 respondents (65.7%), medium category by 8 respondents (22.9%) and low category by 4 respondents (11.4%). Performance nurse with excellent categories by 20 respondents (57.1%), both as a category 4 respondents (11.4%), pretty much as 5 categories of respondents (14.3%), less as category 2 respondents (5.7% ), and less so by 4 categories of respondents (11.4%). While the results obtained from the statistical tests no correlation with the performance of work motivation nurses with correlation value of 0.728 with a significance level of 0.000 (ρ <0.05). Seeing these results it is necessary to coaching head office and nurse by providing training to improve motivation and performance so nurses can lead to good service and a good image for the hospital in the community.
ELECTRONIC MEDICATION TO MINIMIZE MEDICATION ERROR AND IMPROVE PATIENT SAFETY IN HOSPITAL: A SYSTEMATIC REVIEW Daviq Ayatulloh; Diah Priyantini; Nursalam Nursalam; Ahmad Hasan Basri
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25345

Abstract

Introduction: Quality is the main focus of attention in health services, one of the factors that can lower the quality of health care and patient confidence is the fault of the medication. A medication error is an event that can lead to an error in giving care to patient. This study aimed to review electronic medication to minimize medication error and patient safety in hospital. Methods: A systematic review was carried out in order to get a comprehensive perspective on benefit using electronic medication to minimize medication error. Literature search was performed through English databases of Scopus, PubMed, ProQuest and Sciencedirect within in the last 5 years. This search was conducted between November, 2021 until January, 2022. The type of study design was excluded the review and descriptive articles. All document and studies providing evidence regarding electronic medication in hospitals were included in this review. Results: Overall, the review consists of 15 articles which studies the electronic system affects to medication error and improve patient safety. Finding obtained the intervention can be used and applied to improve patient safety such as EMMS (Electronic Medication Management Systems), EHR/EHRs (Electronic Health Reports), E-Prescribing (Electronic Prescribing), MediDocQ (Medication Administration Charts), and CPOE (Computerized Provider order entry). Conclusions: Health information technology in the field of medicine has proven to be effective in reducing medication errors in hospital patients. So that through this review, it is expected to be able to improve the competence of health workers and reduce the risk of medication errors.
Kejadian Post Traumatic Stress Disorder Pada Pasien Survivor Jantung Pasca Perawatan Di Ruang Intenssive Cardiac Care Unit Nugroho Ari Wibowo; Diah Priyantini; Dwi Whisnu Artanti Eka Putri; Retno Sumara; Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25501

Abstract

Post Traumatic Strees Disorder (PTSD) tidak hanya terjadi karena dampak dari bencana alam, namun dapat terjadi karena kejadian seperti peperangan, bencana alam, penyerangan, pemerkosaan, dan kondisi suatu penyakit. Fenomena yang ditemukan ternyata PTSD juga bisa timbul pada pasien yang pernah dirawat di ruang perawatan intensif khusus penyakit jantung. Tujuan: Penelitian bertujuan untuk mengidentifikasi angka kejadian, faktor penyebab, tanda dan gejala PTSD pada pasien di ruang ICCU. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan studi kasus dengan jumlah sampel 30 pasien yang direkrut menggunakan teknik purposive sampling. Variabel penelitian ini adalah kejadian PTSD yang diukur dengan menggunakan kuisioner UK-PTSS-14. Analisis data yang digunakan adalah analisis deskriptif dengan menggunakan tabel distribusi frekuensi. Faktor pencetus kejadian trauma serta berat dan dekatnya dengan trauma menunjukkan hasil paling banyak yakni <5 tahun sebanyak (77%), faktor jenis kelamin menunjukkan hasil paling banyak berjenis kelamin perempuan sebanyak (57%), faktor status pekerjaan dan penghasilan menunjukkan hasil paling banyak memiliki pekerjaan sebanyak (63%) dan paling banyak responden memiliki penghasilan dibawah UMR Surabaya berjumlah (50%), faktor usia menunjukkan hasil paling banyak memiliki usia pada rentan 59-73 tahun sebanyak (70%), faktor tingkat Pendidikan menunjukkan hasil paling banyak berada pada tingkat pendidikan SMP sebanyak (50%), faktor riwayat gangguan psikiatri menunjukkan hasil paling banyak tidak memiliki riwayat gangguan psikiatri atau kejiwaan sebanyak (93%), dan faktor sumber pendukung menunjukkan hasil paling banyak memiliki sumber pendukung sebanyak (67%). Sebagian besar pasien yang pernah menjalani rawat inap di ruang ICCU mengalami kejadian PTSD ringan hingga sedang.
Co-Authors Ade Faiz Ahmadi Ahmad Hasan Basri Ahmad Hasan Basri Aries Chandra Ananditha Dwi Ayu Angraini Dwi Whisnu Artanti Eka Putri Noryani Noryani Nugroho Ari Wibowo Nursalam Nursalam Priyantini, Diah Rachma Wati Retno Sumara Retno Twistiandayani Retno Twistiandayani Riski Dwi Prameswari Siswanto Agung Wijaya Suyatno Hadi Saputro