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Nursing Current : Jurnal Keperawatan
Published by Universitas Pelita Harapan
ISSN : 2089922X     EISSN : 26213214     DOI : -
Core Subject : Health,
Nursing
Nursing Current Jurnal Keperawatan is a scientific journal that covers research related to nursing including medical surgical nursing, mental health nursing, maternity and pediatric nursing, community nursing, nursing management, and nursing education. The journal includes research articles, literature reviews, case reports, lecture notes, and reviews of new books.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 26 Documents
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Search results for , issue "Vol. 12 No. 1 (2024): June" : 26 Documents clear
OUTCOME PASIEN POST OPERASI JANTUNG YANG MENDAPATKAN EDUKASI PRA OPERASI DI INTENSIVE CARDIAC CARE UNIT [OUTCOME OF POST-HEART SURGERY PATIENTS RECEIVING PRE-OPERATIVE EDUCATION IN THE INTENSIVE CARDIAC CARE UNIT] Hasibuan, Elizabeth Friska; Adi, Vincentia Puspasari; Susanti, Sri Budi; Manik, Marisa Junianti; Sinulingga, Elysabeth
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.8339

Abstract

Cardiac surgery is an intervention to correct and improve the anatomy and function of the heart. The preparations made by the nurse include conducting an orientation involving introduction to the operating room and post-surgery, education to deal with anxiety and postoperative pain, deep breathing exercises and effective coughing, spirometry incentive exercises, and early mobilization so that the patient understands what will be experienced before and after the procedure in the intensive care unit. This study aimed to determine the outcome of post-cardiac surgery patients who received care education in a pre-operative orientation at the ICCU, a private hospital in western Indonesia. This research used a quantitative descriptive design and univariate statistical analysis with a sample size of 15 participants using an accidental sampling technique. The instruments used were pain measurement observation sheets with a numerical scale, spirometry to measure lung volume capacity, and mobilization observation checklists, as well as the Hospital Anxiety Depression Scale questionnaire to measure anxiety. All participants received preoperative education. The results showed that all participants experienced decreased pain levels and could mobilize early, gradually from 24 to 72 hours post-surgery. A total of 10(66.67%) participants had a mild level of anxiety 24 hours after heart surgery, and 11(73.34%) participants experienced a consistent increase in lung volume capacity. Pre-cardiac surgery education provides the expected post-operative outcomes: decreasing pain and anxiety levels, increasing lung volume capacity, and gradual mobilization. BAHASA INDONESIA Bedah jantung adalah suatu tindakan operasi untuk mengoreksi dan memperbaiki anatomi dan fungsi jantung. Persiapan yang dilakukan perawat adalah melakukan orientasi meliputi pengenalan ruangan tindakan dan post operasi, edukasi untuk mengatasi kecemasan dan nyeri post operasi, latihan nafas dalam dan batuk efektif, latihan insentive spirometri serta mobilisasi dini, sehingga pasien memahami apa yang akan dialami sebelum dan sesudah tindakan operasi di ruangan intensif. Penelitian ini bertujuan untuk mengetahui gambaran outcome pasien post operasi jantung yang menerima edukasi perawatan dalam orientasi pre operasi di ICCU salah satu rumah sakit swasta di Indonesia bagian barat. Penelitian ini menggunakan desain deskriptif kuantitatif dan analisis statistik univariat dengan jumlah sampel 15 partisipan menggunakan tehnik accidental sampling. Instrumen yang digunakan berupa lembar observasi pengukuran nyeri dengan skala numerik, spirometri untuk mengukur kapasitas volume paru, dan ceklis observasi mobilisasi, serta kuesioner Hospital Anxiety Depression Scale untuk mengukur kecemasan. Seluruh partisipan  mendapatkan edukasi pre operasi. Hasil menunjukkan seluruh partisipan mengalami penurunan tingkat nyeri dan mampu mobilisasi dini bertahap dari 24 jam sampai 72 jam post operasi. Sebanyak 10(66,67%) partisipan memiliki kecemasan tingkat ringan pada 24 jam post bedah jantung, dan 11(73,34%) partisipan mengalami kenaikan kapasitas volume paru secara konsisten. Edukasi pre operasi jantung memberikan outcome post operasi yang diharapkan yakni penurunan tingkat nyeri dan kecemasan, kenaikan kapasitas volume paru dan mobilisasi secara bertahap.  
PROFIL PASIEN DIABETES MELITUS TIPE 2 RAWAT INAP DI SATU RS X: STUDI DOKUMENTASI [PROFILE OF TYPE 2 DIABETES MELLITUS PATIENTS HOSPITALIZED IN HOSPITAL X: A DOCUMENTATION STUDY] Saununu, Angel T. I; Lenggu, Erland N; Ndaparoka, Kacie R. G; Juhdeliena, Juhdeliena; Yulia, Yulia
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.8457

Abstract

Complications in patients with type 2 diabetes mellitus can increase the number of hospitalizations and even worsen the patient's condition even to death if not handled properly. Based on data from type 2 DM patients who underwent hospitalization at Hospital X in October-November 2021, 145 patients increased to 192 patients the following year. The purpose of this study is to identify the profile of patients hospitalized with type 2 diabetes. This research employed a quantitative descriptive study with a retrospective approach. The instrument in this study used a fill-in sheet. A total of 141 medical record records were included in the sample. The data were analysed using univariate analysis. The findings indicated that the majority of hospitalized patients with type 2 DM presented with complaints of weakness, accounting for 42.55% of cases. Patients with hyperglycaemic conditions were predominantly in the pre-elderly age category, comprising 24.10% of cases, with a higher representation of females at 27.7%. Additionally, a significant proportion of patients had a normal body mass index (17%), while a considerable number did not have their HbA1c levels checked (26.20%). Furthermore, 22.7% of patients had uncontrolled HbA1c levels (>7%), and 35.50% had one to three comorbidities. Several factors require additional investigation, specifically the hormonal history and gestational diabetes in women. Furthermore, there is a need for further research on visceral fat in the body, stress levels in hospitalized Type 2 DM patients, and the types of comorbid diseases commonly found in Type 2 DM patients. Additionally, routine HbA1c checks are necessary.BAHASA INDONESIA Komplikasi pada pasien diabetes melitus (DM) tipe 2 dapat meningkatkan peningkatan angka rawat inap bahkan dapat memperburuk kondisi penderita bahkan sampai dengan kematian jika tidak ditangani dengan baik. Berdasarkan data rawat inap pasienDMtipe2di satu RS X pada bulan Oktober-November 2021 sebanyak 145 pasien  meningkat menjadi 192 pasien ditahun berikutnya. Tujuan penelitian ini untuk mengidentifikasikarakteristik pasien DMtipe2 yang menjalani rawat inap. Metode penelitian ini deskriptif kuantitatif dengan pendekatan retrospektif. Instrumen dalam penelitian ini menggunakan lembar isian. Sampel yang digunakan berjumlah 141 dokumen rekam medis. Teknik analisis data yaitu analisis univariat. Hasil menunjukkan bahwakarakteristik pasien DM tipe 2 rawatinap mayoritas datang dengan keluhan lemas sebanyak 42,55%, pasien dengan kondisi hiperglikemi mayoritas dalam kategori usia pra lanjut usia sebanyak 24,10%, dengan jenis kelamin perempuansebanyak 27,7%,indeks massa tubuh normal sebanyak 17%,Kadar HbA1c tidak diperiksa sebanyak 26,20%, dan dengan kondisi kadar HbA1c tidak terkendali (>7%) sebanyak 22,7%, serta memiliki satu sampai tiga komorbid sebanyak 35,50%. Ada banyak faktor yang perlu dilakukan penelitian lebih lanjut yaitu riwayat hormonal dan diabetes gestasional pada perempuan, selain itu diperlukan penelitian lebih lanjut terkait lemak viseral dalam tubuh, tingkat stres pada pasien rawat inap DM Tipe 2 dan jenis-jenis penyakit komorbid yang sering terjadi pasien DM Tipe 2, dilanjutkan dengan diperlukannya pemeriksaan rutin HbA1c.  
EFIKASI DIRI, TINGKAT KEPERCAYAAN DIRI, DAN INTERAKSI PERAWAT-PASIEN DALAM MERAWAT PASIEN STROKE: ANALISA DESKRIPTIF [SELF-EFFICACY, CONFIDENCE LEVEL, AND NURSE-PATIENT INTERACTIONS IN STROKE CARE: A DESCRIPTIVE ANALYSIS] Taneo, Merfis; Widyantari, Puspita Ajeng; Huwae, Yonita Cristianti; Juhdeliena, Juhdeliena; Yulia, Yulia
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.8468

Abstract

 Stroke patients require comprehensive nursing care, therefore, nurses must have strong self-efficacy. In providing nursing care, nurses also need high self-confidence and effective communication skills when interacting with patients and their families. This study aims to identify nurses' self-efficacy, self-confidence, and interaction patterns in providing care to stroke patients. The research method was descriptive-analytic with a cross-sectional approach involving a sample of 111 respondents selected through purposive sampling. The instruments used were the General Self-Efficacy (GSE), Self-Confidence Scale (SCS), and Caring Nurse-Patient Interaction Scale: 23 Item Version Nurse (CNPI-23N). Cronbach’s alpha results of 0,828 for GSE, 0,966 for SCS, and 0,974 for CNPI-23N. The results showed moderate self-efficacy, self-confidence, and nurse interaction levels, with percentages of 70.07%, 70.27%, and 55.85%, respectively. The findings could be used to develop strategies to enhance self-efficacy and self-confidence in nurses at the early stages of their careers, such as through additional training, mentoring, or simulation-based education. BAHASA INDONESIA Pasien stroke membutuhkan asuhan keperawatan yang komprehensif oleh karena itu perawat membutuhkan efikasi diri yang baik. Dalam pemberian asuhan keperawatan, perawat juga membutuhkan tingkat kepercayaan diri yang tinggi dan kemampuan komunikasi yang efektif ketika berinteraksi dengan pasien maupun keluarga. Tujuan penelitian untuk mengidentifikasi gambaran efikasi diri, kepercayaan diri, serta interaksi perawat-pasien ditinjau dari karakteristik perawat dalam memberikan asuhan keperawatan kepada pasien stroke. Metode penelitian adalah deskriptif analitik dengan pendekatan cross sectional dengan sampel berjumlah 111 responden dengan teknik purposive sampling. Instrumen yang digunakan yaitu General Self-Efficacy (GSE), Self-Confidence Scale (SCS), dan Caring Nurse-Patient Interaction Scale: 23 Item Version Nurse (CNPI-23N) dengan hasil alpha Cronbach GSE 0,828, SCS 0,966 dan CNPI-23N 0,974. Hasil”¯ yang didapatkan gambaran efikasi diri, tingkat kepercayaan diri, dan interaksi perawat dalam kategori sedang secara berurutan yaitu 70,07%; 70,27%; dan 55,85%. Hasil penelitian dapat dipakai untuk mengembangkan strategi guna meningkatkan efikasi diri, kepercayaan diri perawat ditahap awal karir”¯dapat berupa pelatihan tambahan, bimbingan atau pendidikan berbasis simulasi.
PENGALAMAN PERAWAT MENYAMPAIKAN BREAKING BAD NEWS DI SATU RUMAH SAKIT SWASTA DI BATAM [NURSES’ EXPERIENCES IN BREAKING BAD NEWS IN A PRIVATE HOSPITAL IN BATAM] Onita Onita; Siska Natalia; Rizki Sari Utami
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7534

Abstract

In the field of palliative care nursing, Breaking Bad News (BBN) involves providing accurate information regarding the patient's status, which is often distressing for both the patient and their family. BBN is a collaborative endeavour including doctors and nurses. Patients frequently anticipate nurses to provide a reiteration of information previously conveyed by doctors. The phenomena are the lack of specialized training for nurses in Breaking Bad News (BBN), resulting in families frequently requesting nurses to provide further explanations on their health and treatment plan. The objective of this study was to investigate the firsthand encounter of nurses in BBN (Breaking Bad News). The approach employed qualitative phenomenology. 10 individuals were interviewed using semi-structured interviews to collect data. The Colaizzi Technique was employed for the analysis. Outcome: The study yielded four distinct themes: the collaborative efforts of nurses and doctors in BBN through therapeutic communication, the challenges faced by nurses when families lack understanding, the provision of BBN by nurses based on their professional experience, and the positive aspects observed by nurses in families. The study's findings revealed that nurses often face situations when they were required to Break Bad News (BBN), while lacking formal training in this domain. Nurses and doctors should undergo training in BBN (Breaking Bad News) to ensure they are sufficiently prepared to deliver such news to patients.BAHASA INDONESIA Dalam keperawatan paliatif, Breaking Bad News (BBN) memberikan informasi tentang kondisi pasien yang sebenarnya, yang sering kali merupakan berita buruk bagi pasien dan keluarganya. BBN merupakan peran kolaboratif antara dokter dan perawat. Fenomena yang terjadi adalah perawat tidak mendapatkan pelatihan khusus dalam menyampaikan BBN, dan perawat sering diminta oleh keluarga pasien untuk menjelaskan kembali informasi yang telah diberikan oleh dokter. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawat dalam memberikan BBN. Metode yang digunakan adalah fenomenologi kualitatif. Data dikumpulkan dengan wawancara semi-terstruktur dengan 10 partisipan. Analisis menggunakan Teknik Colaizzi. Hasil penelitian didapatkan empat tema, yaitu kolaborasi antara perawat dan dokter memberikan BBN dengan komunikasi terapeutik, perawat mengalami kesulitan saat keluarga tidak mengerti, perawat memberikan BBN berdasarkan pengalaman kerja, dan perawat melihat hal positif pada keluarga. Kesimpulan dari penelitian ini adalah perawat sering diminta untuk memberikan BBN, namun perawat belum pernah mendapatkan pelatihan khusus dalam memberikan BBN. Rekomendasi untuk perawat dan dokter agar mendapatkan pelatihan tentang BBN, sehingga perawat lebih siap dalam memberikan BBN kepada pasien.
GAMBARAN PENGETAHUAN DAN SIKAP REMAJA MENGENAI PERILAKU PENCEGAHAN SEKS BEBAS DI INDONESIA BAGIAN BARAT [KNOWLEDGE AND ATTITUDE OF ADOLESCENTS ON PREVENTIVE SEXUAL BEHAVIOR IN WESTERN INDONESIA] Indah Permata Sari; Sri Mega Pali'; Tessa Septerina Romaito; Lia Kartika; Prisca Adipertiwi Tahapary
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7589

Abstract

Free sex refers to a sexually intimate relationship between a man and a woman outside the context of marriage. In certain groups, engaging in free sex has become a common trend. Factors contributing to promiscuity among some student groups are diverse, and one of these factors is the knowledge and attitudes held by adolescents. The study aimed to describe the knowledge and attitudes of adolescents in Western Indonesia toward preventing free-sex behaviors. This study employed a descriptive quantitative research method, focusing on a sample of 96 randomly chosen adolescents aged 18-21 living in Western Indonesia. A questionnaire was used to assess adolescents' knowledge and attitudes toward preventing free sex. Univariate data analysis techniques were used in this study and showed that 89 respondents (92.7%) had good knowledge about the behavior of preventing free sex and more than half of the respondents had a negative attitude about the behavior of preventing free sex, namely as many as 49 respondents (51.0%). Nursing institutions can collaborate with schools and parents to provide trustworthy health education. Further research can be conducted to investigate adolescents' perceptions of free-sex activity to develop effective strategies for preventing such behavior.BAHASA INDONESIA Seks bebas merupakan hubungan yang dilakukan oleh laki-laki dan perempuan tanpa ikatan perkawinan. Seks bebas atau kini telah menjadi tren dalam beberapa kelompok.Pergaulan bebas di beberapa kelompok pelajar disebabkan oleh berbagai faktor salah satunya yaitu pengetahuan dan sikap remaja. Tujuan Penelitian ini untuk mengetahui gambaran pengetahuan dan sikap remaja mengenai perilaku pencegahan seks bebas di Indonesia Bagian Barat. Penelitian ini menggunakan metode penelitian kuantitatif jenis deskriptif dengan populasi penelitian yaitu remaja dengan rentang usia 18-21 tahun yang berdomisili di daerah Indonesia Bagian Barat. Teknik pengambilan sampel yang digunakan adalah sampel acak, dengan jumlah sampel sebanyak 96 responden.Penelitian ini menggunakan kuesioner untuk mengetahui gambaran variabel pengetahuan remaja dan sikap remaja mengenai perilaku pencegahan seks bebas. Teknik analisis data univariat digunakan dalam penelitian ini dan menunjukkansebanyak 89 responden (92,7%) memilikipengetahuan baik mengenai perilaku pencegahan seks bebas dan lebih dari setengah responden memiliki sikap negatif mengenai perilaku pencegahan seks bebas yaitu sebanyak 49 responden (51,0%). Institusi keperawatan dapat bekerja sama dengan pihak sekolah dan orang tua untuk memberikan pendidikan kesehatan yang reliabel. Penelitian lebih lanjut dapat dilakukan untuk mengeksplorasi persepsi remaja mengenai seks bebas untuk dapat memberikan intervensi dan pendekatan yang tepat mengenai pencegahan perilaku seks bebas. 
PENERAPAN SELF LEADERSHIP TERHADAP KINERJA PERAWAT: KAJIAN LITERATUR [THE APPLICATION OF SELF-LEADERSHIP TO NURSE PERFORMANCE: A LITERATURE REVIEW] Christika Lekatompessy; Catharina Dwiana Wijayanti
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7793

Abstract

Nurses who provide nursing services require leadership abilities. The concept of leadership is not only owned by a nurse manager but must also be owned by a primary nurse and an implementing nurse when carrying out nursing services. By developing self-leadership, nurses can become more effective leaders, share knowledge and innovation, and face work demands better. This literature review is to determine the impact of applying self-leadership on nurses performances. This study used literature review. The databases used as literature sources consist of Google Scholar, Science Direct, Pubmed, ProQuest, and GaleCencage. Article selection used protocol guidelines (PRISMA) starting from identification, screening, and eligibility, and in the final stage, there were 10 articles analysed. The results of this literature divide three main topics: self-leadership on clinical leadership competency, self leadership on work engagement, and self-leadership can reduce burnout. Self-leadership is a person's who ability to influence, directed, and motivated themself to achieve a goal. Self-leadership can reduce burnout, influence clinical leadership competence, and increase the work engagement of nurses in hospitals. BAHASA INDONESIA Perawat membutuhkan kemampuan kepemimpinan dalam memberikan pelayanan keperawatan. Konsep kepemimpinan tidak terbatas dimiliki oleh seorang perawat manajer namun juga harus dimiliki oleh seorang perawat primer dan perawat pelaksana dalam melaksanakan layanan keperawatan. Dengan memperluas kemampuan self leadership, perawat lebih efektif menjadi seorang pemimpin, berkontribusi dalam berbagi ide kreatif dan inovasi, serta menghadapi tuntutan pekerjan mereka dengan sangat efektif. Literature review ini bertujuan untuk mengetahui pengaruh penerapan self leadership dengan kinerja perawat dalam keperawatan. Penelitian ini menggunakan studi literature review. Database yang digunakan sebagai sumber terdiri dari Google Scholar, Science Direct, Pubmed, ProQuest, Gale Cencage. Penyeleksian artikel menggunakan panduan protocol (PRISMA) mulai dari identification, screening, eligibility dan tahap terakhir terdapat 10 artikel yang dianalisa. Hasil analisis literature menunjukkan bahwa terdapat 3 topik besar yaitu: Self-Leadership terhadap kompetensi kepemimpinan klinis, Self-Leadership terhadap keterlibatan kerja dan Self-Leadership dapat mengurangi burnout. Self-leadership atau Self leadership adalah kemampuan seseorang dalam mempengaruhi, mengarahkan dan memotivasi dirinya dalam mencapai suatu tujuan. Self leadership dapat mengurangi burnout, mempengaruhi kompetensi kepemimpinan klinis dan meningkatkan keterlibatan kerja di Rumah sakit.
Latihan Fleksibilitas terhadap Kelelahan dan Tekanan Darah pada Pasien Hemodialisis: Kajian Literatur [FLEXIBILITY EXERCISE ON DECREASED FATIGUE AND BLOOD PRESSURE IN CHRONIC KIDNEY FAILURE PATIENTS UNDERGOING HEMODIALYSIS: LITERATURE REVIEW] Marischa Wanti Esterlise Nainggolan; Ni Luh Widani
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7868

Abstract

Chronic kidney failure is a noncommunicable disease that has a rising incidence rate annually. This disease poses a worldwide challenge due to the intricacy of its treatment. This condition can progress in stages 1-5. Patients in Stage 5 need to receive either hemodialysis or kidney transplants. Hemodialysis has the potential to impact the patient's level of weariness and blood pressure. The purpose of the literature review is to examine the impact of intradialytic flexibility training on fatigue and blood pressure. This activity is a non-pharmacological technique that enhances patient weariness and blood pressure. The research methodology employs literature evaluation utilizing three databases: Google Scholar, PubMed, and ResearchGate. The process of selecting publications followed the PRISMA protocol standards for identification, screening, and determining eligibility. As a result, a total of 11 papers were analyzed. The inclusion criteria for this study were as follows: respondents who were undergoing hemodialysis, a sample size of more than 20 respondents, a quantitative research design, full text articles available in both Indonesian and English, and a maximum year of article publication above 2014. Scientists gathered and examined published articles regarding the advantages of flexibility exercise on fatigue and blood pressure in individuals undergoing hemodialysis. Various studies in the literature review yield inconsistent results, nevertheless, a significant number of researchers demonstrate that therapies involving flexibility training can have an impact on fatigue and blood pressure. In conclusion, flexibility training enhances fatigue and blood pressure in hemodialysis patients by reducing peripheral vascular resistance, hence minimizing blood vessel rigidity and weariness resulting from insufficient physical activity during blood cleansing.BAHASA INDONESIA Gagal ginjal kronis merupakan penyakit tidak menular yang angka kejadiannya meningkat setiap tahun. Penyakit ini merupakan masalah global karena kompleksnya pengobatan. Penyakit ini dapat memburuk dari stadium 1-5.Stadium 5 pasien harus menjalani hemodialisis atau transplantasi ginjal . Hemodialisis dapat mempengaruhi kelelahan dan tekanan darah pasien.Tujuan penelitian ini untuk menganalisa pengaruh latihan flexibility intradialyticterhadap kelelahan dan tekanan darah. Latihanini merupakan intervensi non farmakologis yang memperbaiki kelelahan dan tekanan darah pasien.Metode penelitian inimenggunakan literaturereview dengan menggunakan 3 database yaitu Google Scholar, Pubmed dan ResearchGate. Penyeleksian artikel menggunakan panduan protokol(PRISMA) dari identification, screening, eligibility dan menghasilkan 11 artikel yang dianalisa. Kriteria inklusi yaitu responden menjalani hemodialisis dengan jumlah sampel lebih dari 20 responden,desain penelitian kuantitatif, fulltext bahasa Indonesia maupun bahasa Inggris,maksimal tahun terbit artikel tahun 2014 -2024. Peneliti mengumpulkan dan menganalisis artikel yang telah terbit tentang manfaatlatihan flexibilityterhadap kelelahan dan tekanan darah pada pasien hemodialisis. Hasil dari literaturereview bervariasi namun banyak peneliti menunjukkan bahwa intervensi latihan flexibilitydapat berpengaruh terhadap kelelahan dan tekanan darah.Kesimpulannya latihan flexibilitymenurunkan kelelahan dan tekanan darah pasien hemodialisis akibat resistensi pembuluh darah perifer sehingga mencegah kekakuan pembuluh darah serta kelelahan karena kurangnya aktivitas fisik saat cuci darah.
ANALISIS FAKTOR DETERMINAN YANG MEMPENGARUHI KOMPETENSI KEPEMIMPINAN KLINIS: KAJIAN LITERATUR [THE ANALYSIS OF DETERMINANT FACTORS AFFECTING CLINICAL LEADERSHIP COMPETENCE: A LITERATURE REVIEW] Desy Ari Sanny Manurung; Catharina Dwiana Wijayanti
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.7879

Abstract

Effective hospital nursing services necessitate the utilization of clinical leadership abilities. These competencies will enable nurses to demonstrate their professionalism and deliver exceptional nursing care via daily actions such as effective communication, collaboration, innovation, and creativity. Additionally, they will serve as a source of motivation to implement nursing practices. The objective of this literature review is to assess the impact of resource considerations, managerial support, and training and experience on the successful implementation of clinical leadership competencies. Approach: This study used a literature review as its methodology. The literature sources utilized are Google, Scholar, Science Direct, Pubmed, ProQuest, and Elsevier databases. Identify papers that meet specific criteria, including those that investigate the areas of clinical leadership ability, including self-quality, service management, collaboration, goal setting, and change facilitation. The process of selecting articles was conducted according to the protocol guidelines (PRISMA), which involved the steps of identification, screening, and determining eligibility. During the concluding phase, a total of 8 articles were examined and assessed. Literature review reveals that the adoption of clinical leadership in hospitals can be impacted by key aspects like resources, nursing education and professional background, and managerial backing. The systematic review of this article concludes that nurses and primary nurses possess a strong understanding of clinical leadership competency. However, the implementation of this competency can be influenced by various factors, including nurse resources, training and work experience, and management support. However, the presence of competency does not have a substantial impact on the implementation of clinical leadership competency. BAHASA INDONESIA Clinical leadership competency atau Kepemimpinan klinis perawat perlu diterapkan dalam praktek pelayanan keperawatan di Rumah Sakit. Kemampuan kepemimpinan klinis akan memungkinkan perawat untuk menunjukkan profesionalismenya dan menghasilkan kualitas layanan keperawatan yang baik, melalui perilaku sehari - hari termasuk kemampuan komunikasi, bekerjasama dalam tim, memiliki inovasi dan kreatifitas, dan menjadi motivator dalam melaksanakan praktek keperawatan. Kepemimpinan klinis perawat memiliki potensi untuk meningkatkan kualitas perawatan yang diberikan. Sumber daya, lingkungan kerja, dukungan manajemen adalah beberapa faktor yang dapat mempengaruhi perkembangan kepemimpinan klinis perawat. Oleh karena itu, penting untuk mengetahui komponen yang dapat membantu meningkatkan kepemimpinan klinis perawat di Rumah Sakit. Tujuan literature review ini untuk mengetahui faktor sumber daya, dukungan manajemen, pengaruh pelatihan dan pengalaman kerja perawat terhadap penerapan Clinical Leadership Competency. Metode penelitian ini menggunakan literature review. Database yang digunakan sebagai sumber literature terdiri dari google, Scholar, Science Direct, Pubmed, Proquest, Elsevier. Menentukan artikel dengan kriteria inklusi yaitu, yang meneliti tentang domain-domain yang ada di clinical leadership competency yaitu, kualitas diri, manajemen layanan, bekerja sama, menentukan arah, change agent.  Dilakukan penyeleksian artikel menggunakan panduan protokol (PRISMA) mulai dari identification, Screening, eligibility dan tahap akhir terdapat 8 artikel yang di analisa. Hasil analisis literature menunjukkan bahwa penerapan clinical leadership Competency di Rumah Sakit dapat dipengaruhi oleh faktor-faktor determinannya, yaitu: sumber daya perawat, pelatihan dan pengalaman kerja perawat, dan dukungan manajemen. Dari sistematika review artikel ini di simpulkan bahwa pengetahuan perawat pelaksana dan perawat primer sudah baik terhadap Clinical Leadership Competency, namun ada beberapa faktor-faktor yang dapat mempengaruhi penerapannya yaitu, sumber daya perawat, pelatihan dan pengalaman kerja perawat, dan dukungan manajemen.
THE CORRELATION BETWEEN PERSONAL HYGIENE OF ADOLESCENT GIRLS DURING MENSTRUATION TOWARD THE INCIDENCE OF PRURITUS VULVAE AT ONE OF THE HIGH SCHOOLS IN DOLOK SANGGUL Angeli Stephanie Nainggolan; Rosinta Hasugian; Yossy Sheren Simamora; Joice Cathryne; Chryest Debby
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.8030

Abstract

Pruritus vulvae is an itching sensation in the female genitalia area during menstruation. As many as 5.2 million Indonesian adolescent girls often complain of pruritus vulvae after menstruation due to poor personal hygiene behavior. According to the results of an initial survey of 25 students at one of the high schools in Dolok Sanggul, all students experienced itching in the female genital area during menstruation. The purpose of this study is to investigate whether menstrual hygiene practices and the incidence of pruritus vulvae are related in adolescent girls at one of the high schools in Dolok Sanggul. This study used an analytic quantitative method with a cross-sectional design. The sample for this study was 41 female students using the accidental sampling technique. The research instrument used a questionnaire on the relationship between personal hygiene behavior and the incidence of pruritus vulvae. This research was conducted in February-April 2023. The results of this study showed that 63.4% of class XII students had sufficient personal hygiene behavior during menstruation, and 82.9% of respondents did not experience pruritus vulvae. In this study, personal hygiene behavior towards pruritus vulvae had no relationship, as evidenced by the results of the Chi-square test, p-value = 0.629 (p< 0.05). It is hoped that further research can be conducted by adding research variables and the number of respondents. 
PENGARUH PENERAPAN KEPEMIMPINAN KLINIS TERHADAP KOMPETENSI PERAWAT DI RUMAH SAKIT: KAJIAN LITERATUR [THE EFFECT OF CLINICAL LEADERSHIP IMPLEMENTATION ON NURSE COMPETENCE IN HOSPITALS: A LITERATURE REVIEW] Adria Novriani; Catharina Dwiana Wijayanti
Nursing Current: Jurnal Keperawatan Vol. 12 No. 1 (2024): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v12i1.8048

Abstract

Nurses who have less Clinical Leadership Competency can reduce the quality of service in a hospital to patients and even have a significant impact on patient safety. The study results showed that as many as 50% of new nurses have very limited knowledge of clinical leadership, namely in teamwork, as well as applying knowledge, practicing, and improving nursing services. In addition, nurses are also limited in their continuous personal development. This study aim was to determine the influence of the application of Clinical Leadership on nurse competency and the factors that influence the application of Clinical Leadership Competency This was a literature review study which used Google Scholar and Pubmed as the datebases. The research results show that a significant influence on the application of clinical leadership on the competency of nurses in hospitals. Where the application of clinical leadership will increase the competency of nurses and help create a positive culture for nurses regarding personal qualities; working with others, quality of nursing care management, improving service and the ability to act as a change agent. Apart from that, the application of clinical leadership is greatly influenced by nurses' self-leadership, experience, and training as well as hospital management. The application of clinical leadership can increase the competency of nurses in hospitals.BAHASA INDONESIA Perawat yang memiliki Clinical Leadership Competency kurang dapat mengurangi kualitas pelayanan di sebuah rumah sakit kepada pasien bahkan sangat berdampak pada keselamatan pasien. Hasil penelitian menunjukkan sebanyak 50% perawat baru memiliki pengetahuan tentang kepemimpinan klinis sangat terbatas yaitu dalam kerjasama dalam tim (team work), serta mengaplikasikan pengetahuan, praktik, serta peningkatan pelayanan keparawatan. Selain itu, perawat juga terbatas dalam pengembangan pribadi secara berkelanjutan Penelitian ini bertujuan untuk mengetahui pengaruh penerapan Clinical Leadership terhadap kompetensi perawat serta faktor-faktor yang mempengaruhi penerapan Clinical Leadership Competency. Metode penelitian ini adalah studi literature review. Database yang digunakan sebagai sumber literature terdiri dari Google Scholar, Pubmed. Science Direct dan Gale Cencag. Hasil penelitian menggambarkan bahwa adanya hubungan yang signfikan pada penerapan clinical leadership terhadap kompetensi perawat di rumah sakit. Penerapan clinical leadership akan meningkatkan kompetensi perawat dan sangat membantu terbentuknya budaya organisasi yang positif bagi perawat dalam hal kualitas diri; kemampuan bekerjasama dengan orang lain, kualitas manajemen asuhan keperawatan, pengembangan layanan dan kemampuan berperan sebagai change agent. Selain itu, dalam penerapannya clinical leadership sangat dipengaruhi oleh self-leadership perawat, pengalaman dan pelatihan serta managemen rumah sakit. Penerapan kepemimpinan klinis dapat meningkatkan kompetensi perawat di rumah sakit.  

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