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ANALISIS PELAKSANAAN CODE TRAUMA DI INSTALASI GAWAT DARURAT Aziz Syaifudin Fathoni; Sutono Sutono; Darsih Darsiih; Sri Setiyarini
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.762

Code trauma merupakan sistem penanganan kegawatdaruratan yang dirancang untuk mempercepat respons tim medis terhadap pasien trauma berat. Aktivasi yang tepat dan cepat menjadi faktor kunci untuk menurunkan morbiditas dan mortalitas. Namun, implementasi code traumasering kali menghadapi kendala seperti keterlambatan waktu pengambilan keputusan dan hambatan yang dapat memengaruhi outcome pasien. Tujuan penelitian: Menganalisis pelaksanaan code trauma di instalasi gawat darurat (IGD), meliputi penyebab aktivasi, waktu keputusan, jenis operasi dan hambatan yang dihadapi. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan potong lintang (cross-sectional). Penelitian ini menggunakan instrumen berupa formulir pemantauan code trauma yang merupakan instrumen standar pelayanan di rumah sakit tempat penelitian dilakukan. Formulir ini telah divalidasi oleh tim trauma rumah sakit dan digunakan secara rutin dalam pelaksanaan code trauma. Data diperoleh dari telaah dokumen pada 45 kasus code trauma. Data dianalisis menggunakan analisis deskriptif berupa distribusi frekuensi dan persentase. Hasil: Karakteristik responden pada pasien code trauma berusia 19–35 tahun sejumlah 33,3% dan berjenis kelamin laki laki sejumlah 62,2%. Jenis cedera merupakan faktor utama yang paling sering memicu aktivasi code trauma, tercatat sebesar 47,6%. Waktu pengambilan keputusan pada 77,8% kasus tercapai, sementara 22,2% kasus mengalami keterlambatan, dan penyebab keterlambatannya 35,3% karena menunggu hasil pemeriksaan penunjang, 29,9% karena prolonged resuscitation dan menunggu kamar operasi, sedangkan kategori operasi emergensi 53,3% dalam aktivasi code trauma. Diskusi: Pelaksanaan code trauma telah berjalan cukup efektif dengan mayoritas kasus memenuhi standar waktu keputusan. Hasil penelitian ini bisa menjadi bahan rujukan untuk membuat kebijakan selanjutnya terkait pelaksanaan code traumadi IGD. Kesimpulan: Pelaksanaan code trauma telah berjalan cukup efektif dengan mayoritas kasus memenuhi standar waktu keputusan. Hasil penelitian ini bisa menjadi bahan rujukan untuk membuat kebijakan selanjutnya terkait pelaksanaan code trauma di IGD.Kata Kunci: aktivasi tim trauma, instalasi gawat darurat, trauma Analysis of Code Trauma Implementationi in the Emergency DepartmentABSTRACTCode trauma is an emergency response system designed to accelerate the medical team’s response to patients with severe traumatic injuries. Timely and accurate activation is a key factor in reducing morbidity and mortality. However, the implementation of a code trauma system often encounters challenges, including delays in decision making and barriers that may influence patient outcomes. Objective: This study aims to analyze the implementation of code trauma in the Emergency Department (ED), focusing on the causes of activation, decision-making time, types of surgical procedures, and the barriers encountered during its implementation. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. Data were collected using a code trauma monitoring form, which serves as a standard service instrument in the hospital where the study was conducted. The instrument had been validated by the hospital’s trauma team and is routinely used in code trauma management. Data were obtained through document review of 45 code trauma cases. The data were analyzed using descriptive statistics, including frequency and percentage distributions. Results: The characteristics of code trauma patients showed that 33.3% were aged 19–35 years and 62.2% were male. Type of injury was the most common factor triggering code trauma activation, accounting for 47.6% of cases. Decision-making time met the standard in 77.8% of cases, while 22.2% experienced delays. The main causes of delay included waiting for supporting diagnostic results (35.3%), prolonged resuscitation and waiting for operating room availability (29.9%). Emergency surgical procedures accounted for 53.3% of operations performed following code trauma activation. Conclusion: The implementation of the code trauma system has been relatively effective, as most cases met the standard decision-making time. These findings may serve as a reference for developing future policies related to code trauma implementation in the Emergency Department.Keywords: trauma team activation, emergency department, trauma

ANALISIS KEBUTUHAN EDUKASI KESEHATAN IBU POSTPARTUM TENTANG PERAWATAN BAYI BARU LAHIR: STUDI KUALITATIF Puspa Silvia Jati; Wenny Artanty Nisman; Ika Parmawati; Rumi Saryati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.644

World Health Organization (WHO) melaporkan 2,4 juta bayi meninggal pada bulan pertama kehidupan pada tahun 2020. Laporan ini mengungkapkan kurangnya perawatan berkualitas sebagai salah satu penyebab kematian bayi. Edukasi terkait perawatan bayi baru lahir akan menunjang praktik perawatan yang baik. Dalam merancang edukasi kesehatan, perlu dilakukan analisis kebutuhan agar edukasi dapat optimal. Tujuan Penelitian: Mengeksplorasi kebutuhan edukasi perawatan bayi baru lahir bagi ibu postpartum di Rumah Sakit Umum Pusat dr. Soeradji, Tirtonegoro, Klaten. Metode: Metode kualitatif deskriptif. Pengambilan data dilakukan dari bulan November hingga Desember 2023. Subjek penelitian berjumlah 10 orang, menggunakan purposive sampling dan analisis data tematik. Hasil: Analisis menghasilkan tiga tema, yaituperbedaan kebutuhan informasi ibu postpartum, keragaman preferensi media dan metode penyampaian edukasi, serta preferensi ibu terkait pengaturan tempat, waktu, dan durasi edukasi. Diskusi: Ibu posptpartum membutuhkan edukasi yang komprehensif, interaktif, dan mudah dipahami. Variasi preferensi media, metode, informasi, dan teknis pelaksanaan menunjukkan pentingnya penyusunan edukasi yang fleksibel, multimodal, dan menyesuaikan kebutuhan ibu untuk meningkatkan pemahaman dan kualitas perawatan bayi baru lahir. Kesimpulan: Berdasarkan hasil wawancara, diketahui bahwa terdapat perbedaan kebutuhan informasi bagi ibu postpartum. Selain itu, terdapat perbedaan preferensi terkait metode dan teknis pelaksanaan edukasi ibu postpartum tentang perawatan bayi baru lahir. Rumah sakit diharapkan mampu menyelenggarakan edukasi perawatan bayi baru lahir dengan lebih komprehensif terkait materi-materi dan media edukasi yang efektif seperti video dan alat peraga. Kata Kunci: ibu postpartum, bayi baru lahir, perawatan bayi, edukasi, kebutuhan edukasi Analysis of Postpartum Mothers’ Health Education Needs Regarding Newborn Care: A Qualitative StudyABSTRACTThe World Health Organization (WHO) reported that 2.4 million infants died during the first month of life in 2020. The report highlights inadequate quality of care as one of the contributing factors to neonatal mortality. Education on newborn care supports appropriate caregiving practices. In developing effective health education programs, a needs assessment is necessary to ensure that educational interventions address the actual needs of postpartum mothers. Objective: This study aimed to explore the educational needs of postpartum mothers regarding newborn care at Dr. Soeradji Tirtonegoro General Hospital, Klaten. Methods: This study used a descriptive qualitative design. Data were collected from November to December 2023. Ten participants were recruited through purposive sampling. Data were analyzed using thematic analysis. Results: The analysis identified three main themes: differences in postpartum mothers’ informational needs, variations in preferred educational media and delivery methods, and mothers’ preferences regarding the setting, timing, and duration of educational sessions. Discussion: Postpartum mothers require comprehensive, interactive, and easily understandable education. Variations in preferences for media, methods, content, and implementation procedures indicate the need for flexible and multimodal educational strategies that accommodate mothers’ needs in order to improve understanding and enhance the quality of newborn care. Conclusion: The findings indicate differences in informational needs among postpartum mothers. Variations also exist in their preferences regarding the methods and technical aspects of educational delivery. Hospitals are therefore expected to provide more comprehensive newborn care education, including the use of effective educational media such as videos and demonstration tools.Keywords: postpartum mothers, newborn, infant care, education, educational needs

POLA ASUH ORANG TUA DAN PERILAKU KONSUMSI MAKANAN BERISIKO PADA REMAJA DI KOTA DEPOK Caroline Febe Yolanda; Widyatuti Widyatuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.721

Makanan merupakan salah satu faktor risiko penyakit tidak menular (PTM), baik secara global maupun nasional. Konsumsi makanan tidak sehat yang dilakukan secara terus-menerus dapat menjadi perilaku konsumsi makanan berisiko. Salah satu faktor yang dapat memengaruhi konsumsi makanan individu ialah orang tua individu. Tujuan penelitian: Mengetahui adanya hubungan antara pola asuh orang tua dengan perilaku konsumsi makanan berisiko pada remaja di Kota Depok. Metode: Penelitian ini menggunakan metode cross-sectional. Sampel terdiri atas 110 remaja yang berusia 15–18 tahun yang diambil menggunakan teknik purposive sampling. Instrumen yang digunakan dalam penelitian ini ialah kuesioner karakteristik responden, Parenting Style Questionnaire (PSQ), dan Eating Behaviour Pattern Questionnaire (EBPQ). Analisis data dilakukan menggunakan uji statistik chi-square. Hasil: Sebagian besar remaja memiliki pola asuh otoritatif (80%) dan perilaku konsumsi makanan yang baik (54,5%). Uji statistik menunjukkan tidak adanya hubungan yang bermakna antara pola asuh orang tua dan perilaku konsumsi makanan berisiko pada remaja di Kota Depok (p value = 0,632). Diskusi: Pola asuh orang tua bukan satu-satunya faktor yang memengaruhi perilaku konsumsi makanan remaja. Ada faktor-faktor lain yang memengaruhinya, misalnya teman sebaya, lingkungan sekolah, dan sebagainya. Kesimpulan: Tidak ada hubungan yang signifikan antara pola asuh orang tua dengan perilaku konsumsi makanan berisiko. Oleh karena itu, hasil penelitian ini dapat menjadi pemicu bagi penelitian selanjutnya untuk mempertimbangkan untuk mengambil sampel dengan jumlah yang lebih besar dan merata serta dapat meneliti lebih dalam mengenai faktor-faktor lain yang memengaruhi perilaku konsumsi makanan pada remaja. Kata Kunci: konsumsi makanan, orang tua, perilaku, pola asuh, remaja Parenting Styles and Risky Food Consumption Behavior among Adolescents in Depok CityABSTRACTFood consumption is one of the major risk factors for non-communicable diseases (NCDs) at both global and national levels. Continuous consumption of unhealthy foods may lead to risky eating behaviors. One factor that may influence individual eating behavior is parental influence. Objective: This study aimed to examine the correlation between parenting style and risky food consumption behavior among adolescents in Depok City. Methods: This study employed a cross-sectional design. The sample consisted of 110 adolescents aged 15–18 years who were selected using purposive sampling. The research instruments included a respondent characteristics questionnaire, the Parenting Style Questionnaire (PSQ), and the Eating Behaviour Pattern Questionnaire (EBPQ). Data were analyzed using the Chi-square statistical test. Results: Most adolescents experienced an authoritative parenting style (80%) and demonstrated good food consumption behavior (54.5%). The statistical analysis showed no significant correlation between parenting style and risky food consumption behavior among adolescents in Depok City (p = 0.632). Discussion: Parenting style is not the only factor that influences adolescents’ food consumption behavior. Other factors, such as peer influence, school environment, and social context, may also contribute to shaping adolescents’ eating patterns. Conclusion: There was no significant correlation between parenting style and risky food consumption behavior among adolescents. These findings suggest that future studies should consider larger and more representative samples and further examine other factors that may influence adolescents’ food consumption behavior. Keywords: food consumption, parents, behavior, parenting style, adolescents

GAMBARAN PERILAKU WORKAHOLISM PADA MAHASISWA KESEHATAN DI UNIVERSITAS JENDERAL SOEDIRMAN Adinda Arka Maulita; Hasby Pri Choiruna; Wahyu Ekowati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.702

Perilaku workaholism adalah perilaku individu yang tidak terkendali dengan pekerjaannya tanpa memikirkan waktu istirahat yang berdampak negatif terhadap kesehatan psikis, fisik, dan hubungan sosial. Dalam hal ini, mahasiswa kesehatan Universitas Jenderal Soedirman (Unsoed) berpotensi memiliki perilaku workaholism. Mahasiswa kesehatan dituntut untuk mencapai prestasi akademik, sekaligus menjadi individu yang kuat, mandiri, dan produktif untuk mendapat pengakuan dari orang lain. Tujuan penelitian: Mengidentifikasi gambaran perilaku workaholism pada mahasiswa kesehatan Unsoed yang nantinya akan memiliki dampak negatif dan atau positif. Metode: Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross-sectional yang melibatkan 347 mahasiswa kesehatan Unsoed dengan menggunakan cluster random sampling. Data diperoleh melalui pengisian kuesioner Workaholism Addiction Risk Test (WART) pada 18 Agustus 2024, kemudian diolah menggunakan analisis univariat berupa distribusi frekuensi dan persentase pada variabel perilaku workaholism. Hasil: Responden berperilaku workaholism tingkat sedang sebanyak 57,1%, tingkat rendah sebanyak 38,3%, dan tingkat tinggi sebanyak 4,6%. Diksusi: Responden pada penelitian ini yang memiliki workaholism paling rendah memiliki karakteristik sulit untuk mendelegasikan tugas, tetapi tetap pada kontrol diri yang baik, kepercayaan diri yang tinggi, dan komunkasi yang baik, sedangkan responden yang memiliki workaholism tinggi memiliki karakteristik karakteristik sulit mendelegasikan tugas, kontrol diri yang kurang baik, kompulsif yang tinggi, mementingkan harga diri hingga komunikasi terganggu. Kesimpulan: Sebagian besar responden berperilaku workaholism tingkat sedang dan tinggi cenderung berdampak negatif pada mahasiswa. Oleh karena itu, peneliti selanjutnya direkomendasikan meneliti jumlah dan durasi kegiatan setiap mahasiswa dengan perilaku workaholism.Kata Kunci: harga diri, mahasiswa kesehatan, workaholismOverview of Workaholism Behavior among Health Students at Jenderal Soedirman UniversityABSTRACTWorkaholism refers to an uncontrollable tendency to work excessively without adequate consideration of rest, which may negatively affect psychological health, physical well-being, and social relationships. Health students at Jenderal Soedirman University (Unsoed) may be at risk of developing workaholism due to academic demands and expectations to achieve high performance while maintaining productivity, independence, and social recognition. Objective: This study aimed to identify the level of workaholism behavior among health students at Jenderal Soedirman University and its potential positive and negative implications. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. A total of 347 health students at Jenderal Soedirman University participated in the study and were selected using cluster random sampling. Data were collected on August 18, 2024 using the Workaholism Addiction Risk Test (WART) questionnaire. The data were analyzed using univariate analysis to determine the frequency distribution and percentage of workaholism behavior levels. Results: The results showed that 57.1% of respondents demonstrated a moderate level of workaholism, 38.3% showed a low level, and 4.6% exhibited a high level. Discussion: Respondents with the lowest level of workaholism tended to have difficulty delegating tasks but maintained good self-control, high self-confidence, and effective communication skills. In contrast, respondents with a high level of workaholism showed difficulty delegating tasks, poor self-control, strong compulsive tendencies, a strong focus on self-esteem, and impaired communication. Conclusion: Most respondents exhibited moderate levels of workaholism and higher levels of workaholism, which tended to have negative effects on students. Future research is recommended to examine contextual factors such as the number and duration of student activities associated with workaholism behavior.Keywords: self-esteem, health students, workaholism

PENGALAMAN TENAGA MEDIS, KESEHATAN, DAN NONKESEHATAN DALAM MENERAPKAN INTERPROFESSIONAL COLLABORATION BERBASIS INTEGRASI KEISLAMAN PADA LANSIA Eny Sutria; Aidah Fitriani; Patima Patima; Nur Azizah
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.713

Lansia yang berada pada tahap akhir kehidupan mengalami perubahan fisik, psikologis, sosial, dan spiritual yang kompleks sehingga memerlukan pendekatan perawatan yang holistik dan terintegrasi. Interprofessional collaboration (IPC) menjadi strategi penting dalam meningkatkan kualitas pelayanan lansia, termasuk melalui integrasi nilai-nilai keislaman dalam praktik asuhan. Meskipun layanan terpadu telah diterapkan, implementasi IPC yang terstruktur dan kolaboratif antara tenaga kesehatan dan nonkesehatan belum sepenuhnya optimal. Tujuan Penelitian: Penelitian ini mengeksplorasi pengalaman tenaga medis, kesehatan, dan nonkesehatan dalam penerapan IPC berbasis integrasi keislaman di Sentra Gau Mabaji Kab. Gowa. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi. Partisipan berjumlah sepuluh orang yang terdiri atas tenaga medis, kesehatan dan nonkesehatan, yang terlibat langsung dalam pelayanan lansia. Pengumpulan data dilakukan melalui focus group discussion (FGD) dan dianalisis menggunakan metode Colaizzi. Keabsahan data dijaga melalui triangulasi metode, sumber, peneliti, dan teori. Hasil: Ada tiga tema yang teridentifikasi: 1) pentingnya pemeriksaan kapasitas fisik sebagai dasar kebutuhan intervensi pada lansia, 2) kolaborasi interprofesional melalui kejelasan peran dan fungsi dalam pelayanan lansia, dan 3) penerapan IPC berbasis intervensi spiritual dan motivasi. Diskusi: Pentingnya pemahaman oleh masing-masing profesi tentang praktik kolaborasi berdasarkan tugas dan fungsinya menjadi kunci keberhasilan penerapan IPC serta intervensi spiritual dan motivasi akan memberikan perasaan bermakna bagi diri lansia. Kesimpulan: Penelitian ini menunjukkan bahwa penerapan model IPC berbasis integrasi keislaman berkontribusi positif dalam mewujudkan pelayanan lansia yang holistik, bermakna, dan berpusat pada kebutuhan lansia. Penguatan kebijakan, pelatihan kolaboratif, dan sistem dokumentasi terintegrasi diperlukan untuk mengoptimalkan praktik IPC pada pelayanan lansia.Kata Kunci: integrasi, interprofessional kolaborasi, lansia, spiritual Experiences of Medical, Health, and Non-Health Personnel in Implementing Islamic Integration–Based Interprofessional Collaboration for Older AdultsABSTRACTOlder adults in the late stage of life experience complex physical, psychological, social, and spiritual changes that require a holistic and integrated approach to care. Interprofessional Collaboration (IPC) has become an important strategy to improve the quality of elderly care, including the integration of Islamic values in care practices. Although integrated services have been implemented, the structured and collaborative implementation of IPC among medical, health, and non-health personnel has not yet been fully optimized. Objective: This study explores the experiences of medical, health, and non-health personnel in implementing Islamic integration–based IPC at Sentra Gau Mabaji, Gowa Regency. Methods: This study used a qualitative approach with a phenomenological design. Ten participants were involved, consisting of medical, health, and non-health personnel who were directly engaged in elderly care services. Data were collected through Focus Group Discussions (FGDs) and analyzed using the Colaizzi method. Data credibility was maintained through triangulation of methods, sources, researchers, and theories. Results: Three main themes emerged from the analysis: (1) the importance of assessing physical capacity as the basis for determining intervention needs in older adults; (2) interprofessional collaboration through clear roles and responsibilities in elderly care services; and (3) the implementation of IPC through spiritual and motivational interventions. Discussion: A clear understanding among each profession regarding collaborative practice based on their respective roles and responsibilities is a key factor in the successful implementation of IPC. In addition, spiritual and motivational interventions provide older adults with a sense of meaning and psychological support. Conclusion: The findings indicate that the implementation of an Islamic integration–based IPC model contributes positively to the delivery of holistic, meaningful, and patient-centered care for older adults. Strengthening policies, collaborative training, and integrated documentation systems are necessary to optimize IPC practices in elderly care services.Keywords: integration, interprofessional collaboration, older adults, spiritual

RISK FACTORS FOR DIABETES MELLITUS AND THEIR ASSOCIATION WITH BLOOD GLUCOSE LEVELS IN ADOLESCENTS Sister, Freshy Moonyk; Mardiyani, Ridha; Wuriani, Wuriani; Haryanto, Haryanto; Hastuti, Lidia; Pratama, Kharisma; Amrullah, Syahid
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.622

The onset of Diabetes Mellitus (DM) among adolescents worldwide has been increased. Objective: This study aimed to analyze risk factors associated with DM among adolescents including family history, tobacco consumption, blood pressure, blood glucose levels, Body Mass Index (BMI), and physical activity. Method: This cross-sectional study included 211 individuals selected through simple random sampling. Data were obtained using a questionnaire to risk factors of DM (family history, tobacco consumption). Random Capillary Blood Glucose (RCBG) was measured by glucometer. BMI Z score was calculated using growth standard for adolescents. Blood pressure was determined by automatic monitor in accordance with the American Academy of Pediatrics (AAP) hypertension clinical guidelines. Physical activity were assessed using Physical Activity Questionnaire for Adolescent (PAQ-A). Then, analysis was carried out using the Spearman rank rho statistical test. Results: Among 211 adolescents, most were normoglycemic (79.6%), low physical activity (78.2 %), obesity (17.5 %), and having elevated blood pressure (46.0%). There was no significant relationship between family history of diabetes, smoking habits, blood pressure, BMI, physical activity and blood glucose levels (p > 0.05). Discussions: Although there was no significant relationship was found, however, the presence of multiple risk factors indicates that early metabolic risk may already exist, while the prediabetes phase in adolescents often remains unrecognized. Conclusion: These findings emphasize the importance of early preventive strategies and lifestyle interventions to reduce future metabolic risk. Future research is required to identify other risk factors of DM.Keywords : Adolescents, diabetes mellitus, glucose, risk factors

FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PADA PASIEN DENGAN GANGGUAN PENGELIHATAN Helda Fitria Wahyuni; Nanda Chaerunisa; Dewanti Widya Astari
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.738

Gangguan penglihatan merupakan masalah kesehatan global yang memengaruhi sekitar 285 juta jiwa dan berdampak pada fungsi fisik, psikologis, sosial, serta lingkungan penderita. Namun, bukti mengenai gambaran kualitas hidup faktor yang berhubungan dengan gangguan penglihatan berat di Indonesia masih terbatas, khususnya di rumah sakit rujukan nasional. Tujuan penelitian: mendeskripsikan kualitas hidup pasien rawat inap dengan gangguan pengelihatan berat dan menganalisis faktor yang berhubungan dengan kualitas hidup dilihat dari karakteristik demografi pasien. Metode: Penelitian deskriptif kuantitatif dengan desain cross-sectional dilakukan pada Januari–Juni 2024 pada 100 pasien rawat inap dengan gangguan penglihatan berat (visus ≤ 3/60 pada kedua mata) yang dipilih menggunakan purposive sampling. Kriteria inklusi meliputi usia ≥ 12 tahun, mampu berkomunikasi, dan bersedia menjadi responden, sedangkan eksklusi adalah visus > 3/60, gangguan mental berat, dan kondisi kritis. Data dikumpulkan menggunakan kuesioner karakteristik demografi dan instrumen WHOQOL-BREF versi Indonesia, kemudian dianalisis secara univariat dan bivariat menggunakan uji chi-square. Hasil: Sebanyak 87% responden memiliki kualitas hidup rendah. Rata-rata skor domain kesehatan fisik berada pada kategori buruk, sedangkan domain psikologis, hubungan sosial, dan lingkungan berada pada kategori cukup. Analisis bivariat menunjukkan tidak terdapat hubungan bermakna antara karakteristik demografi (usia, jenis kelamin, pendidikan, pekerjaan, dan status pernikahan) dengan kualitas hidup (p > 0,05). Diskusi: Penelitian ini menunjukkan bahwa mayoritas pasien dengan gangguan penglihatan berat memiliki kualitas hidup rendah, terutama secara fisik, sehingga diperlukan intervensi keperawatan yang memfokuskan rehabilitasi fisik dan dukungan psikososial. Kesimpulan: Mayoritas pasien dengan gangguan penglihatan berat memiliki kualitas hidup rendah, terutama pada domain kesehatan fisik, terlepas dari karakteristik demografi mereka. Hasil ini menegaskan perlunya intervensi keperawatan spesifik yang menitikberatkan pada rehabilitasi fisik dan penguatan dukungan psikososial untuk meningkatkan kualitas hidup pasien gangguan penglihatan. Kata Kunci: gangguan penglihatan, kualitas hidup, perawat, WHOQOL-BR Factors Correlated with Quality of Life among Patients with Visual Impairment ABSTRACTVisual impairment is a global health problem affecting approximately 285 million people and has significant impacts on physical, psychological, social, and environmental aspects of individuals’ lives. However, evidence regarding the quality of life and related factors among patients with severe visual impairment in Indonesia remains limited, particularly in national referral hospitals. Objective: to describe the quality of life of inpatients with severe visual impairment and analyze factors related to quality of life seen from the demographic characteristics of patients. Methods: This quantitative descriptive study used a cross-sectional design and was conducted from January to June 2024. A total of 100 hospitalized patients with severe visual impairment (visual acuity ≤3/60 in both eyes) were selected using purposive sampling. Inclusion criteria included patients aged ≥12 years, able to communicate, and willing to participate, while exclusion criteria included visual acuity >3/60, severe mental disorders, and critical conditions. Data were collected using a demographic characteristics questionnaire and the Indonesian version of the WHOQOL-BREF instrument. Data were analyzed using univariate and bivariate analyses with the Chi-square test. Results: A total of 87% of respondents had a low quality of life. The average score for the physical health domain was categorized as poor, while the psychological, social relationship, and environmental domains were categorized as moderate. Bivariate analysis showed no significant correlation between demographic characteristics (age, sex, education level, occupation, and marital status) and quality of life (p > 0.05). Discussion: The findings indicate that most patients with severe visual impairment experience a low quality of life, particularly in the physical health domain. These results highlight the need for nursing interventions that focus on physical rehabilitation and psychosocial support. Conclusion: Most patients with severe visual impairment have a low quality of life, especially in the physical health domain, regardless of their demographic characteristics. These findings emphasize the importance of specific nursing interventions focusing on physical rehabilitation and strengthening psychosocial support to improve the quality of life of patients with visual impairment.Keywords: visual impairment, quality of life, nurses, WHOQOL-BREF

DAMPAK PERAN PERAWAT PRAKTIK MAHIR/ADVANCED PRACTICE NURSES DALAM PELAYANAN KESEHATAN PRIMER: A SCOPING REVIEW Diah Ratri Larasati; Suriadi Jais
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.710

Tujuan Penelitian: menganalisis dampak peran perawat praktik mahir (advance practice nurse/APN) dalam pelayanan kesehatan primer terhadap mutu, efisiensi, dan akses layanan. Metode: Scoping review ini mengikuti pedoman PRISMA-ScR dengan pertanyaan PCC (population, concept, context). Pencarian literatur dilakukan secara sistematis di PubMed, Proquest, dan Science Direct dengan kriteria inklusi; artikel berbahasa Inggris, terbit pada tahun 2020 hingga Mei 2025, open access dengan subjek komunitas/masyarakat, membahas dampak perawat praktik mahir (APN) di layanan kesehatan primer. Jenis penelitian kualitatif maupun kuantitatif (RCT, quasi-eksperimen, deskriptif). Artikel disaring dengan Mendeley, dinilai menggunakan The Joanna Briggs Institute (JBI) appraisal tools, dianalisis secara deskriptif dan tematik, lalu data dikelompokkan berdasarkan dampak APN terhadap mutu, efisiensi, dan akses layanan. Hasil: Dari 8 artikel terpilih, ditemukan dampak peran APN dalam layanan primer ialah adanya peningkatan efektivitas waktu pelayanan, kualitas perawatan, kepuasan pasien, dan efisiensi biaya. Meskipun waktu klasifikasi DRAFT triase meningkat, hal ini berdampak positif terhadap ketepatan dan keselamatan pasien. Diskusi: Perawat praktik mahir (APN) berperan penting dalam meningkatkan mutu, efisiensi, dan akses layanan kesehatan primer melalui pengelolaan penyakit secara mandiri dan kolaboratif serta melalui pendekatan holistik. APN juga meningkatkan kepuasan pasien, efektivitas waktu pelayanan, serta pengelolaan terapi yang efektif. Simpulan: Temuan ini mendukung bahwa APN dapat meningkatkan kualitas layanan primer sehingga memperkuat sistem kesehatan primer. Untuk itu, diperlukan regulasi, pelatihan, dan integritas dalam tim kesehatan primer secara holistik dan berkelanjutan sehingga peran APN dapat lebih optimal.Kata Kunci: peran, perawat praktik mahir, pelayanan primerThe Impact of Advanced Practice Nurses in Primary Health Care Services: A Scoping Review ABSTRACTObjective: This study aimed to analyze the impact of the role of Advanced Practice Nurses (APNs) in primary health care services on quality of care, efficiency, and access to health services. Methods: This scoping review followed the PRISMA-ScR guidelines and used the PCC framework (Population, Concept, Context). A systematic literature search was conducted in PubMed, ProQuest, and ScienceDirect. The inclusion criteria were English-language articles published between 2020 and May 2025, open-access publications, studies involving community populations, and articles examining the impact of Advanced Practice Nurses in primary health care settings. Both qualitative and quantitative studies were included, such as randomized controlled trials (RCTs), quasi-experimental studies, and descriptive studies. Articles were screened using Mendeley and critically appraised using the Joanna Briggs Institute (JBI) appraisal tools. The data were analyzed using descriptive and thematic approaches, and the findings were categorized based on the impact of APNs on quality, efficiency, and access to health services. Results: Eight articles met the inclusion criteria. The findings indicate that the involvement of APNs in primary health care services contributes to improved service time effectiveness, higher quality of care, increased patient satisfaction, and greater cost efficiency. Although the triage classification process required more time, it resulted in improved accuracy and enhanced patient safety. Discussion: Advanced Practice Nurses play a significant role in improving the quality, efficiency, and accessibility of primary health care services through both independent and collaborative disease management, as well as through a holistic approach to patient care. Their involvement also contributes to higher patient satisfaction, more effective service delivery, and improved therapeutic management. Conclusion: The findings support the role of Advanced Practice Nurses in enhancing the quality of primary health care services and strengthening primary health care systems. Therefore, appropriate regulations, professional training, and strong integration within primary health care teams are necessary to optimize the role of APNs in a sustainable and holistic manner.Keywords: role, advanced practice nurses, primary health care services

LIMB-RAISING INTERVENTION TO MANAGE PAIN AND IMPROVE POST-PCI PATIENT COMFORT IN INTENSIVE CARE UNIT Regita Indah Tiyasningrum; Denissa Faradita Aryani; Juliana G. E. P Massie
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.758

Acute coronary syndrome is a circulatory emergency resulting from reduced oxygen supply to the coronary arteries and may lead to myocardial infarction. However, evidence regarding non-pharmacological nursing interventions remains limited, indicating a significant gap in clinical and nursing knowledge. Objective: This case report aimed to analyze nursing care using the case study method and limb-raising intervention. Methods: Treatment was carried out for 3 days for a patient (61 years old) with a perioperative medical diagnosis of MI-NSTEMI with post-treatment in the ICU. Revascularization with PCI is necessary in some high-risk ACS cases. The problem of pain and comfort is one of the main nursing problems for patients. Untreated pain can reduce the quality of care, disrupt hemodynamics, and increase hospital length of stay. The limb-raising intervention was applied to the patient by elevating the hand 30ᵒ in the area of the stab wound and compression. Results:Hemodynamic parameters, such as blood pressure, pulse frequency, oxygen saturation, and body temperature, were always stable. The patient often experiences tachypnea during treatment. The patient's pain scale during treatment was measured using NRS. Discussion: Limb raising can reduce pain because elevation and immobilization at the puncture site lower the nociceptor threshold. Conclusion: The limb-raising intervention successfully reduced pain at the post-PCI puncture site from moderate pain (4/10) to no pain (0/10). Other factors evaluated the absence of swelling and the patient’s greater comfort with the method used.Keywords: Acute Coronary Syndrome, Comfort, Pain, Percutaneous Coronary Intervention

EFISIENSI BIAYA DAN KETENAGAAN MELALUI KEBIJAKAN SENTRALISASI KEPERAWATAN Siti Nurlaelah; Anisah Anisah; Hendra Firmansyah; Arcellia Farosyah Putri; Ariyanto Ariyanto; Manggarsari Manggarsari; Riris Ocktryna Silitonga; Sihawastuti Sihwastuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.699

Tujuan penelitian: Artikel ini bertujuan untuk mendiskusikan aplikasi teori resource mobilization dalam proses diseminasi kebijakan sentralisasi keperawatan. Konsep kunci dari teori tersebut menggarisbawahi bahwa keberhasilan implementasi kebijakan ditentukan oleh kemampuan mengelola sumber daya. Selain itu hasil sebuah kebijakan dapat diukur secara objektif, seperti efisiensi biaya dan ketenagaan. Metode: Proses diseminasi kebijakan sentralisasi keperawatan berlangsung selama enam bulan sejak bulan Mei sampai Desember 2024. Pihak yang terlibat terdiri atas berbagai pemangku kepentingan mulai dari perawat, nurse leader, para kepala instalasi, team leader, asisten manajer, manajer tim kerja dan jajaran direksi rumah sakit. Implementasi kebijakan dilakukan melalui tiga tahapan, yaitu premobilisasi, mobilisasi, dan posmobilisasi. Evaluasi dilakukan dengan mengukur efisiensi tenaga dan biaya. Hasil: Proses mobilisasi tenaga keperawatan sebagai salah satu kebijakan sentralisasi meningkatkan efisiensi biaya, menambah tempat tidur tanpa penambahan tenaga perawat, meningkatkan volume operasi (87%), dan menurunkan jumlah operasi elektif yang dibatalkan (0,29%). Diskusi: Dalam proses mobilisasi tenaga perawat, ada dua hal utama yang perlu menjadi pertimbangan, yaitu kompetensi dan keterlibatan aktif. Kesimpulan: Luaran dari sebuah kebijakan sangat bergantung pada proses diseminasi kebijakan tersebut ke pihak-pihak terkait. Keterlibatan aktif dan dini memiliki dampak positif terhadap luaran kebijakan.Kata Kunci: kebijakan, ketenagaan, manajemen, perawat, sentralisasi Cost and Workforce Efficiency Through A Nursing Centralization Policy ABSTRACTObjective: This article discusses the application of resource mobilization theory in the dissemination process of a nursing centralization policy. The key concept of this theory emphasizes that successful policy implementation depends on the effective management of available resources. Policy outcomes can also be measured objectively, including cost and workforce efficiency. Methods: The dissemination process of the nursing centralization policy took place over six months, from May to December 2024. The process involved various stakeholders, including staff nurses, nurse leaders, heads of clinical units, team leaders, assistant managers, work team managers, and members of the hospital board of directors. Policy implementation followed three stages: premobilization, mobilization, and postmobilization. Evaluation focused on measuring workforce and cost efficiency. Results: The mobilization of nursing staff as part of the centralization policy improved cost efficiency, increased bed capacity without adding additional nursing personnel, raised the surgical volume by 87%, and reduced the rate of cancelled elective surgeries to 0.29%. Discussion: Two main factors require attention during the mobilization of nursing personnel, namely professional competence and active engagement. Conclusion: Policy outcomes depend strongly on how the policy is disseminated to relevant stakeholders. Early and active engagement contributes positively to the effectiveness of policy implementation.Keywords: policy, workforce, management, nurses, centralization

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Elsi Dwi Hapsari

Contact Email elsidhapsari2@gmail.com

Phone +6287839259788

Journal Mail Official elsidhapsari2@gmail.com

Editorial Address Sekretariat DPP PPNI Graha PPNI Jl. Lenteng Agung Raya No 64, Kec. Jagakarsa, RT 006 RW O8, Jakarta Selatan

Location Unknown, Unknown INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Elsi Dwi Hapsari

Contact Email
elsidhapsari2@gmail.com

Phone
+6287839259788

Journal Mail Official
elsidhapsari2@gmail.com

Editorial Address
Sekretariat DPP PPNI Graha PPNI Jl. Lenteng Agung Raya No 64, Kec. Jagakarsa, RT 006 RW O8, Jakarta Selatan

Location
Unknown,

Unknown

INDONESIA