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Padjadjaran Acute Care Nursing Journal (PACNJ)

pacnj
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Published by Universitas Padjadjaran

ISSN : - EISSN : 27156060 DOI : https://doi.org/10.24198/pacnj.v1i1

Core Subject : Health,

Health Professions Nursing

Description: Padjadjaran Acute Care Nursing Journal (PACNJ) is a scientific nursing journal that publishes by the Faculty of Nursing, Universitas Padjadjaran. The PACNJ is published as a means for sharing research findings and development in nursing knowledge. The scope of the PACNJ is nursing and health areas, which focuses on nursing care or health care services in the context of an emergency, acute care conditions, and critical care in all fields and disaster nursing. The PACNJ is published every four months using a peer review system for selected articles. This journal provides an open access for readers to read abstracts and full papers. The PACNJ covers original research papers and reviews literature articles that have not been published previously. Articles submitted to the PACNJ will be filtered through an editorial board meeting to further make a decision. Articles that are decided to be accepted for review will be sent to the reviewer. The peer review process will take around 1-2 months. The accepted article will be returned to the author for revision, and resubmission would be required for the revised article. The publication process of articles in this journal would take about two to three months. The PACNJ reviewer’s team are people who have expertise in nursing and health in the relevant areas. Focus and scope: Launched in November 2019, Padjadjaran Acute Care Nursing Journal (PACNJ) is a newcomer publication place in the field of nursing carried out by the Faculty of Nursing at Universitas Padjadjaran. PACNJ aims to become an international journal to protect researchers around the world. PACNJ continues to improve quality by involving many experts in the field of nursing. PACNJ is an open-access journal. PACNJ focuses on receiving articles in various fields of nursing including; emergency nursing, critical nursing, emergency nursing in children, emergency nursing in maternity, emergency nursing in mental health, nursing emergency in medical surgery, emergency nursing in the community, and miscellaneous. Articles published in PACNJ have been selected by a team of editors and a peer review process from reviewers who are experts in the field of nursing. Articles published on PACNJ have also been completed by Digital Object Identifier (DOI) and indexed by Google Scholar, ISJD, and Kandaga.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

Articles 50 Documents

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Analysis of Factors Affecting the Weaning of Mechanical Ventilation at ICU RSUD Prof.Dr.Margono Soekarjo Purwokerto Etika Emaliyawati; Esti Dwi Anani; Ayu Prawesti
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

The weaning of mechanical ventilation is a complex process and depends on many factors. The failure to wean mechanical ventilation may lead to prolonged duration of mechanical ventilation, which may increase the risk of ventilator associated pneumonia (VAP), morbidity, mortality, increased hospital costs and lower quality of hospital services. In the year 2016, in ICU RSUD Prof.Dr.Margono Soekarjo Purwokerto, in average there is a 20% failure of mechanical ventilation, if not followed up will adversely affect the patient. Factors investigated in this study included patient, nurses, collaboration and organization. The purpose of this study is to analyze the factors that affect implementation of the weaning of mechanical ventilation in ICU Room Prof.Dr.Margono Soekarjo General Hospital Purwokerto.The method used in this research was descriptive quantitative analytic design with cross sectional approach on 47 mechanical ventilation weaning activities. The sample selection was conducted by accidental sampling technique. Measurements for nurses were carried out using validated values including knowledge, experience and collaboration. While the observation sheet included the implementation of standard operating procedures for mechanical ventilation weaning, collaboration, patients APACHE II score and weaning results.The result of bivariate test showed that there were influence of patient (0.000), nurse (0,021), collaboration (0,024) and organization (0,011) to mechanical ventilation weaning activity. The result of logistic regression test showed that the patient was the most influential factor on mechanical ventilation weaning activity with 87% probability.Nurses should pay more attention to patients especially with high APACHE II scores (≥20) because of the risk of mechanical ventilation weaning failure. Assessment of weaning readiness must be carried out daily with appropriate assessment. While hospitals need to revise policies on mechanical ventilation weaning procedure and continue education and training programme related to patients criticality and collaboration.

Description Of Perceptions Of The Donning And Doffing Of Personal Protective Equipment In Unpad Nursing Students Class Of 2017 Rizkika Nur Amalia; Etika Emaliyawati; Ati Surya Mediawati
Padjadjaran Acute Care Nursing Journal Vol 3, No 1 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Personal protective equipment (PPE) is one of the standard precautions to reduce the risk of infection spreading. Nursing students are expected to have the proper knowledge and attitude regarding the donning and doffing of PPE as taught during the educational period. This study was intended to understand the knowledge and attitude regarding the donning and doffing of PPE on the students in the Faculty of Nursing Universitas Padjadjaran class of 2017 who will attend nurse profession education.The method of this study was descriptive quantitative. The population of this study was the students in the Faculty of Nursing Universitas Padjadjaran class of 2017. The sampling method was total sampling with a response rate of 82.7% (n=205). The instrument used was an online questionnaire of knowledge and attitude regarding PPE built by the researcher. The validity assessed were the construct validity and the content validity. The reliability had Cronbach's alpha value of 0.913 (knowledge) and 0.808 (attitude). The data analysis used median and frequency distribution.The study result showed that 113 respondents (55.1%) had proper knowledge regarding PPE while 92 respondents (44.9%) lacked knowledge regarding PPE. The variable study result showed that 111 respondents (54.1%) had a positive attitude toward PPE and 94 respondents (45.9%) had a negative attitude toward PPE.More than half the students in the Faculty of Nursing Universitas Padjadjaran class of 2017 had proper knowledge and a positive attitude. Knowledge and attitude can be affected by training, experience, and the availability of PPE. Practice and training concerning PPE during the educational period can increase the ability of the students to donning and doffing PPE properly because the students can easily understand the basic principles and standard practices and implement them consistently. Therefore, to increase the knowledge and attitude, the revitalization of education and training is required.

The Effect of Hypnotherapy to Reduce Dysmenorrhea Pain Sherly Amelia; Ratna Dewi; Wiwit Febrina
Padjadjaran Acute Care Nursing Journal Vol 2, No 1 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

The Incidence of primary dysmenorrhea in Indonesia is around 54.89%, the remaining 45.11% is secondary dysmenorrhoea. Dysmenorrhoea in Parabek high school students out of 35 students, 25 students experience dysminor when menstruation. One of the non-pharmacological dysmenorrhoea treatments is hypnotherapy. Hypnotherapy is an easy, fast, effective, and efficient way to reach the subconscious mind. This study aims to determine the effect of hypnotherapy on dysmenorrhoea in high school students. The research method used was pre-experimental with are search design one group pre-test post-test. The total population obtained was 117 people and the number of samples taken was 20 people, with a purposive sampling technique. Data collection was obtained directly from respondents using the measuring instrument Verbal Descriptor Scale (VDS). Data analysis was carried out in two stages, namely univariate and bivariate using the dependent t-test. The results showed that the average value of the dysmenorrhoea scale before the intervention was given was 6.50 and the average value after intervention was 1.35, there was an effect of hypnotherapy on dysmenorrhoea (t = 17.596, p-value= 0.001). Hypnotherapy can be suggested to be applied as a non-pharmacological measure to treat dysmenorrhea. .

Management of Hypervolemia In Chronic Kidney Disease Stage 5 At Sumedang Hospital: A Case Study Annisa Nurbaiti Rahmah; Eka Afrima Sari; Nita Fitria
Padjadjaran Acute Care Nursing Journal Vol 3, No 3 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Kidney failure results in the body being unable to remove metabolic wastes and accumulate in the body. Decreased kidney function results in sodium retention, where high sodium will cause water to be retained to maintain balance. This can lead to hypervolemia. Patient M came to the hospital with complaints of shortness of breath, during the study, there was edema in both lower extremities with degree 2 and in both upper extremities with degree 1, the patient also appeared to have ascites. Previously, patient M was diagnosed with stage 5 chronic kidney failure and did not complete the 4th hemodialysis cycle because the patient's condition worsened. Hypervolemia in patients with kidney failure will have adverse effects including pulmonary edema, hypertension, and even heart disease. Therefore it is necessary to manage hypervolemia to prevent complications in patients. The general aim of writing this case study is to address the management of hypervolemia in stage 5 chronic kidney failure patients at the Sumedang Regional General Hospital. The results of the case study found that the nursing problem that arose in patients was hypervolemia. The interventions provided are managing hypervolemia in the form of examining signs and symptoms of hypervolemia, monitoring the patient's hemodynamic status, monitoring the patient's fluid intake and output, teaching the patient to limit fluid and salt intake, and collaborating with Lasix 1x40 mg. Evaluation results after managing hypervolemia for 3 days, decreased tightness, degree of edema remained at degree 2 in the lower extremities and upper extremities, increased abdominal circumference by 1 cm, and increased body weight from 0.5 Kg to 68.5 kg, it can be concluded that hypervolemia nursing problem has not been resolved.

The Effect of Blended Learning Approach on Student Satisfaction in the Learning Process at Master Degree Nursing Program in Indonesian Context Yanny Trisyani; Etika Emaliyawati; Ayu Prawesti Priambodo; Ristina Mirwanti; Donny Nurhamsyah
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Nursing education at post graduate degree aims to produce graduates with the essential competencies as researchers which are closely related to the capability of implementing information technology which are in the global health era. However, the implementation of blended learning which combines e-learning approach into the learning process has characterised with various challenges for students and lecturers. These study aims are to identify the effect of the blended learning approach to student satisfaction on the learning process in the master's degree nursing program in Indonesian context.Method: The study was conducted in 2018, the quantitative approach has been utilized. Participants in this study are 88 post graduate nursing students who were selected with purposive sampling. Data collection was conducted through survey and analysis correlational with Pearson test.Finding of the study has indicated that the Blended learning approach as indicated in: Quality of Learning Process (QLP) in terms of Student Engagement and Accessibility & interactivity on average is 83% favourable and 17% unfavourable; and QLP from students’ perspective is 58, 96% favourable and 41.04 % unfavourable. Student satisfaction with blended learning process on average is 54.75% favourable and 45.25% unfavourable. The results of the Pearson analysis have shown that there is a very weak correlation between the Blended Learning approach and Student Satisfaction with correlation value of 0.180 and Significance value of 0.864. In this case, almost all participants stated that blended learning is essential as it makes the learning process more innovative and it motivates independent learning.

Management of Respiratory Failure in Cancer Patients: A Narrative Review salsa Syifa; Cecep Eli Kosasih
Padjadjaran Acute Care Nursing Journal Vol 3, No 2 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Introduction: According to WHO, in 2018 18.1 million people worldwide had cancer, and 9.6 million people died. Acute organ failure is often found in cancer patients, especially respiratory failure where this is related to co-morbidities, cancer treatment, or the malignancy itself. Purpose: To identify management that can be done in cancer patients who experience respiratory failure. Methods: This literature review used a narrative review design using the PubMed, Sciencedirect, and Proquest databases. The criteria for the articles used were full-text, English-language articles, the year the research was published was between 2012-2022, the research design was a randomized control trial, quasi-experimental, qualitative study, retrospective study, and the research to be analyzed discussed the management of respiratory failure in patients with cancer. The articles obtained were extracted according to the criteria and then grouped and reviewed. Results: There are 6 articles that meet the requirements and contain various types of management of respiratory failure in cancer patients and are grouped into nursing interventions, ventilator installation, oxygenation support, administration of pharmacological medication. Conclusion: Various kinds of management in dealing with respiratory failure in cancer patients can be applied to provide benefits to patients. It is hoped that there will be further research regarding the effectiveness of the management of respiratory failure in cancer patients so that it can help patients to improve their condition and prevent death.

Management of Covid-19 among Patients with Comorbid Cardiovascular Disease: A Scoping Review for Decreasing Mortality and Morbidity Aan Nur'aeni; Hardianti Azhari Putri; Amalina Fildzah Fujilestari; Via Komalasari; Yulpiana Arunita; Atin Janatin; Lintang Tyas Ananda Riani Suara; Firdha Rizkiani Cipta Pertiwi
Padjadjaran Acute Care Nursing Journal Vol 2, No 2 (2021): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Cardiovascular disease is comorbid with many Covid-19 patients, with Case Fatality Rate (CFR) reaching 10.5%. The efforts made to reduce mortality and morbidity in Covid-19 patients with cardiovascular concomitant diseases are still being executed. This review aimed to identify the interventions and their relation to mortality and morbidity in these patients. This study is s scoping review, with databases used including Ebscohost, Goggle Scholar, Pubmed, and Proquest. This study using inclusion criteria: full-text and written in English. It is using the keywords Cardiovascular disease, Covid-19, and Pharmacotherapy. Articles obtained totaling 145,680. Articles were sorted according to various restrictions, and various inclusion criteria obtained 18 articles. Several treatments can be used to reduce mortality in Covid-19 patients with CVD, they are: the administration of pharmacological drugs such as ACEI, ARB, RAAS inhibitors, and Hydroxychloroquine, statin, and advance cardiogenic shock treatment (MCS, V-A ECMO, and Impella). It discovered some effective treatments in lowering mortality rates. However, these results do not demonstrate consistency. So it is necessary to do more research. In addition, nurses need to develop nursing therapies that can synergize with medical therapies in improving the efficacy of treatment and lower mortality and morbidity in patients.

The Impact of CPR Position (Kneeling, Footstool and Standing Beside Bed) on Cardiopulmonary Resuscitation Quality: A Literature Review Ristina Mirwanti; M Reza Saputra; Wina Supriatna; Raissa Fatimah; Yupira Dera Sopyanti; Risma Dwiriyanti; Nancy Veronica; Jemi Rahmani Abdullah; Irma Mawarni Putri; Iduliah Fitriani
Padjadjaran Acute Care Nursing Journal Vol 1, No 2 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Background: Cardiopulmonary Resuscitation (CPR) is one of the measures to deal with emergency cardiac arrest (cardiac arrest) where the heart organ loses its function suddenly. Hence it is unable to pump blood throughout the body. CPR consists of aid in circulation (compression) and breathing (ventilation). AHA has determined guidelines for implementing CPR, especially an essential point in CPR, namely chest compression. The standing position is fundamental in the implementation of CPR, but kneeling and footstool positions can be carried out during CPR implementation. This paper aims to show the impact of standing, kneeling, and footstool positions on CPR quality.Method: The method used is by searching journals in Science Direct, PubMed, and Google Scholar. The keywords used are CPR, Kneeling Position, Footstool, standing beside the bed Obtained eight selected journals according to the topic, then analyzed.Results: Based on the search result, eight articles meet the criteria. The literature review results showed three positions that can be chosen when conducting CPR: standing, kneeling, and footstool. Those positions could give impact toward helper: pain level and exhaustion degree, and quality of CPR: compression strength, depth of compression, amount of compression, chest recoil, elbow movement, and movement in the lower back.Conclusion: Three CPR positions can be done, including standing beside the bed, kneeling, and standing on stepstool footing. Each position gives impacts both to helper condition and CPR quality. Researchers recommend standing on stepstool footing due to it provides the best effect on CPR quality.

Case Study: Application of Slow Deep Breathing and Murottal Al-Qur'an Therapy to Reduce Chest Pain in Coronary Artery Disease (CAD) Patient Vira Amelia; Aan Nuraeni; Ristina Mirwanti
Padjadjaran Acute Care Nursing Journal Vol 4, No 1 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Acute coronary syndrome (ACS) occurs due to sudden cessation of coronary blood flow so that blood flow to the myocardium is disrupted, which causes chest pain. Pain management can be done by providing slow deep breathing and murottal Al-Qur'an intervention. This study aimed to analyze the intervention of slow deep breathing and murottal Al-Qur'an in reducing chest pain in patients with acute coronary syndrome. This type of research was a case study in patients with acute coronary syndrome by exploring the problem of nursing care with a descriptive method through a nursing care approach. The chest pain scale was measured using a numerical rating scale (NRS) instrument. The pain measurement tool for the numerical questionnaire Rating Scale uses numbers from 0 to 10 to express patients' pain levels. The results showed that on the first day, there was no decrease in pain intensity. The pain score was on a scale of 6 before and after the intervention. On the second day, there was a decrease in pain from a scale of 6 to a scale of 5. The third day of the intervention showed a decrease in pain to a scale of 3. The intervention of slow deep breathing and murottal Al-Qur'an can potentially reduce the scale of chest pain in patients with acute coronary syndrome. Future research is expected to see the effectiveness of slow deep breathing and murottal Al-Qur'an in reducing chest pain in patients with acute coronary syndrome

The Effect of Workbook on Illness Cognition in Coronary Heart Disease Patients Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna
Padjadjaran Acute Care Nursing Journal Vol 1, No 1 (2019): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Introduction: Recurrence of coronary heart disease (CHD) occurs due to non-compliance patients in managing CHD. One predictor of compliance with CHD management is illness cognition (IC), and IC can be improved through illness stimuli that can be done through health education in this study through workbooks. Purpose: This study aimed to identify the effect of the workbook on illness cognition in CHD patients. Methods. This research was a quasi-experimental with pretest-posttest control design. A pretest was done to the patient who was treated in the Cardiac Intensive Unit; posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospital in West Java, Indonesia. Purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The instrument used was the illness cognition questionnaire (ICQ). Data were analyzed using the mean, median, percentage, and to estimate the effect of the workbook to the patients' IC used Wilcoxon and Friedman test. Results: The results showed an increase in acceptance and perceived benefits for both groups while in the helplessness showed the decrease scores. The p-value of IC comparison in the pre-test, post-test I, and II between groups for helplessness, acceptance, and perceived benefits were 0.118; 0.376; and 0.424, respectively. Besides, the p-value for differences of IC within control and intervention groups was less than 0.05. Conclusions: The workbook in this study generally did not provide significant IC changes to respondents.

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Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

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Home Page

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Contact Name Donny Nurhamsyah

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Editorial Address Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

Location Kota bandung, Jawa barat INDONESIA

Abstract

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Contact Name
Donny Nurhamsyah

Contact Email
donny.nurhamsyah@unpad.ac.id

Phone
+6285230848493

Journal Mail Official
info.pacnj@unpad.ac.id

Editorial Address
Faculty of Nursing, Universitas Padjadjaran Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kec. Jatinangor, Kabupaten Sumedang, Jawa Barat 45363

Location
Kota bandung,

Jawa barat

INDONESIA