scholarly journals NURSING CARE FOR ACUTE PAIN IN POST-OPERATION FRACTURES

2021 ◽  
Vol 2 (1) ◽  
pp. 57
Author(s):  
Ilkafah Ilkafah ◽  
Indah Dwi Lestari
Keyword(s):  
Nursing Care ◽  
Acute Pain ◽  
Pain Scale ◽  
Radius Fracture ◽  
Study Approach ◽  
Post Surgery ◽  
Patient Will ◽  
Post Operation ◽  
And Control

Introduction: Fracture is a condition which will cause interference with mobilization and pain in patients. In a fracture patient, the patient will be surgically operated or operated on. Complaints that often arise in patients due to after surgery is pain. Pain is a major nursing problem in fractures. The purpose of this study was to carry out nursing care for patients with acute pain in patients with Sinusra Radius Fracture Post Surgery in Dr. Soegiri Lamongan. Methods: This research used qualitative research case study approach. The research subject used was one patient with a nursing problem that is Acute Pain in Post Sinusra Radius Fracture Surgery. This study used 1 patient as a participant on 26 September 2019 to 28 September 2019 in Bougenvil 1 room Dr. Soegiri Lamongan. Data collection uses assessment by interview, physical examination, supporting examination and supported by other documentation. Data analysis with this research was carried out while still paying attention to research ethics. Results: The results obtained are acute pain nursing problems, with priority nursing actions efforts to overcome decreased pain in patients. After doing care for three days, there are decrease in pain scale as evidenced by the pain scale on the third day, the client improved with the original scale of 5 to 3. Conclusion: The conclusion from the research conducted found that deep breathing relaxation technique is one of the effective non-pharmacological  pain management methods to reduce pain. To overcome the postoperative incident Sinus Radius Fracture, patients should take medication regularly, and control health services.  

scholarly journals ACUTE PAIN NURSING CARE IN PATIENT WITH HEPATITIS B: A CASE STUDY

2021 ◽  
Vol 2 (1) ◽  
pp. 80
Author(s):  
Fanni Okviasanti ◽  
Dia Ayu Anggraini ◽  
Aris Cahyo Purnomo
Keyword(s):  
Data Collection ◽  
Hepatitis B ◽  
Nursing Care ◽  
Acute Pain ◽  
Narrative Analysis ◽  
Nursing Intervention ◽  
Pain Scale ◽  
Design Data ◽  
Main Complaint

Introduction: Severe pain in the upper right abdomen was commonly found in hepatitis B patients. Hepatitis B patients who experience pain take longer in the process of healing the disease than those who do not. Acute pain nursing care in hepatitis B patients is still unknown. This study aimed to describe acute pain nursing care in patients with hepatitis B. Methods: This study used a case study design. Data collection from assessment to nursing evaluation was carried out in the internal ward of a governmental hospital in Lamongan on November 2019. The hepatitis B patient was observed or treated for at least three days. Data collection techniques used interviews, observation, and documentation. Data analysis was performed using narrative analysis. Results: Assessment of Mr. A with the main complaint felt by the patient was a pain in the upper right abdomen. The nursing diagnosis in Mr. A's case was found to be an actual diagnosis with priority being acute pain relate to physiological injury agents (D.0077). Nursing interventions at Mr. A were arranged based on priority diagnosis with acute pain using pharmacological techniques and non-pharmacological techniques, and antibiotics. Conclusion: The nursing problem of Mr. A was resolved after 72 hours of nursing intervention. The patient displayed a decreased level of pain with a pain scale of 2, decreased restlessness, no grimace, no protective attitude, and absence of insomnia.

Penerapan Activity Daily Living (ADL) Makan Terhadap Tingkat Kemandirian Pada Pasien Skizofrenia Dengan Defisit Perawatan Diri Makan

2021 ◽  
Vol 1 ◽  
pp. 1542-1552
Author(s):  
Intan Cahyani ◽  
Ramadhan Putra Satria ◽  
Puji Suhiro
Keyword(s):  
Nursing Care ◽  
Daily Living ◽  
Self Care ◽  
Descriptive Study ◽  
Narrative Form ◽  
Case Study Approach ◽  
Study Approach ◽  
The Third ◽  
Care Deficit

AbstractFeeding self-care deficit is a person's inability to perform eating activities according to the proper way of eating. Activity Daily Living (ADL) therapy is one of the therapies claimed to be able to increase the patient's independence in improving how to eat. To apply Activity Daily Living (ADL) in patients with feeding self-care deficit to increase self-feeding independence. The research was a descriptive study with a case study approach conducted in the working area of Puskesmas Dukuhwaru, Tegal Regency. It was carried out on 15-17 February 2021. Data were obtained through interviews, observation and physical examination and presented in narrative form. After performed the intervention for 3 days, the results showed an increase in self-feeding independence in both subjects. It described at the third day of the research. Patients with nursing problems of feeding self-care deficit are recommended to provide ADL to increase the patient's independence. Keywords: Activity Daily Living (ADL); Feeding Self-Care Deficit; Mental Nursing Care AbstrakDefisit Perawatan Diri Makan merupakan ketidakmampuan seseorang dalam melakukan aktivitas makan sesuai tata cara makan yang benar. Terapi Activity Daily Living (ADL) menjadi salah satu terapi yang diyakini mampu meningkatkan kemandirian pasien dalam meningkatkan cara makan. Dapat menerapkan terapi Activity Daily Living (ADL) pada pasien defisit perawatan diri makan untuk meningkatkan kemandirian makan. Peneliti ini merupakan penelitian deskriptif dengan pendekatan studi kasus, lokasi studi kasus di Wilayah Puskesmas Dukuh waru Kabupaten Tegal dilakukan tanggal 15-17 Februari 2021, data diperoleh melalui wawancara, observasi dan pemeriksaan fisik. data disajikan dalam bentuk naratif. Setelah dilakukan intervensi selama 3 hari didapatkan hasil adanya peningkatkan makan pada kedua subjek penelitian yaitu dari ketergantungan makan pada awal pengkajian menjadi setelah selesai makan pada hari ketiga penelitian. Pasien dengan masalah keperawatan defisit perawatan diri makan dianjurkan untuk memberikan terapi Activity Daily Living (ADL) untuk meningkatkan kemandirian pasien dalam meningkatkan kemandirian.Kata Kunci: Activity Daily Living (ADL); Asuhan Keperawatan Jiwa; Defisit Perawatan Diri Makan

The accountability process during the centrality of state institutional logics: a case from an African rural context

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ahmed Diab
Keyword(s):  
Institutional Logics ◽  
Corporate Accountability ◽  
Content Type ◽  
State Institutions ◽  
Study Approach ◽  
Control Practice ◽  
African Context ◽  
And Control

PurposeThis study investigates state institutions' influence on corporate accountability and control practices in a rural African context. Exploring the different rationales behind state existence in the context of sugar production in Egypt, this work clarifies how accountability is practised differently in the case of the high centrality of state logics in the business sector.Design/methodology/approachTheoretically, the study draws insights from the institutional logics perspective. Following the case study approach, data are collected through interviews, observations and documents.FindingsThe study found that state institutions can play a supportive rather than a mere constraining role in the management, accountability and control processes. Notably, it clarified how state-related institutions were highly central and influential in a way that enabled them to curb the (negative) influences of the community and business institutions. In this context, it is social – rather than functional – accountability which emerges as the central control practice to achieve answerability and enforcement.Originality/valueThus, this study's reported findings confirm the role of institutional (political) logics as supportive in society.

Interplay between labour dynamics, accounting and accountability practices during the rise of a political logic: an Egyptian case study

2020 ◽  
Vol 17 (4) ◽  
pp. 675-702
Author(s):  
Ahmed Abdelnaby Ahmed Diab
Keyword(s):  
Corporate Management ◽  
Content Type ◽  
Study Approach ◽  
The Social ◽  
Revolutionary Politics ◽  
Definition Of ◽  
And Control ◽  
Accountability Practices ◽  
African Setting

Purpose The purpose of this study is to provide a political explanation of management, accounting and control (MAC) practices in a traditional and unstable African setting. This was done by exploring the influence of latest revolutionary politics in Egypt along with labour dynamics in the context. Design/methodology/approach Theoretically, the study uses the institutional logics perspective to understand the effects of higher order institutions on corporate management and workers at the micro level. Methodologically, the study adopts an interpretative case study approach. Data were collected using a triangulation of interviews, documents and observations. Findings The study finds that volatile political settings can have different contradictory implications for MAC practices. It also concludes that revolutionary events play a central role not only in the configuration of MAC practices but also in the mobilisation of labour resistance to these practices. Originality/value The study contributes to the literature by investigating the different appearances of MAC practices in a volatile, political or revolutionary context, in contrast to highly investigated stabilised Western contexts. This broadens the definition of the social in the area of accounting and control.

scholarly journals Effect of Applying Total Quality Management in Improving the Performance of Al-Waqf of Albr Societies in Saudi Arabia: A theoretical framework for "Deming's Model"

2020 ◽  
Vol 3 (2) ◽  
pp. 13-33
Author(s):  
Aldwihi, Zakaria Ali Saad ◽  
Azman Bin Mohd. Noor ◽  
Ashurov Sharofiddin
Keyword(s):  
Saudi Arabia ◽  
Quality Management ◽  
Total Quality Management ◽  
Qualitative Interviews ◽  
Research Problem ◽  
Monitoring And Control ◽  
Total Quality ◽  
Study Approach ◽  
And Control

This study aims to examine the effect of applying Total Quality Management (TQM) on improving the performance of the management of Al-Waqf of Albr societies in the Kingdom of Saudi Arabia through the optimal application of Deming's 14 Points on quality management. The research problem lies on the weakness of the outputs of Albr societies in terms of quality and productivity due to the lack of monitoring and control over those in charge of managing these charities. The researcher is going to use the descriptive qualitative, interviews and the case study approach to achieve the research' objectives. After an intensive reviewing the literature, this study confirmed the research gap and

scholarly journals Application of nursing care in patients with fluid and electrolyte needs in hemodialisa room, labuang baji makassar’s hospital

2019 ◽  
Vol 2 (1) ◽  
pp. 52-60
Author(s):  
St. Suarniati Sulaiman
Keyword(s):  
Chronic Kidney Disease ◽  
Nursing Care ◽  
Fluid Volume ◽  
Fluid Restriction ◽  
Case Study Approach ◽  
Study Approach ◽  
South Sulawesi ◽  
Fluid Requirement ◽  
Descriptive Method

Chronic Kidney Disease (CKD) is a failure of kidney function so that it is unable to run its function properly, causing decreased glomerular filtration gradually, thus undergoing hemodialysis therapy. According to the WHO in 2017 which states that GGK disease ranked 12th highest mortality rate. And according to the results of riskesdas in 2013, South Sulawesi is ranked third with a prevalence of 0.3%. Handling efforts to decrease the volume of fluid by means of fluid restriction affects the patient's survival. This study aims to describe nursing care in patients. N with GGK in fulfillment of fluid requirement in Hemodilisa Room of RSU Labuang Baji Makassar, using descriptive method with case study approach. The results of this study indicate excess fluid volume characterized by grade 2 edema in the extremities, abdominal bloating and frequent burping, thirst, olguria, anemia and azotemia. The application of nursing care is done to monitor the intake output and fluid restriction so that no excess fluid volume can be concluded that monitoring of intake output and fluid restriction in GGK patients undergoing HD can effectively decrease the density of edema and weight. It is advisable to the nurse to monitor the patient's intake output for 24 hours and provide education for the implementation of home care in preventing excess fluid volume.

scholarly journals KECEMASAN PADA IBU POST PARTUM PRIMIPARA DENGAN GANGGUAN PROSES LAKTASI

2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Ike Mardiati Agustin ◽  
Septiyana Septiyana
Keyword(s):  
Nursing Care ◽  
Physiological Condition ◽  
Post Partum ◽  
Scientific Paper ◽  
Psychological Problems ◽  
Study Approach ◽  
Normal Physiological Condition ◽  
Anxiety Patient ◽  
Postpartum Mothers

ANXIETY IN  PRIMIPHARA POSTPARTUM MOTHERS WITH LACTATION TROUBLE ON  MATERNITY WARD ABSTRACTLabor or delivery is a normal physiological condition happens in life, especially to women. Changes in the role and process of newborn-baby care will lead to psychological problems. Anxiety is one of psychological problems that happens to primiphara mothers. Anxiety will affect the process of lactation (breastfeeding) for some primiphara mothers with psychological problems. This study is to provide an overview of a case study of nursing care for primiphara postpartum mothers who have problem with breastfeeding because of anxiety. This scientific paper is an analytical descriptive with a case study approach. The study was conducted on two primiphara mothers with anxiety in their breastfeeding. Data were obtained through interview, observation, and documentation. After having nursing care, there was a decrease in anxiety (patient 1: from 44.6% to be 30.3%, patient 2: from 32.1% to be 19.6 %). Besides, there is a difference in the increase of affective ability, with the highest increase patient 2 (60%) while patient 1 (40%). It is advisable for nurses to provide nursing care for primiphara postpartum mother with breastfeeding problem caused by anxiety. Keywords: Labor, primiphara, anxiety, lactation. 

scholarly journals Analisis Pengelolaan Aset Pemerintah Daerah Kabupaten Bolaang Mongondow

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Fitria Ayu Lestari Niu ◽  
Lintje Kalangi ◽  
Linda Lambey
Keyword(s):  
Asset Management ◽  
Planning Process ◽  
Resource Constraints ◽  
Asset Valuation ◽  
Study Approach ◽  
Depth Interview ◽  
Asset Inventory ◽  
And Control ◽  
Assets Management

Abstract. This study aims to analyze the suitability of the implementation the local assets management with regulations, analyze the constraints faced in the management of local assets and efforts made for better management of regional assets. This is a qualitative study with case study approach. Data were obtained through in-depth interview technique, documentation study and observation. The result of this research shows that the local asset management in Bolaang Mongondow is implemented based on Regulation by Minister of Home Affairs No. 19 of 2016 which covers the process of planning needs and budgeting, procurement, use, utilization, security and maintenance, assessment, deletion, alienation, administration and coaching, supervision and control. But the process of destruction has not been conducted. It is because the local government has judged that there is no property belonging to the region being eligible to be destroyed. Additionally, there are obstacles encountered in asset management that are low compliance of regional apparatuses, lack of local regulations for local asset management, ineffective asset inventories, insufficient human resource competencies, lack of firm leadership commitments and resource constraints in the form of budgets and facilities in local assets management. Efforts have been conducted such as asset valuation, legal audit, asset inventory and improvement in leadership commitment. However, these efforts are required to be strongly supported by the regulation in the form of local regulations, improvement in compliance, attitude, perception, and responsibility for regional apparatus, assertiveness by the leadership, need a reward and punishment strategy for the performance of regional apparatus, involving the steward in the planning process and the use of SIMDA-BMD for the administration process in each regional work unit.Keywords: Local Asset Management, Compliance, Human Resources, Asset InventoriesAbstrak. Penelitian ini bertujuan untuk menganalisis kesesuaian pelaksanaan pengelolaan aset daerah dengan regulasi, menganalisis kendala yang dihadapi serta upaya yang dilakukan untuk memperbaiki pengelolaan aset daerah yang lebih baik. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Data diperoleh melalui teknik wawancara yang mendalam, studi dokumentasi dan observasi. Hasil penelitian menunjukkan bahwa pengelolaan aset daerah Kabupaten Bolaang Mongondow dilaksanakan berdasarkan Permendagri No. 19 Tahun 2016 yang meliputi proses perencanaan kebutuhan dan penganggaran, pengadaan, penggunaan, pemanfaatan, pengamanan dan pemeliharaan, penilaian, penghapusan, pemindahtanganan, penatausahaan serta pembinaan, pengawasan dan pengendalian. Namun proses pemusnahan belum dilakukan karena pemerintah daerah menilai bahwa belum ada barang milik daerah yang memenuhi syarat untuk dimusnahkan. Kendala yang ditemui dalam pengelolaan aset yaitu rendahnya kepatuhan aparatur daerah, belum adanya peraturan daerah yang mengatur proses pengelolaan aset daerah, inventarisasi aset yang belum efektif, kompetensi sumber daya manusia yang belum memadai, lemahnya komitmen pimpinan serta kurangnya sumber daya dalam bentuk anggaran dan fasilitas dalam pengelolaan aset daerah. Upaya yang dilakukan yaitu mengadakan penilaian aset, legal audit, inventarisasi aset dan perbaikan dalam komitmen pimpinan. Namun upaya ini masih perlu didukung dengan adanya regulasi dalam bentuk peraturan daerah, perbaikan dalam hal kepatuhan, sikap, persepsi, dan tanggung jawab aparatur daerah, ketegasan pimpinan, adanya strategi reward dan punishment atas kinerja aparatur daerah, melibatkan pengurus barang dalam proses perencanaan serta penggunaan SIMDA-BMD untuk proses penatausahaan pada masing-masing SKPD.Kata Kunci: Pengelolaan Aset Daerah, Kepatuhan, Sumber Daya Manusia, Inventarisasi Aset. 

scholarly journals PENINGKATAN KUALITAS PELAYANAN KEPERAWATAN MELALUI RONDE DAN PENDOKUMENTASIAN

2017 ◽  
Vol 5 (1) ◽  
pp. 50
Author(s):  
Tita Rohita ◽  
Krisna Yetti
Keyword(s):  
Nursing Care ◽  
Human Resources Management ◽  
Work Culture ◽  
Test Results ◽  
Commitment To Change ◽  
Study Approach ◽  
Good Improvement ◽  
Periodic Evaluation

ABSTRAKRonde keperawatan dan kelengkapan pendokumentasian asuhan keperawatan merupakan bagian dari kualitas pelayanan keperawatan di rumah sakit. Tujuan optimalisasi pelaksanaan ronde keperawatan & dokumentasi asuhan keperawatan yaitu refresing dan menyiapkan perangkat yang dibutuhkan. Sehingga pengetahuan dan komitmen untuk melakukan perubahan menjadi lebih baik.Metode yang dilakukan yaitu studi kasus dengan menggunakan pendekatan Plan, Do, Check and Action (PDCA).Hasil program tersebut, pengetahuan perawat meningkat dengan hasil pre test 68% menjadi 85% ini menunjukan peningkatan yang baik yang dapat menunjukkan bahwa impelementasi yang dilakukan dinilai efektif untuk meningkatkan pengetahuan perawat. Peningkatan pelatihan, meningkat-kan strategi pengelolaan sumber daya manusia keperawatan, evaluasi beban kerja secara berkala, menciptakan lingkungan yang mendukung budaya kerja kondusif juga sangat berperan penting dalam pengoptimalisasian program. Kata-kata kunci : kualitas pelayanan, pendokumentasian, ronde. ABSTRACTRonde nursing and completeness of documentation of nursing care is part of the quality of nursing care in the hospital. Interest-round optimization of the implementation of nursing and nursing care documentation that is refreshing and prepare the necessary tools. So that the knowledge and commitment to change for the better. The method to do that is by using a case study approach of PDC). Result the program , the nurse's knowledge increases with pre-test results of 68% to 85% shows good improvement that could indicate that the implementation is carried out is considered effective to increase the knowledge of nurses.. Increased training, increased technology strategy nursing human resources management, periodic evaluation workload, create an enabling environment conducive work culture is also very important role in optimizing the program. Keywords: documenting, ronde, quality ofcare.

scholarly journals Monte Carlo Simulation Experiments for Engineering Optimisation

2015 ◽  
Vol 2 (1) ◽  
pp. 97
Author(s):  
Robert Anderson ◽  
Zhou Wei ◽  
Ian Cox ◽  
Malcolm Moore ◽  
Florence Kussener
Keyword(s):  
Monte Carlo Simulation ◽  
Monte Carlo ◽  
Tolerance Analysis ◽  
Simulation Experiments ◽  
Practical Applications ◽  
Study Approach ◽  
Good Set ◽  
Robust Process ◽  
And Control

Design of Experiments (DoE) is widely used in design, manufacturing and quality management. The resulting data is usually analysed with multiple linear regression to generate polynomial equations that describe the relationship between process inputs and outputs. These equations enable us to understand how input values affect the predicted value of one or more outputs and find good set points for the inputs. However, to develop robust manufacturing processes, we also need to understand how variation in these inputs appears as variation in the output. This understanding allows us to define set points and control tolerances for the inputs that will keep the outputs within their required specification windows. Tolerance analysis provides a powerful way of finding input settings and ranges that minimise output variation to produce a process that is robust. In many practical applications, tolerance analysis exploits Monte Carlo simulation of the polynomial model generated from DoE’s. This paper briefly describes tolerance analysis and then shows how Monte Carlo simulation experiments using space-filling designs can be used to find the input settings that result in a robust process. Using this approach, engineers can quickly and easily identify the key inputs responsible for transferring undesired variation to their process outputs and identify the set points and ranges that make their process as robust as possible. If the process is not sufficiently robust, they can rationally investigate different strategies to improve it. A case study approach is used to aid explanation and understanding.

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