scholarly journals PENINGKATAN PENDOKUMENTASIAN CATATAN PERKEMBANGAN PASIEN TERINTEGRASI MELALUI PENGUATAN PERAN KEPALA RUANG DENGAN PENDEKATAN TEORI ORLANDO

2019 ◽  
Vol 13 (1) ◽  
pp. 19-28
Author(s):  
Dwi Nopriyanto ◽  
Rr. Tutik Sri Hariyati ◽  
Titin Ungsianik

PUTTING ORLANDO'S THEORY INTO PRACTICE: APPROACH TO INTEGRATED DEVELOPMENTBackground: Documentation of integrated patient development records has not been optimal due to lack of understanding of nurse in writing, and uniformity of the content of writing rules, and there has not yet optimal support from the head nurse.Purpose: This study is to identify the impact of strengthening the role of the head nurse using the Orlando’s theory approach on the implementation in documented of integrated patient development records.Methods: Pre experimental design with one group pre test and post test design without control, samples on this study are 115 documents of integrated patient development record, cluster sampling technique, analyzed used with Wilcoxon, Spearman and Kruskal Wallis test analysis.Results: Showing that the role strengthening of the head nurse with the Orlando’s theory approach significantly improves the quality of implementation for documented of integrated patient development record (p=0.0001; α=0,025). Conclusion: The nursing abilities of the implementers increased significantly in the implementation in documented of integrated patient development record.Recommendation: As reference to make policies, assistance, evaluation and monitoring of nursing managers and development through workshops on the role of the head nurse and implementation documentation of integrated patient development records.Keywords: Integrated patient development records, role of the head nurse, Orlando’s theoryPendahuluan: Dokumentasi catatan perkembangan pasien terintegrasi belum optimal karena kurangnya pemahaman perawat dalam melakukan penulisan, dan keseragaman dari isi kaidah penulisan, serta belum optimalnya dukungan dari kepala ruang.Tujuan: Mengidentifikasi pengaruh penguatan peran kepala ruang dengan pendekatan Teori Orlando terhadap pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi.Metode: Pre eksperiment design dengan one group pre test and post test design without control, dengan sampel 115 dokumen catatan perkembangan pasien terintegrasi, teknik cluster sampling, melalui analisis Wilcoxon, Spearman dan Kruskal Wallis test.Hasil: Penguatan peran kepala ruang dengan pendekatan Teori Orlando meningkatkan kualitas pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi secara bermakna (p=0,0001; α=0,025).Simpulan: Kemampuan perawat pelaksana meningkat bermakna dalam pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi melalui penguatan peran kepala ruang dengan pendekatan Teori Orlando.Rekomendasi: Perlunya kebijakan, pendampingan, evaluasi, dan monitoring dari manajer keperawatan serta pengembangan melalui workshop penerapan peran kepala ruang dan pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi.

2015 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Uswatun Nisaa' Arum Darjono ◽  
Sri Widiati ◽  
Al. Supartinah

Background: Prevention of caries in preschool children is influenced by role of mothers. In reality lots of mothers do not pay much attention in maintaining the children's teeth. Purpose: The study aimed to find out the effect of socialization on cariogenic food consumption in mothers and children to dental and caries severity of children at kindergartens at Subdisctrict of Kasihan District of Bantul. Method: The study was a quasi experiment with Two Group Pre-Test Post-Test Design. Samples were determined through cluster sampling technique, comprising as many as 136 pairs of mothers and children in three kindergartens at the area of Subdistrict of Kasihan, District of Bantul. The study was focused on the effect of socialization on cariogenic food consumption to knowledge of children, knowledge of mothers, mothers' behavioral tendencies and dental and oral health statcaries severity of children. Data the knowledgeof children, knowledge of mothers and mothers' behavioral tendencies were assessed using questionaire, and CIS as caries severity index and analyzed using paired t-test and independent t-test. Conclusion: Socialization in group of mothers and children increased knowledge of children, knowledge of mothers, behavioral tendencies of mothers than in group of children. Socialization in group of mothers and children and group of children did not decrease severity of dental caries 


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Chinta A. D Sepang ◽  
Esrom Kanine ◽  
Ferdinand Wowiling

Abstrak: Perubahan fisik serta stigma negatif di masyarakat menyebabkan tekanan psikologis pada pasien dengan HIV/AIDS berupa respon berduka terhadap penyakit, sehingga perawat diharapkan dapat membina hubungan interpersonal yang terapeutik mencakup perannya sebagai konselor. Penelitian ini mencoba mencari ada tidaknya pengaruh peran perawat sebagai konselor terhadap respon berduka  pasien  HIV-AIDS di BLU RSUP Prof. dr. R. D. Kandou Manado. Metode penelitian menggunakan pre eksperimental dengan one group pre-post test design. Responden berjumlah 15 orang dipilih menggunakan teknik purposive sampling. Mula-mula diukur dengan menggunakan kusioner respon berduka, selanjutnya diberikan konseling oleh perawat dalam tiga sesi pertemuan kemudian respon berduka pasien diukur lagi dengan kuisioner yang sama. Hasil Analisa data menggunakan uji Wilcoxon Signed Ranks Test(α=0,05) didapatkan Nilai probabilitas=0,001. Hal ini menunjukkan nilai p <nilai α sehingga dapat disimpulkan adanya pengaruh signifikan konseling perawat terhadap respon berduka pasien HIV/AIDS. Kata kunci: Pasien HIV-AIDS, peran perawat sebagai konselor, respon berduka pasien.   Abstract: Physicial changes as well as the negative stigma in society causes psychological distress in patients with HIV/AIDS responses in the form of mourning of the disease, so the nurses are expected to develop a therapeutic interpersonal relationship includes her role as a counselor. This study tried to find whether or not the influence of the nurse’s role as grief counselor’s response to HIV/AIDS patients in the departement of BLU RSUP prof. Dr. R. D. Kandou Manado. The method uses pre experimental research with one group pre-post test design. Respondents totaled 15 people selected using purposive sampling technique. At first the response was measured using grieving questionnaire, than given counceling by nurse in three session later grieving response was measured again with the same questionnaire. The results of the data analysis using the wilcoxon Signed Ranks Test (a=0.05) obtained  probability value=0.0001. This  shows the value of  p <values so that we can conclude the existence of a significant effect of the rsponse of gief counseling caregiver of patients with HIV/AIDS Keywords: HIV/AIDS patients, the role of nurses as counselors, grief responses of patients.


Author(s):  
Amruta Kothe ◽  
Aarti Raut ◽  
Sheetal Sakharkar

Aim of the Study: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. Study Design: The design that will be used in the study is One Group Pretest Posttest research design.  Methodology: A study used a pre-test post-test design with no control group and a pre-experimental design. The impact of planned teaching on assisting self-care activities of patients with plaster of Paris casts of the lower extremities among caregivers will be assessed using the purposive sampling technique. In this study Evaluatory research approach will be used. Selected 100 caregivers of patients with plaster of Paris cast of lower extremities will be assessed primarily for knowledge in assisting self-care activities by structured questionnaires and then planned teaching will be given to the selected sample developed by researcher as intervention. Expected Results: To assess the effectiveness of planned teaching on assisting self-care activities of patients with plaster of Paris casts of lower extremities among caregivers. In this study the planned teaching will be useful in improving the caregivers knowledge in assisting selfcare activities. Conclusion: The conclusion will be drawn from the results and will be published in per review journal.


2020 ◽  
Vol 9 (2) ◽  
pp. 316-324
Author(s):  
Dwi Nopriyanto ◽  
Ruminem Ruminem ◽  
Mayusef Sukmana ◽  
Timmy Emelia

The study aimed to identify the relationship between the role of head nurse and critical thinking of nurse to the documentation of integrated patient progress note. The study used a descriptive correlation design, a cross sectional approach, with a sample of 69 nurses who documented integrated patient pogress note, using cluster sampling techniques, through Pearson, Spearman, Mann Whitney and Linear Regression analyzes. There was a significant relationship between the role of head nurse  (p=0.038; α=0.05) and the nurse's critical thinking (p=0.003; α=0.05) to the documentation of integrated patient progress note. Critical thinking of nurses is the most influential factor in documenting integrated patient progress note. Here needs to be a policy, evaluation and monitoring of the nursing manager through self-development in the application  the role of head nurse, critical thinking of nurse and the implementation of documentation of integrated patient progress note


2017 ◽  
Vol 4 (2) ◽  
pp. 14
Author(s):  
Putri Megasari

Hepatitis has become a health problem in the world. The hepatitis virus infected many people. According to the teacher of MTsN 02 Bondowoso more than 20 students have hepatitis A viral infection. The purpose of this research was to know the differences of students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study used pre-experimental (pre-post test design). This study used stratified random sampling technique, 127 students from 270 sample involved this research,and 143 students was excluded. We used questionnaires to collect data. The results showed that the mean value of the students 'knowledge about hepatitis A before counseling in MTsN 02 Bondowoso 2015 was 83.96 with the lowest value of 37.5 and the highest value was 100. The mean value of the students' knowledge about hepatitis A after counseling in MTsN 02 Bondowoso 2015 was 93.21 with the lowest value waf 62.5 and the highest value was 100. Paired t test showed that t (-9.07) > t table (1.98), the null hypothesis (H0) was rejected. There was a difference between students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study showed that routine counseling by healthcare provider was important to prevent hepatitis A infection.; Keywords: counseling, knowledge of students, hepatitis


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Titin Dwi Ernawati ◽  
Nikhen Fitrianingtyas Harni ◽  
Jinnani Firdausiyah

ABSTRAKWanita muda cenderung memiliki perilaku buruk pada kebersihan selama menstruasi. Ketika reproduksi basah dan basah, maka akan meningkatkan keasaman memfasilitasi pertumbuhan jamur. Kondisi seperti gatal pada vulva, area eksternal biasanya terjadi pada wanita muda di masa menstruasi. Perilaku seseorang dipengaruhi oleh tingkat pendidikan dan pengetahuan. Pengetahuan seseorang tentang sesuatu dapat menyebabkan perubahan perilaku. Tujuan penelitian ini adalah untuk menganalisis efektivitas pendidikan kesehatan dengan metode ceramah dalam merawat kebersihan vulva terhadap perilaku kebersihan vulva saat menstruasi pada wanita muda di kelas VII di SMPN 1 Gondang Mojokerto.Jenis penelitian ini adalah pre eksperimental One Group Pre-Post Test Design. Populasi adalah wanita muda di kelas VII di SMPN 1 Gondang Mojokerto. Teknik pengambilan sampel menggunakan total sampling dan diperoleh 21 sampel wanita muda. Alat ukur yang digunakan dalam penelitian ini adalah kuesioner. Analisis data dengan membandingkan perilaku rata-rata memperlakukan kebersihan vulva selama menstruasi sebelum dan sesudah kuliah pendidikan kesehatan.Hasil penelitian sebelum pengobatan (pre-test) menunjukkan nilai rata-rata 9,000 sedangkan penelitian setelah perawatan (post test) menunjukkan nilai rata-rata 14,190. Ada perubahan dalam perilaku rata-rata memperlakukan kebersihan vulva selama menstruasi wanita muda sebelum dan sesudah kuliah pendidikan kesehatan di 5.190.Berdasarkan hasil pendidikan kesehatan dengan metode ceramah efektif untuk meningkatkan perawatan perilaku untuk kebersihan vulva selama menstruasi pada wanita muda. Kuliah pendidikan kesehatan tentang kebersihan vulva dapat digunakan sebagai salah satu cara efektif untuk memperbaiki perilaku kebersihan yang buruk selama menstruasi pada wanita muda.Kata kunci: pendidikan kesehatan, perilaku, kebersihan vulva ABSTRACTYoung women tend to have bad behavior on hygiene during menstruation. When reproduction moist and wet, it will increase the acidity facilitate mold growth. Conditions such as itching of the vulva, the external area usually occurs during young women in the menstrual period. Person's behavior is influenced by the level of education and knowledge. One's knowledge about something can cause behavioral changes. The purpose of the study was to analyze the effectiveness of health education with the lecture method of treating vulva hygiene on the behavior of vulva hygiene during menstruation in young women in class VII at SMPN 1 Gondang MojokertoType of research is pre experimental One Group Pre-Post Test Design. The population was young women in class VII at SMPN 1 Gondang Mojokerto. Sampling technique used total sampling and obtained 21 samples of young women. Measurement tool used in the study was questionnaire. Analysis of the data by comparing the average behavior of treating vulva hygiene during menstruation before and after the health education lecture.The results of the study before treatment (pre-test) showed a mean value of 9,000 while the study after treatment (post test) showed a mean value of 14,190. There is a change in the average behavior of treating vulva hygiene during menstruation young women before and after the health education lecture at 5,190.Based on the results of health education with the lecture method effectively to improved behavioral care for vulva hygiene during menstruation in young women. Health education lecture about hygiene vulva can be used as one of the effective ways to improve the behavior of poor hygiene during menstruation in young women.Key Words: health education, behaviour, vulva hygiene 


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Hartin Suidah ◽  
Ninik Murtiyani ◽  
Arif Susanto ◽  
Yufi Aris Lestari ◽  
Shindy Sofyaning Fitra

ABSTRAKMasih tingginya penderita hipertensi merupakan salah satu masalah yang berpengaruh terhadap gaya hidup dan sikap yang mendorong timbulnya hipertensi. Untuk menangani tekanan darah pada penderita hipertensi umumnya minum obat-obatan dari puskesmas, rutinitas ini sering tidak disukai oleh penderita. Penelitian ini bertujuan untuk mengetahui efektifitas air rebusan daun seledri terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Desain penelitian ini Pre-Experimental dengan rancangan One- Group Pre-Post test design. Populasi dalam penelitian ini adalah semua lansia penderita hipertensi di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang sebanyak 30 responden. Sampel diambil dengan teknik total sampling. Variabel penelitian yaitu pemberian air rebusan daun seledri sebagai variabel independent dan tekanan darah sebagai variabel dependen. Data yang di dapat melalui lembar observasi tekanan darah kemudian di uji dengan menggunakan uji paired t Test.Hasil uji paired t Test menunjukkan bahwa p = 0,000 α= 0,05 Ho di tolak dan H1 diterima sehingga air rebusan daun seledri efektif terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Terdapat penurunan jumlah penderita hipertensi sebelum dan sesudah diberikan air rebusan daun seledri. Responden agar dapat meningkatkan informasi tentang pelaksanaan tekanan darah sehingga dapat mengurangi tekanan darah yang dialami dengan cara non formakologi sehingga responden tidak hanya menggantungkan pada obat-obatan farmakologi dalam menurunkan tekanan darah.Kata kunci : Air Rebusan Daun Seledri, Tekanan Darah, Lansia ABSTRACTStill high hypertension was  one of the problems that affect the lifestyle and attitudes that encourage the emergence of hypertension. To handle blood pressure in people with hypertension generally take  medication from puskesmas, this routine was often disliked by the patient. This study aims to determine the effectiveness of boiling water celery leaves on changes in blood pressure in the elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency.The design of this research was  Pre-Experimental with the design of One- Group Pre-Post test design. Population in this research was all elderly patient of hypertension in Posyandu Ngudi Konco Village Donomulyo District Donomulyo Malang Regency as many as 30 respondents. Samples were taken with total sampling technique. The research variable was giving boiled water of celery leaves as independent variable and blood pressure as dependent variable. The data can be through blood pressure observation sheet then tested by using paired t test.The result of paired t - test showed that p = 0.000 α = 0.05 Ho in rejection and H1 accepted so that boiling water celery leaf effective against blood pressure changes in elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency. There was a decrease in the number of hypertensive patients before and after being given boiled water of celery leaves. Respondents in order to improve information about the implementation of blood pressure so as to reduce blood pressure experienced by non-formakologi way so that respondents not only rely on pharmacological drugs in lowering blood pressure. Key Words: Water Stew of Celery leaves, Blood Pressure, Elderly


Author(s):  
Dhanesh Kannan ◽  
Ravindra Angadi ◽  
Krishnendu O. Nambiar

Background: Ghrta Kalpana has a major role in clinical practise, because of its unique property of Samskarasya Anuvartanam. Tamaka Shwasa a Pranavaha Srothovikara, may be correlated to Bronchial Asthma, where in remissions and exacerbations are the typical features. The management of this acute respiratory condition is the long quest in the medical fraternity of all types. Hence, the present study was aimed to evaluate the role of Shamana therapy in the form of Kantakari Ghrta3 in Tamaka Shwasa patients. Objectives: To evaluate the effect of Kantakari Ghrta in Tamaka Shwasa. Methods: A total number of 30 patients were administered with 24 mgs of ‘Kantakari Ghrta’ once daily in the morning on empty stomach with Ushna Jala as Anupana. It was a single blind study with pre and post-test design. The effect was assessed by standard scoring assessment criteria followed by statistical analyses. Results: There was marked improvement in signs and symptoms and all were statistically significant. .


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2020 ◽  
Vol 20 (1) ◽  
pp. 60
Author(s):  
Mahyudin Mahyudin

The media is very instrumental and has a strategic function that directly or indirectly can affect motivation, interest and attention for young children in learning. The purpose of this study was to determine the role of PAUD teacher learning media in Jambi Province. The method used is descriptive quantitative cluster sampling technique, in this case the District and City in Jambi Province as the cluster. The number of early childhood education units (schools) include TK / RA, KB, TPA, and SPS, totaling 7,584. Then every District and City was selected by 10% randomly PAUD teachers from each school. So the number of samples was 758. The research instrument was a questionnaire or Media Perception Evaluation Scale (MPES) questionnaire containing 28 question items. Data for all parameters using a Microsoft Excel database. Pearson correlation was used to study the correlation between variables and independent t-test was used to compare groups with SPSS version 22. All statistical analyzes were carried out at a significance level of 5% and P <0.05 was considered statistically significant. The results of the study show that learning media plays an important role in the learning process for PAUD children in Jambi Province. As a result 59.6% answered strongly agree. Through the SPSS analyst results where the most influential visual media statements in PAUD teacher learning in Jambi province are statements 18,19,20,21 and 22 where 100% stated that visual media can provide motivation, whereas statements that had no effect were statements 17 where only 50.4% stated that visual media can provide motivation. It can be concluded that the use of learning media in early childhood is very instrumental to motivate, stimulate, explore and experiment.


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