Asuhan Keperawatan Keluarga Meningkatkan Kemandirian Merawat Penderita Tuberkulosis

2014 ◽  
Vol 3 (6) ◽  
Author(s):  
Nur Fadhilah
Keyword(s):  
P Value ◽  

Tuberkulosisi (TB) masih masalah utama kesehatan masyarakat di Indonesia. Karena pengobatan memerlukan waktu yang lama maka penderita TB Paru sangat memungkinkan mengalami stress yang cukup berat sehingga selain diperlukan pengobatan secara medis juga diperlukan dukungan sosial dari orang di sekitarnya maupun keluarga. Program pengendalian penyakit TB di Puskkesmas Gadingrejo hanya berfokus kepada pasien saja tanpa melibatkan secara maksimal anggota keluarga yang ada, sehingga hal ini semakin memperparah keadaan pasien. Tujuan penelitian ini adalah mengetahui efektifitas pelaksanaan Askep Keluarga terhadap kemandirian keluarga dengan anggota keluarga penderita TB di wilayah kerja puskesmas Gadingrejo tahun 2014. Metode penelitian adalah kwantitatif dengan rancangan Pra Experimen pendekatan One Group Pretest Postest, alat ukur yang digunakan adalah lembar observasi untuk mengetahui tingkat kemandirian keluarga, analisis data dengan menggunakan uji Wilcoxon. . Hasil penelitian menunjukkan bahwa terdapat pengaruh antara pelaksanaan Askep Keluarga terhadap kemandirian keluarga dengan anggota keluarga penderita the patient's condition. The purpose of this study was to determine the effectiveness of family nursing care to family independence TB dengan nilai Z hitung -3,450 dengan Z table (α=0.05) yaitu -1.96 sehingga Z hitung > Z table. Dengan demikian Ho ditolak dan Ha diterima. Hasil ini juga dapat dijelaskan dari nilai Asymp.sig yaitu 0.000, artinya p value < α (0.000 <0.05). Diharapkan perawat puskesmas dapat menjalankan program Perkesmas sebagai program wajib terutama dalam melakukan pengobatan pasien TB sehingga keluarga akan secara mandiri dapat melakukan perawatan pada anggota keluarga yang terkena TB.

2020 ◽  
Vol 13 (2) ◽  
Author(s):  
Nety mawarda Hatmanti ◽  
Yurike Septianingrum

Dunia pendidikan telah berkembang sebegitu pesatnya, sehingga diperlukan metode-metode yang baru untuk mendukung efektivitas pembelajaran di kelas seperti ide terkait model pendidikan baru dan cara-cara yang unik untuk tetap bisa berkomunikasi dengan mahasiswa, menginformasikan, berkolaborasi dan menilai proses pembelajaran sehingga pembelajaran menjadi menyenangkan tanpa mengurangi esensi dari pendidikan tersebut. Tujuan dari penelitian ini menguji efektivitas metode flipped classroom terhadap hasil belajar mahasiswa Prodi S1 Keperawatan UNUSA. Jenis penelitian ini adalah penelitian pre-eksperimen. Variabel bebas adalah Flipped Classroom dan variabel tergantung adalah hasil belajar. Populasi dalam penelitian ini adalah semua mahasiswa yang berada di semester VI Tahun Ajaran 2017/2018 Program Studi S1 Keperawatan Fakultas Keperawatan dan Kebidanan Universitas Nahdlatul Ulama Surabaya. Kriteria inklusi pada penelitian ini adalah status mahasiswa aktif TA 2017/2018 Genap, sudah mengambil mata kuliah Keperawatan Keluarga di KRS (Kartu Rencana Studi). Menggunakan tehnik stratified simple random sampling didapatkan jumlah sampel = 111 mahasiswa. Hasil penelitian dengan menggunakan uji Paired t-test didapatkan hasil p value sebesar 0,000 dengan nilai tscore sebesar -7,502. Hal ini menunjukkan bahwa ada perbedaan nilai pre-test dan nilai post-test setelah diberikan metode flipped classroom. Kesimpulan dalam penelitian ini adalah setelah dilakukan metode pembelajaran Flipped Classroom pada mata ajar asuhan keperawatan keluarga terjadi kenaikan hasil belajar.


2018 ◽  
Vol 24 (4) ◽  
pp. 508-537 ◽  
Author(s):  
Susanne Broekema ◽  
Marie Louise A. Luttik ◽  
Gabriëlle E. Steggerda ◽  
Wolter Paans ◽  
Petrie F. Roodbol

This study describes nurses’ perspectives about their experience of being involved in a 6-day educational intervention which focused on the development of competency in family nursing practice with a particular emphasis on family nursing conversations. The foundational knowledge of the educational intervention was based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM). A research design incorporating quantitative and qualitative measurement was used. Before and after the family nursing educational intervention, nurse participants ( n = 18) completed the Families’ Importance in Nursing Care–Nurses’ Attitudes (FINC-NA) instrument. The outcomes were analyzed using paired-samples t tests. FINC-NA scores increased by 6.94 points ( SD = 5.66, p < .001). To complement the quantitative findings, in-depth interviews were conducted with all of the participants. Participants reported increased awareness of the importance of families in nursing care. In addition to an increase in positive attitudes about families, participants perceived that their knowledge and skills regarding family nursing conversations were more comprehensive. A 6-day educational intervention with a focus on reflection appears useful in helping nurses to “think family” and encouraging perceptions of increased competence in family nursing conversations.


2020 ◽  
Vol 7 (2) ◽  
pp. 125
Author(s):  
Inggriane Dewi ◽  
Rahmat Sastro ◽  
Suryadi Alamsyah

Kesenjangan antara pemenuhan kebutuhan spiritual oleh perawat dengan yang diterima oleh pasien rawat inap dewasa di rumah sakit Kabupaten Bandung ini mendorong sebuah penelitian dengan tujuan menganalisis implementasi asuhan keperawatan spiritual muslim di ruang rawat inap dewasa. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif korelatif, dengan pendekatan Cross Sectional sampel dalam penelitian ini adalah semua perawat pelaksana yang melakukan tindakan langsung kepada pasien yaitu sebanyak 39 orang dan pasien yang telah dirawat di ruangan ≥ 3 hari. Teknik pengambilan data dengan menggunakan kuesioner bagi perawat dan pasien, selain itu peneliti melakukan observasi terhadap dokumentasi asuhan spiritual Islami yang telah dilakukan perawat serta wawancara pada perawat.Hasil penelitian menunjukan pelaksanaan spiritual care Islami di ruang rawat inap dewasa ini, sebagian besar belum terlaksana (53%), data didukung oleh pernyataan pasien (68%) mengatakan kurang mendapatkan asuhan spiritual dari perawat serta aspek pendokumentasian yang kurang (33%) untuk pengkajian dan penegakan diagnosa keperawatan, sementara untuk perencanaan, implementasi dan evaluasi 100% tidak terdokumentasi. Terdapat hubungan antara jenis kelamin, pelatihan dan lama kerjaperawat  dengan pelaksanaan asuhan keperawatan spiritual Islami (nilai P = 0,000) dan terdapat hubungan jenis kelamin dan lama kerja perawat dengan pendokumentasian asuhan keperawatan spiritual Islami dengan (nilai P 0,000).Kata kunci                : asuhan keperawatan spiritual islami; perawat; dokumentasiTHE CORRELATION BETWEEN NURSE CHARACTERISTICS AND THE IMPLEMENTATION OF ISLAMIC SPIRITUAL NURSING CARE IN ADULT WARD OF BANDUNG DISTRICT HOSPITAL Abstract  The gap between the fulfillment of spiritual needs by nurses and those received by adult inpatients room at Bandung Regency hospital encourages a study with the aim of analyzing the implementation of Muslim spiritual nursing care in adult inpatients. The research design used in this study was descriptive correlative, with a cross sectional approach. The sample in this study were all nurses who took direct action on the patient, as many as 39 people and patients who had been treated in the room ≥ 3 days. The data collection technique used a questionnaire for nurses and patients. In addition, the researcher made observations on the documentation of Islamic spiritual care that had been carried out by nurses and interviews with nurses. The results of the study show that the implementation of Islamic spiritual care in inpatient rooms today has not largely been implemented (53%), the data is supported by statements of patients (68%) saying they do not get spiritual care from nurses and lack of documentation (33%) for assessment and enforcement of nursing diagnoses, while for planning, implementation and evaluation they are 100% undocumented. There is a relationship between gender, training experience and length of work of nurses with the implementation of Islamic spiritual nursing care (value P = 0.000) and there is a relationship between gender and length of work of nurses with documentation of Islamic spiritual nursing care with (P value 0,000).. Keywords: islamicspiritual nursing care;nurse; documentation


2020 ◽  
Vol 20 (3) ◽  
pp. 996
Author(s):  
Ernawati Ernawati ◽  
Bettywati E Tumanggor

Nursing services have a big role to play in improving and determining the quality of health care. caring is an important component in nursing and is at the core of nursing practice because it contains humanistic values, respects human freedom of choice, emphasizes on improving ability and self-reliance, increasing knowledge and respecting every human being. Nurses who have value and caring spirit will have work behaviors that are in accordance with the principles of ethics due to the care of nurses who view clients as humanistic beings so motivated to provide high quality nursing services. This study is a quantitative study with a design description of correlation with a cross sectional approach to view the relationship of individual characteristics and caring behavior of nurses as independent variables and patient satisfaction as variable dependent. The goal is to know the relationship of individual characteristics and behavior of caring nurses with the satisfaction of inpatients of Abdul Manap Jambi Hospital. Samples of patients treated in the first and VIP inpatient rooms, how to take samples by accidental sampling. Data processing with chi-square analysis. Based on the results of the study the characteristics of individuals are mostly: male gender respondents (56.7%), low education (83.3%), age over 46 years (56.7%), and work (61.7%). Caring behavior of nurses is mostly well behaved (73.3%) and 70% of patients are satisfied with the services provided in the inpatient room of RsUD Abdul Manap Kota Jambi. The results of bivariate analysis there is no relationship of individual characteristics with the satisfaction of inpatients and there is a relationship of caring behavior of nurses with the satisfaction of inpatients in Abdul Manap Hospital Jambi City (p value 0.018). The results of the study are expected to improve the quality of nursing services, especially in providing nursing care by taking into account caring aspects to improve the satisfaction of inpatients. For nurses in the inpatient room consistently and further improve caring application in providing nursing care to patients especially in the fulfillment of basic needs and health education in the inpatient room.


2016 ◽  
Vol 5 (3) ◽  
pp. 335
Author(s):  
Siti Nur Kholifah ◽  
Nursalam Nursalam ◽  
Meriyana Meriyana ◽  
Ahsan Ahsan ◽  
Minarti Minarti ◽  
...  

Cooperation of nurses needed in helping to resolve the client's problem. Cooperation was an important element in developing quality of human resources and improving performance. The general objective of this study was to identify cooperation-relation nurse with motivation in implementing the family nursing care at Surabaya city. The research method was analytical observational with cross sectional approach. The population of this study was 175 nurses at local government clinic at Surabaya city. The sample size of this study was 122 gained by probability sampling. The research variables include the cooperation of nurses and motivation in implementing family nursing care. Instrument used questionnaire. Bivariate analysis of the data was done by Spearman correlation test. Limit the test of significance is 0.05. The test resulted that there was a relationship of cooperation with the motivation of nurses in implementing family nursing care (p = 0.03). Nurses should develop cooperative relationships in order to increase their motivation to carry out the nursing care of the family.


Author(s):  
Deswita Deswita ◽  
Yulastri Arif ◽  
Supiyah Supiyah

Documentation of nursing care is one indicator of the quality of nursing services at the hospital. Documentation of nursing care at Indrasari Rengat Hospital 40% still does not meet the standards, both in completeness standards, implementation standards and relevance standards. The low achievement in documenting nursing care is due to the supervision factor, where supervision is carried out at Indrasari Rengat Regional Hospital is still not optimal, there is no feedback from the head of the room for documentation of nursing care. In this study, researchers applied group model clinical supervision at Indrasari Rengat Regional Hospital, with the aim of seeing the effectiveness of clinical model group supervision of nursing care documentation. This research was carried out from 20 January to 10 August 2015, with a quasi-experimental design, One-Group pretest-Posttest Design. The sample of this study was in the form of 35 patient documents in the inpatient room with simple random sampling technique. The results found a significant difference between documenting nursing care before and after the implementation of clinical model group supervision with p value <0.05. An increase in documentation of nursing care after the implementation of the group model clinical supervision at Indrasari Rengat District Hospital. Keywords: clinical model group supervision; documentation; nursing care ABSTRAK Dokumentasi asuhan keperawatan merupakan salah satu indikator mutu pelayanan keperawatan di Rumah Sakit. Pendokumentasian asuhan keperawatan di RSUD Indrasari Rengat 40% masih belum memenuhi standar, baik dalam standar kelengkapan, standar pelaksanaan dan standar relevansi. Rendahnya pencapaian pendokumentasian asuhan keperawatan disebabkan oleh faktor supervisi, dimana supervisi yang dilakukan di RSUD Indrasari Rengat masih belum optimal, tidak ada feed back dari kepala ruangan terhadap pendokumentasian asuhan keperawatan. Pada penelitian ini, peneliti menerapkan supervisi klinik model group di RSUD Indrasari Rengat, dengan tujuan untuk melihat efektifitas supervisi klinik model group terhadap pendokumentasian asuhan keperawatan. Penelitian ini telah dilaksanakan dari tanggal 20 Januari sampai 10 Agustus 2015, dengan disain quasi experiment, One-Group pretest-Posttest Design. Sampel penelitian ini berupa dokumen pasien di ruang rawat inap sebanyak 35 dokumen dengan tehnik pengambilan sampel simple random sampling. Hasil penelitian didapatkan perbedaan yang signifikan antara pendokumentasian asuhan keperawatan sebelum dan sesudah penerapan supervisi klinik model group dengan p value < 0,05. Terjadi peningkatan pendokumentasian asuhan keperawatan setelah penerapan supervisi klinik model group di RSUD Indrasari Rengat. Kata kunci: supervisi klinik model group; dokumentasi; asuhan keperawatan


2021 ◽  
Vol 8 (2) ◽  
pp. 135
Author(s):  
Ni Made Kristina Meikayanti ◽  
Ni Made Ari Sukmandari ◽  
Si Putu Agung Ayu Pertiwi Dewi

<p><em>Therapeutic communication is carried out in every nursing care delivery. Through good communication between nurse and patient or patient's family, a trusting relationship can be developed. Thus, the treatment provided can be received optimally which can affect patient satisfaction. The purpose of this study was to determine the relationship between nurse therapeutic communication and patient satisfaction. The measuring instruments used in this study were nurse therapeutic communication and patient satisfaction questionnaires that had been tested for its validity and reliability. The design of this research was a descriptive analytic correlation using cross sectional design. The sampling technique used purposive sampling with 67 respondents. The research data were analyzed using the chi square correlation test. The results of this study indicated that 53.7% nurses had good therapeutic communication and 55.2% patients were satisfied. Chi square test revealed p value 0.001 with a confidence level of 95%. It is concluded that there was a relationship between nurse therapeutic communication and patient satisfaction at the Regional General Hospital of Tabanan Regency. It is hoped that nurses' therapeutic communication can be improved and applied in nursing care, and further explore factors that can improve the nurses’ therapeutic communication skills to increse patient satisfaction.</em></p><p> </p><p><strong>BAHASA INDONESIA </strong>Komunikasi terapeutik dilaksanakan pada setiap pemberian asuhan keperawatan. Melalui komunikasi yang baik antara perawat dan pasien atau keluarga pasien dapat membangun hubungan saling percaya antara perawat dengan pasien. Sehingga perawatan yang diberikan dapat diterima dengan optimal dan dapat memengaruhi kepuasan pasien. Adapun tujuan penelitian ini adalah untuk mengetahui hubungan komunikasi terapeutik perawat dengan kepuasan pasien. Alat ukur yang digunakan dalam penelitian ini adalah kuisioner komunikasi terapeutik perawat dan kuisioner kepuasaan pasien yang telah dilakukan uji validitas dan reliabilitas sebelumnya. Desain penelitian ini adalah deskriptif analitik korelasi dengan menggunakan rancangan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 67 responden. Data penelitian ini dianalisis menggunakan uji korelasi chi square. Hasil penelitian ini menunjukkan bahwa 53,7% perawat melakukan komunikasi terapeutikyang baik dan 55,2% pasien merasa puas. Hasil uji chi square didapatkan p value 0,001 dengan tingkat kepercayaan 95%. Sehingga dapat disimpulkan bahwa ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien di Badan Rumah Sakit Umum Daerah Kabupaten Tabanan. Komunikasi terapeutik perawat diharapkan dapat ditingkatkan dan diterapkan dalam pemberian asuhan keperawatan, dan peneliti selanjutnya dapat menemukan faktor-faktor lain yang dapat meningkatkan kemampuan komunikasi terapeutik perawat sehingga kepuasan pasien dapat lebih meningkat.</p><p> </p>


2021 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
Raden Surahmat ◽  
Meilisa Dwiyanti ◽  
Mareta Akhriansyah ◽  
Amalia Amalia

Background: Not maximally documenting nursing care will have an impact on the quality of nursing services. Methods: This study aims to determine what factors are associated with the implementation of nursing care documentation using quantitative methods, using a cross sectional approach, with a sample of 71 respondents. Results: From the results of this study obtained from 71 respondents whose early adulthood were 38 people (53.5%), female gender were 41 people (57.7%), professional education 36 people (50.7%), work period ≥2 years totaling 51 people (71.8%), good knowledge 50 people (70.4%), light workload 43 people (60.6%), implementation of good nursing documentation 46 people (64.8%), the results of bivariate analysis obtained age p value 0.003, gender ρ value = 0.041, education ρ value = 0.057, tenure ρ value = 0.012, knowledge ρ value = 0.001, workload ρ value = 0.018. Conclusion: Based on the results of the study it can be concluded that the age with early and late adulthood has a different mindset in work, while the implementation of documenting nursing care between men and women has its own way of differences in roles and responsibilities, with a high level of education with experience. good knowledge is obtained


2019 ◽  
Vol 29 ◽  
pp. 74-77 ◽  
Author(s):  
Sovia ◽  
Suharti ◽  
Yellyanda ◽  
Abbasiah ◽  
Debbie Nomiko

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