Komunikasi Terapeutik Tenaga Kesehatan (NAKES) Terhadap Pasien Covid-19 di Medan dan Pekanbaru

<strong>Abstrak</strong><p>Layanan keperawatan yang bermutu adalah layanan keperawatan yang senantiasa berupaya memenuhi harapan klien sehingga klien akan selalu puas terhadap pelayanan yang diberikan perawat. Pelayanan dan komunikasi yang baik dapat memotivasi pasien untuk segera sembuh ketika terkena penyakit. Pada masa pandemi Covid-19 sekarang banyak tenaga kesehatan (nakes) yang merawat pasien yang terjangkit penyakit akibat virus Covid-19. Para tenaga nakes tidak hanya merawat pasien secara fisik saja tetapi juga perlu menjalin komunikasi dengan baik kepada pasien agar kondisi mental dari pasien juga dapat termotivasi untuk kembali pulih dari sakit. Tujuan dari penelitian ini yaitu menganalisis komunikasi terapeutik tenaga kesehatan dalam pemulihan pasien Covid di kota Medan dan Pekan Baru serta faktor-faktor pendukung dan penghambatnya. Penelitian ini merupakan penelitian kualitatif, data didapatkan dengan melakukan observasi dan wawancara informan secara mendalam. Informan dalam penelitian ini adalah tenaga kesehatan (NAKES) di kota Medan dan Pekan Baru yang akan dipilih sesuai dengan kriteria penelitian. Hasil penelitian menunjukkan bentuk komunikasi terapeutik dilakukan dengan memberikan dukungan psikologis agar memberikan rasa tenang dan percaya diri serta menumbuhkan keyakinan pasien untuk sembuh, menyentuh aspek perasaan supaya pasien lebih rileks dan nyaman untuk meningkatkan imunitas dan mempercepat proses kesembuhan pasien COVID 19. Faktor pendukung dari komunikasi terapeutik ini adalah komunikasi yang positif dari pihak keluarga pasien, sedangkan faktor penghambatnya yaitu banyaknya penerimaan berita negatif yang dapat memicu pikiran buruk pada pasien sehingga kesehatannya menjadi buruk kembali.</p><p> </p><p><em><strong>Abstract</strong></em></p><p><em>Quality nursing services are nursing services that always try to meet client expectations so that clients will always be satisfied with the services provided by nurses. Good service and communication can motivate patients to recover quickly when exposed to illness. During the Covid-19 pandemic, now many health workers (nakes) are treating patients infected with diseases caused by the Covid-19 virus. Health workers not only take care of patients physically but also need to establish good communication with patients so that the mental condition of the patient can also be encouraged to recover from illness. The purpose of this study was to analyze the therapeutic communication of health workers in the recovery of Covid patients in the cities of Medan and Pekanbaru as well as the supporting and inhibiting factors. This research is a qualitative research, data obtained by conducting in-depth observations and interviews with informants. Informants in this study are health workers (NAKES) in the cities of Medan and Pekanbaru who will be selected according to the research criteria. The results showed that the form of therapeutic communication was carried out by providing psychological support in order to provide a sense of calm and confidence as well as growing the patient's self-confidence to recover, touching the emotional aspect so that the patient was more relaxed and comfortable for activities. boost immunity. and accelerate the healing process of COVID 19 patients. The supporting factor for this therapeutic communication is positive communication from the patient's family, while the inhibiting factor is the large number of negative news receipts that can trigger bad thoughts in patients so that their health becomes bad again.</em></p>

Therapeutic Communication Strategies in Nursing Process of Angry, Anxious, and Fearful Schizophrenic Patients

Schizophrenia is a group of psychotic disorders with primary personality disorders, characteristic distortions of thought processes. Schizophrenic disorders are characterized by fundamental and characteristic distortions of thought and perception and incompatible or blunted effects. Anger, anxiety, and fear are the most common hallucinations in Schizophrenic patients. These feelings drive the continued negative behaviour of the Schizophrenic patient. The therapeutic communication technique in the nursing process is one of the techniques in the healing process of patients, especially those with mental disorders nursing problems. This study was conducted based on anxiety about the results of observations, preliminary research, and reports obtained about the number of therapy failures for Schizophrenic patients caused by communication errors during treatment. In this study, researchers aimed to determine the Therapeutic Communication of Nurses to Patients. This qualitative research uses a Quasy-experimental design using a One-Group Pre-Post Test Design research design. The conclusion emerged in the study that 22 people (88%) of respondents were in the Bad category in controlling negative thoughts. Meanwhile, three respondents (12%) have an excellent ability to control negative thoughts. There are also research results that show 3 variables that support effective and efficient therapeutic communication. These are Build Trust, Troubleshooting with Constructive Coping, and Giving Appreciation.

Psychologist Therapeutic Communication in Handling Clients with Deliberate Self-Harm

This study aims to find out psychologist therapeutic communication in dealing with deliberate self-harm clients in 3 research question. This study uses a phenomenological approach. In collecting data, researchers used an interview technique with five informants who were psychologists that practiced and domiciled in Bandung. The results of this study indicate the meaning of a DSH client for a psychologist into three meanings, those who have irrational thoughts, people that have fragile emotion, and those whose emotions are hidden or looking for attention. The experience of psychologist therapeutic communication in dealing with DSH clients is found in 4 major themes: techniques for building therapeutic relationships with clients, the key to understanding clients: active listening, being careful with non- verbal messages, feedback: reserved question. The psychologist's way of handling DSH clients is by handling it like a tailormade (adjusted to the personality and problems of the clients)

Efficiency of the ethnopsychotherapeutic communication culture of medical personnel for patients needs in Indonesia

Therapeutic communication will create a trusting relationship between nurses and patients. With thus, patients will feel satisfied and comfortable with the services provided by nurses so as to increase enthusiasm and motivation of patients to recover. The purpose of this study was to determine the relationship of communication therapeutic nurse with satisfaction of inpatients at RS Columbia Semarang, RSI Tologorejo Semarang, RSIA PKU Muhammadiyah Yogyakarta, RS Rem 721 Yogyakarta, RSU Siloam Surabaya, and RS Adi Husada Surabaya in 2020. Types quantitative research with a cross sectional research design. The population in this study were all patients hospitalization in the selected. Sampling using accidental sampling, then obtained the number of samples in this study as many as 40 respondents. Research instrument using questionnaires and data processing using the program. The results obtained from 40 respondents as much as 24 respondents are satisfied with inpatient services and as many as 23 respondents assess therapeutic communication good nurse. Test the chi square hypothesis between nurse's therapeutic communication on inpatient satisfaction in hospital. The research target hospital obtained a p-value of 0.016 and an Odds Ratio (OR) value of 6.600.

A correlational study to identify therapeutic communication on patient satisfaction among patients admitted in hospitals at Kolhapur

A Descriptive correlational study was conducted to identify the therapeutic communication and patient satisfaction among patients admitted in Medical, surgical and orthopedic wards. The study was conducted at Dr.D.Y.Patil Hospital, Kolhapur among 100 admitted patients who were selected by Simple random sampling technique. The study concluded that correlation was calculated by Karl Pearson’s Coefficient correlation which was r=0.76 value was greater than 0 & lesser than 1(0>1)which indicated that the there was moderate positive correlation between therapeutic communication and patient satisfaction. Therefore the findings revealed that if there is good therapeutic communication there would be increase in patient satisfaction.

The Impact of Medical Therapeutic Communication Effectiveness on the Quality of the Medical Service Process in Hospitals at Medan City, Indonesia

BACKGROUND: Many individuals from Medan City, Indonesia, seek treatment abroad. This is because they are dissatisfied with the medical services provided at hospitals in their city, especially those for internal medicine, heart disease, and obstetrics-gynecology (Ob-Gyn). The attitude to seek treatment outside of the city may be because of ineffective medical therapeutic communication. However, a questionnaire to assess medical therapeutic communication from the patient’s perspective is lacking. AIM: Here, we sought to determine the effectiveness of medical therapeutic communication on the quality of the medical service process in hospitals. We also aimed to obtain statement items that can be used in a questionnaire to assess the effectiveness of medical therapeutic communication in hospitals at Medan City. METHODS: This cross-sectional quantitative research was conducted in three Medan City hospitals. Accidental sampling was used to select patients. Overall, 121 patients from internal medicine polyclinic, 88 from cardiac polyclinic, and 121 from obstetrician polyclinic were selected. All data were analyzed using partial least squares structural equation modeling (PLS-SEM) with the second-order model two-stage approach. RESULTS: The outer and inner model tests indicated that 6 statement items from Ob-Gyn specialists could be used as measurements with robustness and accuracy. The hypothesis test also proved that the effectiveness of medical therapeutic communication impacts the quality of the medical service process in Ob-Gyn polyclinics. The PLS-SEM analysis revealed that the effectiveness of medical therapeutic communication affected the quality of the medical service process only in the Ob-Gyn polyclinic. CONCLUSION: Therefore, medical staff at the Ob-Gyn polyclinics must focus more on listening to patient complaints with empathy and sympathy so that the patients feel better. Medical staff must also be forthright about the patient’s condition and explain the disease, examination, and treatment steps in an interesting way and in a soft tone such that patients can re-explain. Hospital management can use these six statement items to assess the medical therapeutic communication effectiveness in Ob-Gyn polyclinics from patients’ perspective.

Being survivors: therapeutic communication for people living with HIV/AIDS (plwha)

The number of People Living With HIV/AIDS (PLWHA) is steadily increasing. HIV/AIDS is caused by a virus that infects the body and weakens the immune system, making it difficult to fight germs, viruses, fungi, and other pathogens. HIV and AIDS are still considered taboo diseases that should not be openly discussed. People living with HIV/AIDS (PLWHA) are discouraged from seeking treatment due to stigma and discrimination. Eliminating stigma and discrimination against people living with HIV/AIDS will improve the process of preventing and overcoming HIV/AIDS cases. In addition, therapeutic communication also affects interpersonal relationships. This research aims to figure out how the therapeutic communication efforts of People living with HIV/AIDS (PLWHA) become survivors. The method used in this research is phenomenology, where the informants in this study are people with HIV/AIDS who live in Surabaya. This study concludes that therapeutic communication efforts to People living with HIV/AIDS (PLWHA) are by presenting volunteers who help people living with HIV/AIDS (PLWHA) based on the same fate as People living with HIV/AIDS (PLWHA). The presence of volunteers (PLWHA) assists and bridges the gap between patients and therapy, fostering a sense of comfort for PLWHA. They also make other patients feel more at ease while they are receiving treatment in the hospital.

Abstract 12580: An Interprofessional Approach to Standardizing Family Care During Code Blue Events

Introduction: The development of a standardized practice for family care during resuscitation (FPDR) events was identified as an area for quality improvement at a large academic hospital. Healthcare Chaplains were identified as ideal Family Facilitators for FPDR due to their professional training in therapeutic communication and existential crisis management as well as their current practice of responding to all Code Blue events. An interprofessional workgroup developed guidelines to delineate the role of Chaplain as Family Facilitator in Code Blue events and created an interprofessional education simulation (IPE-sim) training curriculum for their dissemination. Methods: The workgroup, which included an acute care nurse practitioner in the nursing faculty, a palliative care physician, and the director of Chaplain Services, conducted a thorough review of FPDR literature, analyzed data on Chaplain care provided at Code Blue events over the past 9 years, and entered into dialogue with stakeholders regarding FPDR. The group authored guidelines which were adopted as an addendum to the institution’s existing Code Blue policy. The workgroup collaborated with the Code Blue team to develop simulation training events to ensure proper application of the new guidelines. Results: This work resulted in the addition of FPDR guidelines to the Code Blue policy and the creation of a FPDR flowchart that standardized the Chaplain role in Code Blue events by delineating a communication process as well as FPDR inclusion and exclusion criteria. The implementation of this work was facilitated through three 4-hour IPE-sim training sessions. Conclusions: Standardized FPDR guidelines pertaining to the role of Chaplain as Family Facilitator improve patient- and family-centered care. Institutional FPDR guidelines should be created by an interprofessional team and vetted by multidisciplinary stakeholders. Simulation-enhanced IPE prepares Chaplains and teams for FPDR and can improve interprofessional collaboration during Code Blue events.

The Role of Midwife Therapeutic Communication With Anxiety Levels in Maternity at The Limboro Health Center in 2020

Anxiety has an impact on the duration of the first and second stages of labor. Generally, anxiety during labor is caused by fear of giving birth. To reduce the level of anxiety, it is necessary to communicate with therapeutic midwives in creating good relationships with maternity mothers so that there is an exchange of information, feelings, and thoughts. This research aims to find the relationship between the therapeutic communication of midwives with the level of anxiety in maternity mothers. The research method uses a cross-sectional study with a sample of 30 maternity mothers who were selected based on the purposive sampling technique. The results of the study from 30 respondents, the percentage of mothers who received therapeutic communication was not good with mild anxiety levels as many as 4 respondents (66.7%), while at moderate and severe levels of anxiety each 1 respondent (16.7%). Bivariate analysis with chi-square test showed p-value = 0.014 with a significance level ofa = 0.05, where p < a (0.05)so it can be concluded that there is a relationship between the midwife's therapeutic communication with the level of maternal anxiety. It is recommended to manage the psychological condition of the mother during pregnancy monitoring so that the anxiety and worries of the mother before delivery can be resolved properly.