Perbedaan Frekuensi Pemberian Enteral Feeding terhadap Toleransi Feeding dan Kadar Glukosa Darah

Medical nutrition therapy is one of the interventions to provide sufficiently nutrition and to optimize glycemic controls in meeting the body metabolic needs. An Enteral Feeding is an alternative feeding method when there are obstacles to fulfill patients nutrition orally. This study aims to determine feeding tolerances and blood glucose controls in Type2 Diabetes Mellitus patients with different Enteral Feeding frequencies-three and six times preserving. This research is a quasi-experimental design study involving 26 patients admitted in a hospital. The results of the study on respondents with enteral feeding of a frequency 3x/24 hours found that 2respondents (15.4%) were tolerant with enteral feeding given and as many as 3respondents (23.1%) had normal blood glucose, while the results of the study for respondents with enteral feeding of a frequency 6x / 24 hours, 12 respondents (92.3%) were tolerant with enteral feeding given and as many as 12 respondents (92.3%) had normal blood glucose. The results showed that there was a statistically difference between the three times and six times Enteral Feeding with feeding tolerance (p = 0.005). There was a difference between the frequency of enteral feeding six times and three times in the blood glucose level (p = 0.005). Results of this study will assist in controlling blood glucose by regulating the timing of feeding in patients with type 2 diabetes mellitus.

Hubungan Pengetahuan dan Motivasi Perawat terhadap Pelaksanaan Early Warning System (EWS) di Rumah Sakit Swasta di Indonesia Tengah

Early Warning Score (EWS) is a request system to address current patient health problems that based on patients’ assessment of physiological parameter changes through systematic observation. Inconsistent implementation of the EWS can put patient safety at risk. This study aims to determine the relationship between knowledge and motivation of nurses on the implementation of EWS in the treatment room at a private hospital in central Indonesia. This research was a quantitative descriptive correlational study with a cross-sectional approach. The sample selection technique used an overall sample technique totaling 54 people in one private hospital in central Indonesia from March to April 2019. Chi square test analysis identified that there was no statistically significant relationship between knowledge and EWS implementation (p = 0.161). The analysis also showed that there was no statistically significant relationship between motivation and EWS implementation (p=0.101). Further research can identify factors that influence nurses' knowledge and motivation towards EWS as well as factors that support the implementation of a comprehensive EWS in an inpatient setting.

Gaya Kepemimpinan Kepala Ruang Dengan Kepuasan Kerja Perawat

Nurse job satisfaction is one of the factors affecting work productivity. Job satisfaction is influenced by the leadership style applied by the chief nurse in leading his subordinates. The purpose of this study was determined the relationship between the leadership style of the chief nurse and the nurse's job satisfaction in the inpatient room at Idaman City Hospital in Banjarbaru. This research approach used cross sectional. The population was all nurses in the inpatient room with a total of 119 nurses. Sampling used quota sampling as many as 102 respondents. There were 3 research instruments used, consisted of questionnaire respondent characteristics, nurse job satisfaction and leadership style of the chief nurse. The method used by events that carry out actions on respondents, has been observed. The correlational and survey approaches used in this study were to present a questionnaire. The leadership style of nurse manager has an average of 57.90 (50-72). Nurse job satisfaction has rather average of 62,82 (38-96). There was a relationship between the leadership style of the chief nurse and the nurse's job satisfaction in the inpatient room at Idaman City Hospital in Banjarbaru (p-value = 0,000 <0.05). The leadership style of the head of the room in accordance with the situation and conditions and good application can produce nurses who are satisfied with their work and can also improve performance in carrying out their duties.

Peningkatan Keseimbangan Tubuh Lansia Melalui Senam di Sebuah Balai Pelayanan dan Penyantunan Lansia

The aging process experienced by every human being in the form of physical and psychological changes. Physical changes cause a decrease in the body's ability to maintain balance. Impaired body balance increases the risk of falls and injury to the elderly. Regular exercise can reduce impaired body balance. A good sport for the elderly is gymnastics. The purpose of this study was to determine the effect of gymnastic exercise on the level of balance of the body of the elderly in the Balai service and elderly elderly sponsors. This study uses a Pre-experimental method with one group pretest-posttest design method. A sample of 26 people was obtained with non-probability sampling techniques and purposive sampling techniques. The elderly balance research instruments were collected using a questionnaire and observation sheet. Statistical test using Wilcoxon signed ranks test found that there was an influence of elderly exercise on the level of balance of the elderly body in the service and sponsorship of the elderly in Bengkulu City with a value of p = 0.001 (p <α 5%). Based on the above results it is advisable for the elderly to do gymnastics elderly regularly to prevent disturbance of balance..

Hubungan Fungsi Manajemen Kepala Ruang dengan Motivasi Perawat dalam Melakukan Discharge Planning

The function head of the room is a first line nursing manager who has the functions of planning, organizing, directing and supervising. Motivation is a problem for nurses in achieving and improving the quality of nursing services, especially on discharge planning. The phenomenon found in RS Kota X was the function of the head of the room management has not been carried out to the maximum and the motivation of the implementing nurse in discharge planning is still not optimal. The purpose of this research is to analyze the relationship between management function of the head of the room with motivation of nurses in discharge planning at RS Kota X. The study design was cross sectional with proportional stratified random sampling and data collectionntechniques carried out on 92 respondent nurses in RS Kota X from September 13, 2018 till February 28, 2019. The research instrument used a management function and motivation of nurses in discharge planning questionnaire. The results of the study was 60.9% poor and the motivation of nurses in discharge planning was 67,4% moderate. The relationship between the management function of the head of the room with the motivation of nurses in carrying out discharge planning in RS Kota X with a p value of 0.009 <0.05.The function of good head of the room management can increase motivation in discharge planning.

Pengetahuan Perawat Terhadap Teknik Komunikasi SBAR di Satu Rumah Sakit di Indonesia Barat

Patient safety is the main thing in client’s the treatment process. Nurses' knowledge or cognitive abilities are fundamental for nurses to carry out their duties and responsibilities. SBAR's effective communication technique consisting of Situation, Background, Assessment, Recommendation is known to minimize the possibility of errors in communication. This study aims to identify the description of nurses' knowledge of SBAR communication techniques. This study used a quantitative descriptive design, which was conducted from May to July 2019. The population in this study were all nurses who served in the inpatient room. The sampling technique used total sampling and involved 50 respondents. Knowledge is measured using an instrument about nurses' knowledge of effective SBAR communication techniques, valid with a Cronbach Alpha reliability of 0.851. Univariate data analysis showed that more than half of the respondents, 26 nurses (52%), had high knowledge of SBAR communication techniques. Collaborative efforts between educational institutions and hospitals on training and simulation of SBAR communication techniques are necessary to support client safety. Further research is needed to explore the relationship between characteristics, attitudes, and motivation with SBAR implementation.

Pemberian Posisi untuk Mengatasi Masalah Pengosongan Lambung pada Bayi Prematur

Gastric emptying in premature infants is slower than aterm infant aterm for 12 hours and some cases reach 22-36 hours. This slow emptying of the stomach causes to increase the volume of gastric residual and raising the risk for infants to experience gastroesophageal reflux, vomiting, aspiration and necrotizing etherocolitis. This study aims to analyze the effectiveness of positioning on gastric emptying show from gastric residual in premature infants in the Perinatology RSUPN Cipto Mangunkusumo. The research design used in this research is quasi experiment on 20 premature infants with consecutive sampling technique. The data analysis used Wilcoxon test for gastric residual. The study showed a difference in average abdominal distensionand gastric residual in right lateral position, left lateral positions and pronation is significant so that it can be concluded effective positioning to accelerate gastric emptying. Based on these results then the positioning can be recommended to be an alternative nursing care in overcoming the problem of gastric emptying in premature infants.

Pengetahuan Ibu dan Pengelolaan Demam Anak di Satu Rumah Sakit Swasta di Indonesia Barat

Child's fever become a special consideration for mothers because of the adverse effects that arise if the fever is not treated. Mothers can experience anxiety so that independent treatment is the most effort made. Unaccountable information can lead mothers to inappropriate fever management. Preliminary data taken randomly in the outpatient unit showed that 9 out of 15 mothers did not understand the understanding and management of children's fever. The purpose of the study was to determine the relationship of maternal knowledge about child fever with the management of child fever in a private hospital in Western Indonesia. This descriptive correlational quantitative study using a cross-sectional approach was conducted in February - March 2020. The incidental sampling technique obtained 191 respondents from the initial population ie all child clients in the outpatient unit. Data collection using a questionnaire about maternal knowledge and management of children's fever owned by Widyastuti, 2016 with a content validity index of 0.88. The reliability of the mother's knowledge questionnaire reached Cronbach Alpha 0.527 and the children's fever management questionnaire reached 0.724 with the KR-20 technique. Chi Square analysis showed a significant relationship between mother's knowledge and management of children's fever (p = 0.001). Providing education about comprehensive fever management is very much needed in the outpatient unit setting. The next recommendation is to conduct research to determine the perceptions and attitudes of mothers about child fever and its management.

Hubungan Pola Asuh Orangtua terhadap Kejadian Obesitas pada Anak Usia Sekolah

Obesity had known as a condition of excessive levels of fat in a person's body which is can result in the emergence of chronic diseases. Currently the problem of obesity has been experienced by many children. One of the main actions to deal with obesity on childhood is through the closest person, they were the family. This study aimed to determine the relationship of parenting style applied by parents to the incidence of children obesity that occurs in the elementary school of Badung Regency, Bali Province. The research method in this research was crossectional study with a total sampling technique. This research was conducted at two elementary school in Badung Regency involving 96 students from grades 5 and 6. The analysis of this study used the Chi Square test which shows the results of p value = 0.03 <α. It means that there was a significant relationship between parenting style to the incidence of obesity in school-age children in the Badung regency. Thus, parents are expected to be able to apply good parenting style by not being too permissive or forcing children in order to build the character of children and support proper nutritional status according to the child's age.

Hubungan Komunikasi Terapeutik dan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Rumah Sakit Jiwa Provinsi Bali

Violent behavior is one of symptoms that can be demonstrated by patients with schizophrenia which it can cause injury to the patient and others. Therapeutic communication is one of the nursing intervention for patients with violent behavior. This study aimed to identify the relationship of communication and risk of violent behavior in schizophrenic patients. This study used a descriptive correlational with a cross-sectional design, which involved 68 patients with schizophrenia who were selected by consecutive sampling technique. The instrument in this study used a therapeutic communication checklist and observation sheets for changes in violent behavior. The results showed that as many as 35 patients (51.5%) who received good therapeutic communication from nurses, and 37 (54.4%) patients showed moderate risk of violent behavior. The results of the analysis by the Gamma ordinal by ordinal test found that there was a significant relationship between therapeutic communication and the risk of violent behavior with p value= 0.001 (<0.05). It showed that the better therapeutic communication applied, the lower of the incidence of violent behavior in schizophrenic patients. Thus it is expected that nurses can practice therapeutic communication techniques to improve the patient's condition so that violent behavior in patients can be reduced.