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"Neonates Intensive Care Units (NICU) merupakan tempat penting untuk bayi prematur yang sekaligus merupakan tempat berbahaya akibat karakteristik NICU. NICU dapat meningkatkan risiko gangguanperkembangan bayi. Gangguan ini dapat dicegah melalui penerapan asuhan perkembangan. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) merupakan metode asuhan perkembangan yang dianggap sebagai salah satu pendekatan terbaik dalam pemberian asuhan perkembangan dengan pertimbangan NIDCAP mampu memberikan pelayanan secara individual berdasarkan isyarat bayi dengan pendekatan perawatan berfokus keluarga. Pengukuran efektifitas NIDCAP didasarkan pada respon neurobehavioral bayi prematur saat berada di NICU. NIDCAP terbukti dapat memperbaiki pola tidur bayi, dan respons fisiologis bayi seperti saturasi oksigen, pernafasan, dan nadi. Hasil studi literatur menunjukkan bahwa asuhan perkembangan dengan menggunakan metode NIDCAP tidak berpengaruh terhadap hasil perkembangan bayi prematur jangka panjang. Studi dan pengkajian yang mendalam diperlukan untuk menemukan asuhan perkembangan dengan menggunakan metode yang lebih efektif dan efisien.A Review: Newborn Individualized Developmental Care and Assessment Program (NIDCAP) to Development of Long-Term Results Premature Infants. Neonatal Intensive Care Unit (NICU) is both vital spot for preterm infant and also dangerous spot which caused by NICU?s characteristics. NICU increases the risk of infant developmental disturbance. Infant developmental disturbance can be prevented by implementing Developmental care in NICU setting. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is method who beingregarded as one of the best approach for delivering developmental care with those consideration NIDCAP is able to give an individual service base on the infant cues trough family-centered care approach. The measurement of NIDCAP effectiveness is shown by the infant?s neurobehavioral response in the NICU. NIDCAP can repair the baby?s sleep-awake pattern, and her physiological response such as oxygen saturation, respiration rater, and hearth rate. This study show that the implementation of developmental care using the NIDCAP method doesn?t affect to the long-term outcome for the preterm infants. The further research is needed to find out the other developmental care method which is more effective and efficient."

"ABSTRAK Bayi baru lahir rentan mengalami perubahan fungsi fisiologis karena bayi berada pada tahap transisi dan adaptasi. Teori Konservasi Levine mampu menjaga integritas struktur bayi selama proses adaptasi. Perubahan integritas struktur atau perubahan pada nilai fisiologis bayi namun tidak mendapatkan tindakan yang dibutuhkan menyebabkan terjadinya perburukan klinis yang signifikan dan berujung pada kematian. Newborn Early Warning System adalah suatu instrumen yang diperlukan untuk memungkinkan perawat mengetahui penurunan kondisi dan memanggil bantuan pada waktu dan bila diperlukan. Penerapan intervensi keperawatan berbasis bukti yaitu Newborn Early Warning System pada lima kasus terpilih terbukti dapat membantu dalam mengobservasi dan menjaga fungsi fisiologisselama proses adaptasi. Oleh karena itu penerapan Teori Konservasi Levine dengan menggunakan Newborn Early Warning System dirasa sangat tepat untuk mencapai keutuhan sistem tubuh bayi yang kompleks. Pendekatan ini mampu mempertahankan keutuhan bayi selama proses adaptasi. Kata kunci: Bayi baru lahir, Newborn Early Warning System, Teori Konservasi Levine. ABSTRACT Newborns are susceptible to changes in physiological function during the transition and adaptation stage. Levine Conservation Theory is able to maintain the integrity of infant structure during the adaptation process. Structural integrity changes or changes in the infant 39;s physiological value without an appropriate action may cause significant clinical deterioration and lead to death. The Newborn Early Warning System is an instrument to assist nurses to identification the deterioration of the condition and call for help on time and when it needed. The application of evidence-based nursing using Newborn Early Warning System in five selected cases has been shown it nessecary in observing and maintaining the physiological function of adaptation processes. Therefore, the application of Levine Conservation Theory by using Newborn Early Warning System is very appropriate to achieve the integrity of complex baby system, this approach is able to maintain the baby wholeness during the adaptation process. Keyword: Newborn, Newborn Early Warning System, Levine Conservation Theory."

"[Latar belakang. Penelitian sebelumnya menjumpai kasus campak sebelum usia imunisasi yang semestinya masih terlindungi karena memiliki maternal antibodi campak yang diperoleh selama dalam kandungan. Besarnya titer yang diterima bayi dipengaruhi faktor ibu dan janin yang nantinya memengaruhi lamanya perlindungan.Tujuan. Mengetahui kadar maternal antibodi campak bayi baru lahir dan menganalisis faktor yang memengaruhinya.Metode. Penelitian potong lintang dilakukan sejak Maret – April 2015 pada bayi baru lahir di RSUD Dr. Zainoel Abidin Banda Aceh. Bayi yang memenuhi kriteria inklusi dan eksklusi dipilih secara consecutive nonprobabality sampling. Dilakukan wawancara terhadap orangtua, pemeriksaan New Ballard Score, dan pengambilan darah tali pusat bayi baru lahir. Uji t digunakan untuk mengetahui rerata titer berdasarkan jenis kelamin, berat badan lahir, usia gestasi, usia ibu, paritas, dan penyakit ibu. Analisis regresi logistik dipakai untuk mencari faktor yang memengaruhi kadar titer antibodi campak.Hasil. Dari 68 bayi dijumpai 64 diantaranya memiliki maternal antibodi campak positif. Rerata titer total adalah (2277,7 ± 1830,7) IU/l, bayi kurang bulan (2061,94 ± 1554,44) IU/l dan (3006,83 ± 1613,79) IU/l untuk bayi cukup bulan. Bayi laki-laki, lahir kurang bulan, berat badan lahir tidak sesuai masa kehamilan, dan ibu dengan penyakit penyerta mempunyai titer lebih rendah namun tidak bermakna secara statistik.Simpulan. Mayoritas bayi memiliki maternal antibodi campak positif dengan rerata titer keseluruhan adalah (2277,7 ± 1830,7) IU/l. Tidak dijumpai variabel yang bermakna memengaruhi titer maternal antibodi campak pada bayi baru lahir.;Background. Prior field studies showed cases of measles before the age of immunization when newborn should still be protected by their maternal measles antibody acquired during pregnancy. The amount of titre received by newborn is influenced by maternal and fetal factors which will affect the length of protection.Objective. To know the level of maternal measles antibody in newborn and to analyze the influencing factors.Method. A cross sectional study was conducted from March to April 2015 at RSUD Dr. Zainoel Abidin Banda Aceh. Newborns who met the inclusion and exclusion criteria were selected through consecutive nonprobability sampling. The parents were interviewed, the New Ballard Score were examined, and the umbilical cord blood was retrieved. T-test was performed to determine the mean titre by sex, birth weight for gestational age, gestational age, maternal age, parity, and mother with comorbidity. Logistic regression analysis was used to find the factors influenced measles antibody titer.Results. Sixty four of 68 newborns were found to have positive maternal measles antibodies. The mean total titre was 2277.7 ± 1830.7 IU/l, 2061.94 ± 1554.44 IU/l for preterm and 3006.83 ± 1613.79 IU/l for term babies. Baby boys, preterm, birth weight inappropriate for gestational age, babies whose mother had comorbidity had lower titre, however these findings were not statistically significant.Conclusion. The majority of newborns had positive maternal measles antibodies with the mean total titre of 2277,7 ± 1830,7 IU/l. There were no significant variables that influenced maternal measles antibody titre in newborns., Background. Prior field studies showed cases of measles before the age of immunization when newborn should still be protected by their maternal measles antibody acquired during pregnancy. The amount of titre received by newborn is influenced by maternal and fetal factors which will affect the length of protection.Objective. To know the level of maternal measles antibody in newborn and to analyze the influencing factors.Method. A cross sectional study was conducted from March to April 2015 at RSUD Dr. Zainoel Abidin Banda Aceh. Newborns who met the inclusion and exclusion criteria were selected through consecutive nonprobability sampling. The parents were interviewed, the New Ballard Score were examined, and the umbilical cord blood was retrieved. T-test was performed to determine the mean titre by sex, birth weight for gestational age, gestational age, maternal age, parity, and mother with comorbidity. Logistic regression analysis was used to find the factors influenced measles antibody titer.Results. Sixty four of 68 newborns were found to have positive maternal measles antibodies. The mean total titre was 2277.7 ± 1830.7 IU/l, 2061.94 ± 1554.44 IU/l for preterm and 3006.83 ± 1613.79 IU/l for term babies. Baby boys, preterm, birth weight inappropriate for gestational age, babies whose mother had comorbidity had lower titre, however these findings were not statistically significant.Conclusion. The majority of newborns had positive maternal measles antibodies with the mean total titre of 2277,7 ± 1830,7 IU/l. There were no significant variables that influenced maternal measles antibody titre in newborns.]"

"Newborn Early Warning System (NEWS) dapat mengidentifikasi tanda perburukan melalui proses sistematisdengan memetakan tanda-tanda vital pasien. Tujuan karya ilmiah ini adalah untuk menganalisis optimalisasi   asuhan keperawatam pada sistem peringatan awal neonatus menggunakan NEWS melalui pendekatan Teori Konservasi Levine. Metode karya ilmiah ini adalah studi kasus. Terdapat lima kasus neonatus yang dirawat di ruang perinatologi yang diberikan asuhan keperawatan dengan pendekatan Teori Konservasi Levine. Aplikasi Teori Konservasi Levine memperhatikan empat konservasi yaitu energi, struktural personal dan sosial. Intevensi keperawatan yang dilakukan berdasarkan evidence based dan intervensi lainnya. Peringatan awal dengan menggunakan NEWS terbukti efektif dalam mengidentifikasi bayi yang berisiko, memudahkan untuk melakukan intervensi secara tepat, meningkatkan kualitas hidup neonatus serta dapat meminimalkan morbiditas dan mortalitas

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The Newborn Early Warning System (NEWS) can identify signs of worsening through a systematic process by mapping the patient's vital signs. The purpose of this scientific work is to analyze the optimization of nursing care in the neonatal early warning system using NEWS through Levine's Conservation Theory approach. The method of this scientific work is a case study. There were five cases of neonates who were treated in the perinatology room and were given nursing care using Levine's Conservation Theory approach. Levine's application of Conservation Theory pays attention to four conservations: energy, structural, personal, and social. Nursing interventions are based on evidence-based and other interventions. Early warning using NEWS has proven to be effective in identifying at-risk babies, making it easier to make appropriate interventions, improving the quality of life of neonates, and minimizing morbidity and mortality."

"ABSTRAKBayi baru lahir berisiko mengalami hipotermia karena ketidakstabilan sistemtermoregulasi untuk menghadapi perubahan suhu lingkungan. Risiko hipotermiasemakin meningkat selama periode hospitalisasi. Edukasi merupakan cara untukmeningkatkan pemahaman perawat terkait pencegahan hipotermia pada bayi barulahir di ruang perawatan. Tujuan penelitian adalah menganalisis pengaruh edukasiberbasis pencegahan kehilangan panas terhadap pengetahuan dan perilaku perawatdalam mencegah potensi hipotermia pada bayi baru lahir. Desain penelitian adalahquasi eksperimen dengan pendekatan one group pre-post test design, dengansampel 21 perawat neonatus yang diambil secara consecutive sampling. Hasilpenelitian menunjukkan terdapat perbedaan pengetahuan dan perilaku perawatyang signifikan sebelum dan setelah pemberian edukasi berbasis pencegahankehilangan panas pada bayi baru lahir (p value < 0,001; α=0,05). Penelitian inimerekomendasikan penyelenggaraan edukasi berbasis pencegahan kehilanganpanas sebagai langkah meningkatkan pengetahuan dan perilaku perawat dalampencegahan potensi hipotermia.

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ABSTRACTNewborns are at risk of developing hypothermia due to the instability of thethermoregulation system to deal with changes in ambient temperature. It increasesas hospitalization. Education is a way to improve the nurse's understanding of theprevention of hypothermia in newborns in ward. The purpose of the study was toanalyze the influence of heat loss prevention based education to the knowledgeand behaviour of the nurse in preventing hypothermia in the newborn. The designwas quasy experiment with one group pre-post test design, which sample 21neonatal nurse taken by consecutive sampling. The result showed there wassignificant differences in the knowledge and behaviour of the nurses pre and posteducation treatment (p value < 0,001; α=0,05). This research recommended heatloss prevention based education as a step to increase the knowledge and behaviorof nurses in the prevention of potential hypothermia."

"ABSTRAKPemanfaatan fasilitas kesehatan untuk pertolongan persalinan melalui Puskesmas MampuPONED masih rendah dan menyebabkan keterlambatan penanganan kegawatdaruratanyang berdampak pada peningkatan AKI dan AKB. Kota Depok memiliki 7 PuskesmasMampu PONED namun cakupan persalinan di PONED hanya 3,9 dari jumlah persalinanoleh tenaga kesehatan pada tahun 2016 dan berdasarkan Renstra Dinas Kesehatan KotaDepok tahun 2016 -2021 akan menambah 4 Puskesmas Mampu PONED. Penelitian inibertujuan untuk melihat sejauh mana langkah-langkah program PONED sudahdilaksanakan serta diketahuinya apa yang menjadi hambatan dalam implementasi program.Penelitian kualitatif dilakukan pada 7 Puskesmas mampu PONED Kota Depok bulanDesember 2017 sampai Januari 2018. Informan berjumlah 38 orang terdiri dari pemangkukebijakan di level Dinas Kesehatan, Kepala Puskesmas PONED, bidan koordinatorPONED serta bidan pelaksana PONED. Untuk mendapatkan hasil yang valid, penelitimelakukan triangulasi data dengan teknik WM FGD dan telaah dokumen yang berkaitanimplementasi PONED. Hasil penelitian berdasarkan unsur input sudah berjalan namunbelum optimal, sumber daya manusia belum dipersiapkan dengan baik kuantitas maupunkualitasnya, belum tersedianya SOP diseluruh Puskesmas PONED. Unsur proses belumoptimal, komunikasi belum efektif tentang tujuan kebijakan dari penentu kebijakan kepadapelaksana, pada aspek disposisi belum semua pemangku kebijakan memberikan sikap yangpositif terhadap implementasi PONED, aspek birokrasi belum semua PONED memilikistruktur organisasi dan aspek lingkungan sosial belum berperannya lintas program danlintas sektor dalam mendukung kegiatan. Unsur output belum optimal, belum dilakukanpengolahan dan analisa data hasil pelayanan dan belum adanya kegiatan monitoring danevaluasi secara simultan. Kesimpulan didapatkan 2 Puskesmas mampu PONED sudahdengan memenuhi 9 dari 10 indikator yang ditetapkan dalam analisis implementasiPONED, sedangkan 5 Puskesmas mampu PONED lainnya belum optimal. Rekomendasiperlu adanya alokasi dana untuk peningkatan kuantitas dan kualitas SDM, refreshingprogram PONED kepada pelaksana dan lintas sektor, meningkatkan pengetahuan danpemahaman pelaksana kebijakan tentang implementasi PONED melalui kegiatanmonitoring dan evaluasi secara berkala agar menguatkan disposisi.Kata kunci: analisis implementasi, Pelayanan Obstetri Neonatal Emergensi Dasar,input,proses, output

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ABSTRACTEmergency services in neonatal obstetrics is one of the strategies to reduce Utilization ofhealth facilities for delivery assistance through BEONC is still low and causes delays inemergency handling which impact on the increase of MMR and IMR. Depok City has 7BEONC but the delivery coverage in BEONC is only 3.9 of total deliveries by healthpersonnel in 2016 and based on Renstra Depok Health Department year 2016 2021 willadd 4 BEONC. This study aims to examine the extent to which the measures of theBEONC program have been carried out as well as knowing what are the obstacles in theimplementation of the program. Qualitative research was carried out at 7 BEONC DepokCity in December 2017 until January 2018. The informants were 38 persons consisted ofpolicy makers at Health Service level, Head of BEONC, coordinator of BEONC and healthofficer. To obtain valid results, researchers conducted data triangulation with WM FGDtechniques and document review related to the implementation of BEONC.The result based on input has been implemented but not optimal, human resource does notprepared with good quality and quantity, unavailability of SOP on all EmONC. Theelements of the process are not optimal, communication has not been effective about thepolicy objectives of the policy makers, the disposition aspects have not all the stakeholderswho provide a positive to the implementation of EmONC, on the bureaucracy aspect not allof EmONC have the organizational structure. On social environment aspects cross programand cross sector has not support in the implemention of EmONC. The output element hasnot been optimal, no data processing and analysis of data and there is no monitoring ofactivities and reports simultaneously. Found 2 of EmONC already meet 9 of 10 indicatorsused in the implementation of EmONC, while 5 of EmONC not optimal. Recommendationsfor funding for increased quantity and quality of human resources, refreshing EmONCprograms for implementers and across sectors, increasing knowledge and understanding ofEmONC implementation through monitoring of activities and evaluations to add sharpdispositions.Key words analysisi of the implementation, Basic Emergency Obstetric Neonatal care,input, process, output"

"Neonatus merupakan periode yang sangat rentan untuk mengalami masalah kesehatan, salah satunya yaitu gangguan sistem pernapasan. Gangguan sistem pernapasan pada neonatus dapat mengakibatkan gangguan dalam pemenuhan kebutuhan oksigen hingga dibutuhkan pemasangan alat bantu napas invasif dan pemasangan pipa endotrakel. Tujuan dari studi kasus ini adalah untuk menganalisis optimalisai pemenuhan oksigenasi pada neonatus melalui tindakan penghisapan lendir dengan hiperoksigenasi dengan pendekatan teori Konservasi Levine. Lima kasus terpilih mengalami gangguan pemenuhan oksigenasi akibat penumpukan lendir pada saluran napas. Pendekatan Teori Konservasi Levine dilakukan dengan menggunakan prinsip konservasi energi, konservasi integritas struktural, konservasi integritas personal, dan konservasi integritas sosial. Tindakan keperawatan berbasis pembuktian yang dilakukan melalui penghisapan lendir dengan hiperoksigenasi terbukti efektif dalam mencegah hipoksemia selama prosedur penghisapan lendir pada neonatus sehingga pemenuhan kebutuhan oksigen dapat optimal. Prosedur penghisapan lendir dengan hiperoksigenasi dengan menggunakan pendekatan teori Konservasi Levine dapat diterapkan dalam pemberian asuhan keperawatan yang berkualitas pada neonatus dengan gangguan pemenuhan oksigenasi.

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Neonates are a very vulnerable period to experience health problems, one of which is respiratory system disorders that may result in impairment in the fulfillment of oxygen. Assisted mechanical ventilation is the mainstay of management of a variety of respiratory condition in neonates through an inserted endotracheal tube ETT connecting the individual to the ventilator. The purpose of this case study was to analyze the optimization of oxygen fulfillment in neonates through suctioning with hyperoxygenation with the Levine Conservation theory approach. The five selected cases suffered from oxygen fulfillment impairment induced obstruction due to mucus accumulation in the airways. Levine's conservation model of nursing provides an ideal conceptual framework for this condition that Evidence-based nursing intervention by suctioning with hyperoxygenation has been shown to be effective in preventing hypoxemia during suctioning in neonates. The suctioning with hyperoxygenation by using the Levine Conservation theory approach can be applied in the provision of quality nursing care in neonates with oxygenation fulfillment impairment."