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"Nama Bestfy AnitasariProgram Studi Magister Ilmu Keperawatan Kekhususan Keperawatan MaternitasJudul Aplikasi teori keperawatan need for help wiedenbach dan social support pada kasus abortus inkomplit Kehamilan diharapkan dapat berlangsung aman dan lancar hingga melahirkan Akan tetapi wanita hamil sangat beresiko mengalami penyulit atau komplikasi yang tidak diinginkan salah satunya adalah abortus inkomplit Fenomena tersebut mendorong profesi keperawatan untuk terus mengembangkan ilmu sejalan dengan tuntutan masyarakat terhadap pelayanan kesehatan yang berkualitas Laporan ini bertujuan menggambarkan pelaksanaan praktek residensi keperawatan maternitas selama satu tahun meliputi asuhan keperawatan pada masa childbearing normal dan resiko tinggi bayi baru lahir normal dan resiko tinggi perempuan yang mengalami masalah reproduksi dan ginekologi di tatanan klinik maupun di komunitas Residen juga melakukan asuhan keperawatan pada kasus focus of interest yaitu abortus inkomplit dengan mengaplikasikan teori need for help yang dikombinasikan dengan teori social support Laporan ini juga mengemukakan hambatan dan dukungan pada pelaksanaan praktek residensi Selain itu laporan ini juga memaparkan tentang kegiatan pencapaian kompetensi perawat spesialis maternitas melalui penerapan peran sebagai pemberi perawatan pendidik konselor koordinator komunikator advokat agen perubahan dan peneliti Kata Kunci Abortus inkomplit peran perawat teori Need for Help teori Social Support.

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Name Bestfy AnitasariStudy Program Master of Nursing Science Specialize in Maternity Nursing Title Application of Need For Help and Social Support Nursing Model Theory on Incomplete Abortion Pregnancy is expected to take place safely and smoothly until delivery However pregnant women are particularly at risk to experience complications or unwanted complications one of which is an incomplete abortion This phenomenon encourages the nursing profession to continue to develop in line with the science community demands for quality health care This report aims to describe the implementation of maternity nursing practice residency for one year covers nursing care during the childbearing normal and high risk normal newborns and high risk women who have problems in reproductive and gynecological clinic and in the community structure Resident also performs nursing care on a case that is the focus of interest by applying the theory of incomplete abortion need for help is combined with the theory of social support The report also noted the barriers and support the implementation of the practice residency In addition this report also describes about the activities of achievement of competencies through the application maternity nurse specialist role as caregiver educator counselor coordinator communicator advocate change agent and researcher Keywords incomplete abortion the role of the nurse Need for Help theory the theory of Social Support"

"Kehamilan diharapkan dapat berlangsung aman dan lancar hingga melahirkan. Akan tetapi wanita hamil sangat beresiko mengalami penyulit atau komplikasi yang tidak diinginkan, salah satunya adalah abortus inkomplit. Fenomena tersebut mendorong profesi keperawatan untuk terus mengembangkan ilmu sejalan dengan tuntutan masyarakat terhadap pelayanan kesehatan yang berkualitas. Laporan ini bertujuan menggambarkan pelaksanaan praktek residensi keperawatan maternitas selama satu tahun, meliputi asuhan keperawatan pada masa childbearing normal dan resiko tinggi, bayi baru lahir normal dan resiko tinggi, perempuan yang mengalami masalah reproduksi dan ginekologi di tatanan klinik maupun di komunitas. Residen juga melakukan asuhan keperawatan pada kasus focus of interest yaitu abortus inkomplit dengan mengaplikasikan teori need for help yang dikombinasikan dengan teori social support. Laporan ini juga mengemukakan hambatan dan dukungan pada pelaksanaan praktek residensi. Selain itu, laporan ini juga memaparkan tentang kegiatan pencapaian kompetensi perawat spesialis maternitas melalui penerapan peran sebagai pemberi perawatan, pendidik, konselor, koordinator, komunikator, advokat, agen perubahan dan peneliti.

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Pregnancy is expected to take place safely and smoothly until delivery. However, pregnant women are particularly at risk to experience complications or unwanted complications, one of which is an incomplete abortion. This phenomenon encourages the nursing profession to continue to develop in line with the science community demands for quality health care. This report aims to describe the implementation of maternity nursing practice residency for one year, covers nursing care during the childbearing normal and high-risk, normal newborns and high-risk women who have problems in reproductive and gynecological clinic and in the community structure. Resident also performs nursing care on a case that is the focus of interest by applying the theory of incomplete abortion need for help is combined with the theory of social support. The report also noted the barriers and support the implementation of the practice residency. In addition, this report also describes about the activities of achievement of competencies through the application maternity nurse specialist role as caregiver, educator, counselor, coordinator, communicator, advocate, change agent and researcher."

"[ABSTRAKPermasalahan kesehatan selama masa kehamilan membutuhkan perhatian dari petugas kesehatan sehingga proses kehamilan dan persalinan dapat berjalan selamat. Peran Ners spesialis keperawatan maternitas sangat diperlukan dalam upaya pencegahan dan penanggulangan masalah tersebut. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas dan memberikan gambaran fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan. Evaluasi yang diharapkan pada fase akut adalah kontraksi berhenti, dan tidak adanya tanda-tanda kegawatan maternal dan janin. Evaluasi pada fase pemeliharaan yaitu peningkatan kemandirian klien. Penerapan model dan konsep keperawatan need for help dan self care terbukti bermanfaat mengatasi kontraksi dalam kehamilan sehingga bisa di aplikasikan dalam proses asuhan keperawatan kontraksi dalam kehamilan.

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ABSTRACTHealth problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction., Health problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction.]"

"[ABSTRAKKesehatan reproduksi merupakan masalah yang perlu diperhatikan dalam meningkatkan kesehatan perempuan. Ners spesialis keperawatan maternitas mempunyai peranan untuk mencapai upaya tersebut. laporan ini bertujuan menggambarkan praktik residensi ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan post natal serta masalah reproduksi perempuan. Residen juga melakukan asuhan keperawatan dengan fokus penerapan model konsep need for help Wiedenbach dan Lost and grief Kubler Ross pada ibu bersalin dengan IUFD. masalah keperawatan yang mungkin muncul diakitkan dengan tahapan persalinan yang dibutuhkan klien. perbedaan yang terjadi pada klien berkaitan dengan psikologisnya yaitu dapat beradaptasi dengan cepat dan mengalami tahap penerimaan lebih cepat, dan ada yang proses penerimaannya membutuhkan waktu yang lama dan mengalami tahap tawar menawar serta penolakan yang lebih lama. selama praktik residensi ini kompetensi yang tercapai menjadikan pengalaman yang berarti dalam peningkatan keterampilan residen maternitas.

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ABSTRACTReproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident., Reproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident.]"

"[ABSTRAKGangguan pada sistem endokrin merupakan masalah kesehatan yang cukup tinggi di Indonesia, khususnya Diabetes Melitus (DM) tipe 2 dengan prevalensinya mencapai 2,1% dari total penduduk, dengan 60% dari total prevalensi adalah kasus neuropati. Kadar glukosa darah yang tidak terkontrol menyebabkan tingginya kejadian komplikasi DM baik akut maupun kronis. Pencegahan komplikasi tersebut memerlukan penanganan yang tepat dari berbagai multidisiplin ilmu, salahsatunya adalah peran perawat ners spesialis medikal bedah kekhususan endokrin sebagai praktisi keperawaan untuk ikut memberikan asuhan melalui berbagai pendekatan teori keperawatan seperti penerapan model adaptasi Roy secara holistik menggunakan pengkajian perilaku dan stimulus sehingga tercapai perilaku adaptif. Selain itu penerapan praktek keperawatan berbasis pembuktian ilmiah (evidence based nursing) seperti senam kaki diabetes dapat menjadi acuan intervensi dalam mencegah terjadinya polineuropati dan komplikasi lanjut seperti ulkus diabetik. Sebagai agen pembaharu/inovator, perawat spesialis juga membuat inovasi tentang self health assesment dan booklet sahabat diabetes bagi para diabetesi untuk meningkatkan promosi kesehatan terhadap pengelolaan dan penatalaksanaan DM.

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ABSTRACTDisorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes., Disorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes.]"

"Masalah kekurangan volume cairan dan elektrolit sebagian besar terjadi pada anak dengan penyakit diare Anak yang mengalami kekurangan volume cairan dan elektrolit memerlukan konservasi untuk dapat beradaptasi dalam memperbaiki kondisi tubuhnya sehingga dapat mencapai proses penyembuhan secara wholeness Karya ilmiah akhir ini membahas tentang aplikasi model konservasi Levine dalam pengelolaan asuhan keperawatan pada anak dengan kekurangan volume cairan dan elektrolit Metode yang digunakan adalah studi kasus dimana terdapat lima kasus yang diaplikasikan dengan menggunakan model konservasi Hasil pengkajian dengan menggunakan prinsip konservasi pada kelima kasus semua mengalami trophicognosis kekurangan volume cairan dan elektrolit Intervensi yang dilakukan untuk mengatasi masalah tersebut yang utama adalah pemberian dan pemantauan asupan cairan dan elektrolit secara adekuat Hasil pengamatan respon organisme pada akhir perawatan menunjukkan empat kasus mampu beradaptasi dan mencapai wholeness sedangkan satu kasus tidak mencapai wholeness Hal ini ditunjukkan oleh keberhasilan dalam mengatasi trophicognosis yaitu ada yang sudah teratasi belum teratasi tetapi sudah menunjukkan perbaikan dan ada juga yang tidak teratasi.

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Most of fluid and electrolyte deficit in children are caused by diarrhea Children who have deficit of fluid and electrolyte need conservation to adapt and to heal the body Thus the wholeness healing is achieved This study is aims to clarify the application of Levine Conservation Model in nursing care of children with fluid and electrolyte deficit To accomplish this study case study method was conducted with five cases Assessment with conservation principle found that all cases are trophicognosis deficit of fluid and electrolyte The main intervention is giving and observing intake fluid and electrolyte tightly In the end of treatment the result showed that four of five cases were able to adapt and achieve the wholeness healing This result showed the accomplishment of against the trophicognosis which consist of solved completely solved incomplete and unsolved."

"[ABSTRAKPrevalensi pasien dengan gangguan sistem kardiovaskular semakin meningkat. Perawat diharapkan memiliki kontribusi dalam penanganan pasien dengan gangguan sistem kardiovaskular dengan menjalankan peran sebagai pemberi asuhan, pendidik, peneliti dan inovator. Praktik residensi spesialis keperawatan medical bedah yang telah dilaksanakan selama 1 tahun (2 semester) bertujuan untuk melakukan penerapan dan pendalaman pada peran-peran tersebut dengan pendekatan model 14 pemenuhan kebutuhan dasar manusia Virginia Henderson. Peran sebagai pemberi asuhan diterapkan pada 30 pasien dengan berbagai gangguan kardiovaskular dan satu pasien kasus kelolaan utama dengan NSTEMI. Peran sebagai pendidik dijalankan dengan pembimbingan perawat sejawat dan mahasiswa keperawatan. Peran sebagai peneliti dijalankan dengan menerapkan tindakan keperawatan berbasis pembuktian ilmiah (evidence-based nursing) yaitu tindakan dukungan sosial keluarga dan intimasi untuk menurun tingkat persepsi nyeri pada pasien infark miokard. Peran sebagai inovator dijalankan dengan menerapkan pengembangan media edukasi pada pasien dengan alat kesehatan yang dipasang dalam tubuh. Hasil analisis praktik menunjukan bahwa 14 KDM Henderson efektif digunakan sebagai pendekatan dalam asuhan keperawatan pada pasien dengan gangguan sistem kardiovaskular. Penerapan tindakan dukungan keluarga dan intimasi efektif dalam penurunan tingkat persepsi nyeri pasien infark miokard. Media edukasi berupa leaflet dapat meningkatkan pemahaman pasien dengan alat medis yang terpasang dalam tubuhnya.

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ABSTRACTThe prevalence of patients with cardiovascular disorders is increasing. Nurses are expected to contribute on management of patients with cardiovascular disorders by running their roles as a care giver, educator, researcher and innovator. Residency clinical practice of medical-surgical nursing specialist had been carried out for 1 year (2 semesters) and aimed to implement and explore these roles with 14 Basic Human Needs Virginia Henderson Model approach. The role as a care giver was applied to 30 patient with various cardiovascular disorders and a patient with NSTEMI as the primary case. The role as an educator was performed by educating patients, nurses, and nursing students. The role as a researcher was carried out by applying the evidence-based nursing, Family Social Support and Intimacy to Pain Perception on Patient with Acute Miocard Infarc. The role as an innovator was executed by applying the development of educational media in patients with medical devices implantated in the body. The analysis showed that the 14 basic human needs can be applied effectively in nursing care for patient with cardiovascular diseases. Social support and intimacy as effective to decrease pain perception on patient with myocardial infarction. In addition Media education in the form of leaflets can improve understanding of a patient with a medical instrument implantated in his body., The prevalence of patients with cardiovascular disorders is increasing. Nurses are expected to contribute on management of patients with cardiovascular disorders by running their roles as a care giver, educator, researcher and innovator. Residency clinical practice of medical-surgical nursing specialist had been carried out for 1 year (2 semesters) and aimed to implement and explore these roles with 14 Basic Human Needs Virginia Henderson Model approach. The role as a care giver was applied to 30 patient with various cardiovascular disorders and a patient with NSTEMI as the primary case. The role as an educator was performed by educating patients, nurses, and nursing students. The role as a researcher was carried out by applying the evidence-based nursing, Family Social Support and Intimacy to Pain Perception on Patient with Acute Miocard Infarc. The role as an innovator was executed by applying the development of educational media in patients with medical devices implantated in the body. The analysis showed that the 14 basic human needs can be applied effectively in nursing care for patient with cardiovascular diseases. Social support and intimacy as effective to decrease pain perception on patient with myocardial infarction. In addition Media education in the form of leaflets can improve understanding of a patient with a medical instrument implantated in his body.]"

"Periode postpartum merupakan periode kritis pada kesehatan maternal. Peningkatan prevalensi persalinan gemelli menjadi tantangan tersendiri bagi perawat maternitas untuk memberikan asuhan yang paripurna. Studi kasus dilakukan dengan fokus penerapan teori Self Care dan Unpleasant Symptoms (TOUS) pada asuhan keperawatan ibu postpartum dengan gemelli. Aplikasi teori difokuskan pada kelima kasus yang berfokus pada pengkajian gejala ketidaknyamanan dan kemampuan perawatan diri ibu postpartum dengan gemelli. Intervensi keperawatan yang optimal dan sesuai dapat membantu klien mencapai kemandirian dalam perawatan diri sendiri dan pencapaian kenyamanan pada periode postpartum. Ibu postpartum dengan gemelli harus memiliki self dan time management yang baik agar perawatan postpartum menjadi optimal.

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Postpartum period is a critical period of maternal health. Inreasing prevalence of twin delivery is a challenge for maternity nurse to serve holistic care. Case study is applied with focus on the application of Self Care theory and Theory of Unpleasant Symptoms (TOUS) on nursing care in postpartum women with twin. The application of Self Care and TOUS effectively applied to five cases that focused on identification unpleasant symptoms and self care ability of postpartum women with twin. Optimum and appropriate interventions could help client to receive self care independently and feel comfort during postpartum period. Postpartum mother with twin should have appropriate self and time management so that optimum postpartum self care will be reached."

"Perasaan, pengalaman dan harapan serta keinginan perawat baru diberi kewenangan klinis dapat memengaruhi kualitas pelayanan keperawatan di rumah sakit. Penelitian kualitatif fenomenologi deskriptif ini bertujuan menggali pengalaman perawat baru sebelum diberi kewenangan klinis. Wawancara mendalam pada 11 partisipan dengan analisis data menggunakan metode Colaizzi, menghasilkan 7 tema yaitu; perawat baru kurang paham tentang kewenangan klinis, perawat baru bangga bila berhasil melakukan tindakan yang bukan kewenangan  klinisnya, perawat baru melaksanakan asuhan keperawatan atas perintah senior, perawat baru ingin diakui, dihargai dan diberi kewenangan klinis, perawat baru mengalami kelelahan fisik dan mental, perawat baru ingin melaksanakan tindakan sesuai SOP, dan rumah sakit perlu memfasilitasi proses adaptasi perawat baru. Perawat baru melaksanakan asuhan keperawatan dengan harapan ingin diakui dan memiliki kemahiran dalam bekerja. Mereka merasakan berbagai perasaan kesulitan terhadap transisi yang dijalani di masa orientasi perawat baru membutuhkan dukungan dan pendampingan yang komunikatif dalam menjalankan perannya sebagai pemberi asuhan keperawatan kepada pasien. Manajemen rumah sakit diharapkan dapat memberikan program orientasi yang tepat serta memperkenalkan kewenangan klinis sejak awal pada perawat baru.

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Feelings, experiences, and expectations as well as the wishes of new nurses given clinical authority, can influence the quality of nursing services in hospitals. This qualitative phenomenological descriptive research aims to explore the experiences of new nurses before being given clinical authority. In-depth interviews on 11 participants and data analysis with the Colaizzi Method, resulted in 7 themes namely; new nurses don`t understand clinical authority, new nurses are proud if they succeed in taking actions that are not their clinical authority, new nurses carry out nursing care by senior orders, new nurses want to be recognized, valued and given clinical authority, new nurses experience physical and mental fatigue, new nurses want to carry out actions in accordance with the SOP, and the hospital needs to facilitate the process of adaptation of new nurses. The new nurse carries out nursing care in the hope of being recognized and has proficiency in work. They feels a variety of feelings of difficulties towards the transition undertaken in the orientation of the new nurse requires communicative support and assistance in carrying out her role as the nursing care provided to the patient. Hospital management is expected to provide the right orientation program and introduce clinical authority from the start to new nurses."