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"[Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain. Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan. Dengan menggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart

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Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. , Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. ]"

"Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain.Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan.denganmenggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart.

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Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client's feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental health-psychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau's Interpersonal Relationship and Stuart's Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It's recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau's Interpersonal Relationship and Stuart's Adaptation Theory as an approach."

"Kinerja perawat pelaksana di ruangan sangat menentukan kualitas asuhan keperawatan terhadap pasien. Kemampuan kepala ruangan dalam mengelola manajemen ruangan akan mempengaruhi kinerja perawat pelasana. Remunerasi merupakan salah satu upaya yang dilakukan pihak manajemen rumah sakit untuk meningkatkan kinerja perawat dalam asuhan keperawatan. Penelitian ini mengidentifikasi hubungan persepsi remunerasi,fungsi manajemen kepala ruangan dan motivasi terhadap kinerja perawat dalam melakukan asuhan keperawatan, menggunakan metode pendekatan kuantitatif dengan desain penelitian analit ik dan rancangan cross-sectional terhadap 387 perawat. Dari kuesioner didapatkan hasil hubungan yang signifikan antara persepsi remunerasi p value 0,001 dan motivasi (P 0,000) terhadap kinerja perawat, persepsi remunerasi dan motivasi baik dapat meningkatka n kinerja sebanyak 99 %. Rekomendasi penelitian ini adalah mengoptimalkan sistem pengelolaan remunerasi sesuai peraturan pemerintah, meningkatkan fungsi manajeme n kepala ruangan dalam membangun motivasi perawat sehingga dapat meningkatkan kinerja perawat pelaksana dalam melakukan asuhan keperawatan.

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The performance nurses in carrying out nursing care will be influenced by various factors both from within (intrinsic) and from outside (extracurricular) of the nurse itself, what needs will be increase a nurse is motivation to provide quality service and improve safety culture. Patients go through the performance while doing nursing care, remuneration is one of the efforts made by both the government and hospital management to improve the performance of nurses in providing nursing care. This study identifies the relationship between remuneration perspectives, management function of the head of the room and motivation to the performance of nurses in performing nursing care The method uses a quantitat ive approach with analytical research design and cross-sectional design of 387 nurses using a questionnaire with there is a significant relationship between perceptions of remuneration p value 0.001 and motivation (0.000) on nurse performance, perceptions of good remunerat ion and motivation can improve performance by as much as 99% government regulations, improve the management function of the head of the room in building nurse motivation so that it can improve the performance of nurses in carrying out nursing care."

"Penerapan asuhan keperawatan pasien end of life belum optimal dan determinan yang mempengaruhi kinerja perawat dalam melaksanakannya masih perlu dibuktikan. Penelitian ini bertujuan untuk mengidentifikasi determinan kinerja perawat dalam menerapkan asuhan keperawatan end of life di RS. Metode penelitian ini adalah penelitian kuantitatif cross sectional dengan menggunakan instrumen kuesioner.  Sampel penelitian ini sebanyak 220 perawat pelaksana yang diambil secara  purposive sampling di Rumah Sakit Jantung Pembuluh Darah Harapan Kita.  Hasil uji chi square dan regresi logistic menunjukkan ada hubungan yang bermakna antara kinerja perawat dengan status kepegawaian (p0,018), sikap (p0,000), dan kepemimpinan (p0,004). Hasil multivariat menunjukkan adanya hubungan antara kinerja perawat dengan status kepegawaian(p 0,044); sikap(p0,978) dan kepemimpinan(p 0,855). Kesimpulan adanya hubungan antara status kepegawaian, sikap, dan kepemimpinan dalam keberhasilan penerapan asuhan keperawatan end of life. Saran dibutuhkan evaluasi dan pembinaan sikap, kepemimpinan dalam menerapkan asuhan keperawatan end of life serta perlunya peningkatan status kepegawaian bila memungkinkan.

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The focus of this study is end of life nursing care application isnt optimally and determinat which influence nursing performance still need to be researched. This research has goals to determinant  nurse performance to do  end of life nursing care in hospital. The research method is quantitative-based research cross sectional with questioner instrument. The samples were taken with purposive sampling method (220 nurses) in Harapan Kita CardioVascular hospital. The result correlations chi Square  and  logistic regression that there was a close relationship between nursing performance and civil employee (p0,044), attitude (p0,978), leadership (p0,855). Multivariate result show that nursing performance has relationship with civil employee (p0,044); attitude (p0,978), and leadership (p0,855). Conclusion: civil employee, attitude, and leadership have related to success nursing care plan end of life. The research recommend, evaluation and actuation of  nursing attitude and leadership  are needed  in end of life nursing performance  and increase their employee status if necessary."

"ABSTRAKKualitas asuhan keperawatan menjadi elemen kunci mutu pelayanan di rumah sakit. Fenomena di rawat jalan sangat minimal dalam pemberian asuhan keperawatan. Penelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi pelaksanaan asuhan keperawatan. Metode Penelitian ini menggunakan desain korelasi deskriptif pendekatan cross sectional. Metode pengambilan sampel, total sampling 43 perawat dan 43 pasien dengan kriteria inklusi untuk setiap sampel. Hasil penelitian terdapat hubungan antara umur perawat p 0.016 , persepsi perawat terhadap pengelolahan perangkat manajemen money p 0.005 dan material and machine p 0,04 dan pelaksanaan asuhan keperawatan yang dipersepsikan oleh pasien. Implikasi: belum optimal pelaksanaan asuhan keperawatan yang dipersepsikan pasien bila tetap berlangsung maka mengakibatkan penurunan kepuasan, keamanan, dan keselamatan pasien. Dibutuhkan dukungan manajemen rumah sakit untuk mendukung ketersediaanya dana untuk perawat mengembangkan pengetahuan dan keterampilan, serta diperlukan kelengkapan peralatan, fasilitas, sarana, logistik dalam upaya optimalkan asuhan keperawatan.

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ABSTRACTQuality of nursing care became a key element of hospital service quality. The phenomenon in outpatient was very minimal in the provision of nursing care. This study aims to analyze the factors that affect the implementation of nursing care. This research method used descriptive correlation design of cross sectional approach. Methods of sampling, total sampling of 43 nurses and 43 patients with inclusion criteria for each sample. The result of the research shows that there were correlation between nurse age p 0.016 , nurse perception toward business money of the tools management p 0.005 and material and machine p 0,04 and implementation of nursing care perceived by patient. Implication in this study if nursing care not yet optimalized which perceived by patient persisted hence resulted decrease of satisfaction, safety, and patient safety. Hospital management support is required to support the availability of funds for nurses to develop knowledge and skills, and necessary completeness of equipment, facilities, facilities, logistics in an effort to optimize nursing care. "

"Salah satu terapi mengatasi Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah pada Skizofrenia adalah dengan melakukan terapi CBT dan REBT. Penelitian ini bertujuan mengetahui efektivitas CBT dan REBT terhadap klien Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah di RS Dr. H. Marzoeki Mahdi Bogor. Desain penelitian quasi experimental pre-post test with control group. Sampel berjumlah 60 orang yang meliputi 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Hasil penelitian menunjukkan penurunan tanda gejala klien Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah lebih tinggi pada kelompok intervensi dibandingkan kelompok kontrol (p value<0.05). Terapi CBT dan REBT efektif menurunkan Perilaku Kekerasan sebesar 61 %, Halusinasi 52,1% dan Harga Diri Rendah 66,2%. Peningkatan kemampuan kognitif, afektif dan perilaku pada kelompok intervensi sebesar 74,53%. Terapi CBT dan REBT direkomendasikan diterapkan sebagai terapi keperawatan lanjutan dalam merawat klien Skizofrenia dengan Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah.

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One of behavior therapy to overcome violence, hallucinations and Low Self- Esteem in Schizophrenia is to do a CBT and REBT. This study aims to examine the effectiveness of CBT and REBT Violence against the client behavior, hallucinations and Low Self-Esteem in RS Dr. H. Mahdi Marzoeki Bogor. Quasiexperimental research design pre-post test with control group. Samples numbered 60 people including 30 people the intervention group and 30 control group.

The results showed conduct client signs symptoms of decreased violence, hallucinations and Low Self-Esteem is higher in the intervention group compared to the control group (p value <0.05). CBT and REBT therapy effectively lowered by 61% Violent behavior, hallucinations 52.1% and 66.2% of Low Self-Esteem. Increased cognitive skills, affective and behavior in the intervention group at 74.53%. CBT and REBT therapy is recommended as a therapy applied in the advanced nursing care for schizophrenia clients with violent behavior, hallucinations and Low Self-Esteem."

"[ABSTRAK Resiko Perilaku Kekerasan merupakan diagnosa keperawatan yang terbanyak ditemukan di ruang Intensive Kresna Pria Rumah Sakit Dr. H Marzoeki Mahdi Bogor sebanyak 70%. Tujuan Karya Ilmiah Akhir ini untuk menjelaskan penerapan terapi Assertiveness Training (AT), Cognitive Behaviour Therapy (CBT), dengan menggunakan pendekatan Teori Interpersonal Peplau, Stress Adaptasi Stuart. Analisis dilakukan pada 39 klien AT, dan 20 klien CBT dalam kurun waktu 16 Februari -17 April 2015. Hasil pelaksanaan AT dan CBT meningkatkan kemampuan mengatasi perilaku kekerasan, meningkatkan penurunan tanda gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial. AT dan CBT merupakan terapi yang efektif untuk mengatasi masalah risiko perilaku kekerasan. ABSTRACT Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau?s Interpersonal Theory and Stuart?s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These

therapies had proved to be effective for treating the clients with violent risk behaviors. , Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau’s Interpersonal Theory and Stuart’s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These

therapies had proved to be effective for treating the clients with violent risk behaviors. ]"