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"ABSTRAKPendampingan, supervisi, dan bimbingan yang kurang dari kepala ruang dapatmempengaruhi kepatuhan penggunaan masker dan sarung tangan oleh perawat.Upaya untuk meningkatkan kepatuhan tersebut dapat dilakukan melalui penguatanperan interpersonal kepala ruang dengan pendekatan teori Peplau. Tujuanpenelitian ini adalah untuk mengidentifikasi pengaruh penguatan peraninterpersonal kepala ruang dengan pendekatan teori Peplau terhadap penerapanSPO penggunaan alat pelindung diri perawat. Penelitian ini menggunakan metodepre-eksperimental design, one group pre and post test without control. Sampelpenelitian sebanyak 38 tindakan keperawatan dan kolaborasi medis dengan teknikincidental sampling dan analisis paired t-test.Hasil penelitian menunjukanperlakuan penguatan peran interpersonal teori Peplau meningkatkan kepatuhanpenerapan SPO penggunaan APD secara bermakna (p = 0,001). Implikasipenelitian dapat meningkatkan keselamatan perawat yang berimbas keselamatanpasien, sebagai evidence base nursing, bahan ajar pendidikan dan pengembanganteori keperawatan. Diperlukan kebijakan, dan pendampingan dari pimpinankeperawatan, serta pengembanganmelalui workshop sebagai salah satukompetensi pemimpin keperawatan.

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ABSTRACTThe lack of mentoring, supervision and guidance from the head nurses caninfluence the nurses? compliance to use masks and gloves. One effortto improvethis compliance is by strengthening the interpersonal roles of head nurses usingPeplau?s theoretical approach. The purpose of this study was to identify theimpacts of strengthening the interpersonal roles of head nurses using Peplau?stheoretical approach on the implementation of Standard Operating Procedure(SPO) of nurses? Personal Protective Devices (PPD). This study usedaquantitative method of pre-experimental design with one group pre-test and posttestdesign without control. The samples were 38 nursing procedures and medicalcollaborations which were taken incidentally and analyzed using paired t-test. Theresults showed that the intervention of strengthening the interpersonal roles ofhead nurses using Peplau?s theoretical approach significantly improved thecompliance on the implementation of SPO of PPD (p =0.001). The findings of thisstudy can be used to improve the safety of nurses, which will affect the patientsafety, function as evidence-based nursing, and contribute to the teachingmaterials for nursing education and the development of nursing theory. Policiesand supervisions from nursing leaders are required as well as development effortsthrough workshops as a competence of nursing leaders"

"ABSTRAKDokumentasi catatan perkembangan pasien terintegrasi belum optimal karena kurangnya pemahaman perawat dalam melakukan penulisan, dan keseragaman dari isi kaidah penulisan, serta belum optimalnya dukungan dari kepala ruang. Tujuan penelitian mengidentifikasi pengaruh penguatan peran kepala ruang dengan pendekatan teori Orlando terhadap pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi. Metode pre eksperiment design dengan one group pre test and post test design without control, dengan sampel 115 dokumen catatan perkembangan pasien terintegrasi, teknik cluster sampling, melalui analisis Wilcoxon, Spearman dan Kruskal Wallis test. Hasil penguatan peran kepala ruang dengan pendekatan teori Orlando meningkatkan kualitas pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi secara bermakna p=0,0001; ?=0,025 . Kesimpulan kemampuan perawat pelaksana meningkat bermakna dalam pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi melalui penguatan peran kepala ruang dengan pendekatan teori Orlando. Rekomendasi adanya kebijakan, pendampingan, evaluasi, dan monitoring dari manajer keperawatan serta pengembangan melalui workshop penerapan peran kepala ruang dan pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi.

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ABSTRACTDocumentation of integrated patient development records has not been optimal due to lack of understanding of nurses in writing, and uniformity of the content of writing rules, and there has not yet optimal support from the head nurses. The purpose of this study was to identify the impact of strengthening the role of the head nurse using the Orlando rsquo s theoretical approach on the implementation in documented of integrated patient development records. The method used Pre experimental design with one group pre test and post test design without control, samples on this study are 115 documents of integrated patient development record, cluster sampling technique, analyzed used with Wilcoxon, Spearman and Kruskal Wallis test analysis. The result showed that the role strengthening of the head nurse with the Orlando rsquo s theoretical approach significantly improves the quality of implementation for documented of integrated patient development record p 0.0001 0,025 . The conclusion of nursing abilities of the implementers increased significantly in the implementation in documented of integrated patient development record. It is recommended can used as reference to make policies, assistance, evaluation and monitoring of nursing managers and development through workshops on the role of the head nurses and documentation of integrated patient development records."

"Riskesdas (2007) mengungkapkan data yang menunjukkan bahwa semakin bertambahnya usia seseorang maka akan meningkatkan risiko untuk mengalami gangguan mental emosional yang apabila tidak ditangani dengan tepat dapat berkembang menjadi suatu keadaan yang patologis (gangguan jiwa berat). Terapi Reminiscence merupakan salah satu psikoterapi yang efektif untuk mengatasi harga diri rendah dan isolasi sosial pada lansia yang mengalami gangguan jiwa. Tujuan penulisan karya ilmiah akhir ini adalah diperolehnya gambaran hasil penerapan terapi Reminiscence pada klien harga diri rendah dan isolasi sosial dengan menggunakan pendekatan model Stress Adaptasi Stuart dan model Interpersonal Peplau di ruang Saraswati Rumah Sakit dr Marzuki Mahdi Bogor. Penerapan terapi Reminiscence ini dilaksanakan pada periode 13 September - 15 November 2013. Terapi ini dilakukan pada 10 orang klien. Hasil pelaksanaan terapi Reminiscence menunjukkan adanya penurunan yang bermakna pada kondisi harga diri rendah dan isolasi sosial. Terapi kelompok Reminiscence direkomendasikan untuk mengatasi harga diri rendah dan isolasi sosial pada lansia.

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Riskesdas (2007) revealed the data that showed when people growing old they increase the risk of getting mental emositional disturbance that if it is not handled effectively can spread to become a pathology condition (heavy mental disurbance). The therapy of Reminiscence is one of the effective psicotherapy in facing the low self-esteem dan social isolation toward old people that having the mental disturbance.

The pupose of this final scientific paper is to get illustration of the result the implementation of the Reminiscence therapy toward the low selfesteem and social isolation client using Stress Adaptation model and Interpersonal Peplau's model approach in Saraswati dr. Marzuki Mahdi Hospital in Bogor. The implementation of Reminiscence therapy is done in period of September 13th until spetember 15th 2013. The therapy was giving to 10 clients.

The result of this Reminiscence therapy showed there was the meaningful decrease to the condition of low self-esteem dan social isolation. Reminiscene group therapy is recommended in handling the low self-esteem and social isolation toward old people."

"Pelaksanaan peran dan fungsi managemen kepala ruang dalam penerapan keselamatan perawat dipengaruhi oleh karakteristik kepala ruang, faktor tuntutan kerja fisik, tuntutan kognitif, kepribadian, fisik organisasi, sosial organisasi, dan organisasi profesi. Tujuan penelitian ini untuk melihat faktor yang paling berpengauh terhadap pelaksanaan peran dan fungsi manajemen kepala ruang dalam penerapan keselamatan perawat. Penelitian menggunakan metode analitik korelatif. Sampel penelitian berjumlah 40 orang menggunakan teknik total sampling. Kepribadian, sosial organisasi dan organisasi profesi menjadi faktor yang paling berpengaruh terhadap pelaksanaan peran dan fungsi manajemen kepala ruang dalam penerapan keselamatan (p=0,004-0,043;CI=1,099-461,939). Faktor-faktor tersebut perlu mendapatkan perhatian dari manajemen RS dengan tetap melakukan evaluasi terhadap faktor lain agar kepala ruang mampu meningkatkan kinerjanya.

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The implementation of managerial roles and functions in the applying safety is affected by the individual characteristics, physical work demands, cognitive task demands, personality, physical organizations, social organizations, and profession organizations. This study was aimed to investigate determinant factors for implementing roles and functions of management when head nurses employing nursing safety. This correlative analytical study involved 40 head nurses, recruited by using total sampling technique. Personality, social organizations and profession organizations were found to be the most influential factors (p=0,004-0,043;CI=1,099-461,939). These factors need to be considered by the hospital management while evaluating other factors to improve the head nurses? performances."

"Pendahuluan : Psikosis dan skizofrenia menunjukkan terjadi peningkatan setiap tahunnya baik di Indonesia dan dunia. Skizofrenia adalah penyakit otak kronis yang sindrom klinisnya melibatkan perubahan pikiran, emosi, persepsi, gerakan dan perilaku individu. Gejala positif dari skizofrenia salah satunya halusinasi sedangkan risiko perilaku kekerasan muncul akibat halusinasi dan waham. Klien dengan risiko perilaku kekerasan dan halusinasi, asuhan yang diberikan dalam bentuk tindakan keperawatan generalis dan spesialis. Tindakan keperawatan generalis (individu, kelompok, keluarga) begitu juga dengan Tindakan keperawatan spesialis (individu, kelompok, keluarga) meliputi latihan asertif, terapi kognitif perilaku dan psikoedukasi keluarga. Tujuan : Diketahuinya karakteristik, predisposisi, presipitasi, perubahan tanda gejala, kemampuan, dan perubahan, perbedaan tanda gejala, kemampuan Metode : Desain karya ilmiah akhir spesialis ini menggunakan operational research terdiri dari enam tahap pelaksanaan Hasil : tindakan keperawatan generalis dan spesialis secara bermakna dapat menurunkan tanda gejala risiko perilaku kekerasan dan halusinasi serta secara bermakna meningkatkan kemampuan klien dan keluarga. Kesimpulan : tindakan keperawatan generalis dan spesialis direkomendasikan karena dapat mengurangi tanda gejala dan meningkatkan kemampuan klien dan keluarga.

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Introduction: Psychosis and schizophrenia show an increase every year both in Indonesia and the world. Schizophrenia is a chronic brain disease whose clinical syndrome involves changes in an individual's thoughts, emotions, perceptions, movements and behavior. One of the positive symptoms of schizophrenia is hallucinations, while the risk of violent behavior arises due to hallucinations and delusions. Clients at risk of violent behavior and hallucinations, care is provided in the form of generalist and specialist nursing actions. Generalist nursing actions (individual, group, family) as well as specialist nursing actions (individual, group, family) include assertive training, cognitive behavioral therapy and family psychoeducation. Purpose: To find out characteristics, predisposition, precipitation, changes in signs and symptoms, abilities, and changes, differences in signs and symptoms, abilities. Methods: The design of this specialist's final scientific work using operational research consists of six implementation stages. Results: Generalist and specialist nursing actions can significantly reduce signs of risk of violent behavior and hallucinations and significantly improves the client's and family's abilities. Conclusion: generalist and specialist nursing actions are recommended because they can reduce signs and symptoms and increase the capabilities of clients and families."

"ABSTRAKKepala ruang berkontribusi dalam pelaksanaan pencegahan dan pengendalian infeksi PPI di ruang rawat, tetapi kenyataannya masih belum melakukan peran dan fungsinya dalam PPI. Penelitian ini bertujuan mengetahui pengaruh penguatan peran dan fungsi karu terhadap pelaksanaan pencegahan dan pengendalian infeksi di Rumah Sakit RS . Metoda yang digunakan adalah dengan desain kuasi eksperimen. Responden terdiri dari 5 kepala ruang, dan 34 perawat pelaksana dari kelompok intervensi dan kontrol. Hasil penelitian menunjukkan ada pengaruh yang signifikan penguatan peran dan fungsi karu terhadap kepatuhan pelaksanaan PPI antara kelompok intervensi dan kelompok kontrol p 0,03; ? 0,05 . Rekomendasi Penguatan peran dan fungsi karu diharapkan mendapatkan dukungan dari manajemen keperawatan, kepala ruang dan pelaksana pelayanan untuk meningkatkan kepatuhan perawat terhadap pelaksanaan PPI sebagai dasar meningkatkan mutu pelayanan keperawatan di RS.

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ABSTRACTThe head nurses should contribute to the implementation of prevention and infection control PPI in the ward, but in reality still has not performed its role and function in PPI. This study aims to determine the effect of strengthening the role and function of head nurses on the implementation of infection prevention and control in hospitals RS . The method used is Quasi experiment design. Respondents consisted of 5 headsnurse, and 34 nurses from the intervention and control group. The result of the research shows that there is a significant influence of the strengthening of role and function of head nurseson compliance of PPI implementation p 0,03 0,05 . Recommendations Strengthening the role and function of head nurses is expected to get support from the management of nursing, head nurses and implementing services to improve the compliance of nurses to the implementation of PPI as a basis to improve the quality of nursing services in hospitals."

"Latar belakang: Angka kejadian infeksi dapat diturunkan dengan pelaksanaan Pencegahan dan Pengendalian Infeksi (PPI) dalam asuhan keperawatan secara komprehensif oleh Perawat. Pada kenyataannya asuhan keperawatan yang komprehensif pada pasien dengan risiko infeksi masih rendah. Perawat membutuhkan model peran yang baik dari kepala ruang dan fungsi manajemen kepala ruang memberi pengaruh positif pada pelaksanaan PPI. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis hubungan peran dan fungsi manajemen kepala ruang dengan pelaksanaan PPI dalam asuhan keperawatan. Metode: Penelitian kuantitatif dengan rancangan cross sectional dilakukan pada 221 perawat yang bekerja di rumah sakit pemerintah di Jakarta yang dipilih dengna menggunakan teknik purposive sampling. Instrumen penelitian terdiri dari peran kepala ruang, fungsi manajemen kepala ruang, dan pelaksanaan PPI dalam asuhan keperawatan yang disebarkan pada responden melalui tautan google form. Hasil uji validitas dan reliabilitas instrumen mendapatkan nilai r = 0,313-0,818 dan cronbach’s alpha = 0,922-0,945. Hasil: Hasil penelitian ini mendapatkan ada hubungan peran kepala ruang dengan pelaksanaan PPI dalam asuhan keperawatan dengan kekuatan sedang dan arah positif  (p = 0,0001, r = 0,489), demikian juga  fungsi manajemen kepala ruang mempunyai hubungan dengan pelaksanaan PPI dalam asuhan keperawatan dengan kekuatan kuat dan arah positif  (p = 0,0001, r = 0,515. Faktor yang paling memengaruhi pelaksanaan PPI dalam asuhan keperawatan yaitu fungsi pengorganisasian (nilai koefisien Beta = 1,145), fungsi pengendalian (nilai koefisien Beta = 1,125), peran decisional (nilai koefisien Beta = 1,145), dan peran interpersonal (nilai koefisien Beta = -1,010). Kesimpulan: Penelitian ini menyimpulkan bahwa peran dan fungsi manajemen kepala ruang berhubungan dengan pelaksanaan PPI dalam asuhan keperawatan. Faktor yang paling memengaruhi pelaksanaan PPI dalam asuhan keperawatan adalah fungsi pengorganisasian. Rekomendasi yang diberikan yaitu meningkatkan peran dan fungsi kepala ruang dalam PPI terutama fungsi perngorgaisasian untuk mengoptimalkan pelaksanaan PPI dalam asuhan keperawatan dan peningkatan pelaksanaan PPI dalam asuhan keperawatan terutama pada tahap diagnosis keperawatan.

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The incidence of infection can be reduced by implementing the Infection and Prevention Control (IPC) in comprehensive nursing care by nurses. In fact, comprehensive nursing care for patients with risk of infection is still low. Nurses need a good role model from the head nurse and the management function of the head nurse have a positive influence on the implementation of IPC.

Method: This study aimed to identify and analyze the relationship between the role and function of head nurse management and the implementation of IPC in nursing care. Quantitative research with cross sectional design was conducted on 221 nurses who worked in government hospitals in Jakarta who were selected using purposive sampling technique. The research instrument consisted of the role of the head nurse, the management function of the head nurse, and the implementation of IPC in nursing care which was distributed to respondents via the google form link.

Results: The results of the validity and reliability test of the instrument get r value = 0.313-0.818 and Cronbach's alpha = 0.922-0.945. The results of this study found that there was a relationship between the role of the head nurse and the implementation of IPC in nursing care with moderate strength and a positive direction (p = 0.0001, r = 0.489), and the management function of the head nurse had a relationship with the implementation of IPC in nursing care with strong strength and positive direction (p = 0.0001, r = 0.515. The factors that most influence the implementation of IPC in nursing care are the organizational function (Beta coefficient value = 1.145), control function (Beta coefficient value = 1.125), decisional role (Beta coefficient value = 1.145), and interpersonal roles (Beta coefficient value = -1.010).

Conclusions: This study concludes that the role and management function of head nurse are related to the implementation of IPC in nursing care. The factor that most influences the implementation of IPC in nursing care is the function of organization. This study recommend to increase the role and management function of the head nurse in IPC  to optimize the implementation of IPC in nursing care and increase the implementation of PPI in nursing care, especially nursing diagnosis."

"[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. ]"