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Arif Hidayatullah
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan neurologi dengan kasus status Epileptikus menggunakan pendekatan model adaptasi Roy di RSUPN Dr. Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice in neurological system disorder with status Epilepticus cases using Roy Adaptation model approach at Cipto Mangunkusumo Hospital in Jakarta
"Praktek klinik lanjut selama praktek residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan status epileptikus dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologi, yaitu ketidakefektifan perfusi jaringan cerebral. Intervensi keperawatan berupa manajemen edema cerebral ditujukkan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan ceredral. Penerapan EBN diagonally aligned sitting training (DAST) pada empat pasien stroke menunjukkan keefektifan DAST dalam meningkatkan keseimbangan duduk pasien fase awal pasca stroke. Program inovasi keperawatan berupa penerapan program pencegahan kejadian jatuh pada pasien neurologi di rawat inap.
Advance clinical practice in neurological system during residency period is proposed to be able to provide nursing care, implement the evidence based nursing (EBN) and be able to act as innovator in the treatment room. The role of nurse care provider was made using Roy’s adaptation model in patients with status epilepticus and 30 other patients with various neural system disorders. The most maladaptive behavior is the physiological adaptation mode is the ineffective cerebral tissue perfusion, The nursing management intervention was cerebral edema management to improve patient adaptation in enchancing cerebral tissue perfusion. Implementation of EBN: diagonally aligned sitting training (DAST) in four patients with stroke can improve the sitting balance of the patients in the early post stroke phase. Implementation of the fall prevention program can be used for prevent the patient’s fall risk. Keywords: neurological disorder, status epilepticus, prevent risk, diagonally aligned sitting training, Roy Adaptation Model."
Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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Amelia Ganefianty
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus tumor otak menggunakan pendekatan Model Adaptasi Roy di Rumah Sakit Umum Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice in neurological system disorder with brain tumor cases using Roy Adaptation Model approach at Cipto Mangunkusumo Hospital in Jakarta
"Praktek klinik lanjut selama praktek residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan tumor otak dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologi, yaitu ketidakefektifan perfusi jaringan cerebral.
Intervensi keperawatan berupa manajemen edema cerebral ditujukkan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan ceredral. Penerapan EBN respiratory muscle training (RMT) pada tiga pasien stroke menunjukkan keefektifan RMT dalam meningkatkan fungsi pernafasan pasien stroke. Program inovasi keperawatan berupa penerapan program pencegahan kejadian jatuh pada pasien neurologi di rawat inap.
Advance clinical practice in neurological system during residency period is proposed to be able to provide nursing care, implement the evidence based nursing (EBN) and be able to act as innovator in the treatment room. The role of nurse care provider was made using Roy`s adaptation model in patients with brain tumor and 30 other patients with various neural system disorders. The most maladaptive behavior is the physiological adaptation mode is the ineffective cerebral tissue perfusion, The nursing management intervention was cerebral edema management to improve patient adaptation in enchancing cerebral tissue perfusion. Implementation of EBN: respiratory muscle training (RMT) in three patients with stroke can improve the respiratory function of the stroke patients. Implementation of the fall prevention program can be used for prevent the patient`s fall risk."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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Rizki Nugraha Agung
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan Sistem Neurologi dengan Kasus Utama SOL (Astrocytoma) menggunakan pendekatan Model Adaptasi Roy di RSUPN Dr. Cipto Mangunkusumo Jakarta = Practical analysis of medical surgical nursing residency in Neurological System Disorder Patients with the Main Case of SOL (Astrocytoma) Using Roy's Adaptation Model Approach in RSUPN dr. Cipto Mangunkusumo Jakarta
"Analisis praktik residensi keperawatan medikal bedah merupakan karya ilmiah akhir Ners Spesialis. Bertujuan untuk memberikan gambaran secara umum proses pelaksanaan praktik residensi keperawatan medikal bedah yang dilaksanakan dalam dua semester. Analisis ini terdiri dari kasus kelolaan utama pada gangguan sistem neurologi dengan kasus astrositoma dan 30 kasus resum menggunakan pendekatan model adaptasi Roy, penerapan evidence based nursing (EBN) dan proyek inovasi. pada kasus kelolaan masalah masalah ketidakefektifan perfusi cerebral teratasi dan pada 30 kasus resum diagnosa terbanyak yaitu risiko jatuh dan ketidakefektifan perfusi cerebral. untuk peneraan evidence based nursing tentang Tongue stretching exercises (TSE) pada pasien stroke dengan gangguan menelan dan terbukti dapat meningkatan gerakan lidah dalam proses menelan. Untuk proyek inovasi melakukan tatalaksana perawatan pasca stroke terkini. Banyak manfaat yang didapatkan selama proses praktik residensi diantaranya melatihan berpikir kritis dalam mengelola kasus sulit, melatih keterampilan praktik, dan menerapkan intervensi berdasarkan bukti ilmiah. Diharapkan bagi bagi perawat untuk memberikan intervensi keperawatan berdasarkan bukti ilmiah dan selalu berlatih dalam berpikir kritis agar memiliki tingkat sensitifitas dalam melihat fenomena masalah pada pasien.
Analysis of practice medical surgical nursing residency is the final scientific work of Specialist Nursing. The aim is to provide an overview of the process of implementing medical surgical nursing residency practices that got in two semesters. This analysis consists of cases of major management in neurological system disorders with astrocytoma cases and 30 cases of rums using Roy's adaptation model approach, application of evidence based nursing (EBN) and innovation projects. The case of managed cerebral perfusion problems the problem is managed and in 30 cases the most common diagnoses are the risk of falls and the ineffectiveness of cerebral perfusion. For evidence based nursing information about Tongue stretching exercises (TSE) in stroke patients with swallowing disorders and is proven to increase tongue movement in the swallowing process. Innovation projects carry out the latest post-stroke care management. Many benefits got during the residency practice process include training critical thinking in managing difficult cases, practicing practical skills, and implementing interventions based on scientific evidence. Hope is expected for nurses to provide nursing interventions based on scientific evidence and always practice critical thinking in order to have a sensitivity level in seeing the phenomenon of problems in patients."
Depok: Fakultas Ilmu Keperawatan Universiats Indonesia, 2020
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Ginanjar Sasmito Adi
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus cedera kepala menggunakan pendekatan model adaptasi Roy di rumah sakit Cipto Mangunkusumo Jakarta. = Analysis of medical surgical nursing residency practice on neurological system disorders with head injury cases using roy adaptation model approach at Cipto Mangunkusumo hospital in Jakarta
"Program spesialis keperawatan medikal bedah khususnya neurologi dimaksudkan untuk menjadikan seorang perawat spesialis neurosains yang berperan dalam praktik keperawatan berupa pemberi asuhan keperawatan lanjut, melakukan pembuktian ilmiah dan agen pembaharu. Asuhan keperawatan dilakukan pada kasus pasien dengan cedera kepala dan 31 pasien dengan gangguan neurologis dengan pendekatan Model adaptasi Roy (RAM). Perilaku maladaptif paling banyak terganggu pada mode fisologis dengan diagnosis penurunan kapasitas adaptif intrakranial. Evidence Based Nursing dilakukan dengan menerapkan sistematik oral care pada 12 pasien gangguan neurologis dengan hasil yang signifikan (p value 0,004). Program inovasi menerapkan pemberdayaan caregiver pasien stroke dengan hasil perbedaan pengetahuan dan keterampilan caregiver melalui edukasi dan demonstrasi (p value <0.005). Pengkajian perilaku dan stimulus pada RAM perlu diterapkan pada pengkajian pada pasien gangguan neurologis. Intervensi keperawatan diharapkan berbasis pada evidence based nursing. Pemberdayaan caregiver pada pasien gangguan neurologis khususnya stroke perlu dilakukan sejak dini untuk menyiapkan caregiver dalam merawat pasien gangguan neurologis.
Nurse specialist program of medical surgical nursing especially neurological nurses proposed neuroscience nurse specialist play role in nursing practice as advanced nursing care providers, conduct scientific evidence and innovator. Roy adaptation model approach was used in the nursing care of the head injury patients and 31 patients of neurological disorders cases. Decreased intracranial adaptive capacity was the most often of nursing diagnosis enforced which was caused maladaptive behavior in physiological mode. Evidence based nursing was implemented by practice systematic oral care in 12 neurological disorders patients that showed oral assessment score differed significantly (p value 0,004). Role as an innovator was implemented by engage caregiver empowerment through education and demonstration in stroke patients that showed there was differences in the knowledge and skills of the caregivers (p value <0.005). Roy adaptation model can be one effective approach for the assessment of the neurological disorders patients. Nursing interventions are expected to always be based on evidence based nursing. Early caregiver empowerment in neurological disorders patients especially stroke is required to set up the caregivers in caring of the patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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Dewi Sartiya Rini
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus cedera kepala menggunakan pendekatan model adaptasi roy di Rumah Sakit Cipto Mangunkusumo Jakarta. = Analysis of medical surgical nursing residency practice on neurological system disorders with head injury cases using roy adaptation model approach at Cipto Mangunkusumo Hospital in Jakarta
"ABSTRAK
Perawat spesialis neurosains berperan dalam praktik keperawatan berupa pemberi asuhan keperawatan lanjut, melakukan pembuktian ilmiah dan agen pembaharu. Asuhan keperawatan dilakukan pada kasus pasien dengan cedera kepala dan 30 pasien gangguan neurologis dengan pendekatan Model adaptasi Roy. Perilaku maladaptif paling banyak terganggu pada mode fisologis dengan diagnosa resiko ketidakefektifan perfusi jaringan serebral. Evidence Based Nursing dilakukan dengan menerapkan augmentative and alternative communication AAC pada 3 pasien stroke yang mengalami afasia motorik dengan hasil yang signifikan p value 0,038 . Program inovasi menerapkan enam screening tools yaitu Insomnia Severity Index ISI , National Institute Health Stroke Scale NIHSS , 3 Incontinence Question 3 IQ , Berg Balance Scale BBS , Frenchay Aphasia Screening Test FAST dan Adult Non Verbal Pain Scale ANVPS pada pasien dengan gangguan neurologi yang terbukti memudahkan perawat dalam menegakkan diagnosa keperawatan yang tepat. Model Adaptasi Roy telah berpengaruh besar terhadap profesi keperawatan. Model ini adalah salah satu model yang paling banyak digunakan dalam memandu penelitian, pendidikan dan praktik keperawatan. ABSTRACT Neuroscience nurse specialist play role in nursing practice as advanced nursing care providers, conduct scientific evidence and innovator. Roy adaptation model approach was used in the nursing care of the head injury patients and 30 patients of neurological disorders cases. Risk of cerebral tissue perfusion ineffectiveness was the most often of nursing diagnosis enforced which was caused maladaptive behavior in physiological mode. Evidence based nursing was implemented by augmentative and alternative communication AAC in 3 stroke patients with motor aphasia with significant results p value 0.038 . The Innovation program applies six screening tools are Insomnia Severity Index ISI , National Institute of Health Stroke Scale NIHSS , 3 Incontinence Questions 3 IQs , Berg Balance Scale BBS , Frenchay Aphasia Screening Test FAST and Adult Non Verbal Pain Scale ANVPS in neurological disorders patients proven to facilitate nurses in establishing nursing diagnoses. Roy Adaptation Model has greatly influenced the profession of nursing. It is one of the most frequently used models to guide nursing research, education and practice."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
UI - Tugas Akhir  Universitas Indonesia Library
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Elis Nurhayati Agustina
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus stroke hemoragik menggunakan pendekatan model adaptasi roy di Rumah Sakit Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice on neurological system disorders with stroke haemorrhagic cases using roy adaptation model approach at Cipto Mangunkusumo Hospital in Jakarta
"ABSTRAK
Praktik residensi keperawatan neurologi bertujuan menerapkan peran perawat spesialissebagai pemberi asuhan keperawatan, agen pembaharu dan melakukan pembuktian ilmiah. Peran pemberi asuhan keperawatan dilakukan dalam mengelola kasus strokehemoragik dan 30 pasien dengan berbagai gangguan neurologi menggunakan modeladaptasi Roy. Perilaku mal adaptif terbanyak adalah mode adaptasi fisiologidiantaranya ketidakefektifan perfusi jaringan otak, hambatan mobilitas fisik dan risikojatuh. Intervensi keperawatan yang diberikan adalah manajemen edema serebral,ambulasi dan pencegahan jatuh.Tujuan intervensi untuk meningkatkan adaptasi pasiendalam meningkatkan perfusi jaringan otak, mobilisasi dan pencegahan jatuh. PenerapanEvidence Based Nursing EBN pemberian Positioning in Neutral LiN pada 12 pasiengangguan saaraf pusat yang mengalami hambatan mobilisasi fisik untuk meningkatkanrentang gerak sendi bahu dan panggul. Program inovasi yang dilakukan adalahpembuatan video edukasi faktor risiko stroke berulang untuk meningkatkan kesadaran diri pasien dan keuarga. Rekomendasi perlu dilakukan penelitian lebih lanjut tentangpengaruh LiN terhadap dekubitus dan kualitas hidup pasien stroke. ABSTRACT
AbstractThe practice of neurological nursing residency aims at applying the role of specialistnurse as nurse care provider, reforming agent and doing scientific proof. The role of nursing care providers was done in managing cases of hemorrhagic stroke and 30 patients with various neurological disorders using Roy 39's adaptation model. Most adaptive malevolent behavior is the mode of adaptation of physiology such as ineffective perfusion of brain tissue, physical mobility barriers and the risk of falling.The nursing orders provided are management of cerebral edema, ambulation and prevention of falls. The aim of intervention to improve adaptation of patients in improving brain tissue perfusion, mobilization and prevention falls. Application of Evidence Based Nursing EBN of Positioning in Neutral LiN administration in 12 patients with central nervous disorders who experienced physical mobilization barriersto increase the range of motion of the shoulders and hip joints. The innovation program undertaken is the production of educational videos of recurrent stroke risk factors to increase patient and family awareness. Recommendations need further research on the effect of LiN on decubitus and the quality of life of stroke patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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Kristanti Wahyuningtyas
Analisis praktik residensi Keperawatan Medikal Bedah pada pasien gangguan sistem neurologi dengan kasus utama tumor otak menggunakan pendekatan teori model adaptasi Roy di Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice on neurological system disorders with brain tumor cases using Roy adaptation model approach at Cipto Mangunkusumo Hospital Jakarta
"Peran perawat spesialis neurosains dalam praktik keperawatan antara lain sebagai pemberi asuhan keperawatan lanjut, melaksanakan pembuktian ilmiah, pendidik, advokat, kolaborator, dan agen pembaharu. Asuhan keperawatan lanjut dilaksanakan pada pasien dengan kasus tumor otak dan 30 pasien gangguan neurologi menggunakan pendekatan model adaptasi Roy. Perilaku maladaptif paling banyak terganggu pada mode fisiologis dengan diagnosis ketidakefektifan perfusi jaringan serebral.
Penerapan Evidence Based Nursing berupa latihan Range of Motion (ROM) pasif bilateral ekstremitas atas pada dua pasien stroke akut dengan hemiparese menunjukkan hasil peningkatan fungsi ekstremitas atas dan Activity of Daily Living (ADL). Program inovasi pengembangan media edukasi perawatan pasien kraniotomi pengangkatan tumor menunjukkan peningkatan pengetahuan pasien secara signifikan (p=0,038) dan memudahkan perawat dalam memberikan edukasi secara efektif.
The role of nurse specialist in nursing practice consist of advanced nursing care providers, conduct scientific evidence, educator, advocat, collaborator, and change agent. Advanced nursing care is done by Roy Adaptation Models approach on brain tumor and 30 other neurological disorders patients. Maladaptive behavior at most in a physiological mode with ineffective cerebral perfusion nursing diagnosis.
Evidence Based Nursing was performed by applying bilateral passive Range of Motion (ROM) of upper extremity at two acute stroke patient with hemiplegi and it showed an increase in function of upper extremities and the activity of daily living. The innovation programme by develop an education media for caring patient with craniotomy removal tumor showed significant increase in patient knowledge (p=0,038) and help nurses to give an effective education."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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Tri Antika Rizki Kusuma Putri
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus miastenia gravis menggunakan pendekatan model adaptasi roy di Rumah Sakit Umum Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice on neurological system disorders with myasthenia gravis cases using roy adaptation model approach at Cipto Mangunkusumo Hospital in Jakarta
"ABSTRAK
Praktek klinik lanjut selama masa residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing EBN serta mampu berperan sebagai inovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan miastenia gravis dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaktif paling banyak adalah mode adaptasi fisiologi, yaitu risiko ketidakefektifan perfusi jaringan serebral. Intervensi keperawatan berupa manajemen edema serebral ditujukan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan serebral. Penerapan EBN: Functional Oral Intake Scale FOIS pada sembilan pasien disfagia sebagai bentuk evaluasi kemampuan makan pasien menunjukkan sensitifitas terhadap kejadian aspirasi dan perubahan kemampuan makan pasien. Program inovasi penerapan format pengkajian tambahan dapat digunakan sebagai alat bantu bagi perawat dalam menegakan diagnosa keperawatan.ABSTRACT Advanced clinical practice in neurological system during the nursing residency period is proposed to be able to provide nursing care, implement the Evidence Based Nursing EBN and be able to act as an innovator in the treatment room. The role of nurse care provider was made using Roy 39 s adaptation model in patients with myasthenia gravis and 30 other patients with various neural system disorders. The most maladaptive behavior is the physiological adaptation mode is the risk of ineffective cerebral tissue perfusion. The nursing management intervention like cerebral edema is aimed to improve patient adaptation in enhancing cerebral tissue perfusion. Implementation of EBN Functional Oral Intake Scale FOIS in nine dysphagia patients as a evaluation form for feeding ability patients showed a sensitivity to occurrence of aspiration and changes in the patient 39 s eating ability. Implementation of additional asessment form as a innovation program can be used as a tool for nurses in determine nursing diagnoses."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
UI - Tugas Akhir  Universitas Indonesia Library
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Dyah Untari
Analisis praktik residensi keperawatan medikal bedah pada pasien gangguan sistem neurologi dengan kasus meningitis infeksi menggunakan pendekatan model adaptasi roy di Rumah Sakit Umum Cipto Mangunkusumo Jakarta = Analysis of medical surgical nursing residency practice on neurological system disorders with meningitis infection cases using roy adaptation model approach at Cipto Mangunkusumo Hospital in Jakarta
"ABSTRAK
Keperawatan menurut Mc Mahon merupakan terapi yang melibatkan tiga 3 komponen yaitu partnership, intimate dan reciprocity disetiap tindakan keperawatan. Begitu juga yang harus dilakukan oleh perawat ners spesialis atau perawat lanjutan. Pelaksanaan praktik residensi keperawatan khususnya neurologi dilakukan sebagai bagian dari proses untuk mencapai pendidikan perawat ners spesialis. Perawat ners spesialis dalam memberikan asuhan keperawatan harus memiliki tujuh kompetensi yaitu memberikan pelayanan langsung, konsultasi, kepemimpinan, kolaborasi, pendidikan, penelitian dan pengambil keputusan yang mengedepankan etik. Rangkaian pendidikan spesialis keperawatan ini adalah mengelola kasus utama, menyusun kasus resume yang dilaporkan sebanyak 30 pasien dengan gangguan neurologi, melakukan Eviden based Nursing EBN latihan Menelan dengan madu pada pasien disfagia serta melakukan inovasi membuat video edukasi. Kasus terbanyak selama praktik adalah stroke dan diagnosis keperawatan terbanyak yaitu resiko ketidakefektifan perfusi jaringan serebral, gangguan mobilisasi dan gangguan pemenuhan kebutuhan personal hygine.. Rekomendasi: analisis lebih dalam tentang latihan menelan dengan madu dan analisis kognitif, afektif dan psikomotor yang diperoleh saat menggunakan video edukasi pada pasien ABSTRACT
Nursing in Mc Mahon say that nursing is a therapy that involves three 3 components of partnership, intimate and reciprocity in every action of nursing. So also must be done by a specialist nurse nurse or advanced nurse. Implementation of nursing residency practices, especially neurology is done as part of the process to achieve specialist nurse education. The role of nurse specialist in providing nursing care should have seven competencies that is to provide direct services, consultation, leadership, collaboration, education, research and decision makers that put ethics forward. This series of nursing specialist education is managing the main case, compiling 30 reported cases of patients with neurological disorders, performing an Evidence based Nursing EBN and innovating with patients with neurological disorders. The most cases during the practice were stroke and the most common nursing diagnoses were the risk of perfusion of cerebral tissue, impaired mobilization and impaired fulfillment of personal hygine needs. EBN is a swallowing exercise with honey and the implementation of group innovation to make educational videos to increase self awareness and family against the risk of recurrent stroke. Recommendations deeper analysis of swallowing exercises with honey and cognitive, affective and psychomotor analyzes obtained when using educational videos in patients"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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Fanny Metungku
Analisis Praktik Residensi Keperawatan Medikal Bedah pada Pasien Gangguan Sistem Neurologi dengan Kasus Utama Stroke Iskemik Menggunakan Pendekatan Model Adaptasi Roy di RSUPN dr. Cipto Mangunkusumo Jakarta = Practical Analysis of Medical Surgical Nursing Residency in Neurological System Disorders Patients with the Main Case of Ischemic stroke Using Roy's Adaptation Model Approach in RSUPN Dr. Cipto Mangunkusumo Jakarta
"Analisis praktik residensi keperawatan medikal bedah merupakan karya ilmiah akhir ners spesialis yang menjelaskan proses residensi keperawatan ners spesialis medikal bedah. Tujuan dari praktik residensi untuk meningkatkan kompetensi sebagai seorang ners spesialis dalam mengelola pasien dengan memberikan asuhan keperawatan yang berkualitas dengan pemberian intervensi keperawatan sesuai dengan perkembangan ilmu yang berbasis bukti. Proses residensi ini dilaksanakan selama 2 semester baik di ruang rawat inap, rawat jalan dan IGD dengan memberikan asuhan keperawatan. Pemberian asuhan keperawatan dilakukan pada pasien 1 kasus kelolaan dengan diagnosis Stroke Iskemik yang diberikan perawatan selama 7 hari atau dari pasien masuk ruang rawat hingga pasien pulang. Selain itu asuhan keperawatan juga diterapkan pada 30 kasus gangguan neurologi lainnya dengan menggunakan pendekatan Teori Model Adaptasi Roy. Penulis juga melakukan penerapan EBN Constraint induce aphasia therapy (CIAT) untuk meningkatkan kemampuan komunikasi pada pasien stroke dengan afasia dimana diperoleh hasil bahwa CIAT bermanfaat dalam meningkatkan kemampuan komunikasi pasien dalam pemahaman dan pengucapan. Selain itu kami juga melakukan Proyek inovasi mengenai Tata Laksana Stroke Terkini yang berisi intervensi keperawatan yang dapat diterapkan pada pasien stroke baik saat perawatan di rumah sakit atau saat perawatan di rumah oleh keluarga. Dengan praktek klinik residensi ini penulis dapat memperoleh banyak informasi dan pengaplikasian ilmu bagi kasus pasien dengan gangguan sistem neurologi.
Surgical medical residency nursing analysis is the final scientific work of specialists describing the surgical medical specialist nursing residency process. The purpose of population practice is to increase competency as a specialist in patient care specialists by providing quality nursing care with the help of nursing protection in accordance with the development of knowledge based on licensing. This residency process is carried out for 2 semesters both in the inpatient, outpatient and emergency room by providing nursing care. The provision of nursing care is performed on patients 1 case under management with a diagnosis of ischemic stroke who was given care for 7 days or from patients entering the ward per patient home. In addition, nursing care was also applied to 30 cases of other neurological disorders using Roy's Adaptation Model theory. The author also applies the EBN Constraints to induce aphasia therapy (CIAT) to improve communication skills in stroke patients with aphasia. Where obtaining the results of CIAT is beneficial in improving the communication skills of patients in understanding and remembering. In addition, we also carry out a Promotion Project on the Current Stroke Management which is provided with nursing assistance that can be applied to stroke patients both during treatment at the hospital or at home by family. With this residency clinical practice, the author can provide a wealth of information and applications for patients with neurological system disorders."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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