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"Maternity nurses are authorized health workers that provide antenatal care, but their roles and function in antenatal care services are not recognized by the public. This research aims to reveal the experience of pregnant women during antenatal visits in private clinic maternity nursing. Six pregnant women selected using purposive sampling underwent an in-depth interview in this descriptive phenomenological study. Data were analyzed through thematic content analysis with Moustakas approach. Three themes were identified in this study: 1) women experience good communication with maternity nurses; 2) women receive family-centered nursing care; 3) the schedule, cost, facility, and types of service meet the participants’ needs. This study suggests for nurses to improve their competencies in delivering antenatal care according to clients’ needs.

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Perawat spesialis maternitas adalah petugas kesehatan berwenang yang menyediakan perawatan antenatal, tetapi peran dan fungsinya dalam layanan perawatan antenatal belum dikenal oleh masyarkat. Penelitian ini bertujuan untuk mengungkapkan pengalaman ibu hamil selama kunjungan antenatal di klinik mandiri keperawatan maternitas. Enam ibu hamil yang dipilih menggunakan purposive sampling menjalani wawancara mendalam dalam studi fenomenologis deskriptif ini. Data dianalisis melalui tematik konten analisis dengan pendekatan Moustakas. Tiga tema diidentifikasi dalam penelitian ini: 1) ibu hamil mengalami komunikasi yang baik dengan perawat maternitas; 2) wanita menerima asuhan keperawatan yang berpusat pada keluarga; 3) jadwal, biaya, fasilitas, dan jenis pelayanan sesuai keinginan ibu hamil. Studi ini menyarankan bagi perawat untuk meningkatkan kompetensi mereka dalam memberikan pelayanan antenatal sesuai dengan kebutuhan klien."

"Perawat memiliki potensi dalam pencegahan primer dan melakukan pendidikan di masyarakat, ietapi dalam implementasi beberapa program utama rencana aksi percepatan penurunan angka kematian ibu di Indonesia peran perawat hanyalah sebagai pendukung bahkan pelibatannya sangat minimal. Penelitian ini bertujuan mengoptimalkan kompetensi perawat dalam program perawat kesehatan masyarakat (Perkesrnas) terintegrasi pelayanan maternitas pada ibu hamil berisiko di Kabupaten Cianjur melalui pengembangan program pelatihan p~rkesmas maternitas. Penelitian tahap satu merupakan penelitian kualitatif fenomenologi. Penelitian tahap dua yaitu pengembangan program pelatihan dan modul perkesmas yang dilanjutkan dengan pelatihan pada 10 perawat puskesmasPenelitian tahap tiga, penelitian kuasi eksperimen menggunakan metode consecutive sampling dengan jumlah sampel 66 orang (33 orang kelompok intervePsi dan 33 orang kelompok kontrol). Hasil penelitian kualitatif teridentifikasi tiga tema dan lima subtema yang dinyatakan partisipan. Hasil penelitian kuantitatif membuktikan bahwa pelatihan modul perkesmas mampu meningkatkan pengetahuan, sikap, keterampilan dan kegiatan perawat dalam implementasi perkesmas dengan nilai kemaknaan 0,00. Implementasi modul mampu meningkatkan pengetahuan, sikap dan perilaku ibu hamil berisiko paska intervensi dengan nilai kemaknaan 0,00. Melalui analisis regresi logistik dibuktikan ada pengaruh variabel pengetahuan , sikap dan perilaku ibu hamil berisiko kelompok interverisi terhadap pemanfaatan fasilitas kesehatan. Kesimpulan bahwa melalui pelatihan perkesmas maternitas, perawat puskesmas mampu berkontribusi dalam pelayanan :maternitas pada ibu hamil berisiko.

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Nurses have a potential role in primary prevention and health education in community. However their role in the main programs in planning to reduce mother's death number in Indonesia is only as a supporter, and even gives a minimum involvement.

This research was aimed to optimize nurse's competencies in community health nurses program (perkesrnas) which is integrated with maternity nursing care for high risk pregnant women in Cianjur Region through maternity perkesmas training program development. First stage of this research was a phenomenological qualitative. The second one was perkesmas training and module development which was followed by training for 10 primary health service nurses. The last stage was a quasi experiment research using consecutive sampling method with 66 respondents (33 each for intervention and controlled groups).

From the qualitative research, it was identified three themes and five subthemes. Meanwhile, the quantitative research proved that perkesmas module training was able to enhance nurse's knowledge, attitude and skills in perkesmas program with 0.00 significance. Module's implementation enhanced knowledge, attitude and skills among high risk pregnant women with 0.00 significance. Logistic regression analysis proved the influence of knowledge, attitude and skills variables among high risk pregnant women in intervention group on health facility usage.

In conclusion, through perkesmas maternity training, primary health service nurses were able to contribute in maternity nursing care for high risk pregnant women."

"Hipertensi adalah salah satu penyakit tidak menular yang berkontribusi pada sebagian besar kematian di dunia. Sebagai fasilitas pelayanan kesehatan tingkat pertama, puskesmas berperan dalam tindakan preventif, promotif, dan kuratif terhadap hipertensi. Praktik kolaborasi interprofesi menjadi salah satu faktor yang berkontribusi pada penatalaksanaan klien hipertensi. Penelitian ini bertujuan untuk mengidentifikasi bagaimana persepsi tenaga kesehatan terhadap praktik kolaborasi interprofesi dalam penanganan klien hipertensi di Kota Bekasi. Penelitian dilakukan di 9 Puskesmas di Kota Bekasi, yaitu dokter, perawat, bidan, apoteker/ asisten apoteker, kesehatan masyarakat, dan ahli gizi. Desain penelitian ini menggunakan desain penelitian deskriptif cross-sectional, sampel 112 responden dengan teknik quota sampling. Instrumen yang digunakan adalah Perception of Collaboration Model Questionnaire (PINCOM-Q) versi Bahasa Indonesia. Hasil penelitian menunjukkan persepsi kolaborasi interprofesi pada kategori baik (50,9%) dan kurang baik (49,1%). Hasil penelitian dapat menjadi landasan bagi tenaga kesehatan untuk mengevaluasi praktik kolaborasi interprofesi pada pelayanan hipertensi.

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Hypertension is a non-communicable disease that contributes to the majority of deaths in the world. As a first-level health service facility, community health centers play a role in preventive, promotive, and curative measures against hypertension. The practice of interprofessional collaboration is one of the factors that contribute to the management of hypertensive clients. This study aims to identify the perceptions of health workers regarding the practice of interprofessional collaboration in treating hypertensive clients in Bekasi City. The research was conducted at 9 Community Health Centers in Bekasi City, namely doctors, nurses, midwives, pharmacists/pharmacist assistants, public health, and nutritionists. This research design uses a cross-sectional descriptive research design, a sample of 112 respondents using a quota sampling technique. The instrument used was the Indonesian version of the Perception of Collaboration Model Questionnaire (PINCOM-Q). The research results show that perceptions of interprofessional collaboration are in the good (50.9%) and poor (49.1%) categories. The results of the research can be a basis for health workers to practice interprofessional collaboration in hypertension services."

"Laporan ini merupakan rangkuman kegiatan praktek residensi ners spesialis keperawatan maternitas selama satu tahun untuk menerapkan peran dan fungsi perawat maternitas dengan mengambil contoh penerapan teori model keperawatan Self Care Orem dan Transkultural Nursing Leininger pada pasien dengan anemia selama hamil. Penerapan teori Self care Orem pada kelima kasus yang sudah dilakukan residen mencakup universal self care, developmental self care, health deviation dan conditioning factor. Kekuatan teori Self Care Orem pada klien dengan anemia selama hamil dapat membantu mengatasi klien untuk mencapai kemandirian baik dalam kondisi anemia ringan, sedang dan berat. Kelemahan teori Orem pada klien dengan anemia kurang dapat mendapatkan hasil pengkajian nutrisi. Disamping itu dilaporkan tentang kegiatan pencapaian kompetensi perawat spesialis keperawatan maternitas sebagai pemberi asuhan, konselor, pendidik, advokad, kolaborator, peneliti dan change agent serta proyek inovasi yang dilakukan di lahan praktek.

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This report is a summary of the activities of specialist nursing practice residency maternity nurses for a year to implement the roles and functions of maternity care by taking the example of the application of theoretical models of nursing Orem Self Care and Leininger Transcultural Nursing in patients with anemia during pregnancy. Application of Orem's theory of self-care in the five cases that have been made resident includes universal self care, developmental self care, health deviation and conditioning factor. Strength theory of Orem Self Care on the client with anemia during pregnancy can help to overcome the client to achieve independence either in a mild anemia, moderate and severe. Weaknesses of the theory of Orem on the client with anemia are less able to get the nutrition assessment. Besides, it was reported on activities of achievement of competencies as a maternity nurse specialist nursing care providers, counselors, educators, Advocates, collaborator, researcher and change agent and innovation projects undertaken in the field of practice."

"Analisis ketenagaan keperawatan diperlukan dalam peningkatan kualitas pelayanan kesehatan. Penelitian ini bertujuan untuk menganalisis ketenagaan keperawatan di Ruang Rawat Inap dan Intensif Rumah Sakit Umum Kota Tasikmalaya. Rancangan penelitian secara deskriptif komparatif dengan metode cross sectional. Sampel sebanyak 1530 pengamatan shift dinas pada 17 Ruang Rawat Inap dan Intensif. Hasil penelitian menunjukkan terdapat ketidaksesuaian kehadiran tenaga perawat berdasarkan perencanaan dengan kebutuhan tenaga perawat berdasarkan tingkat ketergantungan pasien pada setiap shift dinas (p<0,05). Disarankan adanya penyesuaian penempatan dan pemenuhan kebutuhan tenaga perawat dengan memperhatikan beban kerja.

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Nursing workforce analysis is needed in improving quality of health service. This study aimed to analyze nursing workforce at Inpatient and Intensive care units of Tasikmalaya City General Hospital. This descriptive-comparative study used cross-sectional approach. Sample of 1530 observations duty shifts on 17 Inpatient and Intensive care units. The results showed discrepancy between the attendance of nurses based on planning as well the needs of nurses based on level of patients? dependence on each shift duty (p<0.05). Recommended placement and adjustment needs of nurses with respect to workload."