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Isna Amalia Mutiara Dewi
"Praktik residensi keperawatan medikal bedah yang dilakukan selama dua semester telah memberikan asuhan keperawatan pada pasien dengan gangguan respirasi, melakukan implementasi evidence based nursing dan dan proyek inovasi serta pengabdian masyarakat yang dilakukan di RSUP Fatmawati dan RSUP Persahabatan. Peran pemberian asuhan keperawatan pada kasus kelolaan utama yaitu PPOK eksaserbasi grup D dan 30 pasien resume menggunakan teori keperawatan self care Orem, teori ini digunakan karena masalah respirasi adalah masalah kronik, teori ini dapat diimplentasikan oleh perawat spesialis untuk meningkatkan perawatan diri pasien (self care) sesuai dengan kemampuannya untuk dapat meningkatkan kualitas hidup pasien. Implementasi EBN berupa balloon blowing exercise terbukti mampu mengurangi keluhan sesak napas pada pasien CLRD, mudah dilakukan, tidak memerlukan waktu lama, murah dan tidak menimbulkan efek samping. Penerapan proyek inovasi pengembangan self management: written action plan dengan media booklet terbukti dapat meningkatkan manajemen diri pasien PPOK. Booklet dapat membantu baik keluarga maupun pasien PPOK dalam mengetahui kondisi PPOK pasien serta melakukan manajemen yang tepat sesuai dengan kondisi pasien. Pengabdian masyarakat berupa edukasi kepada pasien TB Paru tentang TB Paru dan manajemen terapi pengobatannya terbukti dapat meningkatkan pengetahuan pasien, hal ini kemudian diharapkan dapat menurunkan angka putus obat pasien TB Paru.

The medical surgical nursing residency practice which was carried out for two semesters has provided nursing care to patients with respiratory disorders, implemented evidence based nursing and and innovation projects as well as community service carried out at Fatmawati Hospital and Friendship Hospital. The role of providing nursing care in the main managed cases, namely COPD exacerbation group D and 30 patients resumed using Orem's self care nursing theory, this theory is used because respiratory problems are chronic problems, this theory can be implemented by specialist nurses to improve patient self care according to its ability to improve the patient's quality of life. The implementation of EBN in the form of balloon blowing exercise is proven to be able to reduce complaints of shortness of breath in CLRD patients, is easy to do, does not take long, is inexpensive and does not cause side effects. The implementation of self-management development innovation projects: written action plans with booklet media has been proven to improve COPD patient self-management. Booklets can help both families and COPD patients in knowing the patient's COPD condition and carrying out appropriate management according to the patient's condition. Community service in the form of educating pulmonary TB patients about pulmonary TB and management of treatment therapy has been proven to increase patient knowledge, this is then expected to reduce the dropout rate of pulmonary TB patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
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Marina Ulfa
"Penyakit kardiovaskular dan pembuluh darah merupakan salah satu penyebab utama kematian di negara maju maupun berkembang setiap tahunnya. Salah satu penyakit kardiovaskular yang paling sering dijumpai di masyarakat yakni gagal jantung. Penyakit gagal jantung ini merupakan epidemi global yang memiliki risiko morbiditas dan mortalitas cukup signifikan. Perawat spesialis memiliki peran sebagai pemberi asuhan keperawatan langsung, menerapkan evidence base nursing dan melakukan inovasi keperawatan. Praktik residensi spesialis keperawatan medikal bedah telah dilaksanakan untuk mengaplikasikan peran tersebut. Peran sebagai pemberi asuhan keperawatan langsung dilakukan dengan memberikan asuhan keperawatan pada 30 kasus kelolaan resume dan kasus kelolaan utama Acute Decompensated Heart Failure (ADHF) dengan teori self-care Orem. Peran sebagai peneliti dilaksanakan dengan melakukan penggunaan afirmasi diri untuk menurunkan tingkat kecemasan dan persepsi ketidaknyamanan pada pasien yang telah menjalani operasi Coronary Artery Bypas Graft (CABG). Peran perawat sebagai inovator dilakukan dengan menyusun proyek inovasi tentang penggunaan metode FICA dalam pengkajian kebutuhan spiritual pasien dengan masalah kardiovaskular. Teori self-care Orem pada asuhan keperawatan kelolaan utama dan 30 kasus kardiovaskuler lainnya merupakan pilihan yang tepat dengan tujuan agar pasien mampu merawat dirinya untuk meningkatkan kesehatannya. 

Cardiovascular and blood vessel diseases are one of the main causes of death in developed and developing countries every year. One of the most common cardiovascular diseases in society is heart failure. Heart failure is a global epidemic that has a significant risk of morbidity and mortality. Specialist nurses have a role as providers of direct nursing care, implementing evidence base nursing and implementing nursing innovations. Medical surgical nursing specialist residency practices have been implemented to apply this role. The role as a provider of direct nursing care was carried out by providing nursing care to 30 cases managed by resume and cases managed primarily by Acute Decompensated Heart Failure (ADHF) using Orem's self-care theory. The role as a researcher is carried out by using self-affirmations to reduce the level of anxiety and perception of discomfort in patients who have undergone Coronary Artery Bypass Graft (CABG) surgery. The role of nurses as innovators is carried out by preparing an innovation project regarding the use of the FICA method in assessing the spiritual needs of patients with cardiovascular problems. Orem's self-care theory in primary care nursing care and 30 other cardiovascular cases is the right choice with the aim of ensuring that patients are able to care for themselves to improve their health."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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Sucipto Dwitanta
"Praktik Spesialis Keperawatan Medikal Bedah Peminatan Kardiovaskular di RS Jantung dan Pembuluh Darah Harapan Kita bertujuan untuk menerapkan dan mempraktikan peran dan fungsi sebagai calon ners spesialis dalam melakukan pengelolaan pasien dengan gangguan sistem kardiovaskular menggunakan pendekatan model self-care Orem. Calon ners spesialis memiliki target mengelola 30 kasus resume dan 1 kasus sebagai laporan kelolaan utama pada pasien dengan mitral regurgitasi dan hipertensi pulmonal. Peran lain sebagai calon ners spesialis yaitu menerapkan intervensi keperawatan berbasis bukti ilmiah (evidance based practice) dengan memberikan aromatherapy dalam mengurangi gangguan atau kesulitan tidur selama dirawat dirumah sakit. Selain itu calon ners spesialis dituntut sebagai inovator yang memberikan ide dan gagasan untuk perubahan yang lebih baik yaitu dengan melakukan pengembangan model handover terstruktur metode MDS-ECHO (Minimum Data Set for Effective Clinical HandOver) untuk meningkatkan kemampuan perawat dalam memberikan informasi penting kepada shift selanjutnya. Hasil praktik residensi menunjukan model self-care Orem terbukti efektif dan dapat digunakan untuk pasien dengan gangguan kardiovaskular. Praktik evidance based practice tidak diaplikasikan dikarenkaan kondisi pandemik yang semakin menyebar sehingga praktik diganti sebagai relawan COVID-19 di RS Universitas Indonesia. Kegiatan inovasi mendapat respon positif dan terbukti dengan peningkatan kemampuan handover dan kepuasan setelah menerapkan metode MDS-ECHO.

Practice of Medical Nursing Specialist with Cardiovascular Specialy had done in National Cardiovascular Center Harapan Kita aims to implement and practice the roles and functions as nursing specialists to care patients with cardiovascular system disorders using the Orem self-care model approach. Nurse specialist have a target of managing 30 resume cases and 1 case as the main management in this report patients with mitral regurgitation and pulmonary hypertension. Another role as a nurse specialist is implementing evidence-based practice by providing aromatherapy in reducing sleep disturbances during hospitalization. In addition, prospective nurse specialists as innovators provide ideas by developing a structured handover model using the MDS-ECHO (Minimum Data Set for Effective Clinical HandOver) method to improve the ability of nurses to provide important information to the next shift. The results of the residency practice show that Orem's self-care model is effective and can be used for patients with cardiovascular disorders. The practice of evidence-based practice was not applied due to the increasingly widespread pandemic conditions, so the practice was replaced as a COVID-19 volunteer at the Universitas Indonesia Hospital. The innovation activity received a positive response and was proven by an increase in handover capability and satisfaction after applying the MDS-ECHO method."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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Juhdeliena
"[ABSTRAK
Praktik residensi keperawatan medikal bedah peminatan sistem respirasi memiliki tujuan untuk menjalankan tiga peran ners spesialis. Peran sebagai manajer kasus, pemberi layanan dan inovator. Sebagai manajer kasus, residen mengelola kasus utama pasien tuberculosis dan diabetes mellitus, dan 30 kasus resume dengan menggunakan Teori Self-Care Orem. Masalah keperawatan utama yang paling sering muncul adalah ketidakefektifan bersihan jalan napas. Sebagai pemberi layanan, residen telah menerapkan intervensi keperawatan berdasarkan pembuktian yaitu oral hygiene dengan chlorhexidine 0,12% yang dapat mencegah terjadinya Ventilator Associated Pneumonia (VAP). Inovasi keperawatan yang dilakukan yaitu modifikasi Water Seal Drainage (WSD) 1 botol yang telah mendapatkan respon yang baik dari para ahli dibidangnya untuk meningkatkan keselamatan pasien dan keselamatan pekerja atau petugas kesehatan dalam proses asuhan keperawatan.ABSTRACT The purpose of medical-surgical nurse resident in respiratory system clinical practice is to perform three roles of a nurse specialist as a case manager, healthcare provider and innovator. As a case manager, the resident managed a case of Tuberculosis and Diabetes Mellitus patient, and 30 resume cases with Orem Self-Care theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. As a healthcare provider, the resident had applied an evidence-based nursing intervention that has been using chlorhexidine 0,12% in oral hygiene procedure that can prevent Ventilator Associated Pneumonia (VAP). As an innovator, resident had made a modification of one bottle water-sealed drainage that has received good response from the experts to increase patients and employers or healthcare provider safety during the nursing care process.;The purpose of medical-surgical nurse resident in respiratory system clinical practice is to perform three roles of a nurse specialist as a case manager, healthcare provider and innovator. As a case manager, the resident managed a case of Tuberculosis and Diabetes Mellitus patient, and 30 resume cases with Orem Self-Care theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. As a healthcare provider, the resident had applied an evidence-based nursing intervention that has been using chlorhexidine 0,12% in oral hygiene procedure that can prevent Ventilator Associated Pneumonia (VAP). As an innovator, resident had made a modification of one bottle water-sealed drainage that has received good response from the experts to increase patients and employers or healthcare provider safety during the nursing care process., The purpose of medical-surgical nurse resident in respiratory system clinical practice is to perform three roles of a nurse specialist as a case manager, healthcare provider and innovator. As a case manager, the resident managed a case of Tuberculosis and Diabetes Mellitus patient, and 30 resume cases with Orem Self-Care theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. As a healthcare provider, the resident had applied an evidence-based nursing intervention that has been using chlorhexidine 0,12% in oral hygiene procedure that can prevent Ventilator Associated Pneumonia (VAP). As an innovator, resident had made a modification of one bottle water-sealed drainage that has received good response from the experts to increase patients and employers or healthcare provider safety during the nursing care process.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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Anna Tri Wahyuni
"Praktik klinik residensi keperawatan medikal bedah pada pasien osteomielitis bertujuan untuk mengembangkan dan mengimplementasikan peran perawat spesialis sebagai pemberi asuhan keperawatan profesional, edukator, peneliti, dan pembaharu inovator. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan pendekatan Teori Self Care Orem pada pasien Infected union of left tibia post debridement and bone graft application from iliac wing dan 30 pasien lainnya dengan berbagai gangguan sistem muskuloskeletal. Peran sebagai edukator dan peneliti dilakukan oleh perawat spesialis terhadap pasien dan juga rekan sejawat di tatanan pelayanan rumah sakit. Penerapan EBN (Evidence Based Nursing) yaitu dengan mengaplikasikan intervensi diaphragmatic breathing exercise pada pasien pasca operasi Total Knee Replacement untuk mengurangi nyeri dan kecemasan. Proyek inovasi juga dilakukan sebagai perwujudan peran sebagai pembaharu atau inovator yaitu melalui pelaksanaan berupa Pengkajian Risiko DVT skala Autar dalam rangka meningkatkan kualitas asuhan keperawatan profesional di rumah sakit.

The clinical practice of medical-surgical nursing residency in osteomyelitis patients aims to develop and implement the role of specialist nurses as professional nursing care providers, educators, researchers, and reformers innovators. The role of nursing care provider is carried out using the Orem Self Care Theory approach in patients with infected union of left tibia post debridement and bone graft application from iliac wing and 30 other patients with various musculoskeletal system disorders. The role of educator and researcher is carried out by specialist nurses to patients and also colleagues in hospital service settings. The implementation of EBN (Evidence Based Nursing) is by applying diaphragmatic breathing exercise interventions in postoperative Total Knee Replacement patients to reduce pain and anxiety. Innovation projects are also carried out as a manifestation of the role as a reformer or innovator, namely through the implementation of the Autar scale DVT Risk Assessment in order to improve the quality of professional nursing care in the hospital."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
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Nur Hasyim Auladi
"Proses praktik residensi keperawatan kekhususan respirasi yang dilakukan di RSUP Persahabatan Jakarta diharapkan dapat menerapkan proses asuhan keperawatan profesional dalam mengatasi masalah pernapasan yang dialami pasien. Sewaktu proses pelaksanaan praktik seorang residensi keperawatan dituntut memiliki kemampuan berpikir kritis dalam menerapkan intervensi keperawatan berdasarkan Evidence Base Nursing, mampu menjadi seorang Clinical Care Manajer (CCM) yang bertugas sebagai konsultan keperawatan bagi staf keperawatan maupun berkolaborasi dengan sejawat profesi lainnya dalam memberikan terapi keperawatan. Dalam memberikan asuhan keperawatan profesional pada pasien dengan Timoma Tipe A T1a N0 M0 dan 30 kasus resume keperawatan dengan kasus penyakit paru menggunakan pendekatan teori Self Care Dorothea Orem dapat dilihat bagaimana peran seorang perawat sebagai pemberi asuhan keperawatan membantu individu baik dalam keadaan sehat maupun sakit, melalui usaha individu tersebut melakukan berbagai aktivitas guna mendukung kesehatan dan proses penyembuhan penyakit. Dari hasil analisis praktik yang dilakukan, masalah keperawatan yang sering muncul berkaitan dengan pemenuhan kebutuhan pasien untuk dapat bernapas normal. Pada penerapan EBN berupa pelaksanaan Lotus Potitioning dan Orthopneic Potitioning pada pasien penyakit paru yang mengalami dyspnea diberikan untuk mengatasi masalah keperawatan gangguan pola napas. Pelaksanaan proyek inovasi berupa Bundle Trakeostomi untuk meningkatkan manajemen perawatan pada pasien yang terpasang trakeostomi akan dapat menunjang tatalaksana pencegahan risiko infeksi sehingga dapat mencegah efek samping akibat trakeostomi yang terjadi pada pasien. Hasil analisis praktik residensi keperawatan didapatkan bahwa asuhan keperawatan menggunakan pendekatan teori keperawatan Self Care Dorothea Orem bertujuan untuk membantu dalam proses kemandirian pasien. Penerapan teknik Lotus potitioning dan Orthopneic potitioning dapat membantu menurunkan derajat dyspnea pada pasien dengan penyakit paru. Proyek inovasi dalam meningkatkan kemampuan perawat dalam melakukan perawatan trakeostomi melalui penerapan bundle trakeostomi secara sistematis serta perawat dapat memberikan edukasi terhadap pasien dalam melakukan perawatan trakeostomi secara mandiri.

The nursing residency practice process specialising in respiration carried out at the Friendship Hospital Jakarta is expected to apply the professional nursing care process in overcoming respiratory problems experienced by patients. During the practical implementation process, a nursing residency is required to have the ability to think critically in applying nursing interventions based on Evidence Base Nursing, be able to become a Clinical Care Manager (CCM) who serves as a nursing consultant for nursing staff and collaborates with other professional colleagues in providing nursing therapy. In providing professional nursing care to patients with Thymoma Type A T1a N0 M0 and 30 cases of nursing resumes with lung disease cases using the Dorothea Orem Self Care theory approach, it can be seen how the role of a nurse as a nursing care provider helps individuals both in health and illness, through the efforts of these individuals to carry out various activities to support health and the healing process of the disease. From the results of the practice analysis carried out, nursing problems that often arise are related to fulfilling the patient's need to be able to breathe normally. In the application of EBN in the form of implementing Lotus Potitioning and Orthopneic Potitioning in lung disease patients who experience dyspnea is given to overcome the nursing problem of breathing pattern disorders. The implementation of an innovation project in the form of a Tracheostomy Bundle to improve care management in patients with tracheostomy will be able to support the management of infection risk prevention so as to prevent side effects due to tracheostomy that occur in patients. The results of the analysis of nursing residency practice found that nursing care using the Dorothea Orem Self Care nursing theory approach aims to assist in the process of patient independence. The application of Lotus potitioning and Orthopneic potitioning techniques can help reduce the degree of dyspnea in patients with lung disease. Innovation projects in improving nurses' ability to perform tracheostomy care through the systematic application of tracheostomy bundles and nurses can provide education to patients in performing tracheostomy care independently."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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Dedeh Komalawati
"Kanker paru merupakan penyakit kanker yang paling mematikan dan sering terjadi pada laki-laki. Dalam melakukan asuhan keperawatan kanker perlu dilakukan pendekatan teori. Karya ilmiah akhir yang dibuat saat melakukan residensi keperawatan medikal bedah kekhususan onkologi dilakukan di rumah sakit kanker Dharmais Jakarta meliputi analisis residensi kanker paru dengan pendekatan teori Self Care Orem, penerapan Evidence Based Nursing efektifitas pemberian aromaterapi lavender fleur oil terhadap penurunan kecemasan pada pasien kanker payudara yang akan dilakukan pembedahan dan kegiatan proyek inovasi tentang format pengkjian khusus pada luka kanker dengan menggunakan Malignant Wound Assesment Tools MWAT. Kesimpulan teori Self Care Orem mampu dilakukan pada pasien kanker paru. Intervensi lavender fleur oil dapat menurunkan kecemasan sembelum dilakuakan pembedahan payudara dan format pengkajian MWAT dapat diterapkan dalam pengkajian pasien dengan luka kanker.

Lung Cancer is the most deadly cancers, and often occurs in men. In doing cancer nursing care necessary theoretical approach. The scientific work of late made while doing a residency medical surgical nursing specificity oncology conducted in a cancer hospital Dharmais Jakarta include analysis residency lung cancer with the theoretical approach of Self Care Orem, application of Evidence Based Nursing effectiveness of aromatherapy lavender fleur oil to decrease anxiety in patients with breast cancer will do the surgery and about the innovation project activity pengkjian format specifically on cancer by using Malignant wounds wound Assessment Tools MWAT. Conclusions Self Care Orem theory capable performed in patients with lung cancer. Intervention fleur lavender oil can reduce anxiety sembelum dilakuakan breast surgery and format MWAT assessment can be applied in the assessment of patients with cancer sores.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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Ria Desnita
"ABSTRAK
Karya ilmiah akhir KIA merupakan analisis laporan praktik residensi keperawatan medikal bedah yang terdiri dari pengelolaan kasus gangguan sistem perkemihan dengan pendekatan teori Self Care Orem, penerapan evidence based nursing berupa pemijatan pada titik LI-4 untuk mengurangi nyeri kanulasi arteriovenous AV fistula dan melakukan proyek inovasi kelompok berupa tentang seminar sosialisasi konseling dan konselor keperawatan pada pasien gagal ginjal terminal. Pendekatan teori Self Care Orem meyakini bahwa perawatan diri pasien merupakan sesuatu yang dapat dipelajari dengan melibatkan kemampuan yang ada pasien sesuai kondisi penyakitnya. Pemijatan pada titik LI-4 efektif dalam mengurangi nyeri kanulasi AV-fistula pada pasien hemodialisis, mudah diaplikasikan dan tanpa efek samping sehingga dapat diaplikasikan perawat sebagai intervensi manajemen nyeri non farmakologis untuk mengurangi nyeri kanulasi AV-fistula. Seminar sosialisasi tentang konseling dan konselor keperawatan dapat meningkatkan pengetahuan dan motivasi dari perawat untuk mengembangkan diri dalam memberikan konseling kepada pasien gagal ginjal terminal.

ABSTRACT
This final paper is an analysis report of residency medical surgical nursing practice consisting of case management of urinary system disorder with Orem Self Care approach, application of evidence based nursing using massage at LI 4 point to reduce pain in AV fistula cannulation, innovation projects on seminars about socialization of counseling and nursing counselors in end stage renal disease patients. The Orem self care approach believes that self care is something that can be learned by involving the patients existing abilities based on his illness. Massage at LI 4 point is effective to reduce pain of AV fistula cannulation in hemodialysis patients, easy to apply and without side effects, so it can applied by nurses as nonpharmacologic pain management interventions to reduce pain in AV fistula cannulation. Seminars about counseling and nursing counselors can improve the knowledge and motivation of nurses to provide a counseling to end stage renal disease patients."
2017
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Vina
"Professionalime ilmu keperawatan adalah bagian disiplin ilmu keperawatan sampai dengan keperawatan sub spesialisasi dimana perawat spesialis sebagai seorang perawat yang dipersiapkan melampaui level seorang perawat generalis yang berwenang untuk praktek sebagai spesialis dengan keahlian dalam cabang bidang keperawatan. Ners spesialis keperawatan medikal bedah dengan peminatan muskuloskletal berperan dalam perawatan kekhususan masalah dan kasus kelolaan yang berkaitan dengan orthopedi atau muskuloskletal. Tujuan utama memberikan asuhan keperawatan secara komprehensif pada pasien kasus Spinal Cord Injury dengan trauma melalui pendekatan keperawatan model teori self-care Orem. Asuhan berupa pengelolaan 1 kasus kelolaan uatam dan 30 resume yang terdiri 3 bagian kasus besar yaitu kasus Spine, ekstremitas atas, dan ekstremitas atas dengan menggunakan teori model keperawatan Self-Care Orem yang menekankan tentang kebutuhan perawatan diri. Pencegahan terjadinya luka tekan dengan pemberian Aloe vera gel sebagai bagian dari tindakan mandiri keperawatan berdasarkan bukti penelitian ilmiah. Proyek inovasi berupa pengkajian resiko DVT dengan menggunakan Autar Scale adalah bentuk pengembangan dari intervensi keperawatan untuk pencegahan resiko terjadinya DVT pada pasien dengan kasus muskuloskletal. Tujuan seluruh kegiatan yang dilakukan selama kegiatan residensi adalah mewujudkan asuhan keperawatan yang komprehensif berdasarkan bukti ilmiah terkini.

Professional expertise is part of the discipline of expertise up to sub-specialization where specialist nurses as nurses who are prepared go beyond the level of a generalist nurse who is classified to practice as a specialist with expertise in their field of expertise. Medical surgeon specialist nurses with specialization in musculoskeletal play a role in treating specific problems and managing cases related to orthopedics or musculoskeletal issues. The main goal is to provide comprehensive care assistance to patients with spinal cord injury cases with trauma through the Orem self-care model of therapy. The care is in the form of managing 1 main case and 30 resumes consisting of 3 major case sections namely the Spine, upper extremity and upper extremity cases using a theoretical model including Orem's Self Care who is depressed about the need for self-care. Prevention of pressure sores by administering Aloe Vera Gel as part of an independent act of kindness based on scientific research evidence. The innovation project in the form of DVT risk assessment using the Autar Scale is a form of developing interventions to prevent the risk of DVT in patients with musculoskeletal cases. The aim of all activities carried out during the residency activities is to realize comprehensive group care based on the latest scientific evidence."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
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Kustiyuwati
"Residensi keperawatan medikal bedah dilaksanakan selama mengikuti program spesialis keperawatan medikal bedah dengan menerapkan asuhan keperawatan pada pasien dengan gangguan sistem perkemihan. Teori keperawatan yang digunakan adalah teori self care Orem yang merupakan suatu pendekatan dinamis dimana perawat bertugas mengembangkan kemampuan pasien dan keluarga untuk memenuhi kebutuhan self care pasien.
Masalah keperawatan utama pada pasien dengan gangguan sistem perkemihan adalah kelebihan volume cairan, ketidakseimbangan nutrisi: kurang dari kebutuhan tubuh, ketidakpatuhan, kelemahan dan cemas. Perencanaan diberikan berdasarkan tingkat ketergantungan pasien meliputi: bantuan seluruhnya, bantuan sebagian dan support edukasi.
Evaluasi keperawatan berfokus pada kemampuan pasien untuk mempertahankan kebutuhan self care, kemampuan untuk mengatasi deficit self care dan sampai sejauhmana perkembangan kemandirian pasien, serta kemampuan keluarga dalam memberikan bantuan self care jika pasien tidak mampu. Pelaksanaan evidence based nursing practice berupa penerapan intervensi edukasi dalam merencanakan inisiasi dialisis pada pasien penyakit ginjal kronik.
Dari 11 pasien yang diberikan edukasi terdapat 7 pasien (63,6%) menerima yang terdiri dari 5 pasien menjalankan inisasi dialisis karena sudah ada indikasi untuk inisiasi dialisis, dan 2 pasien akan mengikuti pengobatan secara teratur dan menjalankan perilaku hidup sehat. Sedangkan 4 pasien (36,4%) menolak walaupun sudah ada indikasi untuk inisiasi dialisis. Kegiatan inovasi adalah mengembangkan media edukasi berupa leaflet, booklet dan video untuk merencanakan inisiasi dialisis pada pasien penyakit ginjal kronik.

Medical surgical nursing residency program implemented during specialist medical surgical nursing care focuses on patient with urinary system disorders. Nursing theory using self care Orem theory which is a dynamic approach in which the nurse on duty to develop the ability of the patient and the family to meet the needs of the patient's self care.
Major nursing problems in patients with the urinary system disorders are excess fluid volume, imbalance nutrition: less than body requirements, non compliance, weakness and anxiety. Planning is given based on the patient is level of dependence include the wholly compensatory nursing system, partially compensatory nursing system and support educative compensatory.
Evaluation of nursing focuses on the patient's ability to over come self care deficit and the extent to which development of patient autonomy and the ability to overcome self care deficit and the ability of families to provide assistance in self care if the patient is incapacitated. Implementation of evidence based nursing practice is the application of education on chronic kidney disease patient's plans to initiate dialysis.
The results obtained from 11 patients who were given education, there were 7 patients (63,6%) received consisting of 5 patient's plans to initiate dialysis because already an indication for initiate dialysis and 2 patients will follow the treatment regularly and implement healthy behavior. Whereas 4 patients (36,4%) refused although there has been an indication for initiate dialysis. Innovation activities was to develop educational media such as leaflets, booklets and videos on chronic kidney disease patient's plans to initiate dialysis.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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