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"Nyeri merupakan keluhan utama yang terjadi pada pasien pascapembedahan. Manajemen nyeri yang tidak efektif akan mempengaruhi kualitas pelayanan rumah sakit. Hal ini merupakan tantangan bagi rumah sakit untuk mempertahankan pencapaian kualitas pelayanan yang paripurna. Penelitian ini bertujuan untuk mengetahui hasil evaluasi manajemen nyeri terhadap pasien pascapembedahan. Metode penelitian ini adalah cross sectional yang dilakukan dengan melibatkan 96 pasien pascapembedahan selama bulan Juni 2017. Kuesioner American Pain Society Patient Outcome Questionnaire Revised APSPOQR yang dimodifikasi Cronbach ?=0,720 digunakan untuk mengkaji pengalaman nyeri pasien. Kejadian nyeri pada pasien pascapembedahan adalah 86,5. Intensitas nyeri pada skala 1-10, terendah rata-rata pada skala 2,27, terberat rata-rata pada skala 4,35 ; dan berkurang dalam 24jam pertama sebesar 67,6. Pengaruh nyeri terhadap aktivitas, istirahat dan mood: ringan le;3,47 dari skala 1-10 ; efek samping obat: ringan le;1,54 dari skala 1-10 ; partisipasi dan kepuasan pasien dalam pengobatan berturut-turut 7,59 dan 7,92 dari skala 1-10 ; besar informasi pengobatan nyeri dapat membantu 7,01 dari skala 1-10 ; penggunaan manajemen nonfarmakologi sebesar 70,8.

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Pain is a major problem post operative patients. Ineffective pain management may affect the quality of health care services in hospital. Thus, hospital management should address this challenge to provide better quality service. This study aimed to evaluate pain management given in post operative patients. The method of this study was a cross sectional study involving 96 post operative patients during June 2017. The modified American Pain Society Patient Outcome Questionnaire Revised APSPOQR Cronbach 0,720 was used to assess the patient 39 s pain experience. The incidence of pain in post operative patients was 86.5 In the first 24 hours, the pain was decreased 67.6 On a scale of 1 10, lowest pain 2.27, severe pain 4.35 the impact of pain on activity, sleep and emotion mild le 3,47 side effects of treatment mild le 1,54 ability to participate in pain treatment 7.59 Pain treatment information may be helpful 7.01 Patient satisfaction 7,92 use of nonpharmacological strategies 72,9."

"Timbang terima adalah salah satu bentuk komunikasi antar profesi dan merupakan kegiatan rutin yang dilakukan perawat untuk menyampaikan informasi tentang kondisi pasien. Komunikasi dengan alur Situation, Background, Assessment, Recommendation (SBAR) adalah salah satu metode komunikasi efektif yang jelas, fokus, dan terstruktur.Tujuan penelitian adalah untuk mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan, desain penelitian dengan pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift (n= 17), analisis data dengan uji t berpasangan dan uji Wilcoxon.Ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p value < 0,001), ada perbedaan yang bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p value < 0,001). Efektifitas pelaksanaan komunikasi SBAR perlu dukungan dari pihak manajerial dan komitment perawat, dengan adanya pedoman komunikasi efektif dengan metode SBAR, motivasi, mentoring, dan supervisi, serta pengembangan pendidikan yang berkelanjutan.

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Handover is a form of communication among the professions as routine activities carried out by the nurses to give information about the patient's condition. Communication with the groove Situation, Background, Assessment, Recommendation (SBAR) is one of the effective clear, focused and structured communication method.The objective of this research is to identify differences in the knowledge and ability of nurses after training, research design with preexperiment with pre-post without a control group, the study sample whole Nurses Primary and responsible shift (n = 17), data analysis with paired t test and Wilcoxon test.There is a significant difference in the average nurse's knowledge before and after training (p value <0.001), and there is a significant difference means the ability of nurses before and after training SBAR communication in shifts handover (p value <0.001). Effective implementation of the SBAR communication needs of the managerial support and commitment of nurses, with the guidance effective methods SBAR communication, motivation, mentoring, and supervision, as well as the development of continuing education."

"Kegiatan serah terima pasien pada setiap pergantian tugas jaga perawat merupakan unsur manajemen dalam pelayanan keperawatan. Tujuan penelitian adalah mengidentifikasi hubungan persepsi perawat pelaksana tentang fungsi pengawasan kepala ruang dan pelaksanaan serah terima pasien di RSUD Gunung Jati Cirebon. Metode survei analitik dengan pendekatan cross sectional dilakukan pada 138 orang perawat pelaksana yang bertugas di instalasi rawat inap. Hasil menunjukkan bahwa persepsi perawat pelaksana tentang fungsi pengawasan pelaksanaan serah terima pasien kurang baik. Evaluasi terhadap fungsi pengawasan kepala ruang pada pelaksanaan serah terima yang dilakukan perawat disarankan. Penelitian tentang pelaksanaan serah terima pasien berdasarkan observasi dengan menggunakan interrater reliabiliti direkomendasikan.

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The activities of patients handover is an essential element in the management of nursing services. The objective is to identify influence of nurses' perception to the supervisory function of executive head nurse and implementation of patients' handover at Gunung Jati hospital Cirebon. An analytical survey method applied on 138 nurses at inpatient installation. It showed supervisory function of executive head nurse was poor as well as implementation of patients' handover. Evaluation to executive head nurse function and implementation of handover were suggested. Research on the implementation of the patients' handover that based on observations using inter rater reliability was recommended."

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Pasien anak sakit kritis yang memakai ventilasi mekanik maupun tidak, membutuhkan obat penenang dan atau analgesik untuk mengurangi kecemasan atau rasa sakit. Perawat memiliki peranan penting dalam penilaian sedasi secara kontinu, perawat bertanggung jawab memantau tingkat sedasi pasien sehingga mampu melaporkan status sedasi pasien secara tepat. Studi literatur ini bertujuan untuk meninjau lebih lanjut validitas dan reliabilitas instrumen Comfort Behaviour Scale. Pencarian literatur dilakukan dengan memanfaatkan platform publikasi internet periode studi 2011-2020 melalui Scopus, Proquest, Wiley Online library, serta sumber tambahan dari Researchgate dengan kata kunci pain assessment, COMFORT Behaviour Scale, sedation, children, PICU. Hasil studi literatur ini menunjukkan berbagai penelitian di beberapa negara dan instrumen Comfort Behaviour Scale terbukti valid dan reliabel digunakan dalam mengukur tingkat sedasi anak sakit kritis. Perawat disarankan menggunakan instrumen ini dalam manajemen nyeri dan sedasi yang komprehensif.

 

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Critically ill pediatric patients induced with or without mechanical ventilation need sedatives or analgesics to reduce their anxiety or pain. Nurses have an important role to asses sedation continuously and responsible to monitor patients sedation level, in order to record the patients sedation status appropriately. This literature study aims to profoundly review the validity and reliability of the Comfort Behavior Scale instrument. The literature research is carried out by utilizing the internet publication platform from 2011 to 2020 through Scopus, Proquest, Wiley Online library, as well as additional resources from Researchgate with the keywords pain assessment, COMFORT Behavior Scale, sedation, children and PICU. The results of this literature study show various studies in several countries have proven the validity and reliability of Comfort Behavior Scale instrument as the instrument to measure the sedation level of critically ill children. Nurses are considered to utilize this instrument in pain management and in conducting comprehensive sedation

 

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"[ABSTRAKNyeri pembedahan menimbulkan cemas, takut dan perubahan perilaku maladaptif anak. Perlu asuhan keperawatan berkualitas dalam mengatasi nyeri anak. Karya ilmiah akhir bertujuan menggambarkan aplikasi comfort theory Kolcaba dalam memberikan asuhan keperawatan pasien pasca bedah yang mengalami nyeri. Intervensi ditentukan berdasarkan comfort theory yaitu mengukur skala nyeri, memberikan posisi nyaman, memberikan madu, mengajarkan keluarga manajemen nyeri serta memberikan reinforcement positif keterlibatan keluarga dalam perawatan. Evaluasi hasil menunjukkan aplikasi comfort theory dalam keperawatan perlu ditunjang faktor-faktor lain seperti kondisi pasien, lingkungan dan tim pelayanan kesehatan dalam mencegah dan mengatasi nyeri. Rekomendasi karya ilmiah ini adalah teori keperawatan sebaiknya diaplikasikan dalam asuhan keperawatan.

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ABSTRACTSurgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care., Surgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care.]"

"Resiko perilaku kekerasan merupakan respon seseorang terhadap stressor dan orang tersebut bersiko melakukan tindakan kekerasan baik pada diri sendiri, orang lain maupun lingkungan. Pasien Ny.I berusia 43 tahun dengan diagnosis resiko perilaku kekerasan diberikan intervensi keperawatan selama tujuh hari. Tujuan laporan kasus ini adalah untuk menganalisis asuhan keperawatan resiko perilaku kekerasan pada Ny.I. Intervensi keperawatan berfokus pada latihan kombinasi tarik nafas dalam dengan kegiatan spiritual (berdzikir). Hasil yang didapatkan yaitu terjadi penurunan tanda gejala perilaku kekerasan yaitu dari 28 tanda dan gejala turun menjadi hanya satu tanda gejala perilaku kekerasan. Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan yaitu dengan cara melibatkan keluarga pasien.  

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Risk of violent behavior is a persons response to a stressor where the person is at risk of committing violence to themselves, others or even the environment. Mrs.I, a 43-year-old patient with a risk of violent behavior diagnose was given a nursing intervention for seven days. The purpose of this case report is to analyze the risk of violent behavior nursing care in Mrs.I. This nursing intervention focuses on the combination of deep breath with spiritual activities (dhikr). The results obtained were a decrease in signs and symptoms of violent behavior from 28 signs and symptoms down to only one sign of symptoms of violent behavior. The planned follow-up of nursing intervention is expected to be maximized by involving the patients family.  "

"[ABSTRAKPrevalensi pasien dengan gangguan sistem kardiovaskular semakin meningkat. Perawat diharapkan memiliki kontribusi dalam penanganan pasien dengan gangguan sistem kardiovaskular dengan menjalankan peran sebagai pemberi asuhan, pendidik, peneliti dan inovator. Praktik residensi spesialis keperawatan medical bedah yang telah dilaksanakan selama 1 tahun (2 semester) bertujuan untuk melakukan penerapan dan pendalaman pada peran-peran tersebut dengan pendekatan model 14 pemenuhan kebutuhan dasar manusia Virginia Henderson. Peran sebagai pemberi asuhan diterapkan pada 30 pasien dengan berbagai gangguan kardiovaskular dan satu pasien kasus kelolaan utama dengan NSTEMI. Peran sebagai pendidik dijalankan dengan pembimbingan perawat sejawat dan mahasiswa keperawatan. Peran sebagai peneliti dijalankan dengan menerapkan tindakan keperawatan berbasis pembuktian ilmiah (evidence-based nursing) yaitu tindakan dukungan sosial keluarga dan intimasi untuk menurun tingkat persepsi nyeri pada pasien infark miokard. Peran sebagai inovator dijalankan dengan menerapkan pengembangan media edukasi pada pasien dengan alat kesehatan yang dipasang dalam tubuh. Hasil analisis praktik menunjukan bahwa 14 KDM Henderson efektif digunakan sebagai pendekatan dalam asuhan keperawatan pada pasien dengan gangguan sistem kardiovaskular. Penerapan tindakan dukungan keluarga dan intimasi efektif dalam penurunan tingkat persepsi nyeri pasien infark miokard. Media edukasi berupa leaflet dapat meningkatkan pemahaman pasien dengan alat medis yang terpasang dalam tubuhnya.

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ABSTRACTThe prevalence of patients with cardiovascular disorders is increasing. Nurses are expected to contribute on management of patients with cardiovascular disorders by running their roles as a care giver, educator, researcher and innovator. Residency clinical practice of medical-surgical nursing specialist had been carried out for 1 year (2 semesters) and aimed to implement and explore these roles with 14 Basic Human Needs Virginia Henderson Model approach. The role as a care giver was applied to 30 patient with various cardiovascular disorders and a patient with NSTEMI as the primary case. The role as an educator was performed by educating patients, nurses, and nursing students. The role as a researcher was carried out by applying the evidence-based nursing, Family Social Support and Intimacy to Pain Perception on Patient with Acute Miocard Infarc. The role as an innovator was executed by applying the development of educational media in patients with medical devices implantated in the body. The analysis showed that the 14 basic human needs can be applied effectively in nursing care for patient with cardiovascular diseases. Social support and intimacy as effective to decrease pain perception on patient with myocardial infarction. In addition Media education in the form of leaflets can improve understanding of a patient with a medical instrument implantated in his body., The prevalence of patients with cardiovascular disorders is increasing. Nurses are expected to contribute on management of patients with cardiovascular disorders by running their roles as a care giver, educator, researcher and innovator. Residency clinical practice of medical-surgical nursing specialist had been carried out for 1 year (2 semesters) and aimed to implement and explore these roles with 14 Basic Human Needs Virginia Henderson Model approach. The role as a care giver was applied to 30 patient with various cardiovascular disorders and a patient with NSTEMI as the primary case. The role as an educator was performed by educating patients, nurses, and nursing students. The role as a researcher was carried out by applying the evidence-based nursing, Family Social Support and Intimacy to Pain Perception on Patient with Acute Miocard Infarc. The role as an innovator was executed by applying the development of educational media in patients with medical devices implantated in the body. The analysis showed that the 14 basic human needs can be applied effectively in nursing care for patient with cardiovascular diseases. Social support and intimacy as effective to decrease pain perception on patient with myocardial infarction. In addition Media education in the form of leaflets can improve understanding of a patient with a medical instrument implantated in his body.]"

"[ABSTRAKGangguan pada sistem endokrin merupakan masalah kesehatan yang cukup tinggi di Indonesia, khususnya Diabetes Melitus (DM) tipe 2 dengan prevalensinya mencapai 2,1% dari total penduduk, dengan 60% dari total prevalensi adalah kasus neuropati. Kadar glukosa darah yang tidak terkontrol menyebabkan tingginya kejadian komplikasi DM baik akut maupun kronis. Pencegahan komplikasi tersebut memerlukan penanganan yang tepat dari berbagai multidisiplin ilmu, salahsatunya adalah peran perawat ners spesialis medikal bedah kekhususan endokrin sebagai praktisi keperawaan untuk ikut memberikan asuhan melalui berbagai pendekatan teori keperawatan seperti penerapan model adaptasi Roy secara holistik menggunakan pengkajian perilaku dan stimulus sehingga tercapai perilaku adaptif. Selain itu penerapan praktek keperawatan berbasis pembuktian ilmiah (evidence based nursing) seperti senam kaki diabetes dapat menjadi acuan intervensi dalam mencegah terjadinya polineuropati dan komplikasi lanjut seperti ulkus diabetik. Sebagai agen pembaharu/inovator, perawat spesialis juga membuat inovasi tentang self health assesment dan booklet sahabat diabetes bagi para diabetesi untuk meningkatkan promosi kesehatan terhadap pengelolaan dan penatalaksanaan DM.

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ABSTRACTDisorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes., Disorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes.]"