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"Pendekatan teori keperawatan Model Sistem Betty Neuman (MSBN) digunakan pada praktik residensi Keperawatan Medikal Bedah ini dalam penerapan asuhan keperawatan pasien dengan ACS dengan tindakan PCI. Betty Neuman melihat bahwa manusia dalam hal ini pasien secara holistik terdiri dari faktor fisiologis, psikologis, sosial budaya, faktor perkembangan serta faktor spiritual. Perawat sebagai spesialis KMB seharusnya menjalankan peran sebagai pemberi asuhan keperawatan, pendidik, peneliti dan sebagai inovator. Teori MSBN digunakan sebagai pendekatan penyelesaian masalah 30 (tiga puluh) kasus yang dibuat dalam bentuk resume, meliputi kasus STEMI, NSTEMI, UAP, CHF/ ADHF karena masalah katup, Post/Pre-CABG. Peran perawat spesialis sebagai pemberi asuhan diterapkan Residen pada pasien dengan ACS dengan PCI. Perawat dalam pelayanan keperawatan dibantu untuk menilaii stressor pasien dan diberi pedoman untuk melakukan intervensi mengatasinya. Model ini dapat juga dimanfaatkan dalam pendidikan, penelitian serta manajemen keperawatan. Prinsip etis, legal dan pendekatan humanistik digunakan dalam penerapan teori MSBN ini. Peran perawat spesialis sebagai peneliti diterapkan Residen dengan melakukan EBNP back-rub untuk membuktikan bahwa back-rub dapat menurunkan tingkat kecemasan dan meningkatkan rasa nyaman pasien pre-coronary angiography. Inovasi yang dilakukan Residen adalah mengembangkan leaflet sebagai media edukasi alat-alat medis meliputi 4 (empat) materi: PPM, TEVAR, Katup Buatan dan Stent, untuk meningkatkan pengetahuan pasien sehingga pasien dapat bekerjasama dalam perawatan dirinya.

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The Neuman Systems Model of the nursing theory approach is used in this recidential practice of Surgical Medical Nursing on the nursing care for ACS patient with PCI intervention. Betty Neuman saw that human in this case patients, holistically consist of physiological, psychological, social cultural, developmental and spiritual factors. Nurses as Surgical Medical Nursing Specialist should play the role of nursing care practitioner, educator, researcher and innovator.

The theory of the Neuman Systems Model was used, as an approach for problem solving in 30 cases which was made in form of resume consisting of cases of STEMI, NSTEMI, UAP, CHF/ ADHF with valve problem, Post/Pre-CABG with PCI intervention. The role of specialist nurses as nursing care practitioners is applied by Resident on patients with ACS, intervened with PCI. Nurses in bursing care are guided by this theory to determine patients? stressor and to conduct appropriate interventions. The theory can also be benefecial in education, research and nursing management. Ethical, legal principal and humanistic approach are used in the application of the Neuman Systems Model.

The role of specialist nurses as researchers is applied by the Resident by conducting EBNP back-rub intervention as approval in lowering the level of anxiety and increasing the comfort on patients before coronary angiography. Innovation completed by the Resident was developing leaflets as educational media about using medical devices including PPM, TEVAR/EVAR, artificial valve and Stent, improving patients? knowledge, as to be co-operative on how to take care of themselves."

"[ABSTRAKPraktik Spesialis Keperawatan Medikal Bedah Kekhususan Respirasi di RSUP Persahabatan Jakarta bertujuan untuk mengaplikasikan peranners spesialis da1am mengelola pasien dengan gangguan sistem respirasi melalui pendekatan Model Adaptasi Roy (MAR). Seorang ners spesialis memiliki target memberikan asuhan keperawatan sebanyak 30 pasien sebagai resume dan 1 pasien sebagai laporan kelolaan utama pada pasien kanker paro. Peran ners spesialis juga menerapkan tindakan keperawatan berbasis bukti ilmiah (evidence based musing practice) dengan memberikan latihan progressive muscle relaclation (PMR) dalam mengontrol breathlessness pada pasien kanker peru, Selain itu ners spesialis sebagai pembaharu melakukan inovasi Water Seal Drainoge (WSD) Pionir 1 botol, etas dasar aspek estetika, quality and safety guna meningkatkan kualitas pelayanan keperawatan dan rumah sakit. Hasil praktik menunjukkan bahwa MAR. Efektif digunakan pada pasien dengan gangguan sistem respirasi dan PMR memiliki kecenderungan mengon1ro1 breathlessness pada pasien kanker pam dan kegiatan inovasi mendapat respon positif dari pibak rumah sakit untuk menjadi agenda penelitian bersama.

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ABSTRACTSurgical Nursing Residency Practice in Respiratory Speciality aims to apply of nurse specialist in caring and supervising respiratory disorders patients through Roy Adaptation Model (RAM) approach at Persahabatan Hospital Jakarta. A nurse specialist has a target to give nursing care to thirty patients as resume and one lung cancer case as primary patient. The other role of nurse specialist is implementing evidence based nursing practice by providing Progressive Muscle Relactation (PMR) exercise in terms of controlling breathlessness especially to lung cancer patient. Furthermore, the other role of nurse specialist is to be an innovator and a change agent on Water Seal Drainage (WSD) Pioneer program based on aesthetic, quality, and safety aspect in order to improve nursing and hospital services. The result shows that RAM is effective to respiratory disorders patients and PMR tends to control breathlessness of lung cancerpatients. Conclusion, this innovative activity gels a positive response from the hospital to be a joint researchagenda., Surgical Nursing Residency Practice in Respiratory Speciality aims to apply of nurse specialist in caring and supervising respiratory disorders patients through Roy Adaptation Model (RAM) approach at Persahabatan Hospital Jakarta. A nurse specialist has a target to give nursing care to thirty patients as resume and one lung cancer case as primary patient. The other role of nurse specialist is implementing evidence based nursing practice by providing Progressive Muscle Relactation (PMR) exercise in terms of controlling breathlessness especially to lung cancer patient. Furthermore, the other role of nurse specialist is to be an innovator and a change agent on Water Seal Drainage (WSD) Pioneer program based on aesthetic, quality, and safety aspect in order to improve nursing and hospital services. The result shows that RAM is effective to respiratory disorders patients and PMR tends to control breathlessness of lung cancerpatients. Conclusion, this innovative activity gels a positive response from the hospital to be a joint researchagenda.]"

"Dampak dari penyakit kardiovaskular tidak hanya dirasakan oleh individu namun juga secara global. Pencegahan dan pengawasan perlu dilakukan untuk menurunkan beban yang dihadapi akibat penyakit kardiovaskular dengan pendekatan populasi dan individu. Perawat memiliki peran penting dalam hal promotif, preventif, dan rehabilitatif. Residen mengelola 31 kasus dengan menggunakan pendekatan teori Care, Core, dan Cure dalam memberikan asuhan keperawatan pada pasien dengan gangguan kardiovaskular sebagai cerminan dari peran ners spesialis sebagai pemberi pelayanan dan pendidik. Peran ners spesialis sebagai peneliti dijalani oleh residen dalam menerapkan tindakan keperawatan yang berbasis bukti atau Evidence Based Nurisng EBN berupa pengukuran keterlibatan pasien dengan Patient Activation Measure PAM. Sebagai inovator dan pemimpin kelompok, residen mengembangkan proyek membuat format perencanaan pemulangan pasien dengan pendekatan lima model.

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The impact of cardiovascular disease is not only felt by individuals but also globally. Prevention and supervision have to do to reduce the cardiovascular disease burden by population and individual approach. Nurses have an important role in promotive, preventive, and rehabilitative. Resident manages 31 cases using Care, Core, and Cure theory approaches in providing nursing care to patients with cardiovascular disease as a reflection of the role of specialist ners as service providers and educators. The role of a specialist ners as a researcher is undertaken by the resident in implementing Evidence Based Nursing EBN by measuring patient engagement with Patient Activation Measure PAM . As an innovator and community leader, the resident developed the project to make a discharge planning format using a five model approach."