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Abstrak :
Pelayanan kesehatan yang berbasis masyarakat harus terus dikembangkan mengingat saat ini masih terbatasnya jumlah perawat jiwa yang dapat memenuhi kebutuhan akan pelayanan kesehatan jiwa bagi masyarakat. Pemberdayaan masyarakat yang dapat dilakukan salah satunya adalah dengan membentuk kader kesehatan jiwa. Tujuan penelitian ini untuk mengetahui gambaran pengalaman kader kesehatan jiwa dalam menjalankan perannya. Desain yang digunakan adalah kualitatif deskriptif. Jumlah partisipan penelitian sebanyak 8 orang yang diambil menggunakan teknik purposive sampling. Hasil penelitian mengidentifikasi enam tema: dampak peran kader kesehatan jiwa dalam pencapaian aktualisasi diri, tugas kkj dalam pencapaian derajat keswa masyarakat, peningkatan persepsi diri yang positif, kendala pencapaian derajat keswa masyarakat, motivasi pencapaian derajat keswa masyarakat, dan dukungan pencapaian derajat keswa masyarakat yang diharapkan. Direkomendasikan untuk meningkatkan pemberdayaan kader kesehatan jiwa dalam memberikan pelayanan kesehatan jiwa pada masyarakat.

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Community-based health services should continue to be developed considering the still limited number of nurses to meet the needs will mental health services for the community. Empowering communities to do one is to form a social of mental health worker. The purpose of this study was to describe the experience of social mental health workers in carrying out its role. The design used is descriptive qualitative. The number of study participants as many as 8 people were taken using purposive sampling technique. The results identified six themes: the benefits of the role of social mental health workers, cadres assessment activities, increased positive self perceptions, challenging social mental health workers, cadres motivation to perform their role, expectation and support to social mental health worker. The recommend to enhance the understanding and skills of mental health cadres in providing mental health services to the community as a refresher cadres, as well as other training related to mental health care.

Abstrak :
Disertasi ini membahas tentang Model Adaptasi Psikologis Keperawatan Jiwa bagi Perawat Survivor yang Mengalami Post Traumatic Stress Syndrome (PTSS) Pasca Bencana Gempa Bumi di Kabupaten Tasikmalaya. Penelitian ini menggunakanoperational research, yang terdiri dari 3 tahap: 1) tahap I: identifikasi masalah melalui wawancara mendalam; 2) tahap 2: pengembangan model merupakan hasil integrasi tahap I, studi literatur dan seminar pakar; dan 3) tahap 3: validasi model yaitu ujicoba model. Hasil penelitian didapatkan: 1)tahap I terdapat 5 tema; 2) tahap II dihasilkan model adaptasi psikologis keperawatan jiwa bagi perawat survivor, alat uji model yaitu modul penanganan PTSS dan instrumen pengukuran kemampuan perawat survivor; dan 3) tahap III terdapat peningkatan kemampuan perawat survivor yang meliputi analisis kesadaran diri, komunikasi, mekanisme koping, dan motivasi intrinsik setelah mendapatkan intervensi penanganan PTSS. Rekomendasi: 1) modul ini dapat digunakan bagi perawat survivor baik yang mengalami PTSS maupun tidak serta dapat digunakan untuk menolong diri sendiri dan orang lain; 2) model adaptasi psikologis Keperawatan Jiwa bagi perawat survivor bisa digunakan untuk dasar pengembangan teori Keperawatan aspek budaya dan spiritual; 3) model dan modul perlu dijadikan acuan bagi organisasi profesi perawat guna penyusunan standar dan position statement perlindungan perawat kepada pemerintah; 4) modul ini bisa digunakan lembaga swadaya masyarakat, asosiasi, institusi pelayanan kesehatan dan organisasi lainnya untuk melakukan pelatihan, workshop, seminar dan lainnya; dan 5) penelitian lanjut dengan metodologi kualitatif (aspek budaya dan spiritual) dan kuantitatif (quasi experimental pre-post test with control group). ......This dissertation was concerned about the Psychiatric Nursing Psychological Adaptation Model for Nurse Survivor Experiencing Post Traumatic Stress Syndrome After Earthquake in Tasikmalaya District. This study utilized the operational research consisted of 3 (three) phases: 1) first phase: identification of problems through in-depth interview; second phase:development of model based on integration of base line data generated from the first phase of this research, literature study and the expert seminar; and third phase: validation of model by trying out the model. The results ofthe first phase of this study revealed 5 themes; second phase was found the psychiatric nursing psychological adaptation model for nurse survivor, tried out instrument of model, module for the use of tried outmodel in handling PTSS and instrument used to measure the capacity of nurse survivor, and; third phase has shown the improvement of nurse survivor capability covering the self-awareness analysis, communication or interaction, coping mechanisms, and intrinsic motivation after receiving the PTSS treatment intervention. Recommendations: 1) This module could be used for either nursesurvivor having experience on PTSS or not having experience on PTSS, as well as for helping themselves and others, 2)the psychiatric nursing psychological adaptation model for nurse survivor could be utilized as the basis for nursing theory development focusing on cultural and spiritual aspect; 3) model and module need to be developed as a reference for nursing professional association to establish the standards; 4) this module can be used by non-governmental organizations, associations, health care institutions and other organizations for training, workshops, seminars and other and; 5) further qualitative research on cultural and spiritual aspects and quantitative methodologies (quasi experimental pre-post test with control group) were recommended.