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Abstrak :
[ABSTRAK
Asuhan keperawatan bayi baru lahir yang berpusat pada keluarga (family-centered care/ FCC) telah diketahui manfaatnya terhadap ibu dan bayi, walaupun demikian belum semua rumah sakit menerapkan prinsip tersebut. Penelitian ini bertujuan mendapatkan gambaran pengalaman orang tua menerima asuhan keperawatan yang berpusat pada keluarga ketika bayinya dirawat di NICU. Desain penelitian kualitatif dengan pendekatan fenomenologi dilakukan dengan wawancara mendalam terhadap sembilan partisipan yang diambil melalui purposive sampling. Analisis data dengan metode Colaizzi menghasilkan empat tema, yaitu orangtua: berperan serta aktif dalam perawatan bayinya, mendapat informasi program pengobatan dan perkembangan kesehatan bayinya, mendapat dukungan, dan merasakan dimensi emosional. Hasil penelitian ini dapat menjadi masukan pihak manajemen rumah sakit untuk lebih mengoptimalkan penerapan asuhan berpusat pada keluarga, khususnya dalam pemenuhan kebutuhan bonding attachment ibu lebih dekat dengan bayi melalui penambahan toleransi jam kunjungan

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ABSTRACT
Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent?s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour.;Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent?s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour., Family-centered care (FCC) nursing on the newborn baby has given benefits for mother and baby, however there has been no overall hospitals applying these principles. This study aims to get an overview of the parent’s experience in receiving FCC nursing when their baby was hospitalized in the NICU. A qualitative research design using a phenomenological approach of in-depth interviews was conducted in nine participants, taken by purposive sampling. The data was analyzed by Colaizzi method resulting four themes about parents: actively participating in their baby care, getting informed about the treatment programs and their baby's health development, getting support, and getting involved in emotional dimension. This research can be a sound base for FCC optimalization in hospital, with focus on fulfilling mother-baby bonding through longer visitation hour.]

Abstrak :
ABSTRAK
Latar Belakang. Penggunaan peripherally inserted central catheter PICC semakin meningkat sesuai kebutuhan bayi prematur dalam pemberian nutrisi parenteral. Penggunaan radiografi standar Rontgen torako abdomen dalam menilai posisi tip PICC yang tepat merupakan baku emas. Namun demikian, radiografi standar tidak selalu akurat dalam memperkirakan posisi tip PICC, tergantung pada posisi ekstremitas dan variasi anatomi masing-masing neonatus, menyebabkan radiasi, membutuhkan biaya yang lebih tinggi, waktu yang lebih lama dan membutuhkan pemeriksaan ulangan apabila posisi tip PICC terlalu dalam masuk ke jantung. Ultrasonografi USG semakin banyak digunakan untuk diagnostik dan prosedur di neonatal intensive care unit NICU karena lebih mudah, aman, murah dan real-time.Tujuan. Penelitian ini bertujuan untuk menilai akurasi penggunaan USG dalam menentukan ketepatan posisi tip PICC dibandingkan dengan radiografi standar. Metode. Penelitian ini merupakan studi diagnostik yang dilakukan pada bulan April-Mei 2017 di NICU. Pemasangan PICC menggunakan prosedur standar di NICU dan kemudian posisi tip PICC dievaluasi menggunakan USG sebelum dilakukan radiografi standar. Analisis menggunakan table 2x2 untuk menilai akurasi diagnostik USG dibandingkan radiografi standar dalam menilai posisi tip PICC.Hasil. Sebanyak 29 neonatus termasuk dalam penelitian ini dengan rerata usia gestasi 31,7 minggu 26 sampai 41 minggu dan rerata berat lahir 1618,9 g 600 sampai 3750 g . Kesesuaian antara radiografi standar dan ultrasonografi untuk posisi tip PICC terjadi pada 27 neonatus 93,1 . Sensitivitas ultrasonografi dalam menentukan tip PICC adalah 88,89 , dengan spesifisitas 95 dan ultrasonografi memiliki akurasi diagnostik 93,1 .Simpulan. USG memiliki akurasi diagnostik yang baik untuk mengindentifikasi posisi tip PICC, meminimalkan paparan radiasi dan meminimalkan manipulasi PICC di NICU.Kata kunci: USG, Radiografi, PICC, Neonatus, NICU

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ABSTRACT
Background. The use of peripherally inserted central catheter PICC has became increasingly common to facilitate the administration of parenteral nutrition in preterm neonates. The use of standard radiograph X ray of the abdominal thorax in assessing the correct position of peripherally inserted central catheter PICC line tips is a gold standard. However, standard radiograph can not always be accurate depending on the position of the extremities and variations of anatomy of each neonates, cause radiation, require higher cost, longer time and repeat when position is not appropriate. Ultrasound are becoming increasingly use for diagnostic and procedure in neonatal intensive care unit NICU because more easy, safer, cheaper, and real time.Objectives. This study aims to assess the accuracy of ultrasound use in determining the accuracy of PICC tip positions compared to standard radiograph.Methods. This was a diagnostic study to examine the placement of PICC in neonates between April and May 2017 in NICU. PICC were placed using standard procedure in NICU and then position of PICC tip were evaluated using ultrasound immediately before standard radiograph is performed. A 2x2 table was constructed to compare the two modalities ability to detect tip PICC position.Results. A total of 29 neonates were included in this study with mean of gestation of 31.7 weeks 26 to 41 weeks and mean of birth weight 1618.9 g 600 to 3750 g . Concordance between standard radiograph and ultrasound for PICC tip position occurred in 27 neonates 93.1 . Sensitivity of ultrasound in determining PICC tip was 88.89 , with a specificity of 95 and ultrasound had a diagnostic accuracy 93.1 .Conclusion. Ultrasound has a good diagnostic accuracy to indentify tip position of PICC, minimizing exposure of radiation and minimize manipulation of PICC in NICU. Keywords Ultrasound, Radiograph, PICC, Neonates, NICU

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[ABSTRAK
Aplikasi asuhan perkembangan oleh perawat penting untuk meminimalkan nyeri dan stres, namun belum semua perawat memahami tentang asuhan perkembangan. Penelitian ini mengidentifikasi pengaruh pemberian edukasi asuhan perkembangan melalui video dan buku saku. Rancangan penelitian menggunakan kuasi eksperimen pre-test post-test equivalent group melibatkan 34 perawat NICU yang terbagi dalam 2 kelompok (kontrol dan intervensi) yang dipilih menggunakan metode total sampling. Data dianalisis menggunakan software SPSS dengan uji dependent t-test. Hasil penelitian menunjukkan terdapat perbedaan pengetahuan dan keterampilan yang bermakna antara kelompok kontrol dan kelompok intervensi (p=0,000), serta tidak terdapat hubungan antara karakteristik perawat (usia, pendidikan, lama bekerja, riwayat pelatihan) dengan pengetahuan dan keterampilan (p>0,05). Edukasi tentang asuhan perkembangan penting bagi perawat agar aplikasi asuhan perkembangan dapat dioptimalkan.

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ABSTRACT
Application of developmental care by nurse was important for minimization pain and stress, but not yet all nurse comprehend about developmental care. This sudy to examine the impact of education method using video and booklet. This study used quasi experiment with pre-test post-test equivalent group design. Thirty four nurses NICU in two groups (controled and intervention) were selected used total sampling methode. Analysis used SPSS software with dependent t-test. The result shown there were different mean of knowledge and skill between controled group and intervention group (p=0,000), and also there were no relationship between nurse characteristics (age, education, work and training history) with the knowledge and skill (p>0,05). Education about developmental care was important for nurse so that application of developmental care can be best., Application of developmental care by nurse was important for minimization pain and stress, but not yet all nurse comprehend about developmental care. This sudy to examine the impact of education method using video and booklet. This study used quasi experiment with pre-test post-test equivalent group design. Thirty four nurses NICU in two groups (controled and intervention) were selected used total sampling methode. Analysis used SPSS software with dependent t-test. The result shown there were different mean of knowledge and skill between controled group and intervention group (p=0,000), and also there were no relationship between nurse characteristics (age, education, work and training history) with the knowledge and skill (p>0,05). Education about developmental care was important for nurse so that application of developmental care can be best.]

Abstrak :
Neonatus yang memiliki penyakit yang mengancam jiwa dan bersifat progresif, memerlukan perawatan paliatif. Perawatan secara aktif dan total diberikan menurut tanda dan gejala. Tujuan penelitian ini adalah mengidentifikasi gambaran lima kasus asuhan keperawatan paliatif dan akhir kehidupan di NICU dengan Model Konseptual Sistem dan mengidentifikasi hasil implementasi Evidence-Based Nursing edukasi mengenai perawatan neonatus dengan kondisi paliatif dan akhir kehidupan. Teori Model Konseptual Sistem Betty Neuman dapat diterapkan pada neonatus dalam kondisi paliatif dan akhir kehidupan yang membutuhkan perawatan secara holistik. Hasil gambaran asuhan keperawatan yang dilakukan yaitu Pasien 1 neonatus kondisi diagnosis medis Gemelli conjoined twin diencephali dipus dibrachius. Pasien 2 neonatus dengan diagnosis medis extreme preterm NEC grad III. Pasien 3 neonatus dengan diagnosis medis very preterm extremely low birth weight dengan perburukan marker infeksi dan anemia normositik normokrom. Pasien 4 neonatus dengan diagnosis medis PDA besar post ligasi. Pasien 5 neonatus dengan diagnosis medis polycystic kidney.Diagnosis keperawatan yang terdapat pada kelima bayi tersebut adalah masalah respirasi. Intervensi sekunder dan tersier dilakukan dalam pencegahan dampak dari tanda dan gejala yang dialami bayi. Evaluasi yang didapatkan kelima bayi meninggal, hanya satu bayi meninggal dengan rekonstitusi kesejahteraan tinggi. Implementasi penerapan edukasi kepada perawat didapatkan hasil terdapat perbedaan pengetahuan dan keterampilan yang signifikan antara kelompok intervensi dan kelompok kontrol, setelah dan sebelum dilakukan edukasi (p value 0.000). Berdasarkan penelitian ini mengindikasikan pentingnya edukasi perawat mengenai panduan prosedur perawatan akhir kehidupan pada neonatus dan panduan skoring tingkat keparahan serta tingkat risiko kematian pada neonatus sebagai pencegahan terjadinya dampak dari tanda dan gejala kondisi paliatif pada neonatus berdasarkan evidence-based practice. ......Neonates with life-threatening and progressive disease require palliative care. Active and total care is given according to signs and symptoms. The purpose of this study was to identify five cases of palliative and end of life nursing care in the NICU using the Systems Conceptual Model and to identify the results of the implementation of Evidence-Based Nursing education regarding neonatal care with palliative and end of life conditions. The theory of the Betty Neuman Systems Conceptual Model can be applied to neonates in palliative and end-of-life conditions who require holistic care. The results of the nursing care description carried out were Patient 1 neonate with a medical diagnosis of Gemelli conjoined twin diencephali dipus dibrachius. Patients with 2 neonates with a medical diagnosis of extreme preterm NEC grad III. Patient 3 neonates with medical diagnosis of very preterm extremely low birth weight with worsening infection markers and normochromic normocytic anemia. Patient 4 neonates with medical diagnosis of post ligation large PDA. Patients with 5 neonates with a medical diagnosis of polycystic kidney. The nursing diagnosis found in these five babies was respiratory problems. Secondary and tertiary interventions are carried out in preventing the impact of the signs and symptoms experienced by the baby. The evaluation obtained from the five babies died, only one baby died with high welfare reconstitution. The implementation of the application of education to nurses showed that there were significant differences in knowledge and skills between the intervention group and the control group, after and before the education was carried out (p value 0.000). Based on this research, it indicates the importance of educating nurses regarding guidelines for end-of-life care procedures in neonates and guidelines for scoring severity and risk of death in neonates as prevention of the impact of signs and symptoms of palliative conditions in neonates based on evidence-based practice.

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Praktek kerja Profesi Apoteker PKPA di Rumah Sakit Anak dan Bunda Harapan Kita bertujuan agar mahasiswa profesi apoteker memahami peran, fungsi, dan tanggung jawab Apoteker Rumah Sakit serta dapat membandingkan teori yang telah di dapat dengan praktik pelayanan kefarmasian di lapangan. Apoteker di Rumah sakit memiliki dua fungsi utama yaitu manajerial dan pelayanan farmasi klinik. Tugas khusus yang diberikan berjudul Analisis Drug Related Problem pada Bayi Prematur D di Ruang NICU RSAB Harapan Kita dengan Diagnosis Patent Ductus Arteriosus. Tugas Khusus ini bertujuan mengetahui masalah-masalah terkait obat yang terjadi pada pasien NICU RSAB Harapan Kita.

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Pharmacist internship program at Harapan Kita Women and Children rsquo s Hospital was aimed to make pharmacist student understand the role, function, and responsibility of the Hospital Pharmacist and can compare the theory with the practice of pharmaceutical service in the real. The pharmacist at the hospital has two main functions managerial and clinical pharmacy service. The Special task given titled Analysis of Drug Related Problem on Premature Baby D in NICU RSAB Harapan Kita with Diagnosis of Patent Ductus Arteriosus. This special task aims to find out the drug related problems that occurred in patient NICU at RSAB Harapan Kita.