Ditemukan 17 dokumen yang sesuai dengan query
Moh. Fuad Almubarok
"Program Ners Spesialis Keperawatan Medikal Bedah kekhususan Kardiovaskuler merupakan serangkaian kegiatan pendidikan yang berfungsi untuk menerapkan teori keperawatan dalam upaya untuk memberikan asuhan keperawatan pada pasien dengan gagguan sistem kardiovaskuler. Peran sebagai care giver dilakuka oleh residen dengan mengelola 30 pasien resume dan I pasien utama dengan menggunakan teori adaptasi roy, peran sebagai researcher dilakukan dengan menerapkan Evidence Based Nursing Practice (EBNP) yaitu memberikan terapi ?Music & Nature Sounds? untuk mengatasi kecemasan dan nyeri paska dilakukannya operasi bedah jantung (CABG dan katup jantung). Peran sebagai innovator diwujudkan dengan membuat karya innovasi berupa format dan teknik dokumentasi operan shift dengan menggunakan pendekatan SBAR (Situation, Background, Analysis, and Recommendation). Hasilnya adalah: 1. Model konsep adaptasi Roy efektif diterapkan sebagai upaya untuk memberikan asuhan keperawatan pada pasien gangguan sistem kardiovaskuler, 2. Music & Nature Sound efektif dalam menurunkan atau menguragi cemas dan nyeri pada pasien paska bedah jantung, dan 3. Model dokumentasi operan jaga dengan menggunakan pendekatan SBAR efektif diterapkan diruang ICVCU PJNHK Jakarta.
Nurses Program Specialist Medical Surgery Cardiovascular specificity is a series of educational activities that serve to apply the theory of nursing in an effort to provide nursing care to patients with cardiovascular system dissorder. Role as a care giver are doing by the resident to manage the 30 patients resume and 1 patient primary by using the theory of adaptation roy, role as a researcher performed by applying Evidence Based Nursing Practice (EBNP) that provide therapy "Music & Nature Sounds" to cope with anxiety and pain post doing open-heart surgery (CABG and heart valve). Role as an innovator is realized by making the work of innovation and engineering documentation in a Handover by using the approach of SBAR (Situation, Background, Analysis, and Recommendation). The result is: 1. Model Roy effective adaptation concept is applied in an effort to provide nursing care in patients with cardiovascular system disorders, 2. Music & Nature Sound effective in reducing or reduces anxiety and pain in patients after cardiac surgery, and 3. Documentation of Handover is using the SBAR approach effectively applied diruang ICVCU PJNHK Jakarta."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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Enggar Purnaningsih
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ABSTRAKPelaksanaan praktek klinik selama masa residensi keperawatan peminatan onkologi bertujuan untuk mampu menampilkan peran perawat spesialis sebagai pemberi asuhan keperawatan lanjut, pendidik, advokat, konselor, kolaborator, pembaharu dan peneliti, Peran pemberi asuhan keperawatan lanjut dilakukan dengan menggunakan Model Adaptasi Roy pada pasien Leiomyosarcoma Uterus dan 30 pasien kanker lainnya. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologis dengan diagnosa keperawatan nyeri kronis. Intervensi keperawatan berupa manajemen nyeri ditujukan untuk meningkatkan adaptasi pasien dalam mengontrol nyeri kanker. Evidence Based Nursing dilakukan dengan menerapkan instrumen pengkajian MASCC Antiemesis Tool pada tujuh belas pasien yang menjalani program kemoterapi dan mengalami keluhan mual muntah akibat kemoterapi dengan hasil MASCC Antiemesis Tool merupakan instrumen pengkajian yang spesifik dan sensitif untuk mengkaji mual muntah akibat kemoterapi. Program inovasi kelompok berupa pembuatan media video panduan dan pelaksanaan intervensi kombinasi Progressive Muscle Relaxation dan Guided Imagery terbukti efektif sebagai tindakan mandiri keperawatan dalam manajemen nyeri kanker.
ABSTRACT<>br>
Implementation of clinical practice during the residency of nursing oncology aims to be able to showcase the role of specialist nurse as advanced nursing care provider , educator, advocator, counselor, collaborator, innovator and researcher. Role of specialist as advance nursing care provider is done by using Roy Adaptation Model on Leiomyosarcoma Uterus and 30 other cancer patients. Maladaptive behavior at most is a physiological adaptation mode with a chronic pain nursing diagnosis. Nursing outcome of pain management are aimed at improving patient adaptation in controlling cancer pain. Evidence Based Nursing was performed by applying the MASCC Antiemesis Tool assessment instrument to seventeen patients undergoing chemotherapy and experiencing chemotherapy induced nausea and vomiting. The MASCC Antiemesis Tool is a specific and sensitive instrument for assessing chemotherapy induced nausea and vomiting. The innovation program was making of video guide media and implementation of combination interventions of Progressive Muscle Relaxation and Guided Imagery proved effective as nursing intervention in the management of cancer pain."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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Muhamad Adam
"Prevalensi pasien dengan gangguan sistem kardiovaskuler semakin meningkat. Perawat diharapkan memiliki kontribusi dalam penanganan pasien dengan gangguan sistem kardiovaskuler dengan menjalankan peran sebagai pemberi asuhan, pendidik, peneliti dan inovator. Praktik residensi spesialis keperawatan medikal bedah yang telah dilaksanakan selama 1 tahun (2 semester) bertujuan untuk melakukan penerapan dan pendalaman pada peran-peran tersebut dengan pendekatan Model Adaptasi Roy (MAR).
Peran sebagai pemberi asuhan diterapkan pada 30 pasien dengan berbagai gangguan kardiovaskuler dan satu pasien kasus kelolaan utama dengan STEMI. 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 relaxation response untuk menurunkan tingkat stres pada pasien CAD. Peran sebagai inovator dijalankan dengan menerapkan format pemantauan komplikasi dan algoritma pada pasien post percutaneus coronary intervention (PCI).
Hasil analisis praktik menunjukkan bahwa MAR efektif digunakan sebagai pendekatan dalam asuhan keperawatan pada pasien dengan gangguan kardiovaskular untuk meningkatkan tingkat adaptasi dan tindakan relaxation response efektif diterapkan untuk menurunkan skor stres dan marker fisiologis stres pada pasien CAD. Selain itu, format pemantauan dan algoritma dapat diterapkan untuk antisipasi dan penanganan komplikasi setelah menjalani PCI.
The prevalence of patients with cardiovascular disorders are increasing. Nurses are expected to contribute on managament of patients with cardiovascular disorders by running their roles as a care giver, educator, researcher and innovator. Residency clinical practice of medical-surgical nursing specialists had been carried out for 1 year (2 semesters) and aimed to implement and explore these roles with Roy?s Adaptation Model (RAM) approach The role as a care giver was applied to 30 patients with various cardiovascular disorders and a patient with STEMI 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, relaxation response intervention to reduce stress levels in patients with CAD. The role as an innovator was executed by applying the complications monitoring format and algorithms for patients with post percutaneous coronary intervention (PCI).The analysis showed that the MAR can be apllied effectively in nursing care for patients with cardiovascular disorders to improve adaptation level and the relaxation response intervention can be applied effectively to reduce stress scores and physiological markers of stress in patients with CAD. In addition, the post PCI monitoring format and algorithm can be applied effectively to anticipate and manage the complications after PCI."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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Neneng Kurniawati
"
ABSTRAK Keperawatan respirasi merupakan salah satu area khusus dimana perawat memiliki peran dalam memberikan asuhan keperawatan berdasarkan kebutuhan pasien. Perawat spesialis respirasi memiliki peran lebih yang berbeda, dengan menerapkan konsep dan teori keperawatan dalam penanganan kasus pada pasien gangguan pernapasan. Peran ners spesialis sebagai klinisi ahli, pendidik, manajer kasus, konsultan, dan peneliti untuk merencanakan atau memperbaiki kualitas keperawatan bagi klien dan keluarganya. Teori keperawatan yang digunakan dalam merawat pasien (satu kasus kelolaan dan 30 kasus resume) dengan menggunakan model adaptasi Roy. Peran sebagai peneliti diterapkan dengan melakukan latihan breathing retraining pada pasien asma. Sementara peran untuk memperbaiki kualitas pelayanan salah satunya adalah menerapkan inovasi bagi pasien tuberkulosis dalam mencegah terjadinya putus obat.
ABSTRACT Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal.;Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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Ratna Sari Dinaryanti
"
ABSTRAK Nama Ratna Sari DinaryantiProgram studi Ners Spesialis Keperawatan Medika BedahJudul Analisis Praktik Residensi Keperawatan Medikal Bedah dengan Pendekatan Teori Model Self Care Orem pada Pasien dengan Gangguan Sistem Respirasi Gagal Napas e c Destroyed Lung dan Bekas Tuberkulosis Paru di RSUP Persahabatan Jakarta 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 residens mengelola kasus utama pasien dengan diagnosa gagal napas e c destroyed lung dan bekas TB Paru 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 pemberian posisi semirecumbent 45o pada pasien yang terpasang ventilasi mekanik untuk mencegah terjadinya Ventilator Associated Pneumonia VAP Inovasi keperawatan yang dilakukan yaitu penerapam pedidikan kesehatan dengan metode diskusi interaktif kelompok untuk meningkatkan pengetahuan dan motivasi serta telenursing dengan sms reminder untuk meningkatkan kepatuhan minum obat pada pasien tuberkulosis di Poli Paru RSUP Persahabatan Jakarta Kata kunci Praktik Keperawatan Medikal Bedah Sistem Respirasi Teori Self care Orem Ventilator Associated Pneumonia VAP Posisi Semirecumbent 45o Pendiidkan kesehatan Telenursing
ABSTRACT ABSTRACT Name Ratna Sari DinaryantiStudy Programme Medical Surgical Nurse SpecialistTitle Analysis on Medical Surgical Nursing Residency Practice with Orem Self Care Theory Model Approach on Patient with Respiratory Disorders Respiratory Failure e c Destroyed Lung and Tuberculocis in Persahabatan Hospital Jakarta 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 respiratory failure e c destroyed lung and tuberculosis 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 semirecumbent 45o position to prevent Ventilator Associated Pneumonia VAP in patient with mechanical ventilation As an innovator resident had made a health education with interactive group discussion to increase knowledge and motivation and telenursing with sms reminder to increase medication adherence in patient with tuberculosis Keyword Medical Surgical Nursing Practice Respiration System Orem Self Care Theory Ventilator Associated Pneumonia VAP Semirecumbent 45o position Health Education Telenursing"
Fakultas Kedokteran Universitas Indonesia, 2016
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Felicia Risca Ryandini
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ABSTRAK Saat ini perkembangan ilmu dan pengetahuan keperawatan akan kesehatan beriringan dengan usaha untuk meningkatkan pelayanan bagi pasien. Tingginya prevalensi kasus kardiovaskuler menjadi perhatian sekaligus tantangan bagi tenaga kesehatan dalam memberikan pelayanan dan melakukan program pencegahan. Perawat diharapkan berkontribusi dalam upaya penanganan dengan menjalankan peran sebagai pemberi asuhan, pendidik, peneliti, dan inovator. Peran sebagai pemberi asuhan keperawatan dan pendidik diterapkan pada 31 pasien dengan berbagai kasus kardiovaskuler baik medikal maupun surgical. Pendekatan teori model yang digunakan adalah teori Self Care Dorothea Orem. Peran sebagai pendidik tidak hanya dijalankan untuk pasien dan keluarga, tetapi juga dijalankan dengan melakukan journal reading bagi rekan sejawat. Hasil analisis praktik menunjukkan bahwa teori Self Care dapat diterapkan pada asuhan keperawatan pada pasien dengan gangguan kardiovaskuler. Peran sebagai peneliti dilakukan pada saat penerapan tindakan keperawatan berbasis bukti ilmiah, dengan intervensi Progressive Muscle Relaxation PMR untuk mengatasi fatigue. Hasil penerapan didapatkan bahwa PMR dapat menurunkan level fatigue. Peran sebagai inovator dijalankan dengan menyusun Form Discharge Planning, dengan hasil evaluasi didapatkan bahwa form layak untuk digunakan. Kata kunci: praktik residensi, keperawatan medikal bedah, kardiovaskuler, teori Self Care Dorothea Orem, Progressive Muscle Relaxation, fatigue, Discharge Planning
ABSTRACT Nowadays development of nursing science in line with the effort to improve patient rsquo s service. The high prevalence of patients with cardiovascular diseases makes a concern as well as a challenge for health provider to give treatments and prevention programs. Nurses are expected to contribute in health services by performing their roles as a care provider, educator, researcher, and innovator. The role as a care giver and educator was applied in 31 patients with various case in medical and surgical cases. The nursing theory model approach used is Dorothea Orem 39 s Self Care Theory. The role as a educator not only perfomed by educating patients and family, but also doing reading journal for other nurses. The analysis showed that Dorothea Orem 39 s Self Care Theory can be applied in nursing care to patients with cardiovascular diseases. The role as a researcher was excuted by applying evidence based nursing practice with the topic is Progressive Muscle Relaxation PMR to resolve fatigue. The analysis showed that PMR can decrease fatigue level. As a innovator, the practician trying to created Discharge Planning Form, with the evaluation showed that the form is acceptable. Keywords Recidency practise, medical surgical nursing, cardiovascular, Dorothea Orem 39 s Self Care Theory, Progressive Muscle Relaxation, fatigue, Discharge Planning "
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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Devi Susanti
"Penyakit kardiovaskular merupakan permasalahan kesehatan yang dihadapi di berbagai negara di dunia. Residen menemukan berbagai macam penyakit kardiovaskuler selama praktik residensi dalam waktu satu tahun di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita antara lain Acute Coronary Syndrome (ACS) dengan STEMI, NSTEMI dan UAP, aritmia, kelainan katup, kelainan septal jantung, myxoma, aneurisma aorta dan diseksi aorta. Selama praktik residensi, Residen sebagai perawat spesialis telah menjalankan peran sebagai care provider yang diterapkan pada satu pasien kasus kelolaan utama yakni NSTEMI post operasi Coronary Artery Bypass Grafting dan 30 pasien kasus resume dengan pendekatan model adaptasi Roy dalam memberikan asuhan keperawatannya. Peran sebagai researcher dengan menerapkan EBNP menggunakan soft icepack gel dalam menurunkan nyeri dan cemas pada 12 pasien paska pembedahan jantung di ruang Intermediate Ward Bedah yang akan dilakukan pelepasan selang drain. Peran sebagai innovator telah dilakukan di ruangan ICVCU selama 5 hari dimana residen telah membuat format dokumentasi handover perawat antarshift yang dinilai efektif dan efisien dalam penerapannya.
The Cardiovascular disease is a health problems faced in various countries. Resident has found a wide range of cardiovascular disease during residency practice within a year at the Harapan Kita hospital cardiovascular including Acute Coronary Syndrome (ACS) patients with STEMI, NSTEMI and UAP, arrhythmias, valve abnormalities, abnormal septal heart, myxoma, aortic anerysme and aortic dissection. During residency practice, resident as a care provider has been implemented to one primary case patients with NSTEMI post operative coronary artery bypass grafting and 30 patients cases of resume by appliying the Roy’adaptation model in providing nursing care. Role as a researcher by applying EBNP use a soft icepack gel to reducing pain and anxiety in 12 patients after cardiac surgery at intermediate ward surgery. The role as an innovator was completed at Intermediate Cardiovascular Care Unit for 5 days, resident made a documentation format nurse handover among shift are considered effective and efficient in its application"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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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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Mulia Mayangsari
"Kejadian penyakit kelainan katup masih menjadi masalah dan angka kejadiannya terus mengalami peningkatan di negara berkembang termasuk di Indonesia Dari tahun ke tahun angka kesakitan dan kematian terus mengalami peningkatan seiring dengan tingginya angka kejadian demam rematik di negara dengan iklim tropis dan subtropis Selain itu karena berbagai faktor lainnya seperti ekonomi dan lingkungan Kelainan katup stenosis mitral dapat menyebabkan berbagai komplikasi termasuk diantaranya gagal jantung dan edema paru Perawat sebagai salah satu tenaga kesehatan yang paling penting di unit pelayanan kesehatan diharapkan mampu mendeteksi secara dini timbulnya komplikasi yang akan muncul akibat penyakit jantung Sedangkan perawat spesialis sangat berperan penting dalam memberikan asuhan keperawatan kepada pasien terutama pasien dengan penyakit kardiovaskular yang kompleks
Praktik residensi keperawatan medikal bedah bertujuan untuk melaksanakan peran perawat spesialis yang mencakup pemberian asuhan keperawatan dengan pendekatan konsep konservasi Myra Estrin Levine pada pasien dengan gangguan sistem kardiovaskular terutama pada pasien dengan stenosis katup mitral penerapan tindakan pemberian latihan aktifitas fisik rehabilitasi jantung fase 1 untuk mempercepat proses penyembuhan dan stabilisasi status hemodinamik serta berperan aktif dalam program inovasi pengembangan media edukasi pada pasien dengan pemasangan alat medis
Hasil analisis praktik menunjukkan bahwa model konservasi Levine dapat diterapkan pada pasien dengan gangguan kardiovaskular untuk mengoptimalkan derajat kesehatan pasien pemberian latihan aktifitas fisik rehabilitasi jantung fase 1 menunjukkan tidak ada perubahan yang signifikan dalam perubahan hemodinamik dan pengembangan media edukasi pada pasien dengan pemasangan alat medis membantu pasien dalam meningkatkan pengetahuan mengenai alat medis.
Incidence of cardiac valve abnormalities still a problem and the number of events is increasing in developing countries including Indonesia From year to year the morbidity and mortality continues to increase in line with by a high incidence of rheumatic fever in countries with tropical and subtropical climates Moreover because of many other factors such as the economy and environment Abnormalities of the mitral valve stenosis can cause a variety of complications including heart failure and pulmonary edema The nurse as one of the most important health personnel in the health care unit is expected to detect early onset of complications that would arise as a result of valve disease Meanwhile nurse specialist plays an important role in providing nursing care to patients especially patients with complicated cardiovascular disease The practice of medical surgical nursing residency aimed to carry out the role of nurse specialist includes providing nursing care by implementing the concept of conservation of Myra Estrin Levine to patients with cardiovascular disorders especially those with mitral valve stenosis The implementation of measures to provide cardiac rehabilitation exercise physical activity to accelerate the phase 1 healing process and stabilization of hemodynamic status as well as an active role in the development of educational media innovation program in patients with implanted medical devices Results of the analysis showed that the model of conservation practices Levine can be applied in patients with cardiovascular disorders to optimize the health status of patients provision of cardiac rehabilitation exercise physical activity Phase 1 showed no significant changes in hemodynamic changes and the development of educational media in patients with implanted medical devices help patients to improve knowledge of medical devices."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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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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