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Abstrak :
Tindakan invasif menyebabkan nyeri pada anak ketika hospitalisasi di rumah sakit menjadi salah satu sumber kecemasan, ketakutan, dan ketidaknyamanan bagi anak maupun orang tua. Salah satu manajemen nyeri yang bisa dilakukan pada anak yaitu dengan memberikan distraksi. Distraksi adalah tindakan memperhatikan sesuatu selain rasa sakit, tindakan menarik perhatian pada rasa sakit. Tujuan: Penelitian ini untuk mengetahui pengaruh distraksi Virtual Reality terhadap nyeri anak usia sekolah saat dilakukan pemasangan infus. Metode: Penelitian menggunakan desain quasi experiment post-test only dengan sampel responden terdiri dari 34 kelompok intervensi dan 34 kelompok kontrol, sesuai kriteria inklusi yaitu: anak yang dipasang infus pertama kali saat periode rawat terkini, tidak mengalami gangguan kognitif, anak kooperatif dan mau mengikuti instruksi, serta anak yang didampingi orangtua. Instrumen nyeri yang digunakan adalah NRS (Numeric Rate Scale). Hasil: Mayoritas responden memiliki karakteristik berjenis kelamin perempuan pada kelompok intervensi sebanyak 67,6% dan pada kelompok kontrol berjenis kelamin perempuan sebanyak 61,8%, berusia 6-12 tahun dan memiliki pengalaman prosedur invasif sebelumnya. Analisis data menggunakan uji non parametrik (Mann Whitney) untuk menganalisis perbedaan nyeri pada kelompok intervensi dan kelompok kontrol pada prosedur invasif. Terdapat perbedaan signifikan nyeri selama prosedur invasif menggunakan distraksi Virtual Reality pada kelompok intervensi dan kelompok kontrol (nilai p 0,000). Saran: Penelitian Virtual Reality menunjukkan bahwa metode distraksi menjadi lebih efektif karena meningkatkan efisiensi sumber daya dan pemilihan pasien berdasarkan karakteristik. ...... Invasive acts cause pain in the child when hospitalization in the hospital becomes one of the sources of anxiety, fear, and discomfort for both the child and the parent. One of the pain management that can be done in children is by giving distractions. Distraction is the act of paying attention to something other than pain, the action of drawing attention to pain. Objective: This research is to find out the impact of Virtual Reality distraction on the pain of school-age children during infusion installation. Method: The study used a post-test only quasi-experimental design with a sample of respondents consisting of 34 intervention groups and 34 control groups, according to the inclusion criteria, namely: children who were installed the first infusion during the current period of care, did not have cognitive impairment, children cooperative and willing to follow instructions, as well as children accompanied by parents. The pain instrument used is NRS. (Numeric Rate Scale). Results: The majority of respondents had female gender characteristics in the intervention group of 67.6% and in the control group of the gender of 61.8%, aged 6-12 years and had previous experience of invasive procedures. The data analysis used a non-parametric test (Mann Whitney) to analyze differences in pain in the intervention group and the control group in the invasive procedure. There are significant differences in pain during invasive procedures using virtual reality distraction in the intervention group and control group. (nilai p 0,000). Advice: Virtual Reality research shows that the method of distraction becomes more effective as it improves resource efficiency and patient selection based on characteristics.

Abstrak :
Nyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Tujuan penelitian mengetahui pengaruh developmental care terhadap respon nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian ini menggunakan rancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42 bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi. Hasil penelitian ada perbedaan yang signifikan dari respon nyeri akut sebelum dan sesudah dilakukan developmental care (p value=0,000). Rekomendasi penelitian developmental care perlu diterapkan dalam memberikan asuhan keperawatan pada bayi prematur dan diharapkan ada penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur di kemudian hari baik dari aspek kognitif, bahasa maupun motorik. ......Pain is a stimulus that can damage the developing brains of premature babies. The objectives of this research was to determine the effects of developmental care on acute pain response in premature babies who had been performed invasive procedures. This study used quasiexperiment research design non equivalen control group, before and after design, involving 42 sample consisted of 21 premature babies in both control and intervention group. This study found that there was a significant difference on acute pain responses before and after developmental care been implemented (p value=0,000). Recommendation from this research are developmental care needs to be applied in nursing care for premature babies and it also important to investigate the long term influence of developmental care on development of premature babies either from the aspect of cognitive, languange and motor skills.

Abstrak :
[ABSTRAK
Perawatan bayi prematur di unit perawatan intensifdapat menimbulkan stimulasi berlebihan bahkan stres fisik pada bayi akibat prosedur invasif yang rutin dilakukan.Studi fenomenologi ini bertujuan untuk mengetahui pengalaman perawat dalam mengambil keputusan etik untuk pelaksanaan tindakan invasif pada bayi prematur.Partisipan berjumlah 7 orang perawat di ruang perinatologi yang dipilih secara purposive sampling. Hasil penelitian mengidentifikasi empat tema: (1)masalah etik yang ditemui dalam pelaksanaan prosedur invasif, 2) kebutuhan perawat untuk mampu mengambil keputusan etik, 3) hambatan dalam mengambil keputusan, dan 4) perilaku etis saat pelaksanaan prosedur invasif. Penelitian selanjutnya diharapkan dapat mengevaluasi secara kuantitatif kemampuan pengambilan keputusan etik perawat dalam pelaksanaan tindakan invasif selama proses asuhan keperawatan pada bayi prematur.

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ABSTRACT
The treatmentof premature infants at intensive care units may give excessive stimulation even physical stress due toinvasive procedures. The aims of this phenomenological studyis to determine thenurses experiences in ethical decision making for the implementation of invasive procedure. The total of the participants is 7 nurses at perinatology unit which selected by purposive sampling. The results identified four themes: (1) ethical issues encountered in the implementation of invasive procedures, (2) nursing ability to make ethical decisions, (3) some common barriers in decision making, and (4) ethical behavior during the implemention of invasive procedures. Future studies are expected to evaluate quantitatively the ability of nurse ethical decision making in the implementation of invasive procedures during the nursing processfor premature infants. ;The treatmentof premature infants at intensive care units may give excessive stimulation even physical stress due toinvasive procedures. The aims of this phenomenological studyis to determine thenurses experiences in ethical decision making for the implementation of invasive procedure. The total of the participants is 7 nurses at perinatology unit which selected by purposive sampling. The results identified four themes: (1) ethical issues encountered in the implementation of invasive procedures, (2) nursing ability to make ethical decisions, (3) some common barriers in decision making, and (4) ethical behavior during the implemention of invasive procedures. Future studies are expected to evaluate quantitatively the ability of nurse ethical decision making in the implementation of invasive procedures during the nursing processfor premature infants. ;The treatmentof premature infants at intensive care units may give excessive stimulation even physical stress due toinvasive procedures. The aims of this phenomenological studyis to determine thenurses experiences in ethical decision making for the implementation of invasive procedure. The total of the participants is 7 nurses at perinatology unit which selected by purposive sampling. The results identified four themes: (1) ethical issues encountered in the implementation of invasive procedures, (2) nursing ability to make ethical decisions, (3) some common barriers in decision making, and (4) ethical behavior during the implemention of invasive procedures. Future studies are expected to evaluate quantitatively the ability of nurse ethical decision making in the implementation of invasive procedures during the nursing processfor premature infants. , The treatmentof premature infants at intensive care units may give excessive stimulation even physical stress due toinvasive procedures. The aims of this phenomenological studyis to determine thenurses experiences in ethical decision making for the implementation of invasive procedure. The total of the participants is 7 nurses at perinatology unit which selected by purposive sampling. The results identified four themes: (1) ethical issues encountered in the implementation of invasive procedures, (2) nursing ability to make ethical decisions, (3) some common barriers in decision making, and (4) ethical behavior during the implemention of invasive procedures. Future studies are expected to evaluate quantitatively the ability of nurse ethical decision making in the implementation of invasive procedures during the nursing processfor premature infants. ]