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"ABSTRAKAnggota keluarga yang sakit merupakan salah satu stressor yang dapat mempengaruhi keluarga. Koping keluarga adalah suatu upaya yang dilakukan oleh keluarga untuk mengatasi stressor. Ketidak mampuan keluarga dalam mengatasi stressor yang ada menyebabkan beban keluarga. Upaya perlu dilakukan untuk membantu keluarga dalam mengatasi kondisi tersebut. Tujuan penulisan karya ilmiah ini adalah memperoleh gambaran tentang “Manajemen Asuhan Keperawatan Spesialis Jiwa pada Keluarga dengan Koping Tidak Efektif menggunakan Modifikasi Model Adaptasi Roy dan Kebutuhan Dasar Manusia Virginia Henderson”. Model Adaptasi Roy dan Kebutuhan Dasar Manusia Virginia Henderson memberikan gambaran tentang proses terjadinya koping tidak efektif dan bentuk ketidakmampuan yang dialami oleh keluarga. Analisis dilakukan pada 24 keluarga. Hasil didapatkan tanda gejala koping keluarga tidak efektif menurun, kemampuan keluarga dalam merawat anggota keluarga yang sakit dan kemampuan mengelola beban keluarga meningkat. Karya ilmiah akhir ini merekomendasikan manajemen asuhan keluarga dengan koping tidak efektif perlu dilakukan di rumah sakit, dengan meningkatkan kemampuan perawatan keluarga dalam merawat anggota keluarga yang sakit dan meningkatkan kemampuan mengelola beban yang dialami oleh keluarga.

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ABSTRACTThe health of the familly members is one of the stessor which effected the family. Family coping is the effort that we can take to solve this kind of problem. The unability of the family to solve the stressor, it would be familly burden. The effort that is needed to suport the familly in solving the problem. The porpuse of this essay is to get the explanation of “Psychiatric Specialist Nursing Care Management on The Family with Ineffective Coping by The Modification of Roy Adaptation Model and Henderson’s Basic Needs”. The Modification of Roy Adaptation Model and Henderson’s Basic Needs give us the explanation about the uneffective coping proccess and the unability of the family to take care of them. There are 24 family that have been analyzed. The result is signs and symptoms of uneffective famiy coping is decrease, the ability of the family to take care of the family member and the ability to manage the family’s burden are increse. This final work recomend to apply the nursing care management in hospitasl for the familly with ineffective coping, by increasing the ability of family nursing in take care of family member and increasing the ability to manage the burden of the family ."

"Latar belakang: Peningkatan usia harapan hidup dan jumlah lansia yang tinggal di panti menimbulkan tantangan dalam mempertahankan status fungsional dan kualitas hidup mereka. Intervensi Model KMD diharapkan dapat membantu mempertahankan status fungsional serta meningkatkan kualitas hidup lansia.Tujuan: Menilai efektivitas Model KMD dalam mempertahankan status fungsional dan meningkatkan kualitas hidup lansia di panti. Metodologi: Penelitian menggunakan desain riset operasional tiga tahap. Tahap pertama fenomenologi deskriptif melibatkan 64 tim multidisiplin, tahap kedua pengembangan model melibatkan 4 pakar dan 7 tim multidisiplin, dan tahap ketiga pre test and post test design melibatkan 47 tim multidisiplin serta 328 lansia dengan purposive sampling. Hasil: Tersusun sepuluh tema dasar untuk pengembangan model, termasuk tiga modul perangkat Model KMD. Tidak ditemukan perbedaan signifikan pada status fungsional lansia (p=0,079), kualitas hidup umum (p=0,307), dan kualitas hidup kesehatan (p=0,386) antara kelompok intervensi dan kontrol. Namun, kelompok intervensi menunjukkan peningkatan rata-rata kualitas hidup pada aspek umum, psikologis, dan sosial. Simpulan: Model KMD efektif dalam mengubah perilaku tim multidisiplin dan mempertahankan status fungsional lansia, khususnya lansia dengan disabilitas ringan hingga sedang, serta meningkatkan kualitas hidup lansia, terutama dalam ranah umum, psikologi, dan sosial. Saran: Model KMD diterapkan dalam waktu lama dengan kelompok homogen untuk memperkuat kapasitas pelayanan lansia di panti.

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Background: Increasing life expectancy and the number of older people living in institutions pose challenges in maintaining their functional status and quality of life. The KMD Model intervention is expected to help maintain the functional status and improve the quality of life of the elderly. Objectives: To assess the effectiveness of the KMD Model in maintaining functional status and improving quality of life of older adults in nursing homes. Methodology: A three-stage operational research design was used. The first stage descriptive phenomenology involved 64 multidisciplinary teams, the second stage model development involved 4 experts and 7 multidisciplinary teams, and the third stage pre test and post test design involved 47 multidisciplinary teams and 328 elderly with purposive sampling. Results: ten basic themes for model development, including three modules of the KMD Model toolkit. No significant differences were found in the functional status of the elderly (p=0.079), general quality of life (p=0.307), and health quality of life (p=0.386) between the intervention and control groups. However, the intervention group showed an increase in the average quality of life in general, psychological, and social aspects. Conclusion: The KMD model is effective in changing the behavior of the multidisciplinary team and maintaining the functional status of the elderly, especially the elderly with mild to moderate disabilities, and improving the quality of life of the elderly, especially in the general, psychological, and social domains. Suggestion: The KMD model should be applied for a long time with homogeneous groups to strengthen the capacity of elderly services in nursing homes."

"Remaja jalanan sebagai kelompok marginal kesehatan sangat rentan terhadap masalah penyalahgunaan NAPZA. Kondisi inilah yang menyebakan remaja jalanan membutuhkan perhatian dan pelayanan khusus, salah satunya pelayanan keperawatan komunitas yang dilakukan bersama lintas sektor dan masyarakat sebagai mitra. Model Intervensi Keperawatan Berjenjang Ampibi dapat digunakan sebagai pendekatan saat memberikan layanan keperawatan, yang dapat meningkatkan perilaku adaptif remaja jalanan dan ketangguhan keluarga dalam pencegahan risiko penyalahgunaan NAPZA, sesuai dengan tujuan penelitian ini. Desain penelitian adalah penelitian operasional dengan tiga tahap: tahap I identifikasi masalah, tahap II pengembangan model dan modul, tahap III uji coba Model Intervensi Keperawatan Berjenjang Ampibi dengan menggunakan studi penelitian kuantitatif quasy experiment pre-post test with control group, responden remaja jalanan yang masih pulang ke rumah (children on the street) di Jabodetabek. Uji statistik yang digunakan adalah chi square, regresi logistik, t-test, man u whitney, wilcoxon, dan regresi linear. Model intervensi berjenjang Ampibi yang dilengkapi dengan 3 buku saku dan 1 buku kerja, dikembangkan berdasarkan hasil studi literatur, studi pendahuluan, penelitian tahap I, expert review, content dan construct validity, yang menggunakan integrasi teori model sistem dan pencapaian tujuan, serta teori model sosial ekologi. Bentuk intervensi keperawatan yang diberikan adalah edukasi, layanan konseling, pembinaan, pendampingan, dan kunjungan rumah. Hasil analisis membuktikan bahwa ada peningkatan yang sangat bermakna skor rerata perilaku adaptif remaja jalanan dan ketangguhan keluarga terkait upaya pencegahan penyalahgunaan NAPZA setelah diterapkan Model Intervensi Keperawatan Berjenjang Ampibi. Keberhasilan penerapan model ini diharapkan menjadi salah satu model pelayanan keperawatan komunitas untuk remaja jalanan.

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Street teenagers as a marginalized health group are prone to drug abuse problems. This condition causes street teenagers require special attention and service, particularly community nursing services carried out together across sectors and communities as partners. The Ampibi Multilevel Nursing Intervention Model can be used as an approach for providing nursing services, which may improve adaptive behavior of street teenagers and family resilience in preventing the risk of drug abuse.

The operational research design was used with three phase: First phase was problem identification, second phase was model and module development, and third phase tried out Ampibi Multilevel Nursing Intervention Model using quantitative research study with quasi-experiment pre-post test in control group. The respondents were street teenagers in Jabodetabek living at home.

The statistical tests used were chi square, logistic regression, t-test, man u whitney, wilcoxon, and linear regression. The Ampibi Multilevel Intervention Model is equipped with 3 pocket books and 1 workbook, which were developed based on the results of literature studies, preliminary studies, first phase research, expert review, content and construct validity. They used the integration of system model theory and goals achievement, as well as social model theory ecology. The nursing intervention provided education, counseling service, coaching, mentoring, and home visits.

The analysis results reveals very significant increase in the mean score of street tenagers adaptive behavior and family resilience related to drug abuse prevention efforts, after the Ampibi Multilevel Nursing Intervention Model is implemented. The effectiveness of application of s model is expected to be one of the models of community nursing services for street teenagers."

"Tingginya prevalensi remaja-awal yang mencoba merokok, mengindikasikan perlunya pengembangan upaya perlindungan terhadap remaja oleh seluruh elemen masyarakat. Penelitian bertujuan untuk mengetahui pengaruh Model KeKAR dalam menanggulangi perilaku merokok pada siswa sekolah menengah pertama (SMP) di Kota Malang.Penelitian merupakan riset operasional dengan tiga tahap penelitian yaitu: fenomenologi, pengembangan model, daneksperimen semu. Fenomenologi melibatkan 25 informan (perawat, guru, remaja dan orang tua). Pengumpulan data menggunakan wawancara mendalam dengan panduan pertanyaan semi-terstruktur. Hasil wawancara ditranskripsi dan dianalisis secara manual menggunakan metode Colaizzi. Pengembangan Model KeKAR diawali dengan studi literatur Teori Pencapaian Tujuan, Karakteristik Risiko, Model Ketangguhan Protektif, Komunitas sebagai Mitra, Model Intervensi Roda, dan Pengalaman Merokok pada Perokok Pemula. Selanjutnya dilakukan validasi model melalui survei terhadap 248 responden. Data dianalisis menggunakan Structural Equation Modelling. Model KeKAR yang telah tervalidasi, kemudian dikembangkan menjadi buku Model dan Modul KeKAR untuk dinilai kelayakannya oleh pakar kesehatan komunitas. Implementasi Model KeKAR diberikan kepada masing-masing 60 partisipan di kelompok Model KeKAR dan kelompok kontrol. Intervensi diberikan selama tiga bulan, diawali dengan pelatihan kepada perawat, guru pembina kesehatan sekolah, orang tua, teman sebaya serta siswa. Kemudian dilanjutkan dengan pendampingan implementasi Model KeKAR. Data yang terkumpul dianalisis menggunakan uji Mann-Whitney. Permasalahan utama penanggulangan perilaku merokok pada remaja-awal ialah kontinuitas respons komunitas sekolah yang bervariasi mulai dari asertif hingga reaktif. Model KeKAR merupakan model intevensi yang layak untuk memberdayakan komunitas sekolah dalam membentuk ketangguhan diri remaja guna menolak inisiasi merokok. Implementasi Model KeKAR meningkatkan secara bermakna skor perilaku anti-rokok pada remaja-awal berupa ketiadaan intensi merokok; konsumsi rokok; penerimaan ajakan merokok; dan keinginan merokok pada masa yang akan datang. Model KeKAR berkontribusi positif dalam upaya penanggulangan perilaku merokok pada siswa SMP di Kota Malang.

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High prevalence of smoking among early-teenagers indicates the need for efforts of all elements of society to protect teenagers from smoking. This study aimed to determine the effect of the Anti-Smoking Community Resilience Model (ASCRM) for controlling smoking behaviour among middle school students in Malang. The study was employed action research design consisted of three phases: phenomenology, model development, and quasi-experiments. The first phase was the phenomenological study which involved 25 informants (7 students; 7 fathers of students; 7 teachers; 4 nurses).

Data were collected using in-depth interviews and analysed manually using Colaizzis method. The development of the ASCRM Model as the second phase began through a literature review based on goal attainment theory, risk characteristics, the model of protective resilience, community-as-partner model, intervention wheel model, and smoking experience of novice smokers, which then continued by a survey of 248 respondents conducted to validate the model.

The data were analysed using Structural Equation Modelling. The validated ASCRM Model was developed into ASCRM Module and assessed for fitness by community health experts. In the third phase, The ASCRM Model had designed to the quasi-experimental involved 60 students as the treatment group and 60 students as a control group. Data were analysed using the Mann-Whitney U test.

The main problem of regard controlling smoking behaviour in early-teenagers is the continuity of school community responses that vary from assertive until reactive. The ASCRM model is a fit intervention model to empower the school community for developing teenager self-resilience to refuse smoking initiation. Implementation of ASCRM Model significantly increased student score of smoke-free behaviour included the absence of smoking intention; cigarette consumption; acceptance of smoking; and the urge to smoke in the future. The ASCRM model positively contributed to the control of smoking behaviour among middle school students in Malang."

"Upaya peningkatan kompetensi peserta didik keperawatan hingga saat ini masih menjadi masalah bagi sebagian besar institusi pendidikan keperawatan di Indonesia. Hal ini disebabkan kolaborasi yang belum optimal dengan rumah sakit karena belum didukung oleh kebijakan yang memadai pendekatan crossectional survey dan melibatkan 384 sampel bertempat di lima Rumah Sakit (Fatmawati. Oleh karena itu riset ini bertujuan untuk menghasilkan model kolaborasi yang tepat guna meningkatkan kompetensi peserta didik tersebut. Model ini didisain berdasarkan riset kuantitatif dan kualitatif. Penelitian kuantitatif dilakukan bulan September 2012-Februari 2013 dengan Jakarta, Hasan Sadikin Bandung, Kariadi Semarang, Sardjito Yogyakarta, Soetomo Surabaya) dan lima Institusi pendidikan (FIK Univ. Muhammadiyah Jakarta, FIK Univ.Padjajaran, PSIK FK Univ. Gadjah Mada, PSIK FK Univ. Diponegoro dan FIK Univ. Airlangga). Penelitian kualitatif dilaksanakan di RS Fatmawati dan FIK UMJ. Data dianalisa dengan Multiple Regresi Logistik yang menghasilkan formula yaitu: Role Model, uraian tugas pendidik klinik, keahlian staff fakultas, kemitraan kesejawatan, variasi kasus dan pendidikan. Persamaan model didapatkan: -431+0,733*Keahlian Staf Fakultas +1,215*kemitraan +1,086*Variasi Kasus +0,802*uraian tugas +0,824*RoleModel -0,594*Pendidikan (Ners dan Magister/ spesialis) -1,113*Pendidikan (S3). Terhadap peluang pencapaian kompetensi peserta didik maka; variabel keahlian staf fakultas sebesar 2,082 kali, kemitraan kesejawatan sebesar 3,369 kali, ketersediaan variasi kasus di klinik sebesar 2,961 kali, uraian tugas pendidik klinik sebesar 2,300 kali dan role model di klinik 2,280 kali. Model ini selanjutnya dilakukan validasi melalui riset tahap 2 (dua) dengan disain riset quasi experimental di RS. Islam Jakarta Pusat sebagai kelompok perlakuan dan RS. Islam Jakarta Timur sebagai kontrol dengan institusi pendidikan mitra yaitu FIK Univ. Muhammadiyah Jakarta. Melibatkan 25 responden kelompok perlakuaan dan 25 responden kelompok control. Analisa data dilakukan dengan General Linier Model – Repeated Meassure dan terbukti bahwa capaian kompetensi berbeda bermakna pada tiap tahap pengukuran dan antar kelompok pengukuran. Riset ini membuktikan bahwa model ini valid dan dapat meningkatkan pencapaian kompetensi peserta didik. Capaian kompetensi (pengetahuan, keterampilan dan sikap) menunjukkan percepatan 4 minggu di bandingkankan dengan kelompok control. Hasil riset ini diharapkan dapat digunakan oleh institusi pendidikan keperawatan, rumah sakit dan pemerintah untuk menata model pendidikan keperawatan dan menjadi standar bagi penyelenggaraan pendidikan keperawatan di Indonesia agar pencapaian kompetensi peserta didik lebih efektif, efisien dan optimal.

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Nowadays the effort to improve students competence is a problem for almost all nursing school in Indonesia. It is probably related to nonoptimal collaboration between nursing school and hospital since no support of an appropriate policies. The aim of this study was to build collaboration model in order to improving students competence. This study was using quantitative and qualitative research approach. The Cross sectional survey was started in September 2012 until February 2013, carried out 384 samples in five hospitals (Fatmawati Jakarta, Hasan Sadikin Bandung, Kariadi Semarang, Sardjito Yogyakarta, Soetomo Surabaya) and five nursing schools (FIK Univ. Muhammadiyah Jakarta, FIK Univ.Padjajaran, PSIK FK Univ. Gadjah Mada, PSIK FK Univ. Diponegoro dan FIK Univ. Airlangga). The qualitative study was held in Fatmawati Hospital and FIK UMJ. Performing multiple logistic regression analysis showed that Role model, clinical instructor job description, the expertise of lecturer, nursing staff partnership, the variety of cases and schools. More over, the model was illustrate -431+ +0,733* the expertise of faculty’s staff +1,215* Partnership +1,086* the variety of cases +0,802* job description+0,824* RoleModel -0,594* school (Ners and Magister/spesialis) -1,113*school (doctoral). The expertise of faculty’s staff has chance 2.082 times to achieve student competence, so does the chance of the nursing staff partnership has up to 3.369, the existence of variety of cases 2,961 times, clinical instructur job description 2,300 times and role model in clinical setting 2,280 times. A secondary study by research in Islamic hospital was done to validate the model. The sample consist of Islamic hospital in Central Jakarta and Islamic Hospital in East Jakarta as control group. Both of the samples has collaboration with FIK Muhammadiyah University of Jakarta. By using General Linier Model – Repeated Measurement showed significant result of student competence achievement in each group. This indicates that the model is valid and can increase the achievement of student competency. The result of this study can be used for nursing schools, hospitals, and government to adjust nursing education model in the interest of preferable student competence accomplishment"

"Sistem informasi keperawatan adalah salah satu elemen penting dalam pelaksanaan asuhan keperawatan. Sistem informasi keperawatan di Indonesia saat ini masih belum optimal dan umumnya masih bersifat manual. Riset dimulai dengan mengidentifikasi dan dilanjutkan pengembangan model sistem informasi manajemen keperawatan oleh Roro ("SIMPRO") yang disesuaikan dengan kondisi rumah sakit. Model "SIMPRO" yang telah dicustomization diujicobakan di dua rumah sakit dengan karakteristik yang berbeda yaitu rumah sakit swasta dan rumah sakit pemerintah. Setelah implementasi, dilaksanakan evaluasi dengan desain pre- post test without control group. Jumlah sampel dokumentasi yang digunakan untuk mengevaluasi kinerja "SIMPRO" adalah 219 dokumentasi dari setiap kelompok rumah sakit. Hasil riset menyampaikan ada perbedaan kinerja sebelum dan sesudah menggunakan "SIMPRO" yang diidentifikasikan dari perbedaan kualitas, kelengkapan, kesinambungan, bukti aspek legal dan fungsi membantu membuat keputusan (p=0.001). Ada perbedaan efisiensi waktu: baik di Rumah Sakit Ibu dan Anak Bunda Jakarta dan RS. Fatmawati (p= 0.01). Setelah menggunakan "SIMPRO" waktu yang diperlukan untuk melaksanakan dokumentasi di RS Fatmawati adalah 40.29 menit atau 25.27% dari total waktu dalam satu shift, sedangkan di RS Ibu dan Anak Bunda Jakarta membutuhkan waktu 24.62 menit atau 9.60% dari total waktu dalam satu shift. "SIMPRO" juga mempengaruhi efisiensi biaya, dimana dengan "SIMPRO" dokumentasi tidak setiap waktu harus dicetak. "SIMPRO" menjamin continuity of care dari asuhan keperawatan, sebagai bukti aspek legal, membantu mengambil keputusan dan meningkatkan keselamatan pasien. "SIMPRO" mengefisiensikan waktu dokumentasi sehingga waktu perawatan langsung ke pasien lebih optimal. "SIMPRO" juga meningkatkan edukasi kesehatan kepada pasien dan keluarga."Pada riset ini "SIMPRO" juga dapat meningkatkan peran manajer keperawatan dalam melaksanakan fungsi manajemen terutama pada peran pemberiaan motivasi, pengarahan, evaluasi dan monitoring terhadap pelaksanaan asuhan keperawatan. Dukungan aspek perawat, aspek manajemen dan teknik dapat mengoptimalkan kinerja "SIMPRO" sehingga dapat meningkatkan kualitas pelayanan keperawatan. Berdasarkan manfaat dari "SIMPRO", maka sistem ini dapat direkomendasikan untuk digunakan di setiap Rumah Sakit serta dapat mendukung peningkatan kualitas mutu pelayanan keperawatan dan kesehatan.

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Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects."

"Sistem informasi keperawatan adalah salah satu elemen penting dalam pelaksanaan asuhan keperawatan. Sistem informasi keperawatan di Indonesia saat ini masih belum optimal dan umumnya masih bersifat manual. Riset dimulai dengan mengidentifikasi dan dilanjutkan pengembangan model sistem informasi manajemen keperawatan oleh Roro ("SIMPRO") yang disesuaikan dengan kondisi rumah sakit. Model "SIMPRO" yang telah dicustomization diujicobakan di dua rumah sakit dengan karakteristik yang berbeda yaitu rumah sakit swasta dan rumah sakit pemerintah. Setelah implementasi, dilaksanakan evaluasi dengan desain prepost test without control group. Jumlah sampel dokumentasi yang digunakan untuk mengevaluasi kinerja "SIMPRO" adalah 219 dokumentasi dari setiap kelompok rumah sakit. Hasil riset menyampaikan ada perbedaan kinerja sebelum dan sesudah menggunakan "SIMPRO" yang diidentifikasikan dari perbedaan kualitas, kelengkapan, kesinambungan, bukti aspek legal dan fungsi membantu membuat keputusan (p=0.001). Ada perbedaan efisiensi waktu: baik di Rumah Sakit Ibu dan Anak Bunda Jakarta dan RS. Fatmawati (p= 0.01). Setelah menggunakan "SIMPRO" waktu yang diperlukan untuk melaksanakan dokumentasi di RS Fatmawati adalah 40.29 menit atau 25.27% dari total waktu dalam satu shift, sedangkan di RS Ibu dan Anak Bunda Jakarta membutuhkan waktu 24.62 menit atau 9.60% dari total waktu dalam satu shift. "SIMPRO" juga mempengaruhi efisiensi biaya, dimana dengan "SIMPRO" dokumentasi tidak setiap waktu harus dicetak. "SIMPRO" menjamin continuity of care dari asuhan keperawatan, sebagai bukti aspek legal, membantu mengambil keputusan dan meningkatkan keselamatan pasien. "SIMPRO" mengefisiensikan waktu dokumentasi sehingga waktu perawatan langsung ke pasien lebih optimal. "SIMPRO" juga meningkatkan edukasi kesehatan kepada pasien dan keluarga.?Pada riset ini "SIMPRO" juga dapat meningkatkan peran manajer keperawatan dalam melaksanakan fungsi manajemen terutama pada peran pemberiaan motivasi, pengarahan, evaluasi dan monitoring terhadap pelaksanaan asuhan keperawatan. Dukungan aspek perawat, aspek manajemen dan teknik dapat mengoptimalkan kinerja "SIMPRO" sehingga dapat meningkatkan kualitas pelayanan keperawatan. Berdasarkan manfaat dari "SIMPRO", maka sistem ini dapat direkomendasikan untuk digunakan di setiap Rumah Sakit serta dapat mendukung peningkatan kualitas mutu pelayanan keperawatan dan kesehatan.

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Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects."

"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).

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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."

"Tujuan penelitian ini mengembangkan model asuhan keperawatan berbasis spiritual pada klien penyakit fisik kronis serta dampaknya pada mutu asuhan keperawatan. Disain penelitian menggunakan action research, terdiri dari tiga tahap. Tahap awal, mengidentifikasi masalah menggunakan metode riset kualitatif bersifat fenomenologi. Hasil berupa kesenjangan antara kebutuhan dan harapan klien tentang asuhan keperawatan spiritual selama dirawat dan kemampuan serta motivasi perawat dalam memberikan asuhan keperawatan berbasis spiritual. Tahap kedua mengembangkan draft model asuhan keperawatan berbasis spiritual dan modul pelatihan bagi perawat. Tahap ketiga, memvalidasi model dan modul. Penelitian Tahap tiga menggunakan quasi experiment dengan rancangan Non equivalen (pretest and posttest) control group. Responden adalah perawat dari 3 RSIJ berjumlah 131 orang terbagi menjadi 3 kelompok, kelompok pelatihan 59 orang, membaca modul 38 orang dan kontrol 34 orang. Analisis data mengunakan paired t test, anova dan GLM. Hasil Penelitian menunjukan peningkatan kemampuan perawat yang bermakna antara sebelum dan sesudah pelatihan p<0,05. Terjadi Peningkatan kemampuan dan penurunan motivasi pada ketiga kelompok perawat dalam memberikan asuhan keperawatan berbasis spiritual setelah 3 bulan pelatihan dengan p<0,000. Selanjutnya, untuk mengetahui efektifitas implementasi hasil pelatihan telah digunakan disain penelitian preexperimental, rancangan alternative treatment posttest only with nonequivalen groups. Seratus orang klien dengan DM menjadi subjek penelitian. Analisis data menggunakan Chi-Square dan GLM. Hasil analisis GLM multivariat menunjukkan kemampuan perawat berpengaruh terhadap mutu asuhan keperawatan khususnya layanan spiritualitas dan kepuasan klien (p<0,05). Kesimpulan; model dan modul asuhan keperawatan berbasis spiritual pada klien rawat inap dengan penyakit fisik kronis meningkatkan kemampuan dan motivasi perawat dalam memberikan asuhan keperawatan berbasis spiritual dan berdampak positif pada mutu asuhan keperawatan. Selain itu, diinstitusi pendidikan, model ini juga dapat diintegrasikan dalam kurikulum keperawatan baik keperawatan dasar maupun keperawatan klinik. Sedangkan pada tatanan layanan, model dan modul ini dapat digunakan untuk melakukan pelatihan pada perawat.;

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The purpose of this study was to develop nursing care model based on chronic illness patient spiritual need and to investigate the impact of model toward nursing care quality. This study utilized an action research, consisted of three stages; first stage was to identify the problem using qualitative research method with a fenomenology approach. The result, demostrated that there were differences between patient need and nurse competence to fulfill spiritual care; second stage was to develop a draft of model and study guide for nurses training and the third stage was to evaluate the effectiveness of study guide and its implementation based on the training. This study uses a quasi experiment with non equivalent pre-post test with control group design. One hundred and thirty one nurses were selected from three hospital and divided into three groups, 59 samples as training group, 38 samples as study guide readers and 34 samples as control group. The data was analyse by paired t test, anova and GLM. The result revealed that there were ability alteration before and after training p<0.05. There was an improvement of ability and reduction of motivation in spiritually nursing care in all groups three month after training, p<0.000. The next step was to evaluated the effectiveness of implementation of training with pre-experimental, alternative treatment post test only with nonequivalent groups approach. Using 100 diabetic mellitus patient, the data was analysed by chi-square and GLM. The GLM multivariat analisys illustrated nurse competence related to nursing care quality particularly to spiritual care and patient satisfaction, p<0.05. Model and module of nursing spiritual care to inpatient patient with chronic illness was capable to improve nurses competence and motivation to provide spiritual based nursing care and had possitive impact to quality of nursing care. Moreover, in educational institutions, this model can also be integrated in the nursing curriculum of both fundamental and clinical. While in the order of service, this model and module can be used to conduct training for nurses.Key words : nurses competency, motivation."