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HUBUNGAN PENGETAHUAN TERHADAP KOMPETENSI MAHASIWA PROFESI NERS DALAM PENERAPAN EVIDENCE BASED PRACTICE Harun, Hasniatisari; Kurnia Herliani, Yusshy; Setyawati, Anita
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 1 (2018): Jurnal Ilmiah Kesehatan Keperawatan
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation relatedÂ students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.

Description of Self Awareness Diabetes Mellitus in Nursing Student of Faculty of Nursing Padjadjaran University Yudiana, Mila; Kosasih, Cecep Eli; Harun, Hasniatisari
Jurnal Keperawatan Vol 10, No 2 (2019): Juli
Publisher : University of Muhammadiyah Malang

Diabetes mellitus was a disease that kept increased annually in the world. One of the factors that could prevent the occurrence of diabetes mellitus was self-awareness. The self-awareness for the students of nursing studies was very important to be developed, considering that nursing students were the prospective nurses which soon would become the role models in health and the nursing care givers. Thus, it was expected that the nursing students to have a high awareness. This research aimed to find out the description of self-awareness related to the risk factors of diabetes mellitus to the students of the Faculty of Nursing Universitas Padjadjaran. The method of the research was quantitative descriptive method that involved the population of the students of the Faculty of Nursing year 2014-2016 as much as 853 people, taken by simple random sampling method. The sample obtained was as much as 274 respondents. The data collection was by using self-awareness questionnaire, analyzed by frequency distribution method presented in the form of high, medium, and low self- awareness.Â The result of the research regarding theÂ riskÂ factorsÂ ofÂ diabetes mellitusÂ wereÂ mostÂ ofÂ theÂ respondentsÂ wereÂ includedÂ inÂ theÂ highÂ category (55.20%),Â however,Â thereÂ wereÂ alsoÂ respondentsÂ whoÂ wereÂ includedÂ inÂ the medium category (47.44%). It can be concluded that there were respondents who have a medium self-awareness. Therefore, it is necessary to design the program to raise the self-awareness of nursing students related to diabetes mellitus risk factors.

Exercise and Physical Activity Counseling Needs among Cardiac Rehabilitation Patients Herliani, Yusshy Kurnia; Rahayu, Urip; Harun, Hasniatisari
Unnes Journal of Public Health Vol 10 No 1 (2021): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v10i1.36003

Cardiac rehabilitation (CR) has decreased in recurrent cardiac events. However, information related the needs of cardiac rehabilitation patients such as exercise and physical activities counseling are very limited. This study aims to identify the needs of cardiac rehabilitation patients such as exercise, physical activity counselling, and the relationship between them. It also applied a quantitative approach combined with a descriptive correlational method. 38 cardiac rehabilitation patients were recruited as samples and were selected using the convenience sampling technique. Data collection was performed using questionnaires filled out by the respondents (with a retrospective technique) at the end of the CR program, and the results were evaluated through descriptive correlational statistics. The results revealed that patients with CR required exercise (92.1%) and nurses' counseling for physical activities (86.9%). It also indicates that there is a statistically positive relationship between exercise and physical activities counseling among CR patients (r = 0.485, p < 0.01). Consequently, most CR patients desire nurses to take part in their exercise and physical activities. The needs of CR patients on exercise and physical activity counseling were correlated positively. Therefore, information regarding exercise and physical activity for CR patients should be provided simultaneously to complement each other.

PENGETAHUAN, SIKAP DAN KESIAPAN MAHASISWA PROGRAM PROFESI NERS DALAM PENERAPAN EVIDENCE BASED PRACTICE Harun, Hasniatisari; Herliani, Yusshy Kurnia; Setyawati, Anita
Jurnal Perawat Indonesia Vol. 3 No. 2 (2019): August 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Kebutuhan perawat profesional dapat dicapai melalui program profesi ners yang merupakan bagian dari program pendidikan keperawatan, dimana didalamnya terjadi proses pembelajaran klinik untuk menciptakan perawat profesional yang kompeten. Salah satu peran perawat professional adalah terus mengupdate keilmuan dengan cara menelaah jurnal terbaru untuk mengekplorasi intervensi keperawatan terbaik bagi pasien sehingga mendapat hasil yang optimal. Mahasiswa program profesi ners pada saat jenjang pendidikan perkuliahan telah terlatih untuk menelaah kasus dengan menggunakan metode EBP, namun belum terdapat evaluasi terkait pemahaman mahasiswa terhadap metode tersebut serta penerapannya pada tatanan praktik klinik. Dengan demikian, penelitian ini bertujuan untuk mengidentifikasi bagaimana pengetahuan, sikap dan kesiapan mahasiswa dalam penerapan evidence based practice (EBP) pada pasien kelolaan di stase keperawatan medikal bedah.Penelitian ini adalah penelitian kuantitatif. Sampel pada penelitian ini adalah mahasiswa program profesi ners yang sedang menjalankan praktik klinik dengan menggunakan teknik pengambilan sampel total sampling, yaitu sebanyak 120 responden. Instrumen yang digunakan adalah kuesioner Evidence Based Practice Questionnaire (EBPQ) dengan menggunakan analisis deskriptif (frekuensi, persentase, rata-rata, dll)Hasil penelitian menunjukan bahwa pengetahuan mahasiswa pada konsep Evidence based practice adalah baik sebanyak (68%), sebagian besar responden memiliki sikap yang positif (85%) dan lebih dari setengah responden mempunyai kesiapan yang cukup sebanyak (59%). Temuan hasil penelitian ini adalah penting untuk rekomendasi masukan terkait mengembangkan bahan ajar pada lingkup pendidikan keperawatan terkait praktik keperawatan dalam memberikan pelayanan terbaik untuk pasien

Karakteristik dan Efikasi Diri Keluarga Pasien dengan Infark Miokard Herliani, Yusshy Kurnia; Harun, Hasniatisari; Setyawati, Anita; Fitri, Siti Ulfah Rifaatul
Jurnal Perawat Indonesia Vol. 3 No. 3 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Infark miokard menjadi salah satu penyakit yang menyebabkan tingginya angka kematian dan kecacatan di Indonesia. Perkembangan pengobatan telah banyak terbukti menurunkan angka kematian akibat infark mioard. Dukungan keluarga diperlukan untuk mengoptimalkan penderita patuh terhadap pengobatan dan menjalankan pola hidup sehat sebagai bagian dari rehabilitasi jantung. Efikasi diri menjadi penting dalam memberi dukungan keluarga. Penelitian ini bertujuan untuk memberikan gambaran karakteristik dan efikasi diri keluarga pasien dengan infark miokard di Indonesia. Penelitian ini merupakan penelitian deskriptif kuantitatif yang melibatkan 60 anggota keluarga pasien dengan infark miokard yang dirawat di CICU dan HCCU Rumah Sakit Hasan Sadikin. Prosedur pengambilan sampel dalam penelitian ini menggunakan teknik convenience sampling dan responden diminta untuk mengisi kuesioner. Hasil penelitian ini, usia rata-rata anggota keluarga pasien adalah 45,58 tahun dan mayoritas berjenis kelamin perempuan. Hampir setengah dari keluarga pasien memiliki tingkat pendidikan SMA dan lebih dari setengah pasien memiliki riwayat keluarga terkait dengan penyakit jantung. Mayoritas anggota keluarga pasien tidak memiliki pengalaman dalam merawat pasien penyakit jantung sebelumnya. Skor rata-rata efikasi diri anggota keluarga untuk merawat pasien adalah 6,55. Kesimpulannya, memberikan intervensi kepada pasien dan keluarga sangat penting untuk meningkatkan efikasi keluarga dalam merawat pasien infark miokard pasca serangan. Kata kunci: Efikasi diri, infark miokard, karakteristik keluarga Abstract Characteristics and Self-Efficacy of Family Care Giver of Patient with Myocardial Infarction in Indonesia. Myocardial infarction is one of the diseases that cause high mortality and disability in Indonesia. The development of treatment has been shown to reduce the incidence of death due to myocardial infarction. Family support is essential to optimize the patient's adherence to treatment and promote a healthy lifestyle as part of cardiac rehabilitation. Self-efficacy is important in providing family support. This study aimed to provide an overview of the characteristics and self-efficacy of family of patients with myocardial infarction in Indonesia. This study was a quantitative descriptive study involving 60 family members of patients with myocardial infarction hospitalized at CICU and HCCU in Hasan Sadikin Hospital. The sampling procedure in this study used convenience sampling techniques and respondents were asked to fill out a questionnaire. The average age of the patient's family members was 45.58 years and the majority was female. Nearly half of patients' families have high school education levels and more than half of patients have a family history of heart disease. The majority of patients' family members have no experience in treating heart disease patient previously. The average score for self-efficacy of family members to treat patients is 6.55. Conclusions is giving intervention to patients and families is very important to improve family efficacy in treating patients with myocardial infarction after an attack. Keywords: Self-efficacy, myocardial infarction, family characteristics

Studi Kasus : Status Neurologi Pasien Space Occupying Lesion Dengan Hiv dan Toxoplasmosis Cerebri Mutiudin, Ade Iwan; Sagala, Ridal; Pahria, Tuti; Herliani, Yusshy Kurnia; Harun, Hasniatisari; Pitriana, Epi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Space occupying lesion merupakan desakan ruang yang diakibatkan peningkatan volume di dalam ruang intrakranial. Desakan ruang di intrakranial dapat mengakibatkan jaringan otak mengalami nekrosis sehingga dapat menyebabkan gangguan neurologik progresif. Pasien SOL dengan HIV dan Toxoplasmosis Cerebri menunjukkan hampir 80-90% ditemukan memiliki kelainan neurologik. Tujuan : menganalisis karakteristik pasien dan menganalisis status neurologi. Metode : penelitian dekriptif dengan pendekatan studi kasus observasi. Tehnik pengambilan sampel yang digunakan adalah consecutive sampling. Alat pengumpulan data menggunakan lembaran ceklis yang merupakan kriteria status neurologis berdasarkan Nanda, lembar observasi dan MMSE. Hasil : Durasi mulai sakit yang di alami kedua pasien lebih dari 3 bulan dengan lama hari perawatan lebih dari 7 hari. Kedua pasien mempunyai riwayat penyakit penyerta yang sama dan baru mendapatkan terapi Atiretroviral setelah dirawat di rumah sakit. Gangguan status neurologis yang paling dominan tampak pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri diantaranya : Keluhan sakit kepala, gangguan kognitif dan gangguan berbicara serta kelemahan otot. Saran : Monitoring status neurologi secara komprehensif merupakan bagian penting terutama pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri, agar pelayanan yang diberikan akan lebih optimal dan berkualitas. Sehingga dapat mengurangi angka morbiditas dan mortalitas yang diakibatkan oleh gangguan fungsi neurologi. Case Study : Neurology Status of Patients Space Occupying Lesion with HIV and Cerebri Toxoplasmosis. Space occupying lesion is the insistence of space caused by an increase in volume in the intracranial space. Pressure in the intracranial space can brain tissue to experience necrosis so that it can cause progressive neurologic disorders. SOL patients with HIV and Cerebri Toxoplasmosis show nearly 80-90% are found to have neurological abnormalities. Aims : To analyze patient characteristics and analyze neurological status. Method : Descriptive research with an observational case study approach. The sampling technique used was consecutive sampling. Data collection tools use checklist sheets which are neurological status criteria based on Nanda, observation sheets and MMSE. Results : Duration of pain started in both patients was more than 3 months with a length of treatment more than 7 days. Both patients had a history of the same comorbidities and had only received Atiretroviral therapy after being hospitalized. The most dominant neurological status disorders seen in Space Occupying Lesion patients with HIV and Cerebri Toxoplasmosis include: Complaints of headaches, cognitive disorders and speech disorders and muscle weakness. Suggestion: Monitoring Neurology Status comprehensively is an important part especially in the patient's occupying lesion with HIV, so that the service provided will be more optimal and quality. Thus, it can reduce the morbidity and mortality rates caused by impaired neurological functions.

Studi Kasus: Status Pernafasan Pada Pasien Myasthenia Gravis di Ruang Azalea RSUP Dr. Hasan Sadikin Bandung Listia, Mia; Kalay, Mayriska; Kurnia, Dedi; Pahria, Tuti; Harun, Hasniatisari; Herliani, Yusshy Kurnia; Fitriana, Epi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Myasthenia gravis (MG) merupakan penyakit autoimun kronis yang dimediasi oleh antibodi terhadap acetylcholin receptor (AChR) pada membran postsynaptic dari tautan otot saraf. Hilangnya situs AchR mengakibatkan kelemahan pada otot rangka yang berhubungan dengan pernafasan serta pergerakan ekstrimitas. Sebanyak 15 % – 20 % pasien dengan MG setidaknya mengalami satu kali myasthenic crisis. Myasthenic crisis merupakan keadaan darurat medis yang terjadi akibat kelemahan otot-otot pernafasan sehingga pasien mengalami penurunan status pernafasan. Tujuan : untuk mengetahui gambaran karakteristik dan menganalisis status pernafasan pasien MG. Metode : penelitian dekriptif dengan pendekatan observasi studi kasus. Teknik pengambilan sampel menggunakan consecutive sampling. Pengumpulan data dan pengkajian menggunakan form pengkajian asuhan keperawatan RSHS dan lembar observasi status pernafasan nursing intervention clasification. Hasil : karakteristik pasien dalam studi ini adalah pasien MG dengan riwayat gagal nafas, jenis kelamin perempuan, dengan klasifikasi klinis MG IIb dan IIIb. Hasil Kedua pasien mengalami keluhan kesulitan bernafass namun saat diobservasi pasien kedua mengalami dua kali gagal nafas karena melakukan aktivitas seperti berbicara lama, mengedan, dan tertawa berlebih yang mengakibatkan kelemahan pada otot-otot pernafasan sehingga terjadi peningkatan frekuensi pernafasan dan penurunan saturasi oksigen. Simpulan : edukasi yang tepat mengenai aktivitas serta observasi status pernafasan secara berkala dibutuhkan pasien MG agar dapat mengontrol dan mencegah terjadinya gagal nafas yang dapat menyebabkan kematian. Case Study: Respiratory Status of Patients Myasthenia Gravis at Azalea Room Hasan Sadikin Bandung Hospital. Myasthenia gravis (MG) is a chronic autoimmune disease that is mediated by antibodies to the acetylcholine receptor (AChR) in the post-synapses membrane of the neural muscle tissues. Loss of the AchR site results in weakness in skeletal muscle associated with breathing and limb movements. A total of 15%-20% of patients with MG have suffered a one-time crisis. The Myasthenic crisis is a medical emergency that occurs due to the weakness of the respiratory muscles so that the patient experiences decrease in respiratory status. Objective: to determine the characteristics and analyze the respiratory status of MG patients. Method: Descriptive research with an observation approach to case studies. The sampling technique uses consecutive sampling. Data collection and assessment used the RSHS nursing care assessment form and an observation sheet about the classification status of nursing interventions. Results: The characteristics of the patients in this study were MG patients with a history of respiratory failure, female sex, with clinical classification of MG IIb and IIIb. Both patients had a history of respiratory failure but when observed the second patient experienced two symptoms of respiratory failure due to activities such as prolonged talking, straining, and excessive laughter which resulted in weakness in the respiratory muscles which resulted in an increase in respiratory frequency and decreased oxygen saturation. Conclusion: proper education about the activity and observation of respiratory status regularly is needed by MG patients to be able to control and prevent respiratory failure which can cause death.

SWAMEDIKASI PEMAKAIAN ANTIBIOTIK PADA MAHASISWA FAKULTAS KEPERAWATAN UNIVERSITAS PADJADJARAN Harun, Hasniatisari; Yusshy Kurnia Herliani; Siti Ulfah Rifa'atul Fitri; Hesti Platini
Jurnal Perawat Indonesia Vol. 5 No. 2 (2021): August 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Pemakaian antibiotik yang tidak rasional dalam swamedikasi sering terjadi di berbagai kalangan tidak terkecuali mahasiswa. Ketidaktepatan pemakaian antibiotik menyebabkan peningkatan resiko efek samping obat serta resistensi antibiotik. Mahasiswa keperawatan yang nantinya akan menjadi perawat professional perlu mendukung pelaksanaan swamedikasi secara rasional sebelum mengimplementasikannya kepada pasien. Penelitian deskriptif ini bertujuan untuk mengidentifikasi bagaimana Pemakaian antibiotik di kalangan mahasiswa keperawatan. sehingga diperlukan implementasi swamedikasi yang tepat. Sampel pada penelitian yaitu Mahasiswa Tingkat Akhir Fakultas Keperawatan Universitas Padjadjaran secara purposive sampling sebanyak 188 Metode pengumpulan diambil secara kuantitatif dengan menggunakan google form. Data yang terkumpul dianalisis dengan analisis deskriptif (frekuensi, persentase, rata-rata, dll). Hasil penelitian menunjukan bahwa swamedikasi pemakaian antibiotik yang dilakukan responden yaitu mayoritas responden menggunakan antibiotik ketika diresepkan (88%) dan lebih dari setengah responden menghabiskan antibiotik yang telah diresepkan (69%). Temuan hasil penelitian ini dapat menjadi data dasar untuk dilakukan penelitian selanjutnya terkait faktor-faktor yang mempengaruhi mahasiswa tidak menghabiskan antibiotik yang telah diresepkan dalam upaya pengendalian angka resistensi antibiotik..

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