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All Journal JIP (Jurnal Intervensi Psikologi) JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Keperawatan Muhammadiyah ABDIMAS SILIWANGI Faletehan Health Journal Journal of Nursing Care J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Medika Cendikia (e-Journal) Jurnal Keperawatan 'Aisyiyah Jurnal Keperawatan 'Aisyiyah JIP (Jurnal Intervensi Psikologi)
Megawati, Sri Wulan
Fakultas Keperawatan, Universitas Bhakti Kencana
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Efektivitas Metode Pembelajaran Cooperative Learning Terhadap Kemampuan Komunikasi pada Mahasiswa Patimah, Iin; Megawati, Sri Wulan; Suryawantie, Tanti
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 4, No 1 (2018): Vol 4, No. 1 (2018)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v4i1.12347

Abstract

ABSTRAK Komunikasi  merupakan elemen vital dalam keperawatan, karena komunikasi yang baik dapat menunjang keberhasilan asuhan keperawatan sebaliknya  komunikasi yang buruk dapat menimbulkan kesalahan medis yang berimbas pada injury bahkan kematian pada pasien. Kemampuan komunikasi perawat harus diasah sedini mungkin yaitu dimulai dari pendidikan tahap akademik. Metode pembelajaran Cooperative Learning merupakan metode pembelajaran yang terstruktur, sistematis yang dirancang oleh dosen/pengajar untuk memecahkan suatu masalah/kasus atau mengerjakan suatu tugas dilakukan pada kelompok kelompok kecil untuk mencapai tujuan pembelajaran tertentu, dimana masing-masing anggota kelompok bertanggung jawab untuk mempelajari materi pembelajaran tertentu dan menjelaskan ke teman lainnya begitupun kelompok anggota lainnya. Tujuan penelitian ini adalah untuk mengukur  efektivitas metode pembelajaran Cooperative Learning terhadap kemampuan komunikasi pada mahasiswa tingkat satu pada Program Studi S1 Keperawatan STIKes Karsa Husada Garut tahun 2016. Metode pembelajaran dilaksanakan dalam kurun waktu  tujuh kali pertemuan masing-masing pertemuan selama 200 menit. Rancangan metode penelitian menggunakan quasi experiment with control group pre and posttest design dengan perhitungan total sampling selama periode Juni-Agustus 2016. Alat ukur yang digunakan yaitu ICCS (Interpersonal Communication Competence Scale) untuk mengukur kemampuan komunikasi mahasiswa sebelum dan sesudah mengikuti metode pembelajaran Cooperative Learning. Untuk selanjutnya data dianalisis dengan menggunakan uji t. Dari hasil penelitian diperoleh nilai p value sebesar 0.571 (p value 0.05) yang artinya H nol ditolak. Hal ini berarti menunjukan bahwa tidak ada perbedaan kemampuan komunikasi antara kelompok perlakuan dan control. Disarankan dalam penelitian ini dlakukan dengan kurun waktu yang lebih panjang.  ABSTRACT Communication is a vital element in nursing.  Good  skill communication can support the success of a nurse  otherwise poor communication can lead medical errors that impact on injury and even death in patients. The nurse's communication skills should be honed as early as possible starting from the academic stage of education. Cooperative Learning is a structured, systematic learning method designed by lecturers/lecturers to solve a problem/case or do a task performed on small groups to achieve certain learning objectives, where each group member is responsible for studying learning materials certain and explain to other friends as well as other group members. The purpose of this study is to measure the effectiveness of Cooperative Learning methods on communication skills in the first-grade students in the Program Study of Nursing S1 STIKes Karsa Husada Garut in 2016. The learning method is conducted within seven meetings of each meeting for 200 minutes. The design of the research method used quasi-experiment with control group pre and posttest design with total sampling calculation during the period of June-August 2016. The measuring instrument used is ICCS (Interpersonal Communication Competence Scale) to measure the communication ability of students before and after following Cooperative Learning learning method. For the next data is analyzed by using t-test. From the research results obtained p-value of 0.571 (p value 0.05) which means that H is rejected. This means that there is no difference in communication skills between the treatment and control groups. It is recommended in this study to be done with a longer period of time
SUPERVISI KEPERAWATAN DI RUMAH SAKIT Satria Pratama, Angga; Lestari, Ardita Ayu; Yudianto, Kurniawan; Megawati, Sri Wulan; Pragholapati, Andria
Jurnal Keperawatan 'Aisyiyah Vol. 7 No. 1 (2020): Jurnal Keperawatan 'Aisyiyah
Publisher : Sekolah Tinggi Ilmu Kesehatan 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/jka.v7i1.168

Abstract

Supervisi Keperawatan dapat memengaruhi kondisi perawat dalam membangkitkan,mengarahkan, dan memelihara perilaku yang berhubungan dengan lingkungan kerjaperawat. Namun, kenyataannya pelaksanaan supervisi belum optimal. Tujuan penelitianini untuk mengidentifikasi pelaksanaan supervisi keperawatan di ruang rawat inap RSUDMajalaya. Jenis penelitian menggunakan survei analitik. Metode pengambilan sampelmenggunakan total sampling dengan jumlah sampel sebanyak 55 perawat pelaksanandi 6 ruang rawat inap. Teknik pengumpulan data mengggunakan kuesioner ManchesterClinical Supervision Scale 26-item (MCSS-26). Hasil penelitian menunjukkan 29 orang(52,7%) mempersepsikan pelaksanaan supervisi keperawatan tidak baik. Berdasarkanhasil penelitian diharapkan adanya evaluasi atau program dalam upaya menyusun suatukebijakan dan standar operasional terkait dengan kegiatan supervisi keperawatan yangdilakukan di ruangan khususnya rawat inap.
Evaluasi Penerapan Early Warning Score di Ruang Rawat Inap Dewasa Megawati, Sri Wulan; Jundiah, Raden Siti; Khotimah, Nur Intan Hayati Husnul; Muliani, Rizki
Jurnal Keperawatan Muhammadiyah Vol 6, No 1 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i1.6488

Abstract

Early Warning Score (EWS) is one of the instruments used to assess the patient's physiological deterioration and is one of the assessments in hospital accreditation. The application of the EWS can predict patient outcomes in the form of mortality, length of stay, and re-hospitalization. The purpose of this study was to evaluate the application of EWS in the inpatient room. This study was a prospective observational cohort study of patients in adult wards (≥16 years) over a while (1 month). The number of samples was 256 patients. The instruments used in this study were a demographic data questionnaire and an EWS observation sheet. Descriptive statistics were used for patient characteristics, and EWS monitoring documents. The results showed that 100% of the EWS sheet documentation was incomplete, if this examination sheet was not carried out correctly it would affect the subsequent patient handling and patient outcomes both related to illness and death. Monitoring and evaluation related to the implementation of the EWS are very much needed in the future for the improvement of hospital services as a whole. Keywords: Early Warning Score, Evaluation
Psikoterapi Re-Edukasi (Konseling) Terhadap Tingkat Kecemasan Pasien Pre Operatif Sectio Caesaria andria pragholapati; Sri Wulan Megawati; Yana Suryana
JIP (Jurnal Intervensi Psikologi) Vol. 13 No. 1 (2021): Jurnal Intervensi Psikologi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/intervensipsikologi.vol13.iss1.art2

Abstract

The research's objective is to identify the influence of re-education Psychotherapy on the anxiety level of preoperative sectio caesaria patients at central operating theater RSUD Kota Bandung. The pre experimental design with one group pre-test-post-test design. The population is preoperative sectio caesaria patients and a sample of 30 participants with purposive sampling. Used SAS/SRAS instrument to measure anxiety levels. The conclusion there was a significant influence of implementing re-education psychotherapy to preoperative sectio caesaria anxiety patient level. Based on the result of the study, re-education psychotherapy is needed in preoperative patients as a companion pharmacology. 
Senam Kaki Diabetes pada Penderita Diabetes Melitus Tipe 2 untuk Meningkatkan Nilai Ankle Brachial Indexs Sri Wulan Megawati; Restu Utami; Raden Siti Jundiah
Journal of Nursing Care Vol 3, No 2 (2020): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v3i2.24445

Abstract

Diabetes adalah penyakit kronis yang dipengaruhi oleh berbagai aspek seperti gaya hidup seperti pola makan dan aktifitas fisik sehingga membutuhkan perawatan berkelanjutan. Penatalaksanaan yang tidak efektif dapat menyebabkan komplikasi seperti Penyakit Arteri Perifer. Pemeriksaan Ankle Brachial Index dapat digunakan untuk mengetahui kondisi pembuluh darah ekstremitas bawah. Salah satu upaya pencegahan terjadinya Penyakit Arteri Perifer yaitu dengan Senam Kaki Diabetes. Tujuan Penelitian ini adalah untuk mengetahui pengaruh senam kaki diabetes terhadap sirkulasi ke daerah kaki dengan menilai Ankle Brachial Index pada pasien Diabetes Melitus Tipe 2. Desain penelitian ini adalah pre eksperimen dengan rancanagn one-group pre test-post test. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah 21 responden berdasarkan kriteria yang ditentukan. Analisis data univariat menggunakan distribusi frekuensi, sedangkan bivariat menggunakan Paired Sampel T-test. Hasil penelitian menunjukan bahwa sebelum diberikan senam kaki diabetes sebagian kecil (14.3%) responden memiliki nilai Ankle Brachial Index normal (0.9 -1.4 mmHg). Setelah diberikan senam kaki diabetes, sebagian besar (71,4%) responden memiliki nilai Ankle Brachial Index normal yaitu (0.9 – 1.4 mmHg). Hasil Uji Statistik Paired Sampel T-Test dengan tingkat kepercayaan 95% (α=0,05) menunjukan (p –value 0,001) artinya terdapat pengaruh senam kaki diabetes terhadap nilai Ankle Brachial Index pada pasien Diabetes Mellitus Tipe 2. Senam kaki diabetes dapat terus dilaksanakan untuk meningkatkan sirkulasi ke daerah kaki pada pasien Diabetes Mellitus Tipe 2.
MENINGKATKAN PERAN KELUARGA DALAM TANGGAP DARURAT BENCANA PANDEMIK COVID-19 Sriwulan Megawati; Iman Abidin; Iceu Mulyati; Manaf Bin Saman; Nur Intan Hayati Husnul Khotimah
Abdimas Siliwangi Vol 4, No 1: Januari, 2021
Publisher : IKIP SILIWANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22460/as.v4i1p51-60.6436

Abstract

The discovery of positive confirmed cases of Covid-19 in the Cibiru Asri I complex area has an impact on residents in that environment, such as panic, worries about Covid-19 transmission, increased stress and fatigue, while knowledge about prevention measures for transmission in public places is still not optimal, marked by the use of masks which is not appropriate, hand washing facilities are not yet available and knowledge about stress management is inadequate, even though this can reduce immunity and the risk of Covid 19 transmission occurs. This activity aims to increase the role of families, especially mothers in responding to the Covid-19 outbreak. The method used as a solution to overcome partner problems is by holding educational activities about the Covid-19 disease; self-assessment of Covid-19 in families (selfi), hand washing movements (harewos), movements of wearing masks, making hand sanitizers and disinfectants (hade), healthy liver movements (hearts), stress management with finger handheld therapy and donations made online and offline. Based on the evaluation, it was found that almost all of the mothers (80%) who participated in educational activities about Covid-19, self-assessment, hand washing movements and wearing masks were in the good category, while the stress levels of mothers after being given finger handheld therapy were almost entirely (73, 3%) are in the normal category. This shows that community service activities in the form of education provided by the community service team can increase mothers' knowledge of preparedness to face Covid-19. Education for mothers can increase family knowledge, because mothers are people who act as protectors of the family, especially their children. So that education by involving mothers is necessary to continue to increase the independence of the family in facing disasters.Keywords: Covid-19, Emergency Response, Family Role
Pengalaman Dilema Etik Bagi Perawat di Ruang Intensive Care Unit Sri Wulan Megawati; Anastasia Anna
Jurnal Medika Cendikia Vol 1 No 2 (2014): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Nurses in Intensive Care (ICU) often face ethical dilemmas. They often face problems that require consideration of ethics in everyday practice. Advances in technology and consumer demand for high-quality services can put a nurse in a condition that causes a dilemma. The purpose of this research paper is to find out how ICU nurses experience in dealing with ethical dilemmas. The data collected in the form of publication of the journal literature, traced by-CINALHL EBSCOhost, ProQuest, PubMed, HealthMed Journal etc. by using the keyword "Ethical Dilemma", "Critical Care Nurse". At the end of 15 journals found at the top of the 2000s, between 2001- 2011. In general, the results of all the literature that in the review illustrates that the ethical dilemmas experienced by ICU nurses interpreted as how to choose between the two options and troubleshooting are not no solution. Cases are often faced ICU nurses are related decisions End of Life Care. Ethical dilemmas faced in general cause moral distress in nurses. To solve the problem of ethical dilemma discussions nurse team or talk with fellow nurses. Many obstacles faced by nurses in facing ethical dilemmas include the work environment is considered as a barrier in implementing the practice of ethics, both nurses tend conventionally grounded instead of using creativity and critical reflection, and three nurses difficulty applying ethical decisions in the context of a more challenging. The conclusion of this literature review, the findings of this study provide important information about the ethical dilemmas experienced by nurses. This information can be used as a baseline to improve ethical decision-making skills of nurses
Analisis Mortalitas Pasien di Ruang Intesive Care Unit (ICU) Sri Wulan Megawati; Triana Dewi; Acep Dadang Nurohmat; Rizki Muliani
Jurnal Medika Cendikia Vol 7 No 02 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i02.151

Abstract

Salah satu strategi yang digunakan untuk menurunkan kematian adalah dengan melaksankan audit kematian. Proses audit ini membantu dalam menelaah secara lebih luas terkait mertalitas dan morbiditas pasien. Tujuan penelitian adalah untuk menganalisis mortalitas pasien di Ruang ICU berdasarkan karakteristik pasien. Metode penelitiannya menggunakan pendekatan deskriptif kuantitatif. Populasi dalam penelitian ini adalah seluruh pasien di ICU, sedangkan sampelnya diambil secara consecutive sampling selama waktu 3 bulan dari Mei-Agustus 2019 didapatkan 117 pasien dimana 35 pasien mati dan 82 pasien hidup . Analisa data univariat menggunakan distribusi frekuensi. Hasil penelitian menunjukan pasien yang mengalami kematian di ICU kurang dari setengah (31,43%) berada pada usia > 65 tahun, sebagian besar (57, 14%) berjenis kelamin laki-laki, lebih dari setengahnya (68,57%) memiliki lama rawat 1-3 hari, sebagian besar (97,14%) tidak memakai ventilator, seluruh responden (100%) pasien non bedah dan kurang dari setengah responden (34.28%) pasien dengan nilai skor APACHE II 25 s.d 29. Dokumentasi dan analisa terkait dengan mortalitas pasien harus terus dikembangkan sebagai bahan dalam audit kematian yang bermanfaat dalam penilaian mutu pelayanan keperawatan di ICU. Perlu dilakukan lagi kajian atau penelitian tentang faktor apa saja yang paling mempengaruhi kejadian mortalitas di ICU sehingga diketahui dengan jelas bagaimana cara dalam menurunkan angka mortalitas
Dampak Implementasi Model Early Warning Score Terhadap Mutu Pelayanan Rawat Inap Sri Wulan Megawati; Septy Dian Sondari; Irisanna Tambunan
Jurnal Medika Cendikia Vol 8 No 1 (2021): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v8i1.155

Abstract

The quality of hospital services is determined by the mortality and morbidity rates, including services in inpatient rooms. One of the efforts to improve the quality related to patient safety in hospitals is the implementation of the Early Warning Score (EWS). Early warning score (EWS) is a parameter used to assess the deterioration of the patient's physiological condition by using seven parameters for assessing the patient's physiological response so that it can predict the outcome of the patient being treated. The purpose of this study was to analyze the impact of the application of EWS on the quality of inpatient services consisting of mortality (Net Death Rate), length of stay (Length of Stay), referral to HCU/ICU and activation of code blue. The research was carried out with the help of 4 enumerators. The population in this study were patients who were treated in an adult inpatient room with inclusion and exclusion criteria. The samples obtained were 278 patients with purposive consecutive sampling technique for 1 month. Data were analyzed by frequency distribution and correlation test using Chi-square. The results obtained indicate that there is no correlation between the EWS value and length of stay, while for mortality there is a correlation with the p-value <0.001. Referrals to the ICU/HCU and activation of code blue could not be analyzed due to the homogeneity of the data so that a larger number of samples and case variations were required. EWS can be used as a predictor of inpatient service quality by looking at patient outcomes.
Efek Fatigue terhadap Respon Time Penanganan Penderita Gawat Darurat Kategori Australasian Triage Scale 1-5 Versi Indonesia Nur Intan Hayati Husnul Khotimah; Raden Siti Jundiah; Rizky Muliani; Sriwulan Megawati
Faletehan Health Journal Vol 9 No 02 (2022): Faletehan Health Journal, July 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i02.433

Abstract

Response time is the indicator of emergency patient management. The handling delay can be fatal, which one of the factors is a high workload causing fatigue. Fatigue was physically characterized by a decrease of movement reflex quality which results on a decrease of emergency response time. This study aimed to identify the effects of fatigue on the response time of emergency patient management. The research design was correlation with cross-sectional approach on 21 emergency department officers who were selected by total sampling technique. The instrument of fatigue measurement was the Indonesian version of Fatigue Severity Scal; while the response time was measured by an observation sheet and stopwatch. The results showed that 52.4% of respondents experienced mild fatigue, 100% response time of emergency patient management was suited to Australasian Triage Scale (ATS) category 1,2,3,4,5 with a median score of 57 seconds, and the response time of 52.4% respondents was less than 57 seconds. The value of Spearman Rank test obtained r value 0.121 which indicates statistically no correlation between fatigue and response time. The weak statistical test results still showed a value that fatigue cause the decrease of problem-solving analysis ability, reflex and movement quality which results on response time decrease. It is necessary to handle fatigue with stress management, work hours arrangement, and adequate rest time management.
Co-Authors Acep Dadang Nurohmat Ade Tika Herawati Amelia Kandisa Anastasia Anna Andria Pragholapati Ardita Ayu Lestari Iceu Mulyati Imam Abidin Iman Abidin Jundiah, Raden Siti Khotimah, Nur Intan Hayati Husnul Kurniawan Yudianto Lestari, Ardita Ayu Manaf Bin Saman Nur Intan Hayati Husnul Khotimah Nur Intan Hayati Husnul Khotimah Patimah, Iin Raden Siti Jundiah Raden Siti Jundiah Restu Utami Rizki Muliani Rizki Muliani Rizky Muliani Septy Dian Sondari Supriyatni Kartadarma Suryawantie, Tanti Susan Irawan Tambunan, Irisanna Triana Dewi Vina Juliana Anggraeni Yana Suryana Yudianto, Kurniawan