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Peran Perawat pada Pasien Sepsis di Unit Critical Care: A Narrative Review Regina Saragih Turnip; Nur Fadilla Bahri; Irmawati Irmawati; Mashudi Mashudi; Amelia Ganefianty; Ismail Fahmi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13104

Abstract

Sepsis is a medical emergency that describes the body's systemic immunological response to infectious processes that can lead to end-stage organ dysfunction and death. The role of nurses in tackling sepsis patients is critical to identifying the initial condition of sepsis and reducing the continuation of even more severe sepsis. This narrative review aims to identify the role of nurses in treating sepsis patients in critical care units. This research method was the narrative review by analyzing online search databases namely Pubmed, Google Scholar, and Science Direct. The search inclusion criteria were an English-language article, published in 2008-2021, full text, the keywords used were "sepsis", "the role of nurses", "critical care". Our search found 11 articles showed that the role of nurses in treating sepsis patients is early introduction to sepsis to start treatment, team training to ensure a safe and effective approach and the implementation of infection prevention and control measures as prevention of sepsis. So the role of nurses in tackling sepsis patients is critical to identifying the early conditions of sepsis, controlling and preventing sepsis, preventing the progression of the disease and contributing to decreased morbidity and mortality.Keywords: sepsis; the role of nurses; critical care ABSTRAK Sepsis merupakan keadaan darurat medis yang menggambarkan respons imunologi sistemik tubuh terhadap proses infeksi yang dapat menyebabkan disfungsi organ stadium akhir dan kematian. Peran perawat dalam menanggulangi pasien sepsis sangatlah penting untuk mengidentifikasi kondisi awal sepsis serta mengurangi kelanjutan sepsis yang lebih berat lagi. Tinjauan naratif ini bertujuan untuk mengidentifikasi peran perawat dalam merawat pasien sepsis di unit critical care.Metode penelitian ini adalah narrative review dengan menganalisis database online pencarian yaitu Pubmed, Google Scholar, dan Science Direct. Kriteria inklusi pencarian adalah artikel berbahasa inggris, terbit tahun 2008-2021, full text, dengan kata kunci pencarian  “sepsis”, “the role of nurses”, “critical care”.  Dari hasil penelusuran kami menemukan 11 artikel yang menunjukkan bahwa peran perawat dalam merawat pasien sepsis yaitu adanya pengenalan dini terhadap sepsis untuk memulai pengobatan, pelatihan tim untuk memastikan pendekatan yang aman dan efektif serta penerapan langkah-langkah pencegahan dan pengendalian infeksi sebagai pencegahan sepsis. Sehingga peran perawat dalam menanggulangi pasien sepsis sangatlah penting untuk mengidentifikasi kondisi awal sepsis, pengendalian dan pencegahan sepsis, mencegah perkembangan penyakit dan berkontribusi pada penurunan morbiditas dan mortalitas.Kata kunci: sepsis; peran perawat; perawatan kritis
Manajemen Hipotermia pada Pasien Cedera Kepala: Suatu Tinjauan Literatur Ismail Fahmi; Amelia Ganefianty; Ely Nurachmah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 3 (2019): Juli 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf10308

Abstract

Head injury is a crucial public health problem and causes social and economic problems throughout the world. Increased brain blood volume associated with increased body temperature will increase intracranial pressure (ICP) and cause the brain at risk of other injuries. This paper aims to identify the effect of hypothermia management on head injury patients. This article was a review of literature from several data bases, Pubmed, EBSCO Host, Google scholar, and Web of Science. Article search was restricted from 2007 to 2018 using the keyword "head injury", "hypothermia management", "hypothermia in head injury". The search results of the article were that management of hypothermia in head injury patients can reduce metabolic requirements, cerebral metabolic rate for oxygen (CMRO2), excitotoxicity, reduce glutamate release, reduce free radical formation, reduce edema formation, stabilize membranes, maintain adenosine triphosphate (ATP), reduce influx Ca, and intracranial pressure so that it can reduce brain damage and risk of death. Keywords: head injury; hypothermia in head injury; hypothermia management ABSTRAK Cedera kepala merupakan masalah kesehatan masyarakat yang krusial dan menyebabkan permasalahan sosial serta ekonomi di seluruh dunia. Peningkatan volume darah otak yang dihubungkan dengan kenaikan suhu tubuh akan meningkatkan tekanan intrakranial (intracranial pressure/ICP) dan menyebabkan otak berisiko terkena cedera lain. Tulisan ini bertujuan untuk mengidentifikasi pengaruh manajemen hipotermia pada pasien cedera kepala. Tulisan ini merupakan tinjauan literature dari beberapa data base yaitu Pubmed, EBSCO Host, Google scholar, dan Web of Science. Penelusuran artikel dibatasi pada tahun 2007 sampai dengan tahun 2018 dengan menggunakan kata kunci “cedera kepala”, “manajemen hipotermia”, “hipotermia pada cedera kepala”. Hasil penelusuran artikel adalah manajemen hipotermia pada pasien cedera kepala dapat berefek mengurangi kebutuhan metabolik, cerebral metabolic rate for oxygen (CMRO2), eksitotoksisitas, menurunkan pelepasan glutamat, menurunkan pembentukan radikal bebas, mengurangi pembentukan edema, stabilisasi membran, memelihara adenosine triphosphate (ATP), menurunkan influx Ca, dan tekanan intrakranial sehingga dapat mengurangi kerusakan otak dan risiko kematian. Kata kunci: cedera kepala; hipotermia pada cedera kepala; manajemen hipotermia
Tantangan dan Solusi Pendidikan Keperawatan pada Masa Pandemi Covid 19 di Indonesia (Tinjauan Literatur) Ade Suryaman; Ismail Fahmi; Amelia Ganefianty
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 3 (2021): Juli 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12305

Abstract

COVID-19 is still a pandemic health problem around the world. Many sectors have been affected by the COVID-19, including the nursing education sector. Social distancing policy by the government make nursing education administrators have to change learning methods. On the other hand, education administrators are required to be able to produce quality nurse graduates, even with online learning methods. This article is a literature review that aims to analyze the impact of COVID-19 on nursing education and solutions in dealing with it. We usd article search sources in the Pubmed database with the inclusion criteria for articles from 2020 to 2021 and provide full-text. The keywords used were "nursing education", "pandemic", "nursing challenge", and "college in a pandemic". The results showed that distance learning in the nursing education system can increase stress in students. Nursing education was required to innovate in carrying out learning activities, including making practical module videos, discussing and interacting with each subject, reducing practice hours, and transferring hospital practices to laboratory practices. Keywords: COVID-19; pandemic; nursing education; professional nurse ABSTRAK COVID-19 masih menjadi permasalahan kesehatan pandemi di seluruh dunia. Banyak sektor yang terdampak dari kondisi pandemi COVID-19, termasuk sektor pendidikan keperawatan. Pembatasan Sosial Berskala Besar (PSBB) oleh pemerintah menjadikan penyelengara pendidikan keperawatan harus merubah metode pembelajaran. Di sisi lain, penyelengara pendidikan ditutntut untuk dapat menghasilkan lulusan perawat yang berkwalitas, walaupun dengan metode pembelajaran online. Artikel ini merupakan suatu literature review yang bertujuan untuk menganlisis dampak COVID-19 terhadap pendidikan keperawatan dan solusi dalam menghadapinya. Kami menggunakan sumber pencarian artikel dalam database Pubmed dengan kriteria inklusi artikel tahun 2020 hingga 2021 dan menyediakan full-text. Kata kunci yang digunakan adalah “nursing education”, “pandemic”, “nursing challenge”, dan “college in pandemic”. Hasil penelusuran menunjukkan bahwa pembelajaran jarak jauh pada sistem pendidikan keperawatan dapat meningkatkan stres pada peserta didik. Sehingga dibutuhkan dukungan keluarga dan kebersamaan dengan keluarga agar dapat menurunkan tingkat stres peserta didik. Pendidikan keperawatan dituntut untuk berinovasi dalam melakukan kegiatan pembelajaran, meliputi pembuatan video modul praktek, diskusi dan interaksi pada setiap mata ajaran, pengurangan jam praktik, serta pengalihan praktik rumah sakit kepada praktik laboratorium. Kata kunci: COVID-19; pandemi; pendidikan keperawatan; perawat profesional
Emergency Medical Service (EMS) pada Out-Of Hospital Cardiac Arrest (OHCA) Berbasis Aplikasi Internet Ismail Fahmi; Tuti Afriani
Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Vol 1 No 2 (2017): Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health)
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.922 KB)

Abstract

Abstrak Out-of Hospital Cardiac Arrest merupakan keadaan henti jantung yang terjadi diluar rumah sakit, dimana sebagian besar korban mengalami kematian karena response time yang lama, untuk itu diperlukan suatu sistemEmergency Medical Service yang baik. Pengembangan Emergency Medical Service berbasis aplikasi internet merupakan salah satu solusi untuk meningkatkan response time penolong maupun ambulans gawat darurat dalam memberikan bantuan. Penulisan ini bertujuan untuk mengetahui bagaimana sistem layanan emergency medical system berbasis aplikasi internet ini digunakan dan seberapa besar manfaat layanan ini bagi pasien dengan Out-of Hospital Cardiac Arrest melalui pendekatan studi literature. Simpulan: layanan emergency medical system berbasis aplikasi internet dengan mobile web service sangat efektif diterapkan dalam pada kondisi henti jantung dan kecelakaan di prehospital. Rekomendasi : perlunya pengembangan layanan emergency yang melibatkan lintas sektoral seperti pemadam kebakaran, kepolisian maupun Badan Sar Nasional Abstrack Emergency Medical Service (EMS) at Out-Of Cardiac Arrest Hospital (OHCA) Based Internet Applications Out-of Hospital Cardiac Arrest is a condition when heart stops beating while patient have not arrived in hospital, where mostly it leads to death because of no immediate response time is given, thus for an Emergency Medical Service system is needed to take care of the patients carefully. The development of internet aplication-based Emergency Medical Service is one of the best solutions, not only to improve response time, but also help patients to get the ambulance immidiately. Based on literature study approach, this paper is aimed on how the internet aplication-based emergency medical system can be used and how it will affect patients with Out-of Hospital Cardiac Arrest. Conclution: internet aplication-based emergency medical service system with mobile web service is critically needed to take care of immediate response of cardiac arrest and accident situation in prehospital condition. Recomendation: the urgency of emergency medical service development which will involve inter-sectoral agency such as fire fighter, police, and National Sar Agent.
Analysis of the impacts of health service closure policy on Indonesian nursing during COVID-19 pandemic: A literature review Casman Casman; Retno Indah Pertiwi; Muhammad Chandra; Putri Mahardika; Ismail Fahmi; Ayu Fitria Utami; Ulfa Nur Rohmah
The Journal of Palembang Nursing Studies Vol. 2 No. 1 (2023): January 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns.v2i1.34

Abstract

Background: The COVID-19 pandemic has been over yet; one of the effects of this pandemic is plenty of hospitals in Indonesia have been applying for temporary health service closure. Objective: This study aimed to analyse the effect of health service closure during the COVID-19 pandemic. Design: Simple study literature is the method for this study. Data Sources: This study used two different search processes. The first search process came from online news platforms (detik.com, kompas.com, and okezone.com), which used a combination of the words “COVID-19”, “emergency room”, “hospital”, and “closed” during November 2020. The second search was from the database (CINAHL, ProQuest, ScienceDirect, PubMed, SpringerLink, and Wiley Online). Review Methods: The guidelines of the second search used Preferred Reporting Items for Systematic Review and Meta-Analysis. Both searching processes applied COVID-19 and hospital closed or emergency department closed as the keywords from November 2020-January 2021. Results: The first finding showed more than 300 news about health service closure, and the second showed 13 selected articles. There were 42 health service unit closures from 16 provinces in Indonesia. These closures had disadvantages effect for patients, nursing care and nursing education side. Conclusions: Total or partial health service closure could be happened due to increased patient capacity, delays in the treatment of the patient, many nurses getting infected by COVID-19, and nursing students cannot practice directly. Therefore, this issue needs innovative solutions to keep the nursing student placement going well by considering safety for the patient, nurses, nursing students, and trainer/ facilitator.
The Relationship of Psychological Well-being with a Cardiac Diet Self Efficacy in Acute Coronary Syndrome Patients Ismail Fahmi; Ade Suryaman; Mashudi Mashudi; Amelia Ganefianty
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 8, No 2 (2022): Volume 8, Nomor 2, December 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v8i2.51066

Abstract

ABSTRACTIntroduction: Acute Coronary Syndrome (ACS) is a cardiovascular disease that causes significant deaths in most countries. No study assessed directly how this psychological well-being is related to Cardiac Diet Self-Efficacy (CDSE). Purpose: This study aimed to identify the relationship between psychological well-being and cardiac diet self-efficacy in ACS patients after treatment.  Method: This cross-sectional study involved 150 patients at two hospitals in Jambi Province that treated heart disease, especially ACS. We used Cardiac Diet Self-Efficacy (CDSE) Scale and Psychological Well-Being questionnaire. The associations between psychological well-being a cardiac diet self-efficacy were confirmed by the Pearson Correlation test using SPSS 26.0. Results: The correlation test showed a p-value of 0.018, indicating a relationship between psychological well-being and cardiac diet self-efficacy. Furthermore, the value of r obtained at 0.41 shows a reasonably strong relationship between psychological well-being and cardiac diet self-efficacy. Conclusion: Therefore, it is necessary to prepare for improving psychological well-being in ACS patients both from the discharge planning stage and post-hospital intervention so that ACS patients can have good cardiac diet self-efficacy after treatment.ABSTRAKLatar belakang: Sindrom Koroner Akut (SKA) adalah penyakit kardiovaskular yang menyebabkan kematian signifikan di sebagian besar negara. Tidak ada penelitian yang menilai secara langsung bagaimana psychological well-being ini terkait dengan Cardiac Diet Self-Efficacy (CDSE). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara psychological well-being dengan cardiac diet self-efficacy pada pasien syndrome coroner akut (SKA) pasca pengobatan. Metode: Studi potong lintang ini melibatkan 150 pasien di dua rumah sakit di Provinsi Jambi yang melayani pengobatan penyakit jantung khususnya penyakit ACS. Kami menggunakan skala Cardiac Diet Self-Efficacy (CDSE) dan kuesioner Psychological Well-Being. Hubungan antara psychological well-being dengan cardiac diet self-efficacy dikonfirmasi oleh uji Korelasi Pearson menggunakan SPSS 26.0. Hasil: Uji korelasi menunjukkan nilai p 0,018, yang menunjukkan hubungan antara psychological well-being dengan cardiac diet self-efficacy. Selanjutnya, nilai r yang diperoleh sebesar 0,41 menunjukkan hubungan yang cukup kuat antara psychological well-being dengan cardiac diet self-efficacy. Simpulan: Oleh karena itu, perlu dilakukan persiapan untuk peningkatan psychological well-being pada pasien SKA baik dari tahap discharge planning maupun intervensi pasca perawatan rumah sakit agar pasien SKA dapat memiliki cardiac diet self-efficacy yang baik setelah dilakukan perawatan.
Metode Penulisan Artikel Telaah Literatur Anung Ahadi Pradana; Muhammad Chandra; Ismail Fahmi; Casman; Alfunnafi' Fahrul Rizzal; Nani Asna Dewi; Nur’aini
Jurnal Ilmu Kesehatan Dharmas Indonesia Vol. 1 No. 1 (2021): Jurnal Ilmu Kesehatan Dharmas Indonesia (JIKDI)
Publisher : Fakultas Ilmu Kesehatan Universitas Dharmas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (912.123 KB) | DOI: 10.56667/jikdi.v1i1.204

Abstract

Lecturers in Indonesia only focus on original research in implementing Tri Dharma of Higher Education. A literature review has not been optimally used because of the lack of guidance. This article aimed to describe what a literature review is and how to compile good literature. This article is a simple literature review. The keywords used were "literature review", "literature review", "scoping review", and "systematic review" from the databases of Google Scholar, ResearchGate, SpringerLink, and EBSCO. The search resulted in 10 selected articles that discussed the review literature from the definition, type, stages of making a literature review. Writing a good literature review must be done starting from determining the source of the article to the understandable conclusions. To reduce the risk of errors in making a literature review, we must pay attention to the guidelines to obtain a literature review with high quality of evidence and low bias.
Improving Nursing Students’ Knowledge about Health Myths in Indonesia Anung Ahadi Pradana; Ismail Fahmi; Casman Casman; Nani Asna Dewi; Alfunnafi’ Fahrul Rizzal; Muhammad Chandra; Nur’aini Nur’aini
Journal of Community Empowerment for Health Vol 6, No 1 (2023): Vol 6, No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.73455

Abstract

Health myths are one of the factors that can hinder the achievement of government programs in the health sector, resistance that arises from the community can be even greater if the myths that are believed to have taken root in social life and are considered to have magical elements in their implementation. To change the wrong health beliefs in society, the role of health workers in providing health education and health literacy to all levels in society is important. Based on the problems found, the team's goal was to improve nursing students’ knowledge about health myths in Indonesia. The implementation of these activities was carried out for 199 nursing students from 7 provinces (DKI Jakarta, West Java, Banten, Jambi, East Java, Central Java, and Southeast Sulawesi) online through Zoom. This activity is the final series of a series of activities carried out by the Institute of Training, Education, and Research, Nurse Share Idea (NSID) about health myths that exist in Indonesia, while the implementation of this series of activities has been carried out from November 2020 to August 2021. The results of the Wilcoxon test of activities carried out can be seen in table 3. which shows that the value of sig = 0.002 (<0.005) means that the activities carried out have a positive impact on improving nursing students’ knowledge about health myths in Indonesia. Nurses have a role in facilitating public access to reliable health knowledge and information related to existing mythical issues. In supporting the role of nurses, activities to increase the knowledge of nurses and nursing students on topics related to health myths are also an important part to be considered and carried out on an ongoing basis because it has been proven to have a positive effect on its implementation.