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Studi Fenomenologi:Peran perawat Dalam Penetapan Level Triase Zulmah Astuti; Misbah Nurjannah; Dwi Widyastuti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 6, No 2 (2018)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.677 KB) | DOI: 10.33366/cr.v6i2.887

Abstract

Triase adalah proses pengumpulan informasi dari pasien, mengkategorikan dan memprioritaskan kondisi pasien dan merupakan bagian dari upaya manajemen patient safety di rumah sakit khususnya di Instalasi gawat darurat. Model triase yang banyak di gunakan di Dunia termasuk di Indonesia adalah triase lima level yang menempatkan pasien pada lima prioritas yaitu Resucitation, Emergent, Urgent, Nonurgent, Referred. Triase secara otonomi dilakukan oleh perawat yang teregistrasi dan telah mengikuti pelatihan khusus triase. di Indonesia, triase lima level telah digunakan di Rumah sakit umum dan evaluasi terkait pelaksanaannya masih belum banyak terpublikasi. Peran perawat dalam proses triase termasuk hal yang baru dan memerlukan pegkajian lebih mendalam terkait pengalaman perawat terhadap penetapan level triase. Penelitian kuaitatif fenomenologi desktriptif dilakukan pada enam partisipan yang merupakan perawat instalasi gawat darurat yang bekerja di ruang Triase, wawancara mendalam dilakukan dan hasil wawancara di transkrip dan dinalisis menggunakan metode Miles and Huberman (1994). Hasil penelitian didapatkan tiga tema besar yaitu level triase berdasarkan pengkajian primer, perawat belum mandiri, kolaborasi dokter dan perawat. Pelaksanaan triase belum menjadi tindakan mandiri perawat dan merupakan bagian dari tim triase dimana keputusan triase masih bergantung pada dokter. Diperlukan penelitian lebih lanjut terkait efisiensi dan efektifitas pelaksanaan triase oleh perawat di intalasi gawat darurat Abstract Triage is the process of collecting information from patients, categorizing and prioritizing the patient's condition and is part of patient safety management efforts in hospitals, especially in emergency departments. The triage model widely used in the World including Indonesia is a five-level triage that places patients on five priorities: Resucitation, Emergent, Urgent, Nonurgent, Referred. Triage is autonomously performed by registered nurses and has attended special triage training. In Indonesia, a triage of five levels has been used in public hospitals and evaluations related to their implementation have not been widely publicized. The role of nurses in the triage process is novel and requires a more in-depth review of nurses' experience of establishing triage levels. A qualitative study of descriptive phenomenology was performed on six participants who were nurses who worked in the Triage room. Research was conducted by conducting in-depth interviews and the results were analyzed using Miles and hubermen (1997). The research results obtained three major themes namely the level of triage based on the primary assessment, nurses have not been independent, collaboration of doctors and nurses. Implementation of triage has not been a self-sustaining act of nurses and is part of the triage team where triage decisions are still dependent on physicians. Further research is needed regarding the efficiency and effectiveness of triage implementation by nurses in emergency department
Penyuluhan Kesehatan Pertolongan Tersedak Untuk Orang Awam di Era Pandemi Covid-19 Misbah Nurjannah; Zulmah Astuti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 2 (2022): Volume 5 No 2 Februari 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i2.5530

Abstract

ABSTRAK Tersedak adalah suatu kondisi gawat darurat yang harus segera diberikan pertolongan. Tersedak terjadi karena adanya sumbatan pada jalan napas yang disebabkan oleh makanan maupun benda asing lainnya. Sumbatan ini dapat terjadi parsial maupun total dalam menyumbat jalan napas. Penyumbatan jalan napas ini dapat berakibat pada kematian, karena sumbatan ini akan menyebabkan gangguan pada oksigenasi. Tersedak dapat terjadi pada segala usia. Usia yang paling banyak mengalami kondisi ini adalah usia dibawah 6 tahun dan lansia. Penyuluhan kesehatan ini dilakukan untuk memberikan pemahaman dan pengetahuan keterampilan pada masyarakat awam tentang tersedak, penyebab tersedak, tanda dan gejala tersedak, serta penanganan pada kondisi tersedak yang terjadi pada bayi, anak dan dewasa. Metode penyuluhan kesehatan ini dilakukan secara daring via zoom, dan dibantu oleh mahasiswa yang mendampingi peserta sebagai fasilitator. Penyuluhan kesehatan dihadiri oleh 34 orang peserta, dengan laki-laki 10 orang dan wanita 24 orang. Rentang usia peserta 23 - 64 tahun. Hasil penyuluhan kesehatan ini peserta memahami tentang tersedak, penyebab tersedak, tanda dan gejala tersedak dan dapat melakukan tindakan pertolongan pada kondisi tersedak. Kesimpulan penyuluhan kesehatan yang dilaksanakan meningkatkan pengetahuan dan ketrampilan masyarakat tentang penanganan tersedak dengan meningkat 65,4%. Saran: perlu upaya peningkatan pengetahuan dan ketrampilan yang berkesinambungan agar masyarakat tetap mengingat cara penanganan yang tepat. Kata Kunci: Tersedak, Penanganan Tersedak, Penyuluhan Kesehatan, Online  ABSTRACT  Choking is an emergency condition that requires immediate help. Choking occurs due to obstruction of the airway caused by food or other foreign objects. This blockage can be partial or total in obstructing the airway. This airway obstruction can result in death, because this blockage will cause interference with oxygenation. Choking can occur at any age. The ages that most experience this condition are under 6 years of age and the elderly. This health education is carried out to provide understanding and knowledge of skills to the general public about choking, causes of choking, signs and symptoms of choking, as well as handling of choking conditions that occur in infants, children and adults. Methods: This Health education has been carried out online via Zoom and assisted by students who accompany the participants as facilitators. Health education was attended by 34 participants, with 10 men participants and 24 women participants, and age range 23-64 years. Results: This health counseling participants understand about choking, causes, signs and symptoms and can take action to help in choking conditions, and increase 65,4%. Conclusion: of the health education was to increase the knowledge and skills of the community regarding the handling of choking. Participants are able to provide choking assistance. Suggestions: efforts to increase knowledge and skills on an ongoing basis so that people still remember choking treatment. Keywords: Choking, assistance in cases of choking, Health Counseling, Online
SOSIALISASI DAN PELATIHAN RONDE KEPERAWATAN DI RUANG INTENSIF CARE UNIT RUMAH SAKIT DAERAH PEMERINTAH SAMARINDA Dwi Widyastuti; Maridi M. D; Milkhatun Milkhatun; Zulmah Astuti; Muhammad Fikri; Misbah Nurjannah
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 5, No 10 (2022): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v5i10.3760-3764

Abstract

Kegiatan ini bertujuan untuk mensosialisasikan dan melatih perawat Intensive Care Unit di rumah sakit daerah pemerintah Samarinda tentang pelaksanaan ronde keperawatan. Kegiatan ini dilakukan untuk memberikan pemahaman secara kognitif dan psikomotor bagi peserta. Kegiatan sosialisasi dilakukan agar peserta mampu mengingat kembali konsep ronde keperawatan sedangkan pelatihan membantu peserta mendapatkan pengalaman nyata tentang cara melakukan ronde keperawatan. Kegiatan ini dilakukan dalam 3 tahapan yaitu tahapan pre tes, tahap sosialisasi dan pelatihan ronde keperawatan serta tahap pos tes. Hasil dari kegiatan ini peserta telah memahami dan mampu melakukan ronde keperawatan berdasarkan hasil pre test  peserta berada dalam kategori cukup 91,6%, dan setelah dilakukan sosialisasi dan pelatihan hasil pos tes peserta pengetahuan dalam kategori baik 100%. Kegiatan sangat diperlukan oleh peserta untuk mengingat kembali konsep dan pelaksanaan ronde keperawatan agar dapat mencapai dan mempertahankan pelayanan keperawatan yang berkualitas baik di rumah sakit.
The Experience of Type II Diabetes Mellitus Patients with Early Symptoms of Hypoglycemia: A Phenomenological Study Misbah Nurjannah; Ni Wayan Wiwin Asthiningsih
Jurnal Keperawatan Soedirman Vol 18 No 1 (2023)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.372 KB) | DOI: 10.20884/1.jks.2023.18.1.5281

Abstract

Hypoglycemia is one of the acute complications that often occur in diabetes mellitus (DM) patients and could become an emergency condition that requires immediate treatment. The initial symptoms of hypoglycemia are cold sweats, tremors, dizziness, and blurred vision. Generally, DM patients’ lack of diet management exacerbates hypoglycemia. This study aimed to explore experience of type 2 diabetes patient’s hypoglycemia symptoms and affected factors. This qualitative research applied a phenomenological approach to seven participants. Semi-structured interviews were done to collect data. The Braun & Clarke method was then used to analyze the data. This study revealed three themes including the initial hypoglycemia symptoms, diet modification, and medication adherence. The study’s results are expected to provide information on the importance of education and control related to initial hypoglycemia symptoms, nutrition, and medications awareness to the type 2 diabetes patients and family.
peningkatan penyakit jantung STUDI FENOMENOLOGI : PENINGKATAN KEBUTUHAN PELAYANAN GAWAT DARURAT PREHOSPITAL DI MASYARAKAT KALIMANTAN TIMUR Misbah Nurjannah Nurjannah; Zulmah Astuti; Dwi Widyastuti
MNJ (Mahakam Nursing Journal) Vol 2 No 3 (2018): Mei 2018
Publisher : Poltekkes Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.862 KB) | DOI: 10.35963/mnj.v2i3.110

Abstract

Heart disease is leading causes of death in Indonesia. Heart disease has increased almost every year. Increased heart disease incidence was also matched by an increase in demand for emergency services related to cardiovascular disease in prehospital. The research method is done by qualitative interpretive involving 6 nurses who have emergency experience and competence in the emergency department. Data were obtained from in-depth interviews and analyzed using Braun and Clarke techniques. The results of the emergency nurses' research felt that the services provided were not maximal in prehospital. Emergency nurses should review cases to determine the priority that emergency services should be provided outside the Hospital. Emergency nurses provide emergency services mostly in conditions of heart disease. The experience of emergency nurses in providing emergency services is strongly influenced by their competence and experience in prehospital. Increasing the number of emergency nurses and the competence of nurses is important to improve the quality of emergency service in prehospital.
Phenomenological Studies: The Nursing Manager Experience to Manage Nursing Staff During A Pandemic Widyastuti, Dwi; Nurjannah, Misbah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (609.987 KB) | DOI: 10.30604/jika.v7iS2.1396

Abstract

The increase in cases of COVID-19 patients in hospitals increases the demand for human resource management, one of which is the nursing staff. Management of nursing staff, especially during a pandemic very necessary because the mismanagement of nursing staff can add to the heavier nurse's workload, causing stress and fatigue that affect nurse performance to patient safety. The goal of this study to explore the experiences of nursing managers in managing nursing staff during a pandemic. A qualitative phenomenological research design was used in this study. Four nursing managers were selected using purposive sampling and the participants from three COVID-19 which three referral hospitals and one unreferral hospital. The participants were interviewed about their experiences via zoom and a semi-structured interview guide. Four themes were developed: (i) Maximizing the ward, (ii) Nursing schedule adjustment, (iii) New staff recruitment, and (iv) Nursing staff maintenance. Hospital readiness, especially in the nursing field, is needed to prepare several policies that can be operationalized in the face of unexpected events such as the COVID-19 pandemic, as well as regular training for all nursing staff in hospitals to be prepared both scientifically and practice in dealing with disease outbreaks to decrease anxiety. Abstrak: Meningkatnya kasus pasien COVID 19 di rumah sakit meningkatkan tuntutan manajemen sumber daya manusia, salah satunya adalah tenaga keperawatan. Pengelolaan tenaga keperawatan khususnya pada masa pandemi sangat diperlukan karena salah urus tenaga keperawatan dapat menambah beban kerja perawat yang semakin berat sehingga menimbulkan stres dan kelelahan yang mempengaruhi kinerja perawat terhadap keselamatan pasien. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman manajer keperawatan untuk mengelola staf keperawatan selama pandemi. Desain penelitian yang digunakan kualitatif fenomenologis. Empat manajer keperawatan dipilih secara purposive sampling dan partisipan berasal dari tiga rumah sakit rujukan COVID-19 satu rumah sakit yang bukan rujukan. Para peserta diwawancarai tentang pengalaman mereka melalui zoom meet dan panduan wawancara semi terstruktur. Empat tema berhasil dikembangkan yaitu: (i) Memaksimalkan bangsal, (ii) Penyesuaian jadwal keperawatan, (iii) Rekrutmen staf baru, dan (iv) Pemeliharaan staf keperawatan. Kesiapan rumah sakit khususnya di bidang keperawatan diperlukan untuk mempersiapkan beberapa kebijakan yang dapat dioperasionalkan dalam menghadapi kejadian yang tidak terduga seperti pandemi COVID-19, serta pelatihan rutin bagi seluruh tenaga keperawatan di rumah sakit untuk dipersiapkan baik secara keilmuan maupun praktek dalam menangani wabah penyakit untuk mengurangi kecemasan.
KARAKTERISTIK KEJADIAN STUNTING PADA ANAK USIA SEKOLAH Annisa Nur Fadillah; Desta Ramadita; Safrullah Kamrullah; Misbah Nurjannah; Rini Ernawati
Bunda Edu-Midwifery Journal (BEMJ) Vol 6 No 2 (2023)
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v6i2.98

Abstract

Chronic malnutrition can cause stunting. Due to the fact that data on child stunting keeps growing every year, stunting is a concern in Indonesia and perhaps even the entire world. This study attempts to examine information regarding the traits of moms and kids who suffer from stunting. A crosssectional quantitative methodology was applied, and 72 respondents with stunting. SPSS is used to tabulate and analyze data. Results study is sex and age of the kids with stunting, the mother's age, profession, and level of education characteristic data. The traits discovered are the primary and secondary causes of stunting.