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Penerapan Kepemimpinan Transformasional dalam Menurunkan Burnout Perawat Pelaksana Nur Wahyu Puspitasari; Madya Sulisno; Luky Dwiantoro; Tri Nur Kristina; Tri Hartiti
Jurnal Smart Keperawatan Vol 6, No 2 (2019): Desember 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Penelitian di Indonesia dan di luar negeri menunjukkan semakin meningkatnya burnout pada perawat yang merupakan gejala kelelahan fisik, emosional dan mental serta munculnya perasaan rendah diri akibat stres yang berkepanjangan. Penelitian ini bertujuan untuk membuktikan bahwa penerapan kepemimpinan transformasional dapat menurunkan burnout perawat pelaksana.Metode yang digunakan dalam penelitian ini adalah quasi eksperiment yang dilakukan di dua rumah sakit pemerintah di Karesidenan Surakarta terhadap 25 perawat pelaksana yang telah mengalami burnout dan pada 2 kepala ruang pada masing-masing rumah sakit sebagai kelompok intervensi dan kontrol. Data dibandingkan dengan independent t test dan paired t tes.Kelompok intervensi menunjukkan rerata skor burnout perawat pelaksana sebelum intervensi adalah 71.96 dan setelah intervensi menurun menjadi 49.52 dengan nilai p 0,00 sedangkan pada kelompok kontrol rerata skor burnout perawat pelaksana sebelum intervensi 63,7 dan setelah intervensi 63,8 dengan nilai p 0,81. Berdasarkan rumus Cohen, efektivitas penerapan kepemimpinan transformasional masuk dalam kategori tinggi (1,8). Simpulan dari penelitian ini penerapan kepemimpinan transformasional kepala ruang terbukti efektif dalam menurunkan burnout perawat pelaksana.Kata Kunci: burnout; kepemimpinan transformasional; perawat pelaksana

METODE IDENTIFIKASI KEBUTUHAN PENGEMBANGAN KEPROFESIAN BERKELANJUTAN (PKB) PERAWAT Ike Puspitaningrum; Ani Margawati; Tri Hartiti
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 7, No 1 (2018): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Latar Belakang: Kegiatan pengembangan keprofesian berkelanjutan (PKB) menjadi salah satu proses penting untuk meningkatkan tenaga keperawatan yang profesional. Implementasi PKB bertujuan untuk menjaga pengetahuan dan ketrampilan profesional dalam praktik keperawatan. Peningkatan kompetensi penting dalam mempertahankan standar praktik profesional yang tinggi untuk kepentingan perawat, pasien, manajer, dan kualitas pelayanan kesehatan. Tujuan: Tujuan penelitian ini untuk mengetahui cara identifikasi kebutuhan PKB perawat. Metode: Penelitian dilakukan dengan metode kualitatif fenomenologi. Pengambilan data dilakukan dengan Focus Group Discussion (FGD) dan studi dokumentasi. FGD dilakukan pada 14 informan dalam 2 kelompok FGD. Analisa data dilakukan dengan teknik content analysis. Hasil: Identifikasi kebutuhan PKB menjadi langkah awal yang dilakukan dalam pelaksanaan PKB di SMC RS Telogorejo. Identifikasi dapat dilakukan secara internal oleh individu perawat dan secara eksternal oleh pimpinan, rumah sakit dan customer. Identifikasi dilakukan secara berjenjang dimulai dari tingkat unit oleh supervisor sampai ke tingkat tertinggi oleh direktur keperawatan. Kesimpulan: identifikasi kebutuhan PKB yang tepat diperlukan agar tujuan pelaksanaan PKB dapat tercapai. Manajemen keperawatan dan komite keperawatan perlu membuat rencana PKB secara sistematis sesuai kebutuhan masing-masing individu perawat, kebutuhan rumah sakit dan perkembangan IPTEK.Â Kata Kunci: Pengembangan Keprofesian Berkelanjutan, Kualitas PelayananÂ Keperawatan, Identifikasi Pengembangan Perawat.

FAKTOR YANG MEMPENGARUHI PERBEDAAN NILAI PROFESIONAL PERAWAT PADA MAHASISWA PROFESI NERS KELAS KHUSUS Tri Hartiti; Muhammad Zainova NH
Jurnal Kebidanan Vol 8, No 1 (2019): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Latar belakang : Profesionalisasi keperawatan merupakan proses dinamis dimana profesi keperawatan yang telah terbentuk mengalami perubahan dan perkembangan karakteristik sesuai dengan tuntutan profesi dan kebutuhan masyarakat. Instrumen yang dapat digunakan untuk mengukur nilai profesional seorang perawat atau mahasiswa perawat, yakni Nurses Professional Values Sclae-Revised (NPVS-R). Instrumen ini disusun dan dikembangkan sedemikian rupa, sehingga tersusunlah 28 pernyataan positif dengan skala likert untuk faktor analisis yang merupakan turunan dari kode etik keperawatan yakni caring, avtivism, trust, profesionalism, dan justice mengukur nilai profesional keperawatan. Tujuan penelitian ini adalah mengetahui nilai profesional perawat pada Mahasiswa Profesi Ners Universitas Muhammadiyah Semarang. Jenis penelitian ini adalah penelitian analitik deskriptif kuantitatif dengan Metode observasional dengan populasi adalah semua Mahasiswa Profesi Ners Universitas Muhammadiyah Semarang kelas khusus sebanyak 47 mahasiswa, dengan teknik sampling total sampling. Hasil penelitian menunjukkan sebagian besar responden mempunyai nilai caring baik sebanyak 25 responden (53,2%), sebagian besar respon mempunyai nilai activism baik sebanyak 27 responden (57,4%), sebagian besar responden mempunyai nilai profesionalism baik sebanyak 26 responden (55,3%).

The effectiveness of garlic, black turmeric, and red betel vine solutions to maintain scalp hygiene (pediculicide efficacy test toward head lice) Amin Samiasih; Ayu Dianingsih; Richa Jannet Ferdisa; Fitria Wati; Tri Hartiti; Ernawati Ernawati; Arief Yanto
South East Asia Nursing Research Vol 2, No 4 (2020)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.2.4.2020.1-7

Head lice (Pediculosis humanus capitis) is a parasite sticking on the scalp and in between the hair. It lives by laying its eggs on some strands of hair and sucking blood from the scalp, which results in itching, inflammation, restless sleep, and concentration degradation. Lice could also lower self-esteem. The infection may also lead to anaemia, which affects the learning pattern and cognitive function of children. However, the use of chemical insecticide may have a harmful effect. Therefore, this research tested three natural ingredients, namely garlic, black turmeric, and red betel vine, as the pediculicide. This research was aimed to find safe, natural ingredients to eliminate head lice while maintaining personal hygiene. It was an experimental research with Randomized Posttest Only Control Grup Design. This research's subject was 28 lice, which were grouped into seven treatments with four lice in each group. The seven treatments included the treatment by spraying garlic, black turmeric, and red betel vine solution. The concentration of those natural ingredients was determined at 8% and 16%. The control group was sprayed by using water. The finding showed the significance of black turmeric (p-value 0.000), garlic (p-value 0.000), and red betel vine (p-value 0.001) as the effective pediculicide. The effective concentration as pediculicide was a 16% solution.

Analysis of Nursing Documentation Implementation In Outpatient Room Muhamad Nurudin; Vivi Yosafianti Pohan; Tri Hartiti
South East Asia Nursing Research Vol 2, No 2 (2020)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.2.2.2020.25-30

The quality of nursing care is a key element of service quality in hospitals. To realize good quality nursing service and quality in the Outpatient Institution, qualified human resources are also needed and good nursing management skills are needed from a manager or head of the service unit. For the implementation of nursing care documentation in outpatient installations to be carried out optimally, it is necessary to carry out management activities in the form of supervision by carrying out nursing support activities in stages. The purpose of this analysis is to determine the implementation of outpatient nursing medical record documentation. The use of action methods in this analysis aims to develop new skills or new approaches and be applied directly and reviewed the results. From the results of the assessment found several nursing management problems and the priority is the completeness of outpatient nursing medical record documentation which is still low. The action taken is by providing refresher activities or material refreshing on nursing documentation, initial assessment of outpatients, simulations of filling out initial outpatient assessment documentation, making and disseminating supervision forms and techniques for tiered supervision using the supervision form. The activity was attended by 23 participants consisting of the head of the room, the team leader and the nurse executing from the polyclinic or outpatient installation. Evaluation after carrying out activities on the completeness of outpatient nursing medical record documentation was 70% (14 of 20 samples).

Monitoring Analysis of Filling The Informed Consent of Blood Transfusion Ati Rusyda Ruhana; Vivi Yosafianti Pohan; Tri Hartiti
South East Asia Nursing Research Vol 3, No 1 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.1.2021.40-44

Informed consent is evidence of the accountability of health service providers in the hospital. it is carried out in every carrying out the procedure of actions that have the risk of causing disability or death. Incomplete documentation of patient informed consent can reduce the quality of hospital services. the implementation of informed consent documentation in hospitals often faces obstacles. this is due to the lack of human resources and the high workload available. This case study aims to determine the filling of informed consent documentation in the patient's blood transfusion. This study uses interviews, observation and document study by developing approaches to the nursing management function, organizing functions, personnel, direction, supervision, care management, logistics management, quality assurance programs and patient safety. The results showed that in one month there were 20 patients with blood transfusions, and 11 out of 20 patients did not have informed consent. The problem that arises is the incomplete documentation of medical records at the time of carrying out blood transfusions to patients. Supervision that is not optimal is the cause of this problem.

Community stigma on the health care providers during COVID-19 Pandemic Arief Yanto; Muhammad Athfal Faroby; Tri Hartiti; Amin Samiasih
South East Asia Nursing Research Vol 3, No 2 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.2.2021.66-72

Stigma can be an obstacle in efforts to prevent, treat and treat COVID- 19 patients. Negative stigma can cause psychological problems for health workers during the COVID-19 pandemic. Stigma is often associated with health problems including COVID-19 which is caused by fear and lack of knowledge. This study aims to determine the image of the community's stigma against health workers during the COVID-19 pandemic. This study used a quantitative descriptive research design with a survey approach using a questionnaire filled out via google form. Sampling was done through convenience sampling. The sample of this study was 138 respondents who met the inclusion criteria. Most of the respondents did not give stigma labelling 82.6%, did not give stigma stereotype 81.9%, did not give stigma separation 89.9% and did not give stigma discrimination 77.5% to health workers. The results showed that the community did not give stigma of labelling, stereotype, separation and discrimination to health workers during the COVID-19 pandemic. It is hoped that this research can be used as input to prevent the emergence of a negative stigma against health workers during a pandemic.

PENGARUH TERAPI NATURAL RESTORATIVE ENVIRONMENT (NRE) TERHADAP KECEMASAN : STUDI LITERATUR Reza Fahma Islami; Tri Hartiti; Sri Rejeki
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 12, No 1 (2023): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v12i1.1424

ABSTRAK Kecemasan adalah gangguan kesehatan mental umum yang mempengaruhi banyak orang di seluruh dunia. Meskipun ada berbagai perawatan yang tersedia untuk kecemasan, lingkungan restoratif alami telah mendapat perhatian sebagai pendekatan alternatif atau pelengkap. Tinjauan sistematis ini bertujuan untuk mengeksplorasi keefektifan lingkungan restoratif alami dalam pengobatan kecemasan. Pencarian database elektronik dilakukan secara komprehensif melalui PubMed, PsycINFO, dan Cochrane Library untuk studi relevan yang dipublikasikan antara 2010 sampai dengan 2021. Studi masuk dalam inklusi jika jenis uji coba terkontrol secara acak, studi observasional, atau tinjauan sistematis yang menilai keefektifan lingkungan restoratif alami dalam mengurangi gejala kecemasan. Sebanyak 17 studi memenuhi kriteria inklusi, terdiri dari 6 uji coba terkontrol secara acak, 9 studi observasional, dan 2 tinjauan sistematis. Lingkungan restoratif alami yang dievaluasi dalam studi ini termasuk ruang hijau, ruang biru, dan pengaturan alam lainnya seperti hutan, pegunungan, dan taman. Lingkungan restoratif alami seperti ruang hijau, ruang biru, dan pengaturan alam lainnya telah menjanjikan dalam mengurangi gejala kecemasan. Menghabiskan waktu di alam dapat memiliki efek restoratif pada pikiran dan tubuh, meningkatkan relaksasi dan mengurangi gejala kecemasan. Pemilihan suasana yang menunjang perawatan bisa diaplikasikan di dalam lahan praktek seperti di rumah sakit, klinik, ataupun dalam perawatan home care. Penggunaan warna, pengaturan suasana ruang nyaman akan mempercepat healing terutama dalam kondisi cemas karena proses perawatan. Kata Kunci: Natural Restorative Environment, kecemasan, terapi komplementer ABSTRACT Anxiety is a common mental health disorder that affects many people around the world. Although there are a variety of treatments available for anxiety, natural restorative environments have received attention as an alternative or complementary approach. This systematic review aims to explore the effectiveness of natural restorative environments in the treatment of anxiety. A comprehensive electronic database search was performed through PubMed, PsycINFO, and the Cochrane Library for relevant studies published between 2010 and 2021. Studies were included if the type of randomized controlled trial, observational study, or systematic review assessing the effectiveness of natural restorative environments in reduce anxiety symptoms. A total of 17 studies met the inclusion criteria, consisting of 6 randomized controlled trials, 9 observational studies, and 2 systematic reviews. The natural restorative environments evaluated in this study included green spaces, blue spaces, and other natural settings such as forests, mountains, and parks. Natural restorative environments such as green rooms, blue rooms, and other natural settings have shown promise in reducing anxiety symptoms. Spending time in nature can have a restorative effect on the mind and body, promoting relaxation and reducing symptoms of anxiety. The selection of an atmosphere that supports treatment can be applied in practice areas such as in hospitals, clinics, or in home care. The use of color, setting a comfortable room atmosphere will accelerate healing, especially in anxious conditions due to the treatment process. Keywords: Natural Restorative Environment, Anxiety , Complementary therapy

Pengelolaan kasus hipertensi pada lansia di pulau Karimunjawa menggunakan pendekatan terapi komplementer Arief Yanto; Yunie Armiyati; Tri Hartiti; Ernawati Ernawati; Siti Aisah; Tri Nurhidayati
SALUTA: Jurnal Pengabdian Kepada Masyarakat Vol 2, No 1 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/sjpkm.v2i1.11166

Hipertensi menempati peringkat di antara kondisi medis kronis yang paling umum yang ditandai dengan peningkatan tekanan arteri yang terus-menerus. Hipertensi merupakan salah satu penyakit tidak menular yang banyak diderita oleh masyarakat Indonesia. Kabupaten Jepara merupakan wilayah dengan jumlah pantai yang luas dapat menjadi penyumbang penderita hipertensi yang banyak. Kerjasama antara masyarakat atau kader Kesehatan berkoordinasi dengan Puskesmas setempat menjadi metode yang sangat efektif dalam manajemen penyakit tidak menular seperti hipertensi. Terapi bekam merupakan salah satu intervensi yang terbukti efektif dipergunakan untuk menurunkan tekanan darah pasien. Studi ini bertujuan untuk mengelola kasus hipertensi menggunakan terapi komplementer bekam kering. Kegiatan pengabdian kepada masyarakat ini berfokus pada manajemen penyakit hipertensi pada lanjut usia. Mitra dalam kegiatan pengabdian masyarakat ini adalah Puskesmas Kecamatan Karimunjawa Kabupaten Jepara dan Organisasi Persatuan Perawat Nasional Indonesia (PPNI) Kabupaten Jepara. Subjek yang diberikan pelayanan dalam kegiatan ini adalah lansia penderita hipertensi. Subjek dalam kegiatan ini berjumlah 11 orang warga. Cara pengambilan subjek dilakukan dengan tehnik nonprobability sampling. Tahap pelaksanaan kegiatan dimulai dengan kunjungan ke Puskesmas Kecamatan Karimunjawa untuk maping wilayah dengan angka kejadian hipertensi yang tinggi. Pihak Puskesmas Bersama dengan tim pelaksana kegiatan melakukan kunjungan ke wilayah binaan untuk melakukan kunjungan rumah dan skrining kasus baru di masyarakat. Penderita hipertensi yang teridentifikasi diberikan informasi tentang masalah Kesehatan yang dialami dan diberikan tindakan bekam, relaksasi dan accupressure sebagai terapi komplementer. Setelah diberikan Tindakan komplementer, terdapat penurunan rata-rata tekanan darah penderita hipertensi. Sehingga dapat disimpulkan bahwa Tindakan komplementer dapat dimanfaatkan dalam pengelolaan kasus hipertensi di masyarakat.

Determinant Factors of Nurse Job Satisfaction in Hospital Ward Dirgahayu Vega Amalia; Arief Yanto; Tri Hartiti; Vivi Yosafianti Pohan
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.2384

An unmanaged nurse performance satisfaction could reduce productivity, motivation, organisational commitment, and performance, increasing absenteeism and work turnover. Nurse performance satisfaction could be affected by needs, aspirations, allowance, behaviour, income, leadership style, job, workload, work environment, facility, leadership, promotion, work partner, supervisor, productivity, work efficacy, policy, and work condition. This study aims to determine the factors related to Inpatient Ward Nurse Performance Satisfaction at KRMT Wongsonegoro Hospital. It is an associative quantitative study using a cross-sectional approach. The research subject was an hospital ward nurse with criteria such as practitioner nurse with a diploma, bachelor's, or professional degree with a minimum of a year of working experience. One hundred forty-eight respondents were chosen using proportionate simple random sampling. The research focuses on measuring determinant factors that affect nurses' performance satisfaction using analysis of multiple linear regression tests with a backward method. The research finding shows the determinant variable of nurse performance satisfaction are nurse perception toward the leadership of the chief nurse (X1), nurse perception toward work (X2), and nurse perception toward workload (X3). The variables show significant positive relationships that simultaneously affect nurse performance satisfaction (Y) at 83.3%. The dominant variable that affects nurse performance satisfaction (Y) is nurse perception toward work (X2). It is because the knowledge owned by nurse make them happy and positively impact their responsibility. The unity between knowledge, feeling, and responsibility signifies accomplished nurse work satisfaction.

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