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All Journal BALI MEDICAL JOURNAL (BMJ) COPING (Community of Publishing in Nursing) Majalah Kedokteran International Journal of Nursing and Health Services (IJNHS) Jurnal Peduli Masyarakat Jurnal Kefarmasian Indonesia Nursing and Health Sciences Journal (NHSJ)

Indah Mei Rahajeng

Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Udayana

Author-ID : 2933238

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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CLINICAL-IMMUNOLOGICAL ASSESSMENT FAILURE ON INITIAL COMBINATION USE OF ZIDOVUDINE-LAMIVUDINENEVIRAPINE IN CHILDREN WITH HIV/AIDS AT SANGLAH HOSPITAL BALI R., Niruri; Maharani, A. A. S.; Kumara, K. D.; Rahajeng, I. M.
BALI MEDICAL JOURNAL Vol 3 No 2 (2014)
Publisher : BALI MEDICAL JOURNAL

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Background: Assessing clinical progression and CD4+ level were important in determining the efficacy of antiretroviral (ARV) and switching to other regimens, especially when viral-load data were not available. This research aims to assess combination of zidovudine-lamivudine-nevirapine (Co-ZLN) failure using WHO 2010 criteria on clinical failure (CF) and immunological failure (IF), single or together, to determine correlation between CF and IF; and to evaluate two failure categories (CF alone and combination of CF-IF) in making decision to switch to second-line of ARV. Methods: Children at Sanglah General Hospital, who gain initial treatment of Co-ZLN in period of March 2006–March 2013 were selected. Cross sectional study was applied. The ARV response was assessed twice. First period (P1) and second period (P2) of evaluation were conducted after patients received the Co-ZLN at least 6 and 12 months. Results: Forty five patients were included in this study. After at least 6 and 12 months of therapy, more patients showed IF (10 and 9 children in P1 and P2) than those in CF (4 and 2 patients in P1 and P2). Only one child met to CF-IF category in P2. The low clinical condition (HIV stage 4) did not always associate with deteriorating immunologic marker in the treatment-failure (TF). The patients who fit on CF and CF-IF based decision to switch regimen criteria were different. In resource-limited hospital, CF-IF based decision could give a better picture of patients’ condition and be used as an indicator to assess TF compared to single CF criteria.

Hubungan tingkat pengetahuan tentang anemia dengan perilaku pemenuhan kebutuhan zat besi pada ibu hamil Putu Krisna Siantarini; Suratiah S; Indah Mei Rahajeng
Coping: Community of Publishing in Nursing Vol 6 No 1 (2018): April 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Anemia defisiensi besi adalah jenis anemia yang paling umum terjadi selama kehamilan. Anemia pada kehamilan dapat memengaruhi perkembangan janin dan kesehatan ibu. Pencegahan anemia sangat penting untuk diketahui oleh wanita hamil dalam hal pengetahuan tentang anemia dan perilaku kepatuhan zat besi selama kehamilan. Tujuan dari penelitian ini adalah untuk mengetahui tingkat pengetahuan tentang anemia dengan perilaku pemenuhan zat besi ibu hamil di Puskesmas IV Denpasar Selatan. Korelasi deskriptif dengan pendekatan cross sectional yang digunakan dalam penelitian ini. Sampel dalam penelitian ini adalah 64 ibu hamil yang melakukan perawatan antenatal di Klinik Rawat Jalan Ibu dan Anak di Puskesmas IV Denpasar Selatan. Uji statistik menggunakan Rank Spearman yang hasil penelitian ini adalah bahwa nilai p = 0,000 (p <0,05) dan nilai r = 0,793. Dapat disimpulkan bahwa ada hubungan yang signifikan dan arah yang kuat antara tingkat pengetahuan tentang anemia dengan perilaku pemenuhan zat besi ibu hamil di Puskesmas IV Denpasar Selatan. Kata kunci: pengetahuan, anemia, perilaku pemenuhan zat besi ABSTRACT Iron deficiency anemia is the most common type of anemia that occurs during pregnancy. Anemia in pregnancy could affect fetal development and maternal health. Prevention of anemia is very important to be known by pregnant women in terms of knowledge about anemia and iron compliance behavior during pregnancy. The purpose of this study was to determine the level of knowledge about anemia with the iron fulfillment behavior of pregnant women in Community Health Centre IV of South Denpasar. Descriptive correlation with cross sectional approach used in this research. The samples in this study were 64 pregnant women who did antenatal care at Maternal And Child Outpatient Clinic in Community Health Center IV Of South Denpasar. The statistic test used the Spearman Rank which the result of this study was that the p value = 0,000 (p<0,05) and the r value = 0,793. It could be concluded that there was a significant relationship and a strong direction between the level of knowledge about the anemia with the iron fulfillment behaviour of pregnant women in Community Health Centre IV of South Denpasar. Keywords: knowledge, anemia, iron fulfillment behaviour

HUBUNGAN DUKUNGAN SOSIAL TEMAN SEBAYA DENGAN PROKRASTINASI AKADEMIK PADA MAHASISWA KEPERAWATAN Ni Komang Ayu Try Wahyuningsih; Meril Valentine Manangkot; Indah Mei Rahajeng
Coping: Community of Publishing in Nursing Vol 10 No 1 (2022): Februari 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Mahasiswa memiliki peran, tanggung jawab, tugas, serta berbagai kegiatan yang harus dilaksanakan selama di perkuliahan. Hal tersebut mengakibatkan mahasiswa cenderung melakukan penundaan terutama pada tugas perkuliahan atau disebut prokrastinasi akademik. Dukungan sosial teman sebaya menjadi salah satu faktor penting yang memengaruhi prokrastinasi akademik utamanya pada mahasiswa. Tujuan penelitian ini untuk mengetahui hubungan dukungan sosial teman sebaya dengan prokrastinasi akademik pada mahasiswa keperawatan di Universitas Udayana. Penelitian ini adalah penelitian kuantitatif dengan desain cross-sectional. Responden penelitian adalah mahasiswa Keperawatan di Fakultas kedokteran Universitas Udayana semester 2, 4, 6, dan 8. Penelitian ini menggunakan teknik sampling proportionate stratified randome sampling. Pengumpulan data menggunakan instrument Dukungan Sosial Teman Sebaya yang diadaptasi oleh Dinata (2019) dan Prokrastinasi Akademik yang diadaptasi oleh Harkinawati (2019). Uji Korelasi Spearman Rank digunakan untuk menganalisis data pada penelitian ini. Berdasarkan hasil penelitian didapatkan gambaran dukungan sosial teman sebaya pada mahasiswa mayoritas pada tingkat sedang (77,5%), gambaran prokrastinasi akademik pada mahasiswa mayoritas pada tingkat sedang (97,5%), dan didapatkan hubungan yang bermakna antara dukungan sosial teman sebaya dengan prokrastinasi akdemik pada mahasiswa keperawatan dengan arah hubungan negatif dan kekuatan sedang (r = -0,404; p = 0,000; ? = 0,05). Kesimpulan penelitian ini yaitu dukungan melalui teman sebaya dapat memengaruhi terjadinya prokrastinasi akademik. Penelitian ini diharapkan menjadi pedoman dalam meminimalisir terjadinya prokrastinasi akademik melalui program promosi kesehatan untuk meningkatkan dukungan sosial teman sebaya pada mahasiswa keperawatan.

KOPING STRATEGI DAN KUALITAS HIDUP PADA PASIEN DENGAN KANKER GINEKOLOGI YANG MENJALANI KEMOTERAPI Nining Pratami; Ni Ketut Guru Prapti; Indah Mei Rahajeng
Coping: Community of Publishing in Nursing Vol 5 No 2 (2017): Agustus 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Kualitas hidup dan strategi koping sering dikaitkan dengan pasien dengan penyakit kronis. Pengukuran kualitas hidup dan strategi koping adalah penting, terutama pada pasien seperti pasien kanker ginekologi yang menjalani kemoterapi yang mendapatkan terapi dalam jangka panjang dan mendapatkan kemungkinan efek samping sistemik. Efek samping dari kemoterapi mempengaruhi kualitas hidup fisik, sosial, emosional dan fungsional pada pasien kanker ginekologi. Kondisi ini menyebabkan menurunnya kualitas hidup. Upaya untuk meningkatkan kualitas hidup diperlukan penggunaan strategi koping yang tepat sehingga pasien kanker dapat beradaptasi dengan situasi tersebut. Strategi koping, yang dapat digunakan oleh pasien kanker ginekologi, adalah koping fokus masalah dan koping fokus emosional. Penelitian ini bertujuan untuk mengetahui hubungan strategi koping dan kualitas hidup pada pasien kanker ginekologis yang menjalani kemoterapi. Ini adalah penelitian non eksperimental (Descriptif Correlation). Penelitian dilakukan di Bangsal Cempaka Timur di Rumah Sakit Sanglah di Denpasar. Kuesioner tentang strategi koping dan kualitas hidup diberikan kepada 62 responden yang termasuk dalam kriteria inklusi. Hasil dari 62 responden menunjukkan bahwa sebagian besar responden strategi koping berada dalam kategori sangat baik dan kualitas hidup responden berada dalam kategori baik. Berdasarkan hasil analisis statistik oleh Spearman Rank dengan tingkat signifikansi 95%, p <0,05 diperoleh nilai p 0,000 (nilai p <0,05). Hasil ini menunjukkan bahwa ada korelasi yang signifikan antara strategi koping dengan kualitas hidup pada pasien dengan kanker ginekologi yang menjalani kemoterapi. Kata kunci: kanker ginekologi, strategi mengatasi, kualitas hidup Abstract Quality of life and coping strategies are often associated to patients with chronic illnesses. Quality of life and coping strategy measurements are important, especially in patients such as gynecological cancer patients undergoing chemotherapy who get therapy in the long term and get probability of systemic side effects. Side effects of chemotherapy affects the quality of life of physical, social, emotional and functional in gynecologic cancer patients. This conditions lead to decrease in quality of life. An effort to improve the quality of life is needed the use of appropriate coping strategy so that cancer patients are able to adapt to the situation. Coping strategies, which can be used by gynecologic cancer patients, are problem focused coping and emotional focused coping. This research aimed to find out correlation of coping strategy and quality of life in patients with gynecological cancer undergoing chemotherapy. This is a non experimental research (Descriptif Correlation). The research carried out in Cempaka Timur Ward at Sanglah Hospital in Denpasar. Questionnaires about coping strategy and quality of life were given to 62 respondents included in inclusion criterias. The results of the 62 respondents indicate that the majority of respondents coping strategies are in very good category and respondents quality of life are in good category. Based on the results of a statistical analysis by Spearman Rank with 95% level of significancy, p < 0.05 obtained p-value of 0.000 (p-value <0,05). These results indicate that there is a significant correlation between coping strategy with quality of life in patients with gynecological cancer undergoing chemotherapy. Keywords: gynecological cancer, coping strategy, quality of life

SURVEI BURNOUT PADA MAHASISWA KEPERAWATAN YANG MENJALANI SISTEM PEMBELAJARAN BLOK DI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Ida Ayu Mas Prabhasuari; Indah Mei Rahajeng; I G A Pramitaresthi
Coping: Community of Publishing in Nursing Vol 9 No 4 (2021): Agustus 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Burnout is a psychological condition caused by physical, emotional, mental exhaustion that causes prolonged stress. Burnout can be experienced by students who are struggling to catch up with their study activities and their academic demand. The aim of this study to examine burnout in nursing students undergoing a block learning system at Medical School Udayana University. This research is a descriptive quantitative study with cross sectional approach. This study used non-probability sampling technique using total sampling. Samples were 245 respondents. The conclusion appear that the most of students were female (89.4%), enrolled according to their interests (72.7%), class of 2019 with the highest number of respondents (70 people). The average value of burnout based on the dimensions of burnout are 1) emotional exhaustion (16.09), 2) Disbelief (7.30), 3) Professional effectiveness (19.12). The majority of students with a higher average burnout score were male students (44.2), in group of students who were not interests to the nursing subjects (47.3), class of 2017 (44.6). The majority students who have the highest average in burnout are male, in group of students who were not passionate in nursing major, and third year students.

PENGARUH KOMIK PINTAR BELAJAR TRANSFUSI DARAH TERHADAP TINGKAT PENGETAHUAN PEMBERIAN TRANSFUSI DARAH DAN GAMBARAN MOTIVASI BELAJAR Arianto Arif Djoni; Indah Mei Rahajeng; I Kadek Saputra
Coping: Community of Publishing in Nursing Vol 9 No 3 (2021): Juni 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Learning motivation may support students in learning can increase their knowledge. The skills to administer safe blood transfusions are essential for nursing students, thus for mastering the skill students need to be supportive with an effective learning tools. This study aims to determine the effect of smart comics for learning blood transfusion (KOPI BETA) on the level of knowledge in administering blood transfusions and a description of the learning motivation among nursing students at Nursing Study Program of the Faculty of Medicine Udayana University. This study used pre-experimental with a one-group pretest-posttest design. This research employed 61 nursing students class 2018 that selected by using total sampling technique. The intervention included the participants studied the KOPI BETA for a week. A questionnaire was used for data collection regarding the level of knowledge and learning motivation. The Wilcoxon test was performed for a bivariate analysis with a confidence level of 95% (? = 0.05). The findings showed that there was difference of the level of knowledge in administering blood transfusions before and after the intervention (p<0,0001; ? = 0,05). It shows that there is an effect of KOPI BETA on the level of knowledge regarding blood transfusions administration to the participants. The researchers recommend the nursing students to utilize this learning comic as learning media.

Efektivitas metode peer education dan metode ceramah terhadap tingkat pengetahuan siswa tentang kehamilan remaja Ni Luh Anik Utami; Nengah Runiari; Indah Mei Rahajeng
Coping: Community of Publishing in Nursing Vol 6 No 1 (2018): April 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.806 KB)

Masa remaja adalah transisi dari masa kanak-kanak ke dewasa, sehingga selama periode ini bisa berisiko mengalami berbagai masalah yang berkaitan dengan sistem reproduksi. Salah satu masalahnya adalah kehamilan remaja. Setiap tahun insidennya meningkat. Karena itu, pemerintah telah berupaya berbagai tindakan pencegahan seperti pendidikan kesehatan. Ada berbagai metode, yaitu, kuliah dan pendidikan sebaya. Tujuan dari penelitian ini adalah untuk membandingkan efektivitas metode pendidikan sebaya dan metode ceramah pada tingkat pengetahuan siswa tentang kehamilan remaja. Penelitian ini menggunakan desain eksperimen semu. Sampel terdiri dari 30 siswa sebagai kelompok kontrol dan 30 siswa lainnya sebagai kelompok perlakuan dengan metode nonprobability sampling, yaitu total sampling. Kelompok kontrol diberi kuliah sedangkan kelompok perlakuan diberi pendidikan sebaya. Hasilnya, diperoleh melalui tes Wilcoxon membandingkan hasil pra dan pasca tes antara kelompok pendidikan sebaya dan kuliah adalah sig. (2-tailed) 0,000 dimana nilai p <0. 005. Dengan demikian, dapat disimpulkan bahwa pendidikan sebaya dan kuliah memiliki manfaat positif dalam meningkatkan pengetahuan siswa. Perbandingan efektivitas pendidikan sebaya dan kuliah melalui tes Mann Whitney menghasilkan sig. (2-tailed) 0. 026 dimana nilai p <0. 05, sehingga dapat disimpulkan bahwa metho peer education lebih efektif daripada ceramah dalam meningkatkan pengetahuan siswa tentang kehamilan remaja di SMAN 5 Denpasar. Berdasarkan hasil penelitian, kepala sekolah dianjurkan untuk menerapkan pendidikan sebaya secara berkelanjutan. Kata kunci: pendidikan kesehatan, kuliah, pendidikan sebaya, kehamilan remaja ABSTRACT Adolescence is a transition from childhood to adulthood, so during this period could risk of experiencing a variety of problems related to reproductive system. One of the problems is teenage pregnancy. Each year it’s incidence has increased. Therefore, the government has sought various precautions such as health education. There are various methods, namely, lecture and peer education. The purpose of this study was to compare the effectiveness of peer education method and lecture method on the level of students' knowledge of teen pregnancy. This study used a quasi experimental design. The sample consisted of 30 students as the control group and 30 other students as treatment group with nonprobability sampling method, which was total sampling. The control group was given a lecture while the treatment group was given peer education. The result, obtained through the Wilcoxon test comparing pre and post test results between groups of peer education and lectures are sig. (2-tailed) 0. 000 wherein the value of p <0. 005. Thus, it can be concluded that peer education and lectures have positive benefits in improving students' knowledge. Comparison of the effectiveness of peer education and lectures through the Mann Whitney test resulted that was sig. (2-tailed) 0. 026 wherein the value of p <0. 05, so it can be concluded that peer education metho is more effective than lecture in enhancing students' knowledge of teen pregnancy in SMAN 5 Denpasar. Based on the research result, it is encouraged for school principals to implement the peer education on an ongoing basis. Keywords: Health Education, Lecture, Peer Education, Teenage Pregnancy

GAMBARAN PERILAKU KESELAMATAN PENYEBERANGAN YANG DILAKUKAN OLEH PENYEDIA JASA SPEED BOAT DI SANUR Ni Kadek Wirati; Gusti Ayu Ary Antari; Indah Mei Rahajeng
Coping: Community of Publishing in Nursing Vol 9 No 3 (2021): Juni 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

The island of Nusa Penida is one of the few attractions located in the Province of Bali. Currently tourist arrivals to Nusa Penida show an increasing trend. To reach Nusa Penida, a sea transportation mode is speed boat. To Support the smooth running of tourists are needed. This study aims to determine the description of crossing safety behavior carried out by speed boat service providers in Sanur with the characteristic of age, sex, level of education,and lenght of work. The design of this study was a descriptive study using a cross-sectional method. The sample used was 43 people with consecutive sampling technique. Data collection was carried out by distributing questionnaires online to determine crossing safety behavior. The results of this study indicate that the majority of respondents have good enough behavio, as many as 24 people (55.8%). The age of respondents was dominated by the early adult age group of 18 people (41.9%). The education level of the respondents was dominated by high school gaduates as many as 24 people (55.8%). Most respondents worked more than one year, as many as 25 people (58,1%). All respondents were male. Suggestions for speed boat service providers to improve crossing safety behavior.

Diabetes Melitus Tergantung Insulin dengan Ketoasidosis pada Anak Usia 12 Tahun Ida Bagus Eka Utama; Mei Dwi Rahajeng; Leopold Simanjuntak
Majalah Kedokteran UKI Vol. 26 No. 1 (2008): JANUARI-MARET
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstrak Prevalensi diabetes tergantung insulin (Insulin dependent diabetes mellitus-IDDMM) tertinggi di Eropa bagian utara yaitu Negara Skandinavia. Di Finland insiden tersebut sekitar 1-2 dari 100.000/ tahun. Di Indonesia, prevalensi IDDM secara pasti belum diketahui. IDDM dengan Ketoasidosis merupakan kondisi kadar gula darah yang tinggi dan kadar insulin yang rendah atau tidak ada. Tubuh mulai menggunakan lemak sebagai sumber energy yang akan menghasilkan keton dan berakibat asidosis. Seorang pasien anak perempuan, umur 12 tahun, berat badan 33 kg datang ke RSU FK UKI dengan keluhan utama sesak nafas dan keluhan tambahan sakit perut, mual, dan muntah. Pasien pernah mengalami keluhan seperti ini sekitar dua tahun yang lalu dengan diagnosis diabetes ketoasidosis. Pada pemeriksaan fisik didapatkan keadaan umum tampak sakit berat, kesadaran somnolen, frekuensi pernafasan 54x/menit, terdapat retraksi suprasternal, interkosta, dan epigastrium. Hasil pemeriksaan laboratorium ; kadar gula darah sewaktu 363 mgdl, urin lengkap didapatkan protein (+)2, reduksi (+)2, aseton (+3), analisis gas darah Ph 6,847, pCO2 5,2mmHg, base excess -29,4 mmol/L dan buffer base 18,5mmol/L. Pada pasien ini dilakukan koreksi terhadap cairan elektrolit, status asam basa dan pemberian insulin. Setelah perawatan selama ± 14 hari keadaan pasien membaik. Pasien kemudian dirujuk ke RSCM sub bagian endokrinologi untuk mendapatkan terapi insulin lebih lanjut. Dengan diagnosis yang cepat dan tepat, serta penanganan yang tepat dapat mengurangi resiko edema serebri bahkan kematian. Kata Kunci : IDDM dengan ketoasidosis, insulin, tatalaksana Abstract The highest IDDM incidence is in Scandinavia, North Europe. In Indonesia, the IDDM incidence has not been investigated yet. However, it is omit that the prevalence is very rare. Ketoacidosis is a probem due to the low insulin concentration which cause high blood glucose level. The body start use lipid as the energy source which could produce keton that might cause acidosis. A 12 years old girl was admitted to FK UKI Hospital with diabetic ketoacidosis. She has the same problem two years ago, diagnosed as diabetic ketoacidosis patient. She looks weak, dyspneic, with suprasternal, intercostals and epigastrium retraction. The Laboratory results are blood glucose 363 mg/dL, urine analysis shown protein (+)2, reduction (+)2, aseton (+)2, and the blood gas analysis shown pH 6, pCO2 5,2mmHg, base excess -29,4 mmol/L and buffer base 18,5 mmol/L. Rehydration and electrolyte correction had been applied, Furthermore, insulin also had been given to her. After 14 days of treatment, an improvement shown, Then she was forwarded to the sub division of endocrinology of the RSCM hospital for further treatment. With early diagnosis and accuracy in treatment, an edema cerebi and a death risk could be decreased in a patient with diabetes ketoacidosis. Key words : IDDM, ketoacidosis, insulin, therapy

THE APPLICATION OF CLINICAL JUDGMENT AND DECISION MAKING OF CRITICAL CARE NURSES IN INTENSIVE CARE UNITS (ICUs): DOI: https://doi.org/10.35654/ijnhs.v2i1.20 Indah Mei Rahajeng; Faridatul Muslimah
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 1 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Background Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses. Aim The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU) Method A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim. Result The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU. Conclusions Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities. Keywords: clicinal decision making, critical care nurse, ICU

Co-Authors A. A. S. Maharani, A. A. S. Arianto Arif Djoni Desak Made Widyanthari Dewa Gede Ari Wisnawa Dimas Aji Saputra FARIDATUL MUSLIMAH Gusti Ayu Ary Antari I Gusti Ayu Julia Arsita Devie I Gusti Ayu Pramitaresthi I Gusti Ayu Putu Anggitha Puja Laskmi Dewi I Kadek Saputra Ida Ayu Mas Prabhasuari Ida Bagus Eka Utama Jayanti, Ida Ayu Agung Novi K. D. Kumara, K. D. Kadek Cahya Utami Komang Menik Sri Krisnawati Leopold Simanjuntak Luh Yudita Intan Pratiwi Made Oka Ari kamayani, Made Oka Ari Meril Valentine Manangkot Nengah Runiari Ni Kadek Ayu Suarningsih Ni Kadek Ita Rosiana Ni Kadek Wirati Ni Ketut Guru Prapti Ni Komang Ari Sawitri Ni Komang Ayu Try Wahyuningsih Ni Luh Anik Utami Ni Luh Putu Eva Yanti Ni Putu Emy Darma Yanti Ni Putu Emy Darma Yanti Nining Pratami Niruri R. Nurdiyanti, Nurdiyanti Putu Ayu Asri Damayanti Putu Krisna Siantarini Rai Rosita Candra Dewi Rasmaya Niruri Rini Noviyani Suratiah Suratiah

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