Krisna Yetti
Fakultas Ilmu Keperawatan Universitas Indonesia, Depok 16424, Indonesia

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Penurunan Nyeri Pascabedah Pasien TUR Prostat Melalui Relaksasi Benson Gad Datak; Krisna Yetti; Rr. Tutik Sri Hariyati
Jurnal Keperawatan Indonesia Vol 12 No 3 (2008): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.218

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AbstrakRelaksasi Benson merupakan pengembangan metode respons relaksasi dengan melibatkan faktor keyakinan pasien yang dapat mengurangi nyeri pascabedah. Penelitian ini bertujuan mengetahui efektifitas relaksasi Benson dalam menurunkan nyeri pascabedah pasien TUR Prostat. Metode penelitian quasi-eksperimental dengan pre test and post test design with control group. Pengambilan sampel dengan consecutive sampling. Jumlah sampel 14 orang, masing-masing 7 orang pada kelompok intervensi yang diberikan kombinasi relaksasi Benson dan terapi analgesik serta kelompok kontrol yang hanya diberikan terapi analgesik. Relaksasi Benson dilakukan setelah pemberian analgesik dengan durasi 15 menit selama dua hari. Hasil penelitian menunjukkan kombinasi Relaksasi Benson dan terapi analgesik efektif menurunkan rasa nyeri pascabedah pada pasien TUR Prostat (p = 0,019, α = 0,05). Penelitian ini menyarankan Relaksasi Benson digunakan untuk mengurangi nyeri pasca bedah TUR Prostat elektif. AbstractBenson Relaxation is the development of relaxation response method by involving patient is belief factor to relieve postoperative pain. This research was aimed to explore the effectiveness of Benson Relaxation in relieving post-operative pain of TUR prostate. The method used in this study was quasi experimental with pre test and post test design with control group. A total of 14 consecutive samples were participated in this study by divided into the intervention and control group, 7 participants respectively. Those in intervention group received Benson Relaxation combined with analgesic therapy where as in control group took analgesic therapy alone. Benson Relaxation intervention given after analgesic was taken, for 15 minutes each day for two days. The results revealed that combination between Benson Relaxation and analgesic therapy was more effective than analgesic therapy alone (p = 0,019, α = 0,05). The Implication of this research was Benson Relaxation can be applied to relieve post-operative pain of elective TUR Prostate.
Peningkatan Kepuasan Kerja Perawat Melalui Kebijakan dan Motivasi Endang Purwaningsih; Krisna Yetti; Dian Ayubi
Jurnal Keperawatan Indonesia Vol 12 No 3 (2008): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.215

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AbstrakKebijakan, supervisi dan motivasi adalah sebagian dari faktor yang mempengaruhi kepuasan kerja perawat. Penelitian ini menggunakan desain cross sectional untuk mengetahui hubungan kebijakan, supervisi, dan motivasi dengan kepuasan kerja perawat pelaksana di salah satu rumah sakit di Jawa Timur. Penentuan sampel yaitu total populasi sejumlah 146 perawat. Berdasarkan hasil uji univariat didapatkan sebagian besar perawat mempunyai persepsi tidak baik tentang kebijakan, supervisi, dan mempunyai persepsi baik tentang motivasi, dan puas dalam pekerjaannya. Hasil regresi logistik didapatkan motivasi merupakan variabel yang paling berhubungan dengan kepuasan kerja perawat (OR 11,688; p= 0,000). Hal ini menunjukkan bahwa perawat yang mendapat motivasi akan puas 12 kali dibandingkan perawat yang tidak mendapatkan motivasi oleh manajer keperawatan, sedangkan kebijakan merupakan variabel kedua yang berhungan dengan kepuasan kerja (OR 2,436;p=0,017). Peneliti menyimpulkan bahwa motivasi dan kebijakan merupakan variabel yang dapat menjelaskan kepuasan kerja. Berdasarkan hasil penelitian disarankan untuk melakukan evaluasi terhadap kebijakan yang telah ditetapkan secara periodik dan ada sosialisasi apabila ada kebijakan baru. AbstractRegulation, supervision system, and motivation are several factors which affected nurse’s satisfaction. This study used cross sectional design to identify the relationship between regulation, supervision system, and motivation with the work satisfaction of the associate nurse at one of the hospitals in East Java. The sample taken was the total population of was 146 nurses. Based on univariate analysis, it was known that most of the nurses had positive perception toward the regulation, supervision system, and motivation; more over they were also satisfied with their work. The regression logistic result showed that motivation was the most related variable with the work satisfaction of the nurses (OR 11.688; p= 0.000). This condition showed that the nurse who got motivation to work would gain 12 times of satisfaction level compared with the nurse who was not motivated by the nurse manager. Meanwhile, regulation was the second highlyrelated variable with the work satisfaction (OR 2.436; p= 0.017). The researcher concluded that motivation and regulation were the variables which could explain the work satisfaction. Based on this research, it was recommended to conduct the evaluation toward the current regulation periodically and socialize for the new regulation.
THE EFFECT OF TAI-CHI EXERCISE ON ADEQUACY OF HEMODIALYSIS AMONG PATIENTS WITH END STAGE RENAL DISEASE: A LITERATURE REVIEW: DOI: https://doi.org/10.35654/ijnhs.v2i2.98 Andi Sudrajat; Krisna Yetti; Agung Waluyo
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 2 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.195 KB) | DOI: 10.35654/ijnhs.v2i2.98

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Abstract End stage renal disease (ESRD) is currently a global problem because of its increasing prevalence. Hemodialysis is the main management in ESRD patients. The importance of assessing the adequacy of dialysis greatly influences the quality and continuity of the patient's life. This paper is a literature review to identify the effect of i tai chi exercise on the adequacy of hemodialysis in ESRD patients. The authors used several databases to search for literary sources to be studied, namely Web of Science, EBSCO, PubMed, and Google Scholar. It was found that tai chi is a safe therapy less complications and have beneficial for ESRD patients. Tai chi can suppress bone reabsorption, improve functional balance and strength, increase the rate of blood in the muscles, increase capillary size and surface area which results in increased movement of toxins and urea in cells that move to the vascular eventually towards the hemodialysis machine. In addition, tai chi can be beneficial to make circulation smooth, reduce blood pressure, and facilitate the release of lactic acid so that it can reduce risk factors for cardiovascular disease. Tai chi is recommended as a treatment modality choice to increase the adequacy of hemodialysis in ESRD patients. Keywords: adequate dialysis, ESRD, hemodialysis, intradialysis exercise, tai chi.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN “SELFCARE BEHAVIOR” PADA ANAK USIA SEKOLAH DENGAN TALASEMIA MAYOR DI RSUPN. DR. CIPTO MANGUNKUSUMO JAKARTA 2010 Indanah Indanah; Krisna Yetti; Luknis Sabri
Jurnal Ilmu Keperawatan dan Kebidanan Vol 2, No 2 (2011): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

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Abstract

Penelitian mendapatkan gambaran “faktor-faktor berhubungan dengan Selfcare Behavior anak usia sekolah dengan talasemia mayor”. Penelitian  merupakan penelitian cross sectional. Hipotesa yang dibuktikan adalah “Adanya hubungan antara Pengetahuan, Dukungan Sosial, Status Kesehatan, Usia, Jenis Kelamin, Lamanya Sakit dengan Selfcare behavior Anak Usia Sekolah dengan Talasemia Mayor”. Sampel penelitian  adalah pasien usia sekolah dengan talasemia mayor di RSUPN. Dr. Cipto Mangunkusumo Jakarta, sejumlah 131 pasien. Instrumen berupa instrument pengetahuan, dukungan sosial, status kesehatan dan instrument selfcare behavior. Hasil menunjukkan ada hubungan antara pengetahuan, dukungan sosial dengan selfcare behavior, dengan pengetahuan yang paling dominan.  Penelitian ini merekomendasikan untuk meningkatkan pendidikan kesehatan tentang talasemia.
ANALISIS PERILAKU ETIK KEPALA RUANGAN PADA RUMAH SAKIT DI JAKARTA: STUDI KASUS Nurhayati Nurhayati; Hanny Handiyani; Krisna Yetti; Nurdiana Nurdiana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 6 No. 1 (2020): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3578.054 KB) | DOI: 10.33755/jkk.v6i1.163

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Keperawatan dalam menjalankan praktek keperawatan harus berdasarkan kode etik, standar pelayanan, standar profesi dan standar prosedur operasional.. Perilaku merupakan sikap yang ditampilakan atas keputusn nilai yang di anut, pengetaahuan dan ketrmpilan yang dimiliki. Etika profesional mengacu pada penggunaan komunikasi yang logis dan konsisten, pengetahuan, keterampilan klinis, emosi dan nilai-nilai dalam praktik keperawatan. Tujuan studi kasus ini untuk melakukan analisis perilaku etik kepala ruangan dalam melaksanakan peran dan fungsinya di pelayanan keperawatan rumah sakit di Jakarta. Metode yang dilakukan dengan survei menggunakan kuesioner, observasi, wawancara dan focus group discusion. Sample yang digunakan adalah seluruh kepal ruangan dan perawat primer dan pelaksana sesuai dengan rumus estimasi proporsio. Hasil yang didapat bahwa kepela ruangan membutuhkan pembekalan sebelum menjabat dengan peningkatan pengetahuan, keterampilan sebagai pemimpin dan pembentukan perilaku etik melalui pendampingan senior, adanya forum FGD antar kepala ruangan dan adanya panduan perilaku etik bagi kepala ruangan sebagai dasar acuan dalam pelaksanaan tugas sehari-hari.
OPTIMALISASI PELAKSANAAN SUPERVISI HANDOVER KEPERAWATAN PADA RUMAH SAKIT DI JAKARTA SELATAN Sri Herni Wigiarti; Krisna Yetti; Dudi Mashudi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 6 No. 2 (2020): Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1032.029 KB) | DOI: 10.33755/jkk.v6i2.164

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Handover keperawatan di rumah sakit dapat berpengaruh terhadap hasil pelayanan kesehatan pasien. Handover merupakan bagian dari proses asuhan keperawatan sebagai pertukaran informasi pasien antar perawat, memastikan kontinuitas perawatan pasien, keselamatan pasien. Kepala ruangan memiliki fungsi melakukan supervisi pada proses handover, sehingga dapat meningkatkan kepedulian terhadap kualitas keperawatan, dan berpegang kepada etika keperawatan. Belum optimalnya pelaksanaan supervisi handover dianalisa menggunakan fishbone diagram untuk mendapatkan akar masalah/rootcause. Tujuan penelitian ini adalah menganalisis pelaksanaan supervisi handover keperawatan pada rumah sakit di Jakarta Selatan. Metodologi yang digunakan dengan metode wawancara, observasi, pengisian kuesioner dan telaah dokumen rekam medik pasien. Optimalisasi kualitas supervisi handover perawat dengan melakukan evaluasi pelaksanaan handover, memerlukan instrumen sesuai dengan standar prosedur operasional atau  standar akreditasi rumah sakit. Kepala ruangan perlu melakukan sosialisasi prosedur dan supervisi berkala pelaksanaan handover keperawatan, komitmen bersama mendukung program ini, menggunakan instrumen penilaian handover yang seragam, adanya audit dan evaluasi dari manajemen bidang keperawatan.
Evaluasi Pelaksanaan Pasca Pendidikan Keperawatan Berkelanjutan (PKB) Pada Perawatan Akhir Kehidupan Di Rumah Sakit X Jakarta Azis Fahruji; Krisna Yetti; Dudi Mashudi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

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Evaluation is an essential component of the continuing education process. Non-formal continuing nursingeducation program, consisting of seminars, training, workshops, conferences, symposiums, etc. End-of-lifepatient care is knowledge of the problems associated with illness and death, nursing competence is needed tomanage dynamic and complex situations around end-of-life care so that nurses who care for patients for daysfeel unready to provide care at the end of life. The aim is to evaluate the implementation of post-ContinuingNursing Education in the care of end-of-life patients by using fishbone. Case study design using frequencydistribution of test results, questionnaires and audit documentation with 75 samples then analyzed usingfishbone. The test results showed a value of> 85 (54.7%), understanding of the initial assessment showed avalue of> 85 (37.3%), the results of the documentation audit showed there was no documentation of 94% andthere was documentation of 6%. The nursing committee as a promoter of the implementation of activitiescoordinates with the field of nursing and nursing managers in carrying out evaluations of each continuingeducation program.
Determinan Perilaku Perawat dalam Pemberian Edukasi Pasien pada Rumah Sakit di Jakarta Selatan Krisna Yetti; Laras Adythia Pratiwi; Dewi Gayatri
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.561 KB)

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Nurse behavior has a strong influence on the need and trust of patient education which identifiesdeterminants of nurse behavior in presenting patient education with a cross sectional design. The studyused total sampling with 210 samples according to the inclusion criteria. The instrument used was amodification of various literature reviews which tested its validity and reliability. The majority of nurseshave the following characteristics: female, <35 years old, not attending D3 Nursing, having totalexperience <10 years, civil servant status, having attended training (in the last three years), but lackingknowledge related to providing patient education . There is a relationship between age, policies, policies,working conditions, supervision, social support, and the planning function of the head of the room with thebehavior of nurses in providing patient education (p = 0.001-0.037), the most dominant variable affectingthe behavior of nurses in providing patient education is support. social (OR = 5,186). Nursing managersand the ranks of the hospital need to create a support program to offer patient education, complete allexisting facilities and infrastructure, as well as prepare competent resources.
Optimalisasi Supervisi Pemberian Edukasi Pasien dan Keluarga pada Rumah Sakit di Jakarta Selatan Laras Adythia Pratiwi; Krisna Yetti; Dudi Mashudi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.355 KB)

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The Hospitals are obliged to facilitate patients and families by providing information and education.Education is a supporting factor in participating in the care optimization process. The quality of educationcan be improved by conducting supervision. Supervision is a process of supervising and giving direction bya nursing supervisor to improve the quality of service. This case study aims to optimize the implementationof supervision of patient and family education in hospitals in South Jakarta. Data collected throughobservation, questionnaire distribution and managerial team interviews. An analysis is carried out using afishbone diagram and statistical software. Implementation is carried out by making supervision instrumentsfor providing education and observing document of patient and family education. Results: Theimplementa The Hospitals are obliged to facilitate patients and families by providing information and education.Education is a supporting factor in participating in the care optimization process. The quality of educationcan be improved by conducting supervision. Supervision is a process of supervising and giving direction bya nursing supervisor to improve the quality of service. This case study aims to optimize the implementationof supervision of patient and family education in hospitals in South Jakarta. Data collected throughobservation, questionnaire distribution and managerial team interviews. An analysis is carried out using afishbone diagram and statistical software. Implementation is carried out by making supervision instrumentsfor providing education and observing document of patient and family education. Results:
Study of Nurse's Philosophy: The Convenient Place to Die Peacefully for Terminal A Patients Krisna Yetti; Rr Tutik Sri Hariyati; Rona Cahyantari Merduati
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 7 No 1 (2019): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.6 KB)

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Background: A patient with terminal illness who will die should be supported and accompanied spiritually for passing their end of life. The spiritual involvement is needed a convenient place since its support will transform a frightening moment to be a peaceful one. Purpose: the aim of the study was describes the convenient place to die peacefully using philosophical approach.Methods: This study used method of an Actual Problem, it is a philosophy reflective study about the assumption of researcher that a patient with terminal illness wants to be accompanied by people who proper to deliver the prayers. In this study, with one participant problems in the place of die are directly exposed, then it is synthesized to solve a fundamental problem. Analysis and synthesis of unsatisfied place to die to be expected can solve the problem. Results: Hospice care is a program or facility which gives specific care for the patient in end of life. It can be said that hospice is a way of care based on philosophy about the end of life. Hospice can be a convenient place to die because there are its staff who will substitute the role of family, in case they experience physical and emotional burden. Conclusion: Hospice can be an alternative of convenient place for patient with dying process and its nursing care can make the process as peaceful as possible