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Wikan Purwihantoro Sudarmaji
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Nursing

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A Clinical Decision Support System as a Tool to Improve the Accuracy of Nursing Diagnoses Wikan Purwihantoro Sudarmaji; Sholihin Sholihin; Roby Aji Permana; Agustina Soares; Yanuar Aga Nugraha
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (17.145 KB) | DOI: 10.20473/jn.v14i3.17171

Abstract

Introduction: Nursing diagnosis is an important part of the nursing process and it influences the quality of nursing care. Accuracy in establishing nursing diagnoses is one of the factors that determines the accuracy of the nursing intervention program and the speed of healing of the patients. The Clinical Decision Support System is an information system built to assist health workers in making clinical decisions including the enforcement of nursing diagnoses. Through this systematic review, the author wants to explain the clinical decision support system as a tool to increase the accuracy of the enforcement of nursing diagnoses.Methods: The search for journals using the PICOT framework was conducted in the Scopus, Proquest, PubMed and Cinahl databases with a 10-year publication time limit (2008 - 2018). There were 8 international journals reviewed in full.Results: Generally the journals reviewed stated that the use of the Clinical Decision Support System in establishing nursing diagnoses has been shown to improve the accuracy of nursing diagnoses.Conclusion: This systematic review concludes that the use of clinical decision support systems can help nurses or nursing students in establishing accurate nursing diagnoses.
Identification of Nursing Problems in Hospitalized Patients with Diabetes Mellitus Wikan Purwihantoro Sudarmaji; Nursalam Nursalam; Sartika Wulandari
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.20516

Abstract

Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.
Co-Authors Agustina Soares Nursalam Nursalam Sholihin Sholihin Ujang Sumarwan Yanuar Aga Nugraha Yoga Yuniadi