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METODE KEPERAWATAN KOMPLEMENTER HIPNOTERAPI UNTUK MENURUNKAN EFEK STRESS PASCA TRAUMA TINGKAT SEDANG PADA FASE REHABILITASI SISTEM PENANGGULANGAN KEGAWATDARURATAN TERPADU (SPGDT) Rakhmawati, Rani; Rusca Putra, Kuswantoro; Bayu Perdana, Fa Rizki Bayu Perdana; ., Hardiyanto
Jurnal Keperawatan Vol 5, No 2 (2014): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.208 KB) | DOI: 10.22219/jk.v5i2.2347

Abstract

METODE KEPERAWATAN KOMPLEMENTER HIPNOTERAPI UNTUK MENURUNKAN EFEK STRESS PASCA TRAUMA TINGKAT SEDANG PADA FASE REHABILITASI SISTEM PENANGGULANGAN KEGAWATDARURATAN TERPADU (SPGDT)Hypnotherapy complementary nursing method can reduce the effects of moderate levels of post traumatic stress in a rehabilitation phase of integrated emergency management systemRani Rakhmawati(1) , Kuswantoro Rusca Putra(2) , Fa Rizki Bayu Perdana(3), Hardiyanto(4)(1)Program Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang(2)Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya Malang(3,4)Pascasarjana Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya Malangemail : 1)rani.rakhmawati@yahoo.comABSTRAKBencana di Indonesia mempunyai prevalensi yang cukup tinggi. Efek yang ditimbulkan dari bencana diantaranya stress pasca trauma yang merupakan gangguan psikologi dari korban bencana. Sebagai tenaga kesehatan terutama dalam hal ini adalah perawat mempunyai peranan penting dalam Sistem Penanggulangan Kegawatdaruratan Terpadu (SPGDT), Tujuan dari penulisan karya ini adalah untuk mengidentifikasi apakah metode hipnoterapi bisa menurunkan efek stress pasca trauma tingkat sedang. Metode penulisan karya tulis ini adalah dengan deskriptif dan metode pengumpulan datanya menggunakan metode studi pustaka melalui literatur yang relevan. Sedangkan metode analisis data dan pemecahan masalah menggunakan metode eksposisi dan analitik serta rumusan masalah kami dapatkan dengan diskusi kelompok berlandaskan literatur yang relevan dengan topik karya tulis. Hipnoterapi ini menitikberatkan pada pemberian sugesti-sugesti positif pada klien yang akan menimbulkan perilaku mekanisme koping konstruktif pada klien. Kesimpulan dari karya tulis ini adalah metode keperawatan komplementer dengan hipnoterapi sangat efektif untuk menurunkan stress tingkat sedang pada stress pasca trauma. Disarankan untuk dilakukan pengkajian lebih lanjut terkait faktor-faktor lain yang mempengaruhi hasil terapi pada hipnoterapi ini.Kata kunci: Metode Keperawatan komplementer, Hipnoterapi , Efek stress pasca traumaABSTRACTDisaster in Indonesia has a high prevalence. The effects of the disaster such as post traumatic stress disorder which is the psychology of disaster victims. As health professionals, especially in this case the nurse has an important role in Sistem Penanggulangan Kegawatdaruratan Terpadu (SPGDT). The purpose of this paper is to identify whether the method of hypnotherapy can reduce the effects of moderate levels of post traumatic stress. The writing method of this paper is descriptive and data collection method is using literature through the relevant literature. While the data analysis and problem solving is using exposition and analytical method and formulation of the problem we get from a group of discussion based on the relevant literature to the topic of paper. Hypnotherapy is focused on providing positive suggestions in client that will lead to constructive behavior on the client’s coping mechanisms. The conclusion of this paper is hypnotherapy as complementary nursing was very effective for moderate stage of post traumatic stress disorder. It is recommended to do further study related to other factors that influence the outcome of hypnotherapy. Keywords: Complementary nursing therapies, Hypnotherapy, Post Traumatic Stress Disorder (PTSD).
PENGARUH PELAKSANAAN FUNGSI MANAJERIAL KEPALA RUANG DALAM METODE PENUGASAN TIM TERHADAP KINERJA KETUA TIM DI RSU DR SAIFUL ANWAR MALANG Rusca Putra, Kuswantoro; Subekti, Irwan
Jurnal Keperawatan Vol 1, No 2 (2010): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.541 KB) | DOI: 10.22219/jk.v1i2.410

Abstract

PENGARUH PELAKSANAAN FUNGSI MANAJERIAL KEPALA RUANG DALAM METODE PENUGASAN TIM TERHADAP KINERJA KETUA TIM DI RSU Dr SAIFUL ANWAR MALANGInfluence of Head Managerial Function Implementation In The Teamwork Assigment Method The Chief of Team Productivity In Saiful Anwar Hospital MalangKuswantoro Rusca Putra1 & Irwan Subekti21)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas BrawijayaJl. Veteran Malang 651452)Rumah Sakit Umum Dr Saiful Anwar MalangJl. Jaksa Agung Suprapto No 2 Malang 65333*)e-mail: ruscaputra@yahoo.comABSTRAKPelaksanaan fungsi manajerial kepala ruang yang optimal merupakan salah satu faktor yang mempengaruhi kinerja ketua tim dan berdampak pada kualitas pelayanan keperawatan. Fenomena yang terjadi di rumah sakit seringkali kepala ruang disibukkan dengan kegiatan rapat yang diadakan manajemen rumah sakit sehingga pelaksanaan peran dan fungsi kepala ruangan sebagai supervisor klinis yang menjadi konsultan bagi ketua tim dalam asuhan keperawatan sering terabaikan. Tujuan penelitian ini ingin mengetahui seberapa besar pengaruh pelaksanaan fungsi manajerial kepala ruang (perencanaan, pengorganisasian, pengarahan dan pengawasan) terhadap kinerja ketua tim. Desain penelitian menggunakan deskriptif korelasi dengan pendekatan cross sectional di 13 Ruang Rawat Inap RSU Dr Saiful Anwar Malang yang menggunakan metode penugasan tim. Jumlah responden adalah sebanyak 39 responden terdiri dari 13 kepala ruangan dan dan 26 ketua tim. Instrumen yang digunakan adalah kuesioner untuk variabel pelaksanaan fungsi manajerial kepala ruang (perencanaan, pengorganisasian, pengarahan dan pengawasan) dan kinerja ketua tim dengan cara penilaian dengan pendekatan penilaian 360 derajat didasarkan pada penilaian diri sendiri, rekan kerja dan atasan langsung. Hasil penelitian dengan menggunakan analisis product moment didapatkan bahwa ada pengaruh pelaksanaan fungsi manajerial kepala ruangan terhadap kinerja ketua tim (p = 0,00 r = 0,905). Hasil regresi linier berganda menunjukkan bahwa hanya pelaksanaan fungsi perencanaan yang memiliki pengaruh terhadap kinerja ketua tim (p = 0,039 B = 4,150). Kesimpulannya bahwa semakin tinggi pelaksanaan fungsi perencanaan yang dilakukan oleh kepala ruangan maka semakin baik pula kinerja ketua tim. Implikasi terhadap keperawatan pada penelitian ini adalah perlu dilakukan peningkatan kemampuan fungsi perencanaan kepala ruangan melalui pelatihan perencanaan strategi dan pengembangan konsep manajerial keperawatan.Kata kunci: metode tim, fungsi manajerial, dan kinerja ABSTRACTOptimum implementation of ward head managerial function is one of factors that influence working of the team head and effects on the quality of nursing care. Phenomenon that often happens in hospital is ward head is always busy with meetings held by hospital management so ward head cannot implement his role and function to his members. Purpose of this research is to know how much the influence of implementation of ward head managerial function (planning, organizing, actuating and controlling) to head team?s work. The research design is using observation analytical with cross sectional approach in 13 wards in Dr Saiful Anwar general hospital Malang. Respondents in this research consist of 13 head ward and 26 head team. Using questionnaires as instrument to measure the ward head managerial function and head team work by observation from 360 degrees approach (self evaluation, team, chairman). There is influence of ward head managerial function to the work of head team (p = 0,00 r = 0,905). Double linier regression test shows that only managerial function has influence to the work of head team (p = 0,039 B = 4,150). The conclusion is if managerial function higher, the work of head team is also higher. Nursing implication of this research is increasing managerial function of ward head is important through training strategy plan and nursing managerial concepts. Keywords: team method, managerial function, work
PENGARUH LINGKUNGAN KERJA PERAWAT TERHADAP PELAKSANAAN PRAKTEK KEPERAWATAN DI RUMAH SAKIT UMUM Dr. SAIFUL ANWAR MALANG TAHUN 2006 Putra, Kuswantoro Rusca; Hamid, Achir Yani S.; Mustikasari, Mustikasari
Jurnal Kedokteran Brawijaya Vol 23, No 1 (2007)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.872 KB) | DOI: 10.21776/ub.jkb.2007.023.01.9

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The implementation of nursing practice is related tonurses' working environment. The working environment components consist of leadership, culture and management; control over workload; control over practice; and adequate source. The purpose of this study is to identify any correlation between the nurses work environment with the implementation of nursing practice. The research was conducted in IRNA(Inpatients Ward) I and of IRNA II RSU Dr. Saiful  Anwar on May 1stuntil 20th, 2006. Correlation was chosen as the research design using cross sectional study on 196 nurses with two instruments: nurses' work environment, and implementation of nursing practice. The result based on analysis with regression linier indicates that there is a significant correlation between working nurse environment(leadership, culture and management; control over workload; control overpractice; and adequate source) with the implementation of nursing practice (p < 0.05) and control over practice is the biggest sub variable that influences the implementation of nursing practice(B=1.302). In conclusion, the nurse’s working environment influences implementation of nursingpractice in hospital. Keywords:Work environment, Implementation of nursing practice
Over the head and lateral position technique for cardiopulmonary resuscitation: which one is better? Feorentina, Ivo; Putra, Kuswantoro Rusca; Suryanto, Suryanto
MEDISAINS Vol 18, No 2 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i2.7876

Abstract

Background: A high rate of cardiac arrest requires high-quality CPR. A valuable CPR rescuer has lower success than two or more rescuers, especially with the use of BVM. There is a complexity encountered with lateral CPR position as a commonly used position, which is the difficulty of position movement from compression to ventilation. On the other hand, Over the Head CPR position is used as an alternative position, which is considered more effective than a lateral position. It is also considered to be able to overcome the obstacles found in CPR with a single rescuer using BVM ventilation in the lateral position so that study is required to compare the quality of CPR between the two CPR positions.Technique: The quality of CPR between Over the Head position CPR and Lateral position CPR is compared. The technique testing was carried out on 24 students using a mannequin. CPR quality components include compression ratios: ventilation, speed, depth, hand placement, chest recoil, and the amount of time of chest compression interruption were observed strictly. The overall CPR quality score, particularly in terms of compression speed and the minimum interruption time of chest compression on Over the Head position, is better than lateral position CPR.Conclusion: Over the Head position, CPR significantly produces a better quality of CPR than Lateral position CPR.
Mind-body training and progressive muscle relaxation therapy on nurse with burnout syndrome Rahmayanti, Asih Devi; Putra, Kuswantoro Rusca; Yuliatun, Laily
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11011

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Background: Nurse burnout could affect nurse's professional competence. Either physical or emotional burnout was related to an ineffective individual coping and emotional intelligence. The nurse burnout could be coped with a direct intervention on the individuals who practically focused on the mind and body system.Purposes: This research was aimed to identify the effects of mind and body-based therapies (MBT and PMR) for nurse burnout.Methods: This research was quasi-experimental with two groups pretest-posttest design. The sample of this study was 50 nurses in the medical-surgical wards who were divided into intervention MBT and PMR with a simple random sampling technique. Collecting data using burnout syndrome measurements on nurses applied pre and post-intervention, which was analyzed by Wilcoxon and Mann-Whitney test.Results: The mean value of the burnout subscale decreased significantly (emotional exhaustion and depersonalization) and increased (personal accomplishment) after the MBT and PMR programs (p<0.05). The comparison of effect between the two intervention groups on nurse burnout syndrome found no significant positive difference in the mean scores (p>0.05). Conclusions: Mind body-based therapies (MBT and PMR) could reduce burnout syndrome significantly.
Brøset Violence Checklist (BVC) versus Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV): their sensitivity, specificity and accuracy as a predictor of violence in 24 hours among schizophrenia patients Yuniati, Wahyu; Putra, Kuswantoro Rusca; Widasmara, Dhelya
MEDISAINS Vol 18, No 2 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i2.7454

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Background: Brøset Violence Checklist (BVC) and Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV) are risk assessment instruments of violence that nurses can use in psychiatric services, but their accuracy of the instruments in predicting violent behavior in 24 hours need to be tested.Objective: This study aims to examine the sensitivity and specificity of BVC and DASA-IV instruments in predicting violent behavior within 24 hours and which is more accurate.Method: This is a diagnostic study with a cross-sectional approach. The sample of this study was 112 patients. The respondents' behaviors were observed, based on parameters assessed by BVC and DASA-IV as well as recording incidents of violent behavior using AOS (Aggression Observation Short) as the gold standard. Sensitivity, specificity, and Receiver Operating Characteristic (ROC) tests were conducted to assess the accuracy of the two instruments in predicting violent behavior within 24 hours.Results: 23.2% of the respondents in this study experienced violent behavior in the first 24 hours. BVC has a sensitivity value of 65.4% and specificity of 94.5%. DASA-IV has a sensitivity value of 69.2% and a specificity of 95.5%. The level of accuracy of BVC is 87.9%, and of DASA-IV is 92.2%.Conclusion: DASA-IV is more sensitive, higher in its specificity, and is more accurate in predicting violent behavior within 24 hours in schizophrenic patients compared to BVC
Influence of communication, collaboration, and decision-making skills on the efficacy of nurses in conducting neonatal resuscitation Ika Rizki Anggraini; Kuswantoro Rusca Putra; Setyoadi Setyoadi
International Journal of Public Health Science (IJPHS) Vol 10, No 2: June 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i2.20584

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This study aimed to analyze the influence of communication skill, collaboration, and decision-making upon self-efficacy upon Indonesia nurse’s self-efficacy in performing neonatal resuscitation. The research employed analytical descriptive design with cross-sectional study approach. The data were collected using questionnaire. Moreover, the research was carried out in Malang City area with the total of 75 nurses employed at neonatal intensive care unit (NICU) room and perinatology unit. Meanwhile, for data analysis, product moment correlation and linear regression were employed. The presence of influence of communication skill, collaboration, and decision-making upon nurse’s self-efficacy in performing neonatal resuscitation can be an inestimable reference for the need of objective evaluation on nurse’s capability and reflection on skills they have acquired. Communication skills p=0.000 (<0.05), collaboration p=0.000 (<0.05), preparation of results p=0.000 (<0.05) with the effectiveness of nurses in the management of neonatal resuscitation. In addition, multiple linear regression showed communication skills p=0.000, B=0.253 was the most dominant factor influencing nurses' self- efficacy when handling neonatal resuscitation in hospitals in Malang City of Indonesia. This study found an association related to communication skill, collaboration, and nurse decision making. Communication skills are the dominant factor influencing the efficacy of nurses in performing neonatal resuscitation care.
The effect of caring work environment model on nurses’ burnout in general hospitals Kuswantoro Rusca Putra; Heriandi Sutadi; Setyowati Setyowati; Rr. Tutik Sri Hayati
International Journal of Public Health Science (IJPHS) Vol 10, No 3: September 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i3.20800

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Nurses belong to a profession that carries a high risk of burnout. This condition will have an impact on the performance and quality of nursing services. Efforts should be made to minimize burnout for nurses. Management of the nurses' work environment is one that should be done by the nurse manager. This study aimed to identify the effect of the implementation of a caring work environment by the head of the care unit on nurse burnout. This study used a quasi-experimental design with a pre- and post-test with control group approach. Respondent of this study was 170 nurses who were divided into intervention and control groups. The intervention group consisted of nurses within the Caring Work Environment Model as applied by the head of the units. The control group included nurses working in the environment commonly applied in accordance with hospital policies in the inpatient unit. Burnout measurements on nurses applied preand post- intervention. Data analysis was performed using the Mann Whitneytest. This research showed a decrease in emotional fatigue and depersonalization scores, and an increase in nurse personal accomplishment, (p<0.001) after the implementation of the nurse's caring work environment model by the head of care unit in the intervention group. Within the control group, only personal accomplishment showed increased scores, (p=0.034). Reduction in burnout symptoms in nurses can be facilitated through the implementation of a caring work environment by the head of the care unit.
The factors correlated to nurses’ decision activating code blue team in hospital Ekwantoro Ekwantoro; Kuswantoro Rusca Putra; setyoadi setyoadi
International Journal of Public Health Science (IJPHS) Vol 10, No 1: March 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i1.20574

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The success and hindrances of the blue-code activation were based on nurses’ readiness to request assistance once a patient’s clinical condition decreases. This research aimed to determine the nurses’ hindrance factors in making the blue code activation at hospitals. This research is analytical-observational with a cross-sectional approach. The samples consisted of 93 nurses taken randomly. The data were collected by questionnaire from March until April 2020 at one of the Nganjuk Government Hospitals. The Pearson test result showed a correlation between experience with p-value 0.022, education with a p-value 0.000, cognition with p-value 0.006, and organizational culture with a p-value 0.000 toward decision-making (p-value<0.05). The multiple linear regression multivariate analysis shows an Exp. value (B) of education is 0.292, experience with a value 0.178, cognition with a value 0.194, and cultural organization with a score of 0.425. Thus, it could be concluded that the organizational culture was the most dominant factor of the nurses’ decision making. The hindrances and success of the nurses’ decision-making are based on the nurses’ characteristics, such as cognition, communication skill, and collaboration skill. The support from the leader of an organization would influence nurses’ confidence dealing with patients’ health.
Emergency nurse’s perceptions of hospital facility support and disaster preparedness Dewa Gede Sanjaya Putra; Kuswantoro Rusca Putra; Noorhamdani AS
International Journal of Public Health Science (IJPHS) Vol 9, No 4: December 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.441 KB) | DOI: 10.11591/ijphs.v9i4.20507

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Disasters cause material losses, morbidity, and deaths. Support for the role of hospitals and health workers, especially nurses, is needed to reduce the number of victims in each disaster. Using a cross-sectional survey design, this study aims to analyze the relationship between nurse’s perceptions of hospital facility support and disaster preparedness. One hundred sixty seven respondents were selected using proportional random sampling. Disaster preparedness evaluation tool (DPET) was used to assess the participants’ readiness, and the Health Sector Self-Assessment Tool for Disaster Risk Reduction was used to assess nurse’s perceptions of hospital facility support. The final results of the analysis using the Spearman Rank test showed a significant correlation between hospital infrastructure support and emergency nurse’s preparedness in disaster preparedness with a p-value (0.00). The higher the nurse’s perceptions of hospital facility support, the higher their preparedness in disaster management is. Strengthening guidelines of disaster planning in hospitals, especially regarding the ability of hospitals to overcome the impacts of disasters, will provide optimal support for emergency nurses during a disaster crisis.