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Penerapan Evidenced Based Nursing (EBN): Aerobic Exercise Intradialytic Dalam Peningkatan Adekuasi Responden Hemodialisis Di RSUPN Dr. Cipto Mangunkusumo Megawati Tabroni; Krisna Yetti; Masfuri Masfuri; Yunisar Gultom
Jurnal Keperawatan Vol 7 No 1 (2022): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i1.839

Abstract

Tujuan: Dampak penerapan intervensi aerobic exercise intradialytic selama 4 minggu (10-15 menit dalam 2 jam pertama dialisis) terhadap peningkatan adekuasi dialisis. Metode: Penerapan Evidanced Based Nursing ini dengan menggunakan analisis PICO, search jurnal dengan kata kunci adequacy dialysa, intradialytic, hemodyalisa. aerobic exercise, dan critical terhadap jurnal yang valid: The Effect of Intradialytic Aerobic Exercise on Dialysis Efficacy in Hemodialysis Patients: A Randomized Controlled Trial ini dengan teknik quasy experimental study, desain pre dan post test tanpa group controlstudy eksperimental quasy dengan desain pre dan post test tanpa kelompok kontrol. Metode pengumpulan data menggunakan purposive sampling yang melibatkan 7 pasien yang memenuhi kriteria inklusi berdasarkan jurnal acuan.Aerobic exercise dilakukan dilakukan selama 10-15 menit / hari, dalam dua kali seminggu selama 1 bulan. Peningkatan adekuasi dinilai dengan melihat Kt/v dan nilai Urea Reduction Rate (URR)) sebelum dan sesudah pemberian intervensi. Hasil: Adekuasi dialisis meningkat pada akhir intervensi dengan rata- rata peningkatan Kt/v sebesar 2.17 dan peningkatan nilai URR sebesar 2.14%
Optimalisasi Perawat Sehat dalam Memberikan Pelayanan Keperawatan Bermutu Endang Sudjiati; Hanny Handiyani; Krisna Yetti; Cori Tri Suryani
Journal of Telenursing (JOTING) Vol 3 No 1 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i1.2154

Abstract

This study aims to develop guidelines and provide an overview to optimize the health of nursing staff in public hospitals in Jakarta. This research method uses a pilot project starting from data collection, problem analysis, problem priority setting, preparation of a plan of action, implementation and evaluation. Research respondents were 54 room heads and 479 nursing staff. Problem analysis was performed using a fishbone diagram. The results of the analysis show that there is a problem in the form of not optimal adoption of healthy nurse behavior due to the absence of a guide for healthy nurses, the SPO has not been compiled and there are still nurses who do not know about the behavior of healthy nurses. In conclusion, the solution to the problem is to draft a guide for healthy nurses in the hospital. Keywords: Health Optimization, Guidelines for Healthy Nurses, Nursing Staff
Optimalisasi Fungsi Manajemen Kepala Ruangan Melalui Manajemen Burnout Staf Keperawatan di Masa Pandemi Lia Dwi Jayanti; Hanny Handiyani; Krisna Yetti; La Ode A. Rahman; Nurdiana Nurdiana
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2558

Abstract

This study aims to identify the management function of the head of the room, the level of staff burnout and develop problem solving solutions by preparing burnout management guidelines for nursing staff. The method used is a case study and analysis of results and implementation gaps with a discussion based on a literature review. The results showed that the perception of the head of the room related to the planning function was 53.7%, the organizing function was 59.3%, the manpower function was 53.7%, the directive function was 55.6% and the control function was 55.6%. The burnout level of nursing staff is in the medium category. The emotional exhaustion dimension scored 50.5%, the depersonalization dimension was 44.1% and the personal accomplishment dimension was 50.7%. In conclusion, the implementation of the draft guideline for burnout management can be carried out well. The involvement of the team, support from the Nursing Services Division and the Nursing Committee is needed in the preparation of the burnout management guide draft for nursing staff in hospitals. Keywords: Burnout, COVID-19, Function Management, Nurse Manager
Manajemen Handover Metode SBAR (Situation, Background, Assessment, Recommendation) dalam Meningkatkan Komunikasi Efektif Gilang Rahmatulloh; Krisna Yetti; Dyah Fitri Wulandari; Ahsan Ahsan
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.3321

Abstract

This study aims to analyze the application of the SBAR method of handover management innovation in improving effective communication. The method used is a case study that starts from the process of identification, analysis, problem priority setting, plan of action (POA), implementation and evaluation. Data collection was done by interview, observation and survey methods. The results of the priority problems were analyzed using fishbone analysis. The results showed that the SBAR method of handover management innovation influenced the team leader's ability to carry out handovers. The evaluation results show that 75% of the team leaders can properly fill out handover forms and submit handovers using the SBAR method. In conclusion, the SBAR method of handover management innovation can be used to improve handover capabilities to improve effective communication. Keywords: Handover, Effective communication, Patient safety, SBAR
Pelayanan Prima Keperawatan di Pelayanan Primer: Perspektif Perawat dan Pasien Deby Zulkarnain Rahadian Syah; Junaiti Sahar; Krisna Yetti
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.3349

Abstract

This study aims to determine the perception of excellent service at Pandak II Public Health Center Bantul Yogyakarta. The method used is qualitative research by conducting in-depth interviews with providers and users of nursing services at the Puskesmas. The validity of the data is done by the triangulation method. The results showed that the themes obtained were: 1) giving a sense of pleasure; 2) friendly and attentive; 3) satisfying as expected; 4) promotive, preventive, curative and rehabilitative services; 5) nursing education facilities; 6) limitations of two-way communication; 7) individual leadership and management style; 8) professional; 9) success of government programs; 10) regulation of the application of nursing care in primary care; 11) HR management; 12) time management; 13) friendliness, attention, speed, thoroughness. In conclusion, there are 13 themes perceived by participants related to excellent service in primary care. Keywords: Patient, Primary Health Service, Excellent Service, Nurse, Public Health Center
Study on the Relationship between Blood Glucose Control and Diabetic Foot Ulcers at Dr. Moewardi Hospital of Surakarta Okti Sri Purwanti; Krisna Yetti; Tuti Herawati; Agus Sudaryanto; D Daryani
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2016: Proceeding ISETH (International Conference on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background. Diabetic foot ulcers has several negative impacts on individuals, since it disrupts one’s physical activity and psychological condition, as well as the financial loss for the treatment. The purpose of this study was to find the relationship between blood glucose control and foot ulcers. This research used observational analytic study with case-control methods. It applied purposive sampling in34 diabetes mellitus patients with foot ulcers and 34 diabetes mellitus patients without foot ulcers. Theresearch instruments were documentation study about HbA1c and incidence of diabetic ulcers. Theresults indicated there was a relationship between blood glucose control and the incidence of foot ulcers in the patients at Dr. Moewardi Hospital. The respondents with poor blood glucose control will have a chance to suffer from foot ulcers 5.800 times than those who have good blood glucose control.
Optimalisasi Pelaksanaan Preceptorship Melalui Perubahan Berencana Kurt Lewin Mery Anglelia Sirait; Krisna Yetti; Tuti Afriani; Khairul Nasri
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5840

Abstract

This study aims to identify problems and find solutions for new nurses through the preceptorship program. The method used is a case report using step 2 of planning changes from Kurt Lewin. The results obtained based on gender are more women, 94.6%. Based on the age of 39.3% of nurses aged> 40 years. Based on the highest level of education is a diploma in nursing, 64.7%. Based on the competency level, the most PK I is 31.4%, and the position is 80.4%. The most are PPJA. In conclusion, the implementation of preceptorship has not been running yet, so there is a need for commitment in the performance of preceptorship, starting with proper planning in making guidelines, guidelines, and SOPs for the implementation of preceptorship so that it will make it easier for the preceptors who will guide them in carrying out their roles and responsibilities. Keywords: Preceptee, Preceptor, Preceptorship
Budaya Pelaporan Insiden Keselamatan Pasien Terintegrasi Melalui SIMRS Kristina Ana; Krisna Yetti; Ade Suhendri; Anik Maryunani
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.4905

Abstract

This research aims to identify problems in reporting patient safety incidents, conduct analysis, prepare a plan of action, implement innovations in the form of integrated patient safety incident reporting culture management through the Hospital Management Information System (SIMRS), and carry out evaluations. The research method used is a case report using the ADDIE approach to managing an integrated patient safety incident reporting culture through the Hospital Management Information System (SIMRS). The research results show that the culture of reporting patient safety incidents is not yet optimal, incident reporting has yet to be integrated through SIMRS, and there are no guidelines and Standard Operational Procedures (SPO) for reporting patient safety incidents through SIMRS. In conclusion, incident reporting is influenced by various factors, namely human factors (not all safety incidents have been reported, not yet knowing how to report patient safety incidents using SIMRS), materials (work instructions already exist (manual reporting flow SOP, reporting SPO, and writing via the Home Management Information System Hospital (SIMRS) does not yet exist) method (Integrated incident reporting flow with SIMRS does not yet exist), and machine (Reporting application via the Hospital Management Information System (SIMRS) does not yet exist). Keywords: Reporting Culture, Innovation, Patient Safety Incidents, Information Systems Hospital management
Optimalisasi Supervisi Kepala Ruangan dalam Pelaksanaan Edukasi Personal Hygiene untuk Keluarga dan Pasien Mastia Wiraya; Krisna Yetti; Anik Maryunani
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5797

Abstract

This research aims to design an innovation that can improve the planning function of the supervision program by the head of the room by making educational videos for families and patients to create patient independence. The method used is the case study method. This research begins with studying problem identification, problem analysis, and prioritization of problems to be analyzed using fishbone. The next stage of the strategy will be planned by preparing a Plan of Action, and then implementation will be carried out. The results showed that the activities of bathing patients in bed were rare (52.9%), washing the patient's hair was rare (76.5%), care for feet, hands, and nails was rare (64.7%), care for eyes, ears, and nose was occasional ( 64.7%) and oral and dental care (brushing the patient's teeth) is rare (64.7%). In conclusion, fulfilling personal hygiene needs by nurses in the Depok Hospital inpatient room is in the not optimal category. Keywords: Innovation, Personal Hygiene, Regular Supervision, Educational Videos
Optimalisasi Penegakan Diagnosis Keperawatan Sesuai Standar Asuhan Keperawatan di Rumah Sakit X Mu'minah Mu'minah; Tuti Afriani; Krisna Yetti; Dudi Mashudi; Khairul Nasri
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.5875

Abstract

This study aims to analyze the enforcement of nursing diagnoses according to the Nursing Care Standards of X Hospital Jakarta. The research method uses a case study approach with interviews, document review and observation, and performs problem analysis using fishbone analysis. The results showed that the enforcement of nursing diagnoses in accordance with the Standards of Nursing Care was not optimal, so that it had an impact on the quality of care and its documentation. Nursing diagnoses that are in accordance with Nursing Care Standards are 48.6%. Lack of supervision from managers, assessments using personal assumptions and the standard of writing diagnoses in the local Hospital Information System (SIRS) has not been facilitated. Through strengthening the directing function with SAK media innovation, there was an increase in writing nursing diagnoses according to SAK to 62.3%. In conclusion, optimizing the enforcement of nursing diagnoses in accordance with Nursing Care Standards can be implemented with SAK media innovations (Softfiles on the Google Form Platform and flipcharts) which are given to implementing nurses at X Hospital. Keywords: Diagnosis, Nursing Documentation, Quality, Nursing Care Standards