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EXPERIENCE OF NURSE ASSOSIATE TO IMPLEMENT TRIAGE IN EMERGENCY ROOM INSTALLATION Febrina, Wiwit; Sholehat, Indah Okzana
Jurnal Endurance Vol 3, No 1 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (75.776 KB) | DOI: 10.22216/jen.v3i1.2579

Abstract

Triageis a system of in the Emergency Room aims to select or classify all patients who need the help and assign priority handling. A study on the phenomena that occur on experience in performing triage nurse. Researchers use qualitative research design with phenomenology approach. The research was conducted at Emergency Installation of Dr. Achmad Mochtar Bukittinggi. Population and sample in this research is numbered 3 participants, the study was obtained by purposive sampling.. Instrument Participant of the research is the nurse in the room of the Emergency Room Installation, the research in this research is the researcher himself. The study of 3 participants gained six themes, namely: (1) skill Technically nurse triage, (2) the principle of triage, (3) the ability of sorting patients is still not effective, (4) infrastructure, (5) the impact of doing mistakes triage and (6) solutions for patient safety. Hospital and emergency room is recommended to add special training triage nurse triage, is expected to provide motivation for the triage nurse and triage nurse are expected to be in the room triage to be able to do sorting.Triage adalah suatu proses yang dilakukan di Instalasi Gawat Darurat . Tujuan Triage adalah mengelompokkan atau mengkategorikan semua pasien yang butuh pertolongan untuk menetapkan prioritas penanganannya. Penelitian ini dilakukan untuk mengetahui fenomena-fenomena yang terjadi mengenai pengalaman perawat dalam melaksanakan triage. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi yang dilakukan di Instalasi Gawat Darurat  RSUD Dr. Achmad Mochtar Bukittinggi. Populasi dan sampel dalam penelitian ini yaitu berjumlah 3 orang partisipan, penelitian tersebut diperoleh dengan teknik purposive sampling.. Instrumen Partisipan penelitian adalah perawat pelaksana diruangan Instalasi Gawat Darurat, penelitian dalam penelitian ini adalah peneliti sendiri. Hasil penelitian terhadap 3 partisipan diperoleh 6 tema, yaitu: (1) keterampilan teknikal perawat triage, (2) prinsip triage, (3) kemampuan dalam pemilahan pasien masih belum efektif, (4) sarana prasarana, (5) dampak dalam melakukan kesalahan triage, dan (6) solusi untuk keselamatan pasien. Rumah sakit dan Instalasi Gawat Darurat disarankan untuk menambahkan pelatihan khusus triage bagi perawat triage, di harapkan dapat memberikam motivasi bagi para perawat triage, serta  perawat triage diharapkan dapat selalu berada di ruang triage untuk dapat melakukan pemilahan.   
MODEL PENGENDALIAN KADAR GULA DARAH PENDERITA DIABETES MELLITUS Juwita, Lisavina; Febrina, Wiwit
Jurnal Endurance Vol 3, No 1 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.424 KB) | DOI: 10.22216/jen.v3i1.2768

Abstract

According to the International Diabetes Federation (IDF) there are 382 million people living with diabetes in the world by 2013. It is estimated that of the 382 million people, 175 million of whom remain undiagnosed, so the danger of developing progressive complications unwittingly and without prevention. Complications from diabetes can be prevented or delayed by keeping blood sugar levels are in the normal category so that metabolism can be well controlled. Blood sugar levels can be maintained by a healthy lifestyle. The purpose of this study was to determine the control of blood sugar levels by making healthy lifestyle in patients with diabetes mellitus type II in London in 2017: a grounded theory study. Participants in the study of 18 people. Intake of participants in this study begins with purposive sampling. The results showed the main concept of grounded theory is "Behavior Control Blood Sugar Levels". Forms of behavior in blood sugar control in this study consisted of a) the bodys response to changes result DM, b) forms of motivation patients with DM, c) Physical Activity DM patients, d) Compliance diet, e) Management DM therapy, f) Compliance controls, g) A healthy lifestyle DM family, h) Impact of changes in lifestyle. The results of this study can serve as a reference, especially for people with diabetes mellitus and family in order to implement the behavior of controlling blood sugar levels.  Menurut International Diabetes Federation (IDF) terdapat 382 juta orang yang hidup dengan diabetes di dunia pada tahun 2013. Diperkirakan dari 382 juta orang tersebut, 175 juta diantaranya belum terdiagnosis, sehingga terancam berkembang progresif menjadi komplikasi tanpa disadari dan tanpa pencegahan. Komplikasi akibat diabetes dapat dicegah atau ditunda dengan menjaga kadar gula darah berada dalam kategori normal sehingga metabolisme dapat dikendalikan dengan baik.  Kadar gula darah dapat dijaga dengan melakukan gaya hidup yang sehat. Tujuan penelitian ini adalah untuk mengetahui pengendalian kadar gula darah dengan melakukan gaya hidup sehat pada penderita diabetes mellitus tipe II di Bukittinggi tahun 2017: study grounded theory. Partisipan dalam penelitian sebanyak 18 orang. Pengambilan partisipan dalam penelitian ini diawali dengan purposive sampling. Hasil penelitian didapatkan Konsep utama dari grounded theory adalah “Perilaku Pengendalian Kadar Gula Darah”. Bentuk perilaku pengendalian gula darah dalam penelitian ini terdiri dari a) Respon tubuh terhadap Perubahan Akibat DM, b) Bentuk motivasi pasien DM, c) Aktivitas Fisik Pasien DM, d) Kepatuhan diet, e) Manajemen terapi DM, f) Kepatuhan melakukan kontrol, g) Gaya hidup sehat keluarga DM, h) Dampak perubahan gaya hidup. Hasil penelitian ini dapat menjadi referensi khususnya bagi penderita diabetes mellitus dan keluarga agar menerapkan perilaku pengendalian kadar gula darah. 
PENGETAHUAN PERAWAT TERHADAP PELAKSANAAN TIMBANG TERIMA PASIEN SESUAI SOP Wiwit Febrina; Yenni yenni
REAL in Nursing Journal Vol 1, No 2 (2018): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (774.152 KB) | DOI: 10.32883/rnj.v1i2.265

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Nursing is one of a profession front for health workers in this effort to ensure the quality of health center in the community. Handover is good quality health services to offer a service nursing on a patient care, To optimize the role and function of nurse especially function to independence nurse. This research aims to know the the relations knowledge of a nurse with patient handover implementation as procedure. The kind of research used is descriptive analytic with the approach cross sectional. A population that used is nurse who were 101 people from 101 a person who uses technique total of sampling. The analysis in use is analysis univariat and bivariat. The results of the study was obtained 42,6 % nurse possess wisdom that low and 31.7 % nurse of these stations have the implementation of patient a less well , testing shows statistic been gained there are the kind of relationship is meaningless between knowledge a nurse with the implementation of these stations received patients ( p = 0,094 ). Based on the research done can be concluded that there was a correlation meaningful of the incentives a nurse with the implementation of the weigh received patients appropriate with the sop .Was recommended to researchers , the hospital to continue to motivate nurse in the implementation of the weigh received patients appropriate with the procedure.  Keywords: Knowledge, The Implementation of handover
Implementasi Evidence Based Nursing Pada Pasien Rematik : Studi Kasus Alvina Ramicci Octa; Wiwit Febrina
REAL in Nursing Journal Vol 3, No 1 (2020): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v3i1.763

Abstract

Background: Rheumatoid is a disease that has long been known and is widespread throughout the world that symmetrically experiences inflammation so that swelling, pain and eventually cause damage to the inside of the joints and will disrupt the activities / work of patients. The main symptom of rheumatism is pain in the affected joint, especially when moving. Generally arise slowly. At first it feels stiff, then arises pain that decreases with rest. Family support plays an important role in nursing care provided. To achieve good treatment outcomes, implementation of evidence-based nursing is needed. Method: this case study aims to present the implementation of evidence-based nursing with complementary therapy, warm and progressive ginger compresses applied for 1 week.. Results: After each intervention given in combination the pre and post results show that before the intervention is given, the pain scale at the joint 5 after the intervention is given the pain scale 2. Conclusion: : Complementary therapy of warm ginger compresses performed 1 time in the day as long as 7 days for 20 minutes, showing pain results the patient's joints and bones are reduced
Efektivitas Pendidikan Kesehatan Terhadap Perilaku Cuci Tangan Pakai Sabun Dalam Upaya Pencegahan Covid-19 Adriani Adriani; Sisi Oktavia; Wiwit Febrina
REAL in Nursing Journal Vol 4, No 2 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i2.1268

Abstract

Background: Covid-19 causes respiratory problems and inflammation of the lungs. This disease is caused by a viral infection. The implementation of hand washing with soap carried out in elementary schools for the prevention of Covid-19 has not been carried out properly because the UKS program is not running optimally and has not received health education. This study aims to determine the effectiveness of health education on the knowledge and actions of washing hands with soap in an effort to prevent Covid-19 in elementary schools. Methods: This research was analytical descriptive research with Quasi Experiment approach with One Group Pre-test and Post-test design. A sample of 20 students using total sampling of students in grades V and VI, data processing using non-parametric tests (Wilcoxon and Paired T test). Results: The results showed that the average knowledge of students before the intervention was 6.15 and the average knowledge after the intervention was 6.9 with p value = 0.003, the average action before the intervention was 2.65, the average after the intervention was 4.6 with p value = 0.000. Conclusion: Based on the results of the study, it was concluded that health education was effective in the knowledge and actions of washing hands with soap as an effort to prevent Covid-19 in elementary schools. It is hoped that the health education method can be used in health education programs for students' knowledge and actions in an effort to prevent Covid-19. Keywords: Covid-19, Health Education, Knowledge, Skills
PENGARUH PELAKSANAAN PRE DAN POST CONFERENCE TERHADAP PENDOKUMENTASIAN ASUHAN KEPERAWATAN Fitrianola Rezkiki; Wiwit Febrina; Devi Anggraini
REAL in Nursing Journal Vol 2, No 1 (2019): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (792.563 KB) | DOI: 10.32883/rnj.v2i1.485

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Nursing documentation is a record that contains all the data needed to determine nursing diagnoses, planning, actions and evaluations that are arranged in a systematic, valid, and morally and legally responsible manner. Based on a preliminary study with a sample of 10 documentation of internal space medical records taken randomly only 4 (40%) were completely filled and 6 (60%) incomplete. This study aims to determine the effect of pre and post conference services on documenting nursing care. This study uses a pre-experimental design with one-group pretest-posttes design. The method of data collection is using observation sheets. Samples are taken with a simple random sampling system of 10 samples. The results of the study based on the Kolmogrov-smirnov test observations were carried out before and after being given a pre and post conference treatment of 10 statuses obtained a p-value of 0,000. The conclusion of this study is that there is an influence of the implementation of pre and post conference on the documentation of nursing care.Keywords: Documentation, Pre and post conference
Motivasi Perawat Dalam Pelaksanaan Timbang Terima Pasien Sesuai SOP Wiwit Febrina
REAL in Nursing Journal Vol 4, No 1 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i1.1162

Abstract

Backgroud: Nursing is one of a profession front for health workers in this effort to ensure the quality of health center in community. Handover is good quality health services to offer a service nursing on a patient care, To optimize the role and function of nurse especially function to independence nurse. This research aims to know the the relations motivation of a nurse with patient handover implementation as Standard Operational Procedure. Methods: The kind of research used is descriptive analytic with the approach cross sectional. A population that used is nurse who were 101 people from 101 a person who uses technique total of sampling. The analysis in use is analysis univariat and bivariat. Results: The results of the study was obtained between motivation meaningful a nurse with the implementation of these stations received patients (p = 0,000; OR = 9,389). Conclusion: Based on the research done can be concluded that there was a correlation meaningful of the incentives a nurse with the implementation of the weigh received patients appropriate with the Standard Operational Procedure. It was recommended to researchers , the hospital to continue to motivate nurse in the implementation of the weigh received patients appropriate with the Standard Operational Procedure.  Keywords: Motivation, The Implementation of Handover
Tingkat Ketergantungan Gadget Pada Anak Usia Sekolah di Kota Bukittinggi Cory Febrina; Sandra Dewi; Rina Mariyana; Wiwit Febrina
REAL in Nursing Journal Vol 4, No 3 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i3.1511

Abstract

Background: The use of gadgets is one of the shortcuts for parents in accompanying their children as caregivers. At the age of adolescence in the pandemic era, it becomes a primary need to use gadgets in the online learning process, but the health impacts, including anemia, decreased role functions, decreased behavioral control, and sexual behavior deviations need to be a concern.  Purpose:This study aims to determine the distribution of gadget addiction. Methods:  This uses descriptive analytic. The research sample was teenagers who were taken by multistage random sampling and who met the inclusion criteria were 50 respondents. Data collection in this study used an instrument using the Smartphone Addiction Scale (SAS) questionnaire. Results: results showed most gadget addiction is dependence level Low (46%), the level of dependence moderate (34%), very low level of dependence (18%), high dependency level (2%). Conclusion: There is a need for holistic nursing interventions for individuals and families with gadget addiction based on the level of dependence, it takes the participation of schools and the community in providing education on the negative impact of gadget addiction. Keywords: Addiction, Gadget, Adolescents
ANALISIS PERAN KELUARGA SEBAGAI PENGAWAS MINUM OBAT (PMO) PASIEN TB PARU Wiwit Febrina
HUMAN CARE JOURNAL Vol 3, No 2 (2018): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.702 KB) | DOI: 10.32883/hcj.v3i2.66

Abstract

Menurut laporan WHO tahun 2013, diperkirakan terdapat 8,6 Juta kasus TB pada tahun 2012. Upaya pengendalian TB dilakukan dengan menerapkan strategi DOTS. Salah satu dari komponen DOTS (Directly Observed Treatment Short-course) adalah paduan OAT (Obat Anti Tuberkulosis) jangka pendek dengan pengawasan langsung. Untuk menjamin keteraturan pengobatan diperlukan seorang Pengawas Minum Obat (PMO). Keluarga dapat dijadikan sebagai PMO, karena dikenal, dipercaya dan disetujui, baik oleh petugas kesehatan maupun penderita, selain itu harus disegani, dihormati dan tinggal dekat dengan penderita serta bersedia membantu penderita dengan sukarela. Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi yang dilakukan di Puskesmas Ophir. Penelitian ini dilakukan dengan wawancara mendalam terhadap partisipan untuk mengeksplor peran keluarga sebagai Pengawas Minum Obat (PMO). Partisipan diambil secara purposive sampling berjumlah 8 orang terdiri dari 3 orang PMO, 3 Orang Pasien TB Paru, 1 Orang petugas TB Paru Puskesmas, 1 Orang Kepala Puskesmas. Hasil penelitian ini didapatkan adanya empat tema yaitu peran sebagai motivator sudah optimal, peran dalam mengingatkan pemeriksaan ulang sputum sudah optimal, peran pengawasan pengobatan sudah maksimal, sedangkan peran sebagai edukator belum maksimal. Disimpulkan bahwa peran keluarga sebagai PMO bagi pasien TB Paru dalam mengawasi, memotivasi, memastikan pemeriksaan ulang sputum, dan memberikan edukasi kepada pasien TB, akan membantu proses kesembuhan bagi pasien TB Paru. Puskesmas perlu meningkatkan sosialisasi dan penyuluhan terhadap PMO dan pasien TB Paru mengenai penyakit TB Paru serta melakukan monitoring dan evaluasi terkait feedback dari program TB Paru di masyarakat. Kata kunci : Peran Keluarga, Pengawas Minum Obat (PMO), TB Paru
Kompres Bawang Merah Terhadap Suhu Tubuh Anak Batita Wenny Lazdia; Evi Hasnita; Wiwit Febrina; Ratna Dewi; Yeni Wartsa Usman; Nadia Susanti
REAL in Nursing Journal Vol 5, No 2 (2022): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v5i2.1978

Abstract

Demam adalah suatu keadaan suhu tubuh menjadi lebih tinggi dari biasanya dan ini merupakan suatu gejala penyakit. Suhu tubuh yang dikatakan normal yaitu apabila suhu dengan rentang 36,5-37,5, apabila suhu tubuh melebihi rentang normal maka bisa dikatakan hipertermi atau tidak normal. Demam ini terjadi karena adanya respon normal terhadap infeksi yang ada dalam tubuh, infeksi yang terjadi karena adanya mikroorganisme yang masuk kedalam tubuh yaitu berupa virus, jamur, varasit dan bakteri. Tujuan Penelitian: adalah untuk mengetahui pengaruh kompres bawang merah terhadap suhu tubuh anak batita. Metode Penelitian: Penelitian ini menggunakan quasy eksperimental pretest-posttest one grup design. Hasil: yang didapatkan terdapat penurunan suhu tubuh pada kelompok intervensi kompres bawang merah yaitu 2,175℃ dengan nilai Pvalue 0,000, dimana terjadi penunurunan setelah intervensi. Dengan rata-rata suhu tubuh responden sebelum diberikan intervensi 38,35℃  dan sesudah 36,17℃, disini selain dilakukan intervensi responden juga minum paracetamol sebagai obat penurun demam. Kata Kunci    : Kompres bawang merah, Demam