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Jurnal Keperawatan Padjadjaran

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Published by Universitas Padjadjaran

ISSN : 23385324 EISSN : 24427276 DOI : -

Core Subject : Health, Science,

Health Professions Neuroscience Nursing Public Health

Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.

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Efek Spiritual Emotional Freedom Techniqueterhadap Cemas dan Depresi, Sindrom Koroner Akut Derison Marsinova Bakara; Kusman Ibrahim; Aat Sriati
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Sindrom koroner akut (SKA) merupakan penyakit jantung penyebab kematian. Gejala depresi, kecemasan, dan stres meningkat pada pasien SKA. Gejala ini dapat memengaruhi proses pengobatan dan penyembuhan serta menimbulkan komplikasi. Penelitian ini bertujuan untuk mengidentifikasi pengaruh SEFT terhadap penurunan gejala depresi, kecemasan, dan stres pada pasien SKA yang dirawat di ruang rawat intensif jantung. Rancangan penelitian menggunakan quasi eksperimen, teknik pengambilan sampel dengan consecutive sampling,sebanyak 42 orang. Penetapan jumlah responsden untuk kontrol dan kelompok intervensi menggunakan number ramdom trial, sehingga ditetapkan kelompok intervensi berjumlah 19 responsden dan untuk kelompok kontrol berjumlah 23 responsden. Kelompok intervensi dan kelompok kontrol diukur tingkat depresi, kecemasan, dan stres mengunakan kuesioner The Depression Anxiety Stres Scales 21(DASS 21) kemudian pada kelompok intervensi diberikan intervensi SEFT satu kali selama 15 menit dan diukur kembali tingkat depresi, kecemasan, dan stres pada kelompok intervensi dan kelompok kontrol. Data dianalisis dengan Wilcoxon dan Mann Whitney. Hasil menunjukkan perbedaan yang bermakna antara tingkat depresi, kecemasan, dan stres sebelum dan sesudah intervensi SEFT antara kelompok intervensi dan kelompok kontrol (p<0.05). Intervensi SEFT membantu menurunkan depresi, kecemasan, dan stres pada pasien SKA.Kata kunci:Depresi, intervensi SEFT, kecemasan, stres AbstractAcute coronary syndrome (ACS) is a cause of heart disease deaths. Symptoms of depressi on anxiety, and stres is increased in patients with ACS. These symptoms may affect treatment and healing processand cause complications. This study aims to determine the effect of intervention Spiritual Emotional Freedom Technique (SEFT) to decrease depression, anxiety, and stres in patients with ACS who were treated in the cardiac intensive care unit. The research design was quasi-experimental, and using consequtive sampling as sampling technique, 42 responsdents were divided into intervention and control groups. Determination the number of responsdents for the control and intervention groups using a number ramdom trial, 19 responsdents intervention group and 23 responsdents the control group. Intervention group and control group measure levels of depression, anxiety, and stres using questionnaires The Depression Anxiety Stres Scales 21 (DASS 21) later in the intervention group was given SEFT intervention once for 15 minutes and measured return rates of depression, anxiety, and stres in the intervention group and the control group. Data were analyzed with the Wilcoxon and Mann Whitney. Results show significant differences between levels of depression, anxiety, and stres before and after the intervention SEFT between the intervention group and the control group (p<0.05). SEFT interventions help reduce depression, anxiety, and stres in patients with ACS. Limitations of this study is the difficulty in controlling the characteristics of the responsdents as a confounding variable. This research benefits that SEFT interventions can be used to reduce depression, anxiety, and stres in patients with ACS, and can be consider as one intervention.Key words: Anxiety, depression, stres, SEFT Intervention

Hubungan Karekteristik Perawat pada Program Preceptorshipterhadap Proses Adaptasi Perawat Baru Sr Sofia Gusnia; Nurmaida Saragih
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Perawat baru adalah perawat yang memasuki pengalaman baru yang sebelumnya tidak dialami. Transisi shockmuncul sebagai pengalaman dari peran yang sudah dikenal yaitu sebagai mahasiswa ke peran yang belum dialami yaitu sebagai perawat pelaksana profesional. Program pembimbingan perawat baru sangat penting untuk mempercepat proses adaptasi. Program preceptorshipadalah pendekatan efektif dalam pengajaran klinik, merupakan bagian integral dari orientasi perawat baru. Angka turnoverperawat baru tiga tahun terakhir (2007–2009) di RS A adalah antara 37%–59%, di RS B dalam tiga tahun ini (2008–2010) adalah antara 2,6%–14,7%. Di RS C dalam dua tahun ini (2009–2010) adalah antara 14,6%–27%. Penelitian ini bertujuan mengetahui hubungan program preceptorship dan karekteristik perawat dengan proses adaptasi perawat baru. Desain penelitian deskriptif korelasi dengan pendekatan potong lintang. Sampel penelitian 100 perawat baru. Instrumen digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa variabel karekteristik perawat yang meliputi lama kerja (p=0.004), konflik (p=0.000), strategi koping (p=0.003), self efficacy(p=0.000), dan program preceptorship(p=0.002) berhubungan dengan proses adaptasi. Faktor dominan yang berhubungan dengan proses adaptasi adalah self efficacydengan nilai odds ratio(OR) 6,68. Program preceptorshipdan karekteristik perawat self efficacy(p=0.000), konflik (p=0.003), dan lama kerja (p= 0.003) berhubungan dengan proses adaptasi perawat baru. Manajer keperawatan perlu menyediakan preceptoryang kompeten yang menjadi role modeluntuk meningkatkan self efficacyperawat baru sehingga membantu proses adaptasi.Kata kunci: Karekteristik perawat, program preceptorship, proses adaptasi AbstractNovice nurse is a nurse who have a new experience that had not previously experienced. Transition shock’ experience emerged cause of changing role from the well-known role as a student into the unfamiliar role as professional nurses. Preceptorship program for the novice nurse is very important to speed up the process of adaptation. Preceptorship program is an effective approach in clinical teaching and an integral part of the orientation for novice nurses. Turnover rate of novice nurses in last 3 years (2007–009) in the Hospital A is between 37%–59%, in Hospital B in 3 years (2008–2010) is among 2.6%–14.7%. While in the Hospital C within 2 years (2009–2010) is among the 14, 6%–27%. The research aims to determine the correlation of preceptorship programs and the characteristics of nurses with the adaptation process of novice nurses. The study design used a descriptive correlation with the cross-sectional approach. The samples were 100 novice nurses. The instrument used was a questionnaire. The results show that the variables of nurses’ characteristics which includes length of working (p=0.004), conflict (p=0.000), coping strategies (p=0.003), self-efficacy (p=0.000) and preceptorship program (p=0.002) are correlated with the process of adaptation. Dominant factor related to the adaptation process is self-efficacy with the OR 6.68. Preceptorship programs and the characteristics of nurses self efficacy (p=0.000), conflict (p=0.003), and length of working (p= 0.003) correlated with the process of adaptation of the novice nurses. Nursing managers need to provide a competent preceptor who be able to become a role model for improving self efficacy of novice nurses to assist their adaptation.Key words:Nurse characteristics, preceptorship program, process of adaptation

Tingkat Kemandirian Pasien Mengontrol Halusinasi setelah Terapi Aktivitas Kelompok Dwi Handayani; Aat Sriati; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Halusinasi merupakan gejala positif yang paling sering dialami oleh pasien dengan gangguan jiwa. Terapi aktivitas kelompok stimulasi persepsi merupakan bagian dari terapi modalitas yang diberikan pada pasien skizofrenia yang mengalami halusinasi dengan tujuan tercapainya kemandirian pasien. Penelitian ini bersifat deskriptif yaitu melihat gambaran tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi. Sebanyak 42 orang menjadi responsden dengan menggunakan teknik consecutive sampling. Proses pengumpulan data menggunakan metode observasi, yang dalam pelaksanaannya peneliti dibantu oleh numerator. Analisis data dengan persentase dan dideskripsikan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan bahwa tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi adalah supportive28,6%, partially 61,9%, dan wholly9,5%. Hasil penelitian didapatkan bahwa sebagian besar tingkat kemandirian pasien adalah partiallysehingga perlu dikembangkan strategi-strategi dalam upaya peningkatan kinerja perawat dalam pelaksanaan tindakan keperawatan sehingga dapat menumbuhkan kemandirian pasien.Kata kunci: Halusinasi, tingkat kemandirian, terapi aktivitas kelompok, stimulasi persepsi AbstractHallucinations are positive symptoms most commontly experienced bypatients with psychiatric disorders. Perceptual stimulation therapy group activities are part of the therapeutic modalities that are given to patients with schizophrenia who experienced hallucinations in order to achieve independence of patient. This is a descriptive study which saw the picture of the level of independence of the patients in the control hallucinations after following stimulation group activity. The sampling technique used was consecutive sampling, in which 42 people were interviewed. The process of data collection using the method of observation, which in practice researchers assisted by the numerator. Analysis of the data with the percentage and frequency distribution are described in the table. The result showed that the level of independence of patient hallucinations in controlling halluciantions after following stimulation group activity therapy activity perception is supportive 28.6%, partially 61,9%, and wholly 9,5%. Based on the findings that majority of patients a level of independence that is partially, developed strategies necessary in an effort to increase the performance of nurses in the implementation of nursing actions that can foster patient independence.Key words:Level of independence, hallucination, therapeutic group activity stimulation perception

Pengalaman Hidup Orang Terinfeksi Filariasis Lilis Lismayanti; Kusman Ibrahim; Lia Meilianingsih
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Filariasis merupakan penyakit yang kurang diperhatikan, karena penderita cenderung mengalami stigma negatif. Penelitian ini bertujuan mengeksplorasi pengalaman hidup orang terinfeksi filariasis. Penelitian menggunakan metode deskriptif kualitatif dengan pendekatan fenomenologi. Tujuh partisipan berpartisipasi dalam penelitian ini. Analisis data menggunakan pendekatan Collaizi. Hasil penelitian mendapatkan lima tema dan 16 subtema. Pertama, pengalaman pertama kali terinfeksi filariasis dengan subtema kaget, bingung, dan perasaan tidak menentu. Kedua, pengalaman orang terinfeksi filariasis selama menjalani gejala klinisnya dengan subtema demam, nyeri, bengkak, keterbatasan aktivitas, dan kelelahan. Ketiga, gangguan emosi dan psikologis dengan subtema malu, jengkel, dan pasrah. Keempat, adanya beban sosial ekonomi dengan subtema menarik diri dari interaksi sosial dan kesulitan ekonomi. Kelima, pengalaman orang terinfeksi filariasis dalam mengakses pelayanan kesehatan dengan subtema penyakit yang tidak kunjung sembuh setelah beberapa kali berobat ke pelayanan kesehatan, mencari alternatif pengobatan, pelayanan kesehatan yang kurang memuaskan dan harapan pelayanan kesehatan yang lebih baik. Hasil penelitian ini dapat dijadikan acuan untuk meningkatkan pelayanan keperawatan komunitas, baik pada kelompok yang sakit, yang beresiko dan yang sehat, dengan upaya promotif, preventif, kuratif dan rehabilitatif.Kata kunci: Fenomenologi, filariasis, pengalaman hidup AbstractFilariasis is a disease that is less noted, because people with filariasis tend to experience negative stigma. This study aims to explore the lived experience of people infected with filariasis. This study is descriptive qualitative with phenomenological approach. Seven (7) participants involved in this study. Data was analized using Collaizi’s approach to analysis. The results of this study found 5 themes with 16 subthemes. First, the experience at first infected with filariasis with subthemes: shock, confusion, and feeling uncertain. Second, filariasis infected people experience during their clinical symptoms with subtheme: Fever, pain, swelling, lack of activity, and fatigue. Third, filariasis infected people experience of emotional and psychological disturbance with subthemes: Shame, irritated, and surrender. Fourth, Socioeconomic burden with subthemes: withdraw from social interaction and economic hardship. Fifth, filariasis infected people experience in accessing health services with subthemes: Never recovered after several times getting treatment by health professional, seeking alternative treatment, unsatisfactory with health services and expectation of better health care. The results of this study can be used as a reference to improve community nursing services, either at hospital group, risk and healthy people, with promotive, preventive, curative and rehabilitative.Key words: Filariasis, lived experience, phenomenology

Perilaku Self-Management Pasien Diabetes Melitus (DM) Dwi Siwi Handayani; Kurniawan Yudianto; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Diabetes Melitus (DM) merupakan penyakit kronik, oleh karena itu peran self-managementsangat penting dalam perawatan maupun pencegahan komplikasi akibat DM. Penelitian ini bertujuan untuk mengetahui gambaran perilaku self- management.pasien DM dari aspek diet, medikasi, olahraga, pemantauan kadar gula darah dan perawatan kaki. Sebanyak 94 responsden diambil secara acak. Perilaku self-managementdiukur menggunakan kuesioner yang dikembangkan oleh penulis, dengan skor Alpha Chronbach 0,930 dan korelasi inter-item 0,385–0,797 dimana nilai tersebut valid dan reliabel untuk uji instrumen. Hasil penelitian menunjukkan lebih dari setengah responsden (64,9%) melakukan lima aspek self-managementdengan baik. Hampir semua responsden (94,7%) melakukan medikasi dengan baik, lebih dari setengah responsden melakukan diet (69,1%), olahraga (61,7%) dan perawatan kaki (77,7%) dengan baik. Namun hanya 25,5% responsden yang melakukan pemantauan gula darah dengan baik. Hasil penelitian ini dapat menjadi acuan bagi perawat untuk memberikan penyuluhan mengenai pentingnya pemantauan pada gula darah.Kata kunci: Diabetes Melitus, perilaku, self-management AbstractDiabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patients’ role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patients’ diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patients’ diabetes self-management behaviors, especially in the monitoring blood glucose.Key words: Behavior, diabetes mellitus, self-management

Latihan Kegeldan Nyeri Saat Berhubungan Seksual pada Perempuan Pasca Terapi Kanker Dewi Puspasari; Mira Trisyani; Restuning Widiasih
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Efek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme, dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegeldalam mengatasi keluhan nyeri saat berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function Index (FSFI). Pengaruh latihankegelterhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat diharapkan dapat memberikan intervensi latihan kegeluntuk menurunkan nyeri pasca terapi kanker serviks.Kata kunci:Dispareunia, latihan kegel, pasca terapi kanker serviks AbstractRadiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.Key words:After cervical cancer therapy, dyspareunia, kegel exercises

Pengalaman Penderita Skizofrenia tentang Proses Terjadinya Halusinasi Suryani Suryani S
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Halusinasi adalah gejala khas skizofrenia yang merupakan pengalaman sensori menyimpang atau salah yang dipersepsikan sebagai sesuatu yang nyata. Kondisi ini menyebabkan individu tidak dapat kontak dengan lingkungan dan hidup dalam dunianya sendiri. Penderita skizofrenia dengan halusinasi yang masih kuat dapat berbahaya bagi dirinya sendiri dan orang lain. Hingga saat ini, mekanisme terjadinya halusinasi yang dialami penderita skizofrenia belum jelas. Penelitian yang dilakukan pada Desember 2007 hingga April 2008 ini bertujuan menggali pengalaman penderita skizofrenia tentang proses terjadinya halusinasi. Metode yang digunakan adalah kualitatif dengan pendekatan fenomenologi. Delapan orang responden yang memenuhi kriteria diwawancara secara mendalam dan seluruh pembicaraannya direkam dengan tape recorder. Hasil wawancara dianalisis dengan pendekatan Collaizi dan diperoleh lima tema besar yakni proses terjadinya halusinasi dimulai dengan serangkaian masalah yang dipikirkan atau dirasakan penderita, situasi atau kondisi tertentu dapat mencetuskan halusinasi, proses halusinasi terjadi secara bertahap, waktu proses halusinasi, dan pencegahan halusinasi dengan pendekatan spiritual serta penggunaan koping yang konstruktif. Berdasarkan hasil penelitian, dapat disimpulkan bahwa dalam merawat penderita skizofrenia yang mengalami halusinasi, perawat harus memahami bagaimana terjadinya halusinasi secara komprehensif.Kata kunci:Fenomena, proses halusinasi, skizofrenia AbstractHallucination is one hallmark symptom of schizophrenia. Hallucination is false or distorted sensory experiences that appear to be real perception. This condition causes the individuals to lose contact with environment and live in their own world. They are also dangerous for other people and themselves because the hallucination threatens them. Until now, the phenomenon of hallucination have not been revealed yet. Therefore, it is important to explore the live world of the people who experience hallucination. The purpose of this research is to undertake an exploration of living with hallucination as described by people who have been diagnosed with schizophrenia. Phenomenological approach was used to gain data. The data was analysed using Collaizi’ approach to analysis. Eight clients with schizophrenia were selected, and data were collected through audiotaped semistructured interviewes. Five main categories of theme emerged from the interviews: The process of hallicunation was started by a lot of problem that burdened the clients; the process of hallicunation was triggered by specific situation and condition; the process of hallucination was happened in several step, time for the process of hallucinations and hallucinations can be prevented by spiritual activity and constructive coping behaviour. Conclusions highlight the need to understand about the process of hallucinations comprehensifly. Key words: Phenomenon, schizophrenia, the process of hallucinations

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v1i1.46

Halusinasi adalah gejala khas skizofrenia yang merupakan pengalaman sensori menyimpang atau salah yang dipersepsikan sebagai sesuatu yang nyata. Kondisi ini menyebabkan individu tidak dapat kontak dengan lingkungan dan hidup dalam dunianya sendiri. Penderita skizofrenia dengan halusinasi yang masih kuat dapat berbahaya bagi dirinya sendiri dan orang lain. Hingga saat ini, mekanisme terjadinya halusinasi yang dialami penderita skizofrenia belum jelas. Penelitian yang dilakukan pada Desember 2007 hingga April 2008 ini bertujuan menggali pengalaman penderita skizofrenia tentang proses terjadinya halusinasi. Metode yang digunakan adalah kualitatif dengan pendekatan fenomenologi. Delapan orang responden yang memenuhi kriteria diwawancara secara mendalam dan seluruh pembicaraannya direkam dengan tape recorder. Hasil wawancara dianalisis dengan pendekatan Collaizi dan diperoleh lima tema besar yakni proses terjadinya halusinasi dimulai dengan serangkaian masalah yang dipikirkan atau dirasakan penderita, situasi atau kondisi tertentu dapat mencetuskan halusinasi, proses halusinasi terjadi secara bertahap, waktu proses halusinasi, dan pencegahan halusinasi dengan pendekatan spiritual serta penggunaan koping yang konstruktif. Berdasarkan hasil penelitian, dapat disimpulkan bahwa dalam merawat penderita skizofrenia yang mengalami halusinasi, perawat harus memahami bagaimana terjadinya halusinasi secara komprehensif.Kata kunci:Fenomena, proses halusinasi, skizofreniaÃ‚Â AbstractHallucination is one hallmark symptom of schizophrenia. Hallucination is false or distorted sensory experiences that appear to be real perception. This condition causes the individuals to lose contact with environment and live in their own world. They are also dangerous for other people and themselves because the hallucination threatens them. Until now, the phenomenon of hallucination have not been revealed yet. Therefore, it is important to explore the live world of the people who experience hallucination. The purpose of this research is to undertake an exploration of living with hallucination as described by people who have been diagnosed with schizophrenia. Phenomenological approach was used to gain data. The data was analysed using CollaiziÃ¢â‚¬â„¢ approach to analysis. Eight clients with schizophrenia were selected, and data were collected through audiotaped semistructured interviewes. Five main categories of theme emerged from the interviews: The process of hallicunation was started by a lot of problem that burdened the clients; the process of hallicunation was triggered by specific situation and condition; the process of hallucination was happened in several step, time for the process of hallucinations and hallucinations can be prevented by spiritual activity and constructive coping behaviour. Conclusions highlight the need to understand about the process of hallucinations comprehensifly. Key words: Phenomenon, schizophrenia, the process of hallucinations

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v1i1.47

Perawat baru adalah perawat yang memasuki pengalaman baru yang sebelumnya tidak dialami. Transisi shockmuncul sebagai pengalaman dari peran yang sudah dikenal yaitu sebagai mahasiswa ke peran yang belum dialami yaitu sebagai perawat pelaksana profesional. Program pembimbingan perawat baru sangat penting untuk mempercepat proses adaptasi. Program preceptorshipadalah pendekatan efektif dalam pengajaran klinik, merupakan bagian integral dari orientasi perawat baru. Angka turnoverperawat baru tiga tahun terakhir (2007-2009) di RS A adalah antara 37%-59%, di RS B dalam tiga tahun ini (2008-2010) adalah antara 2,6%-14,7%. Di RS C dalam dua tahun ini (2009-2010) adalah antara 14,6%-27%. Penelitian ini bertujuan mengetahui hubungan program preceptorship dan karekteristik perawat dengan proses adaptasi perawat baru. Desain penelitian deskriptif korelasi dengan pendekatan potong lintang. Sampel penelitian 100 perawat baru. Instrumen digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa variabel karekteristik perawat yang meliputi lama kerja (p=0.004), konflik (p=0.000), strategi koping (p=0.003), self efficacy(p=0.000), dan program preceptorship(p=0.002) berhubungan dengan proses adaptasi. Faktor dominan yang berhubungan dengan proses adaptasi adalah self efficacydengan nilai odds ratio(OR) 6,68. Program preceptorshipdan karekteristik perawat self efficacy(p=0.000), konflik (p=0.003), dan lama kerja (p= 0.003) berhubungan dengan proses adaptasi perawat baru. Manajer keperawatan perlu menyediakan preceptoryang kompeten yang menjadi role modeluntuk meningkatkan self efficacyperawat baru sehingga membantu proses adaptasi.Kata kunci: Karekteristik perawat, program preceptorship, proses adaptasiÃ‚Â AbstractNovice nurse is a nurse who have a new experience that had not previously experienced. Transition shockÃ¢â‚¬â„¢ experience emerged cause of changing role from the well-known role as a student into the unfamiliar role as professional nurses. Preceptorship program for the novice nurse is very important to speed up the process of adaptation. Preceptorship program is an effective approach in clinical teaching and an integral part of the orientation for novice nurses. Turnover rate of novice nurses in last 3 years (2007-009) in the Hospital A is between 37%-59%, in Hospital B in 3 years (2008-2010) is among 2.6%-14.7%. While in the Hospital C within 2 years (2009-2010) is among the 14, 6%-27%. The research aims to determine the correlation of preceptorship programs and the characteristics of nurses with the adaptation process of novice nurses. The study design used a descriptive correlation with the cross-sectional approach. The samples were 100 novice nurses. The instrument used was a questionnaire. The results show that the variables of nursesÃ¢â‚¬â„¢ characteristics which includes length of working (p=0.004), conflict (p=0.000), coping strategies (p=0.003), self-efficacy (p=0.000) and preceptorship program (p=0.002) are correlated with the process of adaptation. Dominant factor related to the adaptation process is self-efficacy with the OR 6.68. Preceptorship programs and the characteristics of nurses self efficacy (p=0.000), conflict (p=0.003), and length of working (p= 0.003) correlated with the process of adaptation of the novice nurses. Nursing managers need to provide a competent preceptor who be able to become a role model for improving self efficacy of novice nurses to assist their adaptation.Key words:Nurse characteristics, preceptorship program, process of adaptation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v1i1.48

Filariasis merupakan penyakit yang kurang diperhatikan, karena penderita cenderung mengalami stigma negatif. Penelitian ini bertujuan mengeksplorasi pengalaman hidup orang terinfeksi filariasis. Penelitian menggunakan metode deskriptif kualitatif dengan pendekatan fenomenologi. Tujuh partisipan berpartisipasi dalam penelitian ini. Analisis data menggunakan pendekatan Collaizi. Hasil penelitian mendapatkan lima tema dan 16 subtema. Pertama, pengalaman pertama kali terinfeksi filariasis dengan subtema kaget, bingung, dan perasaan tidak menentu. Kedua, pengalaman orang terinfeksi filariasis selama menjalani gejala klinisnya dengan subtema demam, nyeri, bengkak, keterbatasan aktivitas, dan kelelahan. Ketiga, gangguan emosi dan psikologis dengan subtema malu, jengkel, dan pasrah. Keempat, adanya beban sosial ekonomi dengan subtema menarik diri dari interaksi sosial dan kesulitan ekonomi. Kelima, pengalaman orang terinfeksi filariasis dalam mengakses pelayanan kesehatan dengan subtema penyakit yang tidak kunjung sembuh setelah beberapa kali berobat ke pelayanan kesehatan, mencari alternatif pengobatan, pelayanan kesehatan yang kurang memuaskan dan harapan pelayanan kesehatan yang lebih baik. Hasil penelitian ini dapat dijadikan acuan untuk meningkatkan pelayanan keperawatan komunitas, baik pada kelompok yang sakit, yang beresiko dan yang sehat, dengan upaya promotif, preventif, kuratif dan rehabilitatif.Kata kunci: Fenomenologi, filariasis, pengalaman hidupÃ‚Â AbstractFilariasis is a disease that is less noted, because people with filariasis tend to experience negative stigma. This study aims to explore the lived experience of people infected with filariasis. This study is descriptive qualitative with phenomenological approach. Seven (7) participants involved in this study. Data was analized using CollaiziÃ¢â‚¬â„¢s approach to analysis. The results of this study found 5 themes with 16 subthemes. First, the experience at first infected with filariasis with subthemes: shock, confusion, and feeling uncertain. Second, filariasis infected people experience during their clinical symptoms with subtheme: Fever, pain, swelling, lack of activity, and fatigue. Third, filariasis infected people experience of emotional and psychological disturbance with subthemes: Shame, irritated, and surrender. Fourth, Socioeconomic burden with subthemes: withdraw from social interaction and economic hardship. Fifth, filariasis infected people experience in accessing health services with subthemes: Never recovered after several times getting treatment by health professional, seeking alternative treatment, unsatisfactory with health services and expectation of better health care. The results of this study can be used as a reference to improve community nursing services, either at hospital group, risk and healthy people, with promotive, preventive, curative and rehabilitative.Key words: Filariasis, lived experience, phenomenology

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Home Page

OAI Link

Editorial Team

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Contact Name Novita Kamaruddin

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Location Kota bandung, Jawa barat INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Novita Kamaruddin

Contact Email
novita.trivita@gmail.com

Phone
-

Journal Mail Official
jkp.fkep@unpad.ac.id

Editorial Address
-

Location
Kota bandung,

Jawa barat

INDONESIA