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INDONESIA
COPING (Community of Publishing in Nursing)
Published by Universitas Udayana
ISSN : 23031298     EISSN : 27151980     DOI : -
Core Subject : Health, Education,
Education Health Professions Nursing Public Health
COPING (Community of Publishing in Nursing) adalah E-Jurnal Keperawatan yang diterbitkan oleh Program Studi Ilmu Keperawatan, Fakultas Kedokteran Universitas Udayana. E-Jurnal keperawatan ini akan menjadi salah satu wahana pengembangan Evidence Based Nursing dalam pengembangan dan update ilmu-ilmu keperawatan dan meningkatkan kualitas asuhan keperawatan pada pasien. Jurnal ini terbit tiga kali setahun dan menerima artikel atau publikasi penelitian-penelitian di bidang keperawatan dari berbagai kalangan yang belum pernah diterbitkan. Naskah dapat ditulis dalam Bahasa Indonesia yang baik dan benar atau Bahasa Inggris. Tim Redaksi akan melakukan analisis dan memilih naskah publikasi atau artikel yang akan diterbitkan setelah mendapat hasil evaluasi dari Tim Penyunting. Tim Redaksi berhak menolak, menerima atau meminta penulis melakukan revisi pada naskah yang dikirim
Arjuna Subject : Keperawatan - Community and Home Care
Articles 540 Documents
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HUBUNGAN PEMBERIAN DISCHARGE PLANNING DENGAN TINGKAT KECEMASAN PADA PASIEN GAGAL JANTUNG Heni Kumalasari; I Gusti Ngurah Ketut Sukadarma; Dewa Ayu Ari Rama Dewi
Coping: Community of Publishing in Nursing Vol 5 No 3 (2017): Desember 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Pasien gagal jantung yang menjalani rawat inap akan mengalami masalah secara fisiologis maupun psikologis. Salah satu masalah psikologis yang harus segera ditangani adalah panic atau kecemasan berat. Penelitian ini bertujuan untuk menganalisis hubungan discharge planning dengan tingkat kecemasan pada pasien gagal jantung di Ruang Emergency Pusat Jantung Terpadu (PJT) RSUP Sanglah Denpasar. Jenis penelitian yang digunakan pada penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional. Pengambilan data menggunakan teknik consecutive sampling dan sampel yang didapat sebanyak 31 responden. Instrumen pengumpulan data dengan pedoman dokumentasi, data kuesioner Discharge Planning dan data kuesioner tingkat kecemasan. Hasil penelitian didapatkan bahwa sebagian besar responden (51,6%) mendapat penjelasan discharge planning kurang lengkap dan data tentang tingkat kecemasan didapatkan hasil sebagian besar responden (87,1%) mengalami kecemasan ringan. Hasil uji korelasi dengan Spearman Rho (p ? 0,05), diperoleh nilai p=0,00 ?=<0,05 dan nilai r = 0,373, artinya ada korelasi/hubungan sedang antara dischargeplanningdengan tingkat kecemasan pada pasien gagal jantung, dengan arah hubungan menunjukkan nilai negatif, yang menyatakan ada korelasi berbanding terbalik antara discharge planningdengan tingkat kecemasan pada pasien gagal jantung. Disarankan kepada petugas kesehatan khususnya perawat untuk mengoptimalkan dukungan psikologis bagi pasien gagal jantung khususnya kecemasan pasien. Kata kunci : gagal jantung, tingkat kecemasan,discharge planning ABSTRACT Patients with heart failure will be suffer physiologically and psychologically. One of the psychological problems which needs to be immediately coped are panic or anxiety. The aims of this study is analyzing the relationship between the discharge planning and the level of anxiety on the heart failure patients at the Emergency PJT Ward Rumah Sakit Umum Pusat Sanglah Denpasar. The design of this study is descriptive correlational with cross sectional approach. The data was collected by consecutive sampling technique from 31 respondents. The instruments used for collecting the data were documentation guideline, questioner of Discharge Planning and questioner of Anxiety Rating Scale. The results of the study show that among the respondents, 51,6 % were get incomplete discharge planning and that 87,1% were having light anxiety. The results of the correlational analysis test by Spearman Rho (p ? 0,05), the p value = 0,00 ? = < 0,05 and the r value was 0.373, that means the discharge planning was inversely proportional to the level of anxiety of patients with heart failure. Based on the results of the study described above was suggested that especially for nurses, to optimally the support of psychological aspect of patients with heart failure especially the level of anxiety. Keywords: heart failure, anxiety, discharge planning
PENGARUH BRAIN GYM TERHADAP KEMAMPUAN MEMBACA ANAK TUNAGRAHITA I Putu Septiawan
Coping: Community of Publishing in Nursing Vol 3 No 1 (2015): JURNAL EDISI JANUARI-APRIL 2015
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Mental retardation children are children that have many disabilities such as learning disability especially in reading, writing and calculating. Reading is complex activity that include physic and mental, that also need more brain function than any other activities. High concentration is needed when you read so all the information that you get when reading can be transmitted, processed and stored inside the brain. Children with mental retardation have difficulty processing and remembering information that makes them harder to learning something especially reading. Learning process especially reading will be best if both lobes of the brain could work optimally. One of activity that can use all part of the brain is Brain Gym. The aim of this research was to identify effect of Brain Gym on reading ability among fifth grade mental retardation children at Sekolah Dasar Luar Biasa Negeri in Bali Province. This research was conduct for 1 month at Sekolah Dasar Luar Biasa Negeri C Denpasar and Sekolah Dasar Luar Biasa Negeri Gianyar. The sample in this research consists of 20 children with mental retardation in fifth grade. This research used Quasi Experimental with Nonequivalent Control Group design. In measuring the children reading ability the researcher used reading test from EGRA. Outcome was processed by Saphiro Wilk test for normality test and then used parametric test Independent t Test. The result revealed significant difference of reading ability between experimental group and control group with sig. (2-tailed) 0,000 (p value < 0,05) which means null hypothesis (Ho) was rejected, there was a significant impact of Brain Gym for reading ability among fifth grade mental retardation children at Sekolah Dasar Luar Biasa Negeri in Bali Province.
Correlation of Quality of Life with Palliative Care Needs in Cancer Patients in General Public Hospital Sanglah Denpasar I Putu Wira Pradana
Coping: Community of Publishing in Nursing Vol 1 No 1 (2013): JURNAL EDISI JANUARI-JUNI 2013
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Cancer is a chronic disease with high mortality. Cancer patients will experience various problems such as physical, psychosocial, and spiritual which will affecting the quality of life of patients. A way to improve the quality of life is to provide palliative care. Palliative care is an integrated care that includes pain and symptoms management, psychological, and spiritual support. The aim of this study was to determine the relationship of quality of life with palliative care needs in cancer patients in Sanglah Hospital Denpasar. This study was a correlational study with a cross-sectional approach. Sample consisted of 85 cancer patients were selected by purposive sampling, given questionnaire EORTC QLQ-C30 version 3 to assess the quality of life and NEST to assess the needs of palliative care. The Spearman Rank test showed significant values (p) = 0.000 which is smaller than ? = 0.05 (5%). Coefficient correlation values was found at 0.824 with negative values, this indicating the relationship between variables is very strong. It can be concluded that there is a very strong inverse correlation between the quality of life with palliative care needs in cancer patients.
PENGARUH ELEVASI KAKI TERHADAP KESTABILAN TEKANAN DARAH PADA PASIEN DENGAN SPINAL ANESTESI I Ketut Purnawan; I Made Sukarja; I Wayan Winarta
Coping: Community of Publishing in Nursing Vol 5 No 2 (2017): Agustus 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Ketidakstabilan tekanan darah berupa hipotensi akibat spinal anestesi merupakan masalah yang serius, bila penangannya kurang baik bisa menyebabkan suatu komplikasi hipotensi berat sampai kematian. Teknik untuk menjaga kestabilan tekanan darah pada spinal anestesi salah satunya adalah melakukan elevasi kaki. Tujuan dari penelitian ini adalah untuk mengetahui adakah pengaruh elevasi kaki terhadap kestabilan tekanan darah pada pasien dengan spinal anestesi. Desain penelitian yang digunakan adalah pre-experimental dengan static group comparison. Penelitian dilakukan dengan consecutive sampling, jumlah sampel yang diambil sebanyak 30 orang yaitu 15 orang untuk kelompok kontrol dan 15 orang untuk kelompok perlakuan. Hasil penelitian menunjukkan selisih tekanan darah sebelum dan lima menit setelah spinal anestesi pada kelompok perlakuan didapatkan rata –rata TDS 9,6 mmHg dengan standar deviasi 12,3; rata-rata selisih TDD 4,9 mmHg dengan standar deviasi 7,0; rata selisih MAP 5,8 mmHg dengan standar deviasi 8,4. Pada kelompok kontrol didapatkan hasil rata-rata selisih TDS 23,3 mmHg dengan standar deviasi 8,6; rata-rata selisih TDD 16,7 mmHg dengan standar deviasi 8,0; rata selisih MAP 19,6 mmHg dengan standar deviasi 7,7. Berdasarkan hasil penelitian didapatkan nilai p sebesar 0,001 untuk TDS, untuk TDD 0,000 dan untuk MAP 0,000 sehingga ada pengaruh elevasi kaki terhadap kestabilan tekanan darah pada pasien dengan spinal anestesi di kamar operasi IBS RSUP Sanglah Denpasar. Berdasarkan penelitian ini maka tindakan elevasi kaki bermanfaat untuk menjaga kestabilan tekanan darah pada pasien spinal anestesi dan diharapkan dapat diaplikasi dalam area keperawatan perioperatif. Kata kunci: elevasi kaki, kestabilan tekanan darah, spinal anestesi ABSTRACT The unstable of blood pressure as hypotension that caused by spinal anesthetic was the serious problem, if the patients had no good treatment, they probably going to have worst hypotension complication even death. Foot elevation is one of many techniques to stabilize blood pressure on spinal anesthetic patients. The aim of this study is to explore the effect of foot elevation to the blood pressure of the patients with spinal anesthetic. The study design was pre-experimental with static group comparison. 30 samples was chosen by consecutive sampling, 15 samples as control group and 15 samples as experiment group. Result of this study showed the difference of blood pressure before and five minute after spinal anesthetic. In experiment group, Systolic Blood Pressure (SBP) mean difference is 9,6 mmHg with standard deviation 12,3; Diastolic Blood Pressure (DBP) mean difference is 4,9 mmHg with standard deviation 7.0 and Mean Arterial Pressure (MAP) mean difference is 5,8 mmHg with standard deviation 8,4. The statistical result show that the p value was 0,001 for SBP, 0,000 for DBP and 0,000 for MAP. The conclusion shows that there was the significant effect of foot elevation to the blood pressure for spinal anesthetic patients at operating theater Sanglah hospital . The study shows that foot elevation is use full for maintaining the blood pressure on spinal anesthetic patients, and it can be implemented at perioperative nursing care. Keywords : foot elevation, blood pressure, spinal anesthetic
PENGARUH PIJAT TANGAN DAN AROMATERAPI LAVENDER TERHADAP TINGKAT KECEMASAN MAHASISWA SEBELUM UJIAN LAB KLINIK KEPERAWATAN Rawiti NMR
Coping: Community of Publishing in Nursing Vol 2 No 3 (2014): JURNAL EDISI SEPTEMBER-DESEMBER 2014
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Nursing skill lab is media practice to show hospital image for nursing students. Because of that, anxiety in nursing students can occur before facing nursing skill lab tests. The hands massage and lavender aromatherapy can provides relaxation and minimizes sympathetic nervous activity in the autonomic nervous system. Adrenaline and cortisol will decrease stress of students. This study aimed to determine the effect of hands massage and lavender aromateraphy for anxiety level on nursing students in Nursing Department, Medical Faculty of Udayana University Class of 2013 before facing nursing skill lab tests. This is Quasy-experimental design with pre-test and post-test with control group design. Sample consist of 30 nursing students were selected with simple random sampling technique, divided become two groups, which are the control group and the treatment group. The treatment group was given the hands massage and lavender aromatherapy for 20 minutes. Both of groups was measured by using a questioners of anxiety level, this instrument is Taylor Manifest Anxiety Scale (TMAS) (0-40) for examine pre-test and post-test anxiety level. Research results based on analysis by the Man Whitney U Test, this difference is statistically significant, with p-value=0,031, which means that there is effects of hands massage and lavender aromatherapy for anxiety level on nursing students on Nursing Department, Medical Faculty of Udayana University Class of 2013.
Pengaruh Emotional Freedom Technique terhadap Quality of Life Pasien Stroke Suksi Riani; Sri Puguh Kristyawati
Coping: Community of Publishing in Nursing Vol 7 No 3 (2019): Desember 2019
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Kejadian stroke menurut WHO menyatakan bahwa pada tahun 2015 sebesar 15 juta orang di dunia terkena stroke setiap tahunnya. Stroke juga akan mengakibatkan gangguan kontrol pada pergerakan, fatique, gangguan persepsi sensori nyeri, gangguan emosi, gangguan memori, dan menurunnya quality of life pada pasien tersebut. Tujuan penelitian ini untuk menganalisis efektifitas pemberian EFT (Emotional Freedom Technique) terhadap quality of life pasien stroke di RSUD Tugurejo Semarang. Desain penelitian ini adalah pre experimental design dengan one group pre test and post test yang menggunakan pendekatan kuantitatif. Jumlah sampel dalam penelitian ini 62 responden dengan teknik pengambilan sampel consecutive sampling.Kriteria inklusi yaitu kesadaran composmentis, mental baik, ketergantungan sedang. Kriteria eksklusi yaitu stroke hemoragik dan kritis. Pada penelitian ini menggunakan uji wilcoxon signed rank test karena data berdistribusi tidak normal. Hasil penelitian ini menunjukkan terdapat perbedaan yang signifikan antara Quality of Life (QoL) Pasien Stroke Iskemik sebelum dan sesudah diberikan terapi Emotional Freedom Technique (EFT) dengan nilai p value 0.001 (p value<0.05). Perbedaan ditunjukkan dengan nilai mean rank yang naik dari 0.00 menjadi 29.50 dengan nilai Z hitung – 7,616 yang berarti data bervariasi tinggi secara klinik dan statistik. Kata kunci: emotional freedom technique, stroke iskemik, quality of life ABSTRACT Stroke according to World Health Organization states that in 2015 as many as 15 million people worldwide suffer a stroke every year. Stroke will also result in impaired control of movement, fatigue, impaired sensory perception of pain, emotional disturbances, memory disturbances and decrease quality of life in these patients. Factors that affect quality of life are gender, age, education status, marital status, employment status, income status, ethnicity, disability, psychological and support family. The purpose of this study was to analyze the effectiveness of giving emotional freedom technique to improve quality of life of stroke patients at Tugurejo Hospital Semarang. The design of this study was pre experimental design with one group pre test and post test using a quantitative approach. The number of samples in this study were 62 respondents with consecutive sampling technique. Inclusion criterias in this study were composmentist awareness, good mentality and moderate dependence. Exclusion criterias in this study were hemorrhagic and critical stroke. In this study using the wilcoxon signed rank test because the data is not normal. The results of this study indicate that there are significant differences between the quality of life of ischemic stroke patients before and after emotional freedom technique therapy is given with a p value of 0.001. The difference is indicated by the mean rank value which rose from 0.00 to 29.50. with the calculated Z value 7.616 which mean the data varied clinically and statistically high. Keywords: emotional freedom technique, ischemic stroke, quality of life
HUBUNGAN ANTARA BEBAN DAN LAMA MESUUNAN DENGAN KELUHAN MUSKULOSKELETAL PADA PEREMPUAN TUKANG SUUN DI PASAR BADUNG DENPASAR Putu Dwija Arnatha
Coping: Community of Publishing in Nursing Vol 2 No 2 (2014): JURNAL EDISI MEI-AGUSTUS 2014
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Badung Market is one of the largest traditional markets in Bali. In Badung Market tukang suun is lifts groceries items on the head using a basket. Mesuunan leads to injury: damage to the intervertebral discs, causing painful, pain, excessive fatigue, and disorders of the muscles of the head and neck. The recommended maximum lifting load of 30.25 kg or no more than 60% of body weight. The problems caused by mesuunan with excessive load and duration of mesuunan can cause a variety of musculoskeletal complaints. The study aims to determine whether there is a relationship between the load and the duration of mesuunan with musculoskeletal complaints in women of tukang suun in Badung Market Denpasar. The study is a non-experimental survey with cross sectional analytic. The analysis of the data is using Kendal Tau correlation test. The number of samples in the study is 60 women of tukang suun. The result of study shows there is a relationship between the load of mesuunan with significant musculoskeletal complaints (p < 0,05) and there is a relationship between duration of mesuunan with significant musculoskeletal complaints (p < 0,05). Based on the results it is suggested for tukang suun to reduce the burden of mesuunan by modifying the basket of suunan in a smaller form with a normal amount of weight. For subsequent researchers it is expected to examine other factors that affect the musculoskeletal complaints in tukang suun.
PENGARUH BACK RUB TERHADAP KECEMASAN DAN GANGGUAN TIDUR PADA ANAK PRA SEKOLAH SAAT HOSPITALISASI Ningning Sri Ningsih; Yuliastati Yuliastati
Coping: Community of Publishing in Nursing Vol 6 No 3 (2018): Desember 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Proses hospitalisasi bagi anak usia pra sekolah merupakan pengalaman yang dapat menyebabkan stress. Ketakutan karena berbagai tindakan dan prosedur yang dilakukan menyebabkan anak mengalami nyeri akibatnya anak mengalami stress. Hospitalisasi juga dapat meningkatkan kecemasan anak. Proses pengobatan, lingkungan yang baru dan takut terhadap petugas kesehatan dapat memhuat anak merasa gugup dan tidak tenang, bahkan saat menjelang tidur sehingga klien mengalami gangguan pola tidur. Tujuan penelitian ini adalah untuk mengetahui pengaruh back rub terhadap kecemasan dan gangguan tidur anak pra sekolah saat di Hospitalisasi. Disain penelitian menggunakan metoda kuasi eksperimental dengan pendekatan pre test – post test control group design. Jumlah sampel sebanyak 18 responden. Uji statistik untuk t-dependent test menggunakan Uji Wilcoxon dan t-independent test menggunakan uji Mann Whitney. Hasil Uji statistik didapatkan nilai p=0.03 untuk kecemasan dan p=0.047 untuk gangguan tidur, dengan demikian maka dapat disimpulkan terdapat perbedaan yang signifikan kecemasan dan gangguan tidur antara kelompok intervensi dan kelompok kontrol setelah diberikan tindakan back rub. Kesimpulan penelitian ini adalah penerapan back rub dapat dijadikan salah satu intervensi yang dapat dilakukan perawat untuk menurunkan kecemasan dan meningkatkan kualitas tidur anak saat Hospitalisasi. Kata kunci : back rub, kecemasan, gangguan tidur, hospitalisasi ABSTRACT The hospitalization process for pre-school age children is an experience that can cause stress. The various actions and procedures performed cause children to experience pain as a result of the child experiencing stress. Hospitalization can also increase children's anxiety. The treatment process, a new environment and fear of health workers can make children feel nervous and not calm, even before going to bed so that clients experience impaired sleep patterns. The purpose of this study was to determine the effect of back rub on anxiety and disturbances in pre-school children's sleep when hospitalized. The research design uses a quasi-experimental method with a pre test - post test control group design approach. The number of samples is 18 respondents. Statistical test for t-dependent test using the Wilcoxon Test and t-independent test using the Mann Whitney test. Statistical test results obtained p = 0.03 for anxiety and p = 0.047 for sleep disorders, thus it can be concluded that there are significant differences in anxiety and sleep disorders between the intervention group and the control group after being given back rub action. The conclusion of this study is the application of back rub can be used as an intervention that can be done by nurses to reduce anxiety and improve the quality of sleep during hospitalization. Keywords: back rub, anxiety, sleep disorders, hospitalization
PENGARUH PENDIDIKAN KESEHATAN MENGENAI MENARCHE TERHADAP PENURUNAN KECEMASAN SISWI SMP KELAS VII MENJELANG MENARCHE DI SMP NEGERI 1 SEMARAPURA. Trya Aryaputri Sudjana
Coping: Community of Publishing in Nursing Vol 3 No 2 (2015): JURNAL EDISI MEI-AGUSTUS 2015
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Menarche is first menstruation for a woman when a woman onset in the period of puberty. Based on study of preliminary in the SMP Negeri 1 Semarapura from 10 respondents interviewed said there were 8 respondents very anxious and afraid of the menarche because lack of information or knowledge about menarche. The purpose of this study to know the effect of health education on reducing anxiety about menarche for seventh grade students before menarche at SMP Negeri 1 Semarapura. This study is a pre-experimental one group pre-post test design. Sample of consisted of 87 person chosen by quota sampling. Writer take all of information with giving a questionnaire for students to describe differences of anxiety before giving health education and after giving health education about menarche. The results showed there were 45 respondents (51,7 %) who had mild anxiety before giving health education about menarche and there were 63 respondents (72,4 %) who had mild anxiety after giving health education about menarche. It means health education can be reducing anxiety about menarche seventh grade students before menarche. It is recommended to headmaster to work together with community health centers for giving information about reproductive health for increase the knowledge of the students about reproductive health spesific about menarche .
The influence of Leadership Styles to Improving Work Motivation of Nurses on Implement Nursing Care in Irna C of Sanglah Hospital. M.A. Meiniyari
Coping: Community of Publishing in Nursing Vol 1 No 2 (2013): JURNAL EDISI JULI-DESEMBER 2013
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Quality of nursing work is strongly influenced by work motivation. Although treatment facilities are adequate, but without having a high work motivation it will be difficult to nurses to give satisfactory service, because of that head room as a leader have an important role to enhance the motivation of working nurses. The purpose of this research is to know is there any influence of leadership styles to improving work motivation of nurses on implement nursing care in Irna c of Sanglah Hospital. This research is kind of correlation study with cross sectional approach. The samples are 71 of nurses that taken with proportionate stratified random sampling. Data is collecting use the questionnaires. The results showed a tendency of leadership style that applied is participatory with the motivation of working nurses are moderate. The results of analyst by rank spearman test showed there was influence of leadership styles to improving work motivation of nurses on implement nursing care in Irna C of Sanglah Hospital, with p value = 0.015 (p < 0.05) and coefficient correlation  0.289. Based on the results of the research, it’s recommended that the head room can apply good leadership style that effective to increasing the motivation of working nurses who work in maintenance room C Sanglah Hospital, so nurses can provide the best in healthcare.

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