IMPLEMENTASI METODE ROLE PLAY DALAM PEMBELAJARAN KOMUNIKASI MAHASISWA KEPERAWATAN

Communication is a very important skill for a nurse in providing nursing care. Data shows that new graduates of nursing education programs still have to make extra efforts to communicate with patients. Efforts to improve communication experiences can be done in various ways, one of which is using simulations with role play techniques for nursing students in each learning process. This research aims to determine the application of the role play method in communication learning for nursing students in the third diploma nursing study program at the Harapan Bersama Polytechnic, Tegal City. This research is an experimental research using a one group pre test and post test design using a total sampling of 52 nursing students. Data collection was carried out using therapeutic communication observation sheets, communication behavior and role play implementation. The role play is designed according to the topic of therapeutic communication by each group by paying attention to the stages of creating the role play which are measured using an observation sheet. The results showed that there were differences in the average scores of pre- and post-treatment therapeutic communication skills with a significance level of p = 0.000 as well as differences in pre- and post-treatment communication behavior with a significance level of p = 0.000. Based on these results, it can be concluded that role play influences the therapeutic communication skills and behavior of nursing students, so that it can be applied as a learning method to achieve good therapeutic communication skills in nursing students.Komunikasi merupakan ketrampilan yang sangat penting bagi seorang perawat dalam memberikan asuhan keperawatan. Data menunjukkan bahwa lulusan baru program pendidikan perawat masih harus melakukan upaya yang esktra untuk melakukan komunikasi dengan pasien.  Upaya untuk meningkatkan pengalaman berkomunikasi dapat dilakukan dengan berbagai cara, salah satunya menggunakan simulasi dengan teknik role play bagi mahasiswa keperawatan dalam setiap proses pembelajaran. Penelitian ini bertujuan mengetahui penerapan metode role play pada pembelajaran komunikasi mahasiswa keperawatan di program studi diploma tiga keperawatan Politeknik Harapan Bersama kota Tegal. Penelitian ini merupakan penelitian eksperimen dengan menggunakan desain one group pre test and post test design dengan menggunakan total sampling sebanyak 51 mahasiswa keperawatan. Pengumpulan data dilakukan menggunakan lembar observasi komunikasi terapeutik, perilaku komunikasi serta pelaksanaan role play. Role play dirancang sesuai dengan topik komunikasi terapeutik oleh masing-masing kelompok dengan memperhatikan tahapan pembuatan role play yang diukur menggunakan lembar observasi. Hasil penelitian menunjukkan terdapat perbedaan skor rata-rata kemampuan komunikasi terapeutik pre dan post perlakuan dengan nilai taraf signifikansi p = 0,000 serta perbedaan perilaku komunikasi pre dan post perlakuan dengan nilai taraf signifikansi p = 0,000. Berdasarkan hasil tersebut dapat disimpulkan bahwa role play berpengaruh terhadap kemampuan dan perilaku komunikasi terapautik pada mahasiswa keperawatan, sehingga dapat diterapkan sebagai metode pembelajaran agar tercapai kemampuan komunikasi terapeutik yang baik pada mahasiswa keperawatan

“The New Men”: The Rahima’s Experiences in the Gender Sensitivity Construction among Marriage Registrar in Lampung Indonesia

Efforts to prevent gender-based violence will progress slowly without involving men. Socialization and education tend to be targeted towards women’s groups, with few including men as subjects in the anti-violence education process. This article discusses several important lessons learned from the mentoring process of Marriage Registrar Officials at the Office of Religious Affairs in East Lampung, Indonesia, by the Rahima Association. The study is the result of observations on the mentoring process of Marriage Registrar Officials who have internalized the values of justice and reciprocity in family relations. The research data are supported by interviews, focus group discussions, and documentation. This article argues that the involvement of male religious figures in preventing family violence is essential for two reasons. First, in textual societies, male ulama have a strategic role in reproducing more egalitarian and just knowledge. Second, the process of building gender-just awareness requires authoritative actors in the process of building knowledge from shared experience to be more legitimate. The article also explains the theoretical foundations of the successful mentoring approach that has transformed the outlook of male Marriage Registrar Officials who have the drive to effect change in Muslim society regarding equal and just family relations through their duties and functions

PENGARUH RENDAM KAKI AIR HANGAT TERHADAP PENURUNAN NYERI SENDI OSTEOARTHRITIS LANSIA DI WILAYAH KERJA PUSKESMAS MOJO SURABAYA

Osteoarthritis joint pain is caused by degeneration process of bone cartilage and emphased on weight bearing joints such as knees, hips, feet and the back. Warm footbath is one of the kind of hidrotherapy which used the modality of warm water to recover injury and decrease the symptoms of chronic joint problems. The aims of this research was to analyzing the effect of warm footbath therapy to decrease osteoarthritis joint pain in elderly. This study used quasy experimental design. The sample was recruited using purposive sample, consisting of 20 responden whom taken according to the inclusion criteria and distributed into 2 groups, an experimental group (n=10) and a control group (n=10). The independent variabel of this research was the warm footbath and the dependent variabel was the level of osteoarthritis joint pain in elderly. The data were collected using Western Ontano Menchaster Artrhritis (WOMAC) and analyzed using Wilcoxon signed rank test and Mann-whitney test with level of significance p ≤ 0,05. Wilcoxon signed rank test result shown there were differences between pre-post test in the experimental (p=0,004) and control (p=0,011) group. The result of reserach provided by Mann Whitney shown there were significant differences between experimental and control group post test (p=0,035). It can be concluded that warm footbath affected osteoarthritis joint pain in elderly with osteoarthritis. Warm footbath is recomended to decrease joint pain level for elderly osteoarthritis because it can make muscle relax and increase the microvascularitation of synovial tissue. Futher study should use physical test as an acurate method to collect data from WOMAC instrument

PENGARUH PENERAPAN VITAL SIGN DIRECT THERAPY TERHADAP TATA LAKSANA AKUT PASIEN DI ICU

ABSTRACT Muhamad Ibnu Hasan Effects of the Application of Vital Sign DirectTherapy on the Acute Treatment of Patients in ICU xv + 88 Pages + 10 Table + 7 Figures+ 14Appendics The global mortality rate in ICU is increasing. Based on data in 2018, the mortality prevalence is 29% while in 2017, itis 25%. In Asia, mortality prevalence is 6% and in Indonesia the rate is 9%. There are many factors which can cause patient mortality in ICU, one of them is the application of monitoring without early detection and treatment capabilities. Vital sign direct therapy (VSDT) is a protocol for early detection and treatment patients in the ICU. The purpose of this study was to determine the effect of applying VSDT to the acute treatment for ICU patients in the first 24-hour period. This research was a quasi experimental study with post test only design. The total sample from this study was 74 respondents. Data were taken using acute treatment observation sheets and the result was analyzed by Chi Square Test. The results showed that the acute treatment in the post-implementation group was higher than the pre-implementation group (64.7% vs 51.39%; p: 0,000). The acute treatment was three times more treated in post-implementation (OR 2,043 (1,507-2,769). Patients with hypotension (52.94% vs 79.36; p: 0.003) and tachycardia or bradycardia (38.20 vs 85.75; p; 0,000) significantly more treated in post-implementation of VSDT. The most type acute treatment widely given were positioning, suction and the collaboration of oxygenation administration. The implementation of VSDT protocol has increased the patient acute treatment in the ICU. The VSDT protocol can be applied as an early detection and management effort in ICU. Keywords: Acute treatment, Track and trigger system, Vital sign direct therapy. Bibliography: 116 (1988 – 2018

Cinta dan Kehangatan: Studi Kualitatif Pembentukan Nilai Toleransi Anak Usia Dini di Papua

Penelitian ini bertujuan untuk mengetahui implementasi budaya “Satu Tungku Tiga Batu” dalam membangun nilai toleransi pada anak usia dini di Bumi Papua. Penelitian ini menggunakan pendekatan kualitatif fenomenologi. Teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Penentuan sampel narasumber dengan purposive sampling dengan kriteria tertentu yang memenuhi kebutuhan data. Analisis data dengan model Miles and Huberman dengan pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan dan verifikasi. Model penyajian data dengan menampilkan tema dan sub tema yang membangun kerangka hasil temuan nilai toleransi. Hasil penelitian menemukan penerapan nilai toleransi pada anak usia dini terbentuk melalui tiga agama yang menjadi satu, kehidupan yang hangat tanpa kekerasan, satu saudara berbeda agama, kebersamaan di hari raya, belajar dan mengamalkan toleransi, modeling dan interaksi sosial

Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study

Purpose: In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials. Methods: We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021. Results: 2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28. Conclusions: HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes.</p

Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study

Purpose In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials. Methods We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021. Results 2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28. Conclusions HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes