IMPLEMENTING MANAGEMENT OF CONTINUING PROFESSIONAL EVELOPMENT (CPD) AT SEMARANG MEDICAL CENTER

Introduction: Continuing Professional Development (CPD) of nurses is an essential process to improve professional nursing staff. Implementation of CPD Is the purposeful maintenance of knowledge and skills in nursing practice. The purpose of this Study examines the implementation of continuing professional development at SMC Telogorejo Hospital Semarang. Method: The study was conducted using a qualitative method of phenomenology. Data were collected by focus group discussions, in-depth interviews, observation and documentation study. Data were analyzed using a content analysis. Result: The result of this study showed that CPD activity at SMC Telogorejo hospital had included inservice education, mandatory activities, presentations of nursing care, seminars, training, research, and social program. The learning method of CPD was bedside teaching, mentoring,knowledge transfer with presentations and simulations. CPD implementation was influenced by motivational factors and nurses’ barriers of workforce arrangement in the inpatient unit. Nursing on call, mapping of nurse’s workforce and mutual aid to other units were becoming strategies to overcome these barriers. CPD process at SMC Telogorejo Hospital consisted of the stage of identification, planning, implementation and evaluating, and provided the personal feedback as input for the identification needs in the upcoming CPD. Discussion: The nursing committees and Themanagement of nursing necessarly make a systematic plan of CPD according to the needs of each individual nurses, the hospital needs and the development of science and technology. Developing of the evaluation method can assess the quantity and quality of CPD activity to enhance the competence of nurses that isnecessary in the future nursing profession. Key words: continuing professional development, quality health services, a profession knowledge and skill

EVALUATION OF PRECEPTORSHIP AND MENTORSHIP CLINICAL LEARNING METHOD ON NURSING STUDENTS' CRITICAL THINKING IN PROVIDING NURSING CARE IN A TEACHING HOSPITAL

The demand for high-quality health services is increasing. It motivates nurses to utilize the best evidence in making decisions. Professional nurses were born from an excellent education. Preceptorship and mentorship clinical learning methods are expected to be able to answer these demands. This study aims to identify the effect of preceptorship and mentorship methods on students' critical thinking skills. The study design applies a quasi-experimental type pretest and post-test with a control group. Twenty-six students were examined as respondents for each intervention and control group, using a purposive sampling technique. The survey took place at a teaching hospital in Semarang, using a student-evidence-based practice questionnaire (validity 0.584-0.904; reliability 0.821) developed by Upton et al.in 2014.  The intervention during three weeks with the training stages of clinical advisors, clinical guidance, internalization, and evaluation. Univariate data analysis is described by frequency and percentage (categorical) and mean and SD (numerical). Bivariate data analysis using a paired t-test and independent t-test. There was a significant effect of the preceptorship and mentorship methods on students' thinking abilities (p-value = 0.006). Integrated academic and clinical learning could form critical thinking skills among students. Educational institutions play a role in providing training for clinical instructors oriented to improving the ability of students to provide scientific evidence-based nursing care. The clinical instructors are responsible for improving students' critical thinking skills through preceptorship and mentorship learning methods

PENINGKATAN PENGETAHUAN PEMBIMBNG KLINIK MELALUI PELATIHAN METODE PRECEPTORSHIP DAN MENTORSHIP

Preceptors bertugas mengajar, menasihati, menginspirasi, panutan, serta mendukung tumbuh kembang mahasiswa keperawatan. Model bimbingan preceptroship adalah proses pendelegasian wewenang dari pembimbing kepada mahasiswa. Metode Pelatihan Preceptorship memfasilitasi pembelajaran tentang pengetahuan, keterampilan, dan perilaku preceptor. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk memberikan bekal bimbingan klinis dalam menerapkan pembelajaran klinik aktif. Metode kegiatan melalui pelatihan Preceptorship, dengan pre dan post test, ceramah, simulasi peran, evaluasi, dan pendampingan bimbingan klinis. Preceptor adalah 56,5% perempuan, dan 52,2% memiliki pengalaman pelatihan bimbingan klinis. Rerata pengetahuan sebelum pelatihan 27,74 dengan SD 12,638, dan rerata 52,74 dan SD 20,324 setelah pelatihan. Ada perbedaan yang signifikan antara pengetahuan sebelum dan sesudah pelatihan dengan p-value = 0,000 (p 0,05). 31 CI (77,5%) menyatakan tema pelatihan sangat baik, 23 CI (57,5%) menyatakan ketepatan waktu sangat baik, 23 CI (53,5%) menyatakan bahwa layanan penyelenggara sangat baik. Pelatihan Metode Pembelajaran Preceptorship meningkatkan pengetahuan pembimbing klinik. Kegiatan ini dapat diintegrasikan dalam perencanaan pembelajaran klinik kerjasama antara pihak pendidikan dan pelayana

Peningkatan Kompetensi Mahasiswa Keperawatan Melalui Strategi Pembelajaran Berbasis Virtual Reality

Nursing higher education has new challenges to prepare nursing students as agents of change in the era of the industrial revolution 4.0. Nursing students today are millennial and Z generation with unique needs and ways of learning. Students more interested in digital-based learning media. Digital-based learning methods were an urgent need to be developed to provide solutions to the learning needs of the millennial generation. The systematic review aimed to discuss the use of VR technology for educating the nursing student. The databases searched included: PubMed, Springerlink and Proquest from the years 2015 to 2019 with the keywords virtual reality, virtual simulation, simulation technology, immersive learning. The inclusion criteria included: articles published in the English language, student respondents and randomized controlled trial (RCT) research methods. The results of article was identified and reviewed by 3 researchers. Researchers approved 158 titles of article that match the keywords without duplicates and 5 articles that match the inclusion criteria. Four articles discuss the students' competencies when using virtual simulations compared with the manikin simulated. The results showed an increase in psychomotor skills, communication, and knowledge. Self-confidence increases, learning satisfaction and anxiety levels decrease. Two articles discuss the analysis of the unit cost, which states that the virtual simulation has cost utility ratio more profitable compared with the Manikin simulations. The results of the systematic review showed that virtual reality was relevant method as a learning strategy to enhance students’ competencies and have more profitable costs compared to conventional methods

EFFECTIVENESS OF SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) INTERVENTION IN SCHIZOPHRENIA WITH DEPRESSION ANXIETY STRESS

Background: Patients with mental illness, such schizophrenia is characterized by profound disruption in cognition and emotion, affecting the most fundamental human attributes: language, thought, perception, affect, and sense of self. Negative emotions in schizophrenia (Stress, anxiety, depressed, anger, guilt, express otherwise, despair, worry, excessive joy, very sad, crying and helpless) should be changed to positive emotions that alter a person's behavior becomes more adaptive. SEFT is an intervention given to changing negative emotions into positive emotions. SEFT is self-development techniques with spiritual strength to overcome a variety of physical problems, emotions, thoughts, attitudes, motivation and behavior. SEFT consists of three stages are setup, tune in and tapping. Set-Up is to ensure that our body's energy flow directed appropriately. The Tune-In is done by thinking of certain specific events that may evoke negative emotions that we want to eliminate. Tune-In with tapping will neutralize negative emotions. SEFT has been effective in reducing the level of stress in patients with chronic disease but have not done the research on mental patients. Purposes: The purpose of this study is to determine the effectiveness of SEFT to reduce negative emotion in patients with mental illness. The negative emotion can be measure with depression anxiety stress scale (DASS). Method: The types and study designs in this research used pre-experimental study with pre-test post-test one group design. Firstly, respondents were given a pre-test with DASS questionnaire. Secondly, they were given 3 times SEFT interventions and lastly, post-test with DASS questionnaire was performed. The population in this study was all patients who were treated at Larasati room of dr Amino Gondhohutomo Psychiatric Hospital Semarang. Number of patients in Larasati room is 17 patients. Total sampling technique with inclusion-exclusion criteria was used and five respondents were recruited. Data were collected by DASS questionnaire and were tested with paired sample t-test. Result: The results of statistical tests concluded that the variables had a significant result (0.017). It can be concluded that SEFT intervention was effective to reduce depression anxiety stress levels in patients with schizophrenia. Conclusion: Nurses at the dr Amino Gondhohutomo Psychiatric Hospital Semarang were expected that they can apply SEFT intervention to reduce stress levels in patients. For further research is recommended to use a bigger sample sizes. Keywords: SEFT, Schizophrenia, Depression Anxiety Stres

EFEKTIVITAS EUCALYPTUS SP SEBAGAI DISINFEKTAN SPRAY TERHADAP STAPHYLOCOCCUS AUREUS

Disinfektan dan antiseptik (disebut juga biosida) adalah senyawa kimia aktif yang mampu mengatasi mikroorganisme pada benda mati maupun kulit manusia. Ekstrak daun Eucalyptus sp mengandung 1.8-cineole yang merupakan senyawa antimikroba namun lebih aman bagi jaringan mukosa manusia. Tujuan: Penelitian ini bertujuan untuk mendapatkan disinfektan dan antiseptik diekstrak dari tanaman Eucalyptus sp yang dapat membunuh bakteri Staphylococcus aureus. Hasil: Disinfektan dan antiseptik spray dengan tambahan minyak esensial Eucalyptus sp dapat menghambat aktivitas bakteri Staphylococcus aureus. Kesimpulan: Hasil dari penelitian mengindikasikan senyawa aktif yang terdapat pada Eucalyptus sp efektif membunuh bakteri Staphylococcus aureus sehingga dapat berpotensi untuk pembuatan disinfektan dan antiseptik spray.Background: Staphylococcus aureus is one of the pathogenic microorganisms that often plays a role in infectious diseases. Disinfectants and antiseptics (also called biocides) are often used to treat microorganisms on inanimate objects and human skin in order to prevent infectious diseases. Eucalyptus sp leaf extract contains 1.8-cineole which is an antimicrobial compound which is safer for human mucosal tissue compared to active substances commonly found in disinfectants and antiseptics. Objective: This research aims to obtain disinfectants and antiseptics that are more environmentally friendly and also detain the growth of S. aureus. Method: Eucalyptus sp extract is obtained from steam distillation of dried leaf samples then the essential oil is added with chlorhexidine digluconate (CHG) and 70% isopropyl alcohol (IPA). The formula then tested on petri disc and medium contained S. aureus. Results: Disinfectant and antiseptic spray extracted from Eucalyptus sp essential oil, chlorhexidine digluconate (CHG) and 70% isopropyl alcohol (IPA) can inhibit the activity of Staphylococcus aureus. Conclusion: The results of the research indicate that the active compounds contained in Eucalyptus sp are effective in killing Staphylococcus aureus bacteria so they have the potential to make disinfectants and antiseptic sprays. Keywords: Eucalyptus urophylla; Staphylococcus aureus; disinfectants; antisepti