Dampak Implementasi Model Praktik Keperawatan Profesional Terhadap Mutu Asuhan Keperawatan Di Rumah Sakit

In order to improve the quality of nursing care in the hospital, nursing care delivery system need restructuring, reengineering, and redesigning through the implementation of Professional Nursing Practice Model (PNPM). The study was aimed to evaluate the impact of the PNPM on the quality of nursing care in the hospital. The design used was quasi experiment in pre and post test with control group. The statistic used are Chi-square and t-test. The result showed that in the intervention group, the improvement of client/family satisfaction with nursing care (OR = 114,28) was higher than the improvement in the control group (OR = 3,78). It was founded there was an improvement of the compliance of nurses to the standard was higher in the intervention group (OR = 235,5) compare to control group (OR = 0). The length of stay shorter in the intervention group, and also the nosocomial infection rate is lower in the intervention group compare to control group. The study concluded that the implementation of the PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service

Perancangan Fasilitas Komunitas Kristen di Pekanbaru dengan Pendekatan Arsitektur Simbolik

The development of the Christian is basically not detached from some roles of the Church's youth as the next generation. In developing nations which have various crises, the role of youth with great spiritual, intelligent, and morality quality is required. With the rapid growth of Christian population in Pekanbaru, a means known as Christian community facility is needed to motivate the Christians, especially the youths in order to realise the great potential in themselves. This facility is meant to be centre of icon for the youths in conducting spiritual guidance. To maintain christianity values, this Christian facility will be designed using symbolic architectural approach which applies Eikumene philosophy in its design concept. Those symbol and principle will make atmosphere in the design stronger with Christian spirituality nuance. Christian spirituality nuance applied on orientation, symbol, aperture, colors, sound and vegetation

Pengaruh Breathing Retraining Terhadap Peningkatan Fungsi Ventilasi Paru Pada Asuhan Keperawatan Pasien PPOK

The aim of the research was to explain about the influence of breathing retraining to the increasing of lung ventilation function for nursing care of theCOPD patients at a Hospital in Jakarta. The reseach design was quasi experiment with control group pretest-postest design. Total 34 patients (17 subjects for each group, intervention and control group) were included by a simple random sampling method. A breathing retraining was given to the intervention group for 6 days. The finding showed that the average of the COPD patient\u27s lung ventilation was significantly different before and after breathing retraining (p value = 0.000). The average score of the COPD patient\u27s lung ventilation after breathing retraining between intervention group and control group was also significantly different (p value = 0.012). There was significant relationship between age and increased lung ventilation function (p value = 0.001). However, no relationship found between body height and increased lung fuction (p value = 0.091) and between gender and lung ventilation function (p value = 0.346). The research suggested to implement the breathing retraining to increase the lung ventilation function of the CPOD patients

Faktor-Faktor Motivasi Kerja: Supervisi, Penghasilan, Dan Hubungan Interpersonal Mempengaruhi Kinerja Perawat Pelaksana

Performance of nurses directly affect to quality health care. Staff nurse is a contribution worker directly to the quality of theservices for the client. The work motivation factor is one of factors which influence the work of nurse. This research is adescriptive quantitative by a cross sectional design which aiming to know relationship between the work motivation factorswith staff nurse performance inpatient wards in Hospital X. Research used a proportionate random sampling which fulfilledan inclusion criterion; it was almost 100 staff nurse at inpatient wards in Hospital X. This research result indicated three subvariables of work motivation which related significantly by nurse performance including interpersonal relation (OR= 4.345),supervision (OR= 72.952) and incomes or salary (OR=7.304). While individual characteristic variable indicated two variableswhich related significantly by performance is education of staff nurse (OR= 7.567) and age (OR= 25.948). There are dominantsub variable connected with staff nurse performance is supervision (OR= 72.952), after it was controlled by variables of age,incomes or salary and education level. Increase of supervision by head nurse, nursing committee, and nursing section need tobe improved, with the approach of organizational structure in order to motivate the performance of nurses

Hubungan Program Orientasi Berbasis Kompetensi Dengan Kinerja Perawat Baru

Competency-based orientation program is a method of new nurse orientation programs. Research on cross-sectional descriptive correlational aimed to analyze the relationship of competency-based orientation program with the performance of new nurses in a inpatient unit at Husada hospital Jakarta. Results for 58 new nurses in the Husada hospital new nurses get a good view of interpersonal competence (72.4%), good technical competence (53.4%), good competence in critical thinking (58.6%). New nurses to see better performance (72.4%). Analysis showed any relationship between competency-based orientation program with the performance of new nurses (p = 0.000, CI: 0.336, 0.696). Competence of new nurses to form a new nurse has a professional performance so that important programs applied in any orientation of new nurses

Pengaruh Augmentative and Alternative Communication Terhadap Komunikasi Dan Depresi Pasien Afasia Motorik

Aphasia is one of the stroke impacts. Currently, the focus of the aphasia intervention in the hospital is physical aspects. The aim of this study was to evaluate the influence of Augmentative and Alternative Communication (AAC) to patients' communication ability and depression rates in Aphasia Motoric cases. The research design was quasi experiment with the post-test non-equivalent control group approach. The samples were 21 respondents who divided into two groups: 11 respondents in the control group and 10 respondents in the intervention group. Samples were chosen using the consecutive sampling method. This study used the Derby Functional Communication Scale and the Aphasic Depression Rating Scale to evaluate the communication ability and the depression rate of patients. AAC is an alternative way to communicate with patients who have disability verbal. This process used some media such as, a communication book, magazines, newspapers, family photos, cards, stationaries, and music. The AAC method has several activities such as pointing to particular pictures, naming, reviewing, writing, and reading. The study found that there were no significant differences of the communication ability between two groups of samples (p=0.542). In addition, there were significant rates of the depression between two groups of samples (p=0.022). This study suggests that nurses should apply the AAC method in the communication process especially to patients with stoke to facilitate the communication process and to reduce the patient's depression

Terapi Hipnosis Terhadap Penurunan Sensasi Nyeri Pascabedah Ortopedi

Hypnotherapy has not been widely known and developed as a nursing therapy in Indonesia. The research was aimed to identify the effect of hypnosis in reducing the pain sensation of orthopedic post-operative patients. This quasy-experimental study involved 32 respondents, 16 respondents for each control and intervention group. The pain was measured by numeric pain intensity scale of 0 to 5. The hypnotherapy procedure was conducted using a cassette-recorder. The data were undertaken directly by the researcher at two hospitals. Independent t-test showed that there was a significant average deviation of the pain sensation level in the pre and post therapy from both groups (P = 0.020, = 0.05). However, the average deviation of pain sensation level of the intervention group was greater than the control group. The same result was obtained with paired t-test sample. There was a significant average deviation of pain sensation levels in the pre and post therapy for both groups (p = 0.000, = 0.05). The combination therapy between analgesic and hypnotherapy was more effective in reducing the level of orthopedic postoperative pain sensation than the single therapy

Adherence in Pulmonary Tuberculosis Patients Based on King's Interacting Systems Theory

Introduction: Indonesia is one of largest contributor countries to pulmonary TB cases in the world. One of the factors that cause it is no adherence in the treatment. It is necessary to develop a model in order to improving compliance in patient. For an initial step, it is necessary to explore patient's adherence that based on King's interacting systems theory. The objective of this study was to explore the patients experience that cause them obedient the treatment based on King's interacting systems theory. Method: This research was a qualitative research with descriptive explorative approach. The samples were selected through purposive sampling method. Participants in this study were 8 patients who met the inclusion criteria. In this study, participants were pulmonary TB patients who have undergone treatment for 5-6 months. Results: There were 12 themes in patients compliance based on King's interacting systems theory; (1) true perception of pulmonary tuberculosis, (2) self-awareness, (3) optimal growth and development, (4) positive self-image, (5) a healthy environment, (6) discipline to take medication, (7) effective coping, (8) open communication with the patient's health workers and family, (9) to perform its role optimally, (10) balancing stress during illness, (11) knowing the health care bureaucracy and (12) able to take decisions. Discussion: The 12 themes describe that adherent patients have interaction systems that were personal systems, interpersonal systems and social systems

Pengalaman Ketidakpatuhan Pasien Terhadap Penatalaksanaan Diabetes Mellitus: Studi Fenomenologi

This phenomenological study attempted to explore the experiences of patient's non-adherence to the Diabetes Mellitus (DM) treatment. Eight participants were selected by convenience method from a hospital in Jakarta. Data were collected and then analyzed with the Collaizz's method. The results identified seven major themes which consisted of less pleasure of diet, less understanding about the benefits of diet, less understanding about the benefits of physical exercise, old age, physical disability, incorrect understanding about the benefits of medicine, fail to adhere taking medicine because of economic's reason. This study concluded the most common reason of non-adherence was lack of understanding about the benefit of the treatment adherence. Therefore, it is the necessary to give adequate health education continuously to promote patient's adherence. Further research may explore patient's adherence specific to each four DM treatment's pillars