Interest : Jurnal Ilmu Kesehatan

Nursing Process Training to Improve the Quality of Nursing Care Documentation

Harmini Harmini, Supratman Supratman, Vinami Yulian — Mon, 20 May 2024 00:00:00 +0700

Background: The role of medical caretakers as well-being specialists incorporates a major commitment to well-being administrations in an effort to improve the quality of well-being administrations. A few variables that impact nursing documentation include the need for time, the need for vitality, the persistent stack, the need for information from medical caretakers around the documentation framework, the significance of reporting nursing care, and the need for support from nursing pioneers. The aim of this study is to analyze the effect of nursing process training on the quality of nursing care documentation.

Methods: The research to be conducted uses a pre-experiment design research design with a one-group pre-post test-only model consisting of one intervention group. Data collection will be carried out from October to November 2023 in the inpatient room at the hospital. The population in this study was 486 nurses in Surakarat City. The sample was determined based on simple random sampling, so 82 nurses were selected.

Results: The results of statistical tests explain that the value is -48.538 (t≠0). The t value can illustrate that there is a difference in the average score between the pre-test and post-test, where the average pre-test score (69.40) is smaller than the average post-test score (90.57) with a significant value ( p) = 0.000 (p<0.05). The pre-test score (69.40) is smaller than the average post-test score (90.57), with a significance value (p) = 0.000 (p<0.05).

Conclusion: Nursing process training has been proven to be effective in influencing the documentation of the nursing process. It is recommended that health institutions provide ongoing training for nurses, not just as a one-time event.

Effects of Joint Gymnastics Exercise Intervention on Improving Functional Ability of the Elderly

Endang Caturini, Dwi Ariani, Siti Khadijah — Fri, 08 Mar 2024 00:00:00 +0700

Background: The elderly experience changes in the musculoskeletal system in the form of joint disorders that attack the joints and supporting tissue structures around the joints causing pain, loss of physical function, and disability. This requires management to reduce joint pain and improve muscle movement, function, strength, and endurance using joint gymnastics/rheumatism. The purpose of this study was to improve the ability of physical functioning in the elderly.

Methods: Quasi-experimental research with pre-post test design. The number of samples was 42 elderly people. This study measured the ability of physical function in the elderly. The research instrument used the KOOS (Knee injury and Osteoarthritis Outcome Score) questionnaire. Data were analyzed using the Wilcoxon signed ranks test.

Results: Research shows the majority of respondents are > 59 years old, and the majority are women (62.2%). There was an increase in knowledge with an increase in score of 2.19 and functional ability with an increase of 21.71 which was described in 4 sections, namely for pain score increased by 7.59, sign and symptom score increased by 7.09, ADL score increased by 2.76 and quality of life score increased by 4.26. There was a significant effect (p = 0.000) of joint gymnastics training interventions on improving knowledge and functional abilities.

Conclusion: There is an effect of joint gymnastics exercise interventions on improving knowledge and functional abilities. Suggestion: the application of joint gymnastics exercises is needed as an additional intervention in the community and to improve functional ability in the elderly.

The Relationship Between The Response Time of The Family When Bringing The Patient to Hospital and Stroke Severity Patients

Lindawati Farida Tampubolon, Agustaria Ginting, Natalia Natalia — Thu, 27 Jun 2024 00:00:00 +0700

Background: Non-infectious diseases, especially strokes, are increasing in Indonesia. The problem that occurs at this time is that there are still many families who do not know or don’t know at all about the early detection of stroke attacks. The study aims to determine the relationship between family response time in bringing stroke patients to the hospital and the severity of stroke patients at H. Adam Malik General Hospital Medan.

Methods: This research is an analytic observational study with a cross-sectional design. The research population is unknown with a total sample of 35 people, where the sample is taken based on a purposive sampling technique, and data collection uses the NHISS instrument.

Results: The results of the study find that the median response time value was 4.00 and the SD value is 42.33, while the median stroke patient severity is 21.00 and the SD value is 14.248. Based on Spearman's rho test results, the p-value is 0.008 < α = 0.05, meaning that there is a correlation between family response time and the severity of stroke patients. The correlation coefficient value is 0.441, which means that the faster the family's response time in bringing the patient to the hospital, the lighter the stroke patient's severity.

Conclusion: It is hoped that the family will be able to carry out an initial stroke assessment at home by looking at a smile that tilts to one side, half of the body is weak and speaks pelo, and immediately takes the patient to the hospital.

Early Identification of Neuropathy in Patients with Diabetes Mellitus at RSUD Haji Adam Malik Medan Using the IpTT Method

Murni Sari Dewi Simanullang, Ernita Rante Rupang, Grace Cellline Ayu Putri — Fri, 28 Jun 2024 00:00:00 +0700

Background: Neuropathy is a condition of damage to the nerves of diabetes mellitus patients. Neuropathy can cause serious complications and can even cause amputation in sufferers. So it is necessary to do early detection of neuropathy, one of which is by using the IpTT method. Adam Malik General Hospital is one of the hospitals with the highest percentage of diabetes in Medan, with the cases reported by 1,323 people in 2020. This study aims to identify the incidence of neuropathy in DM patients at Haji Adam Malik General Hospital in Medan using the IpTT method.

Methods: The research design used was a descriptive study with a cross-sectional approach with a population of 1470 inpatients. The sampling technique used accidental sampling with a sample of 52 respondents. The instrument used in this study is in the form of an observation sheet using the SOP of the IpTT Method.

Results: The results of the study found that out of 52 respondents who had neuropathy, 5 respondents (10%) and 47 respondents (90%) did not experience neuropathy.

Conclusion: It is hoped that from the results of this study, DM patients can prevent neuropathy by using the IpTT method.

Factors Influencing Patient Satisfaction with Nursing Services in the Private Inpatient Health

Sri Wahyuni, Arif Widodo, Vinami Yulian — Thu, 04 Jul 2024 00:00:00 +0700

Background: Quality health services are every patient's hope, and understanding the factors that influence patient satisfaction with health services at private hospitals in Surakarta is important to improve the patient experience and overall quality of care. This research will provide valuable insights for hospital management and nursing staff in designing more effective interventions to improve services provided and patient satisfaction. This study aims to determine the factors that influence patient satisfaction with nursing services in inpatient rooms at private hospitals in Surakarta.

Method: This research uses a quantitative approach with a cross-sectional design. The research sample consisted of 90 patients treated in inpatient wards who met the specified inclusion criteria. Data was collected using a structured questionnaire that measures the quality of nursing services and patient satisfaction. Data analysis was carried out using the multiple linear regression method to determine the influence of each variable on overall patient satisfaction.

Results: Hospital nursing services in Surakarta have a significant effect on patient satisfaction with p<0.05, from the five dimensions, namely reliability, physical evidence, empathy, responsiveness, and assurance. All sizes have a significant effect (p<0.05) on the level of satisfaction. This occurs when patients have a good (fairly good) perception of hospital nursing services in Surakarta.

Conclusion: The five dimensions of hospital nursing services in Surakarta, consisting of reliability, concrete evidence, empathy, responsiveness, and assurance, have a major impact on patient satisfaction in hospitals in Surakarta. Thus, it follows that patient satisfaction can be raised by hospitals providing high-quality nursing care.

How a Servant-Leadership Attitude Affects Discharge Planning Efficiency

Reny Anggraeni Dwi Puspita, Nursalam Nursalam, Yanis Kartini — Tue, 09 Jul 2024 00:00:00 +0700

Background: Discharge planning is one way in which leadership styles can motivate nurses to up their game and provide better care to patients. Examining how a servant leadership style affects the success of discharge planning initiatives is the primary goal of this study.

Methods: The initial part of this mixed-method study involved doing qualitative research using an exploratory descriptive methodology with seven participants at Surabaya's Bhakti Dharma Husada Hospital. Research using quantitative methods and a quasi-experimental design is the second phase. Using a purposeful sampling technique, 114 nurses from the inpatient population at Bhakti Dharma Husada Hospital Surabaya participated in the study. Of this, 57 were assigned to the intervention group and 57 to the control group.

Results: The first stage of the study produced a servant leadership module for the head of the room. In the second stage, based on the paired sample t-test, there was an effect after the intervention was given while entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000). In the independent sample t-test, there was a significant difference in the post-test mean between the intervention and control groups during entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000) on the performance results of the discharge plan.

Conclusion: The ward head at Bhakti Dharma Husada Hospital Surabaya can use the servant leadership module and intervention to improve the performance of discharge planning from the time a patient enters the hospital to the time they leave.

Assessment of Stroke Patients' Muscle Strength Following a Combination of Mirror Therapy and ROM (Range of Motion) Exercises Based on Self-Care Theory

Umi Leka Salamah, Ima Nadatien, Nur Hidaayah, Heru Suwardianto — Tue, 09 Jul 2024 00:00:00 +0700

Background: When blood flow problems kill off some brain cells, the result is a neurological deficiency known as a stroke. There have been 507 reported cases of stroke in East Java, while the overall stroke prevalence in Indonesia has jumped from 7% to 10.9% (Riskesdas, 2020). The researchers at RSI Darus Syifa's Surabaya set out to determine how much of an impact self-care theory-based mirror therapy and range-of-motion exercises had on the muscular strength of stroke patients admitted to the inpatient unit.

Methods: A true experimental with a pretest-posttest control group design was utilised in this type of research. One hundred and ten stroke patients made up the study's population. There were a total of 34 participants in this study, with 17 serving as control subjects and 17 as interventionists. Sampling was based on probability sampling using simple random sampling. The Medical Research Council (MRC) scale was utilised by the device to measure muscular strength. Mann-Whitney and the Wilcoxon Signet Rank Test were used to examine the collected data.

Results: In the inpatient ward of the Darus Syifa Surabaya Hospital, stroke patients who undergo a combination of mirror therapy and range of motion exercises based on self-care theory show a significant improvement in muscle strength, according to the Mann-Whitney test (p < 0.05).

Conclusion: The study found that stroke patients' muscle strength improved with a combination of mirror therapy and range of motion exercises grounded in self-care theory.

Reduced Blood Glucose Levels in Diabetic Patients After Using a Combination of Progressive Muscle Relaxation (Pro-Mure) and Slow Deep Breathing Exercises (SD-Bex)

Shanaz Leka Nabila, Tintin Sukartini, Khamida Khamida, Heru Suwardianto — Wed, 10 Jul 2024 00:00:00 +0700

Background: One of the causes of diabetes mellitus is a person's lifestyle, namely their level of physical inactivity. So, to avoid complications, persons with diabetes mellitus require both pharmaceutical and non-pharmacological treatments to lower blood glucose values. Finding out if people with diabetes mellitus might reduce their blood glucose levels by combining a technique that involved slow deep breathing and progressive muscular relaxation was the primary goal of the research.

Methods: This study is quasi-experimental because it uses a control group design with pre- and post-tests. The number of respondents is 34, and the method of sampling is purposive sampling. Twenty to twenty-five minutes of a combination of progressive muscle relaxation (Pro-Mure) and slow deep breathing exercises (SD-Bex) were administered to the experimental group, while the control group received the usual course of intervention. Values of blood glucose levels were the dependent variable. With a p-value of less than 0.05, the study used the Wilcoxon Signed Rank Test to compare outcomes before and after treatment and the Mann-Whitney test to compare the experimental group to the control group.

Results: We found that the intervention group's blood glucose value was 0.001 and the control group's was 0.025. A p-value of 0.001 was found on the value of blood glucose levels between the experimental group and the control group as a result of the study utilising the Mann-Whitney test.

Conclusion: Those suffering from diabetes mellitus can find relief from their symptoms by combining the techniques of Progressive Muscle Relaxation with Slow Deep Breathing. Additionally, the method is simple to apply.