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Tingginya kasus Covid-19 berdampak pada proses pendidikan praktik klinik profesi ners yang mengakibatkan beberapa siklus mahasiswa melakukan praktik di yellow zone Covid-19. Pasien pada zona ini belum diketahui positif COVID-19 atau tidak, sehingga berisiko menularkan kepada mahasiswa. Penelitian terdahulu mengemukakan masih rendahnya kemampuan mahasiswa dalam pencegahan infeksi Covid-19. Tujuan: Penelitian ini bertujuan untuk mengetahui pengalaman praktik klinik mahasiswa profesi ners di yellow zone Covid-19. Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi. Wawancara mendalam (in depth interview) dilakukan kepada 5 orang mahasiswa yang sudah praktik di di yellow zone Covid-19 pada tanggal 5-30 Juli 2021. Selanjutnya hasil wawancara diolah dengan menggunakan teknik Colaizzi. Hasil: Penelitian ini menghasilkan lima tema utama, yaitu (1) emosi yang ambivalen, (2) perilaku protektif, (3) dilema pelayanan praktik klinik, (4) harapan untuk didukung, dan (5) mekanisme koping sebagai solusi adaptasi. Diskusi: Praktik di ruangan yellow zone Covid-19 menimbulkan respon emosi yang ambivalen sehingga menghambat proses praktik dalam memberikan pelayanan pada pasien Covid-19. Hal ini terlihat dari ungkapan partisipan yang mengharapkan untuk mendapatkan dukungan dari pihak pendidikan dan rumah sakit. Kesimpulan: Hasil penelitian menunjukkan beberapa hambatan dan harapan mahasiswa di yellow zone Covid-19 sehingga diharapkan kepada instansi pendidikan dan pelayanan untuk dapat meningkatkan persiapan dan memberikan dukungan dalam bentuk pelatihan dan bimbingan kepada mahasiswa praktik profesi ners di yellow zone Covid-19.

Respiratory muscle weakness in patients with Chronic Obstructive Pulmonary Disease (COPD) is a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly. The intervention group was given pursed-lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week, while the control group was not given exercise. The dyspnea scale was measured using the MRC Dyspnea Scale questionnaire and was categorized as mild (scale 1), medium (scale 2-3) and severe (scale 4-5). The result showed there was a difference in dyspnea (p value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (p value 0.655). In conclusion, pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.

Introduction: The Emergency Department (ED) is one of the first accesses reached by people affected by Covid-19 or suspected of having Covid-19. Changes in health services in the ED during the Covid-19 Outbreak and the adaptation of the new normal made ED health services and adjustments by nurses. The ED is one area that has the potential to have a high risk of transmitting Covid-19. Objectives: This study aimed to determine the experience of emergency room nurses in dealing with the Covid-19 outbreak at a government hospital in Padang. Methods: This study is qualitative with semi-structured interviews conducted with nurses who serve in the ED, who were selected based on inclusion criteria. These nurses had served in the ER during the Covid-19 outbreak for a minimum of 6 months. The results of the interviews were processed using the Collaizi technique. The participants in this study were 5 emergency room nurses. Results: The results obtained 3 themes and 11 sub-themes. The themes that can be found are Nurses' Preparation for the Pandemic, Coordination and Health Promotion with Families, and Hospital and Emergency Room Readiness. Conclusions: Hospital management have to prepare and coordinate human resources and facilities following non-natural disaster conditions so that the nurse's response ability in dealing with the Covid-19 pandemic becomes responsive and better.

Salah satu dampak psikologis yang ditemui saat pandemi Covid-19 adalah distres psikologis yang dialami tenaga kesehatan khususnya perawat. Distres psikologis memunculkan efek membahayakan bagi individu seperti, tuntutan berlebihan yang menguras energi individu sehingga membuat individu menjadi lebih mudah sakit.Tujuan dari penelitian ini adalah untuk mengetahui hubungan ruang bertugas dan optimisme dengan distres psikologis yang meliputi stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 di RS Paru Provinsi Sumatera Barat tahun 2020. Jenis penelitian ini adalah deskripsi korelatif, dengan populasi 35 perawat. Optimisme diukur dengan kuesioner Life Orientation Test-Revised (LOT-R), stres diukur dengan kuesioner Perceived Stress Scale (PSS-10), kecemasan diukur dengan kuesioner General Anxiety Disorder Scale (GAD-7), dan depresi diukur dengan kuesioner Patient Health Questionnaire (PHQ-9). Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara ruang bertugas dengan distres psikologis yaitu stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 dengan nilai p= 0.003 (stres), p= 0.008 (kecemasan), p= 0.046 (depresi) dengan p<0,05. Serta terdapat hubungan yang bermakna antara optimisme dengan distres psikologis yaitu stres, kecemasan dan depresi pada perawat selama pandemi Covid-19 dengan nilai p= <0,05. Disarankan pada pihak manajemen keperawatan di rumah sakit perlu meningkatkan program manajemen stres bagi tenaga keperawatan, sehingga dapat meminimalisir adanya distres psikologis yang diterima perawat.Kata Kunci: distres psikologis; optimisme; ruang bertugas OPTIMISM AND PSYCHOLOGICAL DISTRESS IN NURSES DURING THE COVID-19 PANDEMIC ABSTRACT  The psychological impact that is encountered during the Covid-19 pandemic is the psychological distress experienced by health workers, especially nurse. Psychological distress has harmful effects on the individual who experiences it, such as unpleasant or excessive demands that drain the individual's energy, making it easier for the individual to get sick. The purpose of this study was to determine the relationship between department and optimism with psychological distress including perceived stress, anxiety and depression in nurses and to determine the distress that nurses felt during the Covid-19 pandemic at the Pulmonology Hospital West Sumatera in 2020. The type of study was a descriptive correlative, with a population of 35 nurses. Optimization was measured using the Life Orientation Test-Revised (LOT-R) questionnaire, perceived stress was measured by the Perceived Stress Scale (PSS-10) questionnaire, anxiety was measured using the General Anxiety Disorder Scale (GAD-7) questionnaire, and depression was measured using the Patient Health Questionnaire (PHQ-9). The results showed that there is a significant relationship between department and psychological distress, perceived stress, anxiety and depression in nurses during the Covid-19 pandemic with a value of p <0.05. And there is a significant relationship between optimism and psychological distress, perceived stress, anxiety and depression in nurses during the Covid-19 pandemic. It is suggested that the nursing management at the hospital needs to increase the stress management program for nursing personnel, so that it can minimize the psychological distress received by nurses.Keywords: department; optimism; psychological distress