Perawat sebagai edukator berperan penting dalam implementasi discharge planning (perencanaan pulang). Implementasi Discharge planning yang tidak optimal dapat meningkatkan lama rawat, angka rawat ulang, dan pembiayaan. Tujuan penelitian untuk mengidentifikasi hubungan persepsi perawat sebagai edukator terhadap implementasi Discharge Planning oleh perawat. Penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Teknik pengambilan sampel adalah total sampling dengan jumlah responden adalah 43 orang perawat di ruang rawat inap di satu Rumah Sakit Swasta Indonesia Bagian Tengah. Pengumpulan data dilakukan dengan menggunakan kuesioner dan melakukan observasi. Analisa data dalam bentuk univariat dan bivariat. Analisis bivariat menggunakan uji Chi Square. Pada analisis univariat didapatkan sebesar 40 (93,02%) responden memiliki persepsi negatif dan sebesar 36 (83,72%) responden tidak melaksanakan discharge planning sesuai standar prosedur operasional. Pada analisis bivariat didapatkan adanya hubungan antara persepsi perawat sebagai edukator dengan implementasi discharge planning oleh perawat di Rumah Sakit Swasta Indonesia Bagian Tengah ( p value 0,001). Rumah sakit dapat membangun persepsi positif perawat sebagai edukator melalui pelatihan dan pendampingan dalam melaksanakan discharge planning sesuai standar. Penelitian selanjutnya dapat meneliti hubungan variabel lainnya terhadap implementasi discharge planning.
<p>Hypertension takes the first place as a health problem for the elderly. Hypertension in the elderly comes as a part of aging where blood vessels become stiff and fragile. The purpose of this research was to identify factors that can not be modified and factors that can be modified that affect the incidence of hypertension in the elderly. Literature review used articles from Indonesia OneSearch, Google Shoolar and PubMed databases was then selected using PRISMA Flow Diagrams to produce eight articles according to the inclusion and exclusion criteria. Critical appraisal was done to see the feasibility and quality of the article. Data analysis in this literature review used a simplified approach method. The results of the literature study found that factors that can not be modified that affect the incidence of hypertension in elderly including; family history, race and age. While the factors that can be modified that affect the incidence of hypertension in elderly among others; obesity, physical activity, stress and nutrition. Health workers with family and the elderly can make effort to prevent hypertension against factors that can be changed by routinely checking blood pressure, controlling body weight, exercising regularly, regulating diet, good stress management and optimizing the function of Posbindu (service post of Community Health Centre for the elderly) preventing and managing hypertension in the elderly in the community. Future studies can examine the correlation of each risk factor that influences the incidence of hypertension in the elderly.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Hipertensi menempati urutan pertama sebagai masalah kesehatan yang diderita lansia. Hipertensi pada lansia muncul sebagai bagian dari penuaan dimana pembuluh darah menjadi kaku dan rapuh. Tujuan Penelitian untuk mengidentifikasi faktor-faktor yang tidak dapat dimodifikasi dan faktor-faktor yang dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia. Kajian literatur menggunakan artikel yang berasal dari <em>database</em> Indonesia <em>OneSearch</em>, <em>Google Shoolar</em> dan <em>PubMed</em> kemudian diseleksi dengan menggunakan<em> Flow </em><em>Diagram </em>PRISMA<em> </em>sehingga menghasilkan delapan artikel sesuai dengan kriteria inklusi dan eksklusi. Dilakukan <em>critical appraisal</em> untuk menganalisis artikel. Analisa data dalam penelitian ini menggunakan <em>simplified approach method</em>. Hasil penelitian didapatkan bahwa faktor-faktor yang tidak dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia yaitu; riwayat keluarga, ras dan usia. Faktor-faktor yang dapat dimodifikasi yang memengaruhi kejadian hipertensi pada lansia yaitu; obesitas, aktivitas fisik, stres dan nutrisi. Petugas kesehatan bersama keluarga dan lansia dapat melakukan upaya pencegahan Hipertensi terhadap faktor-faktor yang dapat diubah dengan rutin melakukan pemeriksaan tekanan darah, mengontrol berat badan, berolahraga teratur, mengatur diet, manajemen stress yang baik serta optimalisasi fungsi Posbindu dalam pencegahan dan penanganan Hipertensi pada lansia dikomunitas. Penelitian selanjutnya dapat meneliti hubungan tiap faktor risiko yang memengaruhi dengan kejadian hipertensi pada lansia.</p>
<p>The effective communication increase is one of the seven goals of patient safety. The SBARcommunication technique is part of it. There are several factors that influence the application of SBAR communication namely; knowledge, attitude and motivation. According to the Joint Commission International (JCI) and the World Health Organization (WHO) of 25,000-30,000 cases of permanent disability in patients in Australia, 11% was due to communication failure. Based on interviews by researcher with head nurses on February 19, 2018, March 3, 2018, March 4, 2018 and March 6, 2018 with several nurses and also the head nurse, and in three observations conducted in March in a Private Hospital in West Region of Indonesian, it was found that nurses had not conducted SBAR communication technique in accordance with the SOP (Standard Operational Procedure). This study was conducted to analyze the factors associated with the implementation of SBAR communication technique while doing patient handover by emergency Room nurses in a Private Hospital in West Region of Indonesia. This study employed quantitative methodology with a cross-sectional research design. Sampling was done by total sampling technique to 12 nurses. Data collection was done using a questionnaire to measure variables of the attitudes and motivation of nurses and observation sheets to assess the implementation of SBAR communication technique by nurses. The results of bivariate analysis using Chi-Square showed that there was a correlation between the attitude of emergency nurses with the implementation of SBAR communication technique while doing patient handover (p value <0.05), but there was no correlation between the motivation of nurses with the implementation of SBAR communication technique while doing patient handover (p value> 0.05). As the Suggestions for the hospital, the results of the study can be used as a reference in the implementation of SBAR communication technique by improving positive attitude of nurses.</p>
There has been a significant and continuous increase in the number of people suffering from hypertension worldwide, particularly in Indonesia. Many families with hypertensive members do not recognize hypertension or control their hypertension. This study aims to determine the correlation of family knowledge and behavior in controlling hypertension in patients at the outpatient department of a private hospital in Jakarta. The method was a quantitative methodology with a cross-sectional design approach. The population was the patients’ families in outpatient department. The sample was 94 respondents who were selected using the purposive sampling technique. The instrument was a previous study's questionnaire. The univariate analysis showed that 64.9% of respondents have good knowledge, and 53.3% have good behavior. The bivariate analysis, which used the Pearson Chi-Square test showed a p-value of 0.001 (CI 95%). There was a correlation between family knowledge and behavior in controlling hypertension in patients at the outpatient department. Hospitals and nurses can further optimize family education, socialization, and collaboration in controlling hypertension.
Introduction: The COVID-19 pandemic has dramatically impacted people's lives. Families are affected in many ways, including daily life, the economy, social life, and health. Families who have resilience can face the COVID-19 pandemic situation. This study aims to determine the factors related to family resilience during the Covid-19 pandemic, including Family income, education, family type, family relations, and social support. Methods: This study is a cross-sectional study conducted on 403 respondents using purposive sampling. Inclusion criteria include Husband or wife (with or without children) who live together, ages 18-65 years, in Jakarta and Tangerang. Data collection using an online questionnaire consisted of demographic data, the Family Resilience Assessment Scale (FRAS), and the Multidimensional Scale of Perceived Social Support (MSPSS). The questionnaire has passed the validity and reliability test. The Ethics Board of the Mochtar Riady Institute of Nanotechnology (MRIN) provided ethical approval. Results: Multivariate analysis using a logistic regression test showed that factors related to family resilience were income (p-value: 0.028, OR: 3.08) and social support (p-value: 0.001, OR: 7.16). Social support is the dominant variable related to family resilience. An increase in social support increases the likelihood of family resilience by 7.16 times. Furthermore, an increase in family income has a 3.08 times greater chance of increasing family resilience. Conclusion: Families and the government can collaborate to improve family resilience during the Covid-19 pandemic by optimizing social support and family income.
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