Kondisi tidak menentu yang dialami anak dengan Acute Limpoblastik Leukemia (ALL) setelah kemoterapi sering membuat orang tua cemas, bahkan sampai panik saat kondisi anak semakin menurun akibat efek obat kemoterapi. Kecemasan orangtua yang berlebihan, akan membuat anak ikut cemas. Peran perawat dalam mengendalikan kondisi psikologis orangtua, supaya anak tidak ikut cemas sangat diperlukan. Salah satu upaya tersebut adalah dukungan sosial yang diberikan oleh perawat. Tujuan penelitian ini untuk mengetahui apakah ada hubungan antara dukungan perawat dengan tingkat kecemasan orang tua pasien Acute Limpoblastik Leukimia di Ruang Anak RSUP Dr. Kariadi Semarang. Jenis penelitian yang digunakan discriptive correlation, dengan menggunakan pendekatan cross sectional. Sampel penelitian ini 44 orang tua pasien dengan anak ALL. Hasil penelitian menunjukkan bahwa mayoritas dukungan perawat kurang baik sebanyak 52,3% dan mayoritas tingkat kecemasan orang tua pasien adalah kategori cemas ringan sebanyak 40,9%. Hasil Uji bivariate menunjukkan ada hubungan antara dukungan perawat dengan tingkat kecemasan orang tua pasien anak dengan Acute Limpoblastik Leukimia (ALL) di Ruang Anak RSUP Dr. Kariadi Semarang dengan nilai p-value = 0,007 dan r = -0,401.   Kata kunci : dukungan perawat, tingkat kecemasan, kemoterapi   THE EFFECT OF THE APPLICATION OF ENERGY CONSERVATION TECHNIQUES WITH SELF-EMPOWERMENT TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL FAILURE   ABSTRACT The unstable condition in children with acute lymphoblastic leukemia (ALL) after the chemotherapy often leads the parents into anxiety, and even panicking when the children condition drops as the effect of the chemotherapy medication. However, the hyper anxiety may affect the children. In this case, the role of nurse to manage parents’ psychological state is significantly needed. One of the efforts to maintain parents’ psychological state is by nurses’ social support. This research was aimed to find out if there was correlation between nurses’ support with the anxiety level among parents of acute lymphoblastic leukemia (ALL) patients at pediatric clinic of RSUP Dr. Kariadi Semarang. It was a descriptive correlative research with cross sectional approach. The study sample was elderly patient with ALL. The research result showed that nurses’ support was mostly inadequate which was at 52.3% and parents’ anxiety   level was considered to be mild anxiety with 40.9%. The bivariate test result show there was correlation between nurses’ support  with anxiety level of parents of acute lymphoblastic leukemia (ALL) patients at pediatric clinic of RSUP Dr. Kariadi Semarang  with p-value = 0.007 and r = -0.401.   Keywords: nurses’ support, anxiety level, chemotherapy

BACKGROUND: The frequency of hemodialysis therapy routinely affected change in the functional state of the body. Support is one of the factors that can affect life quality. One of the supports can come from nurses through a spiritual caring attitude. AIM: The purpose of this study is to determine the relationship between spiritual caring and the life quality of patients who were undergoing hemodialysis. METHOD: A literature review was obtained from PubMed and Google Scholar databases (2015–2020) with the keywords Spiritual Care AND Life quality AND Patients with Hemodialysis. RESULTS: Based on nine journals that have been reviewed, spiritual caring behavior that was applied in the form of intervention or spiritual therapy had been proven to have a positive impact on the life quality of patients undergoing hemodialysis. Spiritual interventions in the form of spiritual counseling, deep breathing relaxation exercises based on spiritual elements, and therapy combined with elements of prayer and dhikr were able to give the spirit of the patient in dealing with the illness. Overall, spiritual intervention affected the life quality with p = 0.000–0.032 (α = 0.05), increasing the life quality in physical, psychological, and social and environmental relations. CONCLUSION: The results show a relationship of spiritual caring with the life quality of patients undergoing hemodialysis.

Hospitalisasi pada anak bertujuan untuk memberikan perawatan dan pengobatan kepada anak. Selama dirawat di rumah sakit anak juga mengalami beberapa dampak akibat hospitalisasi yaitu kecemasan, kehilangan kendali dan nyeri. Dampak hospitalisasi tersebut perlu mendapat perhatian agar perkembangan anak selama dilakukan perawatan di rumah sakit tidak mengalami gangguan. Bermain yang merupakan kebutuhan anak dapat dijadikan sebagai salah satu intervensi untuk mengurangi dampak hospitalisasi. Bermain pada anak dapat disesuaikan dengan tahap perkembangan anak. Terapi bermain yang dilakukan di RSD KRMT Wongsonegoro masih belum beragam. Tujuan pengabdian masyarakat ini mengoptimalkan pelaksanaan program terapi bermain pada anak yang dirawat di rumah sakit. Pengabdian masyarakat dilaksanakan pada bulan Oktober 2022 di RSD KRMT Wongsonegoro Semarang. Kegiatan yang dilaksanakan meliputi sosialisasi program pengabdian masyarakat, penyusunan program terapi bermain, pelaksanaan terapi bermain pada anak yang dilakukan perawatan di Rumah Sakit dan evaluasi program. Tingkat kecemasan anak sebelum dan sesudah dilakukan terapi bermain di area bermain outdoor RS dari rerata 3.36 menurun menjadi 2.00. Terapi bermain diprogramkan secara rutin di ruang perawatan anak atau sesuai kebutuhan terapeutik pada anak.

Sultan Agung Islamic Hospital Semarang as one of the providers of health, education and research services must be supported by a strong organization and good management. The nurse plays an important role regarding the clinical outcome of the client, especially during the handover the process which has an impact on patient safety and the quality of the hospital. The implementation of monitoring and evaluation of handover in this hospital has never been implemented because there are no working tools and regulations that regulate it as a reference for implementation. This study uses the interviews and observations with the approach carried out on 7 - 19 December 2020. Participants consisted of the Responsible Person / Head of the Room, the Responsible Nurse (PPJA) and the Implementing Nurse (PP) in the Baitul Izzah 2 room of the Sultan Agung Islamic Hospital Semarang. This study found 3 themes were found, namely the absence of monitoring and evaluation of handover nurses, lack of understanding of nurses regarding the implementation of handover monitoring and evaluation, the absence of regulations and work tools regarding the handover monitoring and evaluation. Work tools and regulations are very helpful in the implementation of monitoring and evaluation of handover in providing nursing care in the inpatient room. As well as fulfilling SNARS 1.1 Accreditation standards.

Tiered supervision that supports improving the quality of nursing services in the field of nursing at Sultan Agung Islamic Hospital has not been carried out in a structured and documented manner. Baitul Izzah 1 room as a disease treatment room in class III, the head of the room has not yet supervised the Person in Charge of Care (PPJA) and so on PPJA to the Associate Nurse (PP). The supervision that has been carried out so far is only to ask directly about existing problems to the head of the room and directly observe the activities of implementing nursing care by PPJA and PP. Tiered supervision does not go well, because there are no references and standards for its implementation. The purpose of this study was to determine Implementation of The Tiered Supervision as a Supervision Function. It was found that the implementation of tiered supervision instruments improved the performance of the head of the room, PPJA and PP, then the patient's medical record document increases in completeness chargingespecially the patient's Islamic education document. In conclusion, tiered supervision instruments are very helpful in the implementation of the supervisory function as well as monitoring and evaluation in nursing management in the implementation of nursing care in the inpatient room. The recommendation for the role of the nursing field that is most important in controlling the quality of nursing care is to actively involve staff to jointly ensure the continuity of the implementation of tiered nursing supervision.