[Kegiatan residensi keperawatan medikal bedah peminatan kardiovaskulardilaksanakan selama dua semester berupa pengelolaan asuhan keperawatan pasiengangguan kardiovaskular secara holistik dan komprehensif dengan penerapanmodel Konservasi Myra Estrin Levine pada satu pasien kelolaan utama dan 30pasien kelolaan lainnya. Tujuan dan hasil asuhan keperawatan pasien gangguankardiovaskular adalah mengupayakan adaptasi untuk mencapai keutuhan(wholeness) dengan memfasilitasi konservasi energi, konservasi intgritas struktur,konsevasi integritas personal, dan konservasi integritas sosial.Praktik keperawatan terbaik berbasis bukti (evidence-based nursing practice)memberikan posisi lateral 30o setelah dua jam pasca bedah di ICU bertujuan untukmemenuhi kebutuhan ambulasi dini dan dihasilkan kestabilan hemodinamik.Peran perawat spesialis sebagai inovator dalam pelayanan keperawatan denganmengoptimalkan asuhan keperawatan berbasis spiritual di unit perawatan intensifjantung dengan memfasilitasi penyediaan format pengkajian, format diagnosakeperawatan, dan format rencana intervensi spiritual. Inovasi optimalisasi asuhanspiritual mendapat respon, dukungan, dan apresiasi yang tinggi oleh para perawatdi unit terkait dan ditingkat manajemen pelayanan keperawatan rumah sakit., Medical surgical nursing residency activities in cardiovascular specialization wasdid in two semesters by managing the nursing care of patients with cardiovasculardisorders holistically and comprehensively using the application of Myra EstrinLevine Conservation Model in one major case and other 30 cases. The purpose andoutcomes of cardiovascular disorders nursing care is adaptation to achieveintegrity (wholeness) to facilitate the conservation of energy, conservation ofstructure integrity, conservation of personal integrity, and conservation of socialintegrity. The best evidence-based nursing practice giving the lateral position twohours post-surgery in the ICU aimed to meet the needs of early ambulation andresulting hemodynamic stability. The role of specialist nurses as an innovator innursing services optimizing the spiritual-based nursing care in cardiac intensivecare unit by facilitating the creating of assessment form, nursing diagnosis form,and spiritual intervention plan form. Innovation in spiritual care optimization gotresponses, supports, and good appreciations from the nurses in the related unit andhospital nursing care management level.]