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"Laporan ini merupakan rangkuman kegiatan praktek residensi spesialis keperawatan maternitas selama satu tahun untuk menerapkan peran dan fungsi perawat maternitas dengan mengambil contoh penerapan teori model keperawatan Conservation Levine's pada ibu post partum paska perdarahan. Penerapan teori Levine pada kelima kasus dilaporkan menurut kemampuan adaptasi klien terhadap konservasi energi, konservasi integritas struktural, konservasi integritas personal dan konservasi integritas sosial. Kekuatan teori Levine pada kasus post partum paska perdarahan adalah pengkajian sudah terfokus pada setiap konservasi sedangkan kelemahan teori Levine tidak ada pengkajian psikologis ibu akibat keterpisahan ibu dan bayinya. Disamping itu dilaporkan kegiatan pencapaian kompetensi perawat spesialis maternitas sebagai pemberi asuhan, konselor, pendidik, advokat, kolaborator, peneliti dan change agent serta inovasi yang dilakukan di lahan praktek.

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This report is a summary report of the activities that have been done during clinical practice of maternity nurse specialist. The focus of interest in clinical practice have focused by application of Levine's theory in nursing care of the post partum hemorrhage cases. The theory of Levine's focused in adaptability through to the conservation of energy, structural integrity, personal integrity and social integrity. The strength of Levine's theory in the case is assessment have focused in each of conservation and the weakness is no assessment of maternal psychological separation the mother and her baby. Besides the activities reported achieving competence as a nurse specialist maternity, counselor, educator, advocate, collaborator, researcher and change agent and the innovation that have done in clinical practice."

"Analisis laporan praktek residensi merupakan analisis yang dilakukan selama penulis menjalankan praktek residensi 1, 2 dan 3 di rumah sakit jantung pusat nasional Harapan Kita Jakarta. Laporan berisi asuhan keperawatan kasus kardiovaskuler yang terdiri dari 1 kasus kelolaan utama, dan 30 kasus resume, dengan penerapan teori keperawatan model konservasi Levine, pembuatan evidence best nursing serta pembuatan inovasi keperawatan. Tujuan analisis ini adalah untuk memberikan gambaran peran perawat dalam penatalaksanaan keperawatan selama praktik residensi spesialis keperawatan medikal bedah dengan penerapan teori konservasi Levine pada kasus kardiovaskuler di RS Jantung Harapan Kita Jakarta dan merupakan salah satu bentuk pertanggung jawaban terhadap pengelolaan kasus pasien acut coronary syndrome dengan intervensi CABG. Teori Levine tepat digunakan mengingat pasien dengan kasus kardiovaskuler membutukan kemampuan beradaptasi karena perubahan yang terjadi baik internal maupun eksternal sehingga tercapai konservasi untuk kesembuhan pasien. Pelaksanaan EBN (evidence base nursing) dilakukan di unit intermediate bedah yaitu melatih pasien menggunakan otot-otot diafragma dan nafas dalam untuk memperbaiki ekspansi paru. Hasil analisa menunjukan terdapat perbedaan yang significan pada oksigenasi pasien sebelum dan sesudah intervensi (P value<0.05). Kegiatan inovasi dilakukan di unit ICU yaitu membuat prosedur pemberian obat kewaspadaan tinggi dengan memperhatikan prinsip safety. Hasil menunjukan perawat dapat menerima perubahan atau prosedur baru yang bertujuan mencegah kesalahan dalam pemberian obat sesuai six goal patient safety dari JCI (joint commision International).

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Analysis of repport specialist practice is analysis as a result of recidence practice 1,2 and 3 in hospital of cardiac centre Harapan Kita Jakarta. The contens of repport are nursing care patient acute coronarry syndroma with coronarry artery bypass graft (CABG) and 30 cases others that base on Levine conservation nursing Theory, evidence base nursing and nursing inovation.

The purpose of this analysis is give description of nurse roles in medical surgical nursing with aplication nursing theory Levine conservation and as responsibility of nurse in nursing care plan. Levine nursing theory has been used because of need for adaptation by every cardiac surgery patient to get energy conservation. The aplication of was done at surgical intermediate unit.

The result showed that there is a significant influence of exercise breathing muscle and deep breathing to lung expansion or oxygenation before and after exercise (p < 0.05). Nursing inovation about high allert medication aplicate on intensive care unit. The result showed that every nurse can accept the inovation, they very aware with new procedure about administration of high allert medication. This inovation base on need of hospital for safety administration of high allert medication and avoid medication error as one of six goal patient safety from JCI (joint commision International)."

"Karya Ilmiah Akhir ini merupakan gambaran pelaksanaan kegiatan praktik keperawatan ners spesialis anak selama satu tahun yang dimulai dari tanggal 3 Oktober 2011 sampai dengan 20 April 2012 yang menerapkan peran dan fungsi dari ners spesialis keperawatan anak. Karya Ilmiah Akhir ini memfokuskan pada aplikasi Teori Konservasi Levine dalam asuhan keperawatan klien anak yang mengalami peningkatan suhu tubuh di ruang perawatan penyakit infeksi. Pengkajian yang dilakukan meliputi konservasi energi, konservasi integritas struktur, konservasi integritas personal dan konservasi integritas sosial. Tropikognosis dan justifikasi yang dirumuskan meliputi dari keempat konservasi tersebut. Hipotesa, planning dan implementasi disesuaikan dengan konservasi energi, konservasi integritas struktur, konservasi integritas personal dan konservasi integritas sosial. Dari hasil evaluasi didapatkan bahwa kelima kasus klien terpilih yang mengalami peningkatan suhu tubuh setelah diberikan asuhan keperawatan, didapatkan hasil 5 klien semuanya terbebas dari demam dan semuanya pulang dengan kondisi bebas demam. Selanjutnya dalam memberikan asuhan keperawatan pada klien anak, residen merekomendasikan untuk menerapkan prinsip caring, atraumatic care, family centered care dan upaya pencegahan infeksi nosokomial dengan cara bekerja sesuai dengan standar operasional prosedur dan standar asuhan keperawatan serta memperhatikan prinsip sterilitas dan teknik aseptik yang dapat dilakukan dengan tindakan cuci tangan dengan handrub. Sebagai inovator residen melakukan modifikasi ruang tindakan menjadi ruangan yang bernuansa anak untuk meminimalkan atraumatic care dan residen juga melakukan discharge planning dimulai dari pasien baru sampai pasien pulang dan membuat media penkes sebagai media untuk melakukan pendidikan kesehatan pada orang tua dan keluarga pasien.

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This final scientific paper is a clinical nursing practice report of pediatrics nurse specialist practice that is conducted for one year from 3rd October 2011 until 20th April 2012 by applying the role and function of pediatrics nurse specialist. The paper is focusing on the application of Levine’s conservation theory into nursing care of children suffering from hyperthermia in infection ward. The assessment that is performed including conservation of energy, the structure of conservation integrity, personal integrity conservation, and social integrity conservation. Tropicognoses and justification, which are formulated including the fourth areas of conservation. Hipotesa, plan, and implementation are customized with conservation of energy, the structure of conservation integrity, personal integrity conservation, and social integrity conservation. Based on the conducted evaluation, it was resulted that from five chosen clients who suffering from hypothermia, after receiving nursing care they were recover from hyperthermia and discharged home with normal body temperature. Moreover, in providing nursing care to children, resident recommends to apply the principal of caring, atraumatic care, family centered care and effort preventing nosocomial infection by working based on standard operating procedure and nursing care standard, and also applying sterile principal and aseptic technique by washing hand with handrub. As an innovator, resident modified the intervention room as a child room with some decorations in order to minimize atraumatic care. The resident was also made a discharge planning with starting from obtaining new patient until discharging home, and provided health education for parents and family of clients."

"Showing how the different types of knowledge affect nursing theory, Knowledge Development in Nursing: Theory and Process, 9th Edition helps you understand nursing theory and its links with nursing research and practice. It examines the principles of knowledge development, including the relationship between patterns of knowing, and explores how evidence-based nursing theory can be used to improve patient care. Written by nursing educators Peggy Chinn and Maeona Kramer, this edition is updated with the latest advances in theory development and additional examples of how nursing theory applies t."