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"Kemampuan dalam bidang pengetahuan, ketrampilan dan sikap harus dimiliki oleh seorang perawat spesialis keperawatan maternitas. Kemampuan ini diperlukan supaya seorang perawat spesialis keperawatan maternitas dapat memberikan pelayanan kepada masyarakat baik secara mandiri maupun berkolaborasi. Seorang perawat spesialis keperawatan maternitas dalam memberikan pelayanan kepada masyarakat berperan sebagai seorang pelaksana, pendidik, konsultan, advokat, pengelola asuhan keperawatan maternitas, peneliti, kolaborator, komunikator dan koordinator, serta pembaharu dalam bidang keperawatan maternitas. Laporan ini menguraikan kegiatan pencapaian kompetensi selama praktek residensi dengan fokus penerapan teori keperawatan "Need for Help" dan Loss & Grief pada ibu intra partum dengan kematian janin. Kompetensi yang diharapkan dapat tercapai selama praktek dan teori keperawatan "Need for Help" dan Loss & Grief dapat diterapkan pada penanganan kasus intra partum dengan intra uterine fetal death.

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A maternal nursing specialist must be well knowledgeable, possess good relevant skills and attitudes to be able to provide good health service to the society both independently and through collaboration. A maternal nursing specialist play an important role as a health practitioner, an educator, a consultant, an advocate, a communicator, an administrator in maternal nursing care, a researcher, a collaborator, a communicator and coordinator, and a reformer in maternal nursing. This report ellaborates the activities in attempts to achieve the intended competence during the resident practice, focused on the application of nursing theories '' Need for Help'' and '' Losss and Grief'' on mothers with intra partum and fetal death. This expected competence can be put into practice in handling a case of intra partum with intra urine fetal death."

"[ABSTRAKKesehatan reproduksi merupakan masalah yang perlu diperhatikan dalam meningkatkan kesehatan perempuan. Ners spesialis keperawatan maternitas mempunyai peranan untuk mencapai upaya tersebut. laporan ini bertujuan menggambarkan praktik residensi ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan post natal serta masalah reproduksi perempuan. Residen juga melakukan asuhan keperawatan dengan fokus penerapan model konsep need for help Wiedenbach dan Lost and grief Kubler Ross pada ibu bersalin dengan IUFD. masalah keperawatan yang mungkin muncul diakitkan dengan tahapan persalinan yang dibutuhkan klien. perbedaan yang terjadi pada klien berkaitan dengan psikologisnya yaitu dapat beradaptasi dengan cepat dan mengalami tahap penerimaan lebih cepat, dan ada yang proses penerimaannya membutuhkan waktu yang lama dan mengalami tahap tawar menawar serta penolakan yang lebih lama. selama praktik residensi ini kompetensi yang tercapai menjadikan pengalaman yang berarti dalam peningkatan keterampilan residen maternitas.

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ABSTRACTReproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident., Reproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident.]"

"[Kista endometriosis atau chocolate cyst adalah tumor jinak yang sering terjadi pada sistem reproduksi perempuan saat ini. Perempuan dengan masalah ini akan mengalami gangguan pada kualitas hidup seorang perempuan baik secara fisik, psikospiritual, lingkungan maupun sosiokultural. Resiko lainnya adalah timbulnya keganasan pada sistem reproduksi. Tujuan dari laporan ini adalah memberikan gambaran tentang pelaksanaan praktik residensi ners spesialis yaitu pengelolaan kasus klien kista endometriosis dengan pendekatan studi kasus yang menerapkan teori comfort dan loss & grief. Asuhan diberikan untuk mengatasi ketidaknyamanan yang dialami klien baik secara fisik, psikospiritual, lingkungan dan sosiokultural, pada saat penatalaksanaan pembedahan dilakukan pada klien. Pemilihan konsep teori keperawatan comfort yang dielaborasi dengan teori loss & grief dapat saling melengkapi sehingga asuhan yang diberikan dapat lebih maksimal., Endometriosis cyst or chocolate cyst is a benign tumor that often occurs in the female reproductive system currently. Women with this problem will experience impaired of life quality physically, psycho-spiritually, environmentally and socio-culturally. Another risk is the incidence of malignancies in the reproductive system. The purpose of this report was to provide an overview of the implementation of nurse specialist residency practice, namely case management of clients with endometriosis cysts with an approach of a case study applying the comfort and loss and grief theory. Care was given to overcome the discomfort experienced by clients physically, psycho-spiritually, environmentally and socio-culturally, during the surgery management was performed to the client. The selection of comfort nursing theory concept elaborated with loss and grief theory can complete each other so that the care provided can be maximized.]"

"[ABSTRAKAngka kematian ibu saat ini masih tinggi yang disebabkan karena komplikasi pada kehamilan dan persalinan, oleh karena itu perlunya peran tenaga kesehatan yang terkait termasuk perawat maternitas untuk memberikan pelayanan kesehatan profesional. Perawat spesialis maternitas dituntut mampu menjalankan perannya secara komprehensif. Laporan ini bertujuan untuk menggambarkan praktik residensi ners spesialis maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan postnatal normal dan berisiko serta bayi baru lahir normal dan berisiko, serta perempuan dengan masalah reproduksi dan ginekologi. Residen juga melakukan asuhan keperawatan dengan focus penerapan teori need for help dan comfort pada ibu bersalin dengan persalinan memanjang. Hasil menunjukkan bahwa kedua model efektif dapat diterapkan pada keenam kasus ibu bersalin dengan persalinan memanjang. Pencapaian kompetensi perawat spesialis maternitas dilakukan dengan penerapan peran perawat secara komprehensif.

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ABSTRACTMaternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively., Maternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively.]"

"[ABSTRAKPermasalahan kesehatan selama masa kehamilan membutuhkan perhatian dari petugas kesehatan sehingga proses kehamilan dan persalinan dapat berjalan selamat. Peran Ners spesialis keperawatan maternitas sangat diperlukan dalam upaya pencegahan dan penanggulangan masalah tersebut. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas dan memberikan gambaran fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan. Evaluasi yang diharapkan pada fase akut adalah kontraksi berhenti, dan tidak adanya tanda-tanda kegawatan maternal dan janin. Evaluasi pada fase pemeliharaan yaitu peningkatan kemandirian klien. Penerapan model dan konsep keperawatan need for help dan self care terbukti bermanfaat mengatasi kontraksi dalam kehamilan sehingga bisa di aplikasikan dalam proses asuhan keperawatan kontraksi dalam kehamilan.

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ABSTRACTHealth problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction., Health problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction.]"

"Karya ilmiah akhir ini disusun sebagai laporan dari praktik residensi spesialis keperawatan Maternitas yang berfokus pada penerapan teori keperawatan Need for Help Wiedenbach dan Comfort Kolcaba pada asuhan keperawatan ibu yang mengalami partus lama Tujuan penulisan laporan ini untuk memberikan gambaran pelaksanaan praktik Spesialis Keperawatan Maternitas dalam menjalankan perannya sebagai pemberi pelayanan keperawatan edukator konselor advokat pengelola kolaborator komunikator dan koordinator agen perubah dan peneliti dalam memberikan asuhan keperawatan pada perempuan sepanjang periode kehidupannya dengan menerapkan teori keperawatan Aplikasi teori keperawatan need for help Wiedenbach dan Theory of Comfort Kolcaba efektif dilakukan pada enam ibu dengan partus lama Aplikasi teori tersebut berhasil membantu menyelesaikan masalah keperawatan dan meningkatkan kenyamanan klien selama persalinan Setelah melaksanakan praktik residensi spesialis keperawatan maternitas penulis mampu mencapai target kompetensi dengan baik Kata kunci asuhan keperawatan partus lama teori keperawatan 'comfort' teori keperawatan 'need for help'

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This final scientific report aimed to report the clinical practice of maternity nursing specialist which focus on the application of Wiedenbach's theory of the need for help and Kolcaba's theory of comfort in the nursing care to clients who experience prolonged labour The purpose of this report is to describe the implementation of maternity nursing specialist practices in their role as care giver educator counselor advocate collaborator communicator coordinator innovators and researchers The competencies also achieved through application of nursing theory in the nursing care The application of Wiedenbach's theory of need for help and Kolcaba's theory of comfort in the nursing care was effective to resolve client's health problem and increased the comfort of the mother during labour After finishing residential practice of maternity nursing specialist the competencies was achieved with a good result Keyword nursing process nursing theory of comfort nursing theory of need for help prolonged labour "

"[Karya ilmiah akhir ini disusun sebagai laporan dari praktik residensi spesialis keperawatan Maternitas yang berfokus pada penerapan teori keperawatan Need for Help Wiedenbach dan Comfort Kolcaba pada asuhan keperawatan ibu yang mengalami retensio plasenta. Tujuan penulisan laporan ini untuk memberikan gambaran aplikasi teori Wiedenbach dan Kolcaba pada kasus retensio plasenta serta memberikan gambaran pelaksanaan praktik Spesialis Keperawatan Maternitas dalam menjalankan perannya sebagai pemberi pelayanan keperawatan, edukator, konselor, advokat, pengelola, kolaborator, komunikator dan koordinator, agen perubah dan peneliti dalam memberikan asuhan keperawatan pada perempuan sepanjang periode kehidupannya dengan menerapkan teori keperawatan. Aplikasi teori keperawatan need for help Wiedenbach dan Theory of Comfort Kolcaba efektif dilakukan pada lima ibu dengan retensio plasenta. Teori keperawatan Need for Help dari Wiedenbach menjadi pilihan untuk kasus retensio plasenta diruang gawat darurat. Penekanan teori ini berdasarkan kebutuhan ibu harus segera dipenuhi yang sifatnya gawat darurat. Labor is a holistic event and Comfort is a holistic phenomenon. Kenyamanan adalah fenomena holistik dan kebutuhan dasar manusia. Oleh karena itu perawat berupaya mengatasi kelemahan teori need for help Wiedenbach dengan menggabungkannya dengan Theory of Comfort Kolcaba. Teori keperawatan ini untuk mengatasi ketidaknyamanan dari aspek fisik, psikospiritual, sosial dan lingkungan sehingga asuhan keperawatan secara komprehensif dapat diberikan. Theory of Comfort Kolkaba terintegrasi dalam penerapan teori need for help Wiedenbach pada asuhan keperawatan ibu dengan retensio plasenta., This final scientific report aimed to report the clinical practice of maternity nursing specialist which focus on the application of Wiedenbach’s theory of the need for help and Kolcaba’s theory of comfort in the nursing care to clients who experience retained placenta. The purpose of this report to provide an overview of the application and Kolcaba Wiedenbach theory in the case of retained placenta and describe the implementation of maternity nursing specialist practices in their role as care giver, educator, counselor, advocate, collaborator, communicator, coordinator, innovators and researchers. Application of nursing theory need for help Wiedenbach and theory of Comfort Kolcaba effectively done in five women with retained placenta. Nursing theory Need for Help from Wiedenbach be an option for retained placenta cases in emergency ward. The emphasis of this theory is based on the needs of the mother must be met emergency nature. Labor is a holistic event and Comfort is a holistic phenomenon. Comfort is a holistic phenomenon and basic human needs. Therefore, the nurse tried to address the weaknesses of the theory of the need for help Wiedenbach combine with theory of Comfort Kolcaba. This nursing theory to address the discomfort of physical aspects, phsycospiritual, social and environment so comprehensively nursing care can be given. Theory of Comfort Kolcaba integrated in the application of the theory of the need for help Wiedenbach nursing mothers with retained placenta .]"

"Persalinan kala dua memanjang merupakan kondisi yang memerlukan penanganan perawat agar tidak terjadi dehidrasi atau kelelahan pada ibu dan mencegah gawat janin. Penatalaksanaan keperawatan pada ibu yang mengalami persalinan kala dua memanjang dengan memberikan asuhan keperawatan secara fisik dan psikologis. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori need for help Wiedenbach dan comfort Kolcaba pada asuhan keperawatan ibu yang mengalami persalinan kala dua memanjang. Aplikasi teori need for help Wiedenbach dan comfort Kolcaba efektif diterapkan pada kelima kasus yang berfokus pada masa intranatal baik secara fisik dan psikologis, mencegah dampak persalinan kala dua memanjang terhadap kondisi ibu dan janin serta mengkaji pernyataan klien tentang bantuan yang dibutuhkan kepada perawat. Dengan intervensi keperawatan yang sesuai dengan bantuan yang dibutuhkan klien maka masalah klien dalam keadaan emergency teratasi dan kebutuhan rasa nyaman dapat terpenuhi.

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Prolonged second stage of labor is a condition requiring nurse handling to avoid dehydration or fatigue of the mother and prevent fetal distress. Management of nursing in mother who experience prolonged labor by giving physical and psychological nursing care. The method used is case study with focus on the application of the theory of need for help Wiedenbach and comfort Kolcaba on nursing care in mother who experienced prolonged second stage of labor. The application of need for help Wiedenbach and comfort Kolcaba theories effectively applied to the five cases that focused on intranatal phase both physically and psychological, prevent the impact of prolonged second stage of labor in mother and fetus condition, as well as reviewing the clients statement about the assistance needed to the nurse. Appropriate nursing interventions can address client problems in an emergency and comfort needs can be met."

"ABSTRAKIntrauterine fetal death (IUFD) adalah janin yang mati dalam rahim dengan berat 500 gram atau lebih atau kematian janin dalam rahim pada kehamilan 20 minggu atau lebih. Terdapat beberapa faktor penyebab IUFD yaitu maternal, fetal, dan plasenta. Kematian janin akan berdampak pada fisik maupun psikologis ibu sehingga dapat memengaruhi adaptasi mereka terhadap lingkungan. Teori adaptasi Roy dan Loss and Grieving Kubler  Ross  mengkaji  dan  menganalisa secara mendalam respon seseorang dalam beradaptasi terhadap perubahan serta membantu seseorang dalam mencapai adpatasinya baik secara fisiologis maupun psikologis. Penerapan teori  adaptasi Roy dan Kubler  Ross  dalam lima  kasus ini ditemukan masalah keperawatan berkaitan dengan fisik dan psikologis. Diagnosa yang muncul pada ibu post partum dengan IUFD sesuai dengan literatur diantara nya gangguan rasa nyaman nyeri, berduka dan kehilangan, gangguan istirahat dan tidur, defisit nutrisi, inefektif menyusui, resiko infeksi, gangguan keseimbangan volume cairan. Hasil intervensi yang dilakukan berdasarkan prinsip adaptasi Roy dan Loss and Grieving Klubler Ross pada kelima kasus menunjukkan bahwa aplikasi teori tersebut berhasil membantu menyelesaikan masalah keperawatan dan meningkatkan adaptasi dan mekanisme koping klien.

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ABSTRACTIntrauterine fetal death (IUFD) is a dead fetus in the womb with the weight 500 grams or more or death of the fetus in the womb at 20 weeks or more. There are several factors causing IUFD that is maternal, fetal, and placenta. Fetal death will have an impact on the physical and psychological mothers so as to influence their adaptation to the environment. Roy and Loss and Grieving's adaptation theory Kubler Ross examines and analyzes in depth a person's response to adaptation to change and helps one achieve his or her adaptation both physiologically and psychologically. The application of the theory of adaptation Roy and Kubler Ross in these five cases found nursing problems related to physical and psychological. Diagnosis that occurs in the post-partum mother with IUFD in accordance with the literature between the discomfort of pain,loss and grieving, rest and sleep disorders, nutritional deficits, inefective breastfeeding, infection risk, disturbance of fluid volume balance. The results of the intervention based on Roy's adaptation principle and Loss and Grieving Klubler Ross in the five cases indicate that the application of the theory successfully helped solve nursing problems and improve client's coping and adaptation mechanisms.

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"[Integrasi teori model need for help Wiedenbach dengan self care Orem pada asuhan keperawatan pasien dengan mola hidatidosa menjadi kerangka kerja praktik Residensi keperawatan maternitas selama satu tahun. Laporan ini bertujuan untuk memberikan gambaran asuhan keperawatan pada kehamilan normal dan resiko tinggi, perempuan yang mengalami masalah reproduksi, dan ginekologi pada tatanan klinik atau komunitas. Hasil Residensi menunjukan bahwa kedua model tersebut efektif dan efesien dalam membantu mengatasi permasalahan pasien dengan mola hidatidosa. Pencapaian kompetensi Perawat Spesialis Maternitas dilakukan melalui penerapan peran Perawat secara komprehensif., Integration theory models Wiedenbach need for help with self-care Orem on nursing care of patients with hydatidiform mole into the framework of maternity nursing practice residency for one year. This report aims to provide an overview of nursing care in the normal and high-risk pregnancy, women who have reproductive problems, and gynecology at the clinic or community order. Residency results showed that both models are effective and efficient in helping to overcome the problems of patients with hydatidiform mole. Achievement of competence Specialist Nurse Maternity Nurse role is done through the implementation of a comprehensive manner.]"