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Komunikasi terapeutik merupakan bagian penting dalam keberhasilan asuhan keperawatan. Mahasiswa keperawatan sebagai calon perawat dituntut untuk memiliki keterampilan berkomunikasi secara terapeutik. Tujuan penelitian ini yaitu untuk mengidentifikasi penerapan teknik komunikasi terapeutik pada mahasiswa keperawatan tingkat akhir. Desain penelitian menggunakan deskriptif cross-sectional dengan total sampel sebesar 263. Sampel diambil berasarkan teknik stratified random sampling dan random sampling pada tiga universitas terakreditasi A di area Jakarta. Hasil penelitian menunjukkan bahwa terdapat 51% telah menerapkan fase komunikasi terapeutik dengan baik dan 50,6% telah menerapkan teknik komunikasi terapeutik dengan baik. Penelitian mendapakan kesimpulan bahwa masih terdapat lebih dari 40% mahasiswa keperawatan tingkat akhir yang memiliki komunikasi terapeutik kurang, sehingga diperlukan perubahan strategi pembelajaran dalam upaya peningkatan kemampuan komunikasi terapeutik mahasiswa. 

 

 

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Therapeutic communication is an essential part of successful nursing care. Nursing students, as prospective nurses, are required to have therapeutic communication skills. The purpose of this study is to identify the implementation of therapeutic communication techniques in undergraduate nursing students. The study design used a descriptive cross-sectional with a total sample of 263. Samples were taken based on stratified random sampling and random sampling techniques at three universities around Jakarta. The results showed that 51% had applied the therapeutic communication phase well, and 50,6% had applied the therapeutic communication technique well. The study concluded that there are still more than 40% of undergraduate nursing students who have less therapeutic communication, so it is necessary to change learning strategies to improve students therapeutic communication skills.

 

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"ABSTRAKPraktik klinik sebagai bagian integral dari pendidikan keperawatan memberikan mahasiswa keperawatan kesempatan untuk mendapatkan pengalaman klinis dalam keterampilan dan prosedur keperawatan, salah satunya dalam pemenuhan kebutuhan dasar pasien. Mahasiswa juga dapat memperdalam bagian teoritis keperawatan dalam lingkungan klinis kehidupan nyata. Mahasiswa dalam praktiknya, terkadang tidak melaksanakan pemenuhan kebutuhan dasar pada pasien. Keterlaksanaan pemenuhan kebutuhan dasar dalam praktiknya disebabkan berbagai faktor, baik internal maupun eksternal. Tujuan dari penelitian ini yaitu untuk mengidentifikasi faktor-faktor yang berhubungan dengan keterlaksanaan praktik pemenuhan kebutuhan dasar pasien oleh mahasiswa keperawatan. Desain penelitian ini menggunakan cross-sectional. Sampel penelitian yaitu dengan teknik purposive non-random sampling sebanyak 202 responden mahasiswa keperawatan yang sedang melakukan praktik klinik. Hasil uji penelitian menunjukkan faktor internal yang berhubungan dengan pelaksanaan pemenuhan kebutuhan dasar pasien oleh mahasiswa yang sedang praktik klinik yaitu usia, angkatan, program studi, pengetahuan, keterampilan, sikap, motivasi, serta nilai dan norma (p < 0,001), sedangkan faktor eksternal yang berhubungan dengan pelaksanaan pemenuhan kebutuhan dasar pasien oleh mahasiswa yang sedang praktik klinik yaitu komunikasi, sumber daya material, dan sumber daya manusia (p < 0,001). Institusi pendidikan dan pelayanan keperawatan diharapkan dapat melakukan edukasi dan kegiatan lain yang sesuai terkait pelaksanaan pemenuhan kebutuhan dasar pasien, sehingga meminimalisir adanya gangguan dalam pelaksanaan pemenuhan kebutuhan dasar pasien.

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ABSTRACT

Clinical practice as an integral part of nursing education offers nursing students the opportunity to gain clinical experience in nursing skills and procedures, including implementing the patient's basic needs, as well as deepening the theoretical part of nursing in a real-life clinical environment. Sometimes when the nursing students in clinical practice, they missed to implementing the patient's basic needs. Basic needs in practice are influenced by several factors, both external and internal factors. The purpose of this study is to identify factors related to the implementation of the practice of meeting the basic needs of patients by nursing students. The study design was cross-sectional. 202 nursing student respondents who are doing clinical practice selected through purposive non-random sampling technique. The results showed internal factors related to the implementation of the patient's basic needs by nursing students who were in clinical practice, specifically age, batch, educational program level, knowledge, skills, attitudes, motivation, including values and norms (p < 0.001). In addition, external factors related to implementation of the patient's basic needs by nursing students who were in clinical practice, specifically communication, material resources, and human resources (p <0.001). Educational institutions and nursing services are expected to be able to carry out education and other relevant activities related to the implementation of the patient's basic needs, thereby minimizing the disruption in the implementation of the patient's basic needs."

"ABSTRAK

Pemberian ASI Eksklusif di DKI Jakarta masih perlu di promosikan untuk meningkatkan kesejahteraan ibu dan bayi terutama selama pandemi Covid-19. Faktor yang memengaruhi ibu postpartum dalam menyusui  diantaranya adalah nyeri saat menyusui serta perasaan kurangnya produksi ASI yang dapat menyebabkan  ibu berhenti menyusui.  Tujuan dari penulisan ini adalah  untuk menganalisis asuhan keperawatan pada Ibu postpartum guna meningkatkan pemberian ASI selama pandemi Covid-19. Metode yang digunakan adalah case study pada pasien puskesmas Kecamatan Ciracas yang mengalami nyeri payudara dan perasaan ASI kurang. Salah satu intervensi untuk mengatasi hal tersebut adalah dengan memberikan therapeutic breast massage (TBM). Hasil evaluasi penerapan intervensi TBM menunjukan penurunan nyeri saat menyusui dan peningkatan kepercayaan diri klien dalam melanjutkan pemberian ASI secara eksklusif. Direkomendasikan pemberian  Intervensi   TBM pada ibu menyusui untuk meningkatkan kesejahteraan ibu dan bayi selama masa pandemi.

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ABSTRACT

Exclusive breastfeeding in DKI Jakarta still needs to be promoted to improve the welfare of mothers and babies during the Covid-19 pandemic. There are many factors that influence the ability of postpartum mothers in breastfeeding such as breast pain and lack of breast milk, which if not given proper intervention, will cause the mother to stop their breastfeeding and replace it with formula milk. The purpose of this paper is to analyze the nursing care of postpartum mothers in order to increase their breastfeeding practice during the Covid-19 pandemic. This research used a case study research metode and held in one of the Ciracas subdistrict health center. The participant is a patient who experienced breast pain and lack of breast milk. One of the interventions used to overcome those problems was by providing therapeutic breast massage (TBM). After doing the intervention, the application of TBM interventions could decrease breast pain and increase patient confidence. Therefore, TBM interventions could be given to breastfeeding mothers to improve the welfare of mothers and babies during this pandemic."

"Perubahan-perubahan pada aspek perkembangan usia remaja dapat memicu terjadinya stres dan mengarah pada perilaku berisiko seperti merokok, minum minuman keras, dan penyalahgunaan NAPZA. Terapi kelompok terapeutik dan problem-solving therapy merupakan tindakan spesialis keperawatan jiwa yang diharapkan mampu meningkatkan aspek perkembangan dan kemampuan penyelesaian masalah untuk mencegah penggunaan NAPZA. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kelompok terapeutik dan problem-solving therapy terhadap aspek perkembangan, kemampuan penyelesaian masalah, dan penggunaan NAPZA dalam pencegahan penyalahgunaan NAPZA pada remaja di SMK. Desain penelitian yang digunakan yaitu quasi experimental pre-post test with control group. Sebanyak 125 remaja dibagi menjadi 2 kelompok yaitu kelompok yang mendapatkan terapi kelompok terapeutik dan problem-solving therapy dan kelompok yang mendapatkan terapi kelompok terapeutik. Teknik sampling yang digunakan adalah purposive sampling dan systematic random sampling. Hasil penelitian menunjukkan peningkatan aspek perkembangan dan kemampuan penyelesaian masalah secara bermakna setelah mendapatkan terapi kelompok terapeutik namun masih belum optimal (p value < 0,05); peningkatan aspek perkembangan dan kemampuan penyelesaian masalah secara bermakna setelah mendapatkan terapi kelompok terapeutik dan problem-solving therapy namun masih belum optimal (p value < 0,05); peningkatan aspek perkembangan dan kemampuan penyelesaian masalah pada remaja yang mendapatkan terapi kelompok terapeutik dan problem-solving therapy lebih tinggi secara bermakna (p value < 0,05) dibandingkan remaja yang mendapatkan terapi kelompok terapeutik; penggunaan NAPZA pada remaja setelah mendapat terapi kelompok terapeutik ditemukan ada 2 orang pada kategori rendah; penggunaan NAPZA pada semua remaja yang mendapatkan terapi kelompok terapeutik dan problem-solving therapy dapat bertahan pada kategori bersih dari NAPZA, sedangkan pada remaja yang mendapatkan terapi kelompok terapeutik ditemukan ada 4 orang pada kategori rendah. Terapi kelompok terapeutik dan problem-solving therapy direkomendasikan sebagai tindakan pencegahan penyalahgunaan NAPZA pada remaja di sekolah menengah kejuruan.

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Changes in the developmental aspects of adolescence can trigger stress and lead to risky behaviors such as smoking, drinking alcohol, and drug abuse. Therapeutic group therapy and problem-solving therapy are the intervention of psychiatric nursing specialists which are expected to be able to improve developmental aspects and problem-solving abilities to prevent drug use. This study aimed to determine the effect of therapeutic group therapy and problemsolving therapy on aspects of development, problem-solving ability, and the use of drugs in preventing drug abuse in adolescents in vocational high schools. The research design was used a quasi-experimental pre-post test with the control group. 125 adolescents were divided into 2 groups, one group received therapeutic group therapy and problem-solving therapy and the others received therapeutic group therapy. Sampling technique used purposive sampling and systematic random sampling.

The results showed significantly increased in the developmental aspects and the ability to solve problems after receiving therapeutic group therapy but still not optimal (p-value <0.05); the developmental aspects and the ability to solve problems increase significantly after getting therapeutic group therapy and problem-solving therapy but still not optimal (p-value <0.05); there was significantly increase in developmental aspects and the ability to solve problems in adolescents who received therapeutic group therapy and problemsolving therapy was higher (p-value <0.05) than adolescents who only received therapeutic group therapy; drug use in adolescents found there were 2 people in the low category after receiving therapeutic group therapy; drugs use in all adolescents who get therapeutic group therapy and problem solving therapy can survive in the "none" category of drugs, whereas in adolescents who get therapeutic group therapy found there was 4 people in low category. Therapeutic group therapy and problem-solving therapy are recommended as a drug use prevention for adolescents in vocational high schools."

"[ABSTRAK BPH salah satu penyakit yang sering ditemukan di negara-negara berkembang, prevelansi dan insiden BPH banyak terjadi pada lansia pria yang banyak tinggal di daerah perkotaan dan menempati presentase kasus urologi yang paling umum terjadi dimana kasusnya mencapai 75%. Kasus BPH di perkotaan sering ditangani dengan tindakan Transurethral Resection Prostate (TURP). Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penulisan ini memaparkan dan menganalisis asuhan keperawatan post operasi yang menitikberatkan pada implementasi pemantauan irigasi bladder. Hasil analisis menunjukkan ada hal-hal yang harus diperhatikan oleh perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, dan pemantauan tanda-tanda penyumbatan kateter. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada pasien post op TURP; ABSTRACT BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client., BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.]"