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"ABSTRAKAsuhan keperawatan holistik peka budaya (AKHPB) sangat penting diberikan pada ibu pascaseksio sesarea. Tujuan penelitian yaitu memperoleh model asuhan keperawatan holistik peka budaya yang efektif untuk meningkatkan kemampuan merawat dan kepuasan.Penelitian ini menggunakan pendekatan action research melalui tiga tahap penelitian yaitu:Tahap I, identifikasi masalah pelayanan dengan penelitian kualitatif dengan desain fenomenologi deskriptif dan kuantitasif deskriptif.Tahap II, solusi pengembangaan model asuhan keperawatan holistik peka budaya pada ibu pascaseksio melalui pengembangan instrumen, seminar pakar dan pelatihan kompetensi budaya perawat pelaksana. Tahap III, uji coba dan evaluasi model dengan desain quasi experiment with control group design. Hasil tahap I, diperoleh 5 tema dari partisipan ibu pascaseksio dan 6 tema dari perawat pelaksana , tahap II, dihasilkan model asuhan keperawatan holistik peka budaya dengan dua modul dan panduan bagi perawat, hasil pelatihan didapatkan peningkatan pengetahuan, kesadaran diri, sikap, ketrampilan peka budaya dan kemampuan mendokumentasikan asuhan keperawatan.Tahap III, terdapat perbedaan bermakna kemampuan merawat diri, dan kemampuan merawat bayi dan kepuasan antara sebelum dan sesudah implementasi model.Kesimpulan, model Asuhan keperawatan holistik peka budaya efektif meningkatkan kemampuan merawat diri, kemampuan merawat bayi, dan kepuasan ibu pascaseksio. Rekomendasi: (1) replikasi model pada budaya yang berbeda, (2) implementasi model di setiap rumah sakit, (3) Pelatihan berkelanjutan bagi perawat maternitas, (4) pengembangan kurikulum pendidikan berbasis budaya dan (5) penelitian lanjut yaitu model AKHPB meningkatkan kesehatan reproduksi perempuan.

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ABSTRAKCulturally sensitive, holistic nursing care (CSHNC) is very important to be given to postcaesarean mothers. The purpose of the study was to obtain a model of culturally sensitive, holistic nursing care which is effective to improve the ability of care and satisfaction.This research applied an action research approach through three stages of research, namely:Stage I, the identification of service problems by qualitative research with phenomenological descriptive and quantitative descriptive design.Stage II, the solution of the culturally sensitive, holistic nursing care model development to postcaesarean mothers through the instrument development, expert seminars and cultural competency training for staff nurses. Stage III, Model trial and evaluation with a quasi-experiment design with control group design. The first stage acquired 5 themes from postcaesarean mother participants and 6 themes from nurses. Stage II produced a model of culturally sensitive, holistic nursing care with two modules and guides for nurses, the training results were the increase of knowledge, self-awareness, attitudes, culturally sensitive skills, and the ability to document the nursing care.Stage III, there was a significant difference of self-care and infant care ability, as well as the satisfaction before and after the implementation of the model. In conclusion, the model of culturally sensitive, holistic nursing care was effective to enhance the postcaesarean mothers? self-care and infant-care ability, as well as the maternal satisfaction.Recommendations: (1) the replication of the model in different cultures, (2) the implementation of the model in every hospital, (3) the ongoing training for maternity nurses, (4) the development of culture-based education curriculum and (5) the further research, namely CSHNC model to improve female reproductive health."

"Peningkatan kasus kanker serviks di Indonesia mengakibatkan permasalahan kompleks, menyangkut seluruh aspek kehidupan, membutuhkan penanganan holistik agar pasien adaptif. Penelitian ini bertujuan untuk membuat dan mengevaluasi model asuhan keperawatan holistik-adaptif sebagai upaya membantu mengatasi permasalahan melalui peningkatan kemampuan adaptasi pasien secara fisik, psikologis, sosial dan spiritual. Desain penelitian Action research dengan pendekatan mixed methods pada pengkajian masalah, pengembangan, dan evaluasi model. Model diaplikasikan di Bandung pada 96 responden pada dua kelompok berbeda. Sampel diambil purposive, matching, randomization. Hasil menggambarkan model yang diterapkan mampu membantu kelompok intervensi beradaptasi 22,4 kali dibanding kelompok kontrol, p=0,005. Confounding faktor adalah self-efficacy. Faktor lainnya yang berpengaruh adalah pekerjaan, dan stadium penyakit. Keberhasilan intervensi ditentukan oleh kemampuan perawat/bidan saat melakukan asuhan keperawatan.

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The complex problems caused by increasing cases of cervical cancer in Indonesia needs a holistic approach to guide patient adaptive to new condition. This research aims to create a model to help patient during adaptation process physically, psychological, socially and spiritually. Design was action research, used mixed methods during problem identification, model development and model evaluation. Model applied at a General Hospital in Bandung. Samples were taken purposively, matching, randomization. The results illustrate the ratio between the intervention and control groups based on adaptability was 22,4 : 1, p=0,005. Confounding factors was self-efficacy. Other factors that influences adaptation process were stadium and work. Success of the intervention determined by the ability of nurses or midwives in performing nursing care."