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Perawatan pasien dengan perilaku agresif dapat menjadi suatu hal yang kompleks, dikarenakan karakteristik pasien gangguan jiwa yang unik seperti kesulitan berkomunikasi, menarik diri, bahkan cenderung agresif. Kesiapan fisik dan psikologis mutlak diperlukan perawat dalam menjalankan tugasnya, karena kondisi mental pasien gangguan jiwa yang labil dan sulit diprediksi. Merawat pasien gangguan jiwa dengan perilaku agresif merupakan suatu kondisi yang dihadapi oleh perawat kesehatan jiwa khususnya di ruang PHCU. Tujuan dari penelitian ini adalah untuk memperoleh pemahaman yang mendalam tentang makna pengalaman perawat kesehatan jiwa dalam merawat pasien gangguan jiwa dengan perilaku agresif di Ruang PHCU RSJ. Desain penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi deskriptif. Partisipan dalam penelitian ini adalah 12 orang perawat kesehatan jiwa yang telah berdinas diruang PHCU RSJ minimal 3 tahun. Metode pengumpulan data dilakukan dengan wawancara mendalam dengan pertanyaan semi terstruktur. Hasil penelitian ini dianalisis menggunakan teknik Colaizzi. Penelitian ini menghasilkan delapan tema yaitu: 1) Pengetahuan perawat dalam merawat pasien, 2) Respon holistik perawat dalam merawat pasien, 3) Tindakan perawat dalam merawat pasien, 4) Hambatan sumber daya dalam merawat pasien, 5) Dampak merawat pasien terhadap perawat, 6) Koping perawat dalam merawat pasien, 7) Harapan Perawat dalam merawat pasien, 8) Hikmah merawat pasien. Penelitian ini merekomendasikan agar perawat kesehatan jiwa dapat menyiapkan kondisi secara fisik maupun psikologis dan mengoptimalkan kerjasama antar perawat dalam penanganan pasien gangguan jiwa dengan perilaku agresif.

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Treatment of patients with aggressive behavior can be a complex matter, due to the unique characteristics of patients with mental disorders such as difficulty communicating, withdrawing, and even tending to be aggressive. Nurses absolutely need physical and psychological readiness to carry out their work, because the mental condition of patients with mental disorders is unstable and difficult to predict. Caring for mental patients with aggressive behavior is a condition faced by mental health nurses, especially in the PHCU room. The purpose of this study was to gain a deep understanding of the meaning of the experience of mental health nurses in caring for mental patients with aggressive behavior in the PHCU Room of RSJ. The research design uses qualitative methods with a descriptive phenomenological approach. Participants in this study were 12 mental health nurses who had worked in the PHCU RSJ room for at least 3 years. The data collection method was carried out through in-depth interviews with semi-structured questions. The results of this study were analyzed using the Colaizzi technique. This study produced eight themes, namely: 1) Knowledge of nurses in caring for patients, 2) Holistic responses of nurses in caring for patients, 3) Actions of nurses in caring for patients, 4) Resource constraints in caring for patients, 5) Impact of caring for patients on nurses, 6) Coping of nurses in caring for patients, 7) Nurses' expectations in caring for patients, 8) Wisdom in caring for patients. This study recommends that mental health nurses prepare physical and psychological conditions and optimize collaboration between nurses in handling mental patients with aggressive behavior.

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"Klien gangguan jiwa merupakan salah satu dari kelompok rentan terdampak pandemi COVID-19. Kasus terkonfirmasi yang semakin banyak berdampak terhadap peningkatan jumlah klien gangguan jiwa dengan COVID-19, khususnya yang menjalani perawatan di rumah sakit jiwa rujukan. Tujuan penelitian ini untuk mendapatkan pemahaman mendalam tentang makna merawat klien gangguan jiwa dengan COVID- 19. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi deskriptif. Partisipan penelitian adalah perawat kesehatan jiwa sebanyak 15 orang, yang didapatkan dengan teknik purposive sampling. Metode pengumpulan data dengan wawancara mendalam menggunakan pertanyaan semi terstruktur. Hasil wawancara dalam bentuk transkrip dianalisis dengan menggunakan teknik Colaizzi. Hasil penelitian menghasilkan lima tema yaitu pengalaman positif selama merawat klien gangguan jiwa dengan COVID-19, tantangan pemberian asuhan keperawatan klien gangguan jiwa dengan COVID-19, pengalaman fisik dan psikologis yang tidak menyenangkan, kesulitan fasilitas pendukung untuk stabilisasi masalah fisik, dan harapan perawat kesehatan jiwa dalam merawat klien gangguan jiwa dengan COVID-19. Penelitian ini merekomendasikan agar perawat kesehatan jiwa mempersiapkan diri secara fisik dan psikologis sebelum bertugas, meningkatkan kompetensinya terutama dalam perawatan masalah fisik klien gangguan jiwa dengan COVID-19.

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Clients with mental disorders are one of the vulnerable groups affected by the COVID- 19 pandemic. The increasing number of confirmed cases has an impact on the increase in the number of clients with mental disorders with COVID-19, especially those undergoing treatment at a referral mental hospital. The purpose of this study was to gain an in-depth understanding of the meaning of caring for clients with mental disorders with COVID-19. This study uses a qualitative design with a descriptive phenomenological approach. The research participants were 15 mental health nurses, which were obtained by purposive sampling technique. Methods of collecting data with in-depth interviews using semi-structured questions. The results of the interviews in the form of transcripts were analyzed using the Colaizzi technique. The results of the study produced five themes, namely positive experiences while caring for clients with mental disorders with COVID-19, challenges in providing nursing care for clients with mental disorders with COVID-19, unpleasant physical and psychological experiences, difficulties with supporting facilities for stabilizing physical problems, and expectations of mental health nurses in treating clients with mental disorders with COVID-19. This study recommends that mental health nurses to prepare physically and psychologically before serving, increase their competence, especially in treating physical problems for clients with mental disorders and COVID-19."

"Penelitian ini menganalisis tentang implementasi informed consent, kedudukan, dan peranan informed consent bagi pasien ODGJ di RSJ Prof. Dr. Soerojo Magelang (Soerojo Hospital). Masalah yang dibahas adalah mengenai implementasi informed consent bagi pasien ODGJ dan kedudukan serta peranan Soerojo Hospital dalam pengimplementasian informed consent. Penelitian ini menggunakan metode penelitian doktrinal. Implementasi informed consent bagi pasien ODGJ tanpa wali di Soerojo Hospital dilakukan melalui berbagai tahapan. Jika tidak ditemukan wali/keluarga pasien maka yang bertanggung jawab penuh adalah dari pihak Soerojo Hospital. Kedudukan Soerojo Hospital sebagai penanggung jawab tertuang dalam Kepdirut Nomor HK.HK.01.08/XXVI.3/1476/2022 dan Kepdirut Nomor HK.01.07/XXVI.3/2099/2019. Soerojo Hospital bertanggung jawab langsung atas segala tindakan medis yang dilaksanakan dan harus sesuai dengan kesepakatan atau informed consent yang disepakati oleh pasien. Dalam praktiknya, antara peraturan perundang-undangan dengan Kepdirut Soerojo Hospital dalam hal implementasi informed consent dan kedudukan rumah sakit sudah sesuai namun harus tetap dipertahankan dan ditingkatkan demi kesejahteraan pasien.

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This study analyzed the implementation of informed consent, its status, and its role for patients with mental disorders at Prof. Dr. Soerojo Magelang Psychiatric Hospital (Soerojo Hospital). The issues discussed include the implementation of informed consent for patients with mental disorders and the position and role of Soerojo Hospital in the implementation of informed consent. This study employed doctrinal research methods. The implementation of informed consent for patients with mental disorders without guardians at Soerojo Hospital is conducted through various stages. If no guardian or family member is found, Soerojo Hospital assumes full responsibility. The position of Soerojo Hospital as the responsible party is stipulated in Director’s Decree Number HK.HK.01.08/XXVI.3/1476/2022 and Director’s Decree Number HK.01.07/XXVI.3/2099/2019. Soerojo Hospital is directly responsible for all medical actions, which must follow the informed consent agreed by the patient. In practice, the regulations and the Director’s Decrees of Soerojo Hospital regarding the implementation of informed consent and the hospital's position are aligned, but continuous maintenance and enhancement are necessary for the patient's well-being."

"ABSTRAKSkripsi ini membahas hubungan dukungan sosial keluarga, teman, dan petugas kesehatan jiwa dengan beban keluarga penderita gangguan jiwa. Responden dari penlitian ini adalah keluarga yang memiliki dan merawat anggota keluarga dengan gangguan jiwa seperti skizofrenia, bipolar, dan deperesi berat. Dukungan sosial merupakan sistem dukungan yang penting dimiliki oleh keluarga penderita gangguan jiwa, untuk mencegah beban keluarga yang dapat menyebabkan tekanan emosional. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif dengan jenis penelitian deskriptif. Teknik pengumpulan data dalam penelitian ini menggunakan accidental sampling. Hasil dari penelitian ini menunjukan adanya korelasi negatif antara dukungan sosial keluarga, teman dan petugas kesehatan terhadap beban keluarga penderita gangguan jiwa. Hasil negatif tersebut menunjukan bahwa semakin rendah dukungan sosial keluarga, teman, dan petugas kesehatan jiwa yang dimiliki maka semakin berat beban keluarga yang dirasakan. Penelitian ini dilakukan di Rumah Sakit Jiwa Dharmawangsa dengan sampel 100 orang responden.

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ABSTRACTThis undergraduate thesis discusses correlation of social support from family, friend, and mental health professional with family burden of mental ilness patient. Subject of this undergraduate thesis is the family living with family member diagnosed with mental illness such as schizophrenia, bipolar, severe depression, and personality disorder. Social support is a support system that family who lives with family member with mental illness needed as protector from stress that is caused by taking care of family member with mental illness. This research use quantitative approach with descripitive research type. Accidental sampling was used as a sampling methode for this research The result of this research show low social support received from family and friends, high social support receives from mental health professional. This research also show low level of family burden. Negative correlates was found in this research. This research has taken place in Dharmawangsa Mental Hospital with 100 responden."

"Safewards merupakan suatu pendekatan untuk memberikan layanan kesehatan mental rawat inap dengan tujuan meminimalkan jumlah konflik yang muncul antara perawat dan klien pada penggunaan intervensi pembatasan dan atau penahanan. Peneltian ini bertujuan untuk menilai karakteristik perawat meliputi jenis kelamin, usia, tingkat pendidikan, pengalaman kerja, pelatihan safewards yang pernah diikuti dan mengidentifikasi kesiapan perawat yang meliputi sikap, pengetahuan yang dipersepsikan serta keterampilan. Penelitian dilakukan menggunakan desain deskriptif dengan sampel berjumlah 124 orang perawat. Sampel dipilih dengan menggunakan metode total sampling. Hasil peneltian didapatkan bahwa 77,42 % responden memiliki sikap positif terhadap safewards, 62,90 % memiliki pengetahuan yang baik serta 54% memilki keterampilan yang tinggi. Hasil penelitian ini merekomendasikan perlunya ada pelatihan mengenai safewads di semua level perawat untuk meningkatkan kesiapan perawat dalam mengimplementasikan pendekatan safewards.

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Safewards is an approach to providing inpatient mental health services with the aim of minimizing the number of conflicts that arise between nurses and clients on the use of restriction and or containment interventions. This study aims to assess the characteristics of nurses including gender, age, education level, work experience, safewards training that has been attended and identify nurse preparation which includes attitudes, perceived knowledge and skills. The research was conducted using a descriptive design with a sample of 124 nurses. The sample was selected using the total sampling method. The research results found that 77.42% of respondents had a positive attitude towards safewards, 62.90% had good knowledge and 54% had high skills. The results of this study recommend that there is a need for training on safewads at all levels of nurses to increase nurse readiness in implementing the safewards approach.

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"Safewards merupakan suatu pendekatan untuk memberikan layanan kesehatan mental rawat inap dengan tujuan meminimalkan jumlah konflik yang muncul antara perawat dan klien pada penggunaan intervensi pembatasan dan atau penahanan. Peneltian ini bertujuan untuk menilai karakteristik perawat meliputi jenis kelamin, usia, tingkat pendidikan, pengalaman kerja, pelatihan safewards yang pernah diikuti dan mengidentifikasi kesiapan perawat yang meliputi sikap, pengetahuan yang dipersepsikan serta keterampilan. Penelitian dilakukan menggunakan desain deskriptif dengan sampel berjumlah 124 orang perawat. Sampel dipilih dengan menggunakan metode total sampling. Hasil peneltian didapatkan bahwa 77,42 % responden memiliki sikap positif terhadap safewards, 62,90 % memiliki pengetahuan yang baik serta 54% memilki keterampilan yang tinggi. Hasil penelitian ini merekomendasikan perlunya ada pelatihan mengenai safewads di semua level perawat untuk meningkatkan kesiapan perawat dalam mengimplementasikan pendekatan safewards.

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Safewards is an approach to providing inpatient mental health services with the aim of minimizing the number of conflicts that arise between nurses and clients on the use of restriction and or containment interventions. This study aims to assess the characteristics of nurses including gender, age, education level, work experience, safewards training that has been attended and identify nurse preparation which includes attitudes, perceived knowledge and skills. The research was conducted using a descriptive design with a sample of 124 nurses. The sample was selected using the total sampling method. The research results found that 77.42% of respondents had a positive attitude towards safewards, 62.90% had good knowledge and 54% had high skills. The results of this study recommend that there is a need for training on safewads at all levels of nurses to increase nurse readiness in implementing the safewards approach."

"COVID-19 adalah penyakit menular yang disebabkan oleh virus SARS-CoV-2 dan menjadi masalah kesehatan dunia. Virus COVID-19 berdampak pada kesehatan fisik, mental hingga mempengaruhi kualitas tidur perawat. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan terhadap kualitas tidur pada perawat yang merawat pasien COVID-19. Desain penelitian ini menggunakan deskriptif retrospektif dengan simple random sampling. Sebanyak 123 responden diikutsertakan dari salah satu rs x daerah Depok. Data diambil pada bulan februari hingga maret 2023. Kuesioner penelitian menggunakan Zung self-rating anxiety scale (ZSAS) dan Pittsburgh Sleep Quality Index (PSQI). Hasil penelitan menunjukkan 78.9% perawat yang merawat pasien COVID-19 memiliki kualitas tidur buruk dan 87% mengalami tingkat kecemasa ringan. Selain itu diperoleh hasil p value 0.017 sehingga terdapat hubungan bermakna antara tingkat kecemasan dengan kualitas tidur perawat yang merawat pasien COVID-19 (p=0,017). Perawat bagian managerial diharapkan lebih memperhatikan kualitas tidur perawat melalui staffing yang baik, Perawat diharapkan dapat menjaga kualitas tidur sehingga dapat memberikan asuhan keperawatan dengan optimal

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COVID-19 is an infectious disease caused by the SARS-CoV-2 virus and has become a global health problem. The COVID-19 virus can have an impact on physical and mental health and also can affect the quality of sleep for nurses. This study aims to find the relationship between anxiety level and sleep quality in nurses who caring for COVID-19 patients. Design used retrospective descriptive with simple random sampling. Total respondent was 123 respondents at one of the hospital in Depok. The questionnaire used the Zung self-rating anxiety scale (ZSAS) and the Pittsburgh Sleep Quality Index (PSQI). The results of the study showed that 78.9% of nurses caring for COVID-19 patients had poor sleep quality and 87% experienced mild levels of anxiety. In addition, there was a significant relationship between anxiety levels and sleep quality for nurses caring for COVID-19 patients (p = 0.017). Managerial nurses are expected to pay more attention to the quality of nurse sleep through good staffing. Nurses are expected to be able to maintain sleep quality so that they can provide optimal nursing care"

"Psychiatric and Mental Health Nursing has established itself as Australia and New Zealand's foremost mental health nursing text and is an essential resource for all undergraduate nursing students. This new edition has been thoroughly revised and updated to reflect current research and changing attitudes about mental health, mental health services and mental health nursing in Australia and New Zealand. Set within a recovery and consumer-focused framework, this text provides vital information for approaching the most familiar disorders mental health nurses and students will see in clinical practice, along with helpful suggestions about what the mental health nurse can say and do to interact effectively with consumers and their families. The fourth edition has a strong focus on the mental health nurse's experience and provides consumer perspectives, giving students invaluable insights into the lived experience of consumers covering a variety of mental health disorders."

"ABSTRAKJepang merupakan negara dengan penderita gangguan mental yang tinggi. Penderita gangguan mental di Jepangtercatat sebagai yang tertinggi di antara negara OECD berdasarkan indikator angka ranjang rawat inap. Angkaranjang rawat inap tersebut bisa dijadikan indikator tingginya angka penderita gangguan mental berdasarkanpenanganan terhadap penderita gangguan mental di Jepang yang masih terfokus pada penanganan di dalaminstitusi kesahatan dan bukan penanganan berbasis masyarakat. Masalah kesehatan mental yang semakinberkembang di Jepang tidak diiringi dengan pemahaman masyarakat umum mengenai hal tersebut sehinggamuncul stigma negatif terhadapnya. Tulisan ini mencoba menjelaskan stigma negatif terhadap penderitagangguan mental di Jepang. Corrigan Watson menjelaskan teori stigma yang terdiri dari stereotip, prasangka,dan diskriminasi. Teori tersebut dapat menunjukkan bentuk stigma terhadap penderita gangguan mental. Hasilanalisis menunjukkan bahwa stigma negatif terhadap penderita gangguan mental di Jepang muncul akibatadanya penolakan terhadap perbedaan, minimnya peran keluarga dalam perawatan anggota keluarga penderitagangguan mental dan keinginan keluarga untuk membentuk jarak, serta rendahnya pengetahuan masyarakatmengenai kesehatan mental sehingga menimbulkan banyak asumsi dan membentuk sikap tergeneralisasiterhadap penderita gangguan mental sehingga membentuk jarak sosial.

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ABSTRACTJapan is a country with high number of mental disorder patients. The number of patients with mental disorder inJapan is the highest among OECD countries based on the inpatient bed numbers indicator. The inpatient bednumbers can be used as the indicator to show the high number of mental disorder patient based on the treatment that is still focused on institutionalization of the patients with mental disorder and not by a community-based treatment. The growing problem concerning mental health in Japan is not in accordance to the general public rsquo;s understanding thus creating a negative stigma about it. This paper attempts to explain the negative stigma towards mental disorder patients in Japan. Corrigan Watson describe the theory of stigma that includesstereotype, assumption, and discrimination. This theory can explain the stigma towards mental disorder patients. The result shows that the negative stigma towards mental disorder patients in Japan is caused by rejection towards difference, lack of family involvement to attend family member with mental disorder and desire tomake a distance, and also the lack of general public rsquo;s knowledge about mental health that arouses assumptionand form a generalized attitude towards people with mental disorder so as to form a social distance."