Hasil Pencarian  ::  Simpan CSV :: Kembali

"Berdasarkan bukti yang ada menyebutkan bahwa serah terima di samping tempat tidur atau bedside handover dapat mengurangi pasien jatuh, waktu pemulangan, dan biaya lembur, sekaligus meningkatkan kolaborasi tim. Metode penulisan yang digunakan adalah Case Report, tahapan-tahapan yang dilakukan yaitu menemukan fenomena, melakukan observasi dan wawancara, mengidentifikasi masalah, menerapkan evidence-based practice dan penulisan laporan kasus. Fenomena yang ditemukan yaitu di ruang rawat inap Rumah Sakit X melakukan handover hanya di nurse station, sehingga dilakukanlah penerapan langkah-langkah bedside handover berdasarkan evidence-based practice. Hasil dari penerapan evidence-based practice tersebut masih kurang optimal dikarenakan sosialisasi tentang penerapan evidence- based practice baru dilakukan dua kali.

---

Based on evidence, bedside handover can reduce patient falls, discharge time, and overtime costs, and also increasing team collaboration. The writing method uses Case Report, the stages that used are finding phenomena, conducting observations and interviews, identifying problems, applying evidence-based practice and writing case reports. The phenomenon that was found is the ward of X Hospital, handovers were only carried out at the nurse's station, so that bedside handover steps were implemented based on evidence-based practice. The results of the application of evidence-based practices are still less optimal due to the socialization of the application of evidence-based practices has only implemented twice."

"Dengan tujuan untuk meningkatkan jumlah wisatawan mancanegara, pemerintah Indonesia telah memberikan bebas visa kunjungan kepada 169 (seratus enam puluh sembilan) negara. Di sisi lain, kebijakan ini berpotensi merugikan perekonomian dengan adanya pelanggaran keimigrasian. Studi ini bertujuan untuk melakukan estimasi dampak negatif dari penerapan kebijakan bebas visa kunjungan di Indonesia, dengan menggunakan data jumlah pelanggaran keimigrasian tahun 2015 hingga tahun 2019. Dengan adanya variasi pada tahun penerapan kebijakan bebas visa kunjungan di setiap negara, studi ini menggunakan model staggered Difference-in-Difference (DiD). Ini merupakan studi pertama yang memberikan bukti empiris adanya dampak yang berbeda-beda antara pemberian bebas visa kunjungan dengan wilayah asal negara, tingkat pembanguna serta tingkat pendapatan. Dengan menggunakan panel data, hasil estimasi menunjukkan bahwa kebijakan bebas visa kunjungan menaikkan tingkat pelanggaran keimigrasian rata-rata sebesar 43,76 persen. Dengan rasio manfaat biaya sebesar 1,2, hal ini menunjukkan bahwa pemerintah Indonesia sebaiknya tidak hanya meningkatkan biaya pemantauan, tetapi juga lebih selektif dalam memilih negara yang akan diberikan bebas visa kunjungan, sehingga manfaat ekonomi yang diterima bisa lebih maksimal.

---

With a view of increasing the number of international tourist arrivals, the Government of Indonesia has provided visa exemption policy to 169 countries. On the other hand, this policy has the potential to inflict an economic loss due to the immigration violations. This research aims to estimate the adverse effect of visa exemption policy in Indonesia by using data on the number of immigration violations from 2015 to 2019. Using Difference in Differences (DiD) that exploit staggered implementation of visa exemption policy, this is the first study in providing empirical evidence of the heterogeneous impact of a country’s visa exemption policy across country of origin, development, and income levels. Using a panel data approach, the estimation results show that the visa exemption policy increases the immigration violations rate by 43,76 percent on average. With a cost benefit ratio 1.2, it shows that the Government of Indonesia have to not only increase monitoring costs, but also should be more selective in choosing countries to be granted visa exemption, so that the economic benefits can be more obtained for everyone"

"Recent trends in health care across the United States and internationally have emphasized a novel approach that consists in comparing the effectiveness and efficacy of treatment interventions with a patient-centered emphasis (i.e., evidence-based health care), while ensuring cost constraints, maximizing benefits, and minimizing risks. In this book, experts in comparative effectiveness and efficacy research and analysis for practice (CEERAP) in health care in general address a range of topical issues. The emphasis is on implications for endodontics and nursing, both of which are considered in a series of detailed chapters. Commonalities and differences among CEERAP, utility-based and logic-based analysis and decision-making, and evidence-based and patient-centered practice are defined and discussed. The book concludes by examining applications for CEERAP in developing patient-centered optimal treatment interventions for the next decade."

"ABSTRAKGangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur.ABSTRACTEvidence-Based Nursing Application Effect of Earplugs and Eye Mask on Quality Sleep in Patients in ICU. Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple random sampling. The Total sample of 24 respondents. Sleep quality instrument using Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by the Independent Sample T-Test. The result of this research is p-value <0,05, mean at alpha 5% there is a significant difference of sleep quality between first and second night in each group so it is suggested to be an evidence-based in a hospital as one of complementary therapy which can be made independent intervention nursing to help overcome sleep disorders."

"Sekarang ini, Rumah Sakit sudah mulai berevolusi dengan cara memberikan upaya penyelenggaraan kesehatan yang lebih baik, yaitu dengan memperbaiki dari segi fisik dan juga pelayanannya. Salah satu yang menjawab kebutuhan konsep rumah sakit saat ini ialah dengan mendesain berdasarkan konsep evidence-based design (EBD). Evidence-based design (EBD) ialah melakukan perancangan yang spesifik atas prinsip desain, yang telah dilakukan riset terlebih dahulu untuk meningkatkan aspek klinis dan kepuasan pasien dan juga staff terkait.Salah satu penerapan EBD pada rumah sakit ialah membantu menciptakan kualitas ruang yang aman, nyaman dan menyembuhkan (healing environment) bagi pasien, staf dan tenaga medis yang bekerja di rumah sakit. Sehingga tingkat kepuasan dan kesembuhan pasien meningkat dan tingkat stress staf dan tenaga medis yang bekerja menurun yang akan berdampak pada keefektifan kerja dan mengurangi tindakan medical eror terhadap pasien di rumah sakit.

---

Hospital Nowadays are also try to evolve to be a better hospital by providing a great hospital care and also built a better healthcare environment through physical aspect and constructions. One of the solution to answers that challenge is through doing evidence-based design concept. Evidence-based design is process of getting design decisions based on best evidence through a lot of research beforehand for enhancing safety and promote healing for better healthcare environment.

Evidence-based design that adapted healing environment in hospital planning helps create an interior that reflects hospitality and create such a healing environment for patients, caregivers and also other users of hospital, so patients will have less stress and get well sooner while the staff will more active for doing their jobs and avoid doing medical errors to the patients in hospital."

"Perawat menjadi profesi yang berada di dekat pasien selama 24 jam, tiga shift dari pagi, sore, dan malam. Periode peralihan ke perawat yang berbeda membutuhkan komunikasi efektif untuk menjamin keselamatan pasien. Akibat tingginya peluang miskomunikasi dan kegagalan informasi, maka diperlukan suatu standar pelaksanaan handover untuk mencegah risiko cedera pada pasien. Metode penulisan yang digunakan yaitu Case Report, dengan tahap pertama mengidentifikasi masalah melalui observasi dan wawancara langsung. Tahap kedua melalui analisis dengan studi kepustakaan dan tindakan. Tahap ketiga menyusun pembahasan dan rekomendasi. Hasil laporan kasus ini menunjukkan dari enam tahap bedside handover, tahapan yang memiliki persentase subtahap tertinggi (100%) yaitu tahap introduksi/perkenalan. Laporan kasus ini merekomendasikan perawat untuk menyimpulkan dan menyampaikan tindakan yang akan diberikan pada pasien untuk hari itu selama shiftnya berlangsung. Laporan kasus ini menyimpulkan bahwa penerapan bedside handover masih perlu dilakukan secara optimal.

---

Nurses become a profession that provide 24-hour care to patients, three shifts from morning, afternoon, and evening. The transition period to different nurses requires effective communication to ensure patient safety. Due to the high risk of miscommunication and information failure, a standarized handover implementation is needed to prevent patients injury. The case report study has been used as a method to write this article through several stages. The first stage was identify the problem through direct observation and interviews. The second stage analyzes the literature and action studies. The third stage is to formulate discussions and recommendations. The results showed that Introduction stage have the highest percentage of sub-stages (100%) compared to the other six stages. This case report recommends the nurse to conclude and notify the patients about the intervention has been planned for that day during their shift. This case report concludes that the implementation of bedside handover still needs to carried out optimally."

"Practitioner?s Guide to Using Research for Evidence-Based Practice gives essential and practical guidance on how to integrate research appraisal into evidence-based practice endeavors to ensure best client care. This practitioner-oriented book provides readers across the helping professions with the step-by-step skills they need to effectively appraise and use research as part of the evidence-based practice process. Readers will have the ability to integrate evidence-based treatments that improve the delivery of care and optimize treatment success as a result."

"Contents :Evidence-based physiotherapy : what, why and how? -- What do I need to know? -- What constitutes evidence? -- Finding the evidence -- Can I trust this evidence? -- What does this evidence mean for my practice? -- Clinical guidelines as a resource for evidence-based physiotherapy -- When and how should new therapies be introduced into clinical practice? -- Making it happen -- Am I on the right track?"