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"Penelitian ini menggambarkan karakteristik perawat anak dalam konteks cultural competence dengan menggunakan Instrumen Healthcare Provider Cultural Competence Instrument (HPCCI). Menggunakan pendekatan deskriptif kualitatif dengan metode cross-sectional dan teknik sampling convenience, 107 perawat anak di Indonesia diambil sebagai responden. Hasil penelitian menunjukkan mayoritas responden berusia di atas 25 tahun, perempuan dan memiliki pengalaman praktik klinik antara 11-20 tahun. Meskipun sebagian besar responden belum pernah melakukan perjalanan ke luar negeri atau memiliki teman asing, mereka menunjukkan ada ketertarikan pada berita dan informasi tentang negara asing dan preferensi film/drama/dokumenter negara asing. Cultural competence perawat anak dalam aspek awareness and sensitivity, behavior, patient-centered communication, practice orientation, dan self-assessment juga tergolong baik. Penelitian ini memberikan dasar untuk pengembangan lebih lanjut dalam bidang ini.

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This study describes the characteristics of pediatric nurses in the context of cultural competence using the Healthcare Provider Cultural Competence Instrument (HPCCI). Using a descriptive qualitative approach with cross-sectional method and convenience sampling technique, 107 pediatric nurses in Indonesia were taken as respondents. The results showed that the majority of respondents were over 25 years old, female and had clinical practice experience between 11-20 years. Although most respondents had never traveled abroad or had foreign friends, they showed an interest in news and information about foreign countries and a preference for foreign films/dramas/documentaries. Cultural competence of pediatric nurses in the aspects of awareness and sensitivity, behavior, patient-centered communication, practice orientation, and self-assessment were also good. This study provides a basis for further development in this field."

"ABSTRAKFenomena multikultural menuntut mahasiswa keperawatan harus memiliki kompetensi budaya. Mahasiswa keperawatan yang kompeten secara budaya lebih memahami perbedaan dan persamaan budaya klien dalam memberikan asuhan keperawatan peka budaya. Penelitian ini bertujuan untuk melihat adanya perbedaan tingkat kompetensi budaya berdasarkan jenjang program. Penelitian ini melibatkan 164 mahasiswa yang terdiri dari mahasiswa reguler semester 8 dan profesi profesi semester 2. Penelitian ini menggunakan desain cross sectional dengan teknik sampling stratified random sampling. Sumber Kuisioner pada penelitian ini yaitu modifikasi dari instrument IAPCC-SV oleh Campinha Bacote. Hasil penelitian menunjukkan bahwa nilai rata-rata tingkat kompetensi budaya mahasiswa profesi semester 2 yaitu 60,0 dan mahasiswa reguler semester 8 yaitu 59,0 p value = 0,283; alpha=0,05 . Hasil tersebut menunjukkan bahwa mahasiswa reguler semester 8 berada pada tingkat sadar budaya dan profesi semester 2 berada pada tingkat kompeten budaya dan secara statistik tidak terdapat perbedaan yang bermakna. Penelitian selanjutnya diperlukan untuk melihat faktor-faktor yang mempengaruhi kompetensi budaya.

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ABSTRACTMulticultural phenomena require nursing students to have cultural competence. Competent nursing students are culturally more understanding of cultural differences and equations of clients in providing culturally sensitive nursing care. This study aims to see the differences in the level of cultural competence based on program level. This study involves 164 students consisting of regular students of 8th term and profession student 2nd term. This research use cross sectional design with stratified random sampling technique. Questionnaire rsquo s sources in this study is a modification from IAPCC SV instrument by Campinha Bacote. The results showed that the average value of the competency level of professional students in the 2nd semester was 60.0 and the regular students of 8th term were 59.0 p value 0.283 alpha 0,05 . The results show that regular students of the 8th term are at a aware level of culture and the profession student term 2nd at the competent level of culture and there is no statistically significant difference. Further research is needed to look at the factors influencing cultural competence."

"Pengetahuan perawat mengenai MARSI dan cara mencegah MARSI sangat penting untuk mengurangi kejadian MARSI. Anak merupakan populasi yang rentan terhadap MARSI karena lapisan kulit yang lebih tipis dibandingkan dengan orang dewasa. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross- sectional. Sampel penelitian berjumlah 153 perawat dengan rentang usia 23-56 tahun di IPTKIA Kiara RSUPN Dr. Cipto Mangunkusumo. Sampel didapatkan dengan teknik probability sampling jenis simple random sampling. Penelitian ini menggunakan kuesioner yang telah diuji validitas dengan nilai r> 0,361 dan telah diuji reliabilitas dengan nilai Cronbach Alpha >0,7. Hasil penelitian dianalisis menggunakan uji chi-square menunjukkan terdapat hubungan yang bermakna antara tingkat pengetahuan perawat dengan terjadinya MARSI pada pasien anak dengan hasil p value 0,001 (P< 0,05). Rekomendasi berkaitan dengan penelitian ini ialah disusunnya standar operasional prosedur tentang teknik pemasangan dan pelepasan perekat medis.

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Nurses' knowledge about MARSI and how to prevent MARSI is very important to reduce the incidence of MARSI. Children are a population that is susceptible to MARSI because the skin layer is thinner than adults. This research is a quantitative research with a cross-sectional research design. The research sample consisted of 153 nurses with an age range of 23-56 years at IPTKIA Kiara RSUPN Dr. Cipto Mangunkusumo. The sample was obtained using a simple random sampling type probability sampling technique. This research uses a questionnaire that has been tested for validity with an r value > 0.361 and has been tested for reliability with a Cronbach Alpha value > 0.7. The results of the study were analyzed using the chi-square test, showing that there was a relationship between the level of knowledge of nurses and the occurrence of MARSI in pediatric patients with a p value of 0.001 (P < 0.05). Recommendations related to this research are the preparation of standard operating procedures regarding techniques for installing and removing medical adhesives."

"Supervisi konsisten mempengaruhi kinerja perawat tetapi pelaksanaannya pada pelayanan keperawatan di Indonesia cenderung bersifat pengawasan dan kurang memberikan upaya-upaya untuk mendidik, memotivasi, melatih, dan memberi arahan. Model supervisi klinik educative, supportive and Administrative Cycle (ESA-C) dibuat untuk meningkatkan nilai positif dari supervisi. Model ini disintesa dari model supervisi Kadushin, Proctor dan mengintegrasikannya dengan teori interpersonal relationships Peplau serta nilai caratif Watson. Penelitian bertujuan menguji efektifitas model supervisi klinik ESA-C dalam meningkatkan kinerja perawat, menggunakan desain kuasi eksperimen pre-post test pada dua kelompok. Dua rumah sakit dirandom dari 5 rumah sakit umum, sampel diambil secara random sebanyak 90 perawat dan 270 pasien secara purposif. Hasil penelitian menunjukkan model supervisi klinik ESA-C mampu meningkatkan kinerja perawat secara signifikan (p Value < 0.05) pada dimensi task performance: keterampilan teknis sebesar 2%, pemberian edukasi 9%, pemberian dukungan emosionl kepada pasien 14%, dan contextual performance: pemberian bantuan bagi pasien dan keluarga 21%. Model ini disarankan digunakan pada pelayanan keperawatan terutama di rumah sakit dalam upaya meningkatkan kinerja perawat dalam memberikan asuhan keperawatan kepada pasien.

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Supervision is a consistent variable that affect to job performance. Unfortunately, the supervision that had done only just controlled rather than an effort to educating, coaching, directing, and nurse potential reinforcement. ESA-C clinical supervision model that developed is to eliminate negative side of supervision these times. Educative, supportive, and administrative cycle of clinical supervision model was a result from synthesize of Kadushin's, Proctor's, Heron's, Faugier's, and Experimental's models. The ESA-C model was synthesizing with interpersonal relationship from Peplau's and carative value from Watson's. ESA-C clinical supervision model use a group approach in an educative supervision and individual approach for supportive and administrative supervision.

The purpose of this research is to determine the effect of ESA-C clinical supervision model to increasing nurses' job performance. This research used quasi experiment design with intervention and control group. The sample of this research use a random method to 90 nurses (each group has 45 nurses) and 270 patients (each group has 135 patients).

The result of this research revealed that ESA-C clinical supervision model can increase nurses' job performance including task performance dimension (clinical skill, patient education, emotional support) and contextual job performance (assisting patient and the family). This research recommended the using of ESA-C model in hospital to increasing nurses' job performance in giving of nursing care to the patient."

"Pengetahuan dan keterampilan perawat dalam melakukan posisi prone pada bayi prematur memiliki peran penting karena apabila tidak dilakukan dengan tepat dapat berpengaruh terhadap pertumbuhan dan perkembangan bayi tersebut. Penelitian ini dilakukan untuk mengetahui efektivitas video posisi prone berbasis telefon pintar terhadap pengetahuan, sikap dan keterampilan perawat dalam melakukan posisi prone dengan tepat. Penelitian ini menggunakan desain randomized control trial dengan melibatkan 58 perawat NICU-Perinatologi pada salah satu Rumah Sakit Rujukan di Jakarta yang diambil menggunakan teknik purposive sampling. Hasil penelitian menunjukkan intervensi video posisi prone berbasis telefon pintar terbukti efektif meningkatkan pengetahuan, sikap dan keterampilan perawat dalam melakukan posisi prone pada bayi prematur (p<0,001, α<0,05). Penelitian memberikan saran supaya hasil penelitian ini dapat menjadi rujukan optimalisasi pengetahuan, sikap, dan keterampilan perawat dengan pemanfaatan teknologi informasi yaitu video tujuh langkah melakukan posisi prone dengan tepat berbasis telefon pintar yang dirancang dengan menarik dan memungkinkan akses secara fleksibel.

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Nurses' knowledge and skills in prone positions on premature babies have an important role because if it is not done properly, it can affect the growth and development of the baby. This study was conducted to determine the effectiveness of smartphone-based prone position videos on nurses' knowledge, attitudes, and skills in performing the prone position correctly. This study used a randomized control trial design involving 58 NICU-Perinatology nurses at a Referral Hospital in Jakarta taken using a purposive sampling technique. The results showed that the smartphone-based prone position video intervention improved nurses' knowledge, attitudes, and skills in performing positions. prone in premature infants (p<0.001, <0.05). The study provides suggestions so that the results of this study can be a reference for optimizing the knowledge, attitudes, and skills of nurses by utilizing information technology, namely a seven-step video of doing the correct prone position based on a designed smartphone attractively and allows flexible access."

"Pasien kanker kolorektal dengan kolostomi memberikan dampak dalam kehidupan dan mempengaruhi kualitas hidup pasien. Untuk itu diperlukan peran perawat dengan memiliki pengetahuan dan sikap yang baik terhadap perawatan kolostomi guna meningkatkan kualitas hidup pasien dan mencegah komplikasi. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan perawat dengan sikap perawat terhadap perawatan pasien kolostomi pada kanker kolorektal. Desain yang digunakan adalah analisis deskripsi dengan cross sectional pada 135 perawat pelaksana. Hasil penelitian ini menunjukan bahwa ada hubungan bermakna antara pengetahuan perawat dengan sikap perawat terhadap perawatan pasien kolostomi pada kanker kolorektal dengan p value 0,005 (CI95%; α 0,05). Penelitian ini merokemendasikan untuk dilakukan peningkatan pengetahuan perawat dengan pelatihan secara berkala, tersedianya konsultan dan media edukasi perawatan kolostomi.

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Colorectal cancer patient with colostomy has an impact on the lives and quality of life. Therefore, nurses with the knowledge and good attitude could prevent complication and improve the quality of patient's life. The purpose of this study was to determine a relationship between knowledge of nurses with nurses attitude toward colostomy care in colorectal cancer. The study design was cross-sectional description analysis with 135 nurses sample.

These results showed that there was significant value relationship between the knowledge of nurses with nurses attitude towards colostomy care (p 0.005;CI95%;α 0.05). This study recommends to increasing the nurse knowledge by conducting nursing training periodically, provide consultant and media for education colostomy care."

"Ruangan perawatan intensif yang kompleks dan dilengkapi berbagai peralatan medis berbasis alarm berisiko menyebabkan perawat mengalami alarm fatigue akibat paparan alarm secara terus-menerus. Penelitian ini memberikan gambaran kejadian alarm fatigue berdasarkan karakteristik responden di ruang intensif RS X Jakarta. Penelitian ini merupakan penelitian kuantitatif dengan desain pendekatan cross- sectional. Sampel penelitian berjumlah 256 perawat dengan rentang usia ≤ 25 - ≥ 46 tahun di seluruh ruang perawatan intensif dewasa RSUPN Dr. Cipto Mangunkusumo. Sampel didapatkan dengan teknik total sampling jenis non random sampling. Penelitian ini menggunakan kuesioner yang telah diuji reliabilitas dengan nilai Cronbach Alpha 0,744. Hasil penelitian dianalisis menggunakan analisis statistik deskriptif dan dilakukan uji normalitas Kolmogorov-Smirnov dengan hasil p value 0,028 (P< 0,05). Pengkategorian dilakukan dengan cut-off poin, nilai median 44. Rekomendasi berkaitan dengan penelitian ini adalah dengan teridentifikasinya gambaran alarm fatigue berdasarkan karakteristik responden untuk selanjutnya dilakukan pelatihan manajemen alarm sebagai pembekalan kepada perawat.

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An intensive care unit that is complex and equipped with various alarm-based medical equipment is at risk of causing nurses to experience alarm fatigue due to continuous exposure to alarms. This study provides an overview of the incidence of alarm fatigue based on the characteristics of respondents in the intensive care unit of Hospital X Jakarta. This study is a quantitative study with a cross-sectional approach design. The study sample amounted to 256 nurses with an age range of ≤ 25 - ≥ 46 years in all adult intensive care units of Dr. Cipto Mangunkusumo Hospital. The sample was obtained using a total sampling technique of non-random sampling type. This study used a questionnaire that had been tested for reliability with a Cronbach Alpha value of 0.744. The results were analyzed using descriptive statistical analysis and the Kolmogorov-Smirnov normality test with a p-value of 0.028 (P < 0.05). Categorization was done with cut-off points, a median value of 44. Recommendations related to this study are the identification of a picture of alarm fatigue based on the characteristics of respondents for further alarm management training as a provision to nurses."

"This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting.The second edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment, sedatives’ short- and long-term effects on neurocognition; non-pharmacologic districtions, Michael Jackson’s death and medical ethics, the role of simulation in safety and training; and palliative sedation in terminally ill children.The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. "