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Abstrak :
[ABSTRAK
Nyeri memicu munculnya stres yang berpotensi menimbulkan gangguan perkembangan dan pertumbuhan pada neonatus. Penusukan tumit berpotensi menimbulkan nyeri. Penelitian ini bertujuan untuk melihat efektivitas sukrosa dan pembedongan terhadap respon nyeri neonatus. Penelitian ini menggunakan rancangan uji klinik acak terkontrol dengan cross-over design. Sampel yang digunakan berjumlah 24 neonatus. Pada saat penusukan tumit, rerata respon nyeri lebih tinggi pada kelompok sukrosa yaitu 2,67. Satu menit setelah penusukan tumit rerata respon nyeri pada kedua kelompok sama yaitu 1,96. Dua menit dan 3 menit setelah penusukan rerata respon nyeri lebih tinggi pada kelompok pembedongan. Hasil bivariat menunjukkan tidak terdapat perbedaan rata-rata respon nyeri neonatus saat penusukan tumit (p=0,925) dan setelah penusukan tumit (satu menit (p=0,915), dua menit (p=0,942), dan tiga menit setelah penusukan tumit (p=0,132)) pada kedua kelompok. Penelitian ini menunjukkan tidak terdapat hubungan antara jenis kelamin terhadap respon nyeri neonatus (p=0,398). Pembedongan dapat digunakan untuk mengurangi respon nyeri pada bayi saat penusukan sekaligus mendukung pemberian ASI eksklusif.

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ABSTRACT
Pain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme. , Pain triggers stress that potentially cause impaired brain development and neonatal growth. Various invasive procedures such as pricking the heel can cause painful. This study aims to look the effectiveness of sucrose and swaddling against neonatal pain response in heel prick. This study uses a randomized controlled trial with cross-over design. The sample was 24 neonates. Each subject was given two treatments of obtaining sucrose and swaddling, given based on the results of block randomization with random table. At the time of pricking the heel is done, the sucrose group had a higher mean pain response than swaddling group (2,67). 1 minute after heel prick, the mean pain response in both groups was same (1.96). 2 minutes and 3 minutes after the heel prick, the mean pain response was higher in swaddling group. The results showed that there was no difference in average pain response when pricking the heel (p = 0.925) and after pricking the heel (one minute (p = 0.915), two minutes (p = 0.942), and three minutes after pricking the heel ( p = 0.132)). These results indicate that there is no relationship between the sex against neonatal pain response (p = 0.398). Swaddling can reduce pain response in neonate during heel prick and support breastfeeding programme. ]

Abstrak :
Penelitian ini bertujuan untuk mengetahui hubungan langsung dan tidak langsung antara motivasi, iklim kerja, dan kepemimpinan serta mengetahui seberapa besar pengaruh ketiga variabel terhadap produktivitas perawat Rumah Sakit Tugu Ibu tahun 2011. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian potong lintang atau cross sectional yang dilakukan untuk mengetahui besar kontribusi variabel eksogen (motivasi, iklim kerja, dan kepemimpinan) terhadap variabel endogen (produktivitas). Penelitian menggunakan total sampling dengan jumlah sampel sebanyak 100 orang. Pengumpulan data dilakukan dengan penyebaran kuesioner dan menggunakan lembar observasi yang dilakukan oleh observer untuk mengukur produktivitas perawat. Pengolahan data pada penelitian ini menggunakan PLS (Partial Least Square). Dari hasil penelitian menunjukkan adanya pengaruh baik langsung maupun tidak langsung motivasi, iklim kerja, dan kepemimpinan terhadap produktivitas perawat Rumah Sakit Tugu Ibu. Penelitian ini mampu menjelaskan kenyataan sebesar 60,4%. Persamaan linier yang didapat dari penelitian ini adalah produktivitas= -0,204 motivasi+0,101 iklim kerja+ 0,266 kepemimpinan+(100-0,06). Dapat disimpulkan bahwa motivasi, iklim kerja, dan kepemimpinan mempengaruhi produktivitas perawat Rumah Sakit Tugu Ibu. Rumah Sakit Tugu Ibu perlu memantau dan mengevaluasi produktivitas dari perawat melalui kegiatan supervisi dan memantau kebijakan tentang sistem remunerasi atau insentif. Kemudian, perlu adanya pembuatan jenjang karir perawat serta menilai serta memberikan umpan balik terhadap kinerja dan mengadakan pelatihan kepemimpinan. ......The aims of this study is to determine direct and indirect relationships between motivation, work climate, and leadership and know how big the influence of three variables on the productivity of nurse in Tugu Ibu Hospital 2011. This study uses a quantitative approach with cross-sectional study design which conducted to determine the contribution of exogenous variables (motivation, work climate, and leadership) to the endogenous variable (productivity). This study uses the total sampling (100 people). The data was collected using questionnaires and observation sheets made by the observer to measure the productivity of nurses. Processing the data in this study using PLS (Partial Least Square). This study found that there are relationship obtained either directly or indirectly from motivation, work climate, and leadership to nurse?s productiivity. This research model can explain the real state of 60,4%. Linier equation from this model is productivity= -0,204 motivation+0,101 work climate+0,216 leadership+(100-0,06). It can be concluded that the motivation, work climate, and leadership affect the productivity of nurse In Tugu Ibu Hospital. Tugu Ibu Hospital need to monitor and evaluate the productivity of nurses through supervision activities and monitor the policy on remuneration or incentive systems. Beside that, Tugu Ibu hospital have to manufacturing of nurse career paths, provide feedback on performance, and give leadership training.

Abstrak :
ABSTRAK
Bayi prematur sangat sensitif terhadap stimulus nyeri. Tujuan dari studi kasus ini adalah menganalisis efektivitas penerapan asuhan keperawatan pada bayi dengan gangguan pemenuhan kebutuhan kenyamanan melalui intervensi stimulasi multisensori menggunakan model Comfort Kolcaba di ruang perinatologi. Lima kasus terpilih menunjukkan terjadinya gangguan kenyamanan dan nyeri akut pada bayi prematur akibat terpapar dengan prosedur invasif. Intervensi dilakukan dengan mengkaji skor nyeri, pemberian stimulasi multisensori, serta perlibatan orang tua dalam intervensi melalui sentuhan dan kontak kulit ke kulit. Intervensi keperawatan berdasarkan evidence based nursing melalui tindakan stimulasi multisensori dilakukan untuk menurunkan skor nyeri. Hasil menunjukkan bahwa intervensi berbasis teori Comfort Kolcaba efektif untuk meningkatkan kenyamanan. Disarankan agar teori Comfort Kolcaba dapat diterapkan dalam pemberian asuhan keperawatan pada bayi prematur.

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ABSTRACT
Premature infants are particularly sensitive to pain stimulus. The purpose of this case study is to analyze the effectiveness of nursing care in infants with impaired fulfillment of comfort through multisensory stimulation intervention in the perinatology room using Comfort Kolcaba model. Five cases selected show disruption of comfort and acute pain in preterm infants from exposure to invasive procedures. The intervention is done by assessing pain scores, multisensory stimulation, as well as the involvement of parents in the intervention through touch and skin-to-skin contact. Nursing interventions based on evidence based nursing through multisensory stimulation measures taken to decrease the pain score. The results show that the theory-based intervention Comfort Kolcaba effective to increase comfort. Application of Comfort Kolcaba theory can be applied in the provision of nursing care in premature infants. ;;