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"Kanker payudara banyak diderita perempuan. Penelitian ini bertujuan menggambarkan pengetahuan dan perilaku mencari pelayanan kesehatan pasien kanker payudara dengan desain penelitian deskriptif sederhana. Responden berjumlah 80 orang secara non probability convenience sampling. Mayoritas responden berpengetahuan baik tentang pengetahuan umum, faktor risiko, tanda gejala, skrining serta perawatan, sedangkan mengenai pengobatan masih kurang. Respon awal saat menyadari perubahan payudara diantaranya tidak bertindak, bercerita, mencari pelayanan kesehatan, melakukan pengobatan alternatif, dan herbal. Keterlambatan pemeriksaan dialami sebagian besar responden. Suami menjadi pilihan terbanyak saat diskusi awal. Dokter bedah dan fasilitas kesehatan pemerintah menjadi pilihan terbanyak saat pemeriksaan awal. Perawat perlu meningkatkan edukasi kanker payudara pada perempuan dan pasien kanker payudara.

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Breast cancer occurs to many women. This study aimed to describe the knowledge and health care seeking behavior of breast cancer patients with simple descriptive research design. The respondents were 80 who are chosen by non probability convenience sampling. Majority of respondents have good knowledge about the general knowledge, the risk factors, the signs and symptoms, the screening and nursing care, but they lack about the treatment. The initial responses when there were changes in their breast included no action, telling somebody, seeking health care, getting alternative medicine and herbal. The delayed diagnosis experienced by most of the respondents. The husband became the largest selected person for the initial discussion. The surgeons and the government?s health facilities were chosen by most respondents at the first examination. Nurses need to improve the education provision about breast cancer to women and the breast cancer patients."

"Kanker payudara banyak diderita masyarakat perkotaan. Salah satu penanganan dari kanker payudara ialah mastektomi. Mastektomi memiliki beberapa komplikasi, salah satunya ialah limfadema. Penulisan karya ilmiah akhir ini bertujuan untuk melakukan analisis terhadap intervensi mandiri keperawatan yaitu latihan mobilisasi lengan pada awal post operasi mastektomi untuk mengurangi edema transisi dan mencegah limfadema. Praktik dilakukan di ruang rawat gema tengah RSUP Persahabatan. Hasil dan evaluasi dari intervensi yang dilakukan yaitu berkurangnya edema transisi pada lengan klien dan meningkatnya kekuatan otot lengan klien. Perawat perlu melakukan intervensi mandiri keperawatan tersebut pada pasien kanker payudara post mastektomi untuk mengurangi edema transisi dan mencegah limfadema.

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Breast cancer occurs to many urban communities. One of the treatments of breast cancer is mastectomy. Mastectomy has few complications, one of which is lymphedema. This study aimed to analyze nursing implementation which is early arm mobilization for post mastectomy patient to reduce transition edema and prevent lymphedema. This practice is done in Gema Tengah Ward RSUP Persahabatan. Results and evaluation of this intervention are reducing patients arm transition edema and increasing her arm muscle strength. Nurses need to do these interventions in the post mastectomy breast cancer patients to reduce transition edema and prevent lymphedema."

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Pelaksanaan interprofessional collaboration (IPC) oleh perawat belum optimal. Manajer Pelayanan Pasien (MPP) mempunyai peran yang dapat meningkatkan pelaksanaan IPC. Penelitian ini bertujuan agar teridentifikasinya gambaran pelaksanaan IPC, peran MPP yang dipersepsikan perawat dan MPP, serta hubungan peran MPP dengan pelaksanaan IPC oleh perawat dengan menggunakan desain cross sectional. Pelaksanaan IPC diukur menggunakan instrumen yang dimodifikasi dari Assessment of Interprofessional Team Collaboration Scale (AITCS) II dan Interprofessional Collaboration Scale. Peran MPP diukur menggunakan instrumen yang dimodifikasi dari National Study From the Commission for Case Manager Certification. Responden penelitian berjumlah 157 perawat. Pelaksanaan IPC oleh perawat memiliki rerata 96 (74,1%). Peran MPP berdasarkan persepsi MPP memiliki rerata 111,7 (90%), sedangkan menurut persepsi perawat memiliki rerata 92 (75%). Hasil penelitian didapatkan adanya hubungan peran MPP dengan pelaksanaan IPC (p< 0,001; α: 0,05). Faktor lain yang berhubungan ialah usia (p= 0,028; α: 0,05), lama kerja (p= 0,042; α: 0,05), dan level kompetensi (p= 0,004; α: 0,05). Peran MPP yang paling berhubungan dengan pelaksanaan IPC ialah peran informational (koefisien B= 0,727). Manajer pelayanan pasien disarankan meningkatkan peran informational sehingga ada proses pertukaranan informasi antara MPP dan PPA yang meningkatkan pelaksanaan IPC. Direktur pelayanan medis disarankan untuk melakukan advokasi mengenai peran MPP kepada seluruh PPA.

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The implementation of interprofessional collaboration (IPC) by nurses is not yet optimally conducted. The Case Managers (CM) has a role that can improve the implementation of the IPC. This research aimed to identify the description of the implementation of IPC, the role of CM perceived by nurses and CM, and the relationship between the role of CM and the implementation of IPC by nurses using a cross sectional design. The implementation of IPC was measured using an instrument modified from Assessment of Interprofessional Team Collaboration Scale (AITCS) II and Interprofessional Collaboration Scale. The role of CM was measured using an instrument modified from National Study From the Commission for Case Manager Certification. The research respondents were 157 nurses. The implementation of IPC by nurses had an average of 96 (74.1%). The role of CM based on CM perception had an average of 111.7 (90%), while based nurses perception it had an average of 92 (75%). The research results found a relationship between the role of CM and the implementation of IPC (p< 0.001; ±: 0.05). Other related factors were age (p= 0.028; ±: 0.05), working time (p= 0.042; ±: 0.05), and level of competence (p= 0.004; ±: 0.05). The role of CM which was most related to the implementation of IPC was the informational role (coefficient B = 0.727). The CM is suggested to increase the informational role so that there is a process of information exchange between CM and PPA that improves the implementation of IPC. The director of medical services is suggested to conduct an advocacy for the role of CM to all PPA.

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