Hasil Pencarian  ::  Simpan CSV :: Kembali

"Ners spesialis keperawatan medikal bedah kekhususan onkologi memberikan asuhan keperawatan komprehensif pada pasien kanker. Berbagai jenis kanker dikelola selama residensi, salah satunya adalah kanker payudara yang merupakan kasus terbanyak kanker pada perempuan. Teori keperawatan Virginia Henderson dengan pendekatan 14 kebutuhan dasar sebagai pengkajian kanker meliputi kebutuhan biospikososialspiritual. Tujuan: melaporkan tentang tiga target utama yaitu analisis kasus kanker payudara dengan pendekatan teori Henderson, penerapan Evedance Based Nursing (EBN) dengan tema Instrumen State-Trait Anxiety Inventory Trait (STAI-T) sebagai pengkajian tingkat cemas pasien kanker, serta target proyek inovasi dengan tema penerapan intervensi oral cryoterapi dalam mencegah dan mengatasi mukositis. Hasil: Terdapat 31 kasus kanker yang telah didokumentasikan, 6 kasus kanker payudara dan 5 kasus leukemia. Diagnosa keperawatan melibatkan gangguan pemenuhan kebutuhan fisik dan gangguan kebutuhan psikososial. Keluhan fisik yang sering disampaikan pasien kemoterapi adalah nyeri dan mukositis oral, sedangkan keluhan psikososial yang sering muncul adalah cemas. Keluhan fisik mukositis dikaji dengan instrumen Oral Assessment Guide (OAG), sedangkan pencegahan dan mengatasi mukositis oral menggunakan intervensi oral cryoterapi. OAG dan oral cryoterapi menjadi proyek inovasi selama residensi. Keluhan cemas pasien kanker sering tidak teridentifikasi dalam pelayanan keperawatan onkologi. Mayoritas pasien kanker mengalami cemas sedang meskipun telah menjalani kemoterapi. Kesimpulan : Model teori keperawatan Henderson dapat digunakan pada asuhan keperawatan pasien kanker dengan modifikasi beberapa teori keperawatan. Selain itu, STAI-T merupakan instrumen yang dapat mengukur tingkat cemas pasien kemoterapi. Instrumen OAG aplikabel untuk mengkaji mukositis oral serta intervensi oral cryoterapi efektif untuk mencegah dan mengurangi mukositis.

---

Medical surgical nursing specialist that oncology specialist ners provides comprehensive nursing care in cancer patients. Various types of cancer have managed during the study, one of them is breast cancer which is the most cases of cancer in women. Henderson's nursing theory with 14 basic needs approach as a cancer assessment who have biospicosocialspiritual assessment. Objectives: reports on achieving three major target of oncology nursing that has been done. The first target is analysis of the Henderson Nursing Theory approach in breast cancer patients. The implementation of Evedance Based Nursing (EBN) with theme of the State-Trait Anxiety Inventory Trait (STAI-T) Instrument as an assessment anxiety level, and innovation project target about oral cryotherapy intervention to reducing mucositis. Results : There are 31 cancer cases that has been documented, 6 cases of breast cancer and 5 cases of leukemia. Nursing diagnosis involves impaired physical needs and psychosocial needs. Mostly, physical problem are pain and oral mucositis complained by patients with chemotherapy. Psychosocial problem mostly is anxiety. Mucositis problem assessed by Oral Assessment Guide OAG instrument. Preventing and reducing oral mucositis due to chemotherapy with oral cryotherapy. OAG and oral cryotherapy intervention as innovation project during study. Anxiety of cancer patients often not identified by nurse. The majority level anxiety of cancer patients is moderate anxiety despite have been chemotherapy. Conclusion: Henderson's model of nursing theory can applied in nursing care of cancer patients with modification of several nursing theories. Furthermore, STAI-T is an instrument that can measure anxiety levels of chemotherapy patients. Oral cryotherapy intervention has also evident effective in preventing and reducing mucositis in cancer patients undergoing chemotherapy."

"Praktik keperawatan residensi yang dilakukan di rumah sakit Persahabatan dengan kekhususan respirasi diharapkan dapat mengatasi masalah pernapasan. Disamping itu juga selama proses residensi residen harus memiliki kemampuan menerapkan intervensi berdasarkan evidence base nursing (EBN), mampu menjadi seorang Clinical Care Manajer (CCM) yang bertugas sebagai konsultan keperawatan bagi staf keperawatan dan pemberi terapi keperawatan kepada pasien dalam rangka pemberi asuhan keperawatan untuk meningkatan mutu pada layanan asuhan keperawatan yang diberikan. Dalam memberikan asuhan kepeawatan pada kasus kelolaan pasien dengan CAP dan 30 kasus resume menggunakan teori Virginia Henderson 14 kebutuhan dasar manusia yang menunjukkan peran perawat sebagai pemberi asuhan keperawatan dalam membantu individu baik dalam keadaan sehat maupun sakit, melalui usahanya melakukan berbagai aktivitas guna mendukung kesehatan dan penyembuhan individu secara mandiri atau proses meninggal dengan damai. Masalah keperawatan yang banyak muncul yaitu tentang pemenuhan kebutuhan bernapas normal. Penerapan EBN Buteyko Breathing Techinque (BBT) pada pasien asma yang mengalami hiperventilasi. Hasil analisis praktik residensi keperawatan didapatkan bahwa asuhan keperawatan menggunakan pendekatan teori Henderson bertujuan untuk sesegera mungkin membantu kemandirian pasien. Penerapan BBT dapat meningkatkan nilai Peak Expiratory Flow Rate (PEFR) pada pasien asma. Proyek inovasi Pengembangan self managemen dengan video latihan breathing exercise : ACBT dalam meningkatkan airway clearance pada pasien PPOK.

---

Residency nursing practice which is carried out at the Persahabatan Hospital with a specialization in respiration is expected to be able to overcome respiratory problems. Besides that, during the residency process, residents must have the ability to apply interventions based on evidence-based nursing (EBN), be able to become a Clinical Care Manager (CCM) who serves as a nursing consultant for nursing staff and provides nursing therapy to patients in order to provide nursing care to improve quality of nursing care services provided. In providing nursing care to cases managed by patients with CAP and 30 resume cases using Virginia Henderson's theory of 14 basic human needs which shows the role of nurses as providers of nursing care in helping individuals both in health and illness, through their efforts to carry out various activities to support health and healing individual independently or the process of dying peacefully. Nursing problems that arise are about meeting the needs of normal breathing. Application of EBN Buteyko Breathing Techinque (BBT) in hyperventilating asthma patients. The results of the analysis of nursing residency practice found that nursing care using the Henderson theory approach aims to help the patient's independence as soon as possible. The application of BBT can increase the Peak Expiratory Flow Rate (PEFR) value in asthma patients. Innovation project Development of self-management with videos of breathing exercise exercises: ACBT in increasing airway clearance in COPD patients."

"Praktek Keperawatan residensi yang di laksanakan di Rumah Sakit Fatmawati adalah suatu proses dalam Pendidika yaitu Profesi Keperawatan yang mana diharapkan dapat mengaplikasikan sebagaimana mestinya. Peran perawat spesialis sangat berdampak pada peningkatan kualitas layanan keperawatan yang berdasarkan Evidennce base nursing. Perawat Spesialais harapkan juga dapat menjadi seorang Clinical Care Manager (CCM), yaitu sebagai perawat konsultan dalam pemberian asuhan keperawatan untuk kubutuhan dasar manusia dimana teori ini menunjukan peran sebagai perawat pemberi asuhan keperawatan dalam membantu dan menolong pasien baik dalam keadaan sehat maupun dalam keadaan sakit, dimana induvidu dapat berusaha melakukan beberapa aktifitas untuk mendukung penyembuhan dan menjaga kesehatan sehingga menyiapkan kematian dengan damai. Tiga kompetensi yang harus di capai dalam praktik residensi yaitu memberikan Asuhan Keperawatan menerapkan Implementasi keperawatan yang berbasis bukti Ilmiah (Evidennce base nursing), dan melakukan proyek inovasi keperawatan yang dapat di gunakan di tempat lahan praktek residensi.Mahasiswa residensi telah melakukan penerapan mindfulness pada pasien HIV khusunya perempuan yang mengalami kualitas hidup yang menurun dan dalam kondisi seperti ini pasien mengalami kesendirian atau kesepian. Hasil dari evidence based nursing menunjukan bahwa intervensi mindfulness dapat meningkatkan kualitas hidup khusunya pada wanita yang terdiagnosa HIV. Sedangkan proyek inovasi yang telah di lakukan oleh residensi keperawatan tentang edukasi dalam meningkatkan kedisiplinan minum AR dimana media edukasi yang akan di berikan kepada psien HIV ber bentuk wab page sehingg dapat di akses melalui barcode dan hasil dari penerapan proyek inovasi dapat menunjukan manfaat yang terlihat secara signifikan dalam meningkatkan pengetahuan dan dalam pencegahan infeksi oportunitik pada ODHA.

---

Spesialis keperawatan HIV, teori Keperawatan HendersonResidency nursing practice carried out at Fatmawati Hospital is a process in education, namely the nursing profession, which is expected to be applied properly. The role of specialist nurses has a big impact on improving the quality of nursing services based on Evidence-based nursing. Specialist nurses are also expected to become Clinical Care Managers (CCM), namely as consultant nurses in providing nursing care to improve the quality and quality of nursing care. In providing nursing care to managed cases, namely patients with HIV who are affected by opportunistic infections and 30 resume cases that use Henderson's theory where there are 14 basic human needs where this theory shows the role of a nurse providing nursing care in assisting and assisting patients both in good health and in a state of illness, where individuals can try to carry out several activities to support healing and maintain health so as to prepare for a peaceful death. The three competencies that must be achieved in residency practice are providing nursing care, implementing scientific evidence-based nursing implementation (Evidence-based nursing), and carrying out nursing innovation projects that can be used in residency practice areas. Residency students have implemented mindfulness with HIV patients especially women who experience a decreased quality of life and in conditions like this the patient experiences solitude or loneliness. Results from evidence-based nursing show that mindfulness interventions can improve the quality of life, especially for women diagnosed with HIV.Meanwhile, the innovation project that has been carried out by the nursing residency is about education in improving AR drinking discipline where the educational media that will be given to HIV patients is in the form of a web page so that it can be accessed via barcode and the results of implementing the innovation project can show significant visible benefits. in increasing knowledge and in preventing opportunistic infections in PLWHA."

"ABSTRAK Praktik residensi keperawatan medikal bedah merupakan bagian dari proses pendidikan yang berfokus pada pengembangan ketrampilan klinik, khususnya pada area respirasi di RSUP Persahabatan Jakarta. Peran yang diterapkan sebagai pemberi asuhan keperawatan, edukator, peneliti, dan inovator. Peran sebagai pemberi asuhan keperawatan dengan mengelola 30 pasien gangguan sistem respirasi dengan menggunakan pendekatan model konsep teori Virginia Henderson. Masalah keperawatan yang sering muncul yaitu ketidakefektifan bersihan jalan napas. Peran sebagai peneliti ditunjukkan dalam penerapan evidence based nursing practice berupa penerapan breathing retraining untuk mengurangi sesak napas pada pasien kanker paru. Dan peran sebagai inovator dan edukator yaitu melakukan pendidikan kesehatan dengan diskusi interaktif kelompok untuk meningkatkan pengetahuan dan motivasi serta telenursing dengan sms reminder untuk meningkatkan kepatuhan minum obat pada pasien tuberkulosis di poliklinik paru.ABSTRACT Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis.;Residency practice is a part of clinical education in medical surgical nursing specialist programme, especially for respiratory nursing. It was conducted at Persahabatan Hospital Jakarta. Residents based their practice on Henderson Nursing Theory with role modes as care provider, educator, researcher, and innovator. Role as a care provider was held on 30 cases with Henderson theory approach. The main nursing problem found during the clinical practice was ineffective airway clearance. Role as a researcher was conducted through clinical research which investigates the effectiveness breathing retraining to minimize dyspnea. Role as an innovator that is conducted health education with interactive group discussion to increase knowledge and motivation, and telenursing with sms reminder to increase medication adherence in patient with tuberculosis."