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Neneng Kurniawati
Analisis praktik residensi keperawatan medikal bedah dengan pendekatan teori model adaptasi Sister Calista Roy pada pasien dengan gangguan sistem respirasi: adenokarsinoma paru di Rumah Sakit Persahabatan Jakarta = Analysis of medical surgical nursing residency practice with Sister Calista Roy adaptation theory model approach in patients with disorders of the respiratory system: adenocarcinoma in Persahabatan Hospital Jakarta
Abstrak :
ABSTRAK
Keperawatan respirasi merupakan salah satu area khusus dimana perawat memiliki peran dalam memberikan asuhan keperawatan berdasarkan kebutuhan pasien. Perawat spesialis respirasi memiliki peran lebih yang berbeda, dengan menerapkan konsep dan teori keperawatan dalam penanganan kasus pada pasien gangguan pernapasan. Peran ners spesialis sebagai klinisi ahli, pendidik, manajer kasus, konsultan, dan peneliti untuk merencanakan atau memperbaiki kualitas keperawatan bagi klien dan keluarganya. Teori keperawatan yang digunakan dalam merawat pasien (satu kasus kelolaan dan 30 kasus resume) dengan menggunakan model adaptasi Roy. Peran sebagai peneliti diterapkan dengan melakukan latihan breathing retraining pada pasien asma. Sementara peran untuk memperbaiki kualitas pelayanan salah satunya adalah menerapkan inovasi bagi pasien tuberkulosis dalam mencegah terjadinya putus obat. ABSTRACT Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal.;Nursing respiration is one particular area where nurses have a role in providing nursing care based on the patient's needs. Respiratory specialist nurse has a more distinct role, to apply the concepts and theories of nursing in the handling of cases in patients with respiratory disorders. The role of specialist nurses as expert clinicians, educators, case managers, consultants, and researchers to plan or improve the quality of nursing for the client and his family. Nursing theory used in treating patients (one case of management and 30 cases of resume) using Roy adaptation model. Role as researchers applied by practicing breathing retraining in patients with asthma. While the role to improve the quality of service, one is applying innovation for tuberculosis patients in preventing drug withdrawal.
Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Ratnawati
Aplikasi Teori Need For Help Wiedenbach dan Konsep Adaptasi Roy pada ibu perdarahan postpartum fase pemulihan = The Application Theory Need for help wiedenbach and Adaptation Roy Concept on postpartum hemorrhage at recovery stage
Abstrak :
Perdarahan postpartum merupakan salah satu situasi kegawatan maternal yang membutuhkan penanganan segera. Penanganan kegawatan diprioritaskan untuk mencegah syok hipovolemia yang mengancam jiwa. Setelah stabil, klien akan mendapat perawatan lanjutan untuk pemulihan. Di masa pemulihan, klien masih membutuhkan bantuan untuk mengatasi gangguan yang masih muncul, merawat diri, dan mempersiapkan diri untuk memulai peran barunya. Penerapan integrasi model keperawatan Need For Help Wiedenbach dan Konsep Adaptasi Roy merupakan format pengkajian yang sesuai untuk kondisi pada lima kasus yang dikelola Residen. Residen mengaplikasikan Evidence-Based Practice Nursing (EBPN) dalam perawatan klien perdarahan postpartum fase pemulihan. EBPN yang digunakan bertujuan untuk mengatasi kecemasan klien akibat trauma dan hospitalisasi. EBPN yang digunakan sebagai intervensi keperawatan adalah teknik afirmasi positif. Teknik Afirmasi positif dalam pengelolaan lima kasus kelolaan berpengaruh signifikan dalam menurunkan nilai kecemasan klien. Teknik afirmasi efektif untuk membantu klien menghadapi masalah psikologis pasca perdarahan postpartum yang menimbulkan stres dan trauma. Perawat yang bertugas mengelola klien-klien dengan perdarahan postpartum fase pemulihan dapat menggunakan integrasi model keperawatan sebagai acuan bagi perawatan kliennya. Perawat maternitas juga dapat menggunakan teknik afirmasi positif untuk menurunkan tingkat kecemasan pada klien-klien dengan gangguan perdarahan postpartum. ......Postpartum hemorrhage is one of the maternal emergencies which need immediate treatment. The emergency management is prioritized to avoid hypovolemic shock which can be life threatening. Once stable, clients will receive further treatment for recovery. During the recovery period, clients still need help to overcome problems that still occur, to take care of themselves, and to prepare to start their new roles. The application of Needs Help Wiedenbach nursing model integration and Roy's Adaptation Concept is an assessment format that is suitable for the conditions of the five cases managed by the Resident. Resident applies EvidenceBased Practice Nursing (EBPN) in the treatment of postpartum hemorrhage clients in the recovery phase. EBPN is used to treat clients’ anxiety caused by trauma and hospitalization. The use of EBPN as a nursing intervention is a positive affirmation technique. Positive affirmation technique in the five managed cases management significantly affects in reducing clients’ anxiety. The affirmation technique is effective to help clients to face psychological issues after postpartum hemorrhage which causes stress and trauma. Nurses who are in charge of supporting clients with postpartum hemorrhage in the recovery phase can use the nursing model integration as a reference for treatment for their patients. Maternity nurses can use positive affirmation techniques as well to reduce anxiety levels of clients with postpartum hemorrhage disorders.
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library