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"Serah terima di samping tempat tidur (bedside handover) merupakan salah satu teknik dalam keperawatan untuk menyampaikan informasi baik dari perawat kepada perawat maupun pasien saat pergantian shift. Pelaksanaan bedside handover dan hubungannya dengan kepuasan pasien perlu menjadi perhatian bagi penyelenggara kesehatan. Laporan kasus ini menjelaskan mengenai pelaksanaan bedside handover dan kepuasan pasien di lingkungan kerja. Penilaian bedside handover dilakukan dengan observasi partisipatif pada 27 bedside handover kepada 10 pasien, wawancara pada 3 perawat dan 6 pasien, dan survey dengan menggunakan kuesioner pelaksanaan bedside handover yang dibagikan kepada 6 pasien dan 12 perawat di ruang rawat X. Hasil observasi partisipatif menunjukkan bahwa perawat melakukan bedside handover setiap pergantian shift, tetapi belum semua menerapkan sesuai SPO bedside handover. Hasil wawancara didapatkan bahwa beberapa perawat memiliki beban kerja yang padat sehingga waktu pelaksanaan bedside handover kurang maksimal. Hasil analisis deskriptif dari kuesioner didapatkan bahwa terdapat beberapa perawat yang belum mengetahui prosedur SPO bedside handover serta mengaku belum pernah mendapat sosialisasi. Selain itu, tindakan yang paling jarang dilakukan yaitu pray and spiritual support; personal diet; personal and environmental hygiene. Setelah dilakukan sosialisasi keseluruhan tindakan mengalami persentase yang meningkat. Diperlukan sosialisasi dan evaluasi secara berkala mengenai SPO bedside handover agar kepuasan pasien dan kualitas pelayanan keperawatan lebih baik. Selain itu, direkomendasikan agar pelaksanaan bedside handover sesuai SPO dilakukan tanpa menambah waktu pelaksanaannya.

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Bedside handover is a technique in nursing to convey information from both nurses to nurses and patients during shift changes. The implementation of bedside handover and its relationship with patient satisfaction needs to be a concern for health providers. This case report explains the implementation of bedside handover and patient satisfaction in the work environment. The assessment of bedside handover was carried out by participatory observation on 27 bedside handovers to 10 patients, interviews with 3 nurses and 6 patients, and a survey using a bedside handover implementation questionnaire which was distributed to 6 patients and 12 nurses in ward carry out bedside handovers every shift change, but not all of them implement bedside handover SOPs. The results of interviews showed that several nurses had a heavy workload so that the time for carrying out bedside handovers was less than optimal. The results of the descriptive analysis of the questionnaire showed that there were several nurses who did not know the SPO bedside handover procedure and admitted that they had never received socialization. Apart from that, the actions that are most rarely carried out are prayer and spiritual support; personal diet; personal and environmental hygiene. After the socialization was carried out, the overall percentage increased. Regular socialization and evaluation regarding bedside handover SOPs is needed so that patient satisfaction and the quality of nursing services are better. Apart from that, it is recommended that the bedside handover be carried out according to the SPO without increasing the implementation time."

"Pola napas tidak efektif adalah salah satu masalah keperawatan yang umum didapatkan pada pasien Penyakit Paru Obstruktif Kronis (PPOK). Terhambatnya otot inspirasi akan menurunkan ekspansi dada, menimbulkan gejala dispnea pada pasien. Yoga pranayama melibatkan lubang hidung, saluran pernapasan, diafragma, dan paru paru secara aktif. Pola ritme alternate nostril breathing memberikan dukungan ventilasi kepada pasien dengan memperkuat sistem pernapasan. Analisis dilakukan pada tiga pasien dengan kategori usia dewasa hingga lansia yang mengalami PPOK dengan keluhan utama sesak napas. Intervensi pranayama: alternate nostril breathing dilakukan selama tiga hari dengan frekuensi latihan dua kali per hari. Evaluasi status pernapasan dan instrumen SGRQ dilakukan untuk mengecek efektifitas alternate nostril breathing dalam memberikan dukungan ventilasi terhadap pola napas tidak efektif. Hasil menunjukkan penurunan frekuensi napas yang signifikan dan penurunan skor total SGRQ hingga mencapai 13.54% dari skor awal. Berdasar dari hasil penelitian, alternate nostril breathing berhak dilakukan sebagai modalitas terapi tambahan pada pasien dengan pola napas tidak efektif. Kata kunci : Alternate nostril breathing, PPOK, Pola Napas Tidak Efektif, Pranayama.

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Ineffective breathing pattern is one of the common cough problems in patients with Chronic Obstructive Pulmonary Disease (COPD). Inhibition of muscle inspiration will reduce chest expansion, causing symptoms of dyspnea in patients. Yoga pranayama actively involves the nostrils, airways, diaphragm, and lungs. The rhythmic pattern of alternating nostril breathing provides ventilation support to patients by strengthening the respiratory system. The analysis was conducted on three patients with the age category of adults to the elderly who had COPD with the main complaint of shortness of breath. Pranayama intervention: alternating nostril breathing was carried out for three days with a frequency of exercise twice a day. Evaluation of respiratory status and SGRQ instruments were carried out to examine the effectiveness of alternate nostril breathing in providing ventilation support for ineffective breathing patterns. The results showed a significant decrease in respiratory frequency and a decrease in the total SGRQ score of up to 13.54% from the initial score. Based on the results of the study, alternate nostril breathing can be carried out as an additional therapeutic modality in patients with ineffective breathing patterns. Keywords: Alternate nostril breathing, COPD, Ineffective Breathing Pattern, Pranayama."

"Handover keperawatan merupakan salah satu kegiatan rutin yang dilakukan oleh perawat. Berdasarkan bukti yang didapatkan dari penelitian, kegagalan proses handover berpotensi menyebabkan insiden keselamatan pasien, kesalahan medikasi, hingga ketidakpuasan pasien terhadap pelayanan keperawatan. Tujuan: Penelitian ini bertujuan untuk mengevaluasi penerapan metode ISBAR dan CARE team protocol dalam pelaksanaan handover di ruang rawat inap Rumah Sakit X. Metode: Penulis menggunakan metode case report yang dimulai dengan melakukan observasi dan wawancara, menerapkan inovasi penyelesaian masalah menggunakan evidence-based practice, dan evaluasi. Penerapan intervensi: Implementasi dengan sosialisasi dan penerapan metode ISBAR dan CARE team protocol dilakukan kepada 12 orang perawat kemudian mengevaluasi penerapannya kepada 6 orang perawat. Hasilnya, perawat melakukan penyampaian informasi secara lebih terstruktur dibuktikan dengan penerapan ISBAR yang lebih optimal (Idenity 100%; Situation 86%; Background 35%; Assessment 35%; Recommendation 100%). Sikap perawat selama handover juga menunjukkan perubahan yang positif ditandai dengan penerapan komponen CARE team protocol yang cukup optimal (Connect 100%; Ask 50%; Respond 60%; Empathise 100%) dan hasil kuesioner menunjukkan skor persepsi perawat terhadap pelaksanaan handover meningkat sebanyak 14,88% (Pre = 375; Post =431).Rekomendasi: optimalisasi ISBAR dan CARE team protocol dalam handover dapat diterapkan untuk mencapai handover yang efektif.

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Nursing handover is one of the routine activities carried out by nurses. Based on evidence obtained from research, failure in the handover process has the potential to cause patient safety incidents, medication errors, and patient dissatisfaction with nursing services. Objective: This study aims to evaluate the application of the ISBAR method and CARE team protocol in implementing handovers in the inpatient room at Hospital X and evaluation. Method: Author uses a case report method, begins by conducting observations and interviews, applying innovative problem solving using evidence-based practice, and evaluation. Intervention: Implementation with socialization and application of the ISBAR method and CARE team protocol was carried out on 12 nurses and then evaluated its application on 6 nurses. As a result, nurses conveyed information in a more structured manner as evidenced by more optimal application of ISBAR (Identity 100%; Situation 86%; Background 35%; Assessment 35%; Recommendation 100%). Nurses' attitudes during the handover also showed positive changes marked by the implementation of the CARE team protocol components which were quite optimal (Connect 100%; Ask 50%; Respond 60%; Empathise 100%) and the results of the questionnaire showed that the nurse's perception score regarding the implementation of the handover increased by 14. 88% (Pre = 375; Post = 431). Recommendation: optimization of ISBAR and CARE team protocol in handover can be applied to achieve effective handover."

"Ansietas pada periode postpartum merupakan hal yang umum terjadi karena berkaitan dengan beberapa faktor risiko seperti kondisi hormonal dan perubahan peran yang akan dialami oleh ibu. Ansietas dapat menyebabkan terjadinya postpartum blues apabila tidak dilakukan tatalaksana. Penulisan karya ilmiah ini bertujuan melaporkan analisis asuhan keperawatan pada ibu postpartum dengan penerapan Emotional Freedom Technique (EFT) untuk pencegahan postpartum blues. Studi kasus ini dilakukan dengan memberikan intervensi EFT selama tiga hari perawatan terhadap ibu primipara yang memiliki bayi prematur BBLR dan mendapat perawatan di NICU. Hasil analisis menunjukkan bahwa terdapat penurunan tingkat ansietas yang dinilai menggunakan kuesioner Edinburg Post Natal Depression Scale (EPDS).

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Anxiety during postpartum period commonly occurs due to several risk factors such as hormonal issues and the role changes experienced by mothers. If not managed properly, anxiety can lead to postpartum blues. This scientific paper aims to report an analysis of nursing care for postpartum mothers utilizing the Emotional Freedom Technique (EFT) to prevent postpartum blues. This case study was conducted by providing EFT intervention for three days to a primiparous mother with a low birth weight (LBW) premature infant receiving care in the NICU. The analysis results indicated a reduction in anxiety levels as measured by the Edinburgh Postnatal Depression Scale (EPDS). "

"Penerapan discharge planning yang efektif terbukti dapat memberikan manfaat, baik pada pasien maupun rumah sakit seperti dapat mengurangi risiko readmisi. Discharge planning merupakan bagian dari proses keperawatan. Peran perawat dalam pelaksanaan discharge planning ini sangat penting. Pada ibu postpartum, penerapan discharge planning sangat perlu dilakukan. Hal ini dikarenakan pada ibu postpartum mengalami perubahan peran sehingga pengetahuan, keterampilan, dan perilaku dalam perawatan di rumah perlu dimiliki. Namun, beberapa penelitian menyatakan bahwa masih banyak perawat yang tidak menerapkan discharge planning. Selain tidak menerapkan, perawat juga seringkali tidak melakukan proses discharge planning secara menyeluruh dan kontinu. Metode penulisan yang digunakan yaitu case report¸dimana pada tahap awal penulis mengidentifikasi masalah dengan observasi dan wawancara langsung. Kemudian, penulis mencari evidence based practice berupa model IDEAL dalam discharge planning untuk diterapkan dan menganalisis evaluasi setelah model ini diterapkan. Lalu, penulis menyusun pembahasan dan rekomendasi ke pihak ruangan berdasarkan hasil studi kepustakaan. Hasil laporan pada kasus ini mengidentifikasi bahwa penerapan discharge planning pada ibu postpartum di ruangan masih belum optimal. Beberapa perawat masih belum memahami terkait proses discharge planning. Salah satu hal yang menyebabkan masalah ini yaitu belum adanya aturan yang mengatur tentang discharge planning di ruangan sehingga diperlukan penerapan model IDEAL sebagai acuan untuk discharge planning di rumah sakit.

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Implementing effective discharge planning has been proven to provide benefits, both for patients and hospitals. Discharge planning is part of the nursing process and the role of nurses in discharge planning is significant. In postpartum mothers, the implementation of discharge planning is essential because postpartum mothers experience a change in their role so knowledge, skills, and behavior in-home care need to be possessed. However, several studies state that there are still nurses who do not implement discharge planning. In addition to not implementing it, nurses also often do not carry out the discharge planning process comprehensively and continuously. The writing method used is a case report, where in the initial stage the author identifies problems through direct observation and interviews. Then, the author looks for evidence-based practice in the form of an IDEAL model in discharge planning to be applied and analyzes the evaluation after this model is applied. Then, the author compiles a discussion and recommendations to the ward based on the results of a literature study. The results of the report in this case identify that the implementation of discharge planning in postpartum mothers in the ward is still not optimal. Some nurses still do not understand the discharge planning process. One of the things that causes this problem is the absence of regulations governing discharge planning in the room, so it is necessary to apply the IDEAL model as a reference for discharge planning in hospitals. "

"Sectio caesarea (SC) adalah salah satu tindakan persalinan untuk mengeluarkan bayi melalui sayatan pada abdomen/laparotomi dan uterus/histerotomi. Nyeri merupakan keluhan paling umum pada ibu post sectio caesarea akibat insisi jaringan yang dapat menyebabkan insomnia, kelelahan, kecemasa, gangguan mobilitas yang akan mengakibatkan keterlambatan pemulihan ibu serta gangguan perlekatan antara ibu dan bayi. Manajemen nyeri non- farmakologis diperlukan untuk mengurangi nyeri pada ibu yang telah menjalani operasi sectio caesarea. menggunakan teknik massage effleurage pada punggung dapat berfungsi sebagai analgesik epidural yang dapat mengurangi nyeri dilakukan dua kali sehari selama tiga hari pada ibu post sectio caesarea. Penulisan karya ilmiah ini bertujuan untuk melaporkan asuhan keperawatan maternitas pada pasien post sectio caesarea yang mengalami nyeri dan pengaruh penerapan massage effleurage untuk menurunkan tingkat nyeri. Metode penulisan yang digunakan adalah studi kasus keperawatan dengan menggunakan satu pasien dengan status paritas P1A0 di Rumah Sakit Universitas Indonesia Ruang Asoka. Evaluasi yang didapatkan setelah dilakukan intervensi massage effleurage pada ibu post sectio caesarea, terdapat penurunan intensitas nyeri yang diukur menggunakan Numeric Rating Scale (NRS) penurunan yang sangat signifikan dibuktikan adanya penurunan skala nyeri dari 5 (nyeri sedang) menjadi skala 2 (nyeri ringan) dari 10. Temuan lain didapatkan klien merasakan lebih dapat mengontrol nyeri, rileks, dan merasa lebih tenang. Rekomendasi penerapan massage effleurage pada ibu post sectio caesarea untuk mengurangi nyeri. di rumah sakit. Penelitian selanjutnya diharapkan dapat melakukan perbadingan efektifitas massage effleurage dengan tehknik non farmakologi lainya untuk mengurangi nyeri pada ibu post sectio caesarea.

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Sectio caesarea (SC) is a delivery procedure to remove the baby through an incision in the abdomen/laparotomy and uterus/hysterotomy. Pain is the most common complaint in mothers after caesarean section due to tissue incision which can cause insomnia, fatigue, anxiety, impaired mobility which will result in delays in the mother's recovery and impaired attachment between mother and baby. Non-pharmacological pain management is needed to reduce pain in mothers who have undergone caesarean section surgery. Using the effleurage massage technique on the back can function as an epidural analgesic which can reduce pain twice a day for three days for mothers after caesarean section. The aim of writing this scientific work is to report maternity nursing care for post caesarean section patients who experience pain and the effect of applying effleurage massage to reduce pain levels. The writing method used is a nursing case study using one patient with parity status P1A0 at the University of Indonesia Hospital, Asoka Room. Evaluation obtained after the massage effleurage intervention was carried out on postcaesarean section mothers, there was a reduction in pain intensity as measured using the Numeric Rating Scale (NRS), a very significant reduction as evidenced by a decrease in the pain scale from 5 (moderate pain) to 2 (mild pain) from 10. Another finding was that the client felt more able to control pain, relaxed and felt calmer. Recommendations for applying effleurage massage to mothers after caesarean section to reduce pain. in the hospital. It is hoped that future research will be able to compare the effectiveness of massage effleurage with other non-pharmacological techniques to reduce pain in post-cesarean section mothers."

"Serah terima belum optimal di beberapa rumah sakit di Indonesia dan ditemukan masih banyak kejadian tak terduga dan insiden nyaris celaka. Pentingnya komunikasi yang efektif dalam serah terima, khususnya dalam penggunaan metode SBAR untuk memastikan keselamatan pasien dan kualitas perawatan. Penerapan serah terima antar shift menggunakan metode SBAR di ruang rawat inap Rumah Sakit X belum optimal. Sosialisasi, role play, dan supervisi terbukti dapat mengoptimalkan pelaksanaan serah terima keperawatan sehingga perlu diterapkan pada ruang rawat inap Rumah Sakit X. Tujuan penulisan ini yaitu menganalisis gambaran serah terima dan upaya pengoptimalan serah terima antar shift dengan metode sosialisasi, role play, dan supervisi. Metode penulisan yang digunakan adalah case report dengan pendekatan teori perubahan terencana Kurt Lewin. Tahapan yang dilakukan yaitu mengidentifikasi gambaran situasi, mengidentifikasi masalah, mengumpulkan data, menganalisis masalah, menerapkan serta mengevaluasi solusi sesuai evidence-based practice, dan penulisan laporan kasus. Hasil dari penerapan intervensi evidence-based practice menunjukkan tingkat pengetahuan tentang serah terima menggunakan SBAR sebesar 85% dan persentase capaian pelaksanaan serah terima 63%. Sosialisasi dan role play berkala dapat dilakukan sebagai upaya optimalisasi pelaksanaan serah terima. Temuan ini juga menyoroti pentingnya pelaksanaan supervisi untuk mendukung proses timbang terima yang optimal di ruangan.

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Handover has not been optimal in several hospitals in Indonesia and it was found that there were still many unexpected events and near-accident incidents. The importance of effective communication in handover, especially in the use of the SBAR method to ensure patient safety and quality of care. The application of handover between shifts using the SBAR method in the inpatient room of Hospital X has not been optimal. Socialization, role play, and supervision are proven to optimize the implementation of nursing handover so that it needs to be applied to the inpatient room of Hospital X. The purpose of this writing is to analyze the handover picture and efforts to optimize handover between shifts with socialization, role play, and supervision methods. The writing method used is a case report with Kurt Lewin's planned change theory approach. The stages carried out are identifying the situation picture, identifying problems, collecting data, analyzing problems, implementing, and evaluating solutions according to evidence-based practice, and writing case reports. The results of the implementation of evidence-based practice interventions show the level of knowledge about handover using SBAR is 85% and the percentage of achievement of handover implementation is 63%. Periodic socialization and role play can be carried out as an effort to optimize the implementation of handover. These findings also highlight the importance of implementing supervision to support an optimal weighing process in the room."