Rachmawaty, Rini
Universitas Airlangga

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Nurse’s Spiritual Care Competencies to Patient with End Stage Breast Cancer Anisa, Nurul Rezki; Erika, Kadek Ayu; Rachmawaty, Rini
International Journal of Public Health Science (IJPHS) Vol 7, No 4: December 2018
Publisher : Institute of Advanced Engineering and Science

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Abstract

Cancer has many side effects on patient’s physic and mostly on mental which may affect on their quality of life. Physically most patients feel fatigue, insomnia, anorexia, nausea, and vomit while mentally they feel emotional disturbances such as anxiety, stress, or depression. One of the methods to that appropriate to overcome both of the conditions is spiritual care. Many research found that because spiritual care associated with better wellbeing, less emotional disturbance, less substance abuse, greater social support, better health behaviours, so it has impact to longer survival periods. This research aimed to investigate nurse’s spiritual care competencies to patients with end stage cancer. This was descriptive study design employed Spiritual Care Competencies Scale (SCCS) instrument. A total sampling of 24 nurses working in Oncology department in Dr. Wahidin Sudirohusodo Hospital were recruited. This research found that there are 12 nurses (50 %) that work in oncology department have low competencies of spiritual care. Involving spiritual care is associated with better wellbeing and longer survival periods. Therefore, it is necessary to increase the competence of nurses on spiritual care in meeting the spiritual needs of patients with end stage breast cancer. A training of spiritual care can be an alternative for nurses to improve spiritual care in hospitals.
Prolanis Implementation Effective to Control Fasting Blood Sugar, HBA1C and Total Cholesterol Levels in Patients with Type 2 Diabetes Ahmad, Musfirah; Rachmawaty, Rini; Sjattar, Elly L.; Yusuf, Saldy
Jurnal Ners Vol 12, No 1 (2017): Vol. 12 No. 1 April 2017
Publisher : Universitas Airlangga

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Abstract

Introduction: Diabetes mellitus (DM) is a global disease endemic and causing of 4.6 million deaths in the world. The Indonesian government and health insurance [BPJS Kesehatan] formulate a Chronic Disease Care Program [Program Pengelolaan Penyakit Kronis (PROLANIS)] for type 2 diabetes that aimed at controlling the glycemic status and the risk factors of macro and microvascular complications. The purpose of this study was to analyze the correlation between the implementation of PROLANIS and fasting blood sugar, HbA1c, and total cholesterol levels in patients diagnosed with type 2 diabetes at Antang and Pampang community health centers, Makassar, Indonesia. Methods: This study used descriptive correlation design with cross sectional study approach. Subjects were 40 patients diagnosed with type 2 diabetes who joined PROLANIS at PUSKESMAS Antang and Pampang, Makassar, with sampling technique used was total sampling. The data were analyzed using correlation test to assess the significance (p), the direction (+/-), and the strength of the correlation (r). The implementation of PROLANIS was measured by using the observation sheets developed based on BPJS Kesehatan criteria, while the fasting blood sugar, HbA1c, and total cholesterol levels were checked by laboratory. Results: The mean of the implementation of PROLANIS was 15.05 (SD ± 5.62), while the mean levels of fasting blood sugar, HbA1c, and total cholesterolwere as followed: 191.80 mg/dL (SD ± 85.15); 8.4% (SD ± 2.08); and 192.87 mg/dL (SD ± 45.07). Using the Spearmans rho test, the study result showed that there was a significant and negative correlation between the implementation of PROLANIS and the levels of fasting blood sugar (p= 0.001; r= -0.724), HbA1c (p= 0.001; r= -0.870), and total cholesterol (p= 0.029; r= -0.35) in patients diagnosed with type 2 diabetes at Puskemas Antang and Pampang, Makassar. Conclusions: The optimal implementation of the PROLANIS is very effective to control the levels of fasting blood sugar, HbA1c, and total cholesterol in patients type 2 diabetes. 
EFEKTIFITAS PROGRESSIVE MUSCLE RELAXATION TERHADAP KECEMASAN PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI Z, Ricky; Rachmawaty, Rini; Syam, Yuliana
Interest : Jurnal Ilmu Kesehatan Vol 7, No 2 (2018): Interest : Jurnal Ilmu Kesehatan
Publisher : Interest : Jurnal Ilmu Kesehatan

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Abstract

Backgound: Progressive Muscle Relaxation (PMR) exercise therapy is a focused therapy to maintain deep relaxation conditions. Empirical evidence has supported the use of Progressive Muscle Relaxation (PMR) in reducing headaches, insomnia, hypertension, and additional treatment in cancer patients and management of chronic pain. This article analyzes the effectiveness of Progressive Muscle Relaxation (PMR) in reducing anxiety and by reviewing the results of the current study. Method: This study explores quantitative evidence published in electronic database, such as Pubmed, Google Scholar, and ProQuest. By using electronic publications, we have identified 193 potential and relevant articles of interest while fifteen studies have been included in the final analysis. Results: the study shows that a significant improvement occurred in a post-intervention in reducing anxiety for participants receiving PMR compared to all control groups. Conclusion: The result indicates that PMR is a particularly useful supplementary treatment to reduce anxiety levels of cancer patients undergoing chemotherapy and nurses must be trained to perform Progressive muscle relaxation. Keywords: Anxiety,  Progressive Muscle Relaxation, Breast Cancer.
Effect of Humor Therapy on Chronic Pain: A Literature Review Yusnaeni, Yusnaeni; Erika, Kadek Ayu; Rachmawaty, Rini
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

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Abstract

Introduction: Chronic pain is an unpleasant sensory and emotional experience with actual or potential tissue damage, or is described as a damage lasting more than 3 months with heavy or moderate intensity. The patient's response to the pain he experienced was done in different ways such as shouting, grimacing, crying, etc. Repair of pain is likely to occur more quickly when psychological intervention is included in medical care because it requires alternative and complementary treatment to overcome the pain including prayer , humor, hypnosis, and group support. Growing evidence-based nursing practice shows progress in helping patients deal with the pain. One of the evidence-based nursing practices is humor therapy. Method: The literature search was done through searching the results of scientific publications 2010-2018 using several databases, such as Such as Google scholar, PubMed, DOAJ, and Cochran, with keyword "Humor Therapy and Chronic Pain. Result: Obtained 6 fulltext articles, were obtained with various methods used, such as quasi-experimental pre- and posttest control group design, randomized two-group review literature, concluded that humor therapy proved effective in reducing chronic pain in all ages. Conclusion: The humor therapy is effective in reducing chronic pain in patients of all ages, both children, adults and the elderly, besides humor therapy can also be used to increase endurance and quality of life in elderly who are cared for in nursing homes
Nurses’ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study Supri, Aisyah; Rachmawaty, Rini; Syahrul, Syahrul
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

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Abstract

Background: One of nursing management functions is organizing nursing staff through assessing their working performances. Managing nursing staff in order to improve their working performance is vital. Thus, it needs to be well-designed to meet the patients’ expectation on health care quality. Nurses’ performance is defined as the action, achievement, or fulfillment of nurses’ responsibilities based on their tasks that have been assigned to them. Purpose: The aim of this study was to describe the nurses’ performance assessment and the nurse activities based on nursing clinical authority at the Dr. Wahidin Sudirohusodo hospital Makassar. Methods: This research is a qualitative descriptive study. Data were gathered from Focus Group Discussion (FGD), individual interviews, and document analysis. Results: The study results showed that generally the assessment of the nurses’ performances at the Dr. Wahidin Sudirohusodo hospital has been conducted since 2015. However, there were still some areas that need to be improved, such as the quantity indicator assessment that is currently not developed based on the nursing clinical authority. In fact, the assessment of nurses' performance for quantity indicators should be adjusted to the nursing clinical authority that has been assigned to them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: The assessment of nurses’ performance should be adhered to the nursing clinical authority and it is better if hospital managers may synchronize the nursing clinical authority with the online nursing logbook provided in the Hospital Information System
The Influence of Supervision on the Performance of Associate Nurse in Hospitals : a Literature Review Munawar, Munawar; Saleh, Ariyanti; Rachmawaty, Rini
Journal Of Nursing Practice Vol 2 No 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

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Abstract

Background: Various efforts are made to maintain and improve the quality of nursing services, one of which is to carry out nursing care according to the standards of nursing practice safely, effectively and ethically. To maintain quality, it is necessary to control nursing care in a directed and planned manner. One of the controls in nursing management is supervision. Purpose: The purpose of this literature study is to identify the effectiveness of the implementation of supervision on the performance of implementing nurses in hospitals. Methods: Database searches used in this literature review are Pubmed, Science Direct and Google Scholar published in 2007-2018. Results: From the six articles used, it was found that supervision had an impact on improving nurses' performance in the form of actions and behaviors that could be measured to maintain and improve the quality of health services for both sick and healthy patients. Other impacts among them commitment, employee attachment, competence and individual quality as well as improving service qualityto them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter. Conclusion: Implementation of supervision motivates nurses to be more attached to work, and has better performance opportunities
Efektivitas Progressive Muscle Relaxation terhadap Tekanan Darah pada Penyakit Hipertensi Zainuddin, Ricky; Aliwu, Ayu Fransisca; Rachmawaty, Rini; Syam, Yuliana
STRADA JURNAL ILMIAH KESEHATAN Vol 7 No 2 (2018): STRADA Jurnal Ilmiah Kesehatan
Publisher : STIKes Surya Mitra Husada Kediri

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Abstract

Introduction: Progressive Muscle Relaxation is a muscle relaxation technique that does not require imagination, perseverance or suggestion. Muscle relaxation is a skill that can be learned and used to reduce or eliminate tension and stimulate a sense of comfort without being dependent on things / subjects outside of itself. Objectives: reduce pain, reduce blood pressure, reduce anxiety, and reduce stress. Method: this study explores evidence published in electronic data: Pubmed, google scholar. Five studies were included in the last analysis. Results: we were able to see a significant effect in reducing blood pressure in hypertensive disease receiving Progressive Muscle Relaxation compared to the group that did not receive Progressive Muscle Relaxation training. Conclusion: These results show that Progressive Muscle Relaxation can be a non-pharmacological therapy in reducing blood pressure in Hypertension and nurses can participate in providing this training. 
Instrumen Kepuasan Pasien Terhadap Pelayanan Keperawatan : Literature Review Badrin, Nina Nisrina; Rachmawaty, Rini; Kadar, Kusrini
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

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Abstract

Patient satisfaction is one of indicator to assess the quality of health services. Measurement of patient satisfaction with nursing services is needed as an evaluation material for nursing management to ensure and improve the quality of nursing services. Several instruments of patient satisfaction with nursing services have been developed. The purpose of this Literature Review is to identify instruments of patient satisfaction with nursing services. This literature review examines the results of development and psychometric testing research of patient satisfaction instruments through article search in PubMed and Google scholar databases with keywords : patient satisfaction, nursing care, instrument, development, tools, psychometric, validity and reliability. We reviewed 20 articles. There are 7 instruments for assessing patient satisfaction with nursing services, namely the questionnaire SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ and PPHEN. Patient satisfaction instruments consist of several dimensions including individual assessment, communication, staff response, technical competence, interpersonal competence, health education, facilities, hospital environment, comfort, information on return, collaboration and coordination when patients are discharged from the hospital. Based on this literature review it can be concluded that there are several instruments and dimensions that can be used to assess patient satisfaction. But, it is necessary the development of patient satisfaction instruments by involving the perspective of the service provider and incorporating the dimensions of caring as the essence of nursing services. Kepuasan pasien merupakan salah satu indikator untuk menilai kualitas pelayanan kesehatan. Pengukuran  kepuasan pasien terhadap pelayanan keperawatan diperlukan sebagai bahan evaluasi bagi manajemen keperawatan untuk menjamin dan meningkatkan kualitas pelayanan keperawatan. Beberapa instrumen kepuasan pasien terhadap pelayanan keperawatan telah dikembangkan. Tujuan Literature Review ini untuk mengidentifikasi instrumen kepuasan pasien terhadap pelayanan keperawatan. Literature review ini menelaah hasil penelitian pengembangan dan uji psikometrik instrumen kepuasan pasien melalui pencarian artikel di database PubMed dan Google scholar dengan kata kunci : patient satisfaction, nursing care, instrument, development, tool, psychometric, validity dan reliability. Kami melakukan review terhadap 20 artikel. Ada 7 instrumen penilaian kepuasan pasien terhadap pelayanan keperawatan yaitu kuesioner SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ dan PPHEN. Instrumen kepuasan pasien terdiri dari beberapa dimensi termasuk penilaian individu, komunikasi, tanggapan staf, kompetensi teknis, kompetensi interpersonal, pendidikan kesehatan, fasilitas, lingkungan rumah sakit, kenyamanan, informasi kepulangan, kolaborasi dan koordinasi ketika pasien keluar dari rumah sakit. Berdasarkan literature review ini dapat disimpulkan bahwa untuk menilai kepuasan pasien terhadap terdapat beberapa instrumen dan dimensi yang dapat digunakan. Namun perlu pengembangan instrumen kepuasan pasien dengan melibatkan perspektif dari pemberi pelayanan dan memasukkan dimensi caring sebagai esensi dari pelayanan keperawatan.
Efektivitas Murottal Al Qur’an Terhadap Respon Fisiologis, Kecemasan Pre Operasi Dan Gelombang Otak Hakim, Hasnani; Syam, Yuliana; Rachmawaty, Rini
Jurnal Keperawatan Respati Yogyakarta Vol 5, No 3 (2018): September 2018
Publisher : Universitas Respati Yogyakarta

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Abstract

Bacaan Al Qur'an telah digunakan oleh kaum muslim selama berabad-abad untuk menyembuhkan dan mengobati orang yang menderita stres dan gangguan psikologis. Suara bacaan Al Qur’an menghasilkan  suara dengan frekuensi dan panjang alunan tertentu yang ekspresif. Alunan  ini menghasilkan untaian melodi yang mendayu yang mempengaruhi sel otak dan mengembalikan keseimbangan dan koordinasi, mempengaruhi keadaan mental dan psikologis manusia. Hal ini akan menyebabkan peningkatan kekuatan pertahanannya secara dramatis terhadap penyakit. Review artikel ini bertujuan untuk mengidentifikasi efektivitas pembacaan Al Qur’an pada respon fisiologis, kecemasan pra operasi dan gelombang otak manusia. Metode yang digunakan yaitu electronic   data base dari jurnal yang telah dipublikasikan  oleh Pubmed, ProQuest, Google Scholar dan Cochrane. Hasil review dari 15 jurnal yang dipilih menunjukkan bacaan Al Qur'an secara efektif memperbaiki tanda-tanda vital, peningkatan saturasi oksigen, tingkat kesadaran, mengurangi kecemasan pre operasi dan hasil EEG gambar gelombang otak yang menunjukkan bacaan Al Qur’an memberi ketenangan, rasa lega, dan suasana santai dan rileks. Kesimpulan, bacaan Al Qur’an adalah salah satu terapi komplementer, intervensi non-farmakologis, non-invasif dan murah untuk memperbaiki tanda-tanda vital, meningkatkan saturasi oksigen, tingkat kesadaran, mengurangi kecemasan pre operasi  dan memberikan kenyamanan bagi pasien.