Standards Of Nursing Care Research Articles

The Effect of Implementing 3S (SIND, SINO, SINI)-based Orthopedic Nursing Care Instrument in Improving Nursing Service Quality and Patient Safety in Indonesia Hospital

Along with the increasing of orthopedic disorders incidence, the provision of orthopedic nursing care in Indonesia is also increasing. The Indonesian National Nurses Association (INNA) has published nursing care standards as a reference for nurses in providing nursing care and standardizing nursing care terminologies. Standard-based orthopedic nursing care instruments have been developed, but their effectiveness has not been investigated in improving the quality of nursing services and patient safety. This study aimed to identify the effect of the application of 3S-based Orthopedic Nursing Care (3S-ONC) on the quality of nursing services and patient safety. Descriptive quantitative analysis using a quasi-experimental method with a pretest and posttest with control group design, involving 106 respondents (53 control, 53 intervention), recruited by purposive sampling technique. In the intervention group, nurses provided nursing care by applying the 3S-based Orthopedic Nursing Care (3S-ONC) instrument. The study showed that in both groups, most of the nurses were in the early adult category, dominated by female sex and most of them had professional education level. There were significant differences in the quality of nursing services (p 0.046; α 0.05) and patient safety (p 0.000; α 0.05) between the intervention group and the control group after the application of the 3S-ONC instrument. The 3S-ONC instrument can improve the quality of nursing services and the safety of patients with orthopedic disorders in hospitals.The 3S-ONC instrument can be considered for the development of a paper-based or computer-based nursing care documentation system to further improve the quality of nursing services and patient safety in healthcare facilities, especially in hospital.

Stress level and interdialytic weight gain (IDWG) in hemodialysis patients

Stress has various impacts on hemodialysis patients. Stress in hemodialysis patients can cause physical symptoms (fatigue, muscle cramps, nausea, and vomiting), a decrease in quality of life, and non-compliance with self-management, one of which is compliance related to limiting fluid intake, thus adversely affecting on the patient's IDWG. IDWG is an important indicator for fluid monitoring in hemodialysis patients. Increasing IDWG that exceeds the tolerance limit can have a negative impact and can even cause mortality. This study aimed to determine the correlation between stress level and IDWG among hemodialysis patients. This study was conducted in the hemodialysis unit of RSD Mangusada, involving 95 respondents. This study was quantitative, with non-experimental research using a cross-sectional approach. Data collection was carried out with DASS questionnaires for stress and observation sheets for the IDWG. The data was analyzed using Pearson's Spearman Rank (α<0.05). Respondents with IDWG within tolerance limits were the majority unstressed, and none experienced severe stress or very severe stress. There is a positive and weak correlation between stress and IDWG among patients undergoing hemodialysis. The findings from this study may provide useful information in reviewing existing nursing care and standards of care provided in hemodialysis units, including the need to consider psychological assistance services in the care of hemodialysis patients. Qualitative research is needed to explore the in-depth experience of stress in hemodialysis patients and the factors associated with it.

Design and implementation of a mobile medical and continuing care system based on wireless sensor networks

The Android system has good compatibility, freedom, rich hardware resources and a good development environment. At the same time, it can also work with Google services to obtain external support. Android is an open source operating system platform, which is similar to the iOS platform. In contrast, developers have more room for development, making the Android platform more people use. This article aims to develop a mobile medical system based on the Android operating system that integrates search engines, maps, and hospital HIS systems. The users are mainly patients, doctors and system administrators. Patients can register online and use mobile healthcare to pay online. They can also upload various physical indicators to record their daily health status. The establishment of health files is convenient for doctors to make health assessments and provide patients with medical consultation and medical health protection. Patients can also realize hospital navigation, intra-hospital navigation, and view various hospital inspection reports through the APP. The design of mobile medical service system is to design user behavior in the system based on the concept of service design. Therefore, in the process of system design, it is necessary to comprehensively consider service design principles and related factors, and propose behavior design principles that conform to service design theory. This study uses a mutual continuation care platform to implement seamless care for patients. Patients and medical staff can realize the continuation of the relationship and the continuity of information, and the patients can receive comprehensive guidance in a timely and effective manner. It can provide a reference basis for improving the continuity management and information management of patients in China, and provide reference value for the standardization and standardization of patients' continuation of nursing care standards and procedures.

Strengths, weaknesses, opportunities and threats (SWOT) analysis of artificial intelligence adoption in nursing care

The primary objective of this commentary was to identify the strengths and weaknesses of AI technologies, uncover opportunities for improvement, and recognize potential threats that could impede their successful implementation in nursing care. This commentary involved constructing a SWOT matrix to analyze AI adoption, identifying internal strengths and weaknesses, and external opportunities and threats. The analysis revealed several strengths of AI adoption in nursing care, including enhanced data analysis capabilities, improved patient monitoring, and increased efficiency in routine tasks. However, weaknesses such as the high initial costs of implementation and concerns about data security were identified. Opportunities included the potential for AI to reduce healthcare costs and improve patient outcomes. Nonetheless, threats such as resistance to technological change and ethical dilemmas related to AI decision-making processes were recognized as potential barriers to successful adoption. This article sheds light on the intricate landscape of AI adoption in nursing care. While AI brings forth substantial strengths, it simultaneously poses challenges that healthcare systems should confront. To fully harness AI's potential, healthcare organizations should thoughtfully deliberate on the identified weaknesses and threats, actively seeking avenues for seamless integration. In this concerted effort, the healthcare industry is poised to unlock the transformative capabilities of AI, elevating nursing care standards, and ultimately, advancing patient outcomes.

The Impact of Modular Professional Nursing Care Model (Modification of The Primary-Team Model) on Patient Satisfaction in Health Services: A Literature Review

Optimal health services are considerably increasing patient satisfaction. Optimization of health services could be implemented using the Modular Professional Nursing Care Method (MAKP Modular). MAKP Modular provides a clear division of tasks and responsibilities for nurses in accordance with the distribution of nursing staff. This literature review aimed to identify the effect of MAKP Modular in increasing patient satisfaction through the optimization of health services. The research design is a literature review. The journal article was conducted on the Google Scholar journal database website and 10 journal articles were selected according to inclusion criteria. The results of the review show that the application of MAKP Modular affects the quality of implementation of nursing care standards. The performance of nurses manifested in the implementation of MAKP Modular also influences patient satisfaction. However, there are still some deficiencies in the application of modular MAKP in the health service setting. These deficiencies are influenced by factors of knowledge, attitudes, and motivation of nurses. The application of MAKP Modular to the healthcare system is conducted by combining the team method and the primary method. The combination of these two methods allows for a more effective and efficient process of providing nursing care. Evaluation of the implementation of MAKP Modular in clinical and hospital settings needs to be engaged on an ongoing basis to determine the effectiveness of implementation.

Development of a Prototype of Android-Based Nursing Care Standards for Diabetes Mellitus Patients in the Interna Nursing Ward at RSUD Toto Kabila

Gorontalo ranks 7th in the number of Diabetes Mellitus sufferers out of 35 provinces in Indonesia with prevalence increasing from 1.3% in 2013 to 2.4% in 2018. High prevalence and morbidity can be reduced by improving the quality of nursing care in hospitals through standardization of nursing care for diabetes mellitus patients. This research aims to develop electronic-based nursing care standards (E-SAK) and to improve the quality of nursing care for diabetes mellitus patients by conducting prototype trials. This research uses a pre-experimental design research type with a one shot case study approach where measurements of the effectiveness of the application and its level of usefulness are carried out after the intervention. The type of sampling used total sampling by taking all 30 nurses in the internal room. The nursing care standards used in this application are prepared based on nursing professional organization standards (PPNI), a list of diagnoses that form the application database using an evidence-based nursing approach based on the results of a literature review. The research instrument used in this study was the SUS (System Usability Scale) questionnaire to test the ease of use of the application by nurses. The SUS questionnaire was adapted from research conducted by (Alfatoni et al., 2020) and has gone through a reliability test with a Cronbach's Alpha value > 0.06. From the statistical test results, it was found that the average usability score was 89, which means the level of satisfaction means that this application prototype is acceptable or easy to use and the level of usefulness is high by respondents. Thus, this application can be used by hospitals to improve the quality of nursing care services for diabetes mellitus patients.

The Influence of Nurse Behavior on the Completeness of Nursing Care Filling

Completeness of nursing care is a professional need that needs to be taken into consideration from both an ethical and legal standpoint. This study aimed to analyze the influence of knowledge, attitudes, actions, motivation, workload and the most influential factor on the completeness of nursing care completion at Sufina Aziz Hospital Medan. This is quantitative research using cross-sectional design. The study population was all executive nurses and the sample used 55 executive nurses taken by using total sampling technique. The result of univariate test of good knowledge was 43 people (78.2%), positive attitude was 42 people (76.4%), good action was 7 people (12.7%), strong motivation was 45 people (81.8%), heavy workload was 16 people (29.1%), completeness of nursing care completion with good category was 36 people (65.5%). Chi Square test Sig value with knowledge variable was 0.050 and the attitude value was 0.003 because the p value <0.05, it could be concluded that there was a relationship while the logistic regression test the variable that had the most influence on the completeness of nursing care completion was the attitude variable with a Sig. value of 0.005 (p <0.05).The conclusion shows that the attitude of executive nurses is 22 times at risk of the completeness of nursing care completion at Sufina Aziz Hospital Medan. To ensure that nursing care is provided in line with nursing care standards, it is advised that the executive nurse receive regular monitoring and evaluation for completing nursing care forms completely, properly, and on time.

WITHDRAWN: Palliative care nurse: A quantitative study of caring for neonates at end-of-life stage

BackgroundThis study aimed to evaluate the quality of the care provided to newborns at End-of-Life (EOL) stages and compare the care is already being given to the infants admitted to the NICUs of the selected hospital in Tehran with the existing standards. Aim: Knowing how End-of-Life nursing care is provided, comparing with the standard in the terminal stage of neonates’ life can provide accurate information for policies, research, and educational practices. MethodsIn this descriptive study, 100 nursing care services, provided to the neonates at the EOL stages and their parents, were observed and compared to the standard checklist which had been developed based on the literature review and existing standards in 2015. The study setting included the NICUs of the four hospitals affiliated to Shahid Beheshti university of Medical Science, Tehran, Iran. The Content and Face Validity of the checklist were determined based on specialists’ comments. The Content Validity Index was 94.85%, and its reliability was evaluated too through the inter-rater correlation coefficient (ICC = 0.715). The data were analyzed using SPSS-19. ResultsOnly 11.49% of EOL nursing care services were given properly and 77.92% were not given at all. Results showed that 10.59% of EOL nursing care services were performed improperly. ConclusionThe overall rate of accordance with the EOL nursing care standards was poor (16.78%). Nursing care given to infants and their parents at EOL stages is far from the standards. This can be due to various reasons, such as inadequate training and the lack of comprehensive guidelines.

Motivation and leadership style influence the implementation of nursing care standards at Udayana University Hospital, Bali, Indonesia

Motivation and leadership style influence the implementation of nursing care standards at Udayana University Hospital, Bali, Indonesia

Optimalisasi Penegakan Diagnosis Keperawatan Sesuai Standar Asuhan Keperawatan di Rumah Sakit X

This study aims to analyze the enforcement of nursing diagnoses according to the Nursing Care Standards of X Hospital Jakarta. The research method uses a case study approach with interviews, document review and observation, and performs problem analysis using fishbone analysis. The results showed that the enforcement of nursing diagnoses in accordance with the Standards of Nursing Care was not optimal, so that it had an impact on the quality of care and its documentation. Nursing diagnoses that are in accordance with Nursing Care Standards are 48.6%. Lack of supervision from managers, assessments using personal assumptions and the standard of writing diagnoses in the local Hospital Information System (SIRS) has not been facilitated. Through strengthening the directing function with SAK media innovation, there was an increase in writing nursing diagnoses according to SAK to 62.3%. In conclusion, optimizing the enforcement of nursing diagnoses in accordance with Nursing Care Standards can be implemented with SAK media innovations (Softfiles on the Google Form Platform and flipcharts) which are given to implementing nurses at X Hospital.
 
 Keywords: Diagnosis, Nursing Documentation, Quality, Nursing Care Standards

Supportive educative system based on the integration of family centered care and family tasks towards family support in adolescents with smartphone addiction

Introduction - The family as the smallest unit of society is a social institution that has and functions at every stage of development. During the pandemic, all needs are shifted to online from offline activities, so our interaction with smartphones or laptop screens is increasing. This study aims to arrange the invention of a new method of family nursing care standards with a Supportive Educative System based on integrating Family Centered Care and family tasks towards family support in adolescents with Smartphone addiction. Method - The study used quantitative design with Quasy Experiments. The sample taken was 24 respondents who were divided into two groups. Data analysis using the Paired t-test it shows that in the treatment group the results of the p value (0.002) < (0.05), meaning that there is a difference between family support before and after being given treatment, namely an increase in the average value of 95 to 97.08. While in the control group the statistical. Result - The results of the p value (0.028) < (0.05), meaning that there is a difference between family support before and after being given treatment, namely an increase in the average value of 94, 75 becomes 96. Conclusion - There is change to the treatment of inventions new methods of standardized family nursing care with a Supportive Educative System based on the integration of Family Centered Care and family duties towards family support in adolescents with Smartphone education to families is expected to be the basis for members to support each other in Addiction.

Effect of Developing and Implementing Nursing Care Standards on Patients' Outcomes Regarding Ureteral Stent

Effect of Developing and Implementing Nursing Care Standards on Patients' Outcomes Regarding Ureteral Stent

THE EFFECTIVENESS OF APPLICATION OF ELECTRONIC-BASED NURSING DOCUMENTATION IN IMPROVING HEALTH SERVICES : LITERATURE REVIEW

Introduction: Documentation is a nursing record as evidence reporting in the interest of health workers providing health services. The development of nursing care standards with electronic nursing documentation that is in line with technological developments can reduce errors in performing intervention actions on patients. This research aims to improve the quality of documentation to make it easier for nurses to provide health services. Method: The design of this research is a literature review. The article search was conducted on 10-22 February by accessing five electronic databases (Scopus, Science Direct, Pubmed, Ebscohost and ProQuest). The method used to summarize the journal is CASP (Critical Appraisal Skill Program) tools. The strategy in searching for articles using PICO is, Population: The sample in this study is a number of nurses in the room with varying numbers. Intervention: electronic-based nursing documentation, Comparison: manual nursing documentation. Outcomes: A total of 13 articles were analyzed according to inclusion and exclusion criteria focusing on nursing documentation. Results: Studies related to electronic documentation show that there is electronic documentation and manual documentation. The use of electronic documentation can improve documentation filling, increase time effectiveness and improve quality nursing service. Conclusion: Electronic-based nursing documentation is easy to apply efficiently by nurses in the documentation system so that there is an increase in recording or documentation compared to a written system considering the nurse's workload high and time constraint. Keywords: electronic documentation; health services; nurse

Implementation of Nursing Care Documentation Based on Indonesian Nursing Care Standards (SDKI, SLKI, and SIKI) in Hospitals

Nursing documentation is a description of the actions given by nurses to patients in nursing care. This documentation consists of assessment, diagnosis, outcome, intervention, implementation, and evaluation. Nursing documentation should be evaluated in relation to its application in providing nursing care. There is still diversity in formulating nursing diagnoses due to the variety of nursing education, knowledge of nurses, and even differences in the reference standards used. Nurses at Kaliwates General Hospital Jember have different backgrounds from different educational institutions. Training is needed in providing nursing care, especially in the formulation of nursing diagnoses. The purpose of this service is to increase knowledge and skills as well as to apply the SDKI, SLKI, and SIKI books in the preparation of nursing documentation. This service method is by collecting information related to the knowledge and skills of nurses about the application of the SDKI, SLKI, and SIKI; training by providing materials; mentoring; and evaluating the application of this book in the nursing care documentation process.

NURSING CARE OF HYPERTHERMIA IN CHILDREN FEBRILE SEIZURES: A CASE REPORT

Introduction: Febrile seizures occur due to increased temperature due to extracranial processes. There is a predisposition Familial and more common in boys than girls. Prolonged and repeated attacks can cause severe disturbances in the child's brain, so the child has a mental disability. This case study aims to apply hyperthermia nursing care for children with febrile seizures in the pediatric inpatient room at Lamongan Hospital. Methods: The research design used is to study cases with a nursing care approach. The sample in this study was one child patient with febrile seizures: data collection techniques using interviews, observation, documentation studies, and physical examination. The research instrument used the pediatric nursing care assessment format. Results: After implementing nursing for 3x24 hours, the nursing diagnosis of hyperthermia is resolved. The risk of injury does not occur during the treatment period because the body temperature has reached 36.5 0 C, and the patient has never had another seizure. Conclusions: It is necessary to collaborate with professional care providers and family participation for the success of nursing care according to nursing care standards to prevent happening seizures repeated.

Application of Squishy Intervention With Combination Active ROM To Increase Muscle Strength Hands On Stroke Patient

Introduction– Stroke is a non-communicable disease that has an impact on the loss of motor skills in the extremities. One intervention that can overcome this problem is the application of squishy with a combination of active ROM.
 Purpose– The purpose of this case study was to conduct nursing care on the application of squishy intervention to increase hand muscle strength in stroke patients. Methodology/Approach – The method used in writing is a case report which was carried out for 6 days with Active ROM combination squishy intervention.
 Findings– The results of this scientific work show that with the active ROM combination squishy intervention for 6 days, there is a significant increase in muscle strength in the right upper extremity before the intervention is worth 2 and after the intervention is worth 4.
 Conclusion– The effectiveness of the application of nursing care standards in increasing muscle strength given to patients shows a change in muscle strength on the third day to the fifth day with a muscle strength value of 3 and the sixth day with a muscle strength value of 4.

Beban Kerja Perawat Berhubungan Dengan Kepatuhan Pendokumentasian Asuhan Keperawatan Di IGD RSUD Kota Bogor Tahun 2022

Introduction: Based on the data obtained from January to May 2022 in the Bogor City Hospital Emergency Room, it was found that the documentation of nursing care was not optimal. 7 Emergency Room nurses said that the workload of nurses was quite heavy with countless patient visits with various criteria. Incomplete documentation of nursing care will lead to a decrease in the quality of nursing services and the occurrence of a problem that has the potential to become a legal case for nursing staff. Therefore, it is necessary to increase knowledge regarding the completeness of proper documentation and motivation from leaders and management so that nurses can complete the documentation of nursing care optimally. Methods: This study uses a cross-sectional descriptive quantitative method, with the type of correlation. The samples taken were 42 respondents. The instruments used were the workload questionnaire from Nursalam and the Hospital Nursing Care Standards (SAK) observation sheet. The dependent and independent variables in this study were Compliance with nursing care documentation and nurses’ workload. Results: The age distribution where nurses were mostly early adults with 33 people (78,6%), and the gender of most of them was 29 people (69%), The distribution of nurses' workload is almost entirely moderate, namely 35 people (83,3%) while the distribution of documentation compliance level is mostly obedient, which is 24 people (57,1%). Correlation Test Results p-value was obtained at 0,031 (< 0,05). Discussion: There is a significant relationship between the workload of nurses and the compliance of nurses' documentation in Bogor City Hospital Emergency Room in 2022.

ORGANIZATIONAL COMMITMENT WITH QUALITY OF NURSING IN THE RSI SAKINAH MOJOKERTO

Background: Good service quality not only measures the luxury of the facility, but from employee behavior and behavior should reflect high professionalism and commitment.
 Objectives: The purpose of this study was to determine the relationship between Organizational Commitment with Quality of Nursing Service in Inpatient Room of the RSI Sakinah Mojokerto.
 Methods: This research used Cross Sectional approach. The population of all nurses in the Inpatient Room of the RSI Sakinah Mojokerto, who spoke 85 nurses. Technique Sampling used in this study was Total Sampling and obtained by sample counted 85 respondents. The data source used the primary data obtained through the questionnaire. Data analysis was using the Spearman Rank Test.
 Results: The results of this study were obtained almost entirely (76.5%) Organizational Commitment in Inpatient Room of RSI Sakinah Mojokerto included in the category of High Organizational Commitment. Nursing Care Quality (Nursing Care Standards and Professional Performance Standards Nurses) at the RSI Sakinah Mojokerto Inpatient Hospital RSI was almost entirely included in the good category. The result of Spearman Rank test statistic with sig level (.05), got correlation value .000 (< .05) meaning that there was a correlation of Organization Commitment with Nursing Care Quality (Nursing Care Standard and Professional Performance Standard of Nurse) at Inpatient Room of the RSI Sakinah Mojokerto.
 Conclusion: The task of the hospital as a health service institution was to improve the skills, speed, ease and accuracy in conducting the practice of nursing health services and more responsible in providing services so as to maintain commitment to the organization.

Perioperative Nursing Care Standards in a SARS CoV-2 Infected Patient for Mandatory Coronary Artery Bypass Grafting

The coronavirus disease 2019 (COVID‐19) pandemic, caused by severe acute respiratory corona virus-2 (SARS CoV-2) that started in late December 2019, lead to millions of infections and mortalities and disruption in routine clinical services, including surgical procedures. Such delay in routine; surgical procedures leads to a backlog of patients, including cardiac, planned for surgical interventions. The pandemic has presented healthcare workers with the unprecedented challenge of maintaining patient and personal safety dealing with patients, including surgical ones. The healthcare personnel in general and nurses caring confirmed SARS-CoV-2 infected patients in specific have a high risk of patients and self-safety concerns, especially under peri-operative care where aerosol-producing procedures are key components of care. Herein, we present the peri-operative nursing approach to a SARS CoV-2 infected patient, confirmed with reverse transcriptase-polymerase chain reaction (rt-PCR), and remained positive as repeated four times in nearly four weeks, who underwent an essential coronary artery bypass graft (CABG), with specific focus to standard recommendations and protocols. Adherence by nursing staff to these recommended peri-operative protocols will mandate; both patient and nursing safety.

Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents.

Clinical trials on pediatric oncology use therapeutic techniques with the overwhelming majority of children's cancer patients obtaining therapy via clinical investigation procedures. Medical treatment is scheduled according to a specific protocol for enrolled patients. These protocols often do not refer to nursing care. Nursing care, on the other hand, must complement the medical care specified in the medical research protocol. Safe treatment administration, assessment of treatment responses, patients' and families' education, and communication with the whole medical team are just a few of the critical nursing tasks that should be properly managed. Nursing care standards have been developed in this study to strike a good balance between the procedure for clinical research and the nursing care connected with it. These recommendations outline the nursing activities and considerations that must be made while caring for pediatric cancer patients who are engaged in a specific clinical investigation procedure. The objective of this study is to outline the procedure through which nursing care guidelines could be developed and evaluated. The goal of this study was to find out the involvement of nurses in the process of health education for osteosarcoma and family patients.