Nursing Process Research Articles

Combination of Chest Physiotherapy and Postural Drainage for Airway Clearance in Bronchopneumonia: A Case Study

Background: Respiratory diseases such as bronchopneumonia contribute to the highest cause of death in children aged less than two years. Airway clearance becomes a problem due to the accumulation of secretions, resulting in airway obstruction. Independent nursing interventions such as chest physiotherapy can be carried out to free the airway and reduce the burden of breathing. Objective: This study aimed to analyze the application of chest physiotherapy intervention in bronchopneumonia children with airway clearance problems. Method: The research design uses a case study with a nursing process approach. The sample for this study was one child patient aged nine months with bronchopneumonia who was taken using a convenience sampling technique. Data was collected using interviews, observation, and documentation studies using pediatric nursing care format instruments. Chest physiotherapy intervention was carried out three times with a duration of 10-15 minutes with a combination of postural drainage, which was then evaluated before and after the procedure. Results: Chest physiotherapy intervention in patients can improve coughing ability, increase sputum production and respiratory rate 40 times per minute, and decrease rhonchi and oxygen saturation by 96%. Conclusion: Chest physiotherapy can be an effective independent nursing intervention to overcome the problem of ineffective airway clearance nursing in children with bronchopneumonia.

THE COMMUNITY HEALTH NURSING ASSESSMENT OF TUNJUNGSARI SUBURBAN, BANTUR VILLAGE, MALANG DISTRICT: A CASE STUDY

Background: The community health nursing assessment is a process to understand the health problems that are often found in such location including health behavior problems, environmental problem, also health services utilization problem which will cause various effect among age group population Purpose: Researcher would like to perform nursing process to the community health problems at the Tunjungsari Suburban, Bantur Village, Malang District. Methods: The case study with a cross sectional approach used as research design. The nursing community assessment checklist delivered to 641 respondents who lives at 217 households around Tunjungsari Suburban, Bantur Village. The data then analyzed using descriptive statistical analysis based on community nursing approach using community as partner theory. Results: The results showed that the community had a risky health behaviour marked by 47% adult were smoking inside the house, 73% of the elders never performing any health check, 89% of the elder’s never to come to the Posyandu. 38,27% of the total population experienced acute inflammatory respiratory disease during the past 6 months, and failed to managing the household waste due to limited facilities. Conclusion: Based on the result of this study, it is recommended for the stakeholders to improve the community health services, increases the health promotion programs distribution especially targeting the elder’s population. For the government providing final waste management in this community will help to increases the community health. Keywords: Case study; community health; nursing process.

FAMILY-BASED CARE USING THE OREM SELF-CARE MODEL IN FAMILIES WITH HYPERTENSION: A CASE STUDY

Introduction: Uncontrolled hypertension can negatively affect a person's physical well-being and quality of life. The implementation of family-based care helps families to achieve independence in maintaining family health. The Orem model approach can explain how the family's role in caring for family health independently. Objectives: This study aims to describe the application of family-based care with the Orem model approach in hypertensive families. Methods: This research was conducted with a case study approach, using a nursing process consisting of assessment with the Orem model, namely assessment of basic conditional factor data, strength components, universal self care, developmental self care, and health deviation and Hypertension Self Management Behavior (HSMB), formulation of nursing diagnoses using SDKI, nursing plans using SIKI, implementation and evaluation. Results: Intervention and implementation were carried out for four meetings including providing family-based health education using leaflet media, foot massage modality therapy and self-management monitoring sheets. The results obtained by both families experienced an increase in behavioral self-management scores and controlled blood pressure. Conclusions: Family-based care can improve behavioral self-management in compliant families.

Novice nurses' transition shock and professional identity: The chain mediating roles of self-efficacy and resilience.

The aim of this study was to explore the association between transition shocks and professional identity and the mediating roles of self-efficacy and resilience among Chinese novice nurses. Novice nurses experience transition shock when they start their careers, which might lead to decreased professional identity and ultimately turnover. By contrast, self-efficacy and resilience are excellent psychological resources that may be associated with higher professional identity. It is unclear how transition shock affects professional identity by influencing these two internal resources. A cross-sectional survey. The STROBE guidelines were followed to report this study. Convenience sampling was used to recruit participants, and 252 novice nurses completed the Transition Shock of Novice Nurses Scale, the Professional Identity Assessment Scale, the General Self-Efficacy Scale and the Connor-Davidson Resilience Scale between April 2022 and May 2022. Influencing factors were primarily identified using independent-sample t-tests and a one-way ANOVA. Structural equation modelling was used to detect the mediating effects of self-efficacy and resilience. Differences in novice nurses' levels of professional identity were found across age groups, hospitals and departments. Transition shock was negatively related to professional identity. Self-efficacy and resilience mediated the complete chain relationship between transition shock and professional identity. To our knowledge, this study is the first to explore the mediating effect of self-efficacy and resilience on transition shock and professional identity. Higher transition shock may lead to lower professional identity by reducing self-efficacy and resilience. Nursing managers ought to emphasise the significant role of psychological resources in the work adaptation process of novice nurses. It may be more effective to improve professional identity and maintain the stability of the health care system. Nursing administrators working at seven preselected hospitals actively assisted us in the process of collecting self-report questionnaires from novice nurses, such as by booking appointments and providing access for questionnaire administration. In addition, the participants were actively involved in the data collection process.

Supporting each other towards independence: A narrative analysis of first-year nursing students' collaborative process.

Collaboration for nursing is a core competence and therefore educational interventions are essentials for collaborative skills. To identify such interventions, we carried out a study to understand nursing students' collaborative process. A narrative inquiry method was used to explore the collaborative process of first-year undergraduate nursing students. The analysis was conducted on field notes from 70 h of observation of 87 nursing students' collaboration during skills lab activities. It also included transcriptions of four focus group discussions with 11 students. The results are presented as a sequential process of (1) navigating in unfamiliar territory, (2) navigating together to cope, and (3) navigating together towards independency and the future nursing profession. We identified a transition from teacher-led assistance and guidance to student interdependency and reciprocal learning, ending with student-led assistance supporting independency. In line with Vygotsky's theory of zone of proximal development, different scaffolding interventions are needed depending on where the students are in the collaborative process.

Laporan Kasus: Penanganan Nyeri Neuropati diabetik Dengan Menggunakan Terapi Musik

Introduction; Diabetic neuropathy pain is a complication that is often experienced by diabetes mellitus sufferers who complain of pain in the extremities due to increased blood glucose levels. Objective; to describe the effectiveness of providing music therapy to clients experiencing diabetic neuropathy pain. Method; The implementation of this case study uses a nursing process approach through five stages, namely assessment, establishing a nursing diagnosis, developing interventions, implementing nursing plans and evaluating the results of actions. Patients were selected using a purposive sampling method, with action carried out in the community. Results; After applying music therapy three times, clients who experienced diabetic neuropathy pain experienced an improvement in their health condition which was marked by a decrease in pain. Conclusion; The results of the evaluation after implementing the action on a client diagnosed with diabetes mellitus who complained of diabetic neuropathy pain showed that the nursing problem was resolved.

Laporan Kasus : Penanganan Pada Klien Lanjut Usia Dengan Gangguan Pola Tidur Menggunakan Terapi Benson

Introduction; Sleep pattern disturbances are often experienced by individuals who experience a decline in health conditions both physically and psychologically. Sleep pattern disorders in the elderly can refer to health conditions that require further treatment through pharmacological and non-pharmacological management such as Benson therapy. Objective; to describe the effectiveness of providing Benson therapy to elderly people who experience sleep pattern disorders. Method; The implementation of this case study uses a nursing process approach through five stages, namely assessment, establishing a nursing diagnosis, developing interventions, implementing nursing plans and evaluating the results of actions. Results; After applying Benson therapy seven times, elderly people who had disturbed sleep patterns experienced an improvement in their condition. Conclusion; The evaluation results after implementing action on elderly people with sleep pattern disorders showed that the nursing problem was resolved.

SYSTEMATIZATION OF NURSING CARE FOR RENAL TRANSPLANT PATIENTS

Objective: to describe nursing care in the postoperative period of kidney transplantation. Methodology: an integrative literature review study was conducted. The search was conducted at the Virtual Health Library (VHL), Latin American and Caribbean Literature on Health Sciences (LILACS) and Scientific Electronic Library Online (Scielo) with the following descriptors: “kidney transplantation”, “nursing team”, “nursing care”. Results: nursing care for renal transplant patients involves technical and psychosocial aspects, requiring knowledge and experience in the application of the nursing process and systematization of nursing care. Conclusion: nursing needs to appropriate the profession’s own instruments, such as the systematization of nursing care and the nursing process, for the competent and timely offer of nursing care to transplanted patients.

Coping trajectories of intensive care nurses as second victims: A grounded theory

A qualitative study that provides evidence of the institutional support required by intensive care unit (ICU) nurses as second victims of adverse events (AEs). BackgroundThe phenomenon of second victims of AE in healthcare professionals can seriously impact professional confidence and contribute to the ongoing occurrence of AEs in hospitals. ObjectivesThe objective of this study was to describe the coping trajectories of second victims among nurses working in ICUs in public hospitals in Chile. MethodsConducting qualitative research through the grounded theory method, this study focused on high-complexity hospitals in Chile, using theoretical sampling. The participants consisted of 11 nurses working in ICUs. Techniques used included in-depth interviews conducted between March and May 2023, as well as a focus group interview. Analysis, following the grounded theory approach proposed by Strauss and Corbin, involved constant comparison of data. Open, axial, and selective coding were applied until theoretical data saturation was achieved. The study adhered to reliability and authenticity criteria, incorporating a reflexive process throughout the research. Ethical approval was obtained from the ethics committee, and the study adhered to the consolidated criteria for reporting qualitative research. ResultsFrom the interviews, 29 codes were identified, forming six categories: perception of support when facing an AE, perception of helplessness when facing an AE, initiators of AE, responses when facing an AE, professional responsibility, and perception of AE. The perception of support when facing an AE emerged as the main category, determining whether the outcome was stagnation or overcoming of the phenomenon after the AE. ConclusionsFor the coping process of ICU nurses following an AE, the most crucial factor is the support from colleagues and supervisors.

WEBSITE-BASED NURSING MANAGEMENT INFORMATION SYSTEM APPLICATION FOR IMPROVING THE CREDENTIAL PROCESS AND DETERMINING NURSE TRAINING NEEDS AT HOSPITAL X JAKARTA

The nursing management information system (SIMKEP) is a software package created to facilitate the nursing management process to improve performance and be able to formulate strategic policies including efficiency from within (organisation, management and HR) and must be able to quickly and make appropriate decisions to improve services to the community so that it can become a responsive, innovative, effective, efficient, profitable organisation that is also responsive to developments in science and technology, including information technology. This study aims to determine whether the creation of a website-based nursing management information system application model can improve the nurse credentialing/re-credentialing process and increase the determination of nurse training needs.The method in this research is a mixed studies review or mixed methods review, which combines literature study methods using secondary data from previous research which are published journals, which are by the criteria set by the research, namely the inclusion criteria and systematic exclusion and searches using online databases accompanied by interviews with participants. This article and journal explain that the application model or design of a website-based nursing management information system can improve the credentialing process and determine nurse training needs. The conclusion in writing this Literature Review is that applying a website-based nursing management information system can improve the credentialing process and determine nurse training needs.

Penerapan Konsep Teori Model Betty Neuman Pada Asuhan Keperawatan Dengan Hospitalisasi Pada Anak di Rumah Sakit

Hospitalization is a situation where a child is required to stay and be in the hospital in a planned manner to receive care and treatment from the time he is admitted to the hospital until the child is allowed to go home again. Hospitalization is considered an event that can be stressful for children. One of the impacts of hospitalization on children is anxiety. Anxiety is a general term for hormonal changes that occur in response to threatening or frightening events or conditions, which can inhibit children's behavior, cognitive capacity, and emotional and physical health. More persistent frightening and threatening situations are more frequently experienced by children. The general aim of this case study is to implement the application of the concept of the Betty Neuman model theory to nursing care with hospitalization of children in hospitals. The research method in this case study involves the application of a nursing process approach method based on the selected nursing theory. Data collection techniques were carried out through interviews, observation, physical examination, and implementation of nursing care. The data sources used involve primary data obtained directly from patients, and secondary data originating from families, health workers, as well as documentation of other examination results to carry out nursing care. The results of nursing care by applying the Betty Neuman model theory to nursing care with hospitalization of children in hospitals are that anxiety related to hospitalization of children improves and ineffective coping related to inadequate preparation for stressors experienced by children also improves.

Religiosity-Based on Nurse Performance Model in Ibnu Sina Hospital

Nurse performance is very important for the success of hospital services to provide patient satisfaction in obtaining maximum nursing care services. Nurse competency in the context of spiritual care is parallel to the nursing process, namely conducting assessments, formulating nursing diagnoses, preparing nursing plans and interventions, and evaluating the patient's spiritual needs. This research aimed to analyze the performance of nurses based on aspects of belief (Religious belief), ritualistic/worship (Religious practice), experience (Religious feeling), knowledge (Religious knowledge), and consequences/application (Religious effect) at Ibnu Sina Hospital Makassar. The research location will be carried out in the inpatient room at Ibnu Sina Hospital Makassar, the sample used is 110. The sampling technique used was proportional random sampling. Ibnu Sina Hospital is one of the hospitals whose service process is always based on Islamic values, so it is important to study the relationship between the concept of Islamic values ​​and the aspect of religiosity. Ibnu Sina Hospital is a hospital whose service process is always based on Islamic values, so it is important to study the relationship between the concept of Islamic values ​​in the aspect of religiosity and the performance achievements of nurses in serving their patients. Based on the research results, it is known that the religious effect dimension is the dimension that contributes most to the preparation of a religiosity-based nurse performance model.

Retracted: Application of Chain Nursing Process in the Nursing of Elderly Inpatients with Implantable Venous Infusion Port.

[This retracts the article DOI: 10.1155/2022/5496533.].

Asuhan Keperawatan Medikal Bedah Efektivitas Finger Hold Relaxation Dan Hand Massage Dengan Minyak Terapi Terhadap Intesitas Nyeri Pada Pasien Post Apendiktomi Di Ruang Dahlia RSUD Dr. T.C Hillers Maumere

Unhealthy eating patterns can cause appendicitis and appendicitis can occur at any age, the way to overcome this is by carrying out surgery or an appendectomy. The consequences of this surgery can cause pain. One way to reduce pain is by using finger hold relaxation and hand massage techniques. The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after finger hold relaxation and hand massage therapy. The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using the Numerical Rating Scale (NRS). The results of the case study show that the average pain level of the two patients after being given finger hold relaxation and hand massage therapy intervention for 2 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the finger hold relaxation therapy intervention and hand massage using therapeutic oil were given to the two patients and they experienced a decrease in the pain scale.

The Effect of Giving Semi Fowler Position in Reducing Ineffective Breathing in Chronic Kidney Disease (CKD) Patients at RSUD Ibnu Sina Gresik Hospital (Case Study Research)

Chronic kidney disease is a condition where the kidneys fail to perform their function to excrete substances that are not needed by the body, resulting in accumulation in the body which can trigger uremia. This scientific work aims to apply nursing care to CKD patients with ineffective breathing patterns at Ibnu Sina Gresik Hospital. The method applied in the preparation of this scientific work is the case study method. The subjects in this scientific work are participants with CKD cases and have problems with ineffective breathing patterns who are undergoing treatment at Ibnu Sina Gresik Hospital. Data collection using interview techniques, observation, physical examination, and documentation and was carried out in the period January to March 2023. The nursing care process for participants was carried out for 5 days, and the assessment results were obtained, namely shortness of breath. The implementation process is carried out in accordance with nursing care planning, one of which is by giving the semi-fowler position. A thorough evaluation was carried out during the provision of nursing care, and it was found that the participants with the problem of ineffective breathing patterns were resolved. Participants do not complain of shortness of breath, breathing frequency improves or is in the normal range, dyspnoea decreases, and there is no use of breathing muscles. The problem of ineffective breathing patterns is resolved by the application of nursing care that is carried out comprehensively. Giving the semi fowler position has an impact on reducing ineffective breathing patterns, because in a tilt angle of 45 degrees and applied during treatment is able to press the diaphragm down so that the lungs can expand and get maximum oxygen supply.
 
 
 
 
 
 Keywords: Chronic Kidney Disease, Ineffective Breathing Pattern, Semi-Fowler's Position.
 
 
 

Using the Analytic Hierarchy Process to Measure Nurses' Decision-Making Regarding Fall Risks and Care Strategies for Fall Prevention.

Background and Purpose: Visualizing the thought processes of nurses is useful in forming evidence to prevent falls. This study aimed to quantify nursing judgment by comparing the choices made by nurses with different experiences regarding fall prevention. Methods: Questionnaires were administered to participants with <9 and ≥10 years of nursing experience to examine their importance ratings regarding fall prevention using an analytic hierarchy process (AHP). Results: Compared with the group with <9 years of experience, the group with ≥10 years of experience viewed habitual behavior in unstable activity as the most important fall risk. They also viewed early detection and alleviation of symptoms that lead to fall risk due to side effects of drugs and diseases as an important nursing practice. Conclusion: Since differences in nursing judgment between experienced and inexperienced nurses were revealed, it is possible that nursing judgment can be measured using AHP.

Nursing Students’ Competency about Writing Nursing Care Plan: An Exploratory Study in Iran

Background. By utilizing the nursing care process, healthcare professionals can implement nursing knowledge effectively and efficiently, ultimately leading to a significant improvement in the quality of care provided. Objective. This study aimed to assess writing nursing care plan competence among Ardabil nursing students in northwestern Iran. Methods. The study involved 248 nursing students from the second to eighth semesters in three nursing and midwifery schools located in the Ardabil province of northern Iran. The data were collected using a simple random sampling method and included a demographic questionnaire along with a survey questionnaire on nursing care plan writing skills. This was conducted between May and June 2023. Descriptive statistics, Pearson correlation, t-test, ANOVA, and multiple linear regression analyses were conducted for data analysis. Results. The mean score (SD) for writing a nursing care plan in a student survey was 3.35 (0.57) on a scale of 1 to 5. The survey’s weighted mean score for each dimension is as follows: data gathering (D) = 3.40 (0.73), identification of client’s problems (P) = 3.40 (0.73), sustainable goals (G) = 3.31 (0.77), appropriateness of intervention (I) = 3.30 (0.67), and recognizing outcomes (O) = 3.37 (0.69). This indicates that the students performed well overall. However, the lowest score was in the appropriateness of interventions dimension. Multiple linear regression analysis revealed that four variables, mean score of grade point average (GPA), age, academic term, and time spent studying (hours per day), were significant predictors of the student survey’s scores on writing nursing care plans. These variables could predict 61% of the total variance. Implication for Nursing Management. Nursing school administrators can establish programs to improve education and practice in nursing care plan development based on this study. They can use these findings to enhance nursing education and practice for students, which will ultimately lead to better nursing care plans. Administrators should ensure that students have the necessary skills for writing efficient care plans and provide training courses to improve their writing and critical thinking skills. Policies can be implemented to encourage students to increase their study hours and maintain quality care programs. Conclusion. Nursing students are skilled in creating well-written nursing care plans that follow the nursing process. The quality of these plans improves with higher GPAs and longer study hours. To enhance nursing care plans, nursing education should focus on developing skills and allocating sufficient time for studying and practicing. Collaborating with faculty and administrators, as well as using reliable resources, can also help improve the quality of care plans.

ASUHAN KEPERAWATAN GERONTIK PADA GANGGUAN KOGNITIF DEMENSIA DENGAN BRAIN GYM EXERCISE DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI

Background:According to the World Health Organization(WHO,2018),approximately 50 million people suffer from dementia,with nearly 60%residing in low and middle-income countries.Each year, there are almost 10 milion new cases.The total number of dementia patients worldwide is projected to reach 82 million by 2030 and 152 million by 2050.Dementia is a symptom of declining memory. thinking,behavior,and the ability to perform daily activities.An individual is considered to have dementia when experiencing mental disturbances in at least two brain functions.One effort to prevent cognitive decline in the elderly is by engaging in Brain Gym Exercise. Method: This research is a case study with a descriptive research design following the nursing care process for the elderly.The focus of this case study is on two elderly individuals diagnosed with dementia.Study subjects were selected based on inclusion and exclusion criteria,then an intervention was conducted for 3 days by providing nursing care action in the form of Brain Gym Exercise for 15 minutes once a day.Data collection was done through interviews,observations,and nursing care.Cognitive function was measured using the Mini-Mental State Exam(MMSE)instrument. Results: After conducting Brain Gym Exercise for 15 minutes once a day for the two elderly respondents,the research results indicated that brain exercises can enhance cognitive function in elderly dementia patients,as shown by increased MMSE scores in both study subjects. Conclusion: After a 3-day brain exercise intervention,the MMSE scores increased within the range of 0-17,and both respondents were able to perform it.

PEMENUHAN KEBUTUHAN OKSIGENASI PADA ASMA BRONKIAL DENGAN POLA NAFAS TIDAK EFEKTIF DI RUMAH SAKIT PUTRI HIJAU TK II MEDAN

Background: Bronchial asthma is a chronic condition of the respiratory tract that often causes bronchial narrowing, bronchial hyperresponsiveness, and chronic inflammation. In many cases, patients with bronchial asthma have ineffective breathing patterns that affects negatively on oxygenation. Fulfilling oxygenation in patients with bronchial asthma is done to maintain the metabolism of body cells and the activity of various organs or cells. Objective: This case study research aims to describe the application of nursing care management in patients with bronchial asthma associated with oxygenation fulfillment. Method: This descriptive research is conducted using nursing process approach. The research subjects consist of 2 patients with the same case, namely bronchial asthma patients experiencing ineffective breathing patterns. Results: Based on the nursing evaluation of client I and client 2, it indicates that this condition has been resolved from the first to the third day which is shown by significant progress and the client's health improvement. Conclusion: By fulfilling oxygen, doing high- fowler position, using nebulizer and practicing effective coughing, the problem of oxygenation fulfillment with ineffective breathing patterns can be resolved for patients with bronchial asthma.

Clinical value of precise rehabilitation nursing in management of cerebral infarction.

Cerebral infarction, previously referred to as cerebral infarction or ischemic stroke, refers to the localized brain tissue experiencing ischemic necrosis or softening due to disorders in brain blood supply, ischemia, and hypoxia. The precision rehabilitation nursing model for chronic disease management is a continuous, fixed, orderly, and efficient nursing model aimed at standardizing the clinical nursing process, reducing the wastage of medical resources, and improving the quality of medical services. To analyze the value of a precise rehabilitation nursing model for chronic disease management in patients with cerebral infarction. Patients (n = 124) admitted to our hospital with cerebral infarction between November 2019 and November 2021 were enrolled as the study subjects. The random number table method was used to divide them into a conventional nursing intervention group (n = 61) and a model nursing intervention group (n = 63). Changes in the nursing index for the two groups were compared after conventional nursing intervention and precise rehabilitation intervention nursing for chronic disease management. Compared with the conventional intervention group, the model intervention group had a shorter time to clinical symptom relief (P < 0.05), lower Hamilton Anxiety Scale and Hamilton Depression Scale scores, a lower incidence of total complications (P < 0.05), a higher disease knowledge mastery rate, higher safety and quality, and a higher overall nursing satisfaction rate (P < 0.05). The precision rehabilitation nursing model for chronic disease management improves the clinical symptoms of patients with cerebral infarction, reducing the incidence of total complications and improving the clinical outcome of patients, and is worthy of application in clinical practice.