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"ABSTRAKPenderita gangguan jiwa menurut World Health organization [WHO], 2013 kurang lebih mencapai 450 juta dan 25 juta diantaranya mengalami skizofrenia. Skizofrenia adalah suatu gangguan jiwa yang mempengaruhi fungsi otak dan menyebabkan munculnya gangguan pikiran, persepsi, emosi, gerakan, dan perilaku Videbeck, 2008 . Skizofrenia menempati urutan terbesar dalam kelompok pasien gangguan jiwa dan merupakan salah satu gangguan jiwa yang memerlukan proses penyembuhan lama. Proses penyembuhan yang lama memungkinkan terjadinya ketidakpatuhan regimen terapeutik: pengobatan dan kegagalan terapi sehingga memicu kekambuhan. Karya Ilmiah Akhir ini bertujuan memaparkan penerapan Terapi Penerimaan dan Komitmen TPK pada Ketidakpatuhan Regimen Terapeutik: Pengobatan Klien Skizofrenia dengan menggunakan pendekatan model Transpersonal Caring Jean Watson. Jumlah klien yang lakukan Terapi Penerimaan Dan Komitmen TPK adalah 20 klien. Hasil penerapan Terapi Penerimaan dan Komitmen TPK dengan pelaksanaan 4 sesi, menunjukan efektif dilakukan pada ketidakpatuhan regimen terapeutik: pengobatan. Berdasarkan hasil ini perlu direkomendasikan penerapan Terapi Penerimaan dan Komitmen TPK pada Ketidakpatuhan Regimen Terapeutik: Pengobatan Klien Skizofrenia di Rumah Sakit. Hasil Rekomendasi Karya Ilmiah Akhir diharapkan terapi Penerimaan TPK dapat dilakukan di Rumah Sakit secara berkesinambungan sehingga meningkatkan pengetahuan, kontrol diri, merawat diri sendiri dan penyembuhan diri sehingga klien patuh dan mandiri dalam regimen terapi: pengobatan. Kata Kunci : Ketidakpatuhan Regimen Terapeutik: Pengobatan, Skizofrenia, Terapi Penerimaan dan Komitmen TPK , Transpersonal CaringDaftar Pustaka: 99 2001-2016

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ABSTRACTSchizophrenia is a mental disorder that affects the functioning of the brain and leads problems with thinking, perception, emotion, movement, and behavior Videbeck, 2008 . Schizophrenia takes largest rank of mental disorder patients and it requires a long healing process. The longer healing process allows an incompliance with therapeutic regimens treatment and therapeutic failure thus trigger a relapse. This final Scientific Paper aims to describe the application of Final Acceptance and Commitment Therapy ACT on Noncompliance Therapeutic Regimen Treatment of Schizophrenia Clients using model approach Transpersonal Caring Jean Watson. The number of clients who had Acceptance and Commitment Therapy ACT were 20 clients. The result of the application of Acceptance and Commitment Therapy ACT with the 4 sessions in range showed effective on noncompliance therapeutic regimens treatment. Based on these results it is recommended the application of Acceptance and Commitment Therapy ACT on Noncompliance Therapeutic Regimen Treatment of Schizophrenia Hospital Clients. The final results are expected application of Acceptance and Commitment Therapy ACT can be implemented in the hospital for continuously for improvement of knowledge, self control, self care and self healing to be obeyed for independent clients in therapy regimen treatmentTop of FormBottom of Form Keyword Noncompliance Regiment therapeutic Regimen Treatmen, Skizophrenia, Acceptance and Commitement Therapy ACT , Transpersonal Caring Bibliography 99 2001 2016 "

"[ABSTRAKNyeri pembedahan menimbulkan cemas, takut dan perubahan perilaku maladaptif anak. Perlu asuhan keperawatan berkualitas dalam mengatasi nyeri anak. Karya ilmiah akhir bertujuan menggambarkan aplikasi comfort theory Kolcaba dalam memberikan asuhan keperawatan pasien pasca bedah yang mengalami nyeri. Intervensi ditentukan berdasarkan comfort theory yaitu mengukur skala nyeri, memberikan posisi nyaman, memberikan madu, mengajarkan keluarga manajemen nyeri serta memberikan reinforcement positif keterlibatan keluarga dalam perawatan. Evaluasi hasil menunjukkan aplikasi comfort theory dalam keperawatan perlu ditunjang faktor-faktor lain seperti kondisi pasien, lingkungan dan tim pelayanan kesehatan dalam mencegah dan mengatasi nyeri. Rekomendasi karya ilmiah ini adalah teori keperawatan sebaiknya diaplikasikan dalam asuhan keperawatan.

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ABSTRACTSurgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care., Surgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care.]"

"Nama Bestfy AnitasariProgram Studi Magister Ilmu Keperawatan Kekhususan Keperawatan MaternitasJudul Aplikasi teori keperawatan need for help wiedenbach dan social support pada kasus abortus inkomplit Kehamilan diharapkan dapat berlangsung aman dan lancar hingga melahirkan Akan tetapi wanita hamil sangat beresiko mengalami penyulit atau komplikasi yang tidak diinginkan salah satunya adalah abortus inkomplit Fenomena tersebut mendorong profesi keperawatan untuk terus mengembangkan ilmu sejalan dengan tuntutan masyarakat terhadap pelayanan kesehatan yang berkualitas Laporan ini bertujuan menggambarkan pelaksanaan praktek residensi keperawatan maternitas selama satu tahun meliputi asuhan keperawatan pada masa childbearing normal dan resiko tinggi bayi baru lahir normal dan resiko tinggi perempuan yang mengalami masalah reproduksi dan ginekologi di tatanan klinik maupun di komunitas Residen juga melakukan asuhan keperawatan pada kasus focus of interest yaitu abortus inkomplit dengan mengaplikasikan teori need for help yang dikombinasikan dengan teori social support Laporan ini juga mengemukakan hambatan dan dukungan pada pelaksanaan praktek residensi Selain itu laporan ini juga memaparkan tentang kegiatan pencapaian kompetensi perawat spesialis maternitas melalui penerapan peran sebagai pemberi perawatan pendidik konselor koordinator komunikator advokat agen perubahan dan peneliti Kata Kunci Abortus inkomplit peran perawat teori Need for Help teori Social Support.

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Name Bestfy AnitasariStudy Program Master of Nursing Science Specialize in Maternity Nursing Title Application of Need For Help and Social Support Nursing Model Theory on Incomplete Abortion Pregnancy is expected to take place safely and smoothly until delivery However pregnant women are particularly at risk to experience complications or unwanted complications one of which is an incomplete abortion This phenomenon encourages the nursing profession to continue to develop in line with the science community demands for quality health care This report aims to describe the implementation of maternity nursing practice residency for one year covers nursing care during the childbearing normal and high risk normal newborns and high risk women who have problems in reproductive and gynecological clinic and in the community structure Resident also performs nursing care on a case that is the focus of interest by applying the theory of incomplete abortion need for help is combined with the theory of social support The report also noted the barriers and support the implementation of the practice residency In addition this report also describes about the activities of achievement of competencies through the application maternity nurse specialist role as caregiver educator counselor coordinator communicator advocate change agent and researcher Keywords incomplete abortion the role of the nurse Need for Help theory the theory of Social Support"

"Karya Ilmiah Akhir ini memaparkan kegiatan praktik residensi spesialis keperawatan anak, mencakup pemberian asuhan keperawatan dan pencapaian kompetensi. Penerapan asuhan keperawatan berfokus pada perawatan anak dengan klien yang terpasang kolostomi. Masalah yang paling sering terjadi adalah risiko kerusakan integritas kulit. Masalah risiko kerusakan integritas kulit adalah berisiko mengalami perubahan kulit yang buruk. Aplikasi Model Adaptasi Roy dapat menyelesaikan masalah klien dengan risiko kerusakan integritas kulit untuk mencapai respon yang adaptif. Keberhasilan asuhan keperawatan ditunjang oleh kompetensi perawat anak melalui berbagai perannya, yaitu sebagai pemberi pelayanan, pendidik, manager, serta peneliti. Pelaksanaan asuhan keperawatan dengan pendekatan Model Adaptasi Roy diharapkan dapat diaplikasikan secara komprehensif dalam mengatasi masalah klien dengan kasus bedah dengan pendekatan konsep family centered care.

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The final Scientific paper describes activities specialist nursing practice residency of pediatric, includes the provision of nursing care and the achievement of competence. Application of nursing care focuses on treatment clients of children with colostomy bag attached. The most common problem is the risk of impairment to skin integrity. The risk of impairment to skin integrity problems are at risk of a bad skin changes. Roy Adaptation Model application can resolve the issue with the client's risk of damage to skin integrity to achieve the adaptive response. The success of nursing care supported by pediatric nurse competencies through a variety of roles, namely as service providers, educators, managers, and researchers. Implementation of nursing care by Roy Adaptation Model approach is expected to be applied comprehensively to address client issues with surgical cases involving the family as the embodiment of the concept of family centered care."

"Masalah kekurangan volume cairan dan elektrolit sebagian besar terjadi pada anak dengan penyakit diare Anak yang mengalami kekurangan volume cairan dan elektrolit memerlukan konservasi untuk dapat beradaptasi dalam memperbaiki kondisi tubuhnya sehingga dapat mencapai proses penyembuhan secara wholeness Karya ilmiah akhir ini membahas tentang aplikasi model konservasi Levine dalam pengelolaan asuhan keperawatan pada anak dengan kekurangan volume cairan dan elektrolit Metode yang digunakan adalah studi kasus dimana terdapat lima kasus yang diaplikasikan dengan menggunakan model konservasi Hasil pengkajian dengan menggunakan prinsip konservasi pada kelima kasus semua mengalami trophicognosis kekurangan volume cairan dan elektrolit Intervensi yang dilakukan untuk mengatasi masalah tersebut yang utama adalah pemberian dan pemantauan asupan cairan dan elektrolit secara adekuat Hasil pengamatan respon organisme pada akhir perawatan menunjukkan empat kasus mampu beradaptasi dan mencapai wholeness sedangkan satu kasus tidak mencapai wholeness Hal ini ditunjukkan oleh keberhasilan dalam mengatasi trophicognosis yaitu ada yang sudah teratasi belum teratasi tetapi sudah menunjukkan perbaikan dan ada juga yang tidak teratasi.

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Most of fluid and electrolyte deficit in children are caused by diarrhea Children who have deficit of fluid and electrolyte need conservation to adapt and to heal the body Thus the wholeness healing is achieved This study is aims to clarify the application of Levine Conservation Model in nursing care of children with fluid and electrolyte deficit To accomplish this study case study method was conducted with five cases Assessment with conservation principle found that all cases are trophicognosis deficit of fluid and electrolyte The main intervention is giving and observing intake fluid and electrolyte tightly In the end of treatment the result showed that four of five cases were able to adapt and achieve the wholeness healing This result showed the accomplishment of against the trophicognosis which consist of solved completely solved incomplete and unsolved."

"[ABSTRAKPermasalahan kesehatan selama masa kehamilan membutuhkan perhatian dari petugas kesehatan sehingga proses kehamilan dan persalinan dapat berjalan selamat. Peran Ners spesialis keperawatan maternitas sangat diperlukan dalam upaya pencegahan dan penanggulangan masalah tersebut. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas dan memberikan gambaran fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan. Evaluasi yang diharapkan pada fase akut adalah kontraksi berhenti, dan tidak adanya tanda-tanda kegawatan maternal dan janin. Evaluasi pada fase pemeliharaan yaitu peningkatan kemandirian klien. Penerapan model dan konsep keperawatan need for help dan self care terbukti bermanfaat mengatasi kontraksi dalam kehamilan sehingga bisa di aplikasikan dalam proses asuhan keperawatan kontraksi dalam kehamilan.

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ABSTRACTHealth problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction., Health problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction.]"

"[ABSTRAKGangguan pada sistem endokrin merupakan masalah kesehatan yang cukup tinggi di Indonesia, khususnya Diabetes Melitus (DM) tipe 2 dengan prevalensinya mencapai 2,1% dari total penduduk, dengan 60% dari total prevalensi adalah kasus neuropati. Kadar glukosa darah yang tidak terkontrol menyebabkan tingginya kejadian komplikasi DM baik akut maupun kronis. Pencegahan komplikasi tersebut memerlukan penanganan yang tepat dari berbagai multidisiplin ilmu, salahsatunya adalah peran perawat ners spesialis medikal bedah kekhususan endokrin sebagai praktisi keperawaan untuk ikut memberikan asuhan melalui berbagai pendekatan teori keperawatan seperti penerapan model adaptasi Roy secara holistik menggunakan pengkajian perilaku dan stimulus sehingga tercapai perilaku adaptif. Selain itu penerapan praktek keperawatan berbasis pembuktian ilmiah (evidence based nursing) seperti senam kaki diabetes dapat menjadi acuan intervensi dalam mencegah terjadinya polineuropati dan komplikasi lanjut seperti ulkus diabetik. Sebagai agen pembaharu/inovator, perawat spesialis juga membuat inovasi tentang self health assesment dan booklet sahabat diabetes bagi para diabetesi untuk meningkatkan promosi kesehatan terhadap pengelolaan dan penatalaksanaan DM.

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ABSTRACTDisorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes., Disorders of the endocrine system is a health problem that is quite high in Indonesia, in particular diabetes mellitus (DM) type 2 prevalence was at 2.1% of the total population, with 60% of the total prevalence of neuropathy cases. Blood glucose levels are poorly controlled diabetes leading to high incidence of complications both acute and chronic. Prevention of these complications requires proper handling of various multidisciplinary, one of them is the role of medical-surgical nurse specialist nurses endocrine specificity as keperawaan practitioners to help provide care through a variety of approaches such as the application of nursing theory holistically Roy adaptation model uses behavioral assessment and stimulus in order to reach adaptive behavior, Besides the application of scientific evidence-based nursing practice (evidence-based nursing) such as diabetic foot gymnastics can be a reference for intervention in preventing the occurrence opolyneuropathy and further complications such as diabetic ulcers. As an agent reformer/innovators, nurse specialist also made innovations on health self-assessment and companion booklet diabetes for diabetics to improve health promotion for the management and treatment of diabetes.]"

"Kesulitan dalam melakukan pergerakan dan mobilisasi merupakan masalah yang umum dialami lansia. Hal tersebut terjadi akibat adanya perubahan fungsi sistem muskuloskeletal yang menurun seiring dengan penuaan yang dialami lansia. Karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan yang diberikan pada lansia dengan masalah keperawatan hambatan mobilitas fisik di Panti Sasana Tresna Werdha (PSTW) Budhi Mulya 1 Cipayung. Penulis berperan sebagai perawat yang akan melakukan asuhan keperawatan lansia di PSTW Budhi Mulya 1 Cipayung mulai tanggal 18 April – 7 Mei 2022. Intervensi yang dilakukan adalah terapi latihan kekuatan otot dengan elastic band. Hasil intervensi dari latihan menunjukkan adanya penurunan waktu dalam Timed Up and Go test (TUG test), yaitu pada lansia kelolaan dari 23 detik menjadi 11 detik, lansia resume 1 dari 19 detik ke 9 detik, dan lansia resume 2 dari 30 detik ke 16 detik. Hal tersebut membuktikan bahwa adanya peningkatan kemampuan mobilisasi secara fungsional dan kekuatan otot pada lansia. Selama proses intervensi terdapat faktor perancu dan limitasi yang terjadi. Sebagai faktor perancu adalah usia dan motivasi yang dimiliki klien yang dapat memengaruhi interpretasi hasil dan proses perbandingan hasil intervensi. Limitasi yang dihadapi adalah waktu praktik yang sempit dan ditemuinya kontraindikasi latihan yang terjadi pada klien yang membuat proses intervensi harus dihentikan sementara. Kontraindikasi latihan diantaranya peradangan sendi, nyeri, dan fisik yang tidak bugar pada klien yang akan melakukan latihan. Rekomendasi selanjutnya bagi pihak PSTW adalah pengembangan latihan kekuatan otot yang dapat dilakukan secara konsisten dan berkelanjutan serta dapat dievaluasi keberhasilannya secara berkala untuk mengatasi dan mencegah terjadinya masalah hambatan mobilitas fisik pada lansia. Bagi keperawatan agar dapat mengaplikasikan intervensi latihan kekuatan otot elastic band ini sebagai salah satu pilihan aktivitas intervensi terkait hambatan mobilitas fisik agar dapat meningkatkan kesehatan dan kualitas hidup lansia.Kata Kunci : Lansia, hambatan mobilitas fisik, terapi kekuatan otot, keperawatan

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Difficulty in movement and mobilization is a common problem experienced by the elderly. This occurs due to changes in the function of the musculoskeletal system which decreases with aging experienced by the elderly. This scientific work aims to describe the results of nursing care given to the elderly with nursing problems with physical mobility barriers at the Panti Sasana Tresna Werdha (PSTW) Budhi Mulya 1 Cipayung. The author acts as a nurse who will provide nursing care for the elderly at PSTW Budhi Mulya 1 Cipayung from April 18 to May 7 2022. The intervention carried out was muscle strength training therapy with elastic bands. The results of the intervention from the exercise showed a decrease in time in the Timed Up and Go test (TUG test), namely in the elderly managed from 23 seconds to 11 seconds, the elderly resumed 1 from 19 seconds to 9 seconds, and the elderly resumed 2 from 30 seconds to 16 seconds. This proves that there is an increase in functional mobility and muscle strength in the elderly. During the intervention process there are confounding and limiting factors that occur. As confounding factors are the age and motivation of the client which can influence the interpretation of the results and the process of comparing the results of the intervention. The limitations faced are the limited practice time and the presence of exercise contraindications that occur in the client which makes the intervention process have to be stopped temporarily. Contraindications to exercise include joint inflammation, pain, and physical unfit for the client who will do the exercise. The next recommendation for PSTW is the development of muscle strength training that can be carried out consistently and continuously and its success can be evaluated periodically to overcome and prevent the occurrence of problems with physical mobility barriers in the elderly. For nursing to be able to apply this elastic band muscle strength training intervention as a choice of intervention activities related to physical mobility barriers in order to improve the health and quality of life of the elderly. Keywords: Elderly, physical mobility barriers, muscle strength therapy, nursing"

"Dokumentasi asuhan keperawatan terkomputerisasi merupakan upaya untuk meningkatkan mutu dokumentasi Penelitian ini bertujuan mengetahui determinan akseptasi perawat dalam penerapan dokumentasi asuhan keperawatan berbasis komputer dan pengaruh dokumentasi terkomputerisasi terhadap kelengkapan dokumentasi dan efisiensi biaya Desain penelitian determinan akseptasi menggunakan deskriptif korelasi dengan pendekatan cross sectional sedangkan untuk mengukur kelengkapan dokumentasi dan efisiensi biaya dengan menggunakan pre experiment one group pre and post test Data dianalisis dengan uji chi square dan regresi logistik berganda menunjukkan bahwa ada hubungan yang bermakna persepsi kelayakan dengan akseptasi perawat dalam penerapan dokumentasi asuhan keperawatan berbasis komputer p 0 022 dan ada pengaruh yang bermakna dokumentasi terkomputerisasi terhadap kelengkapan dokumentasi dan efisiensi biaya p.

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Computerized nursing documentation is an effort to improve the quality of documentation This study aims to determine the determinant of acceptance of nurses in the application of computer based documentation of nursing care and the effect of computerized documentation on completeness of documentation and cost efficiency Design determinants of acceptance using descriptive research with cross sectional correlation whereas to measure the completeness of the documentation and cost efficiency by using pre experiment one group pre and post test Data were analyzed by chi square test and multiple logistic regression showed that there was a significant relationship with acceptances feasibility perception of nurses in the application of computer based documentation of nursing care p 0 022 and no significant effect on the completeness of the documentation computerized documentation and cost efficiency p."