Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKPenelitian ini berisi gambaran EWS pada 6-8 jam sebelum kejadian code blue atau kegawatan medis yang terjadi di ruang rawat. Penelitian ini dilakukan di ruang rawat dewasa gedung A RSUPN CM. Populasi penelitiannya adalah seluruh klien dewasa yang dirawat di ruang rawat gedung A.Sampel yang diambil adalah klien dewasa yang mengalami code blue.Desain penelitianyang dibuat adalah berupa deskriptif dan bersifat retrospektif. Data yang dikumpulkan diperoleh dari status klien. Berdasarkan penelitian sebelumnya deteksi dini yang dilakukan sangat berguna untuk mengurangi resiko munculnya henti jantung Duncan Mc Mulan, 2012 . Oleh karena itu maka peneliti tertarik melakukan penelitian dengan judul ldquo;Gambaran Early Warning Score 6-8 jam Sebelum Kejadian Code Blue atau Kegawatan Medis Di Ruang Rawat Dewasa Gedung A RSUPN DR. Cipto Mangunkusumo rdquo.

---

ABSTRACTThe prevalency of code blue and mortality in the hospital was being increased.because of that needed a standard to decrease mortality. One of the standard is EarlyWarning Score. The aim of this research was to know description of early warningscore 6 8 hours before code blue in general ward. The sample was 86 clients thathave code blue. The design was descriptive retrospektif. The data analysis wasunivariat. The result show that characteristic median age was 48, median length ofstay of 7 days, the gender male 48. The most of medical diagnosis are cancer andleukemia 22. The reason of emergency calling almost was respiratory distress48 55,8 . TMRC action in form of CPR 38, monitoring clinical clients post codeblue were ICU ICCU HCU 36. The most category of early warning score was yellow32. Based on this result shows that monitoring using early warning score tool shouldbe done early, in order to decrease emergency calling in general wards."

"

Kondisi pasien selama di Instalasi Gawat Darurat dapat mengalami perburukan, sehingga perlu melakukan deteksi dini dengan Early Warning Score yang harus dilaksanakan sesuai dengan Standar Prosedur Operasional. Penelitian ini bertujuan untuk mengetahui persepsi perawat mengenai kesesuaian pelaksanaan Early Warning Score. Penelitian deskriptif ini menggunakan purposive sampling yang melibatkan 70 perawat di Instalasi Gawat Darurat. Hasil penelitian ini menunjukkan bahwa 44 perawat (62,9%) telah mempersepsikan dirinya melaksanakan Early Warning Score sesuai Standar Prosedur Operasional. Penelitian ini diharapkan dapat menjadi data awal untuk penelitian selanjutnya dan menjadi evaluasi bagi perawat dalam pelaksanaan Early Warning Score sesuai Standar Prosedur Operasional di Rumah Sakit.

---

The condition of the patient while in the Emergency Department can be deteriorating, so it is necessary to conduct early detection with an Early Warning Score which must be carried out in accordance with Standard Operating Procedures. This study aims to determine the perceptions of nurses regarding the suitability of the implementation of Early Warning Score. This descriptive study used purposive sampling involving 70 nurses in the Emergency Department. The results of this study indicate that 44 nurses (62.9%) have perceived themselves to be implementing Early Warning Score according to the Standard Operating Procedures. This research is expected to be preliminary data for further research and can be used as evaluation for nurses in implementing Early Warning Score according to the Standard Operating Procedures at the hospital.

"

"Sebagian besar pasien yang mengalami kondisi kritis atau henti jantung menunjukkan minimal satu tanda klinis abnormal pada 6?8 jam sebelumnya. Karakteristik tenaga kesehatan menjadi salah satu faktor yang mempengaruhi mortalitas pasien di rumah sakit. Pengetahuan perawat mempengaruhi kemampuannya dalam mengidentifikasi pasien dengan perburukan kondisi. Penelitian ini merupakan studi korelasi dengan pendekatan cross-sectional untuk mengidentifikasi hubungan antara karakteristik perawat, yaitu usia, jenis kelamin, tingkat pendidikan, lama bekerja, beban kerja dan pengalaman seminar atau pelatihan, dengan tingkat pengetahuan tentang Early Warning Score. Sebanyak 110 perawat dipilih secara total sampling. Hasil penelitian menujukkan sebagian besar perawat memiliki pengetahuan cukup (66,7%) dan terdapat hubungan antara jenis kelamin dengan tingkat pengetahuan (p = 0,009; CI = 95%; α = 0,05). Penelitian selanjutnya diharapkan agar meneliti faktor-faktor lain yang mempengaruhi efektivitas penerapan Early Warning Score. Pelatihan dan evaluasi rutin perlu dilakukan untuk meningkatkan pengetahuan perawat. Materi Early Warning Score sebaiknya mulai diperkenalkan kepada mahasiswa di institusi pendidikan keperawatan.

---

Most patients in critical condition or that experienced cardiac arrest showed at least one abnormal clinical signs in 6-8 hours before the events. Health care providers? characteristic is one of several factors that influences in-hospital patients mortality. Nurses? knowledge affects their ability to recognize the deteriorating patients.

This research is a correlation study with cross-sectional method to identify the relationship between nurses? characteristics, which are age, gender, level of education, word duration, workload and experience in training and attending workshop, with level of knowledge on Early Warning Score. 110 nurses were selected by total sampling.

The results showed most nurses have enough knowledge (66,7%) and there is relationship between gender with level of knowledge (p = 0,009; CI = 95%; α = 0,05). Next researches are expected to identify the other factors that affect the effectiveness of Early Warning Score implementation. Training and evaluation should be conducted to improve nurses knowledge. Early Warning Score should be introduced to students in nursing schools."

"Penelitian ini bertujuan untuk menilai efektivitas early warning score terhadap kejadian henti jantung pasien di instalasi rawat inap rumah sakit tingkat IV TNI AD dr.Bratanata Jambi Tahun 2019. Penelitian dilaksanakan di bulan Desember 2018 sampai April 2019 di instalasi rawat inap dengan pendekatan kualitatif dengan metode studi kasus. Teknik untuk memperoleh data adalah dengan wawancara mendalam, telaah dokumen, dan observasi langsung. Hasil penelitian menunjukkan adanya kejadian yang tidak diharapkan berupa kejadian henti jantung mengarahkan kepada penerapan early warning score yang belum optimal. Ketidakpatuhan terhadap pengisian, pengkajian, dan pengaktifan protokol early warning score di lapangan antara lain dipengaruhi oleh maldistribusi perawat, beban kerja perawat yang tidak sesuai dengan kompetesinya, pengetahuan perawat, dan komunikasi antara perawat dengan dokter. Hambatan penerapan EWS di lapangan antara lain ketidaksesuaian jumlah perawat berbanding dengan pasien, beban kerja perawat di luar pelayanan kesehatan, dan kurangnya pengetahuan dari staf mengenai penurunan kondisi klinis pasien. Hal ini bermuara kepada standar operasional prosedur yang belum lengkap dan penyusunan pola ketenagaan yang masih belum efektif dan efisien, juga monitoring-evaluasi dan pelatihan berkesinambungan yang belum berjalan dengan baik sehingga implementasi early warning score tidak optimal. Rekruitmen pegawai sesuai dengan kompetensi dan profesionalitas, pembuatan kebijakan yang menggabungkan pola kebijakan top-down dan bottom-up, pengaturan ulang penempatan sumber daya perawat, pendidikan dan pelatihan berkelanjutan merupakan upaya yang dapat meningkatkan keberhasilan implementasi early warning score.

---

This study aims to assess the effectiveness of the application of early warning score on patients cardiac arrest events in the inpatient at installation level IV Army Hospital Dr.Bratanata Jambi in 2019. The study was conducted in December 2018 to April 2019 in inpatient installations with a qualitative approach with a case study method. The technique for obtaining data is through in-depth interviews, document review, and direct observation. The results of the study show that the occurrence of adverse events such as cardiac arrests lead to an unoptimal implementation of an early warning score. Nurses noncompliance in filling, assessing and activating early warning score protocol in the field is influenced by nurses maldistribution, nurses workloads that are not in accordance with their competencies, nurses knowledge, and communication between nurses and doctors. Barriers to the application of EWS in the field include the mismatch of the number of nurses compared to patients, the workload of nurses outside of health services, and the lack of knowledge from staff regarding the decline in the patients clinical condition. This leads to incomplete operational standard procedures and the formulation of work patterns that are still ineffective and inefficient, as well as ongoing evaluations and training that have not run well so that the implementation of an early warning score is not optimal. Employee recruitment in accordance with competence and professionalism, policy making that combines topdown and bottom-up policy patterns, rearranging the placement of nurse resources, continuing education and training is an effort that can increase the success of the implementation of an early warning score."

"Kanker payudara merupakan salah satu tumor ganas pada jaringan payudara yang paling sering menyerang wanita dan menjadi salah satu penyakit serius di dunia yang mengancam jiwa. Insiden kanker payudara dilaporkan meningkat dari tahun ke tahun. Karya Ilmiah Akhir (KIA) ini adalah sebagai laporan praktik residensi keperawatan medikal bedah peminatan onkologi di RS Kanker Dharmais Jakarta yang berisi tentang: (1) penerapan teori Peaceful End of Life (PEOL) pada pasien kanker payudara, (2) intervensi menghirup aromaterapi jahe sebagai evidence based nursing untuk mengurangi mual muntah akibat kemoterapi pasien kanker payudara (3) proyek inovasi penggunaan Modified Early Warning Score (MEWS) sebagai alat deteksi awal terhadap perburukan kondisi pasien. Kesimpulan: bahwa teori Peaceful End Of Life tepat digunakan dalam perawatan paliatif pasien kanker. Intervensi menghirup aromaterapi jahe dapat digunakan sebagai salah satu alternatif pilihan manajemen mual muntah nonfarmakologi. Instrumen MEWS dapat diterapkan pada unit emergensi dan dapat membantu mengidentifikasi pasien dengan risiko perburukan kondisi yang membutuhkan peningkatan level perawatan seperti rawat inap atau masuk ICU.

---

Breast cancer is a malignant tumor of the breast tissue that most often affects women and become one of serious diseases in the world and life-threatening. The incidence of breast cancer was reported increase year to year. This final paper clinical practice is a clinical report Medical Surgical nursing specialization in oncology at the Cancer Hospital Dharmais Jakarta which consist of : (1) the application of the theory of Peaceful End of Life (PEOL) in breast cancer patients, (2) intervention inhaling aromatherapy ginger as evidence based nursing to reduce nausea and vomiting due to chemotherapy in breast cancer patients (3) innovation projects implement the Modified Early Warning Score (MEWS) as a tools for early detection of the deterioration of the patient's condition. Conclusion: The theory of Peaceful End of Life is appropriate to use in the palliative care of cancer patients. Ginger aromatherapy can be used as an alternative nonpharmacological management of nausea and vomiting. MEWS instruments can be applied to the emergency unit and may help identify patients at risk to worsening condition require increased levels of care such as hospitalization or ICU. "

"Kanker merupakan penyakit genetik dimana pengaturan sel, karakteristik sel dan fungsi sel normal berubah. Penyakit kanker terus menjadi masalah kesehatan yang signifikan di masyarakat di seluruh dunia dan di Indonesia. Salah satu kanker yang berdampak pada kerusakan sistem neurologis dan menurunkan kualitas hidup adalah meningioma. Praktik asuhan keperawatan pada pasien kanker memerlukan pendekatan teori keperawatan. Karya Ilmiah Akhir merupakan laporan praktik residensi keperawatan medikal bedah peminatan onkologi di rumah sakit kanker Dharmais. Karya ilmiah ini terdiri dari: (1) penerapan theory of comfort, (2) penerapan program orientasi pasien pra kemoterapi sebagai evidence based nursing, serta (3) modified early warning score sebagai proyek inovasi kelompok. Kesimpulan theory of comfort tepat digunakan dalam perawatan pasien kanker. Intervensi pemberian program orientasi pasien pra kemoterapi dan inovasi modified early warning score dapat diaplikasikan dalam perawatan pasien kanker baik dirawat inap maupun rawat jalan.

---

Cancer is a genetic disease in which the composition of cells, cell characteristics and normal cell function has been changed. Cancer continues to be a significant health problem in communities throughout globally and specifically in Indonesia. Type of cancer which affects the damage of neurological system and degrade the quality of life called meningioma. The practice of nursing care in cancer patients requiring nursing theory approach. Scientific final paper is type of report of residency medical-surgical nursing practice specialization in oncology at the Dharmais Cancer Hospital. This scientific work consists of: (1) The application of comfort theory, (2) The application of pre-chemotherapy patient orientation program as evidence based nursing practice, and (3) modified early warning score as an innovation of the group project. It conclude the theory of comfort is appropriate to use in the treatment of cancer patients. The Intervention of prechemotherapy patient orientation program and modified early warning score innovation could be applied in the treatment of care for cancer patients both hospitalized and outpatients."

"Latar Belakang : Pasien anak merupakan pasien yang memiliki resiko tinggi mengalami penurunan kondisi klinis secara tiba-tiba yang disebabkan oleh gangguan pernapasan atau gangguan jantung (cardiac arrest) dan bisa menyebabkan kematian, tanggung jawab yang besar dimulai dari penerimaan, triase, penilaian awal, stabilisasi, kondisi akut, cedera, perawatan dan rujukan dan keperawatan berkelanjutan, Kematian anak di rumah sakit sering terjadi 24 jam pertama dalam penerimaan. Kematian dapat dicegah dengan identifikasi yang benar Salah satu strategi untuk mendeteksi kegawatan pasien seperti cardiac arrest pada anak saat masuk ke rumah sakit adalah dengan adanya instrumen yang baik dan akurat.Penelitian dilakukan untuk mengatehui perbandingan penggunaan Emergency Severity Index dan Emergency Department Paediatric Early Warning Score dalam mengidentifikasi kegawatan pasien anak Rumah Sakit.Metode : Penelitian menggunkaan desain cross sectional study rumus besar sampel komparatik kesesuain kategorik yang akan di uji dengan uji kappa ini melibatkan 174 anak yang dirawat dirumah sakit berusia 1 bulan hingga 18 tahun.Hasil : hasil uji menunjukan bahwa uji nilai p value < 0,05 (0,000) yang artinya terdapat kesepakatan antara penggunaan ESI dengan kegawatan anak di UGD Rumah Sakit Primaya Tangerang dan hasil yang di dapatkan nilai 1,000 yang artinya excellent agreement, dengan kesemuanya tidak ada yang menilai berbeda.Kesimpulan :Penggunaan Paediatric Early Warning Score masih perlu dikembangkan dan diperbaiki kembali untuk penyempurnaan. Penelitian memberikan implikasi supaya hasil penelitian dapat dijadikan evidence base dalampengelolaan asuhan keperawatan anak di Instalasi Gawat Darurat.

---

Background : Pediatric patients are patients who have a risk of experiencing a sudden decline in clinical conditions caused by respiratory disorders or heart problems (cardiac arrest) and can cause death. The big responsibility starts from admission, triage, initial assessment, stabilization, acute conditions, injuries, care and referrals and ongoing nursing, Child mortality in hospital often occurs in the first 24 hours of admission. Death can be prevented by correct identification. One strategy to detect patient emergencies such as cardiac arrest in children upon admission to the hospital is to have good and accurate instruments. The study was conducted to determine the use of Emergency Severity Index and emergency department Paediatric Early Warning Score in identifying emergency pediatric hospital patients.

The research method used a cross-sectional study design. The formula for the comparative sample size of the categorical suitability to be tested with the kappa test involved 174 children who were hospitalized from 1 month to 18 years of age.

Results : the test results show that the test value of p value <0.05 (0.000) which means that there is an agreement between the use of ESI with pediatric emergencies in the Emergency Room of Primaya Hospital Tangerang and the results obtained are a value of 1,000 which means excellent agreement, with none of them rate differently.

Conclusion : The use of ED PEWS still needs to be developed and improved again to refinement. The research has implications so that research results can be used as an evidence base in managing child nursing care in the Emergency Room

"