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"[ABSTRAKAngka kematian ibu saat ini masih tinggi yang disebabkan karena komplikasi pada kehamilan dan persalinan, oleh karena itu perlunya peran tenaga kesehatan yang terkait termasuk perawat maternitas untuk memberikan pelayanan kesehatan profesional. Perawat spesialis maternitas dituntut mampu menjalankan perannya secara komprehensif. Laporan ini bertujuan untuk menggambarkan praktik residensi ners spesialis maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan postnatal normal dan berisiko serta bayi baru lahir normal dan berisiko, serta perempuan dengan masalah reproduksi dan ginekologi. Residen juga melakukan asuhan keperawatan dengan focus penerapan teori need for help dan comfort pada ibu bersalin dengan persalinan memanjang. Hasil menunjukkan bahwa kedua model efektif dapat diterapkan pada keenam kasus ibu bersalin dengan persalinan memanjang. Pencapaian kompetensi perawat spesialis maternitas dilakukan dengan penerapan peran perawat secara komprehensif.

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ABSTRACTMaternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively., Maternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively.]"

"Laporan Praktek Spesialis Keperawatan Maternitas Fokus Pada Penerapan Teori Keperawatan Need For Help 'Wiedenbach' Dan Goal Attainment 'King' Pada Asuhan Keperawatan Ibu Hamil Dengan Plasenta Previa ABSTRAK Petugas kesehatan termasuk perawat spesialis maternitas bertanggung jawab dalam upaya menurunkan angka kematian ibu Program Ners Spesialis Keperawatan Maternitas merupakan program pendidikan yang bertujuan untuk memberikan pengetahuan keterampilan serta sikap untuk dapat menjalankan peran dan fungsi dalam memberikan asuhan keperawatan Melalui program ini para calon Ners Spesialis Keperawatan Maternitas melaksanakan peran dan fungsinya sebagai care giver edukator konselor komunikator pengelola advokat kolabolator change agent dan peneliti baik ditatanan klinik maupun di komunitas Salah satu fungsi yang dilaksanakan adalah memberikan asuhan keperawatan dengan penerapan teori keperawatan need for help 'Wiedenbach' dan teori goal attainment 'King' pada ibu hamil dengan plasenta previa Integrasi kedua teori ini tepat digunakan dalam membantu mempertahankan kesehatan ibu dan janin serta mencegah terjadinya komplikasi Kata kunci Plasenta previa need for help goal attainment

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Maternity Nursing Specialist Practice Report Focused on the Application of Wiedenbach's 'Need For Help' and King's 'Goal Attainment' Nursing theory in Nursing Care of Pregnant Women with Placenta Previa ABSTRACT Health professionals including maternity nursing specialist are responsible in an attempt to reduce maternal mortality rate Maternity Nursing Specialist Program is an educational program that aims to provide the knowledge skills and attitudes to be able to perform the role and functions in providing nursing care Through this program the candidates of Maternity Nursing Specialist performed the role and function as a care giver an educator a counselor a communicator a manager an advocate a collaborator a change agent and a researcher both in the clinical area and in the community One of the functions implemented was providing nursing care with the application of Wiedenbach's 'Need For Help' and King's 'Goal Attainment' Nursing theory to pregnant women with placenta previa The integration of both theories was appropriate to maintain the health of the mother and fetus and to avoid complications Keywords Placenta previa need for help goal attainment "

"Persalinan kala dua memanjang merupakan kondisi yang memerlukan penanganan perawat agar tidak terjadi dehidrasi atau kelelahan pada ibu dan mencegah gawat janin. Penatalaksanaan keperawatan pada ibu yang mengalami persalinan kala dua memanjang dengan memberikan asuhan keperawatan secara fisik dan psikologis. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori need for help Wiedenbach dan comfort Kolcaba pada asuhan keperawatan ibu yang mengalami persalinan kala dua memanjang. Aplikasi teori need for help Wiedenbach dan comfort Kolcaba efektif diterapkan pada kelima kasus yang berfokus pada masa intranatal baik secara fisik dan psikologis, mencegah dampak persalinan kala dua memanjang terhadap kondisi ibu dan janin serta mengkaji pernyataan klien tentang bantuan yang dibutuhkan kepada perawat. Dengan intervensi keperawatan yang sesuai dengan bantuan yang dibutuhkan klien maka masalah klien dalam keadaan emergency teratasi dan kebutuhan rasa nyaman dapat terpenuhi.

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Prolonged second stage of labor is a condition requiring nurse handling to avoid dehydration or fatigue of the mother and prevent fetal distress. Management of nursing in mother who experience prolonged labor by giving physical and psychological nursing care. The method used is case study with focus on the application of the theory of need for help Wiedenbach and comfort Kolcaba on nursing care in mother who experienced prolonged second stage of labor. The application of need for help Wiedenbach and comfort Kolcaba theories effectively applied to the five cases that focused on intranatal phase both physically and psychological, prevent the impact of prolonged second stage of labor in mother and fetus condition, as well as reviewing the clients statement about the assistance needed to the nurse. Appropriate nursing interventions can address client problems in an emergency and comfort needs can be met."

"ABSTRAKSaat plasenta sudah terlepas dari implantasi normalnya di usia kehamilan prematur, risiko kesakitan dan kematian perinatal dapat meningkat. Penanganan kasus emergensi ini diperlukan guna menyelamatkan hidup ibu dan bayinya. Selain itu, perlu juga dilakukan asuhan keperawatan yang berkualitas dan komprehensif dengan menggunakan pendekatan teori keperawatan. Metode yang diterapkan pada studi kasus ini yakni dengan fokus penerapan teori Need for Help Wiedenbach dan Model Adaptasi Konsep Diri Roy pada asuhan keperawatan ibu multipara dengan solusio plasenta yang dilakukan terminasi kehamilan. Aplikasi kedua teori ini efektif diterapkan pada kelima kasus yang berfokus pada dampak solusio plasenta, baik secara fisik maupun psikologis, serta bertujuan untuk memaksimalkan kemampuan adaptasi konsep diri terhadap krisis situasi yang dialami oleh ibu. Teori Need for Help Wiedenbach dan Model Adaptasi Konsep Diri Roy dapat digunakan perawat untuk diaplikasikan secara komprehensif pada asuhan keperawatan persalinan dengan solusio plasenta.

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ABSTRACTWhen the placenta is released from its normal implantation at the age of premature pregnancy, the risk of perinatal morbidity and death can increase. Handling this emergency case is needed to save the life of the mother and her baby. In addition, it is also necessary to carry out quality and comprehensive nursing care using the nursing theory approach. The method applied in this case study is to focus on applying the theory of Need for Help Wiedenbach and Roy s Self Concept Adaptation Model to the nursing care of multiparous mothers with placental abruption carried out by termination of pregnancy. The application of these two theories is effectively applied to the five cases that focus on the effects of placental solution, both physically and psychologically, and aim to maximize the adaptation ability of self-concept to the crisis of the situation experienced by the mother. The Need for Help Wiedenbach theory and Roy s Self-Adaptation Model can be used by nurses to be applied comprehensively in labor nursing care with placental abruption."

"Ners spesialis keperawatan maternitas mempunyai kompetensi dalam penanganan kasus obstetri komplikasi untuk mewujudkan tujuan Millennium Development Goals Penyusunan laporan praktik residensi ini memberikan gambaran tentang peran dan fungsi ners spesialis keperawatan maternitas dalam pencapaian kompetensi Laporan ini memfokuskan penerapan teori need for help Wiedenbach pada asuhan keperawatan ibu hamil yang mengalami ketuban pecah dini Preterm Premature Rupture of Membrane PPROM dengan kelahiran prematur Penerapan teori dalam asuhan keperawatan ini merupakan salah satu dari sembilan peran mandiri perawat ners spesialis keperawatan maternitas yaitu sebagai pemberi pelayanan keperawatan Peran lainnya adalah sebagai edukator konselor advokat pengelola kolaborator komunikator dan koordinator agen perubah dan peneliti Penerapan teori need for help sangat tepat karena sesuai dengan kondisi kasus bahwa PPROM dengan kelahiran prematur adalah salah satu kondisi kegawatan obstetri Penerapan teori tersebut berhasil membantu menyelesaikan masalah keperawatan klien dengan baik

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Maternity nursing specialist contributes in handling obstetric cases to achieve the MDG rsquo s goals This clinical practice report aimed to describes the roles and functions of maternity nursing specialist in achieving competencies This report focuses on the application of the Wiedenbach rsquo s lsquo need for help rsquo theory to pregnant women who were experiencing preterm premature rupture of membranes PPROM with preterm birth The application of this theory in nursing care is one independent roles of the maternity nursing specialist namely care giver Another roles are educator counselor advocate manager collaborator communicator and coordinator change agent and researcher The application of need for help theory was very appropriate because it was fit to the conditions of the cases where PPROM with preterm birth is one of obstetric emergency conditions The application of the theory had successfully helped to solve the client rsquo s nursing problem well "

"Angka kematian ibu (AKI) merupakan salah satu indikator untuk menentukan derajat kesehatan ibu. AKI secara nasional masih relatif tinggi. Penyebab AKI antara lain perdarahan setelah persalinan, eklamsia, dan infeksi. Selain itu, AKI juga disebabkan oleh faktor tiga terlambat dan empat terlalu. Perdarahan menempati persentase tertinggi penyebab kematian ibu. Laporan ini memberikan gambaran tentang pelaksanaan praktik residensi Ners Spesialis Keperawatan Maternitas fokus pada kasus perdarahan postpartum dengan penerapan kedua teori yaitu "Need for Help Wiedenbach" pada keadaan emergensi dan teori "Conservation Levine" untuk pemulihan ibu postpartum dengan perdarahan. Fokus teori keperawatan “Need for Help Wiedenbach” adalah memberikan pertolongan sesuai dengan kebutuhan pasien saat ini yaitu pada kasus ini saat terjadi perdarahan. Kemudian setelah fase akut teratasi, asuhan keperawatan diberikan untuk mempertahankan keseimbangan energi ibu postpartum setelah mengalami perdarahan. Perawat perlu memahami dan melaksanakan perannya sebagai pemberi asuhan keperawatan, pendidik, konselor, advokat, koordinator, kolaborator, peneliti, dan agen pembaharu dalam pelayanan praktik keperawatan.

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MMR is still relatively high nationally. The causes of MMR may include postpartum hemorrhage, eclampsia, and infection. In addition, MMR is also caused by the “three delays” and “four frequently occurring factors” among women. Bleeding is the highest percentage of the causes of maternal death. This report provided an overview of the practice implementation by resident maternity nursing specialist focused on the application theories of Need for Help from Wiedenbach during acute stage and Conservation from Levine during recovery stage with postpartum hemorrhage. The nursing theory of "Need for Help Wiedenbach" is indented to provide help in accordance with the needs of patients here and now in case of postpartum hemorrhage. Then after the acute phase is managed, the nursing care is given to maintain energy balance of postpartum women after bleeding. The nurses need to understand and carry out their roles as providers of nursing cares, educator, counselor, advocate, coordinator, collaborator, researcher, and innovator in the nursing maternity practices."

"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 disusun sebagai laporan praktik residensi ners spesialis keperawatan maternitas yang menggambarkan pencapaian kompetensi ners spesialis keperawatan maternitas dengan fokus pada aplikasi teori keperawatan need for help dan symptom management pada ibu hamil dengan preeklampsia berat. Kompetensi ners spesialis keperawatan maternitas diwujudkan dengan penerapan peran dan fungsi perawat sebagai pemberi pelayanan keperawatan, advokat, manajer, rehabilitator, komunikator, edukator, kolaborator, dan agen perubah. Aplikasi teori keperawatan need for help Wiedenbach dan symptom management Humphreys pada ibu hamil dengan preeklampsia berat dapat mengatasi masalah keperawatan selama fase akut dan pemeliharaan.

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This final report is created as a report of maternity nursing specialist residency practice which describes the achievement of maternity nursing specialist’s competencies focused on the application of ‘need for help’ and ‘symptom management’ nursing theory to pregnant women with severe preeclampsia. The competencies of a maternity nursing specialist were actualized by the implementation of roles and functions as a nursing care provider, an advocate, a manager, a rehabilitator, a communicator, an educator, a collaborator, and a change agent. The application of Wiedenbach’s ‘need for help’ nursing theory and Humphreys theory of symptom management to pregnant women with severe preeclampsia could solve the nursing problems during acute and maintenance phase."

"Kematian ibu yang terjadi selama kehamilan sebagian besar disebabkan oleh perdarahan, hipertensi dalam kehamilan, infeksi, partus lama/macet dan abortus. 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 ditatanan klinik maupun di komunitas. Residen juga melakukan asuhan keperawatan pada kasus dengan focus of interest yaitu abortus inkomplit dengan mengaplikasikan teori need for help yang dikombinasikan dengan teori unpleasant symtomps. Selain itu, laporan ini juga memaparkan tentang kegiatan pencapaian kompetensi perawat spesialis maternitas melalui penerapan peran sebagai pemberi perawatan, pendidik, konselor, koordinator, komunikator, advokat serta agen perubahan dan peneliti.

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Maternal deaths that occur during pregnancy are mostly caused by bleeding, hypertension in pregnancy, infection, old / stuck particles and abortion. This phenomenon encourages the nursing profession to continue to develop knowledge in line with the demands of society to quality health services. This report aims to describe the implementation of a one-year maternity nursing residency practice covering normal and high-risk childbearing nursing care, normal and high-risk newborns, women with reproductive and gynecological problems in clinical and community settings. The resident also performs nursing care in a case with a focus of interest ie an incomplete abortus by applying the need for help theory in combination with the unpleasant symtomps theory. In addition, this report also describes the activities of the achievement of nursing specialist maternity competence through the application of roles as carers, educators, counselors, coordinators, communicators, advocates and agents of change and researchers."

"Karya ilmiah akhir ini disusun sebagai laporan dari praktik residensi spesialis keperawatan Maternitas yang berfokus pada penerapan teori keperawatan Need for Help Wiedenbach dan Comfort Kolcaba pada asuhan keperawatan ibu yang mengalami partus lama Tujuan penulisan laporan ini untuk memberikan gambaran pelaksanaan praktik Spesialis Keperawatan Maternitas dalam menjalankan perannya sebagai pemberi pelayanan keperawatan edukator konselor advokat pengelola kolaborator komunikator dan koordinator agen perubah dan peneliti dalam memberikan asuhan keperawatan pada perempuan sepanjang periode kehidupannya dengan menerapkan teori keperawatan Aplikasi teori keperawatan need for help Wiedenbach dan Theory of Comfort Kolcaba efektif dilakukan pada enam ibu dengan partus lama Aplikasi teori tersebut berhasil membantu menyelesaikan masalah keperawatan dan meningkatkan kenyamanan klien selama persalinan Setelah melaksanakan praktik residensi spesialis keperawatan maternitas penulis mampu mencapai target kompetensi dengan baik Kata kunci asuhan keperawatan partus lama teori keperawatan 'comfort' teori keperawatan 'need for help'

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This final scientific report aimed to report the clinical practice of maternity nursing specialist which focus on the application of Wiedenbach's theory of the need for help and Kolcaba's theory of comfort in the nursing care to clients who experience prolonged labour The purpose of this report is to describe the implementation of maternity nursing specialist practices in their role as care giver educator counselor advocate collaborator communicator coordinator innovators and researchers The competencies also achieved through application of nursing theory in the nursing care The application of Wiedenbach's theory of need for help and Kolcaba's theory of comfort in the nursing care was effective to resolve client's health problem and increased the comfort of the mother during labour After finishing residential practice of maternity nursing specialist the competencies was achieved with a good result Keyword nursing process nursing theory of comfort nursing theory of need for help prolonged labour "