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HEALTH AND FAMILY SUPPORT ISSUES OF WOMEN REFUGEES AND RELATED NURSING INTERVENTION: A LITERATURE REVIEW 妇女难民的健康和家庭支助问题及相关护理干预:文献综述
Pub Date : 2019-04-01 DOI: 10.35654/IJNHS.V2I1.55
Hastoro Dwinantoaji, Mami Nojima, N. R. Ngatu
Aim: Migration has become one of global human security issues of the 21st century. Women refugees face a unique set of problems and their health is often compromised. The aim of this study was to describe health and family support issues encountered by women refugees in refugee setting and related nursing interventions. Methods: A literature review was performed using Academic Search Premier, CINAHL and Medline databases, and the following keywords were used separately and in combination to retrieve related abstracts and articles: `women refugees`, `health`, `nursing`. Only original articles from qualitative studies published in English and focusing on women’s health and family support in the refugee setting were selected for the review. Results: Three major themes related to women refugees’ health issues were identified: `Culture sensitivity`, `Seeking life balance` and `Gender-based violence`. In addition, nine major themes related to family support were found: `Family reunion (difficulty to emigrate)`, `Changes in family’s connections and roles`, `Unsatisfactory family life`, `Discrimination and contempt by community`, `Health problems in children`, `Mental health problems in family member`, `Adjustment and adaptation of life pattern in a new country`, `Family time and togetherness` and `Concern about forgetting one’s homeland`. On the other hand, we identified 11 major themes related to nursing interventions implemented for women refugees. Conclusion: Disaster nurses have important role to protect and promote human security among women refugees. Future studies should determine how disaster nurses can efficiently promote human security for women in refugee setting.
目的:移民已成为21世纪全球人类安全问题之一。妇女难民面临着一系列独特的问题,她们的健康往往受到损害。本研究的目的是描述妇女难民在难民环境中遇到的健康和家庭支持问题以及相关的护理干预措施。方法:使用Academic Search Premier、CINAHL和Medline数据库进行文献综述,分别或联合使用以下关键词检索相关摘要和文章:“妇女难民”、“健康”、“护理”。审查只选择了以英文发表的定性研究的原创文章,重点是难民环境中妇女的健康和家庭支助。结果:确定了与妇女难民健康问题有关的三个主要主题:"文化敏感性"、"寻求生活平衡"和"基于性别的暴力"。此外,还发现了与家庭支持有关的9个主要主题:"家庭团聚(移民困难)"、"家庭关系和角色的变化"、"家庭生活不理想"、"社区歧视和蔑视"、"儿童健康问题"、"家庭成员心理健康问题"、"在新国家适应和适应生活模式"、"家庭时间和团聚"和"担心忘乡"。另一方面,我们确定了为妇女难民实施护理干预措施的11个主要主题。结论:灾害护士在保护和促进妇女难民人身安全方面具有重要作用。未来的研究应确定灾害护士如何有效地促进难民环境中妇女的人身安全。
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引用次数: 0
Nursing Dysphagia Screening To Preventing The Occurrence Of Pneumonia In Stroke Patients In Indonesia (Comparison Between The National Institutes Of Health Stroke Scale, Nursing Admission Screening Tools, And Functional Independence Measure): Literature 印度尼西亚护理吞咽困难筛查预防脑卒中患者肺炎的发生(国家卫生研究院卒中量表、护理入院筛查工具和功能独立性测量的比较):文献
Pub Date : 2019-04-01 DOI: 10.35654/IJNHS.V2I1.58
S. Aisah, A. Waluyo
Abstract Background: Dysphagia is a frequent complication in stroke. Patients with dysphagia have potential risk of pneumonia, malnutrition, dehydration, increased length of stay and even death. One og nursing intervention that is considered important in the management of stroke patients is dysphagia screening because it can reduce aspiration and pneumonia and other complications that can occur in dysphagia. Aim: The aim of this literature review was to comparison between The National Institutes Of Health Stroke Scale, Nursing Admission Screening Tools, and Functional Independence Measure to preventing the occurrence of pneumonia in stroke patients in Indonesia. Design: This paper used narrative review. Data source: A literature search was conducted of articles published from 2010 through October 2018 using the PubMed, Embase, Cochrane Library and Ebscohost databases on compared three of dysphagia screening. Result: This search resulted in a total of 16 articles. Evidence has indicated that The National Institutes Of Health Stroke Scale Screening is considered to be the most effective type of dysphagia screening in preventing pneumonia in stroke patients who experience dysphagia. Conclusion: The NIHSS has a sensitivity value, specificity, positive predictive value, and negative predictive value that is quite good and considered safe to be applied in screening for dysphagia in stroke patients in Indonesia. Keywords: dysphagia screening, dysphagia in stroke, The National Institutes of Health Stroke Scale, Nursing Admission Screening Tools,  Functional Independence Measure
摘要背景:吞咽困难是脑卒中的常见并发症。吞咽困难患者有肺炎、营养不良、脱水、住院时间延长甚至死亡的潜在风险。一种被认为对中风患者管理很重要的护理干预是吞咽困难筛查,因为它可以减少吞咽困难可能发生的误吸、肺炎和其他并发症。目的:本文献综述的目的是比较国立卫生研究院卒中量表、护理入院筛查工具和功能独立措施对预防印度尼西亚卒中患者肺炎发生的影响。设计:本文采用叙事回顾法。数据来源:对2010年至2018年10月期间发表的文章进行文献检索,使用PubMed、Embase、Cochrane Library和Ebscohost数据库,比较了三种吞咽困难筛查方法。结果:本次检索共得到16篇文章。有证据表明,美国国立卫生研究院卒中量表筛查被认为是预防吞咽困难卒中患者肺炎最有效的筛查类型。结论:NIHSS具有较好的敏感性、特异性、阳性预测值和阴性预测值,可安全用于印尼脑卒中患者的吞咽困难筛查。关键词:吞咽困难筛查,卒中患者吞咽困难,美国国立卫生研究院卒中量表,护理入院筛查工具,功能独立性测量
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引用次数: 0
THE APPLICATION OF CLINICAL JUDGMENT AND DECISION MAKING OF CRITICAL CARE NURSES IN INTENSIVE CARE UNITS (ICUs) 重症监护护士临床判断与决策的应用
Pub Date : 2019-03-30 DOI: 10.35654/IJNHS.V2I1.20
I. M. Rahajeng, Faridatul Muslimah
Background Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses. Aim The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU)  Method A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim. Result The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model  in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU. Conclusions Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities.     Keywords: clicinal decision making, critical care nurse, ICU
重症监护室(ICU)是临床决策和判断的具体应用场所。重症监护病房危重患者的病情可能会促使护士在短时间内做出决策和临床判断。明确危重情况下应采用何种临床决策方法,对危重护理新手和专家具有指导意义。目的探讨临床决策在重症监护病房(ICU)的应用。方法对22篇文献进行系统回顾,文献检索自CINAHL、MEDLINE、PUBMED和DISCOVERED数据库。这些文章经过严格的审查和分析,以回答本研究的目的。结果对文章的批判性评价分为以下几个主题:1)Tanner临床判断模型在ICU中的应用;2)ICU决策类型;3)理论方法。4) ICU决策方案的案例说明,5)ICU决策的影响因素,6)ICU临床决策的辅助工具,7)了解属性和概念可以提高ICU临床决策过程的质量,8)了解ICU临床决策对护理教育和实践的意义。结论重症监护护士在决策时多采用不同的技术手段;分析方法包括假设演绎法,模式识别,直觉,叙事思维和决策分析理论是潜在的应用。ICU临床决策活动出现在多种临床情境中,如干预决策、沟通决策、评价决策等。影响重症监护室临床决策的因素包括护士经验、患者情况、ICU布局、轮班工作、跨专业协作实践、物理和人力资源等。临床决策的应用可以通过系统的工具来支持,护士对icu使用的概念和属性的了解影响其临床决策能力。关键词:临床决策,重症监护护士,ICU
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引用次数: 0
THE EFFECT OF MUSIC THERAPY ON SLEEP QUALITY AMONG CHILDREN WITH CHRONIC ILLNESS 音乐治疗对慢性疾病儿童睡眠质量的影响
Pub Date : 2019-03-30 DOI: 10.35654/IJNHS.V2I1.51
Resi Putri Naulia, Allenidekania Allenidekania, Happy Hayati
  Abstract   The priority of handling children with chronic illness is to improve the quality of life by paying attention the symptoms that arise during treatment, one of which is the sleep problem. The purpose of this study to identify the effect of music therapy for the sleep quality of children with chronic illness. This study used a quasi experiment. Sample size was 30 childrens were divided into experimental group and control group. Respondents were given music therapy in 30-45 minutes before bed for 4 days. Sleep quality is measured by using Pittsburgh Sleep Quality Index (PSQI). There was a significant mean difference regarding PSQI score in experimental and control group. It was found that the experimental group score was higher compared with the control group (p=0,001). Thus music therapy could be used as an alternative intervention to improve the sleep quality to improve the quality of life of children with chronic illness.   Key words : children, chronic illness, music therapy, sleep quality
儿童慢性疾病治疗的首要任务是通过关注治疗过程中出现的症状来改善生活质量,睡眠问题就是其中之一。本研究旨在探讨音乐治疗对慢性疾病患儿睡眠质量的影响。本研究采用准实验。样本量为30例,分为实验组和对照组。受试者于睡前30-45分钟接受音乐治疗,疗程4天。睡眠质量通过匹兹堡睡眠质量指数(PSQI)来衡量。实验组与对照组的PSQI评分有显著的均数差异。结果发现实验组得分高于对照组(p= 0.001)。因此,音乐疗法可以作为一种替代干预手段来改善慢性疾病儿童的睡眠质量,从而改善儿童的生活质量。关键词:儿童,慢性病,音乐治疗,睡眠质量
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引用次数: 3
The Model Theory Approach “Care, Core, Cure” for Patients with Cardiovascular Disease 心血管疾病患者“关怀、核心、治疗”的模型理论方法
Pub Date : 2019-01-04 DOI: 10.35654/IJNHS.V1I2.53
Annisaa Fitrah Umara
The impact of cardiovascular disease was felt by individuals and global. By individual approach, prevention and supervision are needed to reduce the burden. Nurses have an essential role in giving holistic standards of nursing practice. The purpose of this study is to provide an overview of the case management of patients with cardiovascular disease by using the theoretical approach "care, core, and cure" model theory. The method used is a case study of 30 patients with Cardiovascular Diseases in Harapan Kita Jakarta National Heart Center. Inform consent was obtained, the initial name and code were assigned to all participant. The results are nine acute coronary syndrome patient, four heart failure patient, ten heart surgery patient, and seven arrhythmia patient. The majority of patients were male, an average age more than 41 years old. Most risk factors are caused by hypertension and smoking. In the acute phase, the "care" and "cure" aspects were more prominent than the "core" aspect. In the non-acute phase, patients need rehabilitation and health education, so the more prominent aspects are "care" and "core" than "cure." The aspect "care" provides an overview of risk factors that result in cardiovascular disease. The "core" aspect shows the needed of education and the "cure" aspects indicating the necessity for medical therapy in patients with cardiovascular disease. In the "Care" aspect, independence nursing intervention can be identified and easily evaluated. In the “Core” aspect, the nurse can recognize the patient's needs during the treatment and provided nursing care plans as needed. In the “Cure” aspect, can be increased coordination among health care providers. Nurse need to develop the model of nursing theory approach in providing nursing care for patients with Cardiovascular Diseases, especially patients who have the opportunity to undergo rehabilitation.
个人和全球都能感受到心血管疾病的影响。通过个体化的方式,需要预防和监督,以减轻负担。护士在提供护理实践的整体标准方面发挥着至关重要的作用。摘要本研究旨在以“关怀、核心、治疗”模式理论为基础,对心血管疾病患者个案管理进行综述。所使用的方法是对Harapan Kita Jakarta国立心脏中心30名心血管疾病患者的案例研究。获得知情同意后,为所有参与者分配初始姓名和代码。结果:急性冠状动脉综合征9例,心力衰竭4例,心脏手术10例,心律失常7例。患者以男性居多,平均年龄大于41岁。大多数危险因素是由高血压和吸烟引起的。在急性期,“护理”和“治疗”方面比“核心”方面更为突出。在非急性期,患者需要康复和健康教育,因此“护理”和“核心”比“治愈”更突出。“护理”方面概述了导致心血管疾病的危险因素。“核心”方面体现了教育的必要性,“治愈”方面体现了对心血管病患者进行药物治疗的必要性。在“护理”方面,独立护理干预可以被识别并易于评估。在“核心”方面,护士可以在治疗过程中认识到患者的需求,并根据需要提供护理计划。在"治愈"方面,可加强卫生保健提供者之间的协调。护理人员在为心血管疾病患者,特别是有机会接受康复治疗的患者提供护理时,需要发展护理理论方法的模式。
{"title":"The Model Theory Approach “Care, Core, Cure” for Patients with Cardiovascular Disease","authors":"Annisaa Fitrah Umara","doi":"10.35654/IJNHS.V1I2.53","DOIUrl":"https://doi.org/10.35654/IJNHS.V1I2.53","url":null,"abstract":"\u0000 \u0000 \u0000The impact of cardiovascular disease was felt by individuals and global. By individual approach, prevention and supervision are needed to reduce the burden. Nurses have an essential role in giving holistic standards of nursing practice. The purpose of this study is to provide an overview of the case management of patients with cardiovascular disease by using the theoretical approach \"care, core, and cure\" model theory. The method used is a case study of 30 patients with Cardiovascular Diseases in Harapan Kita Jakarta National Heart Center. Inform consent was obtained, the initial name and code were assigned to all participant. The results are nine acute coronary syndrome patient, four heart failure patient, ten heart surgery patient, and seven arrhythmia patient. The majority of patients were male, an average age more than 41 years old. Most risk factors are caused by hypertension and smoking. In the acute phase, the \"care\" and \"cure\" aspects were more prominent than the \"core\" aspect. In the non-acute phase, patients need rehabilitation and health education, so the more prominent aspects are \"care\" and \"core\" than \"cure.\" The aspect \"care\" provides an overview of risk factors that result in cardiovascular disease. The \"core\" aspect shows the needed of education and the \"cure\" aspects indicating the necessity for medical therapy in patients with cardiovascular disease. In the \"Care\" aspect, independence nursing intervention can be identified and easily evaluated. In the “Core” aspect, the nurse can recognize the patient's needs during the treatment and provided nursing care plans as needed. In the “Cure” aspect, can be increased coordination among health care providers. Nurse need to develop the model of nursing theory approach in providing nursing care for patients with Cardiovascular Diseases, especially patients who have the opportunity to undergo rehabilitation. \u0000 \u0000 \u0000","PeriodicalId":214399,"journal":{"name":"International Journal of Nursing and Health Services (IJNHS)","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129439683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Implementation of Electronic based Nursing Care Documentation to EFETEC; A Literature Review 电子护理文件在EFETEC中的实施文献综述
Pub Date : 2019-01-03 DOI: 10.35654/IJNHS.V1I2.23
I. W. G. Saraswasta, R. S. Hariyati
ABSTRACT In last two decades most of the tasks performed by nurses have not been directly related to patient care. Nurses spend more time on writing documentation or medical records of patients. Implementation of electronic medical record can reduce the time used for documentation or in other hand will increase the time for nurses to interact with patients then eventually can improve the quality of nursing care. Purpose of this literature review is to find out the implementation of electronic-based nursing care documentation (EHR) in improving the quality of nursing care in terms of EFETEC aspects. Method used by author is a literature review. Database used is Science Direct, PROQUEST, Scopus, Ebscho and Scholar Article with the keywords; electronic health record, EHR, Documentation in nursing, Quality of nursing care. Implementation of electronic nursing care documentation can improve the service quality. Improvement of the quality of service is reviewed with EFETEC which consists of efficient, focus for patient, effective, time discipline, equality, confidentiality. In the era of health workers 4.0 the utilization of electronic nursing care documentation requires continuous development in order to improve the quality of service for patients.  KEYWORDS: electronic health record, nursing care documentation, quality of nursing care
在过去的二十年中,护士所承担的大部分任务都与患者护理没有直接关系。护士花更多的时间写文件或病人的医疗记录。电子病历的实施可以减少用于记录的时间,或者另一方面可以增加护士与患者互动的时间,最终可以提高护理质量。本文献回顾之目的在于探讨电子护理档案(electronic care care documentation, EHR)之实施对护理质量之改善。作者采用的方法是文献综述法。使用的数据库是Science Direct, PROQUEST, Scopus, Ebscho和Scholar文章;电子健康档案,电子健康档案,护理文件,护理质量。实施电子护理文件可以提高服务质量。EFETEC对服务质量的改进进行了审查,包括高效、关注患者、有效、时间纪律、平等、保密。在卫生工作者4.0时代,电子护理文件的利用需要不断发展,以提高对患者的服务质量。关键词:电子病历,护理文件,护理质量
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引用次数: 3
Retention Strategy to Minimize Nurse Turnover: A Systematic Review 减少护士流动率的保留策略:系统回顾
Pub Date : 2019-01-03 DOI: 10.35654/IJNHS.V1I2.47
R. S. Hariyati, N. Nurdiana
Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication. Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse. Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.
背景:沟通技巧是护士提供卫生服务的必要条件。有效的沟通将影响护理质量和患者安全。这篇文章的目的是为了确定实施有效护士沟通的因素。方法:本研究资料的检索采用系统评价设计。数据检索自2011 - 2017年的ProQuest、SCOPUS、EBSCO、Science-Direct、JSTOR和Wiley-Online数据库。本研究以护士沟通、健康沟通、护士有效沟通为关键词,对期刊、文章及文献进行综述。结果:从6个数据库中共检索到12518篇研究。从这些直接检索的数量中,系统评价根据标题识别符合性,从而获得31项研究,其标题适合选定的讨论。入选论文共16篇,确定了effective communication。论文研究的分析结果是有16篇论文与所确定的标准相辅相成。确定了六个因素对实施有效的护士沟通有影响:(1)智力和自我效能感,(2)沟通技巧,(3)工作经验,(4)感知,(5)社会文化,(6)组织文化。
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引用次数: 7
Factors Predisposing Implementation of Effective Nurse Communication: a Systematic Review 影响护士有效沟通的因素:系统回顾
Pub Date : 2019-01-03 DOI: 10.35654/IJNHS.V1I2.48
R. S. Hariyati, Anditha Sari, Tuti Afriani
Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication. Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse. Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture. Conclusion: Effective communication will be executed best of it has become the work culture. Nurses Leaders has an imperative role as role models in doing effective communication. Effective communication will imply to the increase of nurses service quality
背景:沟通技巧是护士提供卫生服务的必要条件。有效的沟通将影响护理质量和患者安全。这篇文章的目的是为了确定实施有效护士沟通的因素。方法:本研究资料的检索采用系统评价设计。数据检索自2011 - 2017年的ProQuest、SCOPUS、EBSCO、Science-Direct、JSTOR和Wiley-Online数据库。本研究以护士沟通、健康沟通、护士有效沟通为关键词,对期刊、文章及文献进行综述。结果:从6个数据库中共检索到12518篇研究。从这些直接检索的数量中,系统评价根据标题识别符合性,从而获得31项研究,其标题适合选定的讨论。入选论文共16篇,确定了effective communication。论文研究的分析结果是有16篇论文与所确定的标准相辅相成。确定了六个因素对实施有效的护士沟通有影响:(1)智力和自我效能感,(2)沟通技巧,(3)工作经验,(4)感知,(5)社会文化,(6)组织文化。结论:有效的沟通将被执行得最好,它已经成为工作文化。护士领导在进行有效的沟通方面具有重要的榜样作用。有效的沟通对护士服务质量的提高具有重要意义
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引用次数: 0
FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL 雅加达陆军医院应急设施通信交接的鱼骨分析法
Pub Date : 2019-01-03 DOI: 10.35654/IJNHS.V1I2.40
Deny Gunawan, R. S. Hariyati, Desnita Fitri
Background: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained  from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals. Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method. Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal  components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts
背景:身份证件的交接和转移在实施过程中往往存在薄弱环节,成为医院的全球性问题。目的:探讨雅加达陆军医院护士轮班交接中识别情况背景评估建议(ISBAR)方法实施不理想的原因。方法:本研究采用鱼骨图法对5M和1E进行情景研究分析。通过文献回顾和分析,提出了在护士轮班交接时提高ISBAR方法实施质量的建议。数据来自现有的二手数据、以前的研究数据和雅加达军事医院的数据来源。结果:采用鱼骨法对数据进行分析,得到的数据为ISBAR法在护理换班时不理想的原因。导致确定可以优先处理的问题有:无监控评估工具、没有明确的监控评估团队、监控评估轮班内护士交接的实施、医院没有一本关于ISBAR的平装书、组件交接格式不优化、护士没有正确理解ISBAR方法。结论:研究结果揭示了问题的六个原因。它们是:(1)缺乏评估监测工具;(2)缺乏明确的评估监测团队;(3)护士轮班间的非最佳移交评估监测;(4)缺乏关于ISBAR交付方法的袖珍手册;(5)移交格式中的非最佳组件;(6)护士无法正确执行ISBAR方法。建议:提出ISBAR方法对护士换班进行监测和评估,建立ISBAR方法对护士换班进行评估监测小组,制定评估监测工具草案,制作ISBAR方法袖珍手册,护士换班格式中的ISBAR组件,在护士换班时进行ISBAR方法的教育和角色扮演
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引用次数: 0
Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services 创新运用资讯科技系统提升护理服务质素
Pub Date : 2019-01-03 DOI: 10.35654/ijnhs.v1i2.27
Ahmad Dahlan Sayam, Sukihananto Sukihananto
Background: Advances in technology in the field of health are increasingly increasing, enabling everyone to use existing technology. Today, advances in information technology that allow for the development of professional nursing services, and the attention of current epidemiology and sociodemography, are very important for nurses. to become familiar with health information systems Methods: The conceptual framework proposed was to look at the theory and empirical literature used in nursing studies and its benefits, which were reviewed from several research results from 2013 to 2018. This study used 17 journals that were reviewed against it. Results: Several innovations in the field of information technology in the field of nursing have been developed and evaluated for its benefits. Based on what is in the literature in this article, Nurse Calling Systems (NCSS), EHR and CDSS, MDTT, computers and infusion management systems are a number of innovations that have been developed for developing technology to provide better quality services. The benefits obtained when using these innovations, namely more efficient management, more effective use of costs, improved planning programs, increased utilization of nurses. The benefits of information systems in nursing more time with, patients and less time in station nurses, reducing the use of paper nursing care automatically the same standard in care (nursing process) reduce the cost of nursing services can be measured Conclusion: it takes several innovations in the field of nursing that have been widely applied, which are carried out on benefits that provide enormous benefits in the practice of nursing services. So it is recommended that in the future Indonesia can implement innovations that can help improve nurse performance in Indonesia according to existing needs Keywords: Innovation, Nursing Information System, Benefits
背景:卫生领域的技术进步日益增加,使每个人都能使用现有技术。今天,信息技术的进步使得专业护理服务的发展,以及当前流行病学和社会人口学的关注,对护士来说非常重要。方法:提出的概念框架是查看护理研究中使用的理论和实证文献及其益处,并对2013年至2018年的几项研究结果进行了回顾。这项研究使用了17种期刊,并对其进行了审查。结果:信息技术在护理领域的若干创新得到了发展,并对其效益进行了评价。根据本文的文献,护士呼叫系统(NCSS)、电子病历和CDSS、MDTT、计算机和输液管理系统是为开发技术提供更高质量服务而开发的许多创新。使用这些创新所获得的好处,即更有效的管理,更有效地利用成本,改进规划方案,提高护士的利用率。信息系统在护理中的好处更多的时间与病人在一起,更少的时间在护士站着,减少了使用纸质护理自动照护的相同标准(护理过程),降低了护理服务的成本,可以衡量结论:它需要在护理领域的几项创新得到广泛应用,这些创新的实施带来的好处为护理服务的实践提供了巨大的好处。因此,建议未来印尼可以根据现有需求实施有助于提高印尼护士绩效的创新。关键词:创新,护理信息系统,效益
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International Journal of Nursing and Health Services (IJNHS)
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