Pendahuluan: Penyakit jantung koroner (PJK) merupakan penyebab utama penyakit kardiovaskular yang menyebabkan kematian manusia. Dampak negatif dari aspek fisik, antara lain nyeri dada, sesak napas, kelelahan, dan keterbatasan aktivitas fisik. Penelitian ini bertujuan untuk mendeskripsikan praktik keperawatan medikal bedah residensi pasien PJK dengan pendekatan teori model adaptasi Roy dan program rehabilitasi jantung fase 1 di Ruang Pamenang RSUD Gambiran Kota Kediri dalam melaksanakan peran pemberian asuhan keperawatan dengan adaptasi Roy. pendekatan teori, dan implementasi inovasi program rehabilitasi jantung fase 1 keperawatan berbasis bukti. Metode: Metode asuhan keperawatan profesional tim (MAKP) merupakan model MAKP yang diterapkan di Ruang Pamenang RSUD Gambiran Kota Kediri. Analisis SWOT untuk menentukan prioritas masalah. Inovasi dan praktik berdasarkan bukti Teori Model Adaptasi Roy dan rehabilitasi jantung fase 1. Hasil : Hasil analisis SWOT Ruang Pamenang ditemukan prioritas masalah : Discharge Planning, Babak Keperawatan, Dokumentasi Keperawatan, M3-METODE (MAKP), M1 (Ketenagakerjaan), M2 (Fasilitas dan Prasarana), Pengawasan, Penimbangan, dan Sentralisasi Obat . Hasil pengkajian keperawatan pasien PJK ditemukan lima diagnosa keperawatan yaitu nyeri akut, penurunan curah jantung, pola nafas tidak efektif, intoleransi aktivitas, dan kecemasan. Diskusi: Teori model adaptasi Roy efektif memberikan asuhan keperawatan pada pasien PJK. Teori model ini memungkinkan perawat untuk memberikan asuhan keperawatan yang komprehensif dalam meningkatkan kemampuan beradaptasi terhadap perubahan lingkungan internal dan eksternal. Intervensi program rehabilitasi jantung fase 1 efektif dalam tindakan pencegahan sekunder dan meningkatkan kualitas hidup pasien PJK
Introduction: Catheter-related urinary tract infections are the most common, but preventable, health-related infections and occur mostly in patients with indwelling urinary catheters. This study aims to determine the role of nurses in infection prevention and control in urinary catheter placement. Method: The preparation of the literature review went through several stages: making a research question according to the PICOS method, and conducting a literature review using diagrams, such as identification, eligibility, screening, selection of eligibility and determination of articles according to inclusion criteria. The last stage, the review is carried out systematically using tables and taking into account the value (Joanna Brigg Institution check list) JBI. Result: Search articles using Google Scholar, PubMed and Science Direct databases. Screening results of 9 Google Scholar articles, 3 PubMed articles and 5 Science Direct articles. The results of a review of 17 journals on the role of nurses obtained 10 prevention journals, 4 control journals and 3 infection prevention and control journals in urinary catheter insertion. Discussion: The nurse's role in infection prevention and control in urinary catheter insertion is to make direct observations throughout the day and night shifts. Implement nurse education programs on catheter and perineal care. Evaluate the knowledge and attitudes of nurses about the catheterization procedure. Identify multidrug-resistant organisms, and remove catheters according to standards and protocols. The nurse must maintain the patient's psychological stability during catheter insertion. The bundle catheter education technique is a method of increasing the knowledge, skills and experience of nurses on infection prevention and control in catheter placement.
Cardiac arrest can occur anywhere in the hospital area, whether it is in the emergency room, patients who are already in care, outpatients, the patient's family, visitors, or the community of the hospital at work. The literature of the review aims to determine the role of emergency nurses in the administration of pulmonary heart resuscitation in cardiac arrest patients. Literature review through several stages, namely making questions, identification, eligibility, selection of article inclusion, and screening. The Selection Process is listed in the framework of the review literature and obtained the results of article 8 articles. The data showed similar results related to the role of nurses in assisting cardiac arrest patients in hospitals. The results of the article in the review focused on the role of nurses in providing life support to patients with cardiac arrest, almost from all articles reviewed discussing the knowledge, experience, and skills of nurses in providing CPR. The role of nurses in the emergency room in providing life support to cardiac arrest patients is to improve the knowledge, experience, and skills in performing CPR. One way to improve the knowledge, experience, and skills of nurses in providing CPR to cardiac arrest patients is to participate in various training such as Basic Trauma Cardiac Life Support (BTCLS) or Advanced Cardiac Life Support (ATCLS).
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