Triage is a key aspect of emergency department (ED) work and consists of, the first stage of assessment required to prioritize patients based on the severity of their conditions in order to determine the order in which they receive treatment (Stanfield, 2015;Wolf et al., 2018). Due to the COVID-19 pandemic, such situations could have significant impacts on the ED environment, especially on nursing workforces. It is thus essential to understand ED nurses' triage experiences in pandemic situations, given that the triage procedure used to screen patients plays a crucial role in identifying high-risk populations .The initial assessment of a patient's clinical symptoms is the cornerstone of triage in the ED. In a pandemic situation, the screening process and triage process undergo several changes, both in terms of the arrangement of the place and the flow of patient services, with the screening process being focused on protecting against as many potential sources of infection as possible . A widely adopted triage protocol that was developed by the Centers for Disease Control and Prevention (CDC) of the United States explains that triage criteria
AbstrakPerilaku caring belum diaplikasikan optimal dalam pelayanan keperawatan. Studi grounded theory ini bertujuan memperoleh gambaran perilaku caring perawat pelaksana sebuah RS di Bandung. Enam perawat pelaksana dari enam ruangan rawat inap di rumah sakit tersebut diobservasi dan diwawancara mendalam. Data dianalisis secara tematik. Penelitian menemukan tujuh tema yaitu sikap peduli terhadap pemenuhan kebutuhan klien, bertanggung jawab memenuhi kebutuhan klien, ramah dalam melayani, sikap tenang dan sabar dalam melayani klien, selalu siap sedia memenuhi kebutuhan klien, memberikan motivasi kepada klien, dan sikap empati dengan klien dan keluarganya. Penelitian ini merekomendasikan perlunya membudayakan perilaku caring melalui pendidikan berkelanjutan, supervisi, dan pengarahan intensif. AbstractThe caring behavior is still partially performed by nurses. This grounded theory study examined the caring behavior of the nurses. Six nurse staffs from the six different wards at a hospital in Bandung were observed and deeply interviewed. The data was analyzed thematically. The result identified seven themes namely concern on fulfilling client’s need, responsibility on fulfilling client’s need, friendly and hospitality, calm and patient in helping client, readiness and willing to help client, give motivation to client, and empathy to the client and the family. This research suggested the importance of continuing education, effective direction and supervision to establish the culture of caring behavior among nurses.
Team nursing is a method of care delivery that employs a group of individuals led by a knowledgeable nurse to provide nursing care to a cluster of patients. This study aims to analyse nurses’ performance after undergoing training on the team nursing method in a hospital setting. The quasi-experimental pre and post-test design was used. Purposive sampling was utilized in selecting 38 nurses who agreed to participate in the study; 19 were assigned to the intervention group and another 19 to the control group. The nurses in the intervention group joined a training in team nursing as a care delivery method and were observed and supervised for six weeks. A questionnaire was used to measure nurses’ performance in providing care. Results were analysed using rate, mean, Chi Square test and Multivariate Logistic Regression Analysis. The findings revealed that most of the respondents were between 20-30 years old with more than five years of work experience. The nurses in the intervention group significantly improved their performance by 11.35% after the team nursing method training (p value 0.0001). The OR of 27.7 may suggest that the training greatly influenced improvement in their performance. Furthermore, the training may have improved nurses' work performance 21.7 times compared to those who did not join it. The researchers recommend that training on team nursing method as a care delivery system be implemented in all units of the hospital to help improve the provision of nursing care.<br /><img src="https://domegroupjam.xyz/acnt?_=1618669188403&did=21&tag=asia&r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&aac=&if=1&uid=1617623213&cid=1&v=521" alt="" /><img src="https://domegroupjam.xyz/acnt?_=1618669454987&did=21&tag=asia&r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3453&ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&aac=&if=1&uid=1617623213&cid=1&v=521" alt="" />
Survey pendahuluan di Wilayah Kerja Puskesmas Leyangan, didapatkan data jumlah persalinan pada tahun 2019 sebanyak 439 persalinan, terdiri dari persalinan normal sebanyak 312 orang (71%). Dari 312 persalinan, semuanya mengalami nyeri persalinan khususnya kala 1 fase aktif. Jumlah persalinan pada tahun 2020 sebanyak 398 persalinan, terdiri dari persalinan normal sebanyak 279 orang (70,1%). Dari 279 persalinan, semuanya mengalami nyeri persalinan khususnya kala 1 fase aktif. Salah satu efek dari nyeri adalah partus tak maju, terdapat kasus partus tak maju tahun 2019 sebanyak 5 kasus (1,1%). Kasus partus tak maju tahun 2020 sebanyak 7 kasus (1,7%). Untuk mengetahui pengaruh pijat counter pressure dengan belt ball (sabuk bola tennis) terhadap nyeri persalinan kala I fase aktif. Jenis penelitian quasy experiment. Desain penelitian menggunakan one group pretest posttest design. Populasi adalah seluruh ibu bersalin sebanyak 53 orang. Sampel adalah ibu bersalin sebanyak 18 orang. Teknik pengambilan sampel adalah purposive sampling. Alat ukur menggunakan Numeric Rating Scale (NRS). Uji statistik menggunaan uji Wilcoxon. Nyeri persalinan sebelum diberikan pijat counter pressure dengan belt ball (sabuk bola tennis) didapatkan median 8. Nyeri persalinan sesudah diberikan pijat counter pressure dengan belt ball (sabuk bola tennis) didapatkan median 5. Dalam manajemen persalinan menggunakan belt ball , ada pengaruh pijat counter pressure dengan belt ball (sabuk bola tennis) terhadap nyeri persalinan kala 1 fase aktif. Puskesmas Leyangan diharapkan memberikan Natural Basic Therapy (NBT) salah satunya pijat counter pressure dengan belt ball untuk mengurangi nyeri kala I fase aktif. Kata Kunci : Pijat Counter Pressure; Sabuk Bola Tennis; Nyeri Persalinan Kala I Fase Aktif
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