Stroke is the first cause of death in women and the second leading cause of death in men in industrialized countries. In Asia, every year an estimated 500 thousand people experience a stroke. Therefore recognizing stroke risk factors and managing them appropriately is key to designing primary prevention strategies in non-stroke populations and secondary prevention to avoid recurrent strokes. This research was cross sectional study to describe profile stroke patients in Arifin Achmad hospital Riau Province. Research data was taken through questionnaire and patient medical records. In this study, stroke patients in Arifin Achmad Hospital were mostly <60 years old, 65.80% and male sex 64.50%. The proportion of hypertension is 90.80%. Diabetes mellitus 7.90%, dyslipidemia 63.20%, smoking 21.10%, obesity 32.90%, and sedentary life 73.70%.
Backgrounds: One significant problem in hospital is Health Care Associated Infection (HAI’s) and it gives many effects on patients health status.Purpose: This study was aimed to examine the incidence rate of phlebitis, the procedures of IV insertion and the factors that influence the phlebitis case in-patient department at the hospital.Methods: The main method used in this study is descriptive explorative. Started by giving training education for 15 nursing staff , medical doctor and pharmacists. Then they were obseved in doing the procedures of IV incertion, care and documentation by Using Visual Infusion Phlebitis ( VIP) scale then followed by case studies to have clear results in describing the contribution factors which influence the phlebitis incidents.Result: 35 subjects in the experimental group and 35 subjects in the control group completed The result represents that 7 from 72 patients (9,7%) were suffer from phlebitis, 25 patients (34,7%) with IV insertion were not monitored well, 5% nurses did not do the hand washing, 78% did not use the skin perlak for preventing blood to the bed linen. The mode of desinfection direction were 44% circular, 55 % from distal to proximal part, and 11% did not do the desinfectant. 100% the nurses did not documentate the IV monitoring such as the swelling, redness, the size of IV canule and any other skin symptoms of phlebitis. Some medication, insertion side of IV canule on the metacarpal area and flushing procedures were also determinant factor that lead to phlebitis cases.Conclusion: This study conclude that the treatment, care and monitoring IV insertion is a significant and important procedures to prevent phlebitis and automatically becomes an important aspect in preventing Health Care Associated Infection (HAI’s) rate in hospital.
The graduate advanced psychiatric nursing (psychiatric nursing specialist) from master degree in Indonesia are about 70 nurses, 67 nurses were graduated from University of Indonesia. They are working at mental health services and educational setting around Indonesia and yet seem not ready to perform some specific advanced competencies in clinical area. The mastery on mental health assessment, neurochemical perspectives, medical management and psychotherapy have not yet performed by the psychiatric nurse specialist in the clinical area or community.To have those competencies and its performances, therefore the curriculum in a psychiatric nursing graduate program must include advanced courses in physiopsychology, psychopathology, advanced psychopharmacology, neurobehavioral science, advanced mental health assessment, and advanced treatment interventions such as psychotherapy and prescription and management of psychotropic medications as their core and major courses in the curriculum. Those courses should be performed in their clinical practice courses or other related learning experiences. When those qualifications are met, then they are competent to be called advanced psychiatric nurse.As advanced practice registered nurses, the advanced psychiatric nurses should be able to demonstrate their direct expertise and roles in advanced mental health assessment, diagnostic evaluation, psychopharmacology management, psychotherapy with individuals, group and families, case management, millieu management, liason and counselling from prevention, promotion until psychiatric rehabilitation. Meanwhile the skill such as psycho-education, teaching, unit management, research and staff development can be added as their indirect roles.
Purpose:The readiness and strategies of management are important factors to gain higher passing grade on nursing national competency examination. This study analyzed the strategy and readiness of the managers to success try out and national competency examination and the readiness for administering Computer Based Test on national nursing competency examination in Indonesia. Methods:This descriptive correlative research with population of 437 three years diploma in nursing institutions used quota and accidental sampling technique with 123 participants. The data were analyzed by using of frequency distribution, Spearman Rank Correlation and Multiple Regression analysis units. Results:The results identified that 52,8% had accreditation status in level B. There were increasing results of the students that became better in the real results of national competency exam than the results on try-out exam. The preparation strategic 3 months before the exam was good (57.7%) and 56.9% of the participants were not ready to deliver the national exam in Computer Based Test. There was a significant correlation between the results of the exam with accreditation status (p= .014), student body (p=.02) and 3 months preparation before the exam (p=.021). The most dominant predictor in success of the exam was the accreditation status with p value=.005. Conclusions:Managers of three years diploma nursing degree have to prepare and have a good strategy for success in nursing national competency examination especially in managing student body, achieve good accreditation status and good strategic in preparing for attaining high passing grade on national competency examination.
Tanaman sirih diminati masyarakat karena perawatannya yang mudah dan daunnya dapat dimanfaatkan sebagai bahan antiseptik dan antibakteri. Demikian juga halnya dengan warga masyarakat Desa Kedaton I, Batanghari Nuban, Lampung Timur, khususnya ibu-ibu Anggota PKK (Pemberdayaan Kesejahteraan Keluarga) Desa Kedaton I, Batanghari Nuban, Lampung Timur. Namun, terhadap masyarakat khalayak sasaran terdapat persoalan mendasar, yaitu rendahnya tingkat pendidikan, pengetahuan dan pengalaman anggota kelompok mitra, sehingga mereka perlu diberikan kegiatan pengabdian kepada masyarakat. Untuk menguatkan mereka, perlu diberikan kegiatan pengabdian kepada masyarakat berkaitan dengan pendampingan dan pelatihan ekonomi kreatif masyarakat berbasis home industry. Tujuan kegiatan pengabdian kepada masyarakat ini adalah, selain pendampingan dalam pembuatan handsoap, juga pendampingan kepada kelompok mitra dalam bentuk pelatihan dan praktik, serta sosialisasi Covid 19. Berdasarkan atas hasil pengabdian, diperoleh data bahwa pemahaman peserta tentang kewirausahaan handsoap sebesar 63,00%. Selain itu, kelompok mitra juga sudah bisa membuat produk handsoap antiseptik.
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