Panduan Penulisan
Faktor-Faktor yang Mempengaruhi Kemampuan Perawat dalam Proses Penyapihan Ventilator di Ruang Pediatric Intensive Care Unit
Sari
ABSTRACT
Intensive room nurses must have the ability to process ventilator weaning because it can affect the incidence of prolonged ventilator use. This study aims to determine what factors influence the ability of nurses in the ventilator weaning process in the pediatric intensive care unit. This research used quantitative-correlative description methods with a total sampling of 31 nurses in the Pediatric Intensive Care Unit at Arifin Achmad Regional Hospital. The instrument used in this research was a questionnaire on the characteristics, knowledge, attitudes, and abilities of nurses in the ventilator weaning process, which had been tested for validity and reliability. Data analysis using chi-square. There was a significant influence between age (p = 0.002), length of work (p = 0.001), and training (p = 0.000) on nurses' ability in the ventilator weaning process. There was no influence between the level of education, knowledge, and attitudes and nurses' abilities in the ventilator weaning process (p = 0.552, 0.226, and 0.376).Factors that can influence the ability of nurses in the ventilator weaning process are age, length of work, and training.
Keyword: Nursing Ability, Pediatric Intensive Care Unit, Ventilator Weaning
ABSTRAK
Perawat ruang intensif harus memiliki kemampuan dalam proses penyapihan ventilator karena dapat berpengaruh pada kejadian prolonged ventilator. Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang mempengaruhi kemampuan perawat dalam proses penyapihan ventilator di ruang Pediatric Intensive Care Unit. Penelitian ini menggunakan metode kuantitatif-deskripsi korelasi dengan total sampling berjumlah 31 perawat di ruang Pediatric Intensive Care Unit RSUD Arifin Achmad. Instrumen yang digunakan dalam penelitian ini berupa kuesioner karakteristik perawat, pengetahuan, sikap, dan kemampuan perawat dalam proses penyapihan ventilator yang sudah dilakukan uji validitas dan reliabilitas. Analisis data menggunakan Chi-Square. Terdapat pengaruh yang signifikan antara usia (p = 0,002), lama kerja (p = 0,001), dan pelatihan (p = 0,000) dengan kemampuan perawat dalam proses penyapihan ventilator. Tidak terdapat pengaruh antara tingkat pendidikan, pengetahuan, dan sikap dengan kemampuan perawat dalam proses penyapihan ventilator (p = 0,552, 0,226, dan 0,376). Faktor-faktor yang dapat mempengaruhi kemampuan perawat dalam proses penyapihan ventilator yaitu usia, lama kerja, dan pelatihan.
Kata Kunci: Kemampuan Perawat, Pediatric Intensive Care Unit, Penyapihan Ventilator
Kata Kunci
Teks Lengkap:
Download ArtikelReferensi
Aktar, S., Pandey, V., & Kumar, A. (2023). Attitude of nurses caring critically ill patients admitted in the ICUs of AIIMS. Journal of Education and Health Promotion, 12(April 2023), 1–5. https://doi.org/10.4103/jehp.jehp
Alfikrie, F., Yani, A., & Syafwani, M. (2020). Faktor yang mempengaruhi keterampilan perawat tentang pengukuran tekanan cuff pipa endotrakeal di unit perawatan intensif. Jurnal Darul Azhar, 8(1), 19–22.
Anggoro, W. T., Aeni, Q., & Istioningsih, I. (2019). Hubungan karakteristik perawat dengan perilaku caring. Jurnal Keperawatan Jiwa, 6(2), 98. https://doi.org/10.26714/jkj.6.2.2018.98-105
Aribas A, S. J., & Padilla YG, S. (2022). Training of nurses in intensive care : essential for the critical patient ଝ La formación de las enfermeras en cuidados intensivos : indispensable para el paciente crítico. Enfermeria Intensiva, 33, 1–3.
Bagherian, B., Sabzevari, S., Mirzaei, T., & Ravary, A. (2017). Meaning of caring from critical care nurses perspective: A Phenomenological Study. Journal of Intensive and Critical Care, 03(03). https://doi.org/10.21767/2471-8505.100092
Cecep, C., Maryana, M., & Faizal, K. M. (2023). Pengalaman Perawat dalam Proses Penyapihan Ventilator di Ruang ICU. Jurnal Penelitian Perawat Profesional, 5(2), 559–572. https://doi.org/10.37287/jppp.v5i2.1514
Darsini, Fahrurrozi, & Cahyono, E. A. (2019). Pengetahuan: Artikel Review. Jurnal Keperawatan, 12(1), 95–107.
Duyndam, A., Houmes, R. J., Dijk, M. Van, & Ista, E. (2019). Implementation of a nurse-driven ventilation weaning protocol in critically ill children : Can it improve patient outcome ? Australian Critical Care, xxxx. https://doi.org/10.1016/j.aucc.2019.01.005
Eaton, T. L., Mcpeake, J., Infirmary, G. R., Rogan, J., Presbyterian, P., Johnson, A., Clinic, M., Boehm, L. M., & Illness, C. (2020). Caring for critical illness survior: Currnet practice and the role of the nurse in ICU aftercare. American Journal of Critical CareJournal Critical Care, 28(6), 481–485. https://doi.org/10.4037/ajcc2019885.Caring
Elbouhy, M. S., AbdelHalim, H. A., & Hashem, A. M. A. (2014). Effect of respiratory muscles training in weaning of mechanically ventilated COPD patients. Egyptian Journal of Chest Diseases and Tuberculosis, 63(3), 679–687. https://doi.org/10.1016/j.ejcdt.2014.03.008
Fukada, M. (2018). Nursing competency : Definition, structure and development. Yonago Acta Medica, 61(1), 1–7. https://doi.org/https://doi.org/10.33160/yam.2018.03.001
Grubb, C., & Arthur, A. (2016). Student nurses ’ experience of and attitudes towards care of the dying : A cross-sectional study. Palliative Medicine, 30(1), 83–88. https://doi.org/10.1177/0269216315616762
Hasanudin, A. (2018). Pengetahuan Perawat dalam Proses Penyapihan Pasien dari Bantuan Ventilasi Mekanik di Ruang ICU RSUPN Cipto Mangunkusumo Jakrta. Skripsi Universitas Indonesia.
Kacmarek, R. M., & Branson, R. D. (2016). Should intermittent mandatory ventilation be abolished? Respiratory Care, 61(6), 854–866. https://doi.org/10.4187/respcare.04887
Kuokkanen, L., Leino-Kilpi, H., Numminen, O., Isoaho, H., Flinkman, M., & Meretoja, R. (2016). Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nursing, 15(1), 1–8. https://doi.org/10.1186/s12912-016-0143-9
Lakanmaa, R., Suominen, T., Ritmala-castrén, M., Vahlberg, T., & Leino-kilpi, H. (2015). Basic competence of Intensive Care Unit nurses : Cross-Sectional Survey Study. BioMed Research International, 2015, 1–12. https://doi.org/10.1155/2015/536724
Latief, A., Pudjiadi, A. H., Kushartono, Hari., & R., & Malisie, F. (2016). Buku Panduan Pelayanan Emergensi, Rawat Intermediet dan Rawat Intensif Anak (1st ed.). Badan Penerbit Ikatan Dokter Anak Indonesia.
Lee, Y. C., Wang, H. C., Hsu, C. L., Wu, H. D., Hsu, H. S., & Kuo, C. D. (2016). The importance of tracheostomy to the weaning success in patients with conscious disturbance in the respiratory care center. Journal of the Chinese Medical Association, 79(2), 72–76. https://doi.org/10.1016/j.jcma.2015.10.004
Liu, Y., Wang, Q., Hu, J., Zhou, F., Liu, C., Li, J., Fu, Y., & Dang, H. (2022). Characteristics and risk factors of children requiring prolonged mechanical ventilation vs. non-prolonged mechanical ventilation in the PICU: A prospective single-center study. Frontiers in Pediatrics, 10(February), 1–9. https://doi.org/10.3389/fped.2022.830075
Marshall, J. C., Bosco, L., Adhikari, N. K., Connolly, B., Diaz, J. V., Dorman, T., Fowler, R. A., Meyfroidt, G., Nakagawa, S., Pelosi, P., Vincent, J. L., Vollman, K., & Zimmerman, J. (2017). What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 37, 270–276. https://doi.org/10.1016/j.jcrc.2016.07.015
Masefield, S., Vitacca, M., Dreher, M., Kampelmacher, M., Escarrabill, J., Paneroni, M., Powell, P., & Ambrosino, N. (2017). Attitudes and preferences of home mechanical ventilation users from four European countries: An ERS/ELF survey. ERJ Open Research, 3(2). https://doi.org/10.1183/23120541.00015-2017
Mateja, S., & Alma, K. (2016). Education and training for quality work at the Intensive Care Unit. International Journal of Nursing & Clinical Practices, 3(1), 3–6. https://doi.org/10.15344/2394-4978/2016/206
Ortega-Lapiedra, R., Barrado-Narvión, M. J., & Bernués-Oliván, J. (2023). Acquisition of competencies of nurses: Improving the performance of the healthcare system. International Journal of Environmental Research and Public Health, 20(5), 1–11. https://doi.org/10.3390/ijerph20054510
Osman Elew, A. N. E., Abd Alrahman, A. A. H., El Khayat, H. M. H., & Badawy, F. A. (2022). Weaning from Mechanical Ventilation: Review Article. Egyptian Journal of Hospital Medicine, 87(1), 1000–1005. https://doi.org/10.21608/ejhm.2022.220731
Panjaitan, D. K., Sinatra, J., & Siahaan, D. L. (2021). Literature Review Hubungan Penggunaan Ventilator Mekanik Terhadap Kejadian Ventilator Associated Pneumonia (Vap). Jurnal Kedokteran Methodist, 14(1).
Poletto, E., Cavagnero, F., Pettenazzo, M., Visentin, D., Zanatta, L., Zoppelletto, F., Pettenazzo, A., & Daverio, M. (2022). Ventilation Weaning and Extubation Readiness in Children in Pediatric Intensive Care Unit : A Review. Frontiers in Pediatrics, 10(April), 1–9. https://doi.org/10.3389/fped.2022.867739
Roberts, R. (2020). Employee age and the impact of work engagement. Strategic HR Review, 5(27), 1–6.
Saghafi, F., Hardy, J., Hillege, S., & Leigh, M. C. (2022). Intensive care as a specialty of choice for registered nurses : A descriptive phenomenological study. Nursing in Critical Care, 29, 536–544. https://doi.org/10.1111/nicc.12965
Santana-Padilla, Y. G., Santana-Cabrera, L., Bernat-Adell, M. D., Linares-Pérez, T., Alemán-González, J., & Acosta-Rodríguez, R. F. (2019). Training needs detected by nurses in an intensive care unit: a phenomenological study. Enfermeria Intensiva, 30(4), 181–191. https://doi.org/10.1016/j.enfi.2019.05.001
Singh, S. K., Khanal, B., & Singh, S. (2022). Clinical profile and outcome of ventilated children admitted to Paediatrics Intensive Care Unit in a Tertiary Care Centre. Journal of Nepal Paediatric Society, 42(3), 1–5. https://doi.org/10.3126/jnps.v42i3.46063
Teijeiro-Paradis, R., & Del Sorbo, L. (2019). Mechanical Ventilation: Physiology and Practice, Second Edition. Canadian Journal of Anesthesia/Journal Canadien d’anesthésie, 66(6), 748–749. https://doi.org/10.1007/s12630-019-01316-9
Tunlind, A., Granström, J., & Engström, Å. (2015). Nursing care in a high-technological environment: Experiences of critical care nurses. Intensive and Critical Care Nursing, 31(2), 116–123. https://doi.org/10.1016/j.iccn.2014.07.005
Tzenalis, A., Kleisiari, S., Kipourgos, G., & Elesnitsalis, G. (2023). Initiation of mechanical weaning of ICU patients and investigation of nurses’ knowledge and role. International Journal of Medical Reviews and Case Reports, 7(0), 1. https://doi.org/10.5455/ijmrcr.172-1676535311
Widaningsih. (2016). Pengaruh karakteristik terhadap kinerja perawat pelaksana di Ruang Perawatan Intensif Rumah Sakit Kelas A dan B di Indonesia. Indonesian Journal of Nursing Health Science, 1(1), 75.
Zhang, X., Meng, K., & Chen, S. (2020). Competency framework for specialist critical care nurses : A modified Delphi study. Nursing in Critical Care, 25(July 2019), 45–52. https://doi.org/10.1111/nicc.12467
DOI: https://doi.org/10.33024/mnj.v7i1.16397
Refbacks
- Saat ini tidak ada refbacks.
Penerbit: Universitas Malahayati
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
