Organization and management of nursing services in NICU, levels of transport

Neonatal Intensive Care is defined as, “care for medically unstable and critically ill newborns requiring constant nursing, complicated surgical procedures, continual respiratory support, or other intensive interventions.” A NICU is a unit that provides high quality skilled care to critically ill neonates by offering facilities for continuous clinical, biochemical and radio logical monitoring and use of life support systems with the aim of improving survival of these babies. Intermediate care includes care of ill infants requiring less constant nursing care, but does not exclude respiratory support. Care of ill infants requiring less constant nursing care, but does not exclude respiratory support. When an intensive care nursery is available, the intermediate nursery serves as a “step down unit” from the intensive care area.

Empowering Nurses to Meet Challenges and Lead Palliative Care for Achieving Triple Billion Targets

Objectives: Nurses provide care to patients in all contexts and at all stages of their lives. Their contributions are crucial to meeting global goals like Universal Health Coverage (UHC) and the Sustainable Developmental Goals (SDG) which present challenges and opportunity to improve nursing services including rehabilitation and palliative care. This study identifies challenges for empowering nurses to lead palliative care and achieve triple billion targets’. Determine reasons for challenges to empower nurses. Recommends strategies to overcome challenges in order to empower nurses to lead palliative care and achieve triple billion targets’. Materials and methods: Multiple brainstorming sessions were conducted through the Zoom platform among the three authors to ‘identify challenges for empowering nurses to lead palliative care and achieve triple billion targets’ and recommend strategies to overcome those challenges. Narrative literature review was conducted and experts’ opinions were elicited. Identified aspects were discussed in further brainstorming sessions. Result: Challenges and reasons for empowering nurses to lead palliative care and achieve triple billion targets’ were identified and strategies to overcome those challenges were recommended. Conclusion: Equitable, competent and compassionate palliative care is a primary tool to relieve serious health-related suffering. There is a pressing necessity to provide available, accessible, acceptable, quality, and cost-effective palliative nursing care. WHO proposed the triple billion targets to improve the health of billions where palliative care is an essential element that can be achieved only with proper identification of challenges and meticulous planning and implementation of strategies to overcome those challenges.

Efficiency of emergency service for COVID-19 patients in Indonesia: management system, public policies, and medical action

Since the implementation of physical distancing and Large-Scale Social Restrictions (PSBB) on March 20, 2020, there was a decrease in patients at Cicendo Eye Hospital as much as 67.9% from March to April 2020. Encouragement to the public to keep their distance, avoid crowds, and the advice to stay at home resulted in a flow the process of health care during the COVID-19 pandemic has changed, such as the implementation of standard precautions for all patients and ensure early identification and source control. The existence of COVID-19 policies in the form of screening, service procedures, and the changing flow of the service process is thought to also affect patient satisfaction and the quality of nursing services. To analyze the quality of nursing services during the COVID-19 pandemic at Cicendo Eye Hospital. Using the Importance Performance Analysis (IPA) method. Data collection is carried out in outpatient and inpatient settings. Cicendo Eye Hospital. Sources of data in the form of primary data through questionnaires Responsiveness, Assurance, Tangible, Empathy and Reliability (RATER) and secondary data in the form of patient satisfaction data and service quality in 2019.

Making waves: nurse-led urgent community response

Anyone in England over 18 whose health or wellbeing suddenly deteriorates at home will have access to an urgent community response (UCR) team within 2 hours by April 2022. Community nursing services are providing the core service model to provide these crisis response services. Nurse leads from three UCR accelerator sites (Kirklees, Warrington and Bromley) elaborate on how they are making waves of change for the better, using their clinical skills and building key relationships with other health services. Acutely unwell patients are being seen by practitioners with advanced assessment skills, which keeps eight out of 10 patients at home safe, avoiding hospital admission.

Perbandingan Model Asuhan Keperawatan Profesional Tim dengan Primary Nursing dalam Peningkatan Kualitas Asuhan Keperawatan di Rumah Sakit Kota Medan

The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.

Komunikasi Terapeutik Tenaga Kesehatan (NAKES) Terhadap Pasien Covid-19 di Medan dan Pekanbaru

<strong>Abstrak</strong><p>Layanan keperawatan yang bermutu adalah layanan keperawatan yang senantiasa berupaya memenuhi harapan klien sehingga klien akan selalu puas terhadap pelayanan yang diberikan perawat. Pelayanan dan komunikasi yang baik dapat memotivasi pasien untuk segera sembuh ketika terkena penyakit. Pada masa pandemi Covid-19 sekarang banyak tenaga kesehatan (nakes) yang merawat pasien yang terjangkit penyakit akibat virus Covid-19. Para tenaga nakes tidak hanya merawat pasien secara fisik saja tetapi juga perlu menjalin komunikasi dengan baik kepada pasien agar kondisi mental dari pasien juga dapat termotivasi untuk kembali pulih dari sakit. Tujuan dari penelitian ini yaitu menganalisis komunikasi terapeutik tenaga kesehatan dalam pemulihan pasien Covid di kota Medan dan Pekan Baru serta faktor-faktor pendukung dan penghambatnya. Penelitian ini merupakan penelitian kualitatif, data didapatkan dengan melakukan observasi dan wawancara informan secara mendalam. Informan dalam penelitian ini adalah tenaga kesehatan (NAKES) di kota Medan dan Pekan Baru yang akan dipilih sesuai dengan kriteria penelitian. Hasil penelitian menunjukkan bentuk komunikasi terapeutik dilakukan dengan memberikan dukungan psikologis agar memberikan rasa tenang dan percaya diri serta menumbuhkan keyakinan pasien untuk sembuh, menyentuh aspek perasaan supaya pasien lebih rileks dan nyaman untuk meningkatkan imunitas dan mempercepat proses kesembuhan pasien COVID 19. Faktor pendukung dari komunikasi terapeutik ini adalah komunikasi yang positif dari pihak keluarga pasien, sedangkan faktor penghambatnya yaitu banyaknya penerimaan berita negatif yang dapat memicu pikiran buruk pada pasien sehingga kesehatannya menjadi buruk kembali.</p><p> </p><p><em><strong>Abstract</strong></em></p><p><em>Quality nursing services are nursing services that always try to meet client expectations so that clients will always be satisfied with the services provided by nurses. Good service and communication can motivate patients to recover quickly when exposed to illness. During the Covid-19 pandemic, now many health workers (nakes) are treating patients infected with diseases caused by the Covid-19 virus. Health workers not only take care of patients physically but also need to establish good communication with patients so that the mental condition of the patient can also be encouraged to recover from illness. The purpose of this study was to analyze the therapeutic communication of health workers in the recovery of Covid patients in the cities of Medan and Pekanbaru as well as the supporting and inhibiting factors. This research is a qualitative research, data obtained by conducting in-depth observations and interviews with informants. Informants in this study are health workers (NAKES) in the cities of Medan and Pekanbaru who will be selected according to the research criteria. The results showed that the form of therapeutic communication was carried out by providing psychological support in order to provide a sense of calm and confidence as well as growing the patient's self-confidence to recover, touching the emotional aspect so that the patient was more relaxed and comfortable for activities. boost immunity. and accelerate the healing process of COVID 19 patients. The supporting factor for this therapeutic communication is positive communication from the patient's family, while the inhibiting factor is the large number of negative news receipts that can trigger bad thoughts in patients so that their health becomes bad again.</em></p>

РОЛЬ ПАТОЛОГІЇ У СИСТЕМІ МЕДСЕСТРИНСЬКОЇ ОСВІТИ

Reform of nursing services for a large number of new education and education, hence the advancement of education. The introduction of a bagator system for the education of medical nurses gives the possibility of more and more specific preparation of physicians for the practical protection of health. The concept of non-interruption-free supplemental medical education is implemented through the path of the week of the discipline «Pathology» from the development of typical forms of pathology on a fundamental basis to the analysis of specific, ready-made situations (syndromes).

USE OF MOBILE-APP FOR OLDER PEOPLE WITH CHRONIC DISEASES TO COPE WITH THE COVID-19 PANDEMIC: A LITERATURE REVIEW

Introduction: The older people with chronic diseases are one of the populations that have a susceptibility to COVID-19. The community-based program that help older people manage their lifestyle was postponed due to avoiding crowds and physical contacts. This literature review aims to describe a mobile-app for the older people with chronic diseases and its benefits. This literature review aims to describe a mobile-app for the older people with chronic diseases and its benefits. Method: The method used in this study is a literature review. This study is analyzed by selecting some literature that is relevant to the purpose of writing in order to obtain new conclusions. Online databases used are ProQuest, Pubmed and Science Direct starting from 2019 to 2021. The keywords used to sort articles in this study are: 1) older people, 2) mobile app, 3) COVID-19. Results: There was ten selected articles that analyzed. This literature review resulted in three main themes in the use of mobile-apps for the older people with chronic diseases, namely (1) monitoring of chronic diseases and COVID-19, (2) management of chronic diseases and COVID-19, and (3) the perspective of older people caregivers. The implication for nursing services is that nurses can disseminate information and provide interventions by minimizing physical contact. In addition, these results also have implications for the scope of nursing education, namely adding reference material for studies in health information systems courses. Conclusion: These results can be used as a basis for creating mobile-app-based educational media, monitoring, and self-management of chronic diseases for the older people and their caregivers.