IMPLEMENTASI NASI-PUTI UNTUK MENINGKATKAN KOMPETENSI PERAWAT DALAM DETEKSI DINI KEGAWATDARURATAN NEUROLOGI DI RSI SAKINAH MOJOKERTO

Rudi Hariyono

doi:10.58526/ezrasciencebulletin.v4i1.578

Authors

Rudi Hariyono Universitas Bina Sehat PPNI Mojokerto

DOI:

https://doi.org/10.58526/ezrasciencebulletin.v4i1.578

Keywords:

NASI-PUTI, pengetahuan perawat, deteksi dini, kegawatdaruratan neurologi

Abstract

Kegawatdaruratan neurologi memerlukan deteksi dini yang cepat dan tepat untuk mencegah komplikasi dan meningkatkan keselamatan pasien. Penelitian ini bertujuan menganalisis pengaruh implementasi Neurological Assessment Skills Improvement – Profiling Unified Training for Integrity (NASI-PUTI) terhadap peningkatan pengetahuan perawat dalam deteksi dini kegawatdaruratan neurologi di RSI Sakinah Mojokerto. Penelitian menggunakan desain pra-eksperimental dengan pendekatan one group pretest-posttest pada 31 perawat, menggunakan teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner pengetahuan sebelum dan sesudah pelatihan, kemudian dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan bahwa sebelum intervensi sebagian besar responden memiliki pengetahuan kategori cukup (51,6%), sedangkan setelah intervensi mayoritas berada pada kategori baik (67,7%). Uji Wilcoxon menunjukkan nilai Z = -4,899 dengan p-value = 0,000 (p < 0,05), sehingga NASI-PUTI terbukti efektif meningkatkan pengetahuan perawat dalam deteksi dini kegawatdaruratan neurologi.

References

Andualem, H., Beyene, T., & Tuli, W. (2022). Ethiopia: A Cross-Sectional Study. Ethiop J Health Sci, 32(5), 895. https://doi.org/10.4314/ejhs.v232i5.4

Asnawi, A., Kamil, H., Marthoenis, M., Marlina, M., & Rahayunignsih, E. M. (2021). Peningkatan Pengetahuan, Sikap dan Perilaku Perawat Melalui Pelatihan Kredensial Profesi Keperawatan. Journal of Telenursing (JOTING), 3(2), 470–477. https://doi.org/10.31539/joting.v3i2.2756

Borie, M. H., Alsharif, K. A., Alzahrani, M. S., & Aljohani, A. M. (2024). Critical assessment and intervention in young patients with neurological emergencies. International Journal Of Community Medicine And Public Health, 11(9), 3666–3671. https://doi.org/10.18203/2394-6040.ijcmph20242261

Ding, C., & Wu, Y. (2022). Global, regional, and national burden and attributable risk factors of neurological disorders: The Global Burden of Disease study 1990–2019. http://ghdx.healthdata.org

Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., Abbasifard, M., Abbasi-Kangevari, M., Abd-Allah, F., Abedi, V., Abualhasan, A., Abu-Rmeileh, N. M., Abushouk, A. I., Adebayo, O. M., Agarwal, G., Agasthi, P., Ahinkorah, B. O., Ahmad, S., Ahmadi, S., … Murray, C. J. L. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795–820. https://doi.org/10.1016/S1474-4422(21)00252-0

Han, J. H., Han, C., Park, S., Kim, Y. J., & Kim, B. J. (2024). Effect of Nurse’s detection of neurological deterioration on the prognosis of patients with acute cerebral infarction. Heliyon, 10(12). https://doi.org/10.1016/j.heliyon.2024.e32175

Ibrahim, N. M., Qalawa, S. A. A., Mohamed, N. A., & Ibrahim, A. M. (2025). An In-depth analysis of nurses’ knowledge, practice, and attitude towards neurological examination and the challenges: “bridging the gap.” BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-02766-x

Kandula, U. R., Teklewold, E., Zemene, Y., Begna, D., & Tuji, T. S. (2022). “The Effect of Implementing an Educational Program Regarding Neurological Examination on Nurses at Asella Teaching and Referral Hospital in Oromia Region, Ethiopia: A Quasi-Experimental Study.” Nursing: Research and Reviews, Volume 12, 121–133. https://doi.org/10.2147/nrr.s370537

Kato, S., David, B., & A., A. (2025). Nurses Role in Early Detection and Management of Acute Stroke: Saving Patients from Complications. African Journal of Health, Nursing and Midwifery, 8(3), 138–149. https://doi.org/10.52589/ajhnm-1ibzckvt

Khalil, A. I., Hantira, N. Y., & Alnajjar, H. A. (2023). The Effect of Simulation Training on Enhancing Nursing Students’ Perceptions to Incorporate Patients’ Families Into Treatment Plans: A Randomized Experimental Study. Cureus. https://doi.org/10.7759/cureus.44152

Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in clinical nursing education. Acta Informatica Medica, 29(1), 15–20. https://doi.org/10.5455/AIM.2021.29.15-20

Leonardi, M., Martelletti, P., Burstein, R., Fornari, A., Grazzi, L., Guekht, A., Lipton, R. B., Mitsikostas, D. D., Olesen, J., Owolabi, M. O., Ruiz De la Torre, E., Sacco, S., Steiner, T. J., Surya, N., Takeshima, T., Tassorelli, C., Wang, S. J., Wijeratne, T., Yu, S., & Raggi, A. (2024). The World Health Organization Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders and the headache revolution: from headache burden to a global action plan for headache disorders. In Journal of Headache and Pain (Vol. 25, Number 1). BioMed Central Ltd. https://doi.org/10.1186/s10194-023-01700-3

Liu, H., Liu, K., Zhang, K., Zong, C., Yang, H., Li, Y., Li, S., Wang, X., Zhao, J., Xia, Z., Song, B., Xu, X., & Gao, Y. (2023). Early neurological deterioration in patients with acute ischemic stroke: a prospective multicenter cohort study. Therapeutic Advances in Neurological Disorders, 16. https://doi.org/10.1177/17562864221147743

Mishra, R., Hemlata, & Trivedi, D. (2023). Simulation-based learning in nursing curriculum- time to prepare quality nurses: A systematic review and meta-analysis. Heliyon, 9(5). https://doi.org/10.1016/j.heliyon.2023.e16014

Olowo, S., Luwaga, R., & Niyonzima, V. (2025). Effect of an Educational Intervention on Nurses’ Knowledge Regarding Use of Modified Early Warning Score in Recognition of Critical Illness. Open Access Emergency Medicine , 17, 215–232. https://doi.org/10.2147/OAEM.S521517

Pheak, V., Khun, S., & Sambath, V. (2023). Innovations in Nursing Education : Simulation-Based Training for Clinical Skills Development. In Children And Health (Vol. 3, Number 2).

Rima Agustin, W. (2023). EDUKASI KESEHATAN DALAM UPAYA PENINGKATAN PENGETAHUAN PERAWAT TENTANG MOBILISASI DINI PADA PASIEN KRITIS. http://jurnal.globalhealthsciencegroup.com/index.php/JPM

Santika, I. M., Dali, A. S., & Yulianti, D. M. (2025). The Effectiveness of Modern Wound Care Training on Improving Nurses’ Knowledge in Chronic Wound Care. JOURNAL MIDWIFERY (JM) Jurnal Jurusan Kebidanan. https://doi.org/10.52365/jm.v2i11364

Shah, W., Khan, K., Hussain, S., Anwar, M., & Akhtar, N. (n.d.). ASSESSMENT OF NURSES’ COMPETENCY IN NEUROLOGICAL ASSESSMENT SKILLS IN ACUTE CARE SETTINGS AT A TERTIARY CARE HOSPITAL. 3, 2025. https://doi.org/10.5281/zenodo.15957278

Suara, E., & Retnaningsih, D. (n.d.). Peningkatan Pengetahuan dan Ketrampilan Perawat di RSUD dr Adiayatama dalam Deteksi Dini Kegawatan Pasien dengan Early Warning Scoring System (EWSS) Peningkatan Pengetahuan dan Ketrampilan Perawat dalam Deteksi Dini Kegawatan Pasien dengan Early Warning Scoring System (EWSS). 7. https://doi.org/10.33660/jipmk.v6i2.153

Suara, E., & Retnaningsih, D. (2025). Peningkatan Pengetahuan dan Ketrampilan Perawat di RSUD dr Adiayatama dalam Deteksi Dini Kegawatan Pasien dengan Early Warning Scoring System (EWSS) Peningkatan Pengetahuan dan Ketrampilan Perawat dalam Deteksi Dini Kegawatan Pasien dengan Early Warning Scoring System (EWSS). Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK), 7(1), 1–7. https://doi.org/10.33660/jipmk.v6i2.153

Yarden, S., Mai, C., Tali, C., Luiza, D., Jeremy, M., Hen, H., Avi, G., Ofer, S., & Estelle, S. (2025). Acute neurology simulation-based training boosts confidence and reduces anxiety in novice neurology residents and nursing staff. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-07948-4

Yoeum, B., Koy, V., & Sam, R. (2024). Factors associated with clinical competency of nursing students. International Journal of Research in Medical Sciences, 12(4), 1232–1241. https://doi.org/10.18203/2320-6012.ijrms20240847