An Idea Nursing Journal

Leadership Style Overview of Inpatient Unit Leaders at a Military Hospital and a Government Hospital

Abd Rahman Rara — 2025-02-28

Background: Health is a fundamental human need that requires adequate support from healthcare facilities, including hospitals. The leadership of inpatient unit leaders plays a strategic role in influencing nursing performance and the quality of healthcare services. Military hospitals, characterized by a hierarchical structure and a workforce comprising both military personnel and civilians, differ fundamentally from government hospitals, which are primarily staffed by civilian healthcare professionals. This study aims to analyze the leadership styles of inpatient unit leaders at a Military Hospital (Level II Pelamonia Hospital) and a Government Hospital (RSUD Haji Makassar). Method: This study uses a quantitative approach with a descriptive cross-sectional research design. The sample consists of 98 respondents, equally distributed between Level II Pelamonia Hospital (49 respondents) and RSUD Haji Makassar (49 respondents). Data were analyzed using the chi-square test. Results: The chi-square test results indicate no significant difference in the leadership styles of inpatient unit leaders at Level II Pelamonia Hospital and RSUD Haji Makassar (? = 0.372, ? = 0.05). Therefore, the null hypothesis (H?) is accepted, and the alternative hypothesis (H?) is rejected. Conclusion: There is no statistically significant difference in the leadership styles of inpatient unit leaders at t

Wound Care Management with Primary Dressing on Diabetic Foot Ulcers Patients: A Case Study

Resty Enjelia ibrahim — 2025-03-17

Diabetic foot ulcers and diabetic ulcers are some of the consequences that diabetic patients often face. This study aimed to determine wound care using primary dressings on the feet of diabetic patients with tissue integrity problems. The method used in this study was a case study. This study utilized the intervention of treating diabetic foot ulcers of Mrs. J with primary dressings at the ETN Center Makassar Wound Care Home. This study was conducted with one respondent. After the diagnosis was established, the possible nursing intervention was to provide a primary dressing on the wound. After weekly patient wound care, I could see the changes. The visible changes were: The appearance of the scar will differ between the first and second visits. On the first visit, the wound looked like a thin serous exudate: 20%, epithelialized or pink: 70%. However, on the second visit, the wound looked like a thin serous exudate: 15%, epithelialized or pink: 85%. Based on the primary dressing wound care carried out, it can be concluded that primary epithelial cream wound care is effective in healing diabetic ulcers.

Effect of Appliance Slipping and Deep Breathing to Decreasing Pain Scale in Patients

Armita S — 2025-03-27

Fracture is one of the emergency cases in orthopedics which requires fast and precise management to avoid morbidity and mortality caused. Fracture management includes surgery to clean the crushed bones, perform internal and external fixation and connect the broken bones with special pins, plates, screws, or rods. After surgery, pain due to surgical incisions can be reduced. Method: This type of research is descriptive by establishing a case study method that can explore the problem of Nursing Care in patients with fractures. The results of this study indicate there was a decrease in the pain scale in fracture patients after splinting and deep breathing relaxation; this was shown by the pain scale in patients after the splint dressing and deep breathing relaxation was in the range of 3-7, and before the splint dressing and deep breathing relaxation was carried out it was in the range 6-9. This happens because applying a splint can reduce the movement of the bone or injured area so that it does not cause a painful sensation in the patient. So splint application and deep breathing relaxation have an effect on reducing the pain scale in fracture patients after being given pain management measures with splint application and deep breathing relaxation. Conclusion:Based on the results of the discussion of the results of the Implementation of nursing carried out on Mr. H with pain management, it can be concluded that there is an effect of splint installation and deep breathing relaxation. In the assessment at 12.30, the results obtained before deep breathing relaxation were obtained: the patient complained of pain with a pain scale of 8 (severe), respiratory rate of 24x /, pulse rate of 118x /, and after the splint installation and deep breathing relaxation were carried out, the patient said the pain was moderate with a pain scale of 6.Suggestion: It is expected that the family and patient handle problems experienced by patients by teaching deep breathing relaxation if pain occurs.

Extravasation of 3% NaCl (Sodium Chloride) in Patients with Electrolyte Imbalance: A Case Report

Vini Febriyani Zulfa — 2025-04-19

Abstract: Extravasation resulting from the administration of hypertonic electrolyte solutions, such as 3% sodium chloride (NaCl 3%, 513 mEq/L sodium, 1027 mOsm/L), a hyperosmolar agent, can pose a significant risk of local tissue injury, particularly when administered via peripheral vein access. Peripheral vein access is commonly used for IV therapy, including the administration of medications, blood products, and fluids, but it carries an elevated risk of extravasation. Methods: A literature review was conducted to evaluate clinical approaches for managing extravasation, including the application of hydrocolloid dressings, warm compresses, and saline irrigation. Results: A 61-year-old female presented to the emergency department with complaints of pain, erythema, and swelling in the left arm, which had progressively worsened over the previous two days. The symptoms were localized to the site of a previous peripheral IV insertion, where 3% sodium chloride had been administered during prior inpatient treatment. Conclusion: Extravasation of hypertonic electrolyte solutions such as 3% NaCl can lead to serious local tissue damage if not managed promptly. Close monitoring of infusion sites is essential to prevent complications.

The Influence of Education Level and Family Support on Diet in People at Risk of Hypertension Using the Self Care Theory Approach

Dian Eka Resty — 2025-04-19

Hypertension is one of the diseases that increases every year Diet at the risk of hypertension is still not carried out because many hypertensive patients still have poor dietary behavior. The purpose of this study was to analyze the effect of education level and family support on diet in people at risk of hypertension with the Self Care theory approach. This case report method uses analytic observation by taking data on the level of education and family support using a questionnaire sheet as many as 80 respondents in outpatient X Lampung Hospital. The results showed that the variable that most influenced diet in people at risk of hypertension was family support with a value of (0.001) with a coefficient of - .420. Based on this, it can be seen that family support can affect diet in people at risk of hypertension, so it is necessary to have family support in people at risk of hypertension to reduce the risk of hypertension in people with risk of hypertension.