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Arrhythmias are generally classified into two groups: disorders of impulse formation and disorders of impulse conduction. Cardiac arrhythmias can also be categorized into three main types: supraventricular arrhythmias, ventricular arrhythmias, and bradyarrhythmias. One of the most commonly encountered arrhythmias in clinical practice is Atrial fibrillation. This study employed a case study method using a nursing process approach. The subjects consisted of two patients: Mrs. S, a 74-year-old female, and Mr. R, a 44-year-old male. The nursing intervention administered was antiarrhythmic therapy using intravenous digoxin. Evaluation was conducted by monitoring the patients’ heart rate and cardiac rhythm using an electrocardiogram (ECG) monitor. The results of the case studies in both patients showed that digoxin therapy produced a positive therapeutic response, as evidenced by a gradual reduction in heart rate. However, ECG monitoring revealed no significant changes in cardiac rhythm. These findings suggest that digoxin is effective for rate control, although it does not restore sinus rhythm.

Instalasi gawat darurat merupakan unit pelayanan di rumah sakit yang menangani pasien dalam kondisi darurat, kritis, dan membutuhkan tindakan segera. Pelayanan yang berkualitas sangat penting dalam kondisi ini karena berkaitan dengan nyawa seseorang. Dalam kondisi yang menuntut pelayanan cepat dan tepat, kepuasan pasien menjadi penilaian utama terhadap keberhasilan layanan gawat darurat. Kepuasan pasien adalah respon emosional yang muncul karena terpenuhinya ekspetasi pasien terhadap pelayanan. Kepuasan pasien IGD dapat memengaruhi citra rumah sakit. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kepuasan pasien di IGD RSUD Dr. (H.C) Ir. Soekarno Provinsi Kepulauan Bangka Belitung. Penelitian ini adalah penelitian kuantitatif dengan desain cross-sectional yang bertujuan untuk mengkaji apakah terdapat hubungan antara faktor usia, tingkat pendidikan, dan fasilitas pelayanan terhadap kepuasan pasien. Sampel dalam penelitian ini sebanyak 109 pasien. Analisa data menggunakan uji chi-square dengan derajat kepercayaan 95%. Hasil penelitian ini menyimpulkan faktor-faktor yang berhubungan dengan kepuasan pasien di IGD RSUD Dr. (H.C) Ir. Soekarno Provinsi Kepulauan Bangka Belitung adalah fasilitas pelayanan (p=0,018). Sedangkan faktor yang tidak berhubungan adalah usia (p=0,475) dan tingkat pendidikan (p=0,340). Saran dari penelitian ini adalah diharapkan institusi kesehatan dapat meningkatkan kualitas pelayanan di IGD, terutama pada aspek kenyamanan ruang tunggu.

The Emergency Department (ED) is the first destination for patients in emergency situations. One of the key healthcare providers in delivering services to patients is the nurse. The quality of hospital services is partly influenced by the workload of nurses. This condition can trigger work-related stress, necessitating research to determine whether there is a relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya. This study aims to identify the relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya. Method: This correlational study employed a cross-sectional approach to examine the relationship between workload and service quality among 40 nursing staff members, using total sampling and Chi-Square test. Data were collected using a workload questionnaire and a service quality questionnaire. Results: The Chi-Square test analysis yielded a p-value = 0.028, indicating a significance level of p < 0.05. Therefore, H1 was accepted, showing a significant relationship between workload and service quality, with a substantial degree of association. Conclusion: The study demonstrates a significant relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya.

In the modern era, law enforcement faces increasingly complex challenges driven by socio-economic inequality, rapid urbanization, advancements in information technology, and shifting societal values. One significant consequence is the rise in violent crimes committed collectively (mobbing), which remains concerning issue in Indonesia, including Bantul, DIY. This research adopts a legal and empirical approach, examining causal factors and challenges faced by the Bantul Police’s Criminal Investigation Unit in handling mob violence cases. These acts are regulated under Article 170 of the KUHP, characterized by their open (openlijk) and collective (met vereenigde krachten) nature. Factors influencing mob violence include environmental conditions, personal revenge, the influence of social media, and educational background. Obstacles in the investigation include difficulties in identifying perpetrators, collecting sufficient evidence, and addressing the psychological state of both victims and witnesses. Statistical data highlights this ongoing issue: in 2022, there were 84 reported cases with 64 resolved; in 2023, 58 cases were reported with 42 resolved; in 2024, 53 cases were recorded with 41 resolved. From January to May 2025 alone, 21 reports were filed, with only 15 resolved. Although the number of reports has declined, the persistence of these cases demands more serious and coordinated responses from all stakeholders.

Patient safety is an important aspect of care standards that must be considered by all healthcare providers. Risk assessment, identification and management of hazards, documentation, analysis, and follow-up of accidents, and recovery provisions to reduce risks and prevent injuries are part of patient safety. The objective of this study is to determine the relationship between nurse workload and the implementation of patient safety in the Emergency Department (IGD) of Maria Walanda Maramis Regional General Hospital. The research uses a cross-sectional design. The sample in this study consisted of 22 respondents using the purposive sampling technique. Data collection on workload and the implementation of patient safety was conducted using a questionnaire, and analyzed using the Spearman rho statistical test. The research results majority of the workload was found to be in the light category, with 15 respondents (68.2%). The application of patient safety in the least category was poor, with 6 respondents (27.3%), while the most was in the good category, with 16 respondents (72.7%). The results of the Spearman rho test obtained a p-value of 0.032 where < α 0.05. Conclusion: There is a relationship between the nurses' workload and the implementation of patient safety in the Emergency Room (IGD) of Maria Walanda Maramis Regional General Hospital. It is recommended that nurses become more aware of the importance of fatigue management and effective coping strategies to maintain the quality of patient care.

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

MSMEs are productive businesses that stand alone, which are carried out by individuals who meet the criteria for MSMEs as stipulated in Law Number 20 Article 1 of 2008. Nabila shop sells daily necessities. To run the business, financial management must be done well, and the purpose of this study is to find out the financial management practices of Nabila shop. Qualitative descriptive methodology was used in this study. Three data collection methods were used: documents, interviews, and observations. This research found that Nabila shop has an automated accounting system that only tracks sales transactions. It does not have a liability account on the balance sheet and income statement, and does not provide notes to the financial statements. the researcher recommends that using the accounting application that is already available in the store properly and correctly, doing complete recording and bookkeeping and having detailed and accurate financial reports. And the owner and staff Nabila shop should attend training on the application of SAK EMKM as a whole at the Tegal Regional Cooperative, MSME and Industry Office so that they can fully implement the three components of SAK EMKM and can also explore learning information on the internet. .

Cardiopulmonary Resuscitation (CPR) or CPR is help for patients experiencing a heart attack where basic living rock is needed by applying pressure to the chest. Nurses have an important role in implementing cardiopulmonary resuscitation (CPR), especially in the emergency room. Skills in carrying out actions can have a direct impact on patient safety. Steps can be taken to improve the overall quality of medical treatment by increasing the education, knowledge and skills of attached nurses. The aim of this research is to find out the relationship between education and PK level with the accuracy of nurses in carrying out cardiopulmonary resuscitation measures in the ICU and emergency rooms at Prikasih Hospital in 2024. The research method that will be used is an analytical research design with a correlational design with a cross-sectional approach, a population of 40 technical respondents total sample and sample size of 40 respondents. Using the non-parametric Rank Spearman Rho test. The results show a relationship between education and the accuracy of nurses in carrying out cardiopulmonary resuscitation (CPR) in the ICU and ER with a P-Value of 0.026 < 0.05. And there is a relationship between the PK level and the accuracy of nurses in carrying out cardiopulmonary resuscitation (CPR) in the ICU and ER with a P-Value of 0.002 < 0.05. The conclusion is that education and level PK are very important in carrying out actions, because a person's knowledge can be seen from the abilities or skills they have, therefore education and level PK greatly influence the accuracy of cardiac resuscitation actions.    

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

Bronchial asthma is a chronic respiratory disease that often impairs the quality of life of sufferers. Bronchial asthma is characterized by inflammation of the respiratory tract that causes narrowing of the bronchi, swelling, and increased production of mucus. The purpose of this study was to provide nursing care for the ineffectiveness of nasfas patterns with bronchial asthma in the Emergency Room of Patut Patuh Patju Hospital, Gerung, West Lombok. Researchers used a case study method with stages of the nursing process including assessment, formulation of nursing diagnoses, planning, implementation, evaluation and documentation. Nursing care for the ineffectiveness of breathing patterns in AI with bronchial asthma in the emergency room of the Patut Patuh Patju Hospital, Gerung, West Lombok, which was carried out for 3x24 hours, obtained the results that the patient was no longer short of breath, the rhythm of breathing was regular and there was no additional breath sound.    

Job satisfaction reflects one's feelings towards their work, when someone is satisfied with their work, they will be more committed to the organization. This study aims to analyze the effect of job satisfaction on organizational commitment at the RSUD Kota Makassar. The type of research conducted is a quantitative study using an observational study with a cross sectional study design. Sampling used stratified random sampling so that the sample in this study were nurses who served in the Inpatient Installation, IGD, ICU and OK RSUD Kota Makassar totaling 104 respondents. The results showed that there was an effect of job satisfaction on organizational commitment. This study indicates that the high level of nurse satisfaction at RSUD Kota Makassar is able to create a sense of pride and trust in nurses, increase the emotional attachment of nurses to their organization and create a strong desire to continue working in their organization and have a high responsibility to stay afloat in their organization. hospital. It is recommended to the hospital management to pay more attention to the job satisfaction of nurses by creating a safe and comfortable work environment, including a clean room, good air circulation, adequate lighting facilities, and adequate health support equipment according to the needs of implementing nursing actions.

Background: Most respiratory disorders are caused by problems or diseases of the respiratory system, including the lungs. Inability of the lungs to expand (elasticity), as well as structural (anatomical) and functional airway obstructions that prevent the creation of breathable airflow, are signs of impaired lung function. Restriction and blockage are two types of lung function problems.Purpose: To analyze the application of the tripod position and pursed lip breathing technique to the increase in oxygen saturation in congested patients in the emergency room at PROF Hospital. Dr. SABOE TONGUE.Methods: Case report, which is a narrative report. The case study in this paper examines the use of a tripod position and pursed lip breathing technique to increase oxygen saturation in shortness of breath patients. Patients with asthma, lung cancer, TB, and COPD constitute the study population. Four patients with asthma, lung cancer, tuberculosis, and COPD were sampled for the study.Results: After the nurse's intervention was carried out, which was related to airway management in the fourth patient, the overall evaluation results were obtained, then the intervention was continued in the patient's treatment room.Conclusion: Based on the description above, people with respiratory problems often experience decreased functional daily activities, decreased concentration, and mood swings. As a result, if the condition of shortness of breath is allowed to continue unnoticed it will reduce oxygen saturation which in turn can cause cyanosis in patients who experience recurrent infections.  

Hospital nurses, especially IGD and ICU, are required to be able to work quickly and precisely in dealing with emergency patients with different emergency levels, so they are very vulnerable to work stress. One way to cope with the work stress of IGD and ICU nurses is to listen to murottal which is one type of religious therapy. The purpose of this study was to find out the effect of murottal therapy on reducing nurse stress levels. The study used the quasi-experimen method of intervention groups and control groups. The population of this study is IGD and ICU nurses at Natuna Regency Hospital. Total sampling sample of 24 nurses who fit the Inclusion criteria. The measuring instrument used is the DASS 42 Stress quisioner. The results showed that t counted 4,662 > t table 2,064 so that it could be concluded that murottal therapy had an effect on reducing the stress level of nurses at Natuna Regency Hospital.  The researchers hope that a spiritual approach can be applied in hospitals. To better find out the greater effect of murottal therapy on reducing nurse stress levels, it is hoped that future studies can use larger and more comprehensive samples in all rooms in the hospital.  

Pain is a sensory and emotional experience unpleasant result of tissue damage that is actual or potential. Pain is very disturbing and difficult for many person than any disease. Music is an effective distraction technique. It has the best influence in a short time. Music reduces the physiological pain, stress and anxiety by distracting someone’s attention from the pain. Measures infusion can cause pain in school-age children. One of the ways to minimize it is the distraction of music. The research objective was to determine the effect of music distraction when infusion to pain in school-age children. The population of this study 111 person the research is a client of school-age children with a sampel of 20 respondens. Research using quasi experiment study with post test only nonequivalent control group design. The results using univariate : frequency distribution and bivariate analysis : independent t test. Distraction of music was given five minutes before to infusion for up to five minutes after the infusion. The scale of the pain felt in the control group who did not provide a distraction to music when infusion is done on 10 respondens is 60% of respondents experiencing severe pain . While the scale of perceived distraction intervention group were given music when infusion conducted in 10 respondents 20% of respondents experiencing severe pain.  Evident from the results of these observation it is known that there is a significant influence on the effect of music on the infusion distraction to pain in school-age children (6-12 years) in IGD RSUD Majalaya with a significant extent (p=0,0, α=0,05). The results of this study are expected to be used as reading material and references distraction students that muaic can reduce pain.

Penerapan EWS yang baik diharapkan akan terjadi penurunan mortalitas, penurunan angka kejadian code blue, peningkatan admisi HCU, penurunan admisi ICU, dan penurunan length of stay pasien. Tujuan dari penelitian ini adalah untuk mengetahui adanya hubungan penerapan sistem National Early Warning Score (NEWS) denganpenilaianmortalitas pasien di Intalasi Gawat Darurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado. Metode penelitian ini menggunakan Deskriptif Analitik dengan pendekatan Cross Sectional dimana variable independen dan dependen diteliti secara bersamaan. Sampel responden sebanyak 20 orang dengan menggunakan total sampling. Pengumpulan data menggunakan lembar observasi. Di analisa dengan uji statistic Chi Square. Hasil penelitian menunjukan ada penerapan sistem National Early Warning Score (NEWS) dengan penilaian mortalitas pasien di Intalasi GawatDarurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado dengan nilai ? < ? atau 0,031 < 0,05. Kesimpulan penelitian ini ada hubungan penerapan NEWS dengan penilaian mortalitas pasien di instalasi gawat darurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado. Saran penelitian ini diharapkan pihak Rumah Sakit dapat meningkatkan penerapan NEWS sehingga dapat meningkatkan mortalitas pasien.