Nama : Rahmawati Umagapy

Nim : 04.11.2801

Kelas : A/KP VI

Abstract

Characteristics of clients nursed in Professional Nursing Model, Psychiatric Unit, Dr. H. Marzuki Mahdi
Hospital Bogor.

By: Ice Yulia Wardani, Budi Anna Keliat, Mustikasari

Fakultas Ilmu Keperawatan, Universitas Indonesia, Jakarta 10430, Indonesia

Since September 2000, Community and Mental Health Department Faculty of Nursing University of
Indonesia, have developed Professional Nursing Practice Model (PNPM) on Psychiatric Nursing at Dr. H. Marzoeki
Mahdi Health Hospital. PNPM at Marzoeki Mahdi Hospital is the first PNPM especially for mental health. The study
was a quantitative cross sectional study conducted during the period February 4th to July 30th 2001 and covering 79
client. The aim of the study was to identify characteristics of clients at PNPM. It was found that most of the clients
were males, aged 20-55 years, living in the area of Jabotabek (Jakarta, Bogor, Tangerang and Bekasi), especially in
Bogor, the city of the hospital. Most of them had no job, with a senior high school education whereas the number with
unmarried status was nearly the same with the number with married status and belonged to the Sundanese ethnic
group.
Characteristics of the family were mostly as followed: big family, with more than 2 children, closed
communication and family meeting during meals. On health status it was found that clients were admitted to the
hospital because of angry/violence, angry/violence and talking/laughing by themselves, whereas the number of clients
in the group never nursed in a hospital before were nearly the same as the number in the group ever nursed before,
with average length of
staying in hospital 9 days. It was revealed that the problem of hallucination was mostly found among the nursing
problems. Health education was mostly on efforts to eliminate paranoid problems and Activity Group Therapy was
focused on efforts to socialize the clients. The medical diagnosis of most of the clients was paranoid schizophrenia. It
was concluded that in this study characteristics of the clients in PNPM was very varied. For optimal nursing criteria of
clients at PNPM who should be admitted should be established.

Compiled by: ms.Melz^

1 . The first journals including journals not good

reason : writing is not shaped pirmida title reversed , the writing does not match the identity of the hospital , the
background of the author does not tell the reason for the study
Implementing Evidence-Based Nursing Practice

By: Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn
A methodology for establishing and supporting evidence-based nursing practice is examined. Description of a
clinical and administrative scenario serves as an example of a systematic appraisal of the relevant literature that had
implications for clinical practice. Within the nursing profession, it is expected that new information in the form of
research findings will be incorporated constantly and knowledgeably into nursing practice. The staff nurse is a critical
link in bringing research-based changes into clinical practice. Depending on the environment, a health care
organization may or may not have the resources to ensure critical, succinct, reasonable evaluation and application of
research findings as they relate to the point-of-care delivery. Health care organizations are beginning to create
mechanisms to facilitate the process of information translation from the literature to practice.

The Purpose of this article is to describe a methodology for establishing and supporting evidence-based
nursing practice (EBNP). After establishing the background for this project, authors describe a clinical and
administrative scenario in which an issue was identified that warranted a systematic appraisal of the relevant literature
to inform clinicians. An operational definition for EBNP is presented, and a conceptual framework for translating
evidence into practice is outlined. Next, a case study is presented to describe the process of critically appraising the
evidence and translating the findings into nursing practice, education, and administration. The clinical and
administrative outcomes are highlighted and the roles of EBNP team members explained.
The hospital described in this article has 205 licensed beds, 15 operating rooms, and a level II emergency
department. Inpatient specialty units include critical and intermediate care as well as several medical/surgical units
serving various specialties (orthopedics, neurology and neurosurgery, hematology and oncology, bone marrow
transplant, solid organ transplant, cardiology, and cardiac surgery). The environment is technology based, with an
electronic medical record for all nursing documentation, telemetry available to each inpatient bed, an epilepsy
monitoring unit, electronic supply charging, filmless radiology, wireless phones for each nurse, and a robotic surgical
system. The hospital staff members are registered nurses assisted by patient care assistants. Staff participation in
nursing committees is encouraged. Support staff include unit-based educators and specialty-based clinical nurse
specialists (CNSs). Participation in nursing and other clinical research studies is encouraged.

In examining the issue of translating research-based evidence into practice, authors focused on collaboration,
service, and integration. Each of these components figures prominently in the work performed at the medical center.
The approach selected to use research in practice reflects the structure and mission of the organization, which is to
provide the best care for the patient using the three "shields" of practice, education, and research. The themes of
collaboration, service, and integration were used to weave together the expertise of library sciences and nursing
services as well as collaboration among the nursing practice subcommittee (NPS), the nursing education
subcommittee (NES), and the nursing research subcommittee (NRS). This project is an example of the integration of
the work of these three subcommittees that was presented to the nursing staff in an attempt to identify the best possible
service for patients.

2. journals including journals into two not good

reason : writing is not pyramidal terbali title , because the title is not shaped poramida writing upside down , no
keywords , no conculsion , did not specify who the authors in the journal
A qualitative study of nursing student experiences of clinical practice

By: Farkhondeh Sharif1 and Sara Masoumi2

Nursing student's experiences of their clinical practice provide greater insight to develop an effective clinical
teaching strategy in nursing education. The main objective of this study was to investigate student nurses' experience
about their clinical practice.

Focus groups were used to obtain students' opinion and experiences about their clinical practice. 90
baccalaureate nursing students at Shiraz University of Medical Sciences (Faculty of Nursing and Midwifery) were
selected randomly from two hundred students and were arranged in 9 groups of ten students. To analyze the data the
method used to code and categories focus group data were adapted from approaches to qualitative data analysis.

Four themes emerged from the focus group data. From the students' point of view," initial clinical anxiety",
"theory-practice gap"," clinical supervision", professional role", were considered as important factors in clinical
experience.

The result of this study showed that nursing students were not satisfied with the clinical component of their
education. They experienced anxiety as a result of feeling incompetent and lack of professional nursing skills and
knowledge to take care of various patients in the clinical setting.

3 . journals into three does not include a good journal

reason : writing is not the form of an inverted pyramid title , author background does not tell the reason in doing it the
intensive search , no , no constituent of the journal name , the use of the title , objective background , purpose , goal /
aimMethod , Result , conculsion , and keywords are not sequential
 Unexplained Variation Across US Nursing Homes in Antipsychotic Prescribing Rates

Yong Chen, MD, MHS; Becky A. Briesacher, PhD; Terry S. Field, DSc; Jennifer Tjia, MD; Denys T. Lau, PhD; Jerry
H. Gurwitz, MD

Serious safety concerns related to the use of antipsychotics have not decreased the prescribing of these agents
to nursing home (NH) residents. We assessed the extent to which resident clinical characteristics and institutional
prescribing practice were associated with antipsychotic prescribing. Antipsychotic prescribing was assessed for a
nationwide, cross-sectional population of 16 586 newly admitted NH residents in 2006. We computed facility-level
antipsychotic rates based on the previous year's (2005) prescribing patterns. Poisson regressions with generalized
estimating equations were used to identify the likelihood of resident-level antipsychotic medication use in 2006, given
2005 facility-level prescribing pattern and NH resident indication for antipsychotic therapy (psychosis, dementia, and
behavioral disturbance).

More than 29% (n = 4818) of study residents received at least 1 antipsychotic medication in 2006. Of the
antipsychotic medication users, 32% (n = 1545) had no identified clinical indication for this therapy. Residents
entering NHs with the highest facility-level antipsychotic rates were 1.37 times more likely to receive antipsychotics
relative to those entering the lowest prescribing rate NHs, after adjusting for potential clinical indications (risk ratio
[RR], 1.37; 95% confidence interval [CI], 1.24-1.51). The elevated risk associated with facility-level prescribing rates
was apparent for only NH residents with dementia but no psychosis (RR, 1.40; 95% CI, 1.23-1.59) and residents
without dementia or psychosis (RR, 1.54; 95% CI, 1.24-1.91).

The NH antipsychotic prescribing rate was independently associated with the use of antipsychotics in NH
residents. Future research is needed to determine why such a prescribing culture exists and whether it could result in
adverse health consequences.

4 . journals into four does not include a good journal

reason : writing is not the title of inverted pyramid -shaped , on the background of the authors do not explain the
reason in the study do it , does not exist, objective , purpose , goal / aim and method conculsion result , authors who
are not in the specified journal