RESUME INTERNATIONAL NURSING SEMINAR 2024

“Resilience a Nursing Journey: Ethical Considerations and Best Practices”

Disusun Oleh:

Chandra Subarti
P1337420122357

KELAS KENDAL REGULER 3

PROGRAM STUDI DIII KEPERAWATAN SEMARANG KELAS KENDAL
JURUSAN KEPERAWATAN
POLTEKKES KEMENTERIAN KESEHATAN SEMARANG
TAHUN 2024/2025
Resume 1
Speaker: Jeffri Ardiyanto, M. App. Sc.

GLOBAL HEALTH
Global health focuses on interdisciplinary and cross sectoral global health issues that
require
collaboration between countries and aims to improve the health status of the global
community
and achieve equity. Factors such as:
a) Increased population mobility
b) Globalization of trade
c) Disease outbreaks that have a global impact
d) Climate change
e) Disparities in health status between countries
These factors have increased awareness of the importance of global
health issues. Increased movement of people and goods across national
borders can increase the spread of disease and increase the number of
problems that need to be addressed across national borders, both
locally and globally.
Challenges in global health:
a) Extreme weather events
b) Changing patterns of infectious diseases.
c) Food and water scarcity contribute to complex health problems.
d) Significant efforts to mitigate climate change and adapt health systems to the
impacts.
Challenges and opportunities in the world of nursing:
a) Nurse health
b) Workload
c) Equity and equality
d) Autonomy
e) Institutional responsibility
f) Education and training
Resume 2
Speaker: Dr. Nonglak Methakanjanasak

HEALTH PERSPECTIVES IN NEPHROLOGY ACCESS EQUITY AND

ADVOCACY
Chronic kidney disease is real silent disease esoecially Prevelane and risk factors
ofchronic kidney disease in Asia:
- There was substantial
Factors associate to CKD in Thailand: sixteen factors: age, gender, body mass index
(BMI), WHR, Smoking, alcohol, exercise, involvement in a significsnt working
activity, low-dnsity lipoprotein(LDL), cholesterol, uric acid, diabetes, hypertension,
history of kidney stone, use of traditional medicine and NSAIDs.
- Subjects with diabetes had about 2,7 (95% Cl = 1,6 – 4,7) times her prevalance of
CKD than non-diabetic subject.
- Subject with hypertension had o risk of having CKD of about 2 (95% Cl = 1,4 – 2,7)
times higher than non-hypertension subjects.
- Subjects with a history kidney stone had about 2,7 (95% Cl= 1,8 – 4,1) times higher
risk of CKD relative to subjects who had never had a history of kidney stones.
Acessability Equity and Advocacy for CKD Patients:
1. Evidence Based Practice related to CKD
Early intervention, Big Savings: The future of CKD Management in Thailand.
In Thailand:
- Primary care: NCD Clinic
- Secondary Care: CKD CLINIC
- Tertiary care: specialist Ne6phrologist
2. Strengthen care system nurse case manager multidisciplinary team.
Key phases within the case management process include: client identification
(screening), assesmen, stratifying risk, planning, implementation (care coordination),
monitoring, transitioning and evaluation.
3. National policy related to research and network developmant.
4. Strengthen community care system enhance lifestyle modivication competency of
village health volunteers.
Resume 3
Speaker: Elisa, S.Kep., Ns., M.Kep

MATERNITY AND HEALTHY KIDNEY

Key changes in the kidneys during pregnancy:
a. Size and blood flow: Kidneys enlarge and blood flow increases to meet the
increased demands of both mother and fetus.
b. Glomerular filtration rate (GFR): GFR increases to filter more waste.
c. Renal plasma flow (RPF): RPF increases due to vasodilation.
d. Fluid and electrolyte balance: Increased sodium and water retention.
e. Urinary excretion: Slight proteinuria and glucosuria may occur.
f. Acid-base balance: Pregnancy causes mild respiratory alkalosis, compensated by
kidney bicarbonate excretion.
Kidney health recommendations:
a. Preconception: Assess kidney function for women with history of kidney
disease.
b. Pregnancy: Monitor blood pressure, blood sugar, hydration, and kidney function
tests.
c. Postpartum: Continue monitoring blood pressure, fluid retention, and kidney
function.
d. General recommendations:
Balanced diet, Adequate protein intake, Limit salt and caffeine, Avoid
nephrotoxic medications, Manage existing kidney conditions, Address anemia,
Avoid smoking and alcohol, Consider safe pregnancy interventions, Monitor
electrolyte balance, Be aware of fluid retention, and Avoid herbal supplements
Overall, kidney function is crucial during pregnancy to support both maternal and fetal
health. Regular monitoring and appropriate management are essential to prevent
complications and ensure optimal outcomes.
Resume 4
Speaker: Dr. Sri Endang Windiarti, S.Kep., Ns., M.Kes

ANXIETY-CHRONIC KIDNEY DIASEASE

1) Anxiety
Uneasy mental condition that an individual experiences Generalized anxiety
Anxiety, tension, and difficulty unwinding Personal Not invariably harmful
essential to survival.
- Moderate anxiety
People's perceptions become more limited, they only pay attention to the
things that directly affect them, and they are still able to take action under
the guidance of others.
- Severe anxiety
The range of perception becomes quite limited. Focus is solely on precise,
tiny details, and is unable to consider broader things. Everything is done to
lessen worry; yet, in order to focus on other things, a lot of guidance or
commands are required.
2) Panic
A person becomes uncontrollable, There is a lack of detail awareness, unable to
comply with commands, The amount of motor activity has increased. Reduced
capacity to relate to others distortions of perception and loss of reason, usually
accompanied by a disorganized personality.
3) Triger stressor
Threats to physical integrity, Threats to physiological disability, Decreased
ability to perform ADL, Threats to self-system,Threats that can endanger self-
identity, Self- esteem and social functioning.
4) Nursing diagnosis
Anxiety, Coping ineffectiveness, Fear, Risk of injury, Helplessness, Sleep
pattern disturbances, Sensory perception disturbances
5) Planing
Objectives: Clients demonstrate adaptive coping with stress
Implementation: Reduce anxiety levels.
Resume 5
Speaker: Dr Nina Indriyawati, MN

CKD PATIENT ENGAGEMENT AND EDUCATION

Discussed the importance of engagement and education of patients with chronic
kidney disease (CKD). Patient engagement, which includes their experience and
participation in care, plays a major role in improving overall satisfaction and quality of
care. CKD patients often face physical, psychological, and social challenges, especially
when transitioning to dialysis therapy, which demands major adjustments in their lives.
Patient education is an important element of CKD management, as it helps them
understand their condition and improves their ability to self-manage disease risks.
However, despite the importance of this education, many patients with CKD have a
limited understanding of their disease. This suggests an urgent need to improve the
quality of education provided to patients.
Besides education, psychosocial adjustment is also an important aspect. This
involves how patients adjust to the demands of their disease, emotionally, cognitively
and socially. In the early stages of diagnosis, many patients feel confused and anxious
about making treatment-related decisions, mainly due to feelings of distress and
uncertainty about treatment options. In the end, many accept dialysis as the only
solution.
Active patient engagement in self-care is crucial, especially in modifying
behaviors, monitoring complications, and undergoing regular dialysis therapy. This
engagement can be facilitated by adequate physical, cognitive, and psychological
capacity, as well as good health literacy.
However, there are several barriers to patient education. These barriers include
limited initial understanding of CKD, low health literacy, lack of access to needed
information, and patient readiness to learn. To overcome these barriers, innovative
educational approaches are needed, such as self-management support, shared decision-
making, and utilization of digital media.
Resume 6
Speaker: Mare Elie

CULTURAL COMPETENCES IN THE NURSE TRAINING PROGRAM AT

HAN UNIVERSITY
HAN Strategy 2022-2028
This means that we will have:
o Students and professionals who are reflective. Who know who they are and what
they are capable of. After 4 year of training students will be professionals who
can deal with change and are aware of their place in the world.
o Students who are stimulated in their personal and social development: the 21st-
century skills. So that they are able to use their professional practice to make a
meaningful contribution to the social issues arising now and, in the future,
NURSING CURRICULUM
To make a difference on a personal, professional and social level both locally and
internationally students need:
o Reflection skills
o Cultural sensitive communication skills
o Investigate ability
NURSING CURRICULUM
Cultural sensitive communication
o In a patient setting, communication should be tailored to the individual and the
nurse must demonstrate a great deal of empathy and respect. The nurse should
be aware of the impact of her verbal and non-verbal communication in a foreign
cultural setting.
Competences:
The student:
o Communicates cultural sensitive in a foreign setting with the care user and their
(in)formal network in a personal and professional matter, ensuring an optimum
exchange of information.