SERVICE EXCELLENT PEDIATRIC NURSING CARE MANAGEMENT ON AN. A WITH ACUTE RESPIRATORY TRACT INFECTION (ARI) IN ROOM RB 4 RSUP H. ADAM MALIK CITY MEDAN NORTH SUMATRA YEAR 2025

Tania Aryodila; Petra Diansari Zega; Rolasnih Lilista Simbolan; Edi Subroto; Juni Arman Sianturi; Nurul Ainun Zahro Br surbakti; Indah Muliana Br Girsang

Authors

Tania Aryodila Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Petra Diansari Zega Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rolasnih Lilista Simbolan Sekolah Tinggi Ilmu Kesehatan MItra Husada Medan
Edi Subroto Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Juni Arman Sianturi Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nurul Ainun Zahro Br surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Indah Muliana Br Girsang Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Abstract

Acute Respiratory Tract Infections (ARI) remain a leading cause of morbidity and mortality among children in Indonesia. These cases are often exacerbated by environmental factors such as air pollution, cigarette smoke exposure, poor ventilation, and low immunization coverage. This study aims to implement nursing care management for children with a service excellent approach in treating a pediatric ARI patient in the Rindu B4 ward of H. Adam Malik General Hospital, North Sumatra. The study employed a descriptive case study method on a 13-year-old patient (An.A) diagnosed with ARI. Data were collected through interviews, observation, and document analysis. Nursing care was administered through a comprehensive process, including assessment, diagnosis, planning, implementation, and evaluation. Results showed significant improvements in the patient's condition following interventions in airway management, hyperthermia control, and nutritional support. The service excellent model based on the PACER principles (Professionalism, Accountability, Collaboration, Empathy, and Reliability) proved effective in enhancing care outcomes and family satisfaction. This study recommends strengthening family education and interprofessional collaboration to reduce ARI incidence and improve the quality of pediatric nursing care in hospital settings.

References

Andre, et al. (2024). Community Aggregate Nursing Textbook. Retrieved from https://books.google.co.id/books?id=2Fg7EQAAQBAJ

Efendi, et al. (2023). Pediatric Nursing Textbook (A. S. Wahyuni, Ed.). Retrieved from https://books.google.co.id/books?id=-kDJEAAAQBAJ

Fahrurozi. (2021). Nursing Diagnoses in the Nursing Process. Scientific Journal of Health, 21(1), 14–19.

Gulo, N., Simanjuntak, L., Agussamad, I., & Zega, P. D. (2024). The Influence of Primary Services at The Comunity Health Center, One of Which is The Role of Nurses in Providing Counseling in The Form of Education About ISPA at The Kedai Durian Community Health Center Medan Johor District in 2024.

-Article Text-847-1-10-20240921 (2).pdf

Hidayah, et al. (2020). Management and Leadership in Nursing (D. Apriansyah, Ed.). Retrieved from https://www.google.co.id/books/edition/

Suherlin, I., et al. (2024). Textbook of Neonatal, Infant and Toddler Nursing Care (S. Anwar, Ed.). Retrieved from https://books.google.co.id/books?id=mgk9EQAAQBAJ

Ilhami, M. W., Nurfajriani, V., Mahendra, A., Sirodj, R. A., & Afgani, W. (2024). Application of Case Study Method in Qualitative Research. Wahana Pendidikan Scientific Journal, 10(9), 462–469. https://doi.org/10.5281/zenodo.11180129

Massa, K., et al. (2023). Textbook of Infection Prevention and Control (P. I. Daryaswanti, Ed.). PT Sonpedia Publishing Indonesia. Retrieved from https://books.google.co.id/books?id=ORXdEAAAQBAJ

Ministry of Health, Republic of Indonesia. (2017). GERMAS - Healthy Living Community Movement. https://ayosehat.kemkes.go.id/germas

Ministry of Health, Republic of Indonesia. (2022). Government Provides PCV Immunization for All Indonesian Children to Prevent Pneumonia. https://sehatnegeriku.kemkes.go.id/

Ministry of Health, Republic of Indonesia. (2023). Health Development Policy Agency. https://badankebijakan.kemkes.go.id/

Ministry of Health, Republic of Indonesia. (2024). Upper and Lower Respiratory Tract Infections. https://sehatnegriku.kemkes.go.id/

Journal of Health and Medical Technology. (2024). Analyzing Assessment Continuity in Unit X. Journal of Health and Medical Technology (JKTM), 06(03), 84–90.

Koerniawan, D., Daeli, N. E., & Srimiyati, S. (2020). Application of Nursing Process Standards: Diagnosis, Outcomes, and Interventions in Nursing Care. Silampari Nursing Journal, 3(2), 739–751. https://doi.org/10.31539/jks.v3i2.1198

Pakpahan, R. (2024). Nutritional Status and ARI Morbidity in Children Under Five. Retrieved from https://www.google.co.id/books/edition/

Purnawati, Mikawati, et al. (2023). Nursing Care for Healthy and Sick Children. https://www.google.co.id/books/edition/

Safitri, R. (2019). Implementation of Nursing as a Form of Nursing Planning to Improve Client Health Status.

Sari, D. (2022). Vaccination for COVID-19 in Children: Denialism or Misinformation? Pediatric Nursing. https://www.pediatricnursing.org/article/

Sebastian. (2021). Nursing Interventions: Definition, Types, Phases, and Steps. https://mhomecare.co.id/blog/intervensi-keperawatan/

Sibagariang, E. E., et al. (2023). Factors Associated with the Incidence of ARI in Toddlers at Mandala Health Center, Medan Tembung District. Journal of Healthcare Technology and Medicine, 9(1), 15. https://doi.org/10.33143/jhtm.v9i1.2781

Sinaga, M., Murdianto, A., Batee, Y., & Gusmela, R. (2024). Strategi Layanan Kesehatan Melalui Edukasi tentang Infeksi Saluran Nafas Atas (ISPA) di Puskesmas Kampung Baru Kecamatan Medan Maimun Tahun 2024. 2(4), 1327–1332.

https://doi.org/10.59407/jpki2.v2i4.1171

Situmeang, et al. (2023). Prevention and Control of ARI. Retrieved from https://sg.docworkspace.com/d/sIHWLzsBblKmVvwY

Tampubolon, K. N. (2020). Stages of the Nursing Process in Optimizing Nursing Care. OSF Preprints, 7–8. https://osf.io/preprints/5pydt/

UNICEF. (2024). Pneumonia. https://data.unicef.org/topic/child-health/pneumonia/

Warjiman, Anggraini, S., & Amelia, K. A. S. (2013). Factors Influencing ARI in Toddlers at Alalak Selatan Health Center, Banjarmasin.

World Health Organization. (2023). Prevention and Control of Epidemic- and Pandemic-Prone Acute Respiratory Infections in Healthcare Facilities. https://iris.who.int/

Wijayaningsih. (2013). Pediatric Nursing Care.