Electronic Theses and Dissertation

Peningkatan kasus skizofrenia dengan risiko perilaku kekerasan menjadi tantangan serius dalam pelayanan keperawatan jiwa. terapi generalis melalui strategi pelaksanaan (sp) diterapkan sebagai pendekatan holistik untuk membantu pengendalian emosi dan meningkatkan kualitas hidup pasien. penelitian ini menggunakan pendekatan fenomenologi deskriptif dengan key informan sebanyak 10 perawat dan 10 pasien yang dipilih secara purposive di rumah sakit jiwa aceh. data dikumpulkan melalui in-depth interview dan dianalisis menggunakan metode colaizzi. analisis data menghasilkan tiga tema utama dari persepsi perawat: (1) efektivitas sp, (2) hambatan dalam penerapan terapi generalis, dan (3) strategi perawat dalam meningkatkan efektivitas terapi. sementara itu, persepsi pasien menghasilkan tiga tema: (1) efektivitas sp dalam pengendalian emosi, (2) penguatan resiliensi, dan (3) hambatan pelaksanaan sp. perawat menilai sp2 (minum obat secara teratur) sebagai dasar utama, sedangkan sp1 (tarik napas dalam) dan sp4 (spiritual) dianggap paling membantu dalam regulasi emosi. hambatan utama yang dihadapi mencakup keterbatasan fasilitas, beban kerja tinggi, kurangnya pelatihan, serta minimnya dukungan manajerial. terapi generalis berkontribusi positif terhadap proses pemulihan pasien skizofrenia dengan risiko kekerasan. disarankan agar rumah sakit menyusun sop yang lebih rinci terkait pelaksanaan sp, memperkuat peran tim multidisiplin, menambah tenaga pendukung seperti staf administrasi, petugas transporter, dan keamanan untuk meringankan beban kerja perawat, menyediakan ruang terapi khusus, serta menyelenggarakan pelatihan berkelanjutan guna meningkatkan kompetensi perawat dalam intervensi terapeutik.

The rising incidence of schizophrenia accompanied by a risk of violent behavior presents a significant challenge in mental health nursing services. Generalist therapy, implemented through the Strategy of Implementation (SI), serves as a holistic approach to support emotional regulation and enhance patients’ quality of life. This study employed a descriptive phenomenological approach, involving 10 purposively selected nurses and 10 patients at Aceh Mental Hospital as key informants. Data were collected through in-depth interviews and analyzed using Colaizzi’s method. Data analysis revealed three major themes from the nurses’ perspectives: (1) the effectiveness of SI, (2) barriers to the implementation of generalist therapy, and (3) strategies used by nurses to improve therapeutic outcomes. From the patients’ perspectives, three themes emerged: (1) the effectiveness of SI in emotional regulation, (2) the strengthening of resilience, and (3) challenges in the implementation of SI. Nurses identified SI2 (adherence to medication) as the foundational component, while SI1 (deep breathing) and SI4 (spiritual practices) were considered the most beneficial for emotional regulation. Key obstacles included limited infrastructure, high workload, insufficient training, and lack of managerial support. Generalist therapy was found to positively contribute to the recovery process of patients with schizophrenia at risk of violent behavior. It is recommended that hospitals develop more comprehensive Standard Operating Procedures (SOPs) for SI implementation, reinforce the role of multidisciplinary teams, increase support staff such as administrative personnel, transport officers, and security personnel to reduce the burden on nurses, provide dedicated therapeutic spaces, and offer ongoing training to enhance nurses’ competencies in delivering therapeutic interventions.