Nurse and Health: Jurnal Keperawatan
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    ORGANIZATIONAL COMMITMENT WITH QUALITY OF NURSING IN THE RSI SAKINAH MOJOKERTO

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    Background: Good service quality not only measures the luxury of the facility, but from employee behavior and behavior should reflect high professionalism and commitment. Objectives: The purpose of this study was to determine the relationship between Organizational Commitment with Quality of Nursing Service in Inpatient Room of the RSI Sakinah Mojokerto. Methods: This research used Cross Sectional approach. The population of all nurses in the Inpatient Room of the RSI Sakinah Mojokerto, who spoke 85 nurses. Technique Sampling used in this study was Total Sampling and obtained by sample counted 85 respondents. The data source used the primary data obtained through the questionnaire. Data analysis was using the Spearman Rank Test. Results: The results of this study were obtained almost entirely (76.5%) Organizational Commitment in Inpatient Room of RSI Sakinah Mojokerto included in the category of High Organizational Commitment. Nursing Care Quality (Nursing Care Standards and Professional Performance Standards Nurses) at the RSI Sakinah Mojokerto Inpatient Hospital RSI was almost entirely included in the good category. The result of Spearman Rank test statistic with sig level (.05), got correlation value .000 (<  .05) meaning that there was a correlation of Organization Commitment with Nursing Care Quality (Nursing Care Standard and Professional Performance Standard of Nurse) at Inpatient Room of the RSI Sakinah Mojokerto. Conclusion: The task of the hospital as a health service institution was to improve the skills, speed, ease and accuracy in conducting the practice of nursing health services and more responsible in providing services so as to maintain commitment to the organization

    RISK FACTORS FOR THE ANEMIA IN PREGNANT WOMEN: A LITERATURE REVIEW

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    Background: Anemia in pregnancy is still a global public health problem and is the largest contributor to morbidity and mortality. Some studies report that risk factors for anemia vary from place to place, so more in-person observations are needed regarding anemia risk factors. Objectives: This study aimed to determine the risk factors of anemia in pregnant women. Methods of using literature review studies. Design: This study design is a literature review to search and review article from database and the theory which is descriptive. Data Sources: Search for scientific articles using the Mendeley application by entering the keyword "Risk Factors, Anemia, Pregnancy" with Published year 2018-2021, English and Indonesian, full text, National journal has ISSN and open access. Review Methods: The literature review method using narrative review based on inclusion criteria, namely articles discussing anemia in pregnant women, published in 20158-202, International and National Publications, having ISSN National Journals, Articles using English, original articles, full text and open access. While the Exception Criteria for Articles other than English, type of research literature review and RCT, articles are then collected and a journal summary is made containing the name of the researcher, the year the journal was published, the title of the study, the method and a summary of the results or findings. The summary of research journals is entered into a table according to the format, and 10 articles are eligible. Results: From the 10 selected articles, it can be concluded that the risk factors for anemia, especially in developing countries, are multifactorial, including micro-iron deficiency, folate, and vitamins A and B12 as well as anemia due to parasitic infections such as malaria and hookworms or chronic infections such as TB, HIV, parasites. intestines, infection of working mothers (farmers), contaminated drinking water sources, consumption of coffee/tea and diet. Meanwhile, other factors in Indonesia are unfavorable geographical location, level of education, lack of public awareness of health, socio-economic situation, parity (number of children), and chronic energy shortages (KEK). Conclusion: Anemia is still a global health problem and still has to be addressed, especially in developing countries. Therefore, efforts are needed to better understand the main causes of anemia, including iron deficiency as well as other nutritional deficiencies, diseases, and Hb disorders related to anemia so that appropriate action can be given. Biochemical measurement of micronutrients (especially iron and Vitamin A), inflammatory signs in addition to hematological index when assessing anemia clinically are also urgently needed

    HUSBAND SUPPORT IN PREGNANT WOMEN WHO TAKE FOLAMIL SUPPLEMENTS FOR INCREASING HEMOGLOBIN LEVELS: A LITERATURE REVIEW

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    Background: Folic acid deficiency in pregnancy will cause impaired maturation of erythrocyte nuclei, resulting in the appearance of red blood cells with abnormal shapes and sizes referred to as megaloblastic anemia, further impaired folic acid metabolism will cause impaired DNA replication and cell division processes, and this will affect the work of all cells of the body, including in iron metabolism. Objectives: This study aims to determine the effect of husband support on pregnant women who consume phthalate supplements for increased hemoglobin levels. Design: This research design is a systematic review to find and review articles from databases and theories that are descriptive. Data Sources: Search for articles using the old version of the Mendeley application by entering the keyword "folic acid in pregnant women with inclusion criteria, namely the year of publication 2017-2021, English, full text and open access. There were 11 articles that were willing to be reviewed based on the inclusion criteria. Review Methods: Systematic review method by filtering on the Mendeley website based on inclusion criteria, then collected and made a summary of the journal including the name of the researcher, year of publication of the journal, research title, method, and summary of results or findings. Summary of research journals are entered in table 1. Results: From the search for articles, 4,463 articles were found. After filtering 9 eligible articles based on inclusion criteria, it was found that the level of folic acid consumption for pregnant women was still very low. Husband's support from the family can encourage pregnant women to be more enthusiastic in dealing with the changes that occur during pregnancy, including maintaining a healthy pregnancy through increased pregnancy visits and consumption of folic acid supplements. Pregnant women who receive attention and support from their husbands and families are more likely to accept and follow the advice given by health workers compared to pregnant women who receive less attention and support from their husbands and families. Conclusion: Husband support in pregnant women who take Folamil supplements for the improvement of Haemoglobin is an important factor and has a very large influence on the health of pregnant women, so cooperation is needed between health workers and the family, especially the husband, in order to improve the health status of pregnant women

    THE UTILIZATION OF MOBILE-HEALTH INTERVENTION IN IMPROVING TREATMENT COMPLIANCE BEHAVIOR IN TUBERCULOSIS PATIENTS

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    Background: Mobile-health assists health workers in monitoring and observing patient compliance behavior during TB treatment. Objectives: The purpose of this review is to identify the use of mobile-health interventions in improving medication compliance behavior in tuberculosis patients. Design: This research was conducted by following the scoping framework. Data Sources: This study was conducted following a scoping review framework. This research literature search relied on data from PubMed, Scopus, and Science Direct databases. Using the keywords “mobile applicationâ€, “Directly-Observed Treatment Short-course (DOTS)â€, “medication adherenceâ€, “tuberculosis patientsâ€, and “mobile-healthâ€. This scoping review uses data from 10 articles published between 2010-2019. Utilization of Mobile-Health in improving drug adherence of TB patients. Review Methods: The particle screening method was used for the review and was guided by the PRISMA diagram. As well as an analysis of the articles reviewed. Results: The m-health intervention has a positive impact on TB treatment. The benefits of m-health are increasing patient knowledge, providing social support, providing motivational support and increasing patient compliance behavior during treatment. The m-health application contains features such as short message service (SMS), video, telephone, and picture messages. Conclusion: Mobile-health interventions can be applied independently with counseling, motivation and health education in improving medication compliance behavior. The advantages of mobile-health are that patients become more open, it saves time and distance, and also it strengthens communication between nurses and patients

    REDISCOVERING LIFE (POST TRAUMATIC GROWTH ON PEOPLE LIVING WITH HIV)

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    Background: Post-traumatic growth is a life change. People living with HIV who start to adapt to the current condition have a better life and positive emotion by rediscovering happiness. Post-traumatic growth occurs due to individual thoughts regarding life purposes and reviewing their life priorities. Objectives: This study aimed to explore the post-traumatic growth process experienced by people living with HIV. Methods: This study employed the qualitative study method with a descriptive phenomenology approach on six participants with HIV at Yayasan Sehat Peduli Kasih, Semarang. The participants were selected following the inclusion criteria, i.e., 24-25-year-olds with no cognitive disorders and regular treatments. The exclusion criteria in this study were participants who could not attend the interview process, although the researchers already made recurring appointments. The interview type utilized in this study was a semi-structured interview. The data analysis model in this study followed the data analysis steps of the colaizzi method. Results: Four themes emerged as part of post-traumatic growth. The four identified themes in this study are 1) early stage of HIV positive, 2) post-traumatic growth process, 3) becoming a better person after rediscovering life, and 4) future wishes after rediscovering life. The acquired themes are illustrations of post-traumatic growth in rediscovering life. Conclusion: Most People living with HIV have rediscovered purposes and wishes, although they continue to eliminate self-stigma and transform self-image to be positive. It is necessary to develop an HIV intervention program to improve and help the sufferers encounter internal stigma. The interventions include any ECT and spiritual mindfulness that focus on improving self-confidence

    ANALYSIS OF THE ROLE OF MIDWIVES ON THE SELECTION OF IMPLANTED CONTRACEPTIVE USE BY ACCEPTORS: A LITERATURE REVIEW

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    Background: Indonesian family profiles reported the percentage of active acceptors in couples of childbearing ages in 2017 was 63.22%, and the number who never used contraceptives was 18.63%. The highest contraceptive use in Bengkulu province was 71.98%, and the lowest in Papua was 25.73%. The population of Papua Province in 2020 amounted to 4.3 million people or an increase of 1.47 million. Objectives: This study aims to find the role of midwives against the selection of the use of implanted contraceptives by acceptors. Design: This research design is a systematic review to find and review articles from databases and theories that are descriptive. Data Sources: Search articles using databased ScienceDirect and Google Scholar including the keyword "contraceptive implants" with a period of 2018 to 2021; 15 articles are available based on inclusion criteria article discussing implant contraceptives, Year of publication 2018-2021, International and National Publications, the National Journal has ISSN, articles using Indonesian and English Review Methods: Systematic review methods based on established criteria, then collected and made journal summaries include the name of the researcher, the year of publication of the journal, the title of the study, the method, and a summary of the results or findings. by identifying, evaluating and synthesizing the summary of research journals entered into the table according to the format. Results: From the journal filtering, 15 articles were eligible based on the inclusion criteria, it was found that: The role of health workers/midwives is the most important factor in the use of implants contraception by acceptors so that it is hoped that education regarding the benefits of implants can be increased. Conclusion: Interpersonal communication or counseling needs to be improved. Counseling is communication between clients and health workers to facilitate and advocate on any issues related to comprehensive reproductive health. It is expected that with counseling provided by birth control, acceptors can make their own decisions in accordance with the desired method

    THE IMPLEMENTATION OF DIABETIC SELF-MANAGEMENT IN INDONESIA AND TAIWAN HOSPITAL: A CASE STUDY DESIGN

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    Background: Population of people with diabetes mellitus (DM) are increasing every year. As a chronic illness, patients with DM needs to practice self-management for life. Adopted the nursing system in other countries that are more advanced in DM care, however the study is still under investigation. Objectives: primary objective was to analyze the diabetic Self-management among the Indonesian and Taiwan population in Hospital. Secondary was to develop theory-guided and/or evidence-based nursing model in the self-management among diabetic patient with practical issues. Methods: We used a case study design by discussion across the multi-discipline of health care provider point of view, observation and brief interview session with patient, observe the health care model, learning process of health education between nurse and patient and whole application of the health education, at Veteran Hospital in Taiwan and Manambai Abdulkadir Hospitals in Indonesia. Results: Education system related to self-management of DM patients have been running and prepared by the Veteran hospital in Taiwan. The health system for diabetes management was called by diabetes shared care. Nurse, nutritionist and doctor have similar opinions about self-management in DM patients in Taiwan but different perspective among health professionals in Indonesia. The process of applying of evidence-based nursing practice and guidelines for providing health education to patients in Veteran Hospital Taiwan was using guidelines from the diabetes federation of China (Taiwan), on the other hand, standard operating procedure in Hospital in Manambai Abdulkadir Hospital, Indonesia, it is due to different policy in each country. Conclusion: The model of self-management might can be successfully be applied in clinical setting with several strategies by resolve the challenges. Hopefully, this study can be providing valuable information to the health professionals in order to provide the best service for patients with DM.&nbsp

    ASSOCIATION BETWEEN DURATION AS A FISHERMAN, DISTANCE OF HEALTH FACILITIES AND SMOKING WITH PTERYGIUM'S DISEASE IN FISHERMAN IN BENGKULU

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    Background: Fishermen are a high risk group for developing pterygium. The high frequency of exposure to UV, wind, dust and sand when working makes the prevalence of pterygium among fishermen quite high. The city of Bengkulu, which is geographically located on the west coast of Sumatra Island which is directly facing the Indonesian Ocean, makes the majority of its population work as fishermen. Objectives: This study aims to determine the relationship between duration of being a fisherman, distance to health facilities and smoking with pterygium disease in a group of fishermen in, Bengkulu. Methods: Analytical observational research with case control design. The sample of 120 fishermen consisted of 40 cases and 80 controls, because researchers used a case-control ratio of 1:2. Sampling using purposive sampling method. The dependent variable was pterygium disease. Independent variables of duration as a fisherman, distance of health facilities and smoking. The research instrument uses a structured questionnaire that has been tested for validity and reliability with Alpha Cronbach value (0.996) > r table. Data were analyzed by Chi Square. Results: Based on the research results, it was found that there was a significant relationship with duration as a fisherman (? 21 years) (OR = 3.980; 95%CI = 1.404-11.284; p = 0.006) with pterygium disease. There is no relationship between smoking (OR = 1.246; 95%CI = 0.559-2.778; p = 0.590) with pterygium disease. There is a significant relationship between the distance of health facilities (OR = 5.133; 95%CI = 2.249-11.715; p = 0.000) with pterygium disease. Conclusion: The length of time working as a fisherman increases the risk of developing pterygium disease as the frequency of exposure to UV, dust, wind and sand increases. It is necessary to use personal protective equipment to reduce the risk of exposure and education from health workers so that the public can take good preventive measures

    APPLICATION OF PROBLEMS AND NEEDS IN PALLIATIVE CARE INSTRUMENT - SHORT VERSION (PNPC-SV) FOR ASSESSING THE PALIATIVE CARE NEEDS FOR THE CANCER PATIENTS

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    Background: Assessment of the needs of palliative care is the first step to know about the picture quality of life and determine interventions to solve problems experienced by patients with chronic conditions and terminal. One of the instruments that can be used is the Problems and Needs in Palliative Care Instrument - Short Version (PNPC-SV). Instrument PNPC-SV examines the 8 dimensions of activity and exercise, physical symptoms, autonomy, psychological, spiritual, financial, and information needs. Objectives: The purpose of this study was to explore the need of palliative care with the use of the instrument Problem and Needs in Palliative Care Instrument - Short Version (PNPC-SV) in cancer patients. Methods: This research uses qualitative method with case study approach. Data collection was conducted by means of questionnaires filled in the assessment of the needs of palliative care (PNPC-SV), then performed in- depth interviews in accordance with the results of the assessment and observation on the 6 participants in the space of oncology in one of hospital in Semarang. Results: The theme results of this research are: (1) Self-acceptance as well as support to the family of the condition of the patient, (2) Influence the patient's psychological to the social environment, (3) the right education to improve the quality of life and (4) The basic components assessment of the needs palliative care should be assessed by the nurse. Conclusion: The assessment which done in a holistic manner can help the nurse to provide nursing care in accordance with the needs of the patient to face the condition of the disease. The needs of the patient in physical, psychological, social and spiritual is very necessary to maintain the balance of her consistency and integrity in the ability to remain accepted, loved and appreciated by others

    IMPLEMENTATION OF EARLY WARNING SYSTEM IN NURSING WARD: A LITERATURE REVIEW

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    Hospital service is a process that involves all elements in the hospital including nurses and inpatient rooms or nursing wards. Different inpatient conditions will be treated in separated wards, by the same token patients with unstable conditions are admitted in intensive care units, this procedure aims to reduce the mortality incidence due to sudden cardiac arrest, therefore early detection of patients’ clinical deterioration using the early warning score system performed by the nurse in the nursing wards is required. This review aims to describe the importance of the early warning system in the nursing wards. The data was obtained from international journal providers s from data base search based on Scopus, Ebscohot: CINHL, Proquest, Springerlink, Google scholar, and Midline. We used the keyword "Early Warning System" or "Early Warning Score" with a search range in 2016-2021. The search results in 127 articles. Language selection was performed as all journals found were in English. Here, we will review 10 articles. Implementation of early warning score in nursing ward is expected to improve the quality of service to patients and reduce the mortality rate. Early detection clinical emergency or known as the Early Warning Score System (EWSS) is the application of a scoring system for early detection of patient's condition before a worsening situation occurs. The implementation of this scoring system is necessary due to the high rate of deterioration of patient conditions that requiring immediate management to prevent profound deterioration and its subsequent adverse effect

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    Nurse and Health: Jurnal Keperawatan
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