Nurse and Health: Jurnal Keperawatan
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EFFECTIVENESS OF STANDARDIZED PATIENTS AND ROLE-PLAY SIMULATION METHODS IN IMPROVING SELF-CONFIDENCE AND THERAPEUTIC COMMUNICATION SKILLS OF NURSING STUDENTS
Get PDFBackground: Communication skills are critical skills that must be possessed by nurses because communication is a dynamic process that is used to collect assessment data, provide education or health information to influence clients to apply it in life, show caring, provide comfort, foster self-confidence and, value respect - client value. Nurses in communicating with clients must have high confidence in the effect of these communications.Objectives: The purpose of this study was to analyze the differences in the effect of standardized patient simulation methods and role play in increasing self-confidence and therapeutic communication skills of students of the Nursing Academy of Pasuruan.Methods: The design of this study is the quasi experimental study. There are two therapeutic communication training groups. Group A uses a Standardized Patient (SP) and, Group B uses the role play (RP) method. The population in this study were students of the Nursing Academy of Pasuruan, and the sample was taken by simple random sampling with a sample size group of 16 standardized patients and a roleplay group of 16 people. The measuring instrument used was an observation sheet on therapeutic communication skills and a questionnaire on confidence in therapeutic communication. The effectiveness of the two methods was analyzed by the non-parametric test, namely the Mann Whitney test, to test 2 unpaired samples.Results: The results of this study indicate that there are differences in standardized patient methods and role play on self-confidence and therapeutic communication skills in nursing academy students who are statistically significant at 0.03 (p=0.05).Conclusion: The standardized patient method is more effective in increasing self-confidence and therapeutic communication skills in nursing academy students compared to the roleplay method. Keywords: Standardized Patient, Roleplay, Therapeutic Communication, Self-Confidenc
CORRELATION BETWEEN ANXIETY AND BREAST MILK PRODUCTION AMONG BREASTFEEDING MOTHERS IN PUBLIC HEALTH CENTER OF JAGIR, SURABAYA
Get PDFBackground: The low coverage of exclusive breastfeeding in Indonesia is caused by several factors, one of which is anxiety. The mother feels anxious because she is unable to provide enough milk for her baby.Objectives: The purpose of this study is to analyze the correlation between anxiety and breast milk production among breastfeeding mother in Public Health Center of Jagir, Surabaya.Methods: The design of this study was observational analytic with the cross-sectional approach. The study population were all of breastfeeding mothers in Public Health Center of Jagir, Surabaya who met the inclusion and exclusion criteria. The sample of this study was recruited through purposive sampling as many as 67 mothers. Data were collected by using the State Anxiety Inventory Questionnaire and the breast milk production observational sheet. The results of Cronbach Alpha test for the State Anxiety Inventory Questionnaire was .619 and the breast milk production observational sheet was .711. Descriptive statistics and Spearmen Rank Test with significance value less than .05 were used to analyzed data.Results: The results showed: 1) most breastfeeding mothers experienced moderate anxiety (91.04%), 2) some breastfeeding mothers showed smooth milk production (61.19%), 3) There was a correlation between anxiety and breast production in breastfeeding mothers (p = 0.001).Conclusion: The more severe anxiety in nursing mothers, the production of breast milk becomes not smooth. Future studies are expected to analyze other factors that can affect breast milk production in breastfeeding mothers. Keywords: Anxiety, Breast Milk Production, Breastfeeding Mothe
SITUATION AND COMPETENCY OF FIRST RESPONDER IN PREPAREDNESS ON FACING EMERGENCY TO IMPROVE PUBLIC SAFETY IN THE UNIVERSITY
Get PDFBackground: Cardiovascular disease and trauma caused by accidents remain the leading cause of death. Data by WHO reveals that 17,9 million people die from cardiovascular disease before reaching hospital. The problem is caused by the first aid mistake; hence, a prompt and effective response action of the first responder is important to handle out-of-hospital emergency care. The need for care and human resources is the biggest and most important component to act as the first responders.Objectives: The research aims to discover evaluation emergency situation in university and the competency level of the first responder taking first aid training in affect the way patients are managed during an emergency.Methods: The method employed is mixed methods consists of FGD with a four-stage contingency planning approach and quasi-experimental design of one group post-test that was conducted to obtain quantitative data. There were 30 participants in this research. Thematic and descriptive analysis tests were used to analyze the dataResults: The results show that there are four important things in developing an emergency system in the university area which are a distribution of operational area, communication system, Developing emergency system, and sustainable improvement of first responder capacity. The results of the competency assessment show that the average knowledge level of the participants is 79.5, and their psychomotor level is above 80%.Conclusion: First aid training is important to given for first responder to improve safety in the university. Keywords: Public Safety Center, First Responder, Emergency
THE RELATIONSHIP BETWEEN PERSONALITY AND PSYCHOLOGICAL WELL BEING TOWARD ADOLESCENTS IN DISASTER-PRONE AREAS IN PADANG CITY
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Background: Indonesia, particularly Padang City, West Sumatra, is a prone-area toward natural disasters related to geographical, geological and demographic conditions. Natural disasters give a very significant impact on physical, psychological and social. The psychological impact that most often appears in disaster cases is Post Traumatic Stress Disorder (PTSD). One who is prone to experiencing PTSD is adolescents. To prevent PTSD from occurring, good psychological well-being is needed. The factors that influence psychological well-being is personality.
Objectives: This study aimed to analyze the relationship of personality with psychological well-being toward adolescents in disaster-prone areas in padang city
Methods: This study is an analytical study with a cross sectional approach. This research was conducted in three disaster-prone districts in Padang City, namely North Padang, South Padang, and Koto Tangah. Data were collected through distributing questionnaires to 156 adolescents who were selected by purposive sampling. Data were collected by questionnaire and analyzed descriptively using univariate analysis,and bivariate analysis with chi square test.
Results: The results of this study found that 85 respondents (54.5%) had low psychological well-being, and 108 respondents (69.2%) had introverted personality types. The results of the bivariate analysis found a relationship between personality toward psychological well-being with 0.010 P value.
Conclusion: The results found that there was a relationship between personality toward psychological well-being adolescents in disaster-prone areas in Padang City. It is recommended for adolescents, parents and teachers to pay attention about the personality and support the students so that adolescents have high psychological well-being.
Keywords:Psychological well-being, personality, Adolescent, Disaster-prone area
ANALYSIS OF PREVENTION BEHAVIORS OF PULMONARY TUBERCULOSIS TRANSMISSION QUESTIONNAIRE (PBPTTQ)
Get PDFBackground: Prevention of pulmonary tuberculosis transmission behavior is also one of the keys to the increased incidence of pulmonary tuberculosis. Unhealthy behavior in patients with pulmonary tuberculosis can be caused due to lack of information about TB in the community so that they lack responsibility for the tuberculosis transmission.Objective: This study aimed to analyze the Prevention Behaviors of Pulmonary Tuberculosis Transmission Questionnaire (PBPTTQ) to see whether this questionnaire can be used to assess habits in preventing pulmonary tuberculosis transmission in the community.Methods: The design used in this study was cross-sectional design. This study was conducted in the Public Health Center of Medokan Ayu, Surabaya. The sample in this study were 30 people with positive smear pulmonary tuberculosis who are in the working area of Public Health Center of Medokan Ayu, Surabaya. This study used Prevention Behaviors of Pulmonary Tuberculosis Transmission Questionnaire (PBPTTQ). PBPTTQ consists of 15 items with 11 items that are positive questions and 4 items that are negative questions. PBPTTQ using Likert Scale with 5-point rating scale. Data analysis of Prevention Behavior of Pulmonary Tuberculosis Transmission Questionnaire used statistical analysis using SPSS 21. Data analysis performed was mean, standard deviation, I-CVI, and Cronbach Alpha.Results: Prevention Behaviors of Pulmonary Tuberculosis Transmission Questionnaire (PBPTTQ) has a high enough reliability value marked by a Cronbach Alpha value of .639. In addition, the validity test of this questionnaire found that I-CVI = .84.Conclusion: Based on the results of the study, Prevention Behaviors of Pulmonary Tuberculosis Transmission Questionnaire (PBPTTQ) can be used to assess pulmonary transmission prevention behavior in the community. Key words: Prevention Behavior, pulmonary tuberculosis transmission, public health center, questionnaire
THE INFLUENCE OF VIDEO MEDIA ON THE PREPARAEDNESS IN FACING FLOOD DISASTERS IN ELEMENTARY SCHOOL IN BENGKULU CITY
No full textBackgroundFlood disasters can cause material losses and fatalities, especially in the city of Bengkulu. Disaster preparedness is needed from an early age in order to reduce the impact of disaster risk. Elementary school students are still had lack of knowledge about preparedness in dealing with floods, in general. Bengkulu Elementary School (SDN) 103 is one of the schools affected by flooding when the River Basin (DAS) is unable to accommodate river water discharge.ObjectiveThe purpose of this study was to determine the effect of video media on student preparedness in dealing with floods in Bengkulu City.MethodsThe study design used a Pre Experiment with One Group Pretest-Posttest design. The population in this study were all fifth grade children in SDN 103 Bengkulu City. The total sampling technique was used in this study. The data were collected by using primary data taken from the results of a questionnaire filled out by respondents. T-test was used as statistical test.ResultThe results of the study were obtained (1) from 27 students before being given video media, namely 14 students in the very ready category (51.9%) and 13 students in the ready category (48.1%); (2) after being given video media, there were 20 (74.1%) category students were very prepared and 7 students were prepared categories (25.9%) (3) Paired sample t-test analysis showed p-value of 0.008 <0.05. There is influence of video media on preparedness in facing flood disaster at SDN 103 Bengkulu City in 2019.ConclusionThe importance of early education about disaster is expected to reduce the impact of disasters, especially flood disasters in risk areas. It is expected that schools will be able to include curriculum and training for their students on disaster preparedness training
THE RELATIONSHIP BETWEEN JEAN WATSON'S THEORY OF HELPING TRUST WITH PATIENT SATISFACTION
Get PDFBackground: Fostering a trusting relationship between nurses and patients is the development of one of the curative caring factors because it is closely related to the acceptance of positive and negative feelings of patients when receiving services from nurses. The quality of a person's relationship with others is an element that determines the caring behavior of a nurse (Sartika, 2011). Nurses must be patient, generous, willing to provide assistance to patients voluntarily and be able to communicate, work and be responsible for their duties and rights when acting (Nursalam, 2013).Objectives: The purpose of this study was to determine Jean Watson's theory of helping trust with patient satisfaction in the inpatient room in The Government Hospital of Tangerang Regency.Methods: The research design used in this study is descriptive correlation using the Cross-Sectional approach. The population used in this study were patients treated in the inpatient rooms of Government Hospital of Tangerang Regency amounting to 80 people. The sampling method used is the non-probability sampling method. The sampling technique in this research is purposive sampling. The sample used in this study were 65 respondents. This research instrument using a questionnaire. The analysis used the Chi square test with a significance level α < 0.05.Results: Jean Watson's helping trust relationship both 13 respondents (34.2%) and those who were not satisfied were 1 respondent (3.7%). the results of the analysis obtained OR = 25.35 means that patients who claim helping trust relationship Jean Watson have a 25.35 times chance expressed satisfied. Chi square test results obtained p value 0.001 so that it can be concluded that there is a significant relationship between Jean Watson’s theory of helping trust relationship with patient satisfaction in class III inpatient room at The Government Hospital of Tangerang Regency.Conclusion: Patient satisfaction depends on the quality of nursing services. Service is said to be good if in fact the nurse provides the needs according to the patient's condition and the patient's response to service can be disappointing or satisfying. Further research is expected that nurses can provide assistance to the relationship of trust to patients so that patients can feel safe and comfortable when nurses take nursing actions to patients. Further researchers can use other research methods either qualitatively or add other variables so that the helping trust relationship between nurses and patients can be well developed. Keywords: Helping Trust Relationship, Patient, Satisfaction, Jean Watson
THE ROLE OF SOCIAL SUPPORT ON TREATMENT ADHERENCE IN TB PATIENTS: A SYSTEMATIC REVIEW
Get PDFBackground: Adherence to treatment regimens in TB patients was carried out by using a pharmacological and non-pharmacological approach or paying attention to the social aspects of the patient.Objective: This review is to analyze and identify the literature related to the social support approach to treatment adherence in TB patients.Design: The systematic design of this review is to find and review journal articles from the database using Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Data Sources: This systematic review is based on literature studies from various journal data bases in the last 5 years, including Scopus, ScienceDirect, ProQuest and Google Scholar by conducting a comprehensive review. The keywords in this Systematic review are adjusted to the Medical Subject Heading (MeSH) and use a combination of Boolean operators (AND and OR), namely "Social Support" OR "Family Support" OR "Peer Group Support" OR "Nurse Support" AND "adherence OR Compliance" AND "Tuberculosis" OR "pulmonary TBâ€.Review Methods: The review method on this systematic review uses the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Evaluation) guidelines and the assessment of the quality of the study in the article uses the JBI critical appraisal tools.Results: In this literature ten articles fit the inclusion and exclusion criteria and relate to the topic. It was found that social support which includes family support, peer support and support from health workers is one of the driving factors for treatment adherence in TB patients.Conclusion: Aspects of social support which include family support, peer group support and support from health workers have an important role and become a driving factor for TB patients to adhere to the treatment regimen. For further research, the development of interventions to improve adherence to TB patients needs to consider these social aspects. Keywords: Medication Adherence, Social Support, Tuberculosis
FACTORS RELATED TO SCHOOL’S PREPAREDNESS IN FACING EARTHQUAKE DISASTERS IN DENPASAR CITY
Get PDFAbstractBackground: Earthquake is unpredictable, making it impertinent for all components of society to be prepared to handle, especially elementary school children. During earthquakes, students often experience panic, endangering their lives. It is, therefore, crucial to identify the factors affecting students' preparedness for disasters (LIPI, 2006).Objectives: This study aimed to determine the factors related to the preparedness of students in disaster prepared schools (DPS) to reduce earthquake risks in Denpasar City, Bali.Methods: This study used a descriptive correlative analytic design with a cross-sectional approach. The sample in this study were all students of Public Elementary Schools (PES) and private schools (PS) in grades 5 and 6 whose institutions have implemented DPS, and the location of the school is in the city of Denpasar. Students chosen as the research samples received a brief explanation of the research process on the first page of the electronic questionnaire and parents can give consent to be research respondents when they approve their child to be a research sample. The instruments used in this study were 50, where this questionnaire was a standard questionnaire modified by researchers from LIPI (2006), Amri et al.,(2017), Hirano et al., (2011), and Davis & Izadkhah (2008). The univariate analysis identifies each research variable, namely disaster preparedness factors (knowledge, attitudes, infrastructure and CIE) and student preparedness in DPS. The bivariate analysis used is the Gamma test when it meets the requirements. Multivariate analysis in this study used the logistic regression analysis.Results: The results of this study show that Communication, Information and Education (CIE) has a robust correlation with earthquake preparedness (r = 0.761 and p-value = 0.000). CIE of DPS schools that are not good enough will lead to low preparedness of DPS students in earthquake disaster management by nine times.Conclusion: Knowledge, attitudes, infrastructure and CIE have a relationship with disaster preparedness school preparedness in the city of Denpasar, where low CIE can lead to a greater lack of preparedness for disaster preparedness school students after the variables of knowledge, attitude, facilities and infrastructure are controlled. Keywords: Preparedness Factors, Students, And Earthquak
ANALYSIS OF FARMERS' INTERNAL FACTORS WITH THE ABILITY TO KNOW HAZARDOUS MATERIALS
Get PDFBackground: Work in agricultural areas is one of the occupations that are at risk with the accident and death rates. Hazardous and toxic material is one of the risks that can threaten the health of farmers, which is very important to be known by farmers.
Objectives: This study aimed to analyze the internal factors of farmers on the ability to recognize hazardous and toxic materials.
Methods: The design of this study used descriptive correlation design. Population in this study are farmers who are members of farmer groups in the working area of the Department of Agriculture in Lumajang Regency who are members of a joint group of farmers under the guidance of the Agriculture Office of Lumajang Regency. The sampling technique in this study used simple random sampling obtained samples were 45 farmers. Instrument of this study demographic data of the respondents and questionnaire that was adopted from PP No. 74, 2001 concerning the management of hazardous and toxic materials in agricultural areas. The questionnaire consists of 25 items with Cronbach Alpha .726. The data of this study were analyzed by one-way ANOVA.
Results: Based on the results of the study found that two internal factors of farmers related to the ability of farmers to recognize hazardous and toxic materials in agricultural areas, namely education and work tenure, with a significance level of 0,000 less than 0.05. Education and work tenure of farming affect the experience of farmers so that the level of knowledge of farmers increases. Farmers are more aware of the effects of hazardous and toxic substances on their health according to their level of knowledge.
Conclusion: Prevention of poisoning due to hazardous and toxic substances in agricultural areas can be developed by increasing health promotion and increasing farmers' knowledge to become more familiar with hazardous and toxic substances on label recognition, composition, mixing storage and their effects on health.
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Keywords: Hazardous Materials, Toxic Materials, Farmer