Nurse and Health: Jurnal Keperawatan
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THE EXPERIENCE OF NURSE ANESTHETISTS IN EDUCATING PATIENTS AND FAMILIES: A QUALITATIVE STUDY
Get PDFBackground: Effective communication is one of the competencies of nurse anesthetists; they must also play the role of educator to the patients, meaning that they have to disseminate knowledge related to anesthesia to the patients that will undergo the anesthesia process. The communication done by nurse anesthetists may help reduce patients’ anxiety and prepare patients for the post-anesthesia process.
Objectives: This study explores the experience of nurse anesthetists in educating patients and families.
Methods: This study employed a phenomenological qualitative approach involving 12 nurse anesthetists in Bali. The inclusion criteria for respondents were nurse anesthetists working in the operating room and nurse anesthetists having STRPA and SIPPA. This study took place for 3 months in 2 hospitals. Data were collected through semi-structured interviews with 8 questions. Data collected using in-depth interviews were analyzed using the Colaizzi method.
Results: The themes that emerged from this study were “workload of nurse anesthetistsâ€, “uncertainty in documentation resultsâ€, and “obstacles in educating patients on anesthesia†that included challenges from patients’ family members, patients, patient management systems, and nurse anesthetists.
Conclusion: Limited nurse anesthetists have caused an increased workload, so education related to anesthesia becomes insufficient. vBackground:Komunikasi efektif merupakan salah satu area kompetensi yang dimiliki oleh penata anestesi dan merupakan peran penata anestesi sebagai edukator. Peran ini wajib dilakukan kepada pasien, maupun bentuk desimilasi ilmu kepada pasien yang akan dianestesi. Komunikasi yang dilakukan ke pasien dapat mengurangi rasa kecemasan dan menyiapkan kesiapan pasien pulang setelah operasi.
Objectives:Tujuan dari penelitian ini adalah untuk eksplorasi pengalaman penata anestesi dalam melakukan edukasi anestesi pada pasien dan keluarga
Methods:Penelitian ini menggunakan pendekatan kualitatif fenomenologi yang dilakukan kepada 12 Penata Anestesi di Bali dengan kriteria inklusi Penata Anestesi yang bekerja di ruang operasi, Penata Anestesi yang memiliki STRPA dan SIPPA. Penelitian ini dilakukan selama 3 bulan di 2 (dua) Rumah Sakit. Wawancara dilakukan secara semi terstruktur (semi structured interview). Yang terdiri dari 8 pertanyaan. Data yang diperoleh dengan indepth interview dianalisis dan dilakukan proses analisis data dengan metode colaizzi
Results:Penelitian ini menghasilkan temayaitu“Beban Kerja Penata Anestesiâ€, “Ketidakyakinan Terhadap Hasil Pendokumentasian†dan “Hambatan Melakukan Edukasi Anestesi†yang terdiri dari hambatan kluarga pasien, pasien dan sistem manajemen dan pengelolaan pasien dan penata anestesi.
Conclusion:Keterbatasan jumlah penata anestesi mengakibatkan beban kerja meningkat sehingga pelaksanaan edukasi anestesi memiliki keterbatasan
THE EFFECT OF BENEFITS, BARRIERS, AND SELF-EFFICACY ON PUBLIC HEALTH PROMOTION BEHAVIOR DURING THE COVID-19 PANDEMIC
Get PDFBackground: Pandemic of Covid-19 situation made people to adapt wiht new normal habitually. Health promotion behavior may determine by perceived benefit, barrier, and self-efficacy.
Objectives: This research aimed to know the effect of perceived benefit, barrier, and self-efficacy to health promotion behavior in Palembang during pandemic Covid-19.
Methods: This study done with cross-sectional design to 183 respondents who lived in Palembang taken by randomized with online questionnaire. The instrument of this study conducted from Pender’s HPM model developed by author. Study result analyzed by SEM-PLS approach to test direct and indirect effects.
Results: The results showed that there was not significant effect of self-efficacy to barrier (β= -0.137; p= 0.067) and health promotion behavior (β= -0.026; p= 0.711), but the findings also showed significant effect of self-efficacy to benefit (β= 0.212; p= 0.017), benefit to barrier (β= -0.152; p= 0.046), barrier to health promotion behavior (β= -0.141; p= 0.039), and benefit to health promotion behavior (β= 0.331; p< 0.001). Otherwise, there was also found significant indirect effect of self-efficacy to health promotion behavior by benefit as mediator (β= 0.07; p= 0.026). Overall model give 14.2% to HBP.
Conclusion: Perceived benefits and perceived barriers are significant predictors of individual health promotion behavior. Meanwhile, self-efficacy does not have a significant effect. In addition, self-efficacy has a significant influence on perceived benefits and perceived benefits on perceived barriers. Self-efficacy also has an indirect influence on health promotion behavior through perceived benefits as mediators
 
NURSING STRUCTURAL EMPOWERMENT: A CONCEPT ANALYSIS
Get PDFBackground: The concept of empowerment originated from the social sciences in the twentieth century. The concept was adopted in nursing to increase the professional progress of nursing sciences. The concept of empowerment is used in nursing as two constructs: structural and psychological.
Objectives: The purpose of this paper is to perform a concept analysis of structural empowerment from a nursing perspective.
Methods: Walker and Avant’s method of concept analysis was used
Results: Autonomy and influence are considered major attributes of the structural empowerment concept in nursing. The method used for concept analysis provided purposeful clarification of the concept and confirmed the findings of the analysis.
Conclusion: Structural empowerment in nursing has contributed positively to nurses, patient care, and organizations. It is linked to better quality effects, patient safety, and work effectiveness. Among leadership, it is associated with enhanced role satisfaction. Both inside and outside of organizational contexts, educational programs should play a part in developing empowerment since empowered nurses are more inclined to exercise skills like decision-making, problem-solving, and caregiving. Entail instructional programs to foster critical thinking, leadership, and better comprehension of nursing.
 
SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE TO IMPROVE SLEEP QUALITY FOR POSTPARTUM MOTHERS
Get PDFBackground: Sleep quality disorders are a problem that postpartum mothers often experience. The postpartum is the period after giving birth or commonly called the puerperium, which is the period after giving birth that is needed to restore the uterine organs. Post-partum mothers experience sleep quality disorders both due to new roles and changes during the postpartum period. Sleep quality that is not treated properly can bring changes that can affect physical and psychological problems. Thus, it needs to interfere with the sleep quality of post-partum mothers. Objectives: This study aimed to prove that the Spiritual Emotional Freedom Technique (SEFT) was also beneficial in improving sleep quality in postpartum mothers. Methods: This study used a quasi-experimental pre-and post-test design with a control group. The research subjects were 56 postpartum mothers treated at Sultan Agung Islamic Hospital Semarang in June and September 2021, divided into intervention and control groups. The intervention was carried out twice a week for four weeks, with a SEFT duration of 20 minutes. The control group received standard therapy in the form of dhikr therapy. The Pittsburgh sleep quality index (PQSI) questionnaire used seven assessment components to measure research outcomes. The univariate analysis used central tendency in the form of the mean, median, and standard deviation. The different test of sleep quality before and after the intervention in the intervention group was carried out by the Wilcoxon match pair test (abnormal distribution), while the control group used paired t-test (normal distribution). For the mean difference test between groups, it used Mann Whitney test. Results: The mean score of sleep quality in the intervention group before treatment was 10,86 + 1,79 (poor sleep quality) and after treatment decreased significantly (p=0,00) to 5,25 + 1,46 (still in poor sleep quality). The quality of sleep in the control group before treatment was 10,89 + 1,89 and after the intervention was 10,71 + 2,35 with p=0,47. The components of subjective sleep quality, sleep latency, sleep duration, and sleep disturbance in the intervention group were significantly lower than in the control group. Conclusion: The SEFT intervention can significantly improve sleep quality in postpartum mothers, but it is still in the poor category. Besides, the sleep quality score can be considerably improved, especially in four of the seven components.ABSTRAK
Latar belakang: Gangguan kualitas tidur merupakan masalah yang sering dialami oleh ibu post partum. Spiritual Emotional Freedom Technique (SEFT) sudah terbukti dapat digunakan untuk mengatasi masalah gangguan kualitas tidur. Tujuan Penelitian ini adalah untuk membuktikan bahwa SEFT juga bermanfaat dalam meningkatkan kualitas tidur pada ibu post partum.
Metode penelitian: Merupakan penelitian quasy experimental pre-post test design with control group. Responden penelitian adalah 56 ibu post partum yang dirawat di Rumah Sakit Islam Sultan Agung, Semarang, dibagi dalam kelompok intervensi dan kontrol. Intervensi dilakukan dua kali seminggu selama 4 minggu, dengan durasi SEFT selama 20 menit. Kelompok kontrol mendapatkan terapi standar dari rumah sakit berupa terapi dzikir. Kuesioner Pittsburgh sleep quality index (PQSI) yang memiliki 7 komponen penilaian digunakan untuk pengukuran luaran penelitian.
Hasil penelitian: Nilai rerata skor kualitas tidur kelompok intervensi sebelum perlakuan adalah 10,86 + 1,79 (kualitas tidur buruk) dan sesudah perlakuan menurun secara signifikan (p=0,00) menjadi 5,25 + 1,46 (kualitas tidur masih kategori buruk). Kualitas tidur kelompok kontrol sebelum perlakuan adalah 10,89 + 1,89 dan setelah intervensi menjadi 10,71 + 2,35 dengan p=0,47. Didapatkan komponen subjective sleep quality, sleep latency, sleep duration, dan sleep disturbance pada kelompok intervensi lebih rendah secara bermakna dibanding kontrol. Rerata habitual sleep efficiency pada kelompok intervensi maupun kontrol menunjukkan angka 0 ± 0. yang berarti sangat baik.
Simpulan: Intervensi SEFT dapat meningkatkan kualitas tidur pada ibu post partum secara signifikan meskipun masih dalam kategori buruk, dan 4 dari 7 komponen skor kualitas tidur membaik secara bermakna dibanding kontrol. Komponen habitual sleep efficiency menjadi sangat baik di akhir penelitian pada kelompok intervensi maupun kontrol.
Keyword: SEFT, Kualitas tidur, post partu
THE RELATIONSHIP BETWEEN CELEBRITY WORSHIP TO STREET TEENAGERS' SELF-IDENTITY IN MALANG CITY
Get PDFBackground: Adolescence is a phase that must be passed through physical, mental, emotional and social changes. In this phase, adolescents begin to have a developmental task, namely self-identity. Adolescents with good self-identity will achieve developmental tasks well, while adolescents with low self-identity may experience identity confusion which results in deviant behaviors. Self-identity is influenced by several factors, one of which is the celebrity worship factor.
Objectives: To describe the relationship between celebrity worship to street youth self-identity.
Methods: Descriptive with a cross sectional approach. The 130 respondents participated on this study by using purposive sampling technique. The measurement tools used were the Celebrity Attitude Scale for the variable (celebrity worship) and the Identity Style Inventory for the Self-Identity variable.
Results: Bivariate analysis with Spearman rho celebrity worship (p value = 0.027, r = 0.194).
Conclusion: There is a relationship between celebrity worship and self-identity among street children in Malang City, East JavaBackground masa remaja merupakan fase yang harus dilalui melalui perubahan fisik, mental, emosional dan sosial. Pada fase ini, remaja mulai memiliki tugas perkembangan yaitu identitas diri. Remaja dengan identitas diri yang baik akan mencapai tugas perkembangan dengan baik, sedangkan remaja dengan identitas diri yang rendah dapat mengalami kebingungan identitas yang berakibat pada perilaku menyimpang. Identitas diri dipengaruhi oleh beberapa faktor, salah satunya adalah faktor pemujaan selebriti. Objectives dalam penelitian ini dengan anak jalanan sebagai responden. Dimana peneliti ingin mengetahui hubungan pemujaan selebriti terhadap identitas diri remaja jalanan. Metode yang digunakan adalah deskriptif dengan pendekatan cross sectional. Dengan jumlah responden sebanyak 130 responden. Dengan menggunakan teknik purposive sampling. Alat ukur yang digunakan adalah Celebrity Attitude Scale untuk variabel (penyembahan selebriti) dan Identity Style Inventory untuk variabel Identitas Diri. Result Analisis bivariat dengan pemujaan selebriti Spearman rho (p value = 0,027, r = 0,194). Conclution Terdapat hubungan pemujaan selebriti dengan identitas diri pada anak jalanan di Kabupaten Sidoarjo dan Kota Malang Jawa Timu
CONTRIBUTING FACTORS AFFECTING SPIRITUAL INTELLIGENCE OF NURSES AT BANDUNG HOSPITAL IN INDONESIA
Get PDFBackground: Nurses are required to conduct themselves professionally at all times, without compromising procedure or the patient's pleasure. Each day, they confront a variety of workplace stresses that might jeopardize their health and possibly result in a reduction or lack of enthusiasm to work.
Objectives: The study aimed to determine contribute factors of nurses' spiritual intelligence at Bandung City Hospital based on their characteristics.
Methods: This research used a descriptive quantitative method and Spiritual Intelligence of Self Report Inventory (SISRI-24) to collect the data. The respondents were 239 nurses selected using the total population technique. The univariate analysis was used to explain the various levels of spiritual intelligence based on the nurse's characteristics
Results: The results show that the nurses' spiritual intelligence in Bandung City Regional General Hospital is 49% high and 51% low. It was also discovered that a high level of spiritual intelligence was based on the following characteristics: aged 41-60 years old, male, and on more- than-10-year tenure, Nursing School graduates, head nurses and nurses assigned at a hemodialysis unit.
Conclusion: The research concludes that more than half of the respondents have a low level of spiritual intelligence. Therefore, holding Emotional Spiritual Quotient training is recommended, especially for nurses relatively new to the job. The study has implication because spiritual intelligence is vital in nursing, significantly impacting care quality, well-being of all involved, and leading to better patient outcomes and job satisfaction
NEONATAL PAIN MANAGEMENT PRACTICES AMONG NURSES WORKING IN NEWBORN UNITS IN NYANZA AND WESTERN KENYA
Get PDFBackground: Newborn babies in the Neonatal Intensive Care Units (NICU) and Newborn Units (NBUs) undergo several procedures that cause a significant amount of pain. Nurses play an essential role in the implementation of pain assessment and management measures in neonates. However, while it remains widely known that nurses play an important role in neonatal pain management, nurses’ practices on the management of pain in neonates admitted in Newborn care units have not been widely published within the nursing science.
Objectives: To evaluate neonatal pain management practices among nurses working in newborn units in Nyanza and Western Kenya.
Methods: A descriptive cross-sectional study using qualitative and quantitative approaches was used targeting 89 nurses. The collection of data was done through semi-structured, self-administered questionnaires with both closed and open –ended questions. Qualitative data was collected through in-depth interviews. Data obtained was analyzed using the statistical package for social science (SPSS) version 22.0 software. The study assumed a confidence level of 95% and a (p) value equal to or less than 0.05 was considered significant. Qualitative data was analyzed through logic checks to understand the emerging themes. Descriptive statistical analysis was done using frequencies, percentage and means.
Results: The study established that a small percentage of the nurses practiced pain management in neonates through use of non-pharmacologic (34.8%) and pharmacologic (28.1%) strategies. The commonly used non-pharmacologic strategies include changing of nappies (71.9%) and repositioning (68.5). Pain assessment was however seldom done.
Conclusion: Following the results, the study concluded that nurses practice pain management in neonates by implementing non-pharmacological and pharmacological strategies. The commonly used pain management strategy in neonates is utilization of non-pharmacological strategies such as change of nappies repositioning and kangaroo mother care. However, gaps exist in knowledge and competency on neonatal pain management aspects and practice. The study therefore recommended enhancement of awareness on aspects of neonatal pain among nurses to facilitate improved pain management practices in neonates. Further strengthening of nurses’ knowledge and skills on pain management in neonates through attending scheduled short courses, workshops and on job training is recommended.
 
IMPLEMENTASI PIOMI PADA BAYI DENGAN BERAT BADAN LAHIR SANGAT RENDAH
No full textBackground: Very low birth weight is a condition of babies with a birth weight of less than 1500 grams. Premature or preterm babies are prone to nutrition deficiencies due to inadequate suction reflexes and inability of the digestive tract to absorb nutrients. Preterm Infant Oral Motor Intervention as known as PIOMI is an intervention used to stimulate the sucking reflex. The PIOMI intervention was carried out by massaging and stimulating the oral cavity, cheeks, and tongue before feeding once a day.
Objectives: This study aims to analyze the effect of administration of the PIOMI intervention on weight gain, increased intake and increasing LATCH on, Audible of swallowing, Type of nipple, Comfort level, Hold positioning as known as LATCH score.
Methods: This case study type experimental research design with nursing care approach. The population of this study consisted of very low birth preterm (<1200 grams) newborns. The study sample included 1 single case of very low birth weight preterm newborns, resulting from the strength analysis, who were treated in high risk neonatal unit university hospital. Data were collected using the Preterm Infant Chart Form and LATCH Breastfeeding Scale. PIOMI intervention was conducted for 7 consecutive days. Nutritional status evaluated each day and the sucking successes were evaluated at day 1 and day 7.
Results: The results indicated that after the intervention for 7 consecutive days the weight and diet increased. There was also an increase in the LATCH score before treatment until prior to discharge from the hospital (7-9).
Conclusion: Administration of PIOMI is expected to prevent delays in oral feeding, increasing LATCH score and overcome nutritional deficiencies in low birth weight infants.Latar Belakang: Berat badan lahir sangat rendah merupakan kondisi bayi dengan berat badan lahir kurang dari 1500 gram. Bayi prematur atau kurang bulan rentan mengalami defisit nutrisi karena refleks hisap belum adekuat dan ketidakmampuan saluran pencernaan mengabsorpsi nutrien. PIOMI adalah intervensi yang diigunakan untuk menstimulasi refleks hisap bayi. Intervensi PIOMI dilakukan dengan melakukan pijatan dan stimulasi pada rongga mulut, pipi dan lidah sebelum pemberian makan sebanyak 1x sehari. Tujuan: Tujuan penelitian ini adalah untuk menganalisis pemberian intervensi PIOMI terhadap penambahan berat badan dan peningkatan diet dan peningkatan skor LATCH. Metode: Teknik pengumpulan data pada penelitian ini adalah dengan memilih satu kasus BBLSR kemudian dilakukan intervensi PIOMI selama 7 hari berturut turut. Hasil Penelitian: Setelah dilakukan intervensi selama 7 hari berturut turut terdapat penambahan berat badan dan penambahan pemberian diet. Terdapat peningkatan skor LATCH sebelum perlakuan hingga setelah sebelum pulang (7-9). Kesimpulan: Pemberian PIOMI diharapkan dapat mencegah keterlambatan pemberian makanan oral, meningkatkan skor LATCH dan mengatasi defisit nutrisi pada bayi dengan berat badan lahir rendah
TRIAGE COMPETENCY AND ITS ASSOCIATED FACTORS AMONG HEALTHCARE PROVIDERS IN EMERGENCY DEPARTMENT IN KENYA
Get PDFBackground: In developing world triage is underutilized and often an ineffective area of health system. In Kenya triage system is considered under developed and there is no National acceptable Accident and Emergency (A&E) triage system.
Objective: The main objective of the study was to assess triage competency and its associated factors among healthcare providers in emergency department at selected hospitals in Kakamega County.
Methods: This was a cross-sectional study design. Census sampling was used to select the General Practitioner hospitals. Systematic sampling was used to select study participants from the 11selected hospitals. The study participants were 183 health care providers including; doctors, clinical officers and nurses working within the selected hospitals in accident and emergency departments. Data was collected using an observation check list and structured questionnaire. Data was analyzed using statistical package of social science software version 24. Inferential statistics were used to test the strength of association.
Results: The triage competency skills observed were; Rapid assessment; high level of skills observed at a mean of 88.9, patient categorization; the skills were moderate at a mean of 79.1, and Patient allocation skills which was moderate at a mean of 79.2.
Conclusion: The hospital should organize unit base training on triaging, formulate guidelines triaging, avail resources needed and supervise triage area
FAMILY SUPPORT WITH THE HEALTH BEHAVIOR OF PULMONARY TUBERCULOSIS PATIENTS AT THE X SIDOARJO HEALTH CENTER
Get PDFBackground: Tuberculosis is a very dangerous disease and can cause death. Many efforts have been made by the government to overcome this disease and have saved around 66 million lives since 2000. However, efforts to overcome this disease have been in vain due to the pandemic of COVID-19.
Objectives: The aim of this research is to identify the relationship between family support and the health behavior of pulmonary tuberculosis sufferers.
Methods: This research uses a cross-sectional approach using incidental sampling techniques. The sample in this study was 51 pulmonary tuberculosis patients at Community Health Center X who had undergone treatment for two to six months.
Results: Based on the data obtained in this study, the majority of respondents with good family support had good health behavior, namely 56%. The analytical test used to determine the relationship in this research is the Spearman rank analysis test. The results of the Spearman analysis obtained a p-value of 0.001
Conclusion: it can be concluded that there is a significant relationship between family support and self-care for pulmonary TB clients (p-value <0.05), with a correlation coefficient showing a positive value of 0.442. This shows that the higher the family support for pulmonary tuberculosis sufferers, the better the implementation of health behavior by sufferers.