Nurse and Health: Jurnal Keperawatan
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FACTORS RELATED TO ANXIETY IN HEMODIALYSIS PATIENTS IN MALANG CITY, INDONESIA
Get PDFObjective: This study aimed to determine the factors associated with anxiety in hemodialysis patients.
Methods: This study used a cross-sectional design. An accidental sampling technique was used to obtain a total sample of 34 respondents. The data were analyzed using Fisher’s exact test.
Results: Based on the results of statistical tests, it is known that the level of anxiety related to hemodialysis patients, namely hemodialysis duration with Fisher's exact (P= 0.020). While the hemodialysis time value (P= 0.173, and work status value (P = 0.080), there was no association with the anxiety of hemodialysis patients.
Conclusion: This study concluded that the duration of hemodialysis was related to the anxiety of hemodialysis patients, whereas there was no result in hemodialysis and occupational status related to the incidence of anxiety in hemodialysis patients. Therefore, healthcare providers should concern about the duration of hemodialysis time to prevent anxiety
PROBLEM-BASED LEARNING MODEL IN ACHIEVEMENT OF COMPETENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC
Get PDFBackground: A new policy has occurred in the world of education due to the impact of the COVID-19 pandemic, which has changed learning that must come to a class or a building or campus, to become independent learning, including nursing students. In this case, they are still required to have abilities by existing competency standards, including cognitive, affective, and psychomotor abilities that can be achieved by applying case-based learning and project-based learning models.
Objectives: Find out the problem-based learning model in the competency achievement of nursing students during the COVID-19 pandemic.
Methods: The research method used is analytic observational with a case-control approach. The variables in this research are teaching methodology as an independent variable and competency achievement as a dependent variable. The research was conducted for 5 months at the Diploma Nursing Study Program, Faculty of Nursing, Universitas Jember. The data collection technique in this study was by using an instrument in the form of Nursing Clinical Exercise (NCEx). The research respondents were Diploma Nursing Study Program Students with a total of 101 treatment groups with the criteria of having passed in 2022.
Results: The research results show that learning models based on Case case-based learning and project-based learning are very important to develop in the classroom, laboratory, and clinical learning where students need real conditions about real cases that require direct identification and recognition. The use of PjBL may lead to improved competency achievement among nursing students. This could be reflected in higher scores on competency assessments, better clinical performance, and a deeper understanding of nursing concepts. Students also really need to be in real contact with nursing cases, especially the conditions of the COVID-19 pandemic which is a challenge for educators and students in the world of health.
Conclusion: The problem-based learning method is very helpful for students in meeting the competency targets for graduates of the third diploma in nursing.
 
ATTITUDES TOWARDS MENTAL ILLNESS TO DECREASE THE FAMILY CAREGIVERS’ BURDEN
Get PDFBackground: Community-based mental health services should be aware of the role of family and society. With the stigma issues in mental illness that still remain, the impact would be greater on the family caregivers. Their behavior toward patients creates a burden on care.
Objectives: Assess the relationship between attitude toward mental illness and burden of family caregivers.
Methods: Descriptive with a cross sectional approach. There were 120 family caregivers of patients with Schizophrenia in the hospital in Surabaya, Indonesia participated on this study by using purposive sampling technique. The instruments on this study were Attitudes towards Schizophrenia Questionnaire (ATSQ) and Burden Assessment Schedule (BAS).
Results: The higher burden correlates with the negative attitude toward mental illness (r(118)= .54, p= .000).
Conclusion: Realistic attitude would relieve the burden for family caregiver. Therefore, need more knowledge for family and society to shape their behavior toward patients with mental illness.
 
UTERINE INVOLUTION IN DAWANESSE POSTPARTUM MOTHERS WITH TATOBI PRACTICES
Get PDFBackground: The Dawan tribe is a tribe on the mainland of Timor Island that owns a tradition of caring for postpartum mothers called Tatobi. Tatobi is a tradition done by compressing the vagina, perineum, abdomen, and mother's breast using a traditional cloth dipped in hot water. Heat stimulation can cause vasodilation, possibly affecting the process of returning the uterus to its original state, known as uterine involution.
Objectives: This study aims to determine differences of uterine involution in postpartum mothers who did and did not practice tatobi.
Methods: This quantitative study uses a comparative descriptive study design involving 15 exposed groups and 15 control group people. Determination of respondents using the quota in Binaus Health Center, Kapan Health Center, and Fatumnasi Health Center. Technique data collection using direct lochia observation, measurement of uterine fundus height, and interviews to find out the practice of Tatobi. The data were then analyzed using the paired t-test.
Results: The study showed no significant difference in FH of exposed and control groups on the first and third days of postpartum, which showed a p-value of 0.325 and 0.261, respectively. In contrast, there was a significant difference in FH on the seventh day, with a p-value of 0.000 at a 95% confidence level. The results also showed no significant difference in lochia’s volume on the 1st and the third day of postpartum (p-values 0.764 and 0.426, respectively). However, the lochia’s volume differed in the exposed and control groups with a p-value of 0.048). The results of this study could be due to the lax practice of tatobi, which is supported by factors of early mobilization, fulfilment of nutria
ents, age, and parity.
Conclusion: This research concludes that there is a difference of the process of uterine involution in the exposed group and the control group on the seventh day.
 
THE RELATIONSHIP BETWEEN THE WORK ENVIRONMENT AND JOB SATISFACTION OF NURSE ANESTHETISTS IN HOSPITALS, CENTRAL JAVA-BALI
Get PDFBackground:
Nurse anesthetists as medical personnel have an important role in the continuity of work in the operating room. Although they have considerable responsibility and role, no research has focused on the job satisfaction of nurse anesthetists. In addition, no literature review has shown low job satisfaction among nurse anesthetists.
Objectives:
This research aimed to determine the relationship between the work environment and job satisfaction of nurse anesthetists in hospitals.
Methods:
This research used a quantitative method with a cross-sectional design through an online survey. The population of this research covered all nurse anesthetists working in hospitals in Central Java and Bali, of which 108 respondents were selected as the sample using a simple random sampling. The data were collected using questionnaires and analyzed using inferential statistics, namely chi-square, to determine the relationship between the work environment and job satisfaction of nurse anesthetists.
Results:
This research showed that a total of 60 respondents (55.6%) had a high category of job satisfaction. In addition, the work environment factor (p=<0.001) significantly affected the job satisfaction of nurse anesthetists.
Conclusion:
Hospital management must strengthen the commitment related to the sense of belonging to employees by considering the work environment factor that can affect the job satisfaction of nurse anesthetists in hospitals.
 
THE BREASTFEEDING EXPERIENCES OF MOTHERS WITH HISTORY OF INFECTED WITH COVID-19: A QUALITATIVE STUDY
Get PDFBackground: Postpartum mothers are the vulnerable population when exposure by the COVID-19. Transmission of the COVID-19 can cause a change in the breastfeeding process and has an impact on the mother's psychology. However, little documented experience of breastfeed of mothers who are infected with COVID-19 in Indonesia.
Objectives: The aim of study was to explore the experience of breastfeeding of mothers who have a history of being infected with COVID-19
Methods: A qualitative method with a phenomenological approach was used in this study. A total of 12 postpartum mothers who were history infected with COVID-19. Participants were recuited by purposive sampling. Data collection, in Lebak, Banten Province from April to May 2022, was performed by in-depth interviews, assisted by interview guidelines, recording devices, note-taking equipment, and field notes. The data were analyzed by the Colaizzi method
Results: The result of this study are the feelings of breastfeeding mothers when infected with COVID-19 consists of two sub-themes: (1) feelings sadness, (2) feelings fear. The breastfeeding experience of mothers infected with COVID-19 there are 4 sub-themes: (1) how to provide nutrition to babies, (2) the frequency of breastfeeding babies, (3) health protocols carried out by mothers, (4) sources of information related to breastfeeding that mother got. The support person during difficult times obtained several sub-themes: (1) support from husbands, (2) support from parents, (3) support from in-laws (4) support from family, (5) support from friends or relatives, (6) support from neighbors, (7) support from health workers.
Conclusion: COVID-19 infection tends to impact to psychological aspect among breastfeeding mothers. Support from significant persons, relative and health workers needed for successful breastfeeding during and after being infected with COVID-19.Ibu postpartum merupakan kelompok yang rentan ketika terpapar COVID-19. Penularan virus COVID-19 dapat menyebabkan perubahan proses menyusui dan berdampak pada psikologi ibu. Tujuan penelitian ini untuk mengeksplorasi pengalaman menyusui ibu yang memiliki riwayat terinfeksi COVID-19. Metode kualitatif dengan pendekatan fenomenologi digunakan dalam penelitian ini. Informan sebanyak 12 ibu postpartum dengan riwayat terinfeksi COVID-19, penelitian dilakukan di Kabupaten Lebak, Provinsi Banten pada April hingga Mei 2022. Pengumpulan data dilakukan dengan wawancara mendalam, dibantu dengan pedoman wawancara, alat perekam, peralatan pencatat, dan catatan lapangan. Data dianalisis dengan metode Colaizzi. Hasil penelitian menunjukkan perasaan ibu menyusui ketika terinfeksi COVID-19terdiri dari dua sub-tema yaitu:(1) sedih, (2) takut. Pengalaman ibu menyusui yang terinfeksi COVID-19 terdiri dari 4 sub-tema yaitu: (1) cara pemberian nutrisi kepada bayi, (2) frekuensi menyusui bayi, (3) protokol kesehatan yang dilakukan oleh ibu, (4) sumber informasi terkait pemberian ASI yang ibu dapatkan. Orang yang mendukung selama masa-masa sulit, diperoleh beberapa sub-tema: (1) dukungan dari suami, (2) dukungan dari orang tua, (3) dukungan dari mertua (4) dukungan dari keluarga, (5) dukungan dari teman atau kerabat, (6) dukungan dari tetangga, (7) dukungan dari tenaga kesehatan. Infeksi COVID-19 cenderung berdampak pada aspek psikologis di kalangan ibu menyusui. Dukungan dari orang-orang penting, kerabat dan petugas kesehatan yang dibutuhkan untuk keberhasilan menyusui selama dan setelah terinfeksi COVID-19
EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY
Get PDFBackground: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration
Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit.
Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age > 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi
Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department
Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.
 
MEANING OF SOCIAL INTERACTION IN PANDEMIC FOR ELDERLY: A QUALITATIVE STUDY
No full textBackground: The elderly belongs to the marginal cause not profitable and just be burden for productive age even though they still have an opportunity to growth as their old. Social interaction gave the meaning for elderly in their end of live. Limited social interaction, as a policy to decrease morbidity and mortality caused by Covid-19 interfered that activity for elderly.
Objectives: The aim of the study was to description the elderly experience when limited social interaction become a policy during pandemic Covid-19.
Methods: Research design used phenomenology to explore elderly’s experience when limited social interaction become a policy during the pandemic Covid-19. Data collected by interview until data saturated, 10 participants conducted in this research, data was analyse used thematic analysis by reading the transcript verbatim.
Results: Limited social interaction for elderly in this study give the theme: the form of social interaction in the elderly, the feelings experienced by limiting social interaction and the benefits of social interaction for the elderly.
Conclusion: Limited social interaction had an impact as feeling unhappy, boredom and sense of longing. Without the good intervention, it will interfere with the health and quality of life of the elderlyLatar Belakang: Lansia termasuk golongan marjinal, dengan stereotipe yang menganggap usia tua hanya menjadi beban bagi usia produktif padahal mereka masih memiliki kesempatan untuk berkembang sebagaimana usianya. Interaksi sosial memberi makna bagi lansia di akhir hayatnya.
Tujuan: Penelitian ini bertujuan untuk mendeskripsikan makna interaksi sosial pada masa pandemi bagi lansia.
Metode: Rancangan penelitian menggunakan fenomenologi untuk mengeksplorasi pengalaman lansia tentang makna interaksi sosial yang terbatas selama pandemi Covid-19. 10 partisipan dalam penelitian ini terdiri dari 3 laki-laki dan 7 perempuan.
Hasil: Keterbatasan interaksi sosial bagi lansia pada penelitian ini menghasilkan tema: bentuk interaksi sosial pada lansia, perasaan yang dialami dengan adanya pembatasan interaksi sosial dan manfaat interaksi sosial bagi lansia.
Kesimpulan: Interaksi sosial yang terbatas berdampak pada perasaan tidak bahagia, bosan dan rasa rindu. Tanpa intervensi yang baik akan mengganggu kesehatan dan kualitas hidup lansia
 
DIGITALIZATION OF LEADERSHIP COMMUNICATION, WORK MOTIVATION, AND NURSE PERFORMANCE: A LITERATURE REVIEW
Get PDFBackground: Digitalization is a process of transformation from a traditional era to a digital era influenced by technological developments. Digitization affects various aspects of life, including the health sector, especially leadership communication which influences work motivation and nurse performance which is visible during the Covid-19 pandemic. The purpose of this literature review is to identify digitalization in leadership communication, work motivation, and performance of nurses or employees.
Design: This research design is a literature review.
Data Sources: Search for articles using four journal databases, namely OWL (Online Wiley Library), Google Scholar, Pubmed, and Science Direct.
Review Methods: Used PRISMA Flow Diagram to find a total of 11 articles that met the inclusion criteria were reviewed.
Results and conclusion: The results of the review of the article entitled "Digitalization of Leadership Communication, Work Motivation, and Nurse Performance" found that the digitalization process in leadership communication is fairly difficult. Leaders must be able to use various types of digital communication media in communicating with staff or nurses. When leading transformational digital change, leaders strive for constant communication and coaching-oriented actions. Leaders who can be able to transform well in digitalization will be able to provide good work motivation for staff or nurses. Effective work motivation in the digitalization of leader communication will impact good nurse performance as shown by nurses coming on time, providing fast service, adhering to standards, and making a solid team
 
THE EFFECT OF BAY LEAF GARLIC DECOCTIONON ON LOW CHOLINESTERASE LEVELS DUE TO PESTICIDE EXPOSURE IN FARMERS IN PASURUAN
Get PDFBackground: Pesticides are chemicals used by farmers to control and kill pests and diseases. Pesticides can poison humans, although their main use is to control and kill agricultural pests. Pesticide poisoning is still a problem that often occurs in society.
Objectives: The aim of this study was to determine the effectiveness of garlic and bay leaf decoction in increasing cholinesterase levels of farmers exposed to pesticides in Pasuruan Raya.
Methods: The design of this study was a pre-experimental, one-group pretest-posttest with a population of rice processing farmers in Pasuruan Raya. The sample size used was 20 farmers taken by purposive sampling. The independent variable was the administration of a decoction of garlic and bay leaf for fifteen days, the dependent variable was the level of cholinesterase in the blood. Data were analyzed using paired sample t test.
Conclusion: The use of garlic and bay leaf decoction in this study is a complementary therapy given to farmers as a regulator of reducing cholinesterase levels which is an indicator of the accumulation of pesticides in the body. It is expected to be an effective and efficient solution. it is hoped that farmers will be able to independently maintain their health through smart techniques in utilizing local wisdom resources by cultivating materials, managing, preparing and processing natural materials into medicines that can be done independently, not only able to improve health status but also provide opportunities for development into business ventures creative economy that can increase income and economic welfare.
Background: Pesticides are chemicals used by farmers to control and kill pests and diseases. Pesticides can poison humans, although their main use is to control and kill agricultural pests. Pesticide poisoning is still a problem that often occurs in society.
Objectives: The aim of this study was to determine the effectiveness of garlic and bay leaf decoction in increasing cholinesterase levels of farmers exposed to pesticides in Pasuruan Raya.
Methods: The design of this study was a pre-experimental, one-group pretest-posttest with a population of rice processing farmers in Pasuruan Raya. The sample size used was 20 farmers taken by purposive sampling. The independent variable was the administration of a decoction of garlic and bay leaf for fifteen days, the dependent variable was the level of cholinesterase in the blood. Data were analyzed using paired sample t test.
Conclusion: The use of garlic and bay leaf decoction in this study is a complementary therapy given to farmers as a regulator of reducing cholinesterase levels which is an indicator of the accumulation of pesticides in the body. It is expected to be an effective and efficient solution. it is hoped that farmers will be able to independently maintain their health through smart techniques in utilizing local wisdom resources by cultivating materials, managing, preparing and processing natural materials into medicines that can be done independently, not only able to improve health status but also provide opportunities for development into business ventures creative economy that can increase income and economic welfare.