Nurse and Health: Jurnal Keperawatan
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IMPLEMENTATION OF FAMILY CENTERED CARE (FCC) BY HEALTH PERSONNEL
Get PDFThe role of the family in the theoretical system is as a caregiver for sick family members. Family involvement in client care is applied in care known as the Family Centered Care concept. The application of Family Centered Care can increase knowledge and attitudes of families in the care of clients who are hospitalized. The purpose of the study was to determine the level of application of Family Centered Care. The research method used is a descriptive study. The research sample was 100 respondents. The sampling technique used is accidental sampling. The data collection tool used is a family centered care questionnaire. The research analysis used univariate analysis in the form of a frequency distribution. The results showed that the application of family centered care was in the good category as many as 71 respondents (71%), and in the medium category as many as 29 respondents (29%). From the results of the study, it was stated that nurses had involved the family in care, where the family participated in making decisions on support plans, recovery and helping patients not to be anxious. The conclusion is that the application of family centered care is in the good category.Background: The role of the family in system theory is as a caregiver. Families in patient care apply the concept of Family Centered Care. The application of Family Centered Care can increase the knowledge and attitudes of families in caring for patients in hospitals. The FCC model for caregivers who care for clients has never been done in the Work Area of the Boja I Health Center.
Objectives: The research objective is to determine the level of implementation of Family Centered Care.
Methods: The research method uses a descriptive study. The number of samples is 100 respondents. The sampling technique uses accidental sampling. The data collection tool uses a family centered care questionnaire sheet. The research analysis used univariate analysis in the form of a frequency distribution.
Results: The results of the research on the application of family centered care in the good category were 71 respondents (71%), and in the moderate category there were 29 respondents (29%).
Conclusion: From the results of the study stated that nurses have involved families in nursing care, where families participate in making decisions about expertise plans, providing recovery support and helping patients not to be anxious. The conclusion obtained is that the application of family centered care is in the good categor
COMPARISON OF AUTHENTICITY AND TRANSFORMATIONAL TRAITS BETWEEN NURSING STUDENTS LEVEL 1 TO 4
Get PDFBackground: Today nursing students are the future leader. Based on behavioral theory, leaders are made. So, nursing college is one of the institutions that produce nursing leaders. There are 25 traits of successful leaders that can be learned and practiced in nursing schools. So, it is necessary for nursing schools to evaluate these leadership traits among the students. The study benefits the schools whether to maintain or revise the curriculum related to leadership and management courses.
Objectives: This study aimed to describe and to compare nursing students’ Authenticity and transformational leadership traits between level 1 to 4.
Methods: Comparative design was used in this study with the participation of 144 nursing students from level 1-4. Data are collected by using self-authentic and transformation questionnaire. Data are analyzed using SPSS descriptive and comparative analysis.
Results: There are three Authenticity &Transformational traits that have been practiced as always by level 4 students who have working experience with the highest mean value of 4.0. They are fair, self-directed, and clear in communication & collaboration. There are different mean values of Authenticity &Transformational traits at each level of students. There are significant differences found in several levels.
Conclusion: Based on the result, there is a big room for improvement in terms of practicing Authenticity &Transformational traits among nursing students. It is necessary for nursing schools to review and revise the leadership and management class instruction and activities in developing Authenticity &Transformational traits to a maximum level.
Latar Belakang dan Tujuan. Mahasiswa keperawatan hari ini adalah pemimpin masa depan. Berdasarkan teori perilaku, pemimpin dibuat. Jadi, perguruan tinggi keperawatan merupakan salah satu institusi yang menghasilkan pemimpin keperawatan. Ada 25 sifat pemimpin yang sukses yang dapat dipelajari dan dipraktikkan di sekolah keperawatan. Oleh karena itu sekolah keperawatan perlu mengevaluasi sifat-sifat kepemimpinan ini di antara para mahasiswa. Hal ni penting bagi sekolah untuk mengetahui apakah akan mempertahankan atau merevisi kurikulum yang berkaitan dengan mata kuliah kepemimpinan dan manajemen. Penelitian ini bertujuan untuk mendeskripsikan dan membandingkan sifat-sifat kepemimpinan authenticity dan transformational mahasiswa keperawatan. Metode. Desain komparatif digunakan dalam penelitian ini dengan partisipasi 144 mahasiswa keperawatan dari level 1 sampai level 4. Data dikumpulkan dengan menggunakan kuesioner authenticity and transformational. Data dianalisis dengan menggunakan SPSS deskriptif dan analisis komparatif. Hasil. Ada tiga sifat A&T yang dipraktikkan dengan category selalu oleh mahasiswa level 4 yang memiliki pengalaman kerja dengan nilai rata-rata tertinggi 4,0. Mereka adalah keadilan, mengarahkan diri sendiri, dan komunikasi & kolaborasi yang jelas. Terdapat nilai rata-rata sifat A&T yang berbeda pada setiap tingkatan mahasiswa. Ada perbedaan signifikan yang ditemukan di setiap level. Kesimpulan: Ada perbedaan yang signifikan di antara tingkatan mahasiswa. Berdasarkan hasil tersebut, ada ruang besar untuk perbaikan dalam hal mempraktekkan sifat A&T di kalangan mahasiswa keperawatan. Sekolah keperawatan perlu meninjau dan merevisi pengajaran dan kegiatan kelas kepemimpinan dan manajemen dalam mengembangkan sifat A&T ke tingkat maksimum.
 
DETERMINANTS OF MYOCARDIAL INFARCTION OUTCOMES IN A NON-PERCUTANEOUS CORONARY INTERVENTION HOSPITAL IN JAKARTA
Get PDFBackground: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings.
Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia.
Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status.
Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality.
Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.
 
EFFECTIVENESS ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) ON CONSCIOUS RECOVERY TIME IN SECTIO CAESAREA PATIENTS IN THE RECOVERY ROOM OF RSAD TK. II UDAYANA
Get PDFBackground: Enhanced recovery after Caesarean surgery (ERACS) is a method of perioperative care in the form of a multimodal approach. ERACS is a good method of pain management by reducing opioid use by 30-50 percent and using intravenous fluid therapy and a good combination of anti-nausea drugs. The ERACS technique was carried out starting from pre-intra and post-surgery. In its implementation, ERACS has various benefits, namely reducing postoperative complications, accelerating conscious recovery, saving costs and reducing morbidity. Urgency of this research is to find out effective surgical methods to speed up early postpartum mobilization without pain.
Objective: To determine the effectiveness of the ERACS technique for conscious recovery in sectio caesarea patients with spinal anesthesia in the recovery room.
Method: This study used a quasi-experimental with a cross-sectional approach using 2 groups, namely the control group and the treatment group. This research was carried out in June-August 2022 at TK II Udayana Hospital with 60 respondents for the control group and 60 for the treatment group. The research instrument uses a standard bromage score observation sheet. The research process was carried out by giving informed consent to the 2 groups and then post-surgery an assessment of conscious recovery was carried out in both groups.
Results: The results of the study in the treatment group showed that the ERACS method had a faster recovery time of 15-30 minutes. The control group, namely the conventional method, has a longer conscious recovery time of 30-60 minutes. The statistical test Mann-Whitney test is sig <0.05 that can be concluded that ERACS is effective in decreasing the time to recover consciousness in the recovery room in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana.
Conclusion: The ERACS method is effective in accelerating the time to recover from consciousness in the recovery room and accelerating recovery in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Therefore, the application of ERACS can be an effective choice to accelerate postoperative recovery with caesarean section.
 
HEALTHCARE UTILIZATION FOR ACUTE RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS: A CROSS- SECTIONAL STUDY IN SOUTH DENPASAR, INDONESIA
Get PDFBackground: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI
healthcare utilization has been a challenge.
Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years.
Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI.
Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother’s age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare.
Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits
CLINICAL NURSES’ MORAL COURAGE IN TENURE OF NURSES: AN ANALITYC SURVEY
Get PDFBackground: The complexity of services that nurses must provide nowadays encourages nurses to develop their moral courage. A review of the literature reveals that no studies have been conducted to evaluate the association between clinical nurse tenure and their level of moral courage.
Objectives: this study is to assess correlation between the tenure of nurses and the level of moral courage.
Methods: analytic survey research at 5 hospitals in Makassar, including private and government hospitals with a total sample of 405 nurses. The sampling technique used multistage random sampling. The variables measured were tenure of nurses and the level of moral courage of nurses. The Professional Moral Courage Questionnaire is used for the variable moral courage (Cronbach 'alpha: 0.756). Data analysis using Mann Whitney test.
Results: The majority of nurses with long and new tenure had moderate moral courage (new tenure 79 nurses; length tenure 238 nurses), and there was no significant difference in the moral courage level of nurses with long and new tenure (p=0.294).
Conclusion: Considering the findings that nurse tenure has no effect on moral courage, nursing managers can consistently boost nurses' moral courage through external stimuli. A nurse who cannot face various ethical dilemmas in providing daily nursing care can result in moral distress.Background: The complexity of services that nurses must provide nowadays encourages nurses to develop their moral courage. A review of the literature reveals that no studies have been conducted to evaluate the association between clinical nurse tenure and their level of moral courage.
Objectives: this study is to assess correlation between the tenure of nurses and the level of moral courage.
Methods: analytic survey research at 5 hospitals in Makassar, including private and government hospitals with a total sample of 405 nurses. The sampling technique used multistage random sampling. The variables measured were tenure of nurses and the level of moral courage of nurses. The Professional Moral Courage Questionnaire is used for the variable moral courage (Cronbach 'alpha: 0.756). Data analysis using Mann Whitney test.
Results: The majority of nurses with long and new tenure had moderate moral courage (new tenure 79 nurses; length tenure 238 nurses), and there was no significant difference in the moral courage level of nurses with long and new tenure (p=0.294).
Conclusion: Considering the findings that nurse tenure has no effect on moral courage, nursing managers can consistently boost nurses' moral courage through external stimuli. A nurse who cannot face various ethical dilemmas in providing daily nursing care can result in moral distress
THE EFFECT OF THERAPEUTIC GROUP THERAPY (TGT) FOR MIDDLE AGED ADULTS ON THE RESILIENCE OF COASTAL RESIDENTS AFTER THE COVID-19 PANDEMIC
Get PDFBackground: Almost everyone has been directly or indirectly affected by the COVID-19 virus pandemic. Many people are not ready to adapt to sudden lifestyle changes. This causes some people to experience fear and anxiety.
Objectives: The study aimed to analyze group therapy effect on coastal resident’s resilience after the Covid-19 pandemic.
Methods: This study uses Quasy Experimental Pre-Posttest design, with 2 groups. The location of this research is in the northern coastal area of Pasuruan City and Regency. The sampling technique of this study used purposive sampling, a total of 20 respondents were divided into two group, namely the control grouop and the treatment group. To mesuare the level of resiliensi all the responden were given The pretest and post test carried out using instruments to determine community resilience after the Covid-19 pandemic using the Resilience,however only the treatment group was given the TKT interventio. Processing and testing of data using SPSS software, with the Wilcoxon statistical test with α = 0.05.
Results: The results of the study with the Wilcoxon statistical test in the treatment group obtained a value of p = 0.001 (p <0.05) and in the control group obtained a value of p = 0.083 (p > 0.05)this means there is a significant difference between the control group and the treatment group.
Conclusion: This study concludes that there is a significant difference in the resilience of the community during the pretest and posttest in the treatment group receiving therapeutic group therapy, and there is no significant difference in the strength of the coastal community during the pretest and posttest in the control group. For this reason researchers suggest regularly holding this TKT for residents to increase the resiliensi of coastal residents.
 
ANALYSIS OF THE ROLE OF MIDWIVES IN ACHIEVING ANTENATAL K4 VISIT COVERAGE: A LITERATURE REVIEW
Get PDFBackground: In Indonesia, this maternal mortality rate is still a major problem in the field of health. The high maternal mortality rate is related to the low quality of various programs in efforts to reduce AKI implemented by the government, namely Safe Motherhood, one of the pillars by improving access and quality of antenatal care services, namely on K4 visits that meet the National target of 90%.
Objectives: This study aimed to analyze the role of Midwives in the achievement of K4 Visit coverage.
Design: The method used in writing this article is the study of literature by descriptive methods.
Data Sources: Search for articles using data-based ScienceDirect and Google Scholar by entering the keywords Antenatal care, Factors, Utilization, Pregnancy in the literature search section with inclusion criteria, namely articles discussing antenatal visits for pregnant women, published years 2018-2021, International Publications, articles using English, original article, full text and open access.
Review Methods: The literature review method is in the form of a narrative review based on predetermined criteria, then collected and made a summary of the journal which includes 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. The summary of the research journal is entered into a table according to the format.
Results: From the search obtained 52,900 articles filtered the year obtained 16,900, journal selection based on inclusion criteria obtained by fourteen journals that are eligible for review. articles the journal review found that the role of health workers/midwives is one factor that can increase antenatal visits. A good role by health workers to pregnant women can make mothers realize the importance of making visits to increase the utilization of health services.
Conclusion: The role of health workers/midwives is one of the factors that can increase antenatal k4 visits, namely by providing quality services, improving health promotion, and a friendly attitude full of concern for pregnant women's complaints. And it must be supported by complete skills, facilities, and infrastructure
THE INFLUENCE OF HEALTH EDUCATION ON STRENGTHENING AND UNDERSTANDING COVID-19 ON STUDENT ANXIETY LEVEL
Get PDFBackground: Coronavirus disease (COVID-19) is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV2) virus. In 2021 the government changes the learning system again to a face-to-face system so that students need to adapt again to carry out the face-to-face learning process wherein this condition students must be able to understand covid-19.
Objectives: This study was to determine the Effect of Health Education on Strengthening and Understanding Covid-19 on Anxiety Levels of Students at SMP Negeri 26 Malang City.
Methods: This study uses an analytical observation design with a Quasy Experiment approach. The population is 100 students and the sample is taken according to the inclusion and exclusion criteria, determined by a simple random sampling technique as many as 80 students. Collecting data using a questionnaire sheet instrument on anxiety levels using HARS (Hamilton Rating Scale for Anxiety) and providing health education treatment about Strengthening and Understanding Covid-19. Anxiety Level Results Students in the group before being given Health Education on Strengthening and Understanding Covid-19 had an average posttest score of 50.3, while after being given the treatment, they had a pretest average score of 70.48. The group experienced a decrease of 20.18. The analysis used is if the data is normally distributed, then Paired t-test parametric data analysis is used and if the data is not normally distributed then non-parametric data analysis is used in the form of Wilcoxon Matched-Pairs Signed-Ranks Test. The results of the analysis carried out that the data obtained were not normally distributed so that the Wilcoxon data test was carried out. The basis for decision-making is based on the 95% confidence level or = 0.05. If p < 0.05 then H0 is rejected and H1 is accepted.
Results: Based on the results of this study, there is an effect of Health Education on Strengthening and Understanding of Covid-19 on Students' Anxiety Levels at SMP Negeri 26 Malang City with an Asymp score. Sig. (2-tailed) = 0.000.
Conclusion: The results of this study, students at SMP Negeri 26 Malang City have knowledge and understanding about Covid-19 and the anxiety experienced by students have decreased
ACHIEVEMENT OF ANTENATAL CARE VISIT K4 PREGNANT WOMEN WITH THE SUPPORT OF HEALTH WORKERS: A LITERATURE REVIEW
Get PDFBackground: Antenatal Care services are still a point of concern in efforts to improve the health and safety of mothers and babies. This service is not only of quantity but of the quality provided to pregnant women. The scope of K4 antenatal service visits in Papua Province is 29,149 pregnant women (37%); this is still far from the national target of 90%.
Objectives: This study aimed to find out the influence of health worker support in achieving antenatal visits K4 in pregnant women using literature studies.
Design: The method used in writing this article is a systematic review.
Data Sources: Search for articles using Google Scholar were databased by entering the keyword "antenatal visit K4" with vulnerable time 2018-2021.
Review Methods: Literature 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. Summary of the research journal is entered into the table according to the format.
Results: The search obtained 435 articles after filtering the year, namely 2018-2021, obtained 204 articles, then selected the category of journals, duplication, open access, and essay research has taken, namely mix methods study, cross sectional correlation analysis, and qualitative study. I got 48 articles. The final process is to conduct journal selection based on inclusion criteria obtained by nine journals that are eligible for review of the nine articles that meet the criteria obtained results. Namely, the role of health workers affects the scope of antenatal services K4.
Conclusion: The role of health workers affects the increase in antenatal coverage of K4 so that it is expected that health workers/midwives further increase counseling for mothers in health centers and Posyandu activities, conduct door to door activities in each region, and provide a schedule of examinations to the mother so that the mother knows when to do a pregnancy examination, and improving the friendliness of health workers to mothers who conduct pregnancy examinations so that every complaint from the mother can be answered