Nurse and Health: Jurnal Keperawatan
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RELATIONSHIP OF MOTIVATION AND AWARENESS WITH SELF-EFFICACY OF UNDERGRADUATE NURSING STUDENTS IN CARDIOPULMONARY RESUSCITATION
Get PDFBackground: Cardiac arrest is an unpredictable incident where the heart stops working very quickly, becoming a major health concern globally, especially during the COVID-19 pandemic. Death occurs when the victim is delayed in obtaining cardiopulmonary resuscitation (CPR). All levels of society, especially undergraduate nursing students, must be able to perform CPR by increasing their ability to become qualified CPR bystanders.
Objectives: This research aims to analyze factors related to the self-efficacy of undergraduate nursing students (motivation and awareness) in performing CPR on undergraduate nursing students in Indonesia.
Methods: This is quantitative research with a cross-sectional approach, using a purposive sampling technique. Sample in this research 290 students. Data collection was carried out from January 2021 to February 2021 through google form online questionnaire containing: demographic data, the dependent variable which is motivation and awareness, and the dependent variable which is nurse efficacy. Statistical test for bivariate using spearmen rho and multivariate using logistic regression.
Results: The results showed that most undergraduate nursing students had good efficacy when facing cardiac arrests, with 166 (57.2%). The results of the binary logistic regression showed that the factors associated with nursing undergraduate efficacy were motivation (OR=1.106 95% CI = 0.497-2,458 p-value 0.000) and awareness (OR = 18.575 95% CI = 7,798-44,245 p-value 0.000).
Conclusion: Good efficacy of nursing undergraduate students can be attained through collaboration between student motivation and awareness in performing CPR on victims with cardiac arrest.Background: Cardiac arrest is an unpredictable incident where the heart stops working very quickly, becoming a major health concern globally, especially during the COVID-19 pandemic. Death occurs when the victim is delayed in obtaining cardiopulmonary resuscitation (CPR). All levels of society, especially undergraduate nursing students, must be able to perform CPR by increasing their ability to become qualified CPR bystanders.
Objectives: This research aims to analyze factors related to the self-efficacy of undergraduate nursing students (motivation and awareness) in performing CPR on undergraduate nursing students in Indonesia.
Methods: This is quantitative research with a cross-sectional approach, using a purposive sampling technique. Sample in this research 290 students. Data collection was carried out from January 2021 to February 2021 through google form online questionnaire containing: demographic data, the dependent variable which is motivation and awareness, and the dependent variable which is nurse efficacy. Statistical test for bivariate using spearmen rho and multivariate using logistic regression.
Results: The results showed that most undergraduate nursing students had good efficacy when facing cardiac arrests, with 166 (57.2%). The results of the binary logistic regression showed that the factors associated with nursing undergraduate efficacy were motivation (OR=1.106 95% CI = 0.497-2,458 p-value 0.000) and awareness (OR = 18.575 95% CI = 7,798-44,245 p-value 0.000).
Conclusion: Good efficacy of nursing undergraduate students can be attained through collaboration between student motivation and awareness in performing CPR on victims with cardiac arrest
PREVENTION AND TREATMENT OF POSTPARTUM HEMORRHAGE: A LITERATURE REVIEW
Get PDFBackground: The main cause of morbidity and maternal mortality is hemorrhage postpartum, with an increasing incidence around the world. Various risk factors for postpartum bleeding are expected to be an effective treatment by health professionals and have a role as advocates, collaborators, educators, service providers, and as researchers must have the latest knowledge in providing optimal and comprehensive care.
Objectives: This study aimed to find out the prevention and treatment of hemorrhage postpartum.
Design: This study design is a systematic review to search and review articles from database and the descriptive theory.
Data Sources: Search scientific articles using the Mendeley application by entering the keywords "Postpartum, Hemorrhage, Prevention, and Treatment" with publication year 2019-2021, English, full text, and open access.
Review Methods: The literature review method uses a narrative review to discuss postpartum hemorrhage, its prevention, and treatment. The inclusion criteria are the year of publication 2019-2021, international publications, articles in English, original articles, full text, and open access. Data were collected and a journal summary was made which included the name of the researcher, year of publication of the journal, research title, method, and a summary of the results or findings.
Results: From 9 journals that meet the conclusion that active management of the third stage, administration of uterotonics and bimanual compression, is the initial treatment for the prevention and treatment of postpartum hemorrhage.
Conclusion: In the prevention of risk factors for postpartum hemorrhage, it is recommended to carry out good active management of the third stage, use of uterotonic drugs according to the recommended dose, early initiation of breastfeeding, and increase the knowledge and skills of health workers
STRATEGY TO PROMOTE PATIENT CENTERED CARE PCC FOR IMPROVING PATIENT SATISFACTION: A LITERATURE REVIEW
Get PDFBackground: Patient satisfaction is playing an increasingly important role in care-quality reforms and healthcare delivery in general. Patient dissatisfaction with nursing services was still a problem in Indonesia and in other developing countries. Patient Centered Care (PCC) as one of the six dimensions of improving the quality of care.
Objectives: The purpose of this study aimed to analyse Strategy to Promote PCC for Improving Patient Satisfaction.
Design: This study using systematic review design refers to The Center for Review and Dissemination and the Joanna Briggs Institute Guideline.
Data Sources: Search for articles was conducted from 14 December 2020 to 28 April 2021 by accessing four electronic databases (Scopus, PubMed, ProQuest, Sage). The article year is limited from 2015-2021. Keywords: “Strategy†OR “Promote†OR “Intervention†AND “Patient Centred Care†OR “Patient Care Management†AND “Patient Satisfaction†OR “Patient Acceptanceâ€.
Review Methods: Assessing the quality of articles using the JBI Critical Appraisal Tool and PRISMA checklist as a guide in article screening.
Results: A total of 15 article were analyzed according to inclusion criteria. The selected article is divided in five broad themes about strategy to promote patient centered care. The five broad themes are enhanced communication (n=4), promoting patient participation (n=4), emotional support (n=2), intervention to enhanced patient centered care (n=3) and organizational culture (n=2).
Conclusion: There are 5 strategies to promote patient centered care for improving patient satisfaction. Five patient centered care strategies to improve patient satisfaction involve enhance communication, promoting patient participation, emotional support, intervention to enhanced patient centered care and organizational culture.Perawatan yang berpusat pada pasien merupakan komponen integral dari kualitas perawatan. tujuan dari studi ini yaitu untuk menganalisis strategi yang dapat menunjang atau meningkatkan perawatan yang berpusat pada pasien untuk meningkatkan kepuasan pasien. Studi ini menggunakan desain Systematic Review. Pencarian artikel dimulai pada bulan Desember 2020 sampai dengan April 2021 dengan menggunakan empat database yaitu Scopus, Pubmed, Proquest, dan Sage. Artikel dibatasi dari tahun 2015-2021. Kata kunci yang digunakan yaitu “Strategy†OR “Promote†OR “Intervention†AND “Patient centered care†OR “Patient care management†AND “Patient satisfaction†OR “Patient Acceptanceâ€. Penilaian kualitas artikel yang akan ```````digunakan dalam Systematic Review menggunakan the JBI Critical Apprational Tool dan untuk pedoman screening artikel menggunakan PRISMA checklist. Terdapat 15 artikel yang akan dianalisis dalam penelitian sesuai dengan kriteria inklusi. Artikel yang terpilih dibagi ke dalam 5 strategi untuk meningkatkan perawatan yang berpusat pada pasien, yaitu peningkatan komunikasi (n=4), mempromosikan partisipasi pasien (n=4), dukungan emosional (n=2), intervensi peningkatan perawatan yang berpusat pada pasien (n=3) and budaya organisasi (n=2). Terdapat 5 strategi untuk mempromosikan perawatan yang berpusat pada pasien untuk meningkatkan kepuasan pasien. Lima strategi perawatan yang berpusat pada pasien untuk meningkatkan kepuasan pasien antara lain peningkatan komunikasi, mempromosikan partisipasi pasien, dukungan emosional, intervensi untuk meningkatkan perawatan yang berpusat pada pasien dan budaya organisasi. Strategi tersebut dapat diterapkan oleh tenaga kesehatan untuk mendorong penerapan perawatan yang berpusat pada pasienuntuk meningkatkan kepuasan pasien.
Kata kunci: perawatan yang berpusat pada pasien, kepuasan pasien, timbang terima berpusat pada pasien, komunikasi berpusat pada pasien. 
AEROBIC AND ANAEROBIC EXERCISE TO ENHANCE PHYSICAL FITNESS OF CHRONIC KIDNEY DISEASE PATIENTS ON HEMODIALYSIS: A LITERATURE REVIEW
Get PDFBackground: Chronic kidney disease is a condition where kidney has declining its function. It can cause a loss of physical capacity characterized by decreased body fitness, muscle strength and muscle endurance. Exercise programs to overcome the problem are still not common in dialysis clinics but there are several studies on exercise programs that have a positive effect on hemodialysis patients.
Objectives: This study aimed to review aerobic and anaerobic exercise to enhance physical fitness for chronic kidney disease patients on hemodialysis.
Design: The study design used was systematic review with using The Center for Review and Dissemination for writing guideline and the Joanna Briggs Institute Guideline for assessing the quality of summarized studies.
Data Sources: Search for articles accessed through database, such as ProQuest, Scopus, Science Direct, SAGE, and PubMed with keywords: Chronic kidney disease, aerobic exercise, anaerobic exercise, physical function and hemodialysis. The literature was published 2015-2021.
Review Methods: Joanna Briggs Institute Guidelines was used to assess the quality of the summarized studies. The presentation of the data will be done using descriptive techniques.
Results: The result of this systematic review shows that both aerobic and anaerobic exercise have a significant result for chronic kidney disease patient who undergo hemodialysis therapy. But aerobic exercise had a long-term impact for patients than anaerobic exercise. Combination of aerobic (ergometer cycle) and anaerobic exercise (resistance training exercise) also show a significant effect for physical fitness. The mechanism for enhancing physical fitness is done by strengthen the body muscle. The side effect of exercise is found minimum in most of study.
Conclusion: The combination of cycle ergometer exercise and resistance training exercise is one of the best exercises. The exercise could enhance the physical fitness by strengthen the muscle. The exercise could be done home based or intradialytic, but some articles state that intradialytic exercise is better than home based exercise
FACTORS RELATED TO QUALITY OF LIFE AMONG CHILDREN WITH THALASSEMIA MAJOR: A LITERATURE REVIEW
Get PDFBackground: Thalassemia major is a chronic disease in children that harms children quality of life by interrupting physical function, emotional function, social function, and school function.
Objectives: This study aims to identify factors contributed to quality of life among children with thalassemia major.
Design: The research design used systematic review based on the PRISMA guideline.
Data Sources: The source of the articles used three databases including Pubmed, Science Direct, and NCBI with keywords: “quality of life†AND “children†AND “thalassemia majorâ€. The articles were searched from July to September 2021.
Review Methods: The data in this study were obtained by reviewing articles from previous studies using PRISMA checklist and PICOS. To assess the quality of article, JBI Critical Appraisal Tools was also used as a guideline.
Results: There were 6 articles reviewed according to the inclusion criteria. All the studies showed that the score of quality of life among children with thalassemia major was lower than that of healthy children. The school function among children with thalassemia major was known to have the lowest score from this review. Factors contributed to quality of life among children with thalassemia major according to this review were chelation therapy, pretransfusion hemoglobin, age during the first transfusion, frequency of transfusion, child’s age, family income, parents’ education, hepatomegaly, body mass index, and serum ferritin levels.
Conclusion: This review notifies the necessity of developing strategies in improving the quality of life of children with thalassemia major that involves parents, health services, schools, and the government
THE EFFECT OF OKETANI MASSAGE ON BREASTFEEDING MOTHERS WITH BREAST MILK DAMS: A NARRATIVE REVIEW
Get PDFAt the beginning of labor, the pain experienced after childbirth often makes the mother lazy to breastfeed her baby. Factors that affect failure in the process such as swollen breasts, mastitis, nipples, breast milk have not come out, and improper breastfeeding techniques. In the postpartum period, if the baby has not suckled and the breast glands are not emptied ideally, there will be a dam of milk, heat and hard, pain when groaned, nipples can flatten so that it can take the baby to suckle. This study aimed to find out the effect of Oketani massage on nursing mothers with breast milk dam. This research design is a narrative review to find and review articles from databases and theories that are descriptive. Search articles using databased ScienceDirect by entering the keyword "Oketani message, breastfeeding, milk production" obtained nine reports based on the criteria that have been set. Literature 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 overview of results or findings. An article search by entering keywords found 39 relevant articles; after filtering, nine articles were reviewed and met the inclusion criteria; it is reported that the Oketani message will make the breasts softer, make the areola and nipples more elastic, making it easier for the baby to suckle. Breast milk flow becomes smoother because of pressure on the alveoli. The Oketani massage technique has eight steps, seven of which are in the retro mammary and one on the right and left sides of the breast (the areola area containing the myoepithelium). An Oketani massage performed for 15-20 minutes has an effect on nursing mothers with breast milk dams
FACTORS AFFECTING THE QUALITY OF LIFE AMONG PULMONARY TUBERCULOSIS PATIENTS: A LITERATURE REVIEW
Get PDFBackground: The quality of life for tuberculosis patients remains elusive, affecting their physical, mental, and social well-being.
Objectives: The purpose of this scoping review aimed to discuss issues, patient perceptions, and comprehend the impact of pulmonary tuberculosis on the patient's quality of life.
Design: This study was conducted by following a scoping framework.
Data Sources: This study was carried out following a scoping review framework. This study's literature search relied on data from ScienceDirect, Scopus, EBSCO, ProQuest, ClinicalKey, SpringerLink, ProQuest, and Pubmed. By using the keywords “quality of life†AND “tuberculosis†AND “treatment†OR “perception†OR “experienceâ€. This scoping review leverages a data method derived from 9 articles published between 2016 and 2021. Physical weakness, financial decline, psychological, emotional stress, depression, and stigma experienced by patients are all common problems.
Review Methods: The article screening method is used for the review, and it is guided by the PRISMA flowchart. Extraction is carried out on Google Sheets, and synthesis is carried out from the extraction results.
Results: This scoping review provides a comprehensive overview of three components of patient impact: 1) physical impact, 2) mental impact experienced by tuberculosis patients, and 3) social impact of tuberculosis patients. There are also six issues to consider: 1) physical disorders (weakness, cough, nausea, vomiting, dizziness, shortness of breath), 2) financial decline, 3) psychological disorders (sad, worried), 4) emotional, 5) depression, and 6) stigma.
Conclusion: To enhance the quality of life of Tuberculosis patients, the quality of life must be examined from all perspectives, including physical, mental, and social elements, by intensifying regular health education and self-care management
THE KIND OF MINDFULNESS INTERVENTION FOR ANXIETY IN UNDERGRADUATE NURSING STUDENTS: A LITERATURE REVIEW
Get PDFBackground: Undergraduate nursing students have experience high levels of anxiety caused by academic, clinical practice and final assignments. This anxiety results in a decrease in students’ intellectual abilities and the risk of experiencing academic failures. Mindfulness is an effective intervention for reducing anxiety.
Objectives: This scoping review aims to determine the kind of mindfulness interventions to reduce anxiety in undergraduate nursing students.
Design: This study used a scoping review through a review of articles the kind of mindfulness interventions to reduce anxiety in undergraduate nursing students.
Data Sources: Search for articles accessed through a database, including: Science Direct, Scopus, Semantic Scholar, ProQuest and SpringerLink with a range of search years 2017 to 2021. The search for articles uses the boolean method of the “OR/AND†operator. The keywords used in the article search were “Mindfulness†AND “Anxiety†AND “Undergraduateâ€, AND “Nursing†OR “Mindfulness Based Cognitive Therapy†OR “Mindfulness Based Stress Reduction†OR “Mindfulness Basedâ€.
Review Methods: This article uses Arksey and O'Melley's model in the analysis. Identification and analysis using Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scooping Review (PRISMA-SR).
Results: The result of this literature review show contains 5 quantitative articles. This article summarizes the kind of mindfulness interventions used to reduce anxiety in nursing students are mindfulness based cognitive therapy, mindfulness meditation, virtual community mindfulness, mindfulness through smartphones, and spiritual mindfulness. Mindfulness intervention provides serenity, focus on the situation with full awareness, acceptance, improvement in physical health, psychological, empathy, and well-being. The mindfulness was carried out 6 times in a series of interventions. The stages of mindfulness interventions vary widely, but the point is to focus attention and acceptance with awareness.
Conclusion: The kind of mindfulness interventions used to reduce anxiety in nursing students including: mindfulness based cognitive therapy, mindfulness meditation, virtual community mindfulness, mindfulness spiritual Islam and acceptance, and spiritual mindfulness
SELF-CONCEPT DISORDER CAUSED BY NEGATIVE STIGMA FROM SOCIETY TOWARDS SOMEONE WHO HAS EXPERIENCED COVID-19
Get PDFBackground: A patient who has experienced or has been infected with the corona virus has received various kinds of inappropriate responses from the community, family, and health workers. The emergence of negative stigmas from the community towards COVID-19 patients makes the patient's psychological state disturbed.
Objectives: The purpose of this study was exploring the experience of the self-concept of someone who has experienced COVID-19.
Methods: Participants in this interpretative phenomenology study were 10 participants who had met the criteria in this study. The research data obtained in the form of statements expressed by the participants are searched for keywords then compiled and grouped based on categories that have the same meaning, then the categories obtained will be arranged to get sub-themes, and for the last one the sub-themes will be compiled again. Become the theme of the research results. The themes that have been obtained in the analysis process will be validated against the initial transcript. If it is appropriate then these themes can be used as answers to research questions. The implementation of this research uses data analysis techniques Interpretative Phenomenology Analysis (IPA) in the analysis process. The participant in this study was someone who had experienced and managed to recover from COVID-19 and had returned to his activities in the community in Gondoharum Village. The selection of participants in this study used a purpose sampling technique according to the criteria that had been selected by the researcher. The criteria that have been set in the study are people who have experienced COVID-19, people who have recovered from COVID-19, Indonesian Citizen, willing to be a participant, and willing to be interviewed and recorded during the research process.
Results: This theme provides an overview of the meaning of the feeling of being shunned by participants due to being positive for COVID-19. This theme answers from the lived relationship in phenomenological research. The theme of “Feeling isolated due to negative stigma from society†includes Families keeping their distance when communicating and People are afraid to interact and stay away.
Conclusion: The high positive number of COVID-19 in Indonesia has led to the emergence of a negative community stigma towards patients exposed to COVID. Stigma appears in social behavior such as ostracizing patients who have recovered, refusing and ostracizing because they are considered carriers of the virus. 
DETERMINANTS OF INJURY IN AGRICULTURAL AREA
Get PDFBackground: Nearly half of the world's population lives in rural areas where agriculture is the primary source of livelihood (FAO, 2013). Many factors affect the health of agricultural workers, and improving the health of this population will require a variety of approaches. Farmers can experience various diseases and chronic diseases similar to the general population; however, there is evidence that they are at higher risk for acute injuries due to work, certain chronic diseases, and pesticide diseases.
Objectives: This study aims to analyze the factors causing injury in the area of Agriculture.
Methods: This study adopted a cross-sectional explanatory method. The variable consists of several factors that cause injury, namely, vulnerability, threat factors, and ability factors. The population consists of farmers who are members of farmer groups under the assistance of the Lumajang District Agriculture Office. The participants were recruited using multi-step sampling steps with 354 respondents. Data were collected using a questionnaire, which was then analyzed using Structural Equation Modelling (SEM) variance base Partial Least Squares (PLS)
Results: By using the PLS-3 program, the effect of susceptibility factor on injury events is 0.487, and the effect of susceptibility factor on injury events through threat factor is 0.107 so that the total impact of susceptibility factor on injury events is 0.595, the impact of ability factor on injury events is 0.286. The influence of susceptibility factor to injury events through the threat factor is 0.063, so the total impact of the ability factor on injury events is 0, 349. While the threat factor only increases by 21.9% of injury events. So, it can be concluded that the vulnerability factor is the highest factor increasing the incidence of injury by 59.5% compared to other factors.
Conclusion: The development of a injury prevention model can be done by reducing the vulnerability of farmers by limiting working hours in agricultural areas, paying attention to nutrition and fluid intake, controlling accompanying diseases, and facilitating insurance for farmers