Jurnal Keperawatan Komprehensif (JKK)
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Early Warning Score System (EWSS) Impelmentation Factors by Nurses as Early Detection Efforts Worsening of Covid-19 Patients in the Treatment Room
No full textAims: One way to overcome the Covid-19 outbreak is by intra-hospital management. Fast and accurate management is needed to prevent complications and death in Covid-19. Early detection efforts to detect worsening of Covid-19 patients greatly help prevent more severe complications and death. This study aims to determine the factors of implementing the patient\u27s EWSS in an effort to detect the worsening of Covid-19 in the treatment room at one of the hospitals in East Jakarta.
Methods: The research uses descriptive analytic method with a cross sectional approach. Respondents are nurses who are experienced in treating Covid-19 patients in the treatment room with a total of 121 respondents. Bivariate data analysis used the Somers\u27d test, multiple ordinal regression multivariate test and partial Wald test.
Result: Two factors were found that were significantly related to the implementation of EWSS in Covid-19 patients in the treatment room at the hospital, namely the level of knowledge and nurse compliance.
Conclusion: This study recommends efforts to increase nurses\u27 knowledge and compliance regarding the implementation of EWSS for Covid-19 patients through regular training, workshops and good supervision
Effect of Health Education in Performing Detection and First Aid in Puerperal Emergency Toward Knowldge and Skill Among Cadre
No full textAims: Increasing the utilization of The Maternal and Child Handbook can be done in various ways, including by increasing the participation of cadres, because cadres can become facilitators for mothers and families in obtaining The Maternal and Child Handbook. However, what happens in the field is the low knowledge and skills of posyandu cadres in carrying out detection and first aid during postpartum emergencies.
Objectives: To determine the effect of health education about the kia book on the knowledge and skills of posyandu cadres in carrying out detection and first aid for
Methods: The study was quasi-experimental in nature, using a single group design. The Nagasari Health Center area provided 30 cadres for this study. This study\u27s sample included 30 cadres from the Nagasari Health Center area. The Wilcoxon test is used in bivariate analysis.
Results: The knowledge of posyandu cadres in detecting and providing first aid in postpartum emergencies prior to receiving health education is 1.77 (Insufficient) and the SD value is 0.430, whereas their skills in detecting and providing first aid in postpartum emergencies prior to receiving health education are 1.73 (unskilled) and the SD value is 0.450. The knowledge of posyandu cadres in performing detection and first aid in postpartum emergencies after receiving health education is 1.30 (Good) and the standard deviation is 0.466, while their skills are 1.23 (skilled) and the standard deviation is 0.430.
Conclusion: health education regarding the kia book has an influence on the knowledge and skills of posyandu cadres regarding emergency detection and first aid during the postpartum period
Combination of Deep Breathing and Listening to Al-Qur’an Recitations for Violen Behaviour Risk Among Psychosis Patients
No full textAims: Deep breathing relaxation therapy and listening to al-Qur\u27an recitation audio through a supportive group are part of a prevention program that can calm and relax physical and mental tensions. This study aims to analyze the effect of deep breathing relaxation on signs and symptoms of risk of violent behavior in mental disorders patients.
Method: The research design used in this study is an experimental study with a pre-posttest control group design approach. The population for this research is post-hospitalized patients who experience the risk of violent behavior. The total sample is 30 people for the treatment group and 30 for the control group. Data collection using a questionnaire about risk signs of violent behavior consists of 30 items that refer to physical, emotional, cognitive, social, and spiritual aspects. The collected data were processed and analyzed using Wilcoxon and Mann-Whitney tests.
Result: The results showed an increase in the average value of decreased signs and symptoms of violent behavior risk of 28.57 in the treatment group and 24.96 in the control group.
Conclusion: There is the influence of deep breathing relaxation and listening to audio murottal al Qur\u27an: through a supportive group in reducing risk signs of violent behavior in people with a mental disorder in the working area of the Babakan Sari Health Center, Bandung City, both in the intervention group and the control group
Predictors of Natural Disaster Preparedness Among Healthcare Providers
No full textAims: Preparedness of medical personnel in dealing with disasters is strongly influenced by several factors, one of which is knowledge, attitude, role and organization in disaster management. Nowadays, healthcare profesional is facing frequent natural disaster, thus identification on their disaster preparedness is imperative. To identify factors related to the preparedness of medical personnel in handling natural disasters at the Regional General Hospital dr. Slamet, Garut Regency, West Java.
Methods: This type of research was a cross-sectional study using an online survey. The sample technique used is convenience sampling with a total number of research subjects as many as 245 nurses and 54 doctors with a total of 299 respondents. The multivariate test uses simple linear regression.
Results: The mean score of disaster preparedness among nurse was 137.33 (SD=16.79) and doctor was 136.07 (SD=17.40), dengan p-value 0.799. There was a significant relationship between preparedness and knowledge (r = 0.658, p-value = 0.000), attitude (r = 0.602, p-value = 0.0000), role (r = 0.541, p-value = 0.000), and organization (r = 0.610, p-value 0.000). Knowledge (B = 1.40 (95% CI = 0.62 - 2.19, p-value = 0.00), role (B = 0.94 (95% CI = 0.50 - 1.38, p-value = 0.001), and organization (B = 1.01 (95% CI = - 0.1 - 2.13, p-value = 0.035) had a significant relationship with the preparedness of medical personnel for natural disaster management with a R2 value of 0.58. Knowledge, roles, and organization were the dominant factors that significantly correlate with the preparedness of medical personnel for natural disaster management.
Conclusion: Medical personnel at General Public Hospital Dr. Slamet Garut have good preparedness for natural disasters. They have good knowledge about disaster management but lack detailed planning. Attitudes towards disaster management are good, but improvement is lacking. The role of medical personnel is good, but leadership is lacking. Organizational factors, planning, policy, and professional development are significant factors affecting preparedness
The Influence of Social Support, Community Resilience, and Coping Strategies on Community Preparedness for Flood Disasters
No full textAims: The objective of this study was to investigate the impact of social support, community resilience, and coping techniques on preparedness, as well as the concurrent influence of social support, community resilience, and coping strategies on preparedness.
Methods: This study uses a correlational design with a cross-sectional approach. The study population was 1,538 people, and a sample of 317 people with a proportional random sampling technique. Instruments used in this study are LIPI-UNESCO, Multidimensional Scale of Perceived Social Support (MSPSP), Connor-Davidson Resilience Scale (CD-RISC), and Ways of Coping Questionnaire (WCQ), data analysis using linear regression.
Results: Most social support was moderate, at 45.7%; community resilience was moderate, at 50.2%; coping strategies were high, at 50.8%; and preparedness was ready, at 36.9%. There is an influence of social support, community resilience, and coping strategies on preparedness (p-value <0.05). Social support, community resilience, and coping strategies have a simultaneous influence on preparedness (p-value <0.05).
Conclusion: Social support, community resilience, and coping strategies simultaneously influence preparedness
Factors Associated with Emotional Intelligence of Children Aged 3-6 Years
No full textAims: This study aimed to determine the factors associated with the emotional intelligence of children aged 3-6 years.
Methods: This type of research uses correlation with a cross-sectional approach. The population of this study was 140 people, with a sample of 140 parents with children aged 3-6 years in Wangunreja Village, Sukabumi Regency, using a total sampling technique. The answer value scale refers to the Likert scale. Data collection techniques using questionnaires. Data were analyzed using univariate analysis with frequency distribution and percentage of each category. Bivariate analysis using chi-square.
Results: The results showed that most respondents were 20-35 years old, 108 people (77.1%), had a high school education, 48 people (34.2%), worked, 75 people (53.5%), had female children, 78 people (55.7%), had the first child, 58 people (41.4%), had children aged three years, 55 people (39.3%), had a democratic parenting style, 49 people (35.1%), and had children with high emotional intelligence, 56 people (40.0%). There is a relationship between maternal age, child gender, and parenting style with the emotional intelligence of children aged 3-6 years (p-value <0.05). There is no relationship between maternal education and emotional intelligence of children aged 3-6 years (p-value >0.05).
Conclusion: There is a relationship between maternal age, child gender, and parenting style with emotional intelligence of children aged 3-6 years and no relationship between maternal education and emotional intelligence of children aged 3-6 years
The Effectiveness of Leadership Styles and Strategies to Improve Nurses‘ Electronic Medical Record Quality Based on Kurt Lewin’s Theory
No full textAims: This research aims to determine the effectiveness of the leadership style and strategy to improve the quality of nurses\u27 electronic medical records through Kurt Lewin\u27s theoretical
Methods: This research was quasi-experimental. A total of 91 nurses were participate as a respondents. Data collection was used leadership style questionnaire, Kurt Lewin-based leadership strategies and electronic medical record quality form. The intervention was carried out for 2 weeks and was divided into 3 stages, namely the unfreezing stage, moving stage and refreezing stage. The data analysis used was Wilcoxon test.
Results: The study found that a leadership style change from authoritarian to democratic was observed in the nursing profession. The intervention led to an improvement in the quality of Electronic Medical Records (EMR) from not achieved to achieved. The intervention also led to a significant improvement in EMR quality, with 73 respondents experiencing a change from not achieved to achieved.
Conclusions: Leadership style changes based on organizational conditions. Leaders must analyze members\u27 characteristics to choose the right style. Kurt Lewin\u27s theory provides leadership strategy training, guiding leaders in making changes step by step. Hospitals should facilitate training to improve nursing room heads\u27 knowledge and quality
Knowledge-related Human Papillomavirus Vaccination: A Study of Indonesian Women
No full textAims: Human papillomavirus (HPV) is a sexually transmitted virus that can lead to various diseases, most known as cervical cancer’s etiology. HPV vaccination is one of the primary prevention strategies to reduce HPV transmission. To increase vaccination rates, it is essential that women have a good knowledge of receiving the HPV vaccine. The purpose of the study was to explore the knowledge of HPV vaccination among Indonesian women.
Methods: A cross-sectional study was conducted among 462 Indonesian women recruited by convenience sampling on March to May 2022. The adapted questionnaire of knowledge with 28 items was used with Cronbach\u27s Alpha score estimated at 0.838. Women who are 15 to 49 years old, able to understand and speak the Indonesian language, and have a gadget were included in this study. Women who already get HPV vaccination are excluded. Univariate statistics were used to describe Indonesian women’s knowledge of HPV Vaccination.
Results: The research shown that the mean age of the respondents is 23.17± 5.065. Half of the respondent level of education is college as many as 245 people (53%). Half of the respondents are employed as many as 239 people (51.7%). The average knowledge is 16.02 with a standard deviation (SD) of 6.43, the knowledge value indicates less knowledge of HPV vaccination among women. In the item analysis, found that most respondents answer incorrectly to the question “HPV testing is done to show whether the HPV vaccine is needed?" (4.3%). Most of the respondents shown did not know answered the question "HPV vaccine requires three doses" (59.3%). Most of the reasons for refusing to be vaccinated answered that the price of the vaccine was not affordable (45.5%).
Conclusion: Women’s knowledge of the HPV vaccine was nearly low in this study. The campaign and effort to spread the information related to HPV vaccination are needed. Innovative media might be the best option to spread awareness. Studies with a large sample and broad range of area are preferable
Factors Affecting Sleep Quality of Treated Patients in the Intensive Cardiac Care Unit Room
No full textAims: ICCU (Intensive Cardiac Care Unit) is a special room provided in a hospital that treats patients with cardiovascular system problems. Sleep disturbance is one of the significant problems that occur in patients during treatment in the intensive cardiac care unit. Patients in the ICCU are at risk of experiencing sleep disturbances due to various procedures and monitor sounds, noise from communication between staff or noise, sleep disturbances related to lighting, complaints of pain and treatment procedures that occur in >50% of intensive care units. This causes the patient\u27s healing process to be hampered. This study aims to find out factors affecting sleep quality of patients treated in ICCU.
Methods: This research is a quantitative correlational analytic research approach cross sectional study, conducted at a Dustira Tk II Hospital in July-August 2022, the number of samples was 23 respondents. The instruments used included a questionnaire.
Results: There is a relationship between pain and sleep quality with a Pvalue of 0.001. There is a relationship between the environment and sleep quality with a Pvalue of 0.006. There is no relationship between medication and sleep quality with a Pvalue of 0.097. There is no relationship between anxiety and sleep quality with a Pvalue of 0.082. S-regression analysis regarding the factor that most influences the sleep quality of ICCU patients is the factor of pain complaints with a P value of 0.036.
Conclusion: There is a significant relationship between physical complaints and environmental factors on the sleep quality of patients at the Dustira Hospital ICCU. The factor that most influences the quality of sleep is the factor of pain complaints
The Effect of Early Nutrition Intervention on Rebleeding Patient with Eshophageal Varices After Ligation ; Literatur Review
No full textAims: Esophageal varices bleeding can be treated with ligation. Patients with active bleeding varices generally tend to have a fairly high incidence of rebleeding. Many studies explain that early feeding can increase the risk of recurrent bleeding.
Objective: The objective of this study to identify the effect of nutrition intervention on rebleeding after ligation in patient with esophageal varices.
Method: The method of this systematic review used PICO formulation (Population, Intervention, Comparation, and Outcome). This review used online database including, ProQuest, PubMed, ScienceDirect, Willey online, and Google Scholar with the search strategy used PRISMA. Article selected by inclusion criteria: Journal international, Full text, using experimental research and within at least 10 years publication, adult research respondent. We included 4 studies related to early nutrition intervention on rebleeding Patient with Eshophageal Varices After Ligation who have been tested for quality with CASP and JBI.
Result: The result if this study only 4 article met criteria inclusion. The result of this systematic review on 4 articles explain that feeding nutrition is safe not cause bleading in patient and early eating had no impact on how frequently ligation patients experienced recurrent bleeding. Providing nutrition using the ligase approach has been shown to be both feasible and safe