Jurnal Keperawatan Komprehensif (JKK)
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STUDI KOMPARASI GAYA KEPEMIMPINAN ANTARA RUMAH SAKIT SWASTA DAN PEMERINTAH
No full textLatar belakang: Gaya kepemimpinan merupakan suatu proses perilaku untuk mempengaruhi dalam menentukan tujuan organisasi, memotivasi untuk mencapai tujuan, mempengaruhi untuk memperbaiki kelompok dan budayannya. Gaya kepemipinan yang tepat akan mampu mempengaruhi perubahan internal dan eksternal berorganisasi. Dengan demikian kontribusi perawat sebagai salah satu pemberi pelayanan kesehatan ikut menentukan tercapainya tujuan rumah sakit. Kinerja perawat pelaksana merupakan serangkaian kegiatan perawat dalam memberikan asuhan keperawatan. Terbentuknya kinerja perawat yang baik dapat dipengaruhi oleh sistem nilai bersama yang ada pada gaya kepemimpinan para kepala ruangan rumah sakit. Gaya kepemimpinan yang baik akan mendorong timbulnya loyalitas pada organisasi, yang akhirnya akan menghasilkan kinerja perawat yang optimal sebagai mewujudkan kualitas pelayanan keperawatan. Tujuan: penelitian ini untuk mengetahui dan membandingkan gaya kepemimpinan di RS swasta dan RS negeri. Metode: penelitian ini merupakan penelitian deskriptif analisis komparatif secara kuantitatif menggunakan rancangan cross sectional, dengan subjek penelitian 73 perawat di rumah sakit negeri dan 73 di rumah sakit swasta ditentukan dengan teknik propotion random sampling. Pengumpulan data dengan kuesioner. Hasil: gaya kepemimpinan yang dimiliki kepala ruangan di kedua rumah sakit ini, untuk hasi RS Swasta mendominan gaya kepemimpinan Laisses Faire, untuk RS pemerintah mendominan gaya kepemimpinan Transaksional. Kesimpulan Terdapat gaya Kepemimpinan RS Pemerintah yaitu gaya kepemimpinan Transaksional dari 56 responden (76,7%) maka termasuk kategori (Cukup Baik). Terdapat gaya kepemimpinan RS Swasta yaitu gaya kepemimpinan Laisses Faire dari 56 responden (76,7%) maka termasuk kategori (Cukup baik)  Saran: Bagi pihak rumah sakit swasta untuk lebih mampu menciptakan suasana yang kondusif dalam pedoman pekerjaan sehingga dapat mencapai tujuan dan menjadi lebih baik. Bagi rumah sakit pemerintah sebaiknya dapat mempertahankan bagi para kepala ruangan untuk bisa mempengaruhi perawatnya bekerja dengan sebaik mungkin.Â
Stressors affected emotional and physiological exhaustion among volunteers during second wave of covid-19 pandemic
No full textAims: Our government summon up many resources during combating Covid-19 pandemic, including volunteers which has many backgrounds. Their domain mainly at pre-hospital area, but remain at high risk contracted by covid-19 virus. The purpose of this study was to analyze dominant threat which was perceived by volunteers which could affected emotional exhaustion and physiological stress in volunteers during second wave Covid-19 pandemic.
Design: This research was descriptive study using cross-sectional design.
Methdos: Respondents were taken by simple random sampling technique and 100 respondents were obtained during early December 2020 to end of January 2021. Smart Partial Least Square 3.0 was used as multivariate analysis.
Results : The analysis showed that t stat 8,766 (>1,96) and p values 0,000 (< 0,05), which means there was a direct influence between perceived emotional threat and emotional exhaustion. The second result showed that t stat 8,078 (> 1,96) and p values 0,000 (< 0,05), which means there was a direct influence between perceived emotional threat and physiological anxiety.
Conclusions : This study showed that perceived emotional threat was the main stressor which affect emotional exhaustion and physiological anxiety .This stressors are mental health issues among volunteer during Covid-19 pandemic and need to be handled as it can increase body vulnerability to SARS-COV-19 virus. This research sampling technique was accidental sampling, so the result of this study mainly represent the condition of Malang Covid-19 volunteers. A better sampling technique might be required to get a better result and population generalizatio
The effect of internet-based education to improve knowledge and practice toward COVID-19 prevention among community volunteer in rural area of West Java, Indonesia
No full textAims: This study aimed to determine the effect of internet-based education to improve knowledge and practice toward COVID-19 prevention among community volunteer in Indonesia.
Design: This study is a quantitative study using the queasy-experimental two group pre-posttest design.
Methods: The intervention in the form of internet-based education was offered to respondents in 5 sessions (45 minutes each meeting) in 3 weeks in the form of discussions utilizing power points and applications regarding COVID-19 prevention. the respondents are those who meet the inclusion criteria during the study: age over 18 years old, able to communicate well, not have visual and hearing impairment, can read and write, willing to be involved in research, and have access to android gadgets.
Results: The number of samples in this study were 150 respondents consisting of 84 respondents (56.4) male and 66 respondents (44.0) female. Of these 150 respondents, 75 respondents were in the intervention group and 75 respondents were in the control group. COVID prevention knowledge before and after the internet-based education intervention increased significantly from 2.02 (SD=1.25) 2 to 3.45 (SD=1.31) with a t-value of 6.22 and a p-value of 0.000. In the scores of COVID-19 prevention practice, it was found that the intervention group data showed a significant Increased from 2.57 (SD = 0.98) to 3.13 (SD = 2.34) with a p-value of 0.000.
Conclusions: This study found the significant improvement of knowledge and practice toward COVID-19 prevention using an internet-based education
PENGARUH LIFE REVIEW THERAPY TERHADAP DEPRESI PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALIS
No full textPasien Gagal Ginjal Kronik yang menjalani hemodialisa meningkatkan resiko terjadinya depresi. Depresi dapat menyebabkan beberapa perubahan dalam kehidupan. Cara mengurangi depresi dengan life review therapy dilakukan dengan mengingat kembali kejadian masa lalu yang menyenangkan. Tujuan penelitian mengetahui pengaruh life review therapy terhadap depresi pada pasien menjalani hemodialisa. Metode penelitian ini menggunakan rancangan One Group pre–post test design dengan sampel 50 responden dan pengambilan sampel dengan purposive sampling. Alat pengumpulan data dengan menggunakan Depression Anxiety and Stress Scale (DASS) terdiri dari 21 pertanyaan. Analisa data menggunakan Hasil menunjukkan rata-rata umur responden yaitu 42 tahun dengan jenis kelamin yang terbanyak adalah perempuan dengan lama hemodialisa 23 bulan. Tingkat depresi sebelum dilakukan intervensi adalah depresi berat dan setelah dilakukan intervensi menjadi normal. Ada pengaruh life review therapy terhadap depresi pada pasien yang menjalani hemodialisa. Rekomendasi dari penelitian ini adalah perlu dilakukan penelitian lanjutan dengan memperbanyak jumlah subjek penelitian dan memperluas wilayah penelitian
Unmet Need of Family-Planning Analysis in Banten Province And Its Determinant Factor : Unmet Need Of Family Planning
No full textUnmet Need is a condition in which it indicates the willingness of fertile couples to one of kinds of contraception devices which is unavailable so that they make a decision not to use device or contraception method.. The purpose of this research was to make a description systematically, factually and accurately, and the correlation of phenomena that were research related to determinant factors of Unmet Need of Family-Planning. This research used cross-sectional design study to find out the determinant factor of Unmet Need use secondary data SKAP BKKBN 2019 as many as 1.656 respondens with univariat, bivariat and multivariat analysis. It has been identified that there is a correlation low education 14,3% and high education 12,2% with incident unmet need family planning, there is a correlation age <20th and >35th as many as 14,6% and age 20th-35th as many as 2,2% with incident unmet need family planning. There is a correlation perception of ideal number of children >2 as many as 10,2% and 6,7% perception of ideal number of children <=2 with incident unmet need family planning. There is a correlation who acces information from media 5% and not acces 9,3% and who acces internet 4% and not acces internet 10,1% with incident unmet need family planning. The variable that most influences the incidence of unmet need from the multivariate results using the backward elimination method is the age of the wife with Exp (B) 7,218. All the variables studied had a correlation with the incidence of unmet need family planning based on seconday data SKAP BKKBN 2019 in Banten Province
Knowledge, Self-Efficacy, and Performance of Patient Education in Heart Failure Among Nurses in Indonesia
No full textBackground: Nurses play a vital role in educating Heart Failure (HF) patients about the disease, and should be knowledgeable about what they teach. Likewise, a nurse should believe in his or her own capability to effectively give a health education based on his or her knowledge about HF management, and this known as self-efficacy.
Objectives: The purpose of this study was to examine the relationships among HF knowledge, self-efficacy, and performance as well as determinants of performance in HF education among nurses who took care of patients with cardiac diseases.
Methods: A cross sectional study design with convenience sampling was employed and 135 participants were recruited from five units (male and female medical ward, cardiac ward, ICU, ICCU, and VIP unit) at a general hospital in Bandar Lampung, Indonesia. Four instruments were used, including the Nurses’ Knowledge of Heart Failure Education Principles questionnaire, Nurse Self-Efficacy Scale, and HF Knowledge Education Scale of Nursing Performance. Data were analyses using, Mann-Whitney U and Kruskal-Wallis test were used to examine association between mean scores on the study variables.
Results: A significant relationship was found between nurses’ self-efficacy and performance of HF education (r=0.59, p= 0.000), but the relationship between nurses’ knowledge and performance of HF education was not significant (r= -0.33, p= 0.01).
Conclusions: This study found that the nurses in general hospital in Lampung, Indonesia, may not be sufficiently knowledgeable about HF education principles. Nevertheless, the nurses mostly had high self-efficacy as well as good performance with regard to HF education
The Difference of Celery Leaves And Bay Leaves Water to Decrease Blood Pressure among Pre-Elderly With Primary Hypertension in Public Health Center Cigugur Tengah
No full textBackground: Hypertension is a medical condition in which the blood pressure in arteries is persistently elevated. This condition can increase risk of cardiovascular diseases such as stroke, kidney failure, heart attack, and kidney damage. One of traditional treatment for hypertension is using celery leaves (Apium graveolens L) and bay leaves (Syzygium polyantum).
Purpose: The aimed of this research is to determine the difference of blood pressure after the consumption of celery and bay leaves water in pre-elderly with hypertension at Cigugur Tengah Public Health Center.
Method: The type of this research is the numerical comparative analytic with Quasi Experiment design with Non Equivalent Control Group Design. This research used purposive sampling technique using 22 respondens with inclusion and exclusion criteria. Data collection was performed by measuring the blood pressure before and after the consumption of celery leaves and bay leaves boiled water that consume twice a day in one week.
Result: The statistical result of T-independent test obtain p valueof 0,365 > α (0,05) for the systolic blood pressure and 0,574 > α (0,05) for diastolic blood pressure. The results of this study also concluded that there was an influence on blood pressure of the two intervention groups for patients with hypertension with a p value of each intervention group, a systolic p value of 0,000 and a diastolic of 0,000 with a significance level of p <α (0.05).
Conclusion: Suggestion of this research is to consume boiled water of celery leaves and bay leaves for longer time as additional therapy for hypertension patient
PENGARUH COGNITIVE BEHAVIOR THERAPY (CBT) PADA PENINGKATAN HARGA DIRI REMAJA: LITERATURE REVIEW
No full textLatar belakang: Studi literature review ini dilatar belakangi oleh masalah psikologis yang sering terjadi pada remaja yaitu harga diri rendah. Harga diri meningkat seiring bertambahnya usia dan paling terancam selama masa remaja. Bentuk penghargaan, penerimaan serta pengakuan membuat seseorang berharga dan diakui kehadirannya oleh lingkungan. Implikasi dari harga diri rendah, akan muncul masalah hubungan interpersonal, masalah dalam sekolah dan pekerjaan, ketergantungan zat, depresi atau gangguan mental lainnya. Tujuan: Literature ini ditujukan untuk menganalisis secara teoritik pengaruh Cognitive Behavior Therapy (CBT) terhadap peningkatan harga diri pada remaja. Metode: Metode kajian literatur dilakukan terhadap lima artikel yang diperoleh dari sejumlah dua database Google Scholar dan PUBMED. Kata kunci untuk pencarian artikel adalah “Cognitive Behavior Therapy (CBT)â€, â€harga diri rendahâ€, “self esteemâ€,“treatmentâ€,“remajaâ€,â€Teenager†or â€Adolecentâ€. Kriteria artikel yang digunakan berbahasa Inggris dan Indonesia, diterbitkan dari tahun 2016 sampai 2018. Hasil : tinjauan ini menunjukkan nilai yang signifikan yaitu dari ketiga artikel menujukan nilai (p< 0.05) yang artinya adanya pengaruh dari terapi kognitif atau cognitive behavior therapy (CBT) terhadap peningkatan harga diri pada remaja. Kesimpulan: terapi kognitif atau cognitive behavior therapy (CBT) merupakan terapi yang diyakini dapat meningkatkan harga diri rendah pada remaja sehingga diharapkan tenaga kesehatan dapat menerapkan terapi kognitif untuk mengurangi tingkat harga diri rendah pada remaja
Application of Health Belief Model (HBM) on Sexual Behavior in Teens in Senior High School 3 Pasundan Cimahi : Adolescents, Health Belief Model (HBM), Sexual Behavior
No full textAdolescent growth and development is a process or stage of change or transition from childhood to adulthood marked by various changes, including physical changes. One of the prominent characteristics of the physical changes in the active operation of the sex glands is a sexual urge. Adolescent sexual behaviour can also have psychological and social impacts. To avoid unhealthy sexual behaviour, efforts are made to prevent adolescent sexual behaviour that can be done internally and externally. Internally, the factor that plays an important role for adolescents in preventing sexual behaviour is self-control. The self-control factors can be studied with Health Belief Model (HBM) approach using a psychological model to predict the causes of healthy behaviour. This research method is a quantitative research using a quasi-experimental research with the type of design one group pre and post intervention. The results showed that sexual behavior before the implementation of HBM was unhealthy with a median value of 1, after the implementation of HBM, adolescent sexual behavior was healthy with a median value of 0. This indicates that there is a relationship between the application of HBM and adolescent sexual behavior in SMK Pasundan 1 Cimahi with p-value 0.002. The application of HBM can reduce unhealthy sexual behavior as a guide for adolescents in increasing knowledge, providing information to increase understanding of healthy sexual behavior
Preventing Child Sexual Abuse Skills Of Parents: Literature Review
No full textIntroduction: Child sexual abuse (CSA) can negatively impact children\u27s physical, psychological, and social impacts. Parents are responsible for preventing children from becoming victims of CSA. Unfortunately, many parents do not have good skills or behavior, so they are at risk of increasing the incidence of child sexual abuse.
Objective: This study aims to explore parental skills in preventing child sexual abuse.
Methods: This study was conducted using the literature review method, using the CINAHL, Science Direct, Pubmed and Proquest databases. Articles were screened using inclusion criteria published in 2010-2020, full text, in English, quasi-experimental research design, Randomized Controlled Trial, and Clinical Trial. It was found that five articles were selected after an assessment using JBI (Joanna Briggs Institute).
Results: Parents\u27 skills or behavior in prevented child sexual abuse, including teached self-protection skills and handling steps in the event of sexual abuse, establishing good communication, providing education related to sexual abuse prevention, discussing sexual abuse, and providing a more favorable safe environment , such as child supervision and parenting skills. Some of these were skills that influence the prevention of CSA. But from various studies, it was found that the parental skills were low in preventing CSA.
Conclusion: It is found that parents\u27 skills are lack in preventing CSA, because in general parents only take part of the preventive measures for CSA.
Suggestion: The need for interventions to increase the knowledge, attitudes, awareness and motivation of parents in preventing child sexual abuse