Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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The Importance of The Community Skill Building Program (CSBP) Toward The Trend of Early Marriage of Adolescent Girls in Tasikmalaya City
Full text linkIntroduction: Early marriage occurs in many countries worldwide, especially in Indonesia, one of the ten countries with the highest number of child marriages under 18. Lack of knowledge about the impact of early marriage, poor socioeconomic level, culture, and family history of early marriage are influencing factors, so there is a need for an intensive program involving policymakers and empowering youth to reduce the incidence of early marriage. Therefore, the study aimed to determine the effect of the community skills building program (CSBP) on the tendency to early marriage in adolescent girls in Tasikmalaya.Methods: Research was quasi-experimental pre-post-test with a control group. The population is all adolescent girls in one of the public junior high schools in the city of Tasikmalaya, with a sample of 60 respondents who were selected using consecutive sampling. The inclusion criteria are adolescent girls aged 10-18 years, healthy and unmarried, for the exclusion criteria are adolescent girls who have moved domicile. Data retrieval using questionnaires on the tendency of early marriage contained 47 valid and reliable data. Data analysis used univariate and bivariate analysis with the Wilcoxon signed ranks test and Mann Whitney u test.Results: The results of data analysis showed that p-value 0.000 < p-value 0.05, which indicates a significant influence of the community skills building program (CSBP) on the tendency to early marriage in adolescent girls.Conclusions: It can be concluded that the application of the community skill-building program (CSBP) can reduce the tendency of early marriage in adolescent girls
Effectiveness of Supportive Therapy and Economic Token Therapy in Reducing The Symptoms of Self-Care Deficit, Based on The Peplau Nursing Model
Full text linkIntroduction: Self-care deficit is a nursing diagnosis in which the client experiences an inability to independently perform personal hygiene, dress, eat and defecate. Therefore, interventions are needed to address clients with self-care deficits. One of the interventions carried out is supportive therapy and token economy using the Peplau interpersonal nursing model approach. The purpose of this study was to analyse the effectiveness of supportive therapy and token economy in reducing signs and symptoms of self-care deficits based on the Peplau interpersonal nursing model. Methods: The research design was a quasi-experimental study using a two group pre-post design. The sample in this study amounted to 40 respondents, 20 intervention groups, and 20 control groups according to the research criteria. This research was conducted in July-August 2021. The sampling technique was carried out by purposive sampling. The data was analysed by univariate and bivariate with a t-dependent test. Results: The results of the study showed that there was an increase in self-care before and after being given supportive therapy and economic tokens in the intervention group with a value before 133.60 to 140.05. A statistical test obtained p-value = 0.000 which means that there is an effect of supportive therapy and economic tokens in reducing signs of symptoms Of self-care deficit. The results obtained in the control group after being given supportive therapy with values before 128.85 to 138.55 and statistical tests obtained p-value = 0.041, meaning that there is an effect of supportive therapy in reducing symptoms of self-care deficits. Conclusion: There is an effect of supportive therapy and token economy on improving self-care in self-care deficit clients. Supportive therapy and token economy are recommended for self-care deficit clients to improve self-care abilities.@font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;}@font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-536858881 -1073732485 9 0 511 0;}@font-face {font-family:"Gill Sans MT"; panose-1:2 11 5 2 2 1 4 2 2 3; mso-font-charset:77; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:3 0 0 0 3 0;}p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-priority:1; mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0cm; mso-pagination:none; text-autospace:none; font-size:11.0pt; font-family:"Arial",sans-serif; mso-fareast-font-family:Arial; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:EN-US;}p.Default, li.Default, div.Default {mso-style-name:Default; mso-style-unhide:no; mso-style-parent:""; margin:0cm; mso-pagination:widow-orphan; mso-layout-grid-align:none; text-autospace:none; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:Calibri; color:black; mso-ansi-language:EN-US; mso-fareast-language:EN-US;}span.jlqj4b {mso-style-name:jlqj4b; mso-style-unhide:no;}.MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:11.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:EN-US; mso-fareast-language:EN-US;}.MsoPapDefault {mso-style-type:export-only; margin-bottom:10.0pt; line-height:115%;}div.WordSection1 {page:WordSection1;
Relationship Between Managerial Support and Hospital Atmosphere With Burnout Among Nurses at COVID-19 unit
Full text linkIntroduction: Hospital atmosphere and managerial support during the COVID-19 pandemic are important factors in determining the quality of nursing care, however, support that is not provided properly can cause work stress, causing burnout syndrome which results in low quality of work. The purpose of this study was to explain the relationship between managerial support and hospital atmosphere with burnout syndrome of nurses at COVID-19 unit. Methods: The research design was correlational descriptive with a cross-sectional approach. A total of 64 nurses at COVID-19 unit at the referral hospital for COVID-19 patients in Surabaya who handle COVID-19 patients directly for at least 2 months and treat COVID-19 patients at least 1-2 patients every day in the isolation room were selected through a simple random sampling method. The variables in this study were managerial support, hospital atmosphere, and burnout syndrome. Perceived managerial support was measured by the Managerial Support Questionnaire, the Hospital Atmosphere Questionnaire for perceived hospital atmosphere, and the Maslach Burnout Inventory to measure burnout syndrome. The results were analyzed by descriptive analysis and logistic regression test with a significance value of p≤ 0.05. Results: The results showed that there was a significant relationship between managerial support (p = 0.027) and hospital atmosphere (p = 0.026) with burnout syndrome. The relationship between managerial support and hospital atmosphere is negative. The higher the managerial support and hospital atmosphere, the lower the burnout syndrome level. Conclusion: High managerial support and a good hospital atmosphere can reduce burnout syndrome among nurses at COVID-19 unit. The results of this study are expected to be a reference for hospitals in preventing nurse burnout syndrome so that the quality of service increases
Reflective Practice on Nursing Students: A Qualitative Study
Full text linkIntroduction: The gap between theory and practice in clinical education settings is still common. Reflective practice in students of a profession program emphasizes the theoretical knowledge that has been acquired and the clinical experience. The purpose of this research was to explore the experience of reflective practice among the students of the Nursing Profession Program. Methods: A qualitative study design was undertaken. Focus group discussions were conducted with 16 participants divided into two groups using Zoom virtual meeting application. Instrument used semi-structured interview guidelines and data analysis used thematic analysis. Results: This research resulted in four themes, namely the gap between theory and practice; the benefits of reflective learning; experiences and expectations; and some barriers and challenges to reflective practice. Conclusion: Based on the existing results, it can be concluded that, although there are still some barriers in its implementation, the implication of this study can facilitate students of profession programs in overcoming the gaps between theories and practical experience during professional education
Correlation between Psychological Distress and Coping Mechanism Strategy among Health Workers with Confirmed COVID-19
Full text linkIntroduction: The COVID-19 pandemic has become a serious problem in the world of health that attacks the wider community or globally and has an impact in the form of psychological disorders among health workers as the forefront in the management of COVID-19; it is necessary for health workers with confirmed COVID-19 to have a coping mechanism strategy to overcome the problem of psychological distress. This study aims to determine the correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Methods: The quantitative descriptive method with a cross sectional approach was applied in this study which was conducted on June 3–July 2, 2021 and involved 129 health workers with confirmed COVID-19 in Majalengka District who were selected by incidental sampling technique. Data were collected through DASS-21 and BRIEF COPE questionnaires. Data analysis used frequency distribution, pearson correlation and multiple regression.Results: Based on this study, the highest score was obtained for the category of psychological distress (anxiety) is 43%, the coping mechanism strategy among health workers with confirmed COVID-19 was problem-focused coping by 2.95 and there was a significant correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Conclusions: Research result there was a significant correlation between psychological distress and coping mechanism strategys among health workers with confirmed COVID-19. Multidisciplinary interventions to deal with psychological problems in health workers are required to minimize the level of anxiety and stress they face
Caused Anxiety and Coping Strategies among Nursing Staff during COVID-19 Outbreak: A Systematic Review
Full text linkIntroduction: Coronavirus disease (COVID-19) pandemic has a significant impact on health services and a major psychological challenge for nurses. The aimed of this review was to explore anxiety and coping mechanisms of nurses who provide care to COVID-19 patients. Methods: Search strategies were developed for the Scopus, CINAHL, Lancet, Sage and ProQuest database. The data sources were limited to articles published from 2019-2020. MeSH terms were combined with Boolean operators and used to search the databases. The study quality of each article was determined based on the quality analysis of the JBI guidelines and the study evaluation used PRISMA checklist. Review process; the titles and abstracts of the identified articles, general and specific characteristics from eligible articles were extracted and the quality of included trials were appraised by using a risk of bias assessment tool. Results: The 25 articles provided data on 145 subjects that were randomly allocated to anxiety and coping. The results of this study are six studies (24%) showing the clinical manifestations of nurse anxiety, ten studies (40%) nurse coping mechanism, and nine studies (36%) causes of nurse anxiety. The results of the assessment of each study selected using the JBI Guidelines show that all studies score above 50%, which means it can be used as a reference for systematic review. Efforts to reduce anxiety can be done by implementing strict measures and protections to prevent contracting the COVID-19 virus. Conclusion: This review suggests that the nurse coping mechanism is formed through the guarantee of protection as a health worker that must be fulfilled properly. Hospitals and professional organizations have an important role in supporting this implementation
Lecturer's Experience of Guiding Students Facing Exit Exam as A Requirement to Get A Ners Degree
Full text linkIntroduction: The exit exam is a competency test that is carried out at the final stage after completing all stages of education which is part of the assessment of student learning outcomes in the health sector. The aim of this study was to explore in depth the experience of lecturers guiding students to face the exit exam as a condition for obtaining a nursing degree.Method: The study used a phenomenological design. Five participants were selected by purposive sampling with criteria inclusion. Result: The data were gathered by conducting in-depth interviews and analyzed by Collaizi method. The result emerged four themes, namely: 1) Response to application of exit exam; 2) Facilitating students in facing the exit exam; 3) Obstacles in guiding students; 4) Lecturers' expectations of the Association of Indonesian Nurses Education Institutions.Conclusion: It is recommended for clinical supervisors to provide intensive guidance to nursing students so that they can prepare themselves to take the exit exam
Effect of Positive Self-Talk on Anxiety Among Patients with Covid-19
Full text linkIntroduction: Coronavirus (COVID-19) is a problem that is being widely recognized and occurs in more than 200 countries in the world. The increase in cases has a negative impact on aspects of human life, which can cause anxiety. The purpose of this study was to analyze the effect of positive self-talk on the anxiety of COVID-19 patients.Methods: The population in this study were all COVID-19 patients at Adam Malik Hospital Medan with a total sample of 70 people. The sampling technique is non-probability sampling with a purposive sampling with the inclusion criteria in this study of patients with COVID-19 who were hospitalized with moderate degrees, patients who were cooperative and able to follow the instructions of the researcher. The research design was quasi-experimental and the data analysis used was paired t-test and independent t-test with the p-value <0.05.Result: The results showed that there was anxiety before and after the action was taken between the control group and the intervention group (p=0.000, <0.005). Based on the independent t-test, it showed that there was a positive effect of self-talk on the anxiety of COVID-19 patients before and before the action was taken (p = 0.000, <0.005).Conclusion: Therefore, these results indicate that positive self-talk is effective in reducing anxiety levels in COVID-19 patients. This intervention can be used as an alternative in nursing services to help reduce anxiety level
Self-Stigma as The Trigger of Depression Factor in Multidrug - Resistant Tuberculosis (MDR-TB) Patients at a Public Hospital in Gresik
Full text linkIntroduction: Multidrug-Resistant Tuberculosis (MDR-TB) is a chronic infectious disease that can affect the patient's physical appearance so that it has an impact on the patient's psychosocial condition, including the emergence of anxiety and depression. Anxiety and depression in MDR-TB patients have an impact on the patient's rejection of the diagnosis and they choose to stop the treatment process. The incidence of anxiety and depression in MDR-TB patients is influenced by several factors, one of which is self-stigma. The purpose of this study was to determine the impact of the factor of self-stigma on the incidence of depression in MDR-TB patients.Method: The study design used a cross-sectional approach with a sample of 71 MDR-TB patients undergoing treatment. The study used a questionnaire that was filled out directly by the patient during the treatment process. The sampling technique used purposive sampling by setting inclusion criteria. The bivariate statistical test used in the study was chi-square.Results: The results of the self-stigma study obtained a p-value = 0.000 <0.05 with an OR value of 54.643, meaning that there was a significant relationship between self-stigma and depression in MDR-TB patients.Conclusions: MDR-TB patients with high self-stigma have a higher chance of experiencing depression than patients with low self-stigma. Suggestions in this study are that it is hoped that the family, health workers, community, and government can help reduce the stigma against patients with MDR-TB. Promotive efforts by providing support and education to the community can help to eliminate the stigma so that the incidence of depression in MDR-TB patients can be minimized
Examining Academic Stress and Its Source Among Nursing Professional Students (Ners) Using the Modified Perception of Academic Stress Scale (PAS)
No full textABSTRACTIntroduction: Nurse professional students experienced academic stress due to the changing mode of learning to online learning. Academic stress also have a negative impact on the achievement of nursing profession students' competencies. There is an urgent need study to measure academic stress experienced by nursing professional students using a tailored and valid instrument.Method: This study is a quantitative study used survey design to measure academic stress in nursing students at the professional stage using a modified questionnaire from the Perceived Academic Stress Scale (PAS). There were 339 nursing students in profession phase from private college in Yogyakarta. Respondents were obtained by consecutive sampling technique. The psychometric testing of the modified PAS academic stress scale attempts to determine the instrument's internal, external, and reliability for use with nursing professional students. Internal validity was determined in two methods in this study: by examining corrected item-total correlation and by doing exploratory factor analysis (EFA) on each produced item. The instrument's external validity is determined by administering it to two specialists in mental nursing and nursing education.Results: The developed instrument has internal consistency reliability of 0.818 (Cronbach’s alpha), there was evidence for content validity, and factor analysis resulted in five correlated and theoretically meaningful factors. Based in this instrument, most students experience moderate academic stress during their learning at the professional program phase.Conclusions: The modified PAS instrument used in this study is a tailored, valid and trustworthy for measuring academic stress of nursing professional students during pandemic Covid-19