Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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The Association of Organizational Commitment and Personal Factor With Burnout Syndrome and Turnover Intention in Nurses
Full text linkIntroduction: Turnover intention has many negative impacts on hospitals. The purpose of this research was to analyze the relationship between organizational commitment, personal factors and burnout syndrome to turnover intention in nurses. Methods: A descriptive analytic with cross-sectional approach, the sample was 83 nurses in type C hospital in Lamongan based on a cluster random sampling. The variables were organizational commitment, personal factor, burnout syndrome and turnover intention. Organizational commitment was measured with a modified questionnaire from Meyer and Allan, personal factors measured using demographic questionnaire, Maslach Burnout Inventory for burnout syndrome and modified questionnaire from Chen and Francesco for turnover intention. Moreover, the analysis uses ordinal regression statistical and logistic regression. Results: The results showed that the commitment factor continuance (p = 0.001), normative commitment (p = 0.000), education (p = 0.024), emotional fatigue (p = 0.008) and attitude (p = 0.008) had a significant relationship with burnout syndrome. Emotional exhaustion has significant relationship with turnover intention after adjusted with depersonalization and self-achievement (p = 0.008). Conclusion: It can be concluded that nurses in the Type C hospital can be loyal to reduce the turnover number, and this can increase the health levels of Indonesian people
The use of Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application to Increase the Growth of Stunting Children
No full textIntroduction: Stunting is a condition that describes a malnutrition status whose prevalence is still high and has not met the reduction target, one of which is in Kabupaten Malang. Manajemen Nutrisi Balita Stunting (MNBS) is an innovation in providing specific nutrition interventions that have been developed into a form of smartphone application that can be used as a medium to prevent stunting problems. This study aims to analyze the effect of Manajemen Nutrisi Balita Stunting (MNBS) to increase the growth of children under age five with stunting condition. Methods: This study used a pre-experimental research design with a one group pretest/posttest design approach. This research was conducted in the working area of Puskemas Kabupaten Malang. The population of this study were parents with stunting children. The sampling technique used was a total sampling of 20 respondents. The inclusion criteria of this study include parents who have stunting children, parents have a smartphone, and parents are willing to take part in the research until complete. Results: The results showed that there was a significant change of children growth with stunting based on the increase in weight and height of children with stunting after the intervention using the Manajemen NutrIisi Balita Stunting (MNBS) smartphone application with p value 0.05. Conclusion: There is an effect of the Manajemen Nutrisi Balita Stunting (MNBS) smartphone application on the growth of under-five children with stunting
The Application of The Situation, Background, Assessment, Recommendation (SBAR) Method in Nurse Handover Between Shifts in The Hospital
Full text linkIntroduction: One of the effective communication methods in nursing services is the SBAR (Situation, Background, Assessment, and Recommendation). SBAR is an easy framework for communicating important information between health professionals in the hospital. This study aimed to describe the application of the SBAR method in nurse handovers between shifts. Methods: The research design used a cross-sectional approach. A total of 102 nurses involved in this study were selected by purposive sampling. The research instrument used a questionnaire to evaluate perceptions, knowledge, attitudes, motivation, and application of the SBAR. The bivariate statistical test used Chi-square and the multivariate test used Multiple Logistic Regression. Results: The results showed that the p-value between the perception variables was (0.025 <0.05), knowledge (0.014 <0.05), attitude (0.034 <0.05), and motivation (0.037 <0.05). There was a significant relationship between perception, knowledge, attitude, motivation, and the application of the SBAR method. Conclusion: The dominant factor in applying the SBAR method is the attitude variable. The application of this method may be tested by enhancing the capacity of nurses in the hospital.
Effectiveness of Cold Compress and Lavender Aromatherapy on Reduction in Postpartum Perineal Pain Intensity
Full text linkIntroduction: Every postpartum mother got a perineal wound and experience pain. This pain results in unpleasant effect such as fear of movement which can lead to problems such as sub uterine involution, unhealthy release of lochea, and postpartum bleeding. The purpose of the study was to determine effectiveness of cold compress and lavender aromatherapy on the reduction in postpartum perineal pain intensity. Methods: This study uses a Quasi-Experiment method with a pre-post test design. 32 samples were divided into 16 cold compresses and 16 lavender aromatherapy. The independent variable is the supply of cold compresses and lavender aromatherapy. The dependent variable is postpartum perineal pain. Data collection with standard operating procedures (SOP) for cold compresses, and lavender aromatherapy and observation sheets with bourbonic pain scales. Analyzed using the Wilcoxon test to find out before and after, to determine the effectiveness of using the Mann Whitney test. Results : Wilcoxon Signed Rank Test P=0.000 which means there is a difference in pain intensity before and after cold compresses are given, As for the lavender aromatherapy variable, the value of P=0.008 means that there is a difference in pain intensity before and after lavender aromatherapy is given. Mann-Whitney U Test statistic shows that the significance value P = 0.077, so there is no significant difference between giving cold compress and lavender aromatherapy to reduction in postpartum perineal pain intensity. Conclusions: Cold compresses and lavender aromatherapy can be used as nonpharmacological therapy in reducing the intensity of postpartum perineal pain
Determinant of Nurses’ Response Time in Emergency Department When Taking Care of A Patient
Full text linkIntroduction: : Response time is the handling speed calculated when the patients arrive at the hospital until they are treated. It is influenced by several factors according to Gibson Performance Theory. The research approach aimed to analyze individual factors including: skills, emergency training, gender, age, length of working, and education, organizational factors: rewards, and psychological factors: nurse motivation that influences the response time of the nurses in emergency departments at general hospitals in Madura. Methods: The research method used was a descriptive-analytic study with a cross-sectional approach. The sampling technique is total sampling, which is 101 nurses. Independent variables are skills, emergency training, gender, age, length of working, education, rewards, and motivation. Dependent variable is response time. Data were collected using a questionnaire and direct observations on nurses, data were analyzed using the Multiple Regression Logistic test. Results: The results show that there was no correlation between age (p= 0.996); education (p= 0.913); length of working (p= 0.921); training (p= 0.830); skill factor (p= 0.999); and motivation factors (p= 0.471) with response time. Whereas gender (p= 0.020); and reward factor (p = 0.020) were related with response time. Conclusion: In order to improve patients’ handling procedure, hospitals should give support to nurses, like promotion or salary. Hospitals are expected to record documentations about the number of patients according to triage category and how fast nurses handle them because it may be an evaluation for rooms
Effects of Job Satisfaction and Organizational Commitment on Nurse Retention: A Systematic Review
Full text linkIntroduction: Nurse turnover is a problem linked to low job satisfaction and organizational commitment; therefore, appropriate nurse retention strategy from nursing managers and human resource is needed. This study aims to explain the effects of job satisfaction and organizational commitment on nurse retention. Methods: This systematic review uses registration protocol from The Joanna Briggs Institute Guideline as a guide in the quality assessment of the summarized studies. Studies using the PICOS Framework were sourced from the following databases: Scopus, ScienceDirect, PubMed, EBSCOhost, JSTOR, SAGE, and ProQuest, published between 2010-2020, the study design was limited to cross-sectional, quasi-experiment, and randomized control trials. The feasibility study assessment used the Joanna Briggs Institute Critical Appraisal; the search keywords were adjusted according to the Medical Subject Headings and Boolean operators. The selection results are displayed in the PRISMA flow chart. Results: The initial search of the entire database found 8059 articles, then several duplication screenings of titles 30 articles were extracted. A feasibility assessment was carried out so that the remaining 25 articles were divided into two themes, namely job satisfaction and organizational commitment, each of which can affect nurse retention. According to this study, organizational commitment has a broader dimension of job satisfaction. Conclusion: Job satisfaction and organizational commitment have an influence on nurse retention; both are of concern for nurse managers to create effective nurse retention strategy
Effectiveness Diabetes Self Care Management Education (DSME) intervention with Short Message Service (SMS) or Mobile Application in Glycemic Control: A Systematic Review
No full textIntroduction: Glycemic control in DM is responsive to the condition of patients who have hemoglobin A1c (HbA1c) levels of 5-6%. However, most patients find it difficult to achieve the target of glycemic control. Diabetes Self-Management Education (DSME), which integrates the five pillars of DM management, emphasizes intervention behavior independently. The purpose of this systematic review is to analyze the effectiveness of diabetes self-management education intervention with short message service (SMS) or mobile application on glycemic control.Methods: This systematic review was conducted by searching five electronic databases, such as Scopus, PubMed, Science Direct, Springer Link and ProQuest over five years or more with full text in the English language. The search keywords were adjusted according to the medical subject headings and Boolean operators. This study used the PRISMA flow chart to select articles. Fifteen studies were included if they reported on diabetes self-care management education intervention with short message service or mobile application interventions in patients with diabetes. Reviews and editorials were excluded.Results: DSME interventions with SMS and with mobile application have effectiveness to manage and decrease glycemic control (HbA1c and blood glucose level) by health education, diet monitoring, and self-monitoring of blood glucose levels.Conclusion: This systematic review has shown that DSME intervention with SMS and mobile application significantly improves glycemic control despite the heterogeneity across the studies. The recommendation for further research is to analyze the comparison of the effectiveness of online and direct DSME intervention, which can improve glycemic control
Psychosocial Problems Faced by Nurses in Caring for Patients with COVID 19: A Phenomenology Study
Full text linkIntroduction: The high prevalence of exposure to corona virus among health workers has a psychosocial impact on nurses in charge of isolation wards specifically for COVID-19 patients. Therefore, this study aims to explore the psychosocial problems faced by nurses in the isolation wards of COVID-19 patients at the referral hospital in Medan.Methods: A qualitative study design with a phenomenological approach was used, and participants were selected using a purposive sampling technique. Data was obtained from 10 of these participants working in isolation wards and providing direct care to patients infected with corona virus. This was carried out through an in-depth face-to-face interview using internet facilities and the data was analyzed using colaizzi method.Results: The result showed that caring for patients confirmed with COVID-19 is a new challenge for nurses and the increase in the number of patients and health workers exposed to the virus had a psychosocial impact on them. Therefore, three themes were produced in this study, namely: (1) feeling of anxiety (2) feeling uncomfortable (3) boredom and fatigue.Conclusion: It was discovered that treating patients confirmed with COVID-19 has a psychosocial impact on nurses in isolation rooms. Therefore, this impact in nurses should be a major concern to help them cope with psychosocial problems, which will enable them provide professional nursing care to patients with COVID-19