Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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The Correlation Between Humidity, Temperature, and Noise With Sleep Quality at Intensive Care Unit (ICU)
Full text linkIntroduction: Temperature, humidity, and noise are factors that affect sleep quality. The objective of the research is to determine the effect of humidity, temperature, and room noise on sleep quality of (Intensive Care Unit) ICU patients. Methods: A quantitative research with the cross-sectional approach, involving 84 patients taken by consecutive sampling, with the inclusion criteria of at least having already spent more than two days in ICU, having age between 20-70 years, and being conscious and cooperative. The patients were observed using observation sheets and The Richards-Campbell Sleep Questionnaire (RCSQ). A thermohygrometer and sound level meter for noise recording were used to measure the temperature and humidity. Simple linear regression was used to analyze the data. Results: It was found out that the average sleep quality of patients in the intensive room was 28.51, which categorized as poor sleep quality; the mean humidity in ICU was 56.98; the room temperature was 26.40, and the noise was 66.01. The noise level at the ICU significantly affected the patients’ sleep quality (p-value = 0.020 <0.05), while temperature and humidity did not influence the patients' sleep quality. Conclusion: Most of the respondents had a poor quality of sleep. Controlling the conversation and activities among staff, using earplugs, and modifying the alarm can be done to reduce the noise at the ICU to enhance the quality of sleep of the patients
Relationship Between Sleep Quality and Hypertension Among Working-Age Population in Indonesia
Full text linkIntroduction: One of the diseases which are continuously becoming a public health problem is hypertension. The prevalence of hypertension in working-age or productive age in Indonesia has increased significantly in recent years. There are many risk factors for hypertension in adults, one of which is lack of sleep. Sleep disorders can increase the risk of hypertension. This study aimed at finding out the relationship between sleep quality and the incidence of hypertension among the working-age population in Indonesia. Methods: This study utilized secondary data from the Indonesia Family Life Survey (IFLS) 5 data with a cross-sectional study design. The sample in IFLS 5 was taken using Multistage random sampling. The number of samples was 8,815 with inclusion criteria, which included that respondents were 15-64 years old and had complete data on the variables studied, namely: age, sex, sleep quality, physical activity, Body Mass Index (BMI), smoking habits and hypertension. Data were analyzed using multiple logistic regression. Results: Respondents with poor sleep quality had 1.39 higher odds of experiencing hypertension compared to respondents who had good sleep quality after being controlled by variables of gender, age, smoking status, physical activity, and nutritional status. (Poor-good sleep quality=1.39, 95% CI 1.20-1.61 p=0.000). Conclusions: It is necessary to strengthen information about health promotion regarding the prevention of hypertension in the community, especially good time management, to maintain sleep quality and the need for health programs on prevention of hypertension carried out by the ministry of health to the community through existing health-workers
Sexual Behaviour and Reproductive Health of Women in North Sulawesi Province: A Secondary Data Analysis
Full text linkIntroduction: Although health promotion strategies have been made to promote reproductive health, women’s reproductive health problems have not dropped significantly. This study aimed to examine the relationship between early sexual behavior and reproductive health of women of reproductive-aged 15-49 years old for North Sulawesi Province, Indonesia. Methods: Descriptive correlational design was used to examine the relationship between the age of first sexual intercourse and pregnancy complications, decision making about the use of birth control, and knowledge about HIV-AIDS. Data were obtained from 585 women aged 15-49-year-old selected from the 2017 Indonesia Demographic and Health Survey (SDKI 2017). Results: Cramer’s V correlation coefficient showed a strong correlation between age at first sexual intercourse and pregnancy complications and moderate correlation between decision making about the use of birth control, and knowledge about HIV-AIDS. Forty percent of sexually active women were 10-19 years old. In addition, decisions about the use of contraceptive strategies among those ages have the potential to be not users in accordance with rational contraception use because they might not seek health workers’ advice. This study also found a low proportion of women understood HIV transmission. Conclusions: Findings from this study affirm the hypothesis that women’s sexual behavior correlates with their reproductive health. Therefore, improving sexual behavior may improve reproductive health. These findings also may be used to inform the effectiveness of the implemented reproductive health programs in North Sulawesi Province. Several culturally sensitive strategies are recommended to overcome problems and improve reproductive health
Knowledge Transfer through Mobile Application Needs Questionnaire: Validity and Reliability
Full text linkIntroduction: Knowledge transfer through mobile application needs assessment to develop a user-friendly technology. However, the means to measure the need is unavailable. An instrument was developed from the Joanna Briggs new model of EBP to examine the nurses’ needs. This study aims to examine the reliability and validity of knowledge transfer through mobile application needs questionnaire for nurses. Methods: The validity of the questionnaire was examined for its content with Content Validity Index (CVI). CVI was measured for its relevance, ambiguity, clarity and simplicity on each item (I-CVI) and scale (S-CVI). Content validity assessment forms and guidelines were given to six experts in nursing and computer sciences. Their suggestions contributed to the questionnaire revision. Subsequently, the online questionnaire was completed by 40 nurses randomly selected in a hospital in Depok City. Internal consistency was analyzed for the reliability. Results: The CVI of this questionnaire is high with mean of I-CVI and S-CVI at 0.96 relevance, 0.98 ambiguity, 0.97 clarity and 0.94 simplicity. Cronbach’s alpha shows that the internal consistency is acceptable (0.87). Conclusion: The questionnaire is content valid and reliable. This questionnaire can be used to measure those needs and contribute to the design of a user-friendly mobile application
Phenomenological Study: Experience of Voluntary Nurses in Providing Health Services During The COVID-19 Pandemic
Full text linkIntroduction: The COVID-19 pandemic has certainly caused a significant crisis in various groups and populations in the world, especially nurses. The roles and responsibilities that nurses have to play become a dilemma when they not only have to protect themselves, but also their colleagues and their families from this deadly virus infection. This study was to identify the experiences of nurses in providing nursing care to patients during COVID-19 pandemic. Methods: The study used a phenomenological design. Ten participants were selected by purposive sampling. The data were gathered by conducting in-depth interviews and analyzed by Colllaizi’s method. The data were collected in hospitals of the South Tapanuli area. Results: The data were gathered by conducting in-depth interviews and analyzed by Collaizi’s method. The result emerged five themes, namely: 1) Motivation of voluntary nurses to provide health services in the COVID-19 pandemic; 2) voluntary nurse psychological response; 3) problems faced by voluntary nurses; 4) the benefits of being a voluntary nurse during the COVID-19 pandemic; 5) the expectations of voluntary nurses. Conclusion: Voluntary nurses continue to carry out their duties in providing health services in the Covid-19 pandemic even though without any compensation received. The result of this research is recommended to the hospital and government giving the needs of voluntary nurses while providing health services during COVID-19 pandemic
The Feasibility Test of “COVID” Learning Strategy: An Alternative Approach to Cope Learning Process during Pandemic of COVID-19
No full textIntroduction: The COVID-19 outbreak requires spread prevention strategies that affects the education system at all levels. Consequently, appropriate and relevant learning strategies are required. The study aimed to examine the feasibility of “COVID” learning strategy as an alternative online learning system during pandemic COVID-19. Methods: The study applied a pre-experimental design with a one-group pretest-posttest approach. The sample size (34 participants) was determined using G*Power 3.1.9.7 software. The open recruitment of the participants was announced through WhatsApp. Students who were willing to be the participants were asked to fulfill the enrollment link. As the intervention, nursing students were taught using the "COVID (Creative, Outcomes-oriented, Valuable, Innovative, and Desire)" learning strategy. Two variables i.e. critical thinking and learning environment satisfaction were measured using the Diagnostic Thinking Inventory (DTI) and the Dundee Ready Education Environment Measure (DREEM), respectively. The paired t-test was used to analyze the DTI and DREEM data before and after the intervention. Results: The results show that the Flexibility Thinking dimension of DTI was significant with t-value of (30) = 7.025, p = .000. Likewise, with the assessment of the learning atmosphere using DREEM, a significant result was obtained with t (33) = -457,263, p = .000. The respondents' satisfaction with the "COVID" learning strategy was 8.5 on average. Conclusion: The "COVID" learning strategy can improve flexible thinking and student satisfaction with the online learning process. The "COVID" learning strategy can be an alternative learning strategy that is effective in the online learning process.
Effect of Virgin Coconut Oil on Skin Integrity in The Elderly with Incontinence
Full text linkIntorduction:Incontinence was a problem that often occurs in the elderly and this condition can worsen the elderly situation with the appearance of severe damage to the integrity of the skin,Virgin Coconut Oil (VCO) contains medium chain saturated fat that easily enters deep skin layers and maintains skin elasticity and suppleness. The aim of this study was to determine the effect of virgin coconut oil on skin integrity in the elderly with incontinence.Methods: The design of research was a quasi-experimental with non equivalent control group design. The population in this study were all elderly who experience incontinence. The sampling technique used was consecutive sampling with a total of 10 people in the experimental group and 10 people in the control group. To assess skin integrity before and after treatment is used was The Ghent Global IAD (GLOBIAD) tool. The using of virgin coconut oil is done every time after the stool incontinence episode and after bathing. Virgin coconut oil has been applied to the damaged skin and also to other vulnerable skin. Results: Based on the Wilcoxon test results obtained p value smaller than 0.05 which is 0.010 so that there was a significant difference in the value of skin integrity before and after the treatment. Conclusions:There was a significant effect on the use of virgin coconut oil on skin integrity in the elderly with incontinence
The Combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics on Dyspnea Among COPD Patients
Full text linkIntroduction: Dyspnea becomes important to treat Chronic Obstructive Pulmonary Disease (COPD) patients that had an impact on the limitations of daily activities. The purpose of this study was to determine the effects of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics combination on dyspnea among COPD patients. Methods: The design of this study was a quasi-experiment. The population was patients who diagnose COPD by spirometry in Surabaya City and Bangil Regency. The total sample was 56 respondents divided into 28 in the intervention group, and 28 in the control group used consecutive sampling. The independent variables were the combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics. The dependent variable was dyspnea. Data were collected using the mMRC Dyspnea Scale. Interventions were given three times a week for a month. Wilcoxon Sign Rank Test to analyzed before and after and Mann Whitney Test to determine between the intervention group and the control group. Results: The result showed that the intervention group was significant differences between dyspnea before and after the intervention with a value of 0.001 (p 0.05). There were differences in dyspnea values between the intervention group and the control group with a value of 0.004 (p <0.05). Conclusions: the combination of Upper Limb Exercise and Respiratory Muscle Stretch Gymnastics has been shown to reduces dyspnea with COPD patients so that patients can perform as complement pharmacological therapy
Family Perception in Readiness Accepting Discharge Planning Determined by Nursing Advocacy Program
Full text linkIntroduction: Planning for patients to go home raises the issue of whether the patient is ready to face health problems at home, the lack of a support system becomes a problem especially if the patient as the head of the family needs continuity of care both in the healing process and in maintaining the patient's health status both at home sick or at home. The purpose of this study was to determine how is the Role of Advocacy given by Nurses with Readiness in Receiving Discharge Planning by patients and families. Methods: The cross-sectional correlational study in this study views the patient's family support in readiness to receive the patient's home program on the ward. Sampling 97 respondents with a purposive sample technique. Results: Family perceptions about nurses in the positive category (73.2%). The level of family readiness in accepting return planning in the good category (53.6%), the results of the bivariate analysis using the Spearman rating relate to family perceptions about nurse advocacy with readiness in accepting return planning with a p value of 0.00 <alpha 0.01. Conclusion: Family perceptions about nurse advocacy with home preparation have a strong relationship, so family assistance in nursing care in re-care planning is needed. family perceptions of nurses are needed including nursing actions or other matters relating to care by the family also need to support patient health
The Influence of Two Different Learning Approach on Oncology Nursing Education
Full text linkIntroduction: : Innovative education activities contribute to the professional development of students. This research is aimed to determine the influence of constructivist learning-based practices on nursing students' knowledge levels of cancer and cancer nursing functions and problem solving ability. Methods: In the study, a quasi- experimental design with pretest-posttest control group was used. The second-grade nursing department students, who had oncology nursing lessons, were included in the study. A total of 81 students were divided into three groups: constructivist methods (n=31), clinical practice (n=21) and control group (n=29). The students in the constructivist approach group had four weeks of constructivist education while the students in the clinical practice group practiced in the oncology clinics. Research data were collected using information form, cancer nursing knowledge test and problem solving inventory. Mean values, Kruskal Wallis Test, and Wilcoxon sign test were used to evaluate the data. Results: There was a statistically significant difference in the posttest scores of the groups (KW = 4.79; p≤0.001). A significant difference was found between the knowledge pretest scores and posttest scores of the students in the constructive method group (Z =-4.84; p≤0.001). There was no statistically significant difference in problem solving skills in the posttest scores of the groups (KW = 0.33; p≥0.05). Conclusion: As a result of the research, it was determined that constructivist learning approaches positively affect oncology nursing knowledge test score. It ıs suggested to use innovative methods in the teaching and learning process of nursing practice