Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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Leprosy Resilience with Disabilities Due to Illness: A Qualitative Study
Full text linkIntroduction: Leprosy is an infectious disease that still causes complex problems. The problem in question is not only in medical and physical terms, such as disability, but extends to social, economic, and cultural problems. This study aims to explore the experience of leprosy sufferers with disabilities to achieve resilience. Methods: A descriptive qualitative research design with a phenomenological approach was used. The number of participants was eleven people affected by leprosy with grade 1 and 2 disabilities in Sumenep Regency obtained by a purposive sampling technique. Data collection used in-depth interviews with interview guides and field notes; the results of data collection were analyzed with theme analysis. Results: This study produced five main themes about the experience of leprosy patients in the process of achieving resilience, namely: 1) self-stigma as a stressor experienced by lepers, 2) psychosocial problems that arise in response to stressors, 3) active coping as a method of resolving stress, 4) positive adaptation as a form of self-adjustment, 5) characteristics of strong individuals. Conclusion: Lepers with disabilities identify self-stigma as a stressor that triggers the emergence of psychosocial problems. Individuals can form tough characteristics, such as responding positively to unexpected conditions, becoming more productive, and showing helping others behavior after overcoming stressors through the stages of active coping and positive adaptation
Planning Development Level of Evidence Pain Management in Pre-hospital Emergency Department: A Systematic Review
Full text linkIntroduction: Regarding pre-hospital pain management focus on the emergency department, safety of analgesics used is one of the concerned areas to be developed clearly. However, the current level of evidence in pre-hospital pain management of injured patients, focusing on the safety and effect of pre-hospital analgesia has not been explored. The aim of this study was to analyze the level of evidence in pre-hospital pain management of injured patients, focusing on the safety and effect of pre-hospital analgesia. Methods: A systematic review was performed in this study with inclusion criteria adult-elderly injured patients in pre-hospital setting and used analgesic agents. Articles were sourced from electronic database Scopus, PubMed, Science Direct, Springer Link and ProQuest, which were searched to identify all the relevant articles published over the last five years in English. Fifteen studies were included are qualified as articles assessment with Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Results: Nine studies were Randomized Control Trial, two studies cross-sectional and retrospective, and one study prospective descriptive and cohort. The result showed that many types of analgesic are used or planned in emergency areas, such as morphine, ketamine, fentanyl, NSAID with different route intravenous, intramuscular and subcutaneous with safety and monitoring continuously by healthcare professionals. Conclusion: The use of pre-hospital analgesia for injured patient in pre-hospital setting is commonly used by health workers according to pain management standard and guidelines; planning developments are needed for safety and management as a concern for focus on quality of pain management status
The Effect of Clinical Learning Environment on Nursing Student Satisfaction in East Java Province
Full text linkIntroduction: The clinical learning environment is a situation for the implementation of student practical learning. Satisfaction with the clinical learning environment is very important to foster a positive learning experience. This study aims to analyze the influence of the clinical learning environment on nursing student satisfaction. Methods: The study design used was an observational analysis with a cross-sectional approach to clinical nursing students in East Java Province with 451 student respondents. A consecutive sampling method was conducted. The Clinical Learning Environment Supervision Teacher (CLES T) instrument was used to assess learning environment variables and Clinical Learning Environment Inventory (CLEI), in particular, the satisfaction dimension was used to assess the satisfaction variable. Data analysis used the Spearman rank test and multiple linear regression. Results: There is a relationship between the clinical learning environment (pedagogic learning, leadership style, nursing care in the ward, the relationship of supervision, the role of nurse teacher) and the satisfaction of nursing clinic students (p = 0.000). Multiple linear regression analysis showed that the dimensions of pedagogic learning (t = 3.261; p = 0.001) and the role of the nurse teacher (t = 2.693; p = 0.007) had an effect on nursing student satisfaction. Conclusion: Student satisfaction is an important factor in the implementation of student clinical learning, so it is necessary to carry out good management by educational institutions and practice fields regarding the learning environment and improving the pedagogic atmosphere and the role of nurse teachers in clinical learning
The Influence of Motivation and Workload on Employee Performance in Hospital
Full text linkIntroduction: Improved hospital performance can improve employee performance. The better employee performance, the more services provided to patients Employee performance is influenced by work motivation. The purpose of this study was to analyze the effect of motivation on employee performance. Methods: This research uses a quantitative descriptive design with a cross-sectional approach. The number of respondents in this study was 79 employees. Data were analyzed using correlation analysis. Motivation is assessed by questionnaire and performance evaluation uses observation sheets. Results: Employee motivation and performance are included in the high category (82.3%) and (92.4%). There is a significant influence between motivation on employee performance (r = 0.775 p (0, 00) <0, 05). The effect of intrinsic motivation (r = 0.737) is stronger than extrinsic motivation (r = 0.325). There is the influence of sub-variable responsibility (p = 0.032), recognition (p = 0.002), work performance (p = 0.007), career development (p = 0.000), work (p = 0.016), promotion (p = 0.029)) working conditions (p = 0.001) on employee performance. Conclusions: Overall there is a strong influence on the work motivation of hospital employees. Work motivation still needs to be maintained and improved for better employee performance
The Correlation of Food and Physical Activity with Diabetes Incidence Among Older-Adult
Full text linkIntroduction: Diabetes in older adults is associated with higher mortality, reduced functional status, and increased risk of institutionalization. Older adult with Diabetes type 2 additionally have high risk for both intense and constant microvascular and cardiovascular disease. The purpose of this study is to analyze the correlation of food and physical activity with diabetes incidence among older adults in Pasir Panjang public health community, Kupang. Methods: The research used observational analytic design with cross-sectional approach. The sampling technique taken was convenience sampling. The samples were 120 respondents. To analyze food and physical activity with DM incidence, the researchers used a statistical chi square. To measure activity, the instrument used was the Global Physical Activity Questionnaire (GPAQ) from the WHO and to measure food it used the Indonesian Family Life Survey (IFLS) from Indonesia’s health ministry. Results: This study showed that there was a correlation between food and type 2 DM incidence for the older adults in Pasir Panjang public health community Kupang (p = 0.008 0.05). Conclusion: Nurses need to create suitable health education regarding food consumed for older adult with type 2 diabetes, and involve their family to support patients to consume the diet
Editorial: The New Normal Life After Lockdown on COVID-19 Pandemic
Full text linkEditorial: The New Normal Life After Lockdown on COVID-19 Pandemi
Virtual Algorithm Simulation (VAS) Based on Problem: Learning Media in Medical Surgical Nursing
Full text linkIntroduction: Innovative learning media for online simulation-based nursing students is still not optimal. The study aimed to develop online simulation video-based learning media, namely virtual algorithm simulation (VAS) based on problems in medical-surgical nursing (MSN). Methods: A research development or Research and Development (R&D) which consists of two stages. The first phase of the study was conducted focus group discussion (FGD) with eight medical surgical nursing lecturers and expert discussion with 50 students, three of IT experts, and two MSN experts. The second phase of the research was conducted FGD with five participants, and socialization of instructional media to six lecturers and 54 students. The feasibility test instrument uses learning media assessment instruments consisting of subcategories of learning media rules, Computer Assisted Interaction (CAI), management, and the relevance of the material and syllabus. Data were analyzed using descriptive analysis. Results: The assessment of media experts showed the highest mean in the VAS management subcategory of 3.53. Evaluation of nursing experts and students with the highest mean in the subcategory of material relevance and syllabus, namely 3.9 and 3.57. The results of discussions with experts stated that 100% of the learning media Virtual Algorithm Simulation (VAS) is suitable for use as a medium for learning medical surgical nursing. Conclusions: VAS can be used as a learning media for medical surgical nursing. Online simulation-based learning media can facilitate the accessibility of learning material, increase knowledge and skills of nursing students
The Correlation Between Self-Care Behavior and The Self-Efficacy of Hypertensive Adults
Full text linkIntroduction: Medication adherence is critical to succesful of hypertension control, and other effort to maintain blood pressure for hypertensive adult is lifestyle modifications involving healthy eating, sodium reduction, and increased physical activity. A person’s behavior to maintain their health condition including their high blood pressure can be affected by their self-efficacy. The purpose of this study is to assess the self-care behavior of hypertensive adults to examine its relationship with the self-efficacy in order to propose inputs to the development of lifestyle program. Methods: The descriptive correlation method of quantitative research utilized in this study. The respondents of this stady consisted of of 120 hypertensive adults. The self-care behavior and self-efficacy of hypertensive adults were assessed use questionnaires and statistically tested with pearson-r. Results: The characteristic of respondents in this study were mostly female (76.7%), age ≥ 60 years old (57.5%), and graduated from Senior High School (59.2%). The pearson-r results showed that the computated T of 4.705 was greater than tabular value of 1.96 so that the null hypothesis was rejected. Conclusions: The characteristic of respondents in this study were mostly female (76.7%), age ≥ 60 years old (57.5%), and graduated from Senior High School (59.2%). There is a significant relationship between self-care bahavior and self-efficacy of hypertensive adults
The Effect of Subject Matter Analysis (SMA) on Knowledge in the face of the Out of Hospital Cardiac Arrest OHCA
Full text linkIntroductin: Out-of-hospital cardiac arrest (OHCA) is the focus of global health problems due to its very high mortality rate. The reason is the late reporting and administration of CPR (Cardio Pulmonary Resuscitation) actions. A solution is to provide CPR training in the community to form a CPR bystander who can be willing to voluntarily provide CPR actions. The purpose of this study is to analyze the effect of the Subject Matter Analysis (SMA) training model on knowledge in dealing with Out-of-hospital cardiac arrest (OHCA) events. Methods: This study uses a Pre-experimental (One Group Pretest-Posttest) design using inclusion criteria. The independent variable in this study is SMA, while the dependent variable is the level of knowledge. The number of samples in this study was 50s, one group without control group. The instrument used a knowledge level questionnaire. Measuring the BLS (Basic Life Support) recognition rate was by using a questionnaire; the data were analyzed using the SPSS for Window program with a dependent t-test. Results: Based on what respondents answers there was a significant influence with the calculation of results showing ρ value = 0.001 less than 0.05. Conclusion: This means that, after the posttest, there was an increase in the level of knowledge facing the OHCA event
Family Burden of Schizophrenia in Pasung During COVID-19 Pandemic: A Scoping Review
Full text linkIntroduction: The long-term care in schizophrenia patients can cause care burdens, which will relate to the family's decision to do pasung. The perceived burden will be even heavier because of the COVID-19 pandemic. This review aims to identify the family care burden affecting pasung in schizophrenic patients during the COVID-19 pandemic. Methods: This scoping review was conducted by searching four databases, namely ProQuest, Science Direct, and EBSCO, and Google Scholar in the past ten years. This study uses the PRISMA 2009 protocol in filtering articles from the database. Researchers summarize based on the significance value for quantitative research, based on themes’ qualitative research, and discussed factors mentioned which may influence the family. Thus, we obtained 15 articles for final review. Results: The results obtained that the subjective burden felt by the family is a feeling of worry and sadness due to the patient's aggressive behavior and the safety of the patient, family, and environment. The objective burdens most felt by families are financial burdens, both medical costs, transportation to reach mental health services, and the cost of daily living. The COVID-19 pandemic will affect both types of care burdens, thereby affecting the quality of care for families with schizophrenia patients in pasung. Conclusion: Schizophrenia patients are one of the populations that are vulnerable to COVID-19. Nurse plays a role in the ability to overcome the burden of schizophrenia care and improve adaptation to the current pandemic to create optimal mental health in the community