Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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The Effectiviness of Mini-Cex Towards Clinical Competency Achievement in Neurological Examination of Clinical Practice Nursing Students
Get PDFIntroduction: Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. The aim of this study was to evaluate the effectiveness of Mini-CEX towards clinical competency achievement in neurological examination of clinical practice nursing students at General Hospital Medan.Methods: The research design was quasi experiment with the post-test only with control group approach. The samples were 60 respondents who divided into two groups: 27 respondents in the control group, and 33 respondents in the intervention group. Samples were chosen using the total sampling method.This study used the Mini-CEX to evaluate competency of nursing students and firstly developed in Indonesian by Nursing Study Program in Muhammadiyah University of Yogyakarta. The data were analyzed by descriptive and Mann Whitney test.Results :The study showed that mean score of neurological examination competence in the intervention group (77±8.33) was higher than the control group (68.19 ±7.53). There were significant differences of the clinical competency between two groups of samples with p value 0.000 (p<0.05). Conclusions : Clinical practice nursing students competency were improved using Mini-CEX method. It is recommended that the nursing study program use Mini-CEX method to evaluate clinical nursing practice so that student’s learning competency is increasing
OVER PROTECTIVE PARENTING WITH ADOLESCENTS COPING STRATEGIES
No full textIntroduction. Parents are responsible to meet the needs of children include biological and psychological needs, but in reality behave over protective parents. The result appears coping strategies in children. The purpose of this study was to identify the correlation of behavior over protective parent with a teenager coping strategies in Mutiara Bandung 4 Junior High School. Methods. The study was observational with cross sectional sample of 70 respondents taken by purposive sampling method. Instruments questionnaire and analyzed using chi square test. Results. This study showed that teenagers in Mutiara Bandung 4 Junior High School whose parents overprotected more used Emotional Focused Coping than parents who did not overprotected. Chi square test p = 0.003, ie p <α (0.05). There was a correlation between the behavior over protective parent with a teenager coping strategies in Mutiara Bandung 4 Junior High School. Discussion. The Parents be recommended to comprehend adolescent condition with viewpoint of growth and development of adolescents, so they can use good coping strategy to solve their problems.Keywords: Adolescents, Coping Strategies, Over Protectiv
LOGOTHERAPHY TO ELDERLY DEPENDENCE
No full textIntroduction. The old people has decreased in physical condition, in function and sexual potency, psychological changes, changes associated with the work, and changes in social roles in society. These cause the elderly dependent in performing self-care. The action to overcome these problems is by delivering logo therapy. The general purpose of this study was to describe the influence of logotheraphy to elderly dependence at Panti Wredha Welas Asih Tasikmalaya. Method. The research design used was a "Quasi-experimental pre-post-test". The sample was purposive sampling with a sample size of 22 elderly. There were four sessions of the Logo therapy's implementation such as identifying clients' changes and problems, identifying the reactions and how to solve problems, the techniques and evaluation of medical ministry. Result. The results showed there was difference in elderly dependency before and after doing Logotherapy (p-value 0.001). Discussion. Logotherapy is recommended to be done in the framework of health services in the community as a form of health care for the elderly who have dependency problems and become the basis of consideration and thoughts in developing and implementing the treatment.Keywords: Logoteraphy, eldery, dependenc
STANDARDIZED PATIENTS EXPERIENCE (SPE) IN IMPROVING THERAPEUTIC COMMUNICATION SKILL OF UNDERGRADUATE NURSING STUDENTS COMPARED TO EARLY CLINICAL EXPOSURE (ECE)
No full textIntroduction. Therapeutic communication skill is the main competency of nurses. Lack of therapeutic communication capability will cause difficulties in engaging therapeutic relationship between nurse and patient. This study aimed to investigate the effectiveness of Standardized Patient Experience (SPE) in enhancing therapeutic communication skill of undergraduate nursing students compared to Early Clinical Exposure (ECE). Method. This study was quasi-experimental study used 47 undergraduate nursing students as the sample and divided into control and experiment group. The data was analysed by using t-independent test with significant value of 0.05. Results. There was no significant difference between the improvement of therapeutic communication skill in SPE and ECE group (p=0,576), the mean of therapeutic communication skill scores were significantly improved in each group (p=0,40; p=0,15 in SPE and ECE, respectively). Students’ satisfaction level in SPE group is significantly higher than the ECE (p=0,003). Discussion. The SPE method is as effective as the ECE in teaching therapeutic communication, so that SPE can be used as alternative if teaching opportunity in clinical practice was not possible to be conducted. Keywords: standardized patient experience; early clinical exposure; therapeutic communication, simulatio
HOME CARE ON THE AN INCREASING NUTRITIONAL STATUS FOR THE CHILDREN UNDER FIVE IN YOGYAKARTA
Get PDFIntroduction. Prevalence of children under five with malnutrition is an indicator of Millenium Development Goals (MDGs) that should be reach in a region (Regency/City) in 2015. Prevalence of nutrition base on weight for height (WFH) in Daerah Istimewa Yogyakarta showed that children under five prevalence with very lean nutrition status was about 2,6 percent and lean about 6,5 percent. Community Therapeutic Care combining three approaches to handling under five malnutrition children including community intervention, home based treatment for under five malnutrition children without complication and stabilitation center for under five malnutrition children with complication. The aim of this research was to find out the changing of malnutrition children under five through home care program in Yogyakarta. Method. This research used quantitative method through home care intervention for children under five with malnutrition and was conducted by nurse in public health center. Design of this research was pretest-posttest control group design. The population of this research was all children under five with malnutrition or not complication. Sample divided into two groups, 35 children for the intervention group and 25 children for control group. Analysis used was Paired t-test and independent t-test. Results. The result showed that before home care intervention, there is no significant difference of two groups. The result after intervention for three month with 7 times of visiting, home care intervention can increase nutritional status of children under five with malnutrition. The value of Independent t-test for control group and intervention group was significant with p<0,05. Discussion. The researcher conclude that Home Care has effect to increase nutrition status of children under five with malnutrition and also Z score value which is weight for height (WFH) was increase. Keywords: Home Care, Nutrition status , Malnutrition
THE EFFECTIVENESS OF DEEP BREATHING AND SLOW STROKE BACK MASSAGE TO DECREASE THE BLOOD PRESSURE ON A PATIENT WITH HYPERTENSION
No full textIntroduction: Many patients with hypertension have not got the proper treatment in controlling blood pressure (BP). The purpose of this study was to analyze the effectiveness of deep breathing (DB) and slow-stroke back massage (SSBM) in BP reduction to patients with hypertension. Method: The design was a True Experiment the Solomon Three-Group Design. Sampling technique was group randomized plan as many as 60 people. The treatment given was BP and SSBM. Blood pressure data retrieval used mercury spigmomanometer. Results: The results were ρ of BP values (systolic) was 0,000, while the value of ρ (diastolic) was 0,000. The value ρ of SSBM (systolic) was 0.000 while the value of ρ (diastolic) was 0.001. The statistical results of the effectiveness BP systolic reduction was the significant difference in both interventions with a control group with ρ = 0.000 and the most effective was the DB compare to SSBM with ρ = 0.05 (4.0 mmHg). While there are differences in BP diastolic reduction significantly in both interventions with the control group with ρ = 0.000 and the most effective was DB than SSBM with ρ = 0.01 (6.6 mmHg). Discussion: It can be concluded DB and SSBM are effective to lower BP (systolic mean difference of 9.3 mm Hg of DB and SSBM 5.3 mmHg, while diastolic mean DB 11.2 mmHg and SSBM. Keywords: deep breathing, slow stroke back massage, blood pressure, hypertensio
ACCEPTANCE OF MUSIC STIMULATION THERAPY FOR AUDITORY HALLUCINATION PATIENTS
Get PDFIntroduction.The majority of increasing rates of mental illness cases cause by recurrence. Music stimulation therapy on patients with hallucinations is one of the modalities of therapy in nursing care. The purpose of this study was to reduce the recurrence rate of patients experienced with hearing voices.Methods.Patients were asked to listen to music when hallucinations appeared. The nurse was accompanying and observing during therapy. After completion of therapy, patients were interviewed using an open ended question how the response toward the music therapy. Interview data were analyzed using narrative strategies of inquiry. In addition the patients were also measured a number of hallucinations that appeared before therapy. The intervention was applied for one month, and then the patients are repeated its measures by the appearance of hallucinations. The Wilcoxon test was utilized to compare differences between before and after intervention.Result. The themes finding that can be developed were the music therapy shows specific responses and the music therapy disrupts hallucinations. While the quantitative analysis, there were the differences mean between before and after the intervention, but the statistical test showed insignificant value.Discussion. Stimulation therapy of hearing voice panned out and eliminated ongoing hallucinations in patients with a medical diagnosis of undifferentiated schizophrenia, but the response of paranoid schizophrenia patients were unsuccessful.Key words: Nursing modalities therapy, schizophrenia, auditory hallucination
INTERACTIVE LEARNING MEDIA DEVELOPMENT WITH CONCEPTUAL CHANGE FOR BASIC NURSING LECTURE I IN STIKES MAJAPAHIT SINGARAJA
Get PDFIntroduction: All this time conventional media in lecture proved less effective in improving learning outcomes Basic Nursing Science I. On the other hand, the presence of an innovative learning model of conceptual change-oriented and ICT are potentially improve learning outcomes IKD I. Development of interactive learning media-oriented conceptual change is predicted to have an impact on the achievement of learning outcomes IKD difference. This research aims to develop interactive learning media-laden conceptual change and test its effectiveness in scaling the learning outcomes of students STIKES Majapahit IKD Singaraja. Method: This was a development study (development research). The population in this study were all students of the first semester courses of S-1 Nursing, STIKES Majapahit Singaraja school year 2013/2014 (80 people) and a teacher of nursing staff (15 people). Sampling in each phase of the research done by simple random sampling technique, in order to obtain two lecturers (content and media experts), 3 students (individual test), 9 students (small group testing) and 30 students of the first semester (field test). The instrument used in this study is a questionnaire and achievement test I. Basic Nursing questionnaire used in the product development stage (testing expert, individual testing, small group testing), while the achievement test used during the field test. Criteria for success of media development is based on the evaluation of content expert, media experts, individual test, and test a small group. Also based on the analysis of the post-test scores of students, it can be seen the effective use of instructional media IKD I on student learning outcomes. Results: The results of the data analysis showed that the test class interactive learning media loaded developed conceptual change effective in optimizing learning outcomes IKD I (M = 80.08; SD = 5.93). Discussion: Through this research has successfully developed an interactive learning media charged to facilitate conceptual change classes first semester student IKD I STIKES Majapahit Singaraja. Besides, the validity of the analysis shows that interactive learning media charged velid developed conceptual change and unfit for use.Keywords: Conceptual change, interactive learning media charged conceptual change, and learning outcome
AEROBIC EXERCISE ON BODY MASS INDEX (BMI) CHANGE IN PERSON WITH OVERWEIGHT AND OBESITY
Get PDFIntroduction. Aerobic Gymnastics is one type of exercise that increases fatty acid oxidation so that can lose weight. The purpose of this study was to determine the effect of aerobic exercise on body mass index (BMI) changes in person with obesity. Methods. This study was a quasi-experimental study using a pre-post test design. Individuals with obesity / overweight do aerobic exercise for 3 times a week for 6 weeks. Before aerobic exercise, the body mass index (BMI) measured and then after aerobic exercise done reassess the Body Mass Index (BMI). The number of sample studied were 30 women aged between 17-22 years old.Results.The results showed that BMI scores before aerobic exercise intervention is average of 27.54 and the average BMI of the respondents after attending aerobics for 6 weeks was 26.65 with a probability value (p = 0.000) smaller than (p = 0.05), which means that there is effect of aerobic exercise with BMI change. Discussion. BMI levels have changed significantly after aerobic exercise for 6 weeks.Keywords: BMI, aerobic, obesit
Effectiveness Learning Model Mind Mapping, Discussion, and Role Playing in Learning Outcomes Nursing Student in Community Nursing
Get PDFIntroduction: Low graduation rates UKNI (Indonesian nurses Competency Test) encourages nursing students for their innovative teaching model. MDR learning methods (Mind mapping, discussion and role play) is a new teaching method and innovative that can improve student understanding. The purpose of this study was to determine the effect of learning the MDR model towards the understanding of the students in the subject of community nursing. Methods: This study uses a pre-experiment approach pre-post test. Sample of this study was 50 7th-semester student. All students who followed the MDR learning model were given practice questions then followed this learning model and measured again using practice questions. Results: Analysis of data using statistical test paired t-test. Distribution of respondents by sex is 15 people (30 %) men and 35 (70%) of women. Average male student GPA was 3.1, average female student GPA was 3.3. Conclusions: The results show that there are differences in the pre and post (mean = 35.46). Learning MDR Model improves critical thinking, motivation and makes learning fun.Keywords : Mind Mapping, Nursing, Education, Discussion, Role Playin