Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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FAMILY CENTERED CARE IN PATIENTS WITH DIABETIC KETOACIDOSIS AND MULTIPLE ORGAN DYSFUNCTION SYNDROME (MODS) IN THE INTENSIVE CARE UNIT: CASE REPORT
Full text linkIntroduction: The presence of family members who are treated in the intensive care unit makes the patient's familyfeel anxiety related to the fear of the death of someone theylove. In dealing with this, family-centered care is used as anapproach that has advantages for families, patients, and healthworkers. This case report aims to describe the family centeredcare towards patient and patient’s family with diabeticketoacidosis and Multiple Organ Dysfunction Syndrome. Method: This study used a case report to describe theintervention in the case. The sample of this study was an adultpatient with diabetic ketoacidosis and MODS who has a family with psychological problems in an intensive care unit. Results: Based on assessment the patient's general conditionwas weak and restless, the level of consciousness undersedation with Ramsay score was 5, the urinalysis found a ketonuria and glucosuria. The patient's family feel guilty, worried, and always asks about the patient's condition whilecrying. The interventions provided with the FCC includeinformation on the patient's condition, treatment plans, andresults after the action is taken, spiritual guidance when thefamily visit time, and provides support. The output obtainedwas the patient's family feels calmer and satisfied with thehealth services provider. Conclusions: The implementation of the FCC can decreaseanxiety and increase health care satisfaction, but theimplementation can be challenged so that it is necessary todevelop the FCC program in the ICU which requiresinvolvement and input from all parties
THE EFFECTIVENESS OF SELF-AFFIRMATION TECHNIQUES AGAINST CLINICAL PRACTICE ANXIETY IN NURSE PROFESSIONAL STUDENTS AT STIKES PAYUNG NEGERI PEKANBARU
Full text linkIntroduction: Nursing students often experience anxiety due to various factors, one of which is clinical practice anxiety for fear of making mistakes, worry during clinical practice due to lack of trust in one's own abilities, lack of knowledge due to online learning and lack of experience at the first time of clinical practice. One way to overcome clinical practice anxiety is to be given a Self-affirmation technique. Self-affirmation is converting negative thoughts into positive thoughts. The purpose of this study was to determine the effectiveness of the self-affirmation technique on clinical practice anxiety in students of the nursing program at STIKes Payung Negeri Pekanbaru. Method: Design of this study was quasi-experiment pre and post-test without control. The research location is at STIKes Payung Negeri Pekanbaru. The respondents were 18 nursing students program. The study was conducted from May 31 to June 7, 2022. Self-affirmation intervention is applied twice a day morning and evening for 5 minutes for 7 days. The anxiety research instrument used the Depression Anxiety Stress Scale (DASS) 42 questionnaire while self-affirmation used standard operational procedure. Result: The results of the univariate analysis showed that the anxiety score before intervention is 12.94 and decreased to 9.00 after being given self-affirmation. The results of the paired t-test showed p value is 0.000 which means that the self-affirmation technique is effective against clinical practice anxiety in nursing students at STIKes Payung Negeri Pekanbaru. Conclusion: Self affirmation can be used to address anxiety in nursing students who are running a clinical practice
COMPETENCE DEVELOPMENT IN PROFESSIONAL NURSING CARING BEHAVIORS AMONG NURSING STUDENTS DURING ACADEMIC AND PROFESSIONAL PROGRAMS IN THREE NURSING EDUCATIONAL INSTITUTIONS IN THREE PROVINCES IN INDONESIA
Full text linkIntroduction: Professional nursing caring behaviors can be learned through education. Indonesian research on this area remains limited. This study explores the development of nursing students' professional caring behaviors and clinical learning processes that support them. Method:This ethnographic study involved 34 observations of nursing student clinical practices, field notes, and six focus group discussions with students and clinical instructors from three nursing education institutions across three provinces. Data analysis was conducted using qualitative content analysis. Result: Ten themes revealed: professional nursing caring behaviors are understood as altruistic behaviours, holistic, therapeutic, and bureaucratic dimensions; instrumental caring predominates in student clinical practices; physical interventions serve as the entry point for communication; the provision of information is dominant in interpersonal communication; cultural sensitivity and touching are expressions of caring behaviors; clinical role models, knowledge, and experience are vital in developing professional caring behaviors; patient negative responses, clinical workload, and patient complexity pose challenges in developing professional nursing caring behaviors; insufficient clinical mentoring impacts the achievement of competencies; students' lack of self-confidence is perceived as 'uncaring' behaviors; and there is insufficient collaboration to ensure the attainment of non-instrumental caring competencies. Conclusion: Students' competencies in professional caring behaviors evolve during their educational journey, though the focus remains on instrumental caring. Knowledge, clinical exposure, experiences, role models, and self-confidence are crucial in enhancing professional nursing caring competencies. Clinical learning guidelines, such as preceptorship and collaborative learning models in professional nursing caring competencies, should be considered to develop the skills
DESCRIPTION OF MIND-BODY-SPIRIT CONNECTION TO IMPROVE THE HOLISTIC WELL-BEING OF NURSING STUDENTS IN ONLINE LEARNING
Full text linkIntroduction: The COVID-19 pandemic has an impact on the education sector, especially for students and the academic community, and has an impact on the implementation of the online learning system. The existence of online learning has become a challenge for students to adapt, manage time, and manage self-management in learning. Less than optimal student adaptability can cause students' mind-body-spirit problems. The existence of physical, mental, and mental problems in students while adapting to online learning requires a balance of mind-body-spirit in their lives. The purpose of this study was to describe the mind-body-spirit connection to improve the holistic well-being of nursing students in online learning. Method: The research method uses a descriptive survey. The research sample was taken using a total sampling technique. Respondents in the study were undergraduate and postgraduate students in Nursing Science, Faculty of Medicine, Universitas Diponegoro, year of 2020 and 2021, with a total of 395 students. The Holistic Well-being Scale (HWS) questionnaire was used to collect data. Result: The results of this study found that the average measurement of the mind-body-spirit connection picture of nursing students in online learning was 189.94, which was interpreted in the sufficient category. Nursing students still need to improve their well-being through fulfilling the right aspects of mind, body, and spirit. Conclusion:
THE COMPLEMENTARY THERAPY USED FOR HYPERTENSION: A SYSTEMATIC REVIEW
Full text linkIntroduction: Hypertension is the most dominant risk factor for cardiovascular disease, which is the most frequent cause of deaths all over the world. Patients’ hypertension requires non pharmacological interventions as an integral part of case management. Complementary and alternative medicine (CAM) are recognized and accepted in several countries that have developed a high degree of modern medicine; some researchers showed that CAM could be recommended for lowering blood pressure. The aim of this study is to explore the most popular method of CAM used for hypertension.Method: A systematic review was conducted by searching online databases between 2012 - 2022, by using PRISMA 2020 protocol in filtering the articles. Articles were sourced from Elsevier, Plos One, NIH, Lancet, BMC, Sage, Springer, Wiley, Lippincott and Garuda. The researcher obtained 26 articles for final review, with inclusion criteria people with hypertension that use CAM as a therapy to prevent elevated blood pressure. Results: Eleven articles were RCT, seven articles were experiments, three articles were descriptive, three articles were cross sectional, one article was cohort, and one article was case control. The result showed that the CAM was effective in lowering blood pressure. People with hypertension most often used herbal medicine, acupuncture, acupressure, yoga, meditation, tai chi, reflexology, massage, guided imagery, and aromatherapy oil (in sequentially). Conclusions: Perception/belief, lack of information, experience and culture affect people's behavior in choosing medical drugs over CAM. Therefore, health care should promote CAM and provide patients with non-pharmacological intervention
THE SATISFACTION USE OF EARLY WARNING SCORE APPLICATION AT PONTIANAK HOSPITAL
Full text linkIntroduction: Emergencies are a form of health service in emergency or urgent situations that require immediate action from medical personnel working to overcome potential risks and dangers to life. Various forms of emergency services require nurses in hospitals to save time in the process of providing nursing care. One form of emergency service in hospitals is the Early Warning Score (EWS). The use of technology in developing the Early Warning Score such an application mobile can certainly help in improving the quality of emergency services in hospitals, so it can minimize the severity of patient’s conditions in the emergency phase.Method: The method in this research is quantitative descriptive research, in this case the Android-based mobile Early Warning Score application. This research was conducted to measure the level of user satisfaction where there are 3 dimensions in measuring the level of satisfaction with application use: quality of application information, quality of application use, and impact of application use.Results: The results of the research show that the satisfaction level of the Early Warning Score mobile application at Pontianak Hospital obtained a total score of 419 or 50,60% is satisfied, and very satisfied with total score of 217 or 26.21%.Conclusion: The Early Warning Score mobile application is suitable for use by nursing staff as a medium for improving excellent nursing services
THE EFFECTIVENESS OF GALENIC CREAM OF DURIAN PEEL EXTRACT AND CHITOSAN FOR TREATMENT OF DIABETIC ULCERS
Full text linkIntroduction: The chemical substance of durian peel (Durio zibethinus L.) is a polysaccharide polymer of D-galacturonic acid which is polar and anti-microbial. Chitosan is a derivative of chitin from the peels of Crustaceae animals, which is polycationic and antimicrobial; biodegradable, and biocompatible wit animal tissues. Diabetic ulcers are chronic wounds due to neurological disorders and vascular disorder in the legs, causing tissue damage. The purpose of the study was to analyze the effectiveness of galeni preparations of durian peel extract and chitosan for the treatment of diabetic ulcers.Method: This research is experimental including testing the quality of 5% durian peel extract cream preparations; 2% chitosan, a mixture of both ratio = 1:1; 1:2 physically, chemically, and microbiologically,and the rate of wound healing in test animals. Statistical data analysis of One Way Anova parametric test.Results: The results showed that the preparation of galenic durian peel extract cream and chitosan and their combination ratio (1:1), (1:2) could be formulated and met the quality test of cream preparations physically, chemically, and microbiologically according to the requirements of BPOM No. 32 of 2019 and is effective for healing diabetic ulcers on the 8th day.Conclusions: The preparation of galenic durian peel extract cream and chitosan and their combination ratio (1:1), (1:2) can potentially be developed as a cream preparation for healing diabetic ulcers
INFLUENCE OF MATERNAL FEEDING PRACTICE ON STUNTING AMONG CHILDREN AGED 6 TO 59 MONTHS FROM PENDEM VILLAGE, BATU CITY, INDONESIA
Full text linkIntroduction: Stunting is a condition of chronic malnutrition due to inadequate nutritional intake and is still a major health problem in Indonesia. Reducing the stunting rate can be done by reducing one of the risk factors of stunting, namely inadequate nutrition, which is influenced by the feeding practice in children under five years. This study aims to examine the relationship between complementary feeding practices on the incidence of stunting in Pendem Village, Batu City.Method: A case-control study was conducted and involved 30 children under five with stunting in the village of Pendem Batu City as a case group and 30 children with non-stunting conditions as a control. The instrument used in this study was a complementary feeding practice questionnaire. Furthermore, the data will be analyzed using an independent t-test and Mann-Whitney test.Result: The practice of giving complementary food has a significant relationship with the incidence of stunting in the village of Pendem, Batu City (p=0.015; <0,05), especially in the sub-category of complementary feeding safety (p=0.014) and the responsive complementary feeding (p=0.007). In the sub-category, the accuracy of complementary foods (p=0.176) and the adequacy of complementary foods (p=0.83) were not significantly related to the incidence of stunting in the village of Pendem Koa Batu.Conclusions: The practice of giving MPASI has a significant relationship with the incidence of stunting, especially in the sub-category of safety and responsive giving of MPASI
HEALTH EDUCATION TO IMPROVE MEDICATION ADHERENCE AMONG TUBERCULOSIS PATIENTS: A SYSTEMATIC REVIEW
Full text linkIntroduction: Adherence to tuberculosis (TB) therapy is critical for the cure. This paper aimed to review current evidence on the effect of health education interventions on medication adherence among patients with tuberculosis.Methods: A systematic review of this study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Six databases were included in this study including Scopus, Ebsco, PubMed, ProQuest, Science Direct, and Google Scholar published between 2011 and 2020. This study targeted patients with TB, and health education intervention will be extracted. The Joanna Briggs Institute (JBI) Critical Appraisal tools used the level of evidence, grade of recommendation, and risk of bias assessment.Results: Eleven articles were enrolled in the study. Most of all the health education programs have satisfactory results in improving medication adherence among tuberculosis patients. There are many strategies to carry out health education, from conventional ways to the use of technology in order to find the best results to improve compliance. There are seven types of interventions, and the most widely used are individual, paper-based, audiovisual, and education with the reminder. The frequent duration of health education intervention was 1-2 months.Conclusion: An appropriate health education program can improve medication adherence in patients with tuberculosis. This strategies can implement in clinical and community settings to increase health status among tuberculosis patients
THE EFFECTIVENESS OF HEALTH COUNSELING WITH VIDEO AND LEAFLET MEDIA ON KNOWLEDGE AND ATTITUDE OF STUNTING PREVENTION ON THE MEMBERS OF THE ADOLESCENT COUNSELING AND INFORMATION CENTER (PIKR)
Full text linkIntroduction: Stunting is a problem that cannot be solved in one way, one of which is by improving the quality of youth. The quality of adolescent health is the key to stunting prevention. Stunting can be caused by the health quality of children and adolescents who do not get a balanced nutritional intake. Prevention can be done by providing health education. The purpose of the study was to determine the effect of health education using video media and leaflets on stunting prevention for PIK-R members.Method: The type of research is Pre Experiment Design using the one Group Pretest-Posttest design. The sample consisted of 20 PIK-R members with details of 10 subjects for group 1 with health education treatment with video media and 10 subjects for group 2 with health education treatment with leaflet media. Data analysis using Wilcoxon testResults: The results showed that there was a significant (p<0,05) effect between the level of knowledge with video (p=0,008), knowledge with leaflet (p=0,025), attitudes with video (p=0,008) and attitudes with leaflet (p=0,025) of PIK-R members before and after being given health education using video media and leaflets about stunting prevention.Conclusions: Video media is more effective in increasing the knowledge and attitudes of PIK-R members in Taban Village, Jambe District, Tangerang Regency compared to leaflet media. Adolescents are the main guard in the stunting prevention process, it is necessary to increase understanding about stunting through health education