Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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HEALTHY LIFESTYLE BEHAVIOR PRACTICES AND PROFESSIONAL QUALITY OF LIFE OF NURSES IN TERTIARY HOSPITAL
Full text linkIntroduction:The COVID-19 pandemic juxtaposes the different aspects of life in the world. It mainly affects all the fields including the nursing profession and it turns out that this also affects their work-life balance leading to disproportion of the health lifestyle behaviors (HLB) of our nurses. Moreso, studies were conducted about Professional Quality of life (ProQOL) in different variables influences like mental health, empathy, resilience, stress, and caring behaviors but not with HLB. The study aimed to determine the relationship between healthy lifestyle behaviors and professional quality of life of nurses in a tertiary hospital situated in Pampanga. Method: A descriptive-correlational design was used and it employed a purposive sampling technique to gather the participants under the following inclusion criteria: 1) a registered nurse, 2) currently working in tertiary hospital which serves as the study locale, 3) regardless of the age, clinical area and position, and 3) willing to participate. It utilized standardized tools namely: 1) Health Promoting Lifestyle Profile (HPLP II) by Walker, Sechrist, & Pender (1995) and Professional Quality of Life Measure (ProQOL) created by Stamm (2009). Spearman rho was used for its treatment. Result: It revealed that there is a significant relationship between the healthy lifestyle and professional quality of life of the respondents (rs= .245, p value=.036).Conclusion: It was found that healthy lifestyle behaviors are have a direct relationship with professional quality of life among nurses. As they improve their healthy lifestyle behavior practices, it also improves their professional quality of life
THEORY DEVELOPMENT: PATIENT’S LIFE CAPACITY THEORY THROUGH SELF- EMPOWERMENT MODEL IN CARDIAC REHABILITATION
Full text linkIntroduction: Cardiac rehabilitation can provide extensive benefits and prevent recurrent heart disease, however participation in cardiac rehabilitation rates is still low. Health promotion strategies witheducation can improve the ability and independence to carry out cardiac rehabilitation at home. The purpose of this study is to describe, explore, predict, and control phenomena to create a theoretical construction of a self-empowerment model in cardiac rehabilitation programs at home.Methods: Theory construction uses procedures that include establishing the central concept, establishing the source of the theory, determining the meaning of the theory, identifying concepts, examining concept definitions, identifying statements, establishing relationships between concepts, analyzing the logical adequacy of the theory, determining the usefulness of the theory, and explaining the level of generalizability and parsimony of the theory.Results: The self-empowerment model can be used to provide nursing care to patients with cardiac rehabilitation, especially cardiac rehabilitation at home. This model can optimize the achievement of patient capacity by increasing patient ability and independence. Patients are responsible, confident, and disciplined to change their behavior toward optimal health.Conclusions: This model is specific to the cardiac rehabilitation environment (home-based cardiac rehabilitation) to increase the participation of patients after cardiovascular interventions in cardiacrehabilitation programs to improve patient capacity which includes physical health, functional capacity,and quality of life
SOCIAL DETERMINANT OF COVID-19 RISKS AMONG CHILDREN IN JAKARTA, INDONESIA
Full text linkPandemics have historically disproportionately impacted the poor and disadvantaged. Poverty, the external environment, and race or ethnicity can all significantly impact COVID-19 consequences. Those barriers, called social determinants of health (SDOH), are significant for many people's health. This study aimed to investigate the social determinants of COVID-19 risk among children in Jakarta, Indonesia. We recruited parents whose children were between 6 and 12 and were admitted to a general public hospital in Jakarta, Indonesia. Logistic regression was used to examine the relationship between socioeconomic status and COVID-19 risk. This analysis includes 200 parents of children aged 6 to 12 years old (60%) retrospectively recruited. About half of the parents had undertaken primary education level. No significant correlation was found between parent education level, occupation, and monthly income with COVID-19 risk among children. The number of house occupants more than two was positively associated with a higher risk of COVID-19 in children. In conclusion, poor housing conditions increase the probability of COVID-19 infection in Indonesian children. This implies that parental reinforcement of anti-household transmission strategies is necessary
EVALUATING PRIMARY CARE QUALITY MANAGEMENT CYCLE: A QUALITATIVE STUDY IN A WESTERN PART OF INDONESIA
Full text linkIntroduction: Community health centers known in Indonesia as Primary Health Care (PHC) serve as the primary care facilities in the country. It is the main engine for the success of providing care at the first line for the community. Accreditation is among efforts to enforce a comprehensive management function in primary care. The achievement of accreditation reflects the management cycle of the PHC; however, a number of these facilities are still struggling with achieving maximum accreditation standards. Limited attention and research support that identify PHC management function called for further investigation. Therefore, this study initiated to investigate and evaluate the primary care management cycle and its functionality through the lens of qualitative research.Method: We conducted 15 in-depth interviews and one focus group discussion (FGD) which was attended by eight participants. The setting was in five PHC in Banda Aceh, the capital city of Aceh province, Indonesia. The involved participants were individuals who had a direct role in the accreditation process. The data was analyzed by using thematic analysis techniques.Result: There were three main themes and several subthemes derived from the analysis: (1) Work plan: integrative plan development, slow execution; (2) Leaders’ roles: Role’s awareness, work commitment. The results of this study evaluated the implementation of quality management in PHC. To some extent, there were potential obstacles for PHC hindering them from achieving optimal accreditation.Conclusion: These could create pathways for policy development or as a reference for related authorities/policymakers in developing a framework plan to assist the PHC in the implementation of the management cycle leading to plenary national acknowledgment
THE EFFECT OF "HENS" APPLICATION (HEALTHY EMOTIONAL FREEDOM TECHNIQUE OF STROKE PATIENTS) ON THE STRESS LEVEL OF POST STROKE PATIENTS
Full text linkIntroduction: Stroke is characterized by neurological deficits resulting fromacute focal injury to the central nervous system, originating from blood vessels such as cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage. Stress is a known trigger for stroke and various therapies are available to manage stress. This study explores the effectiveness of a mind body therapy, specifically the HENS application on Android in reducing stress in post stroke patients.Method: The study employs a quasi-experimental design with a pre-test and post-test with control group. The sampling technique in the study was convenience sampling with a sample size of 48 post-stroke patients (24 for each intervention and control group). Data was collected using the DASS questionnaire and the HENS application.Results: The results revealed significant changes in stress levels before and after the six-day intervention with the HENS Application. The intervention group showed a p value=0.000 indicating a significant reduction in stress levels. In contrast, the control group’s p value was 0.853, suggesting no significant change without treatment.Conclusions: The HENS application has the potential to provide post-stroke patients with independent support for managing stress. It offers clear and useful guidelines for implementing HENS techniques which can improve confidence of post stroke patients in independently managing stress
INTERPROFESSIONAL COLLABORATION IN THE TREATMENT OF PULMONARY TUBERCULOSIS CLIENTS: A CASE STUDY
No full textIntroduction: The complexity of nursing problems arising in patients with pulmonary TB requires professional handling in collaboration between health workers in hospitals. It is used to improve the quality of life and quality of care in patients with TB. However, the application of interprofessional collaboration in some cases of the disease has not been optimalPurpose: Analyze Interprofessional Collaboration in the Care of Pulmonary TB Clients in one of the hospitals in Jember, Indonesia Methods: This study is a case study conducted in one of the hospitals in Jember, Indonesia. The researcher uses the IPC readiness checklist and fills out the IPC implementation evaluation checklist after the patient goes home.Results: The result of this study stated that the implementation of IPC by PPJA, together with other health workers, has not been optimally implemented. In this case, the application of interprofessional collaboration is still not optimal, as evidenced by the results of the IPC implementation checklist assessment, which is still in score categories 1 and 2. There are several obstacles, such as lack of communication between professions, lack of application of PCC and FCC approaches, overlapping roles and responsibilities, stereotypes from one profession to another, and feelings of inferiority to PPJA. PPJA can maximize its role in conducting IPC to improve patient-focused care; thus, the patient quality of life will increase.Conclusion: PPJA can maximize its role in conducting IPC to improve patient-focused care; thus, the patient quality of life will increase
MENTORSHIP-BASED CLINIC LEARNING METHODS ON SELF EFFICACY AND CLINIC SKILLS IN COMMUNITY NURSING PROFESSIONAL PRACTICE
Full text linkABSTRACTIntroduction: The learning method has a significant role in the learning process. The learning method serves as a way to deliver learning materials so that they reach students to achieve the expected competencies. One of the effective methods to improve skills and increase students' self-confidence is a mentorship program. This study aims to analyze the effect of mentorship-based clinical learning methods on students' self-efficacy and clinical skills in the practice of the community nursing profession.Methods: This study used a quasi-experimental design with a pre-test and post-test approach with a control group. The sampling technique used total sampling , for the intervention group as many as 28 students and 31 students in the control group.Results: The results showed that there was an effect of the mentorship learning method on the clinical skills of students practicing the community nursing profession ( P value = 0.000 ) where P value 0.05) .Conclusion: There is an effect of mentorship-based clinical learning methods on students' clinical skills, but there is no effect of mentorship-based clinical learning methods on students' self-efficacy in practicing community nursing professions. Keywords: Mentorship, clinical skills, self efficacy
IMPROVING UNIVERSAL PRECAUTIONS KNOWLEDGE THROUGH VIRTUAL CARE REALITY VIDEO 360° IN PPROFESSIONAL NURSE PROGRAM STUDENTS
Full text linkIntroduction: Current learning methods are constantly evolving. Professional Nurse Program Students need effective learning methods to improve students’ abilities and skills in achieving competencies, and one of the competencies is standard precautions. Virtual care reality video3600 can be an alternative solution for students’ actual and concrete learning methods. This study aims to determine the effect of Virtual care reality video3600 on the standard precautions knowledge of Professional Nurse Program Students. Methods: The Research design uses a quasi-experimental pre-post test with the control group. The research sample consists of 38 students for the intervention group and 32 students for the control group. The research site was at Jenderal Sudirman University and the University of Indonesia in June-September 2022. The research instrument uses a standard precaution knowledge questionnaire. Researchers provide virtual care reality video3600 interventionfor 17 minutes at least three times in each video. VCR 3600 contains material on standard precautions consisting of proper hand washing, Personal Protective Equipment (PPE) use, safe injection practices, and handling of potentially contaminated equipment or surfaces in the patient's environment. Post-test measurement is carried out two weeks after the intervention. Data analysis uses paired t-tests and independent t-tests. Results: The results showed that the age of the respondents was between 21-31 years old, with a median value of 22 years. The gender respondents were mostly women, the majority of respondents had never been nurses, the majority of respondents had studied infection control, most of the respondents had not received the Hepatitis B vaccine, and the majority of respondents had never reported the incidence of needle sticks. The statistical test results obtained a significant change in knowledge (p-value = 0.001). Conclusions: The results showed a significant increase in respondents’ knowledge level after the intervention. The research results are expected to be applied in the learning process of Professional Nurse Programs in universities. In addition, it is hoped that the VCR 3600 method can be used for other Professional Nurse Program learning themes.Keywords: standard precaution; video 3600 ; virtual care realit
Empowering Indonesia's Nursing Workforce: A Pillar for Achieving Golden Indonesia 2045
No full textcompetitive nation by 2045, the nursing workforce plays a pivotal role in realizing this ambition (Efendi, 2024). Nurses form the backbone of the healthcare system, ensuring the delivery of quality care to communities across the archipelago (WHO, 2021). While Indonesia currently has a temporary surplus of nurses, this presents a strategic opportunity to compete in the global nursing labor market (Efendi et al., 2024). However, succeeding in this competitive arena requires critical investments in areas such as language proficiency, readiness to adapt to diverse healthcare systems, and mental preparation for working overseas (Pradipta et al., 2023).A resilient and globally competitive nursing workforce can drive transformative health sector reforms, directly contributing to the realization of Golden Indonesia 2045. Nurses trained for international roles can also return to Indonesia, bringing back valuable skills and experiences to strengthen the local healthcare system. This cyclical benefit underscores the importance of policies facilitating international mobility, such as streamlined licensing and certification processes. Additionally, partnerships with foreign governments and institutions are critical to ensure ethical recruitment practices and the protection of migrant nurses' welfare.To support Golden Indonesia 2045, the government and stakeholders must prioritize comprehensive strategies to strengthen the nursing workforce. Key initiatives should include scaling up nurse education and training programs to align with international needs, enhancing workforce planning to address global demand, and establishing robust career development pathways to retain skilled nurses. By addressing these challenges, Indonesia can build a resilient and globally competitive nursing workforce, capable of advancing health sector reforms, contributing to human capital development, and supporting the nation's overarching goal of inclusive and sustainable progress
UNDERSTANDING THE LIVED EXPERIENCES OF SYSTEMS PLUS COLLEGE FOUNDATION OF NURSING STUDENTS IN CARING OF GERIATRIC CLIENTS: A DESCRIPTIVE-PHENOMENOLOGICAL STUDY
No full textObjective: The study aimed to explore, analyze and reflect on the lived experiences of Systems Plus College Foundation (SPCF) College of Nursing Students in caring of geriatric clients. Method: Descriptive-phenomenological method was employed with five (5) participants captured via convenience sampling with experience in caring of geriatric clients. Semi-structured aide memoire was used and Collaizzi’s phenomenological inquiry was employed in analyzing the data. Results: It showed that nursing students make a balance between the theory and practice and emphasized the active listening and therapeutic communication as essentials for taking care of geriatric clients. Conclusion: The study surfaced that student-nurses done their best to manage their fear and anxiety and be positive in taking care of geriatric clients