Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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The Correlation of Therapeutic Communication in Nursing and Patient Satisfaction during caring in Hospital
No full textIntroduction: Therapeutic communication is important in patient care at the hospital in every patient activity and healing. This communication includes verbal and non-verbal communication. Patient satisfaction can be fulfilled if the communication provided is as expected, if not, patient dissatisfaction will arise. This study aimed to determine the correlation between therapeutic communication performed by nurses and patient satisfaction while in hospitalMethods: A cross sectional study in in the hospital with 36 patients. Total 33 respondents were recruited using consecutive sampling. Therapeutic communication and patient satisfaction measured using questionnaire. The collected data were analyzed using SPSS version 21 with the Spearman Rho Test.Results: The results showed that most of the nurses' therapeutic communication was good as many as 21 respondents (63.6%). Meanwhile, for patient satisfaction, 17 respondents (51.4%) said they were satisfied. From the results of the Spearman Rho test, it was found correlation between therapeutic communication performed by nurses and patient satisfaction while in hospital with p = 0.011 (p<0.05) and coefficient value was 0.438.Conclusion: Good therapeutic communication will help accelerate patient recovery and help patients to make decisions in nursing action procedures. The better the communication that is applied, the more satisfied the patient is in accepting and in accordance with his expectations
Correlation Between Sleep Hygiene And Sleep Quality In Patients With Coronary Heart Diseases
Full text linkIntroduction: Patients with coronary heart disease (CHD) often experience disturbances in the quality and quantity of sleep. One of the efforts to improve the sleep quality of CHD patients is sleeping cycle management, such as sleep hygiene. This study aims to analyse the relationship between sleep hygiene and sleep quality in patients with coronary heart disease. Methods: This study used the correlation analytic method with a cross-sectional approach. There 72 respondents were involved and selected using a purposive sampling technique based on inclusion criteria. The instruments used to collect data were the SHI (Sleep Hygiene Index) and PSQI (Pittsburgh Sleep Quality Index) questionnaires, which have been tested for validity and reliability. Data analysis used for statistical analysis was the Spearman test. Results: Demographic data depicts that most respondents are the average age of 45-60 years (79.2%), and more than half of respondents were men (69.4%). Data on sleep hygiene showed that good was (31.9%) and moderate was (52.8%). Furthermore, the sleep quality of patients with cardiovascular disease is primarily poor (63.9%). Regarding the analysis of the correlation between sleep hygiene and sleep quality in patients with coronary heart disease, it showed that there is a significant relationship with a p-value of 0.000 and a coefficient of 0.793. It means that the two variables have an intense relationship. Conclusion: Sleep hygiene practice is one of the non-pharmacological solutions for patients with cardiovascular diseases who have sleep disturbance problems. Implementing sleep hygiene practices can improve the quality of sleep for patients and optimally improve health
Description of Academic Learning Environment Undergraduate Nursing Study Program Faculty of Nursing Universitas Padjadjaran
Full text linkIntroduction: A stressful, authoritarian, and lack of collaboration learning environment can reduce students' motivation and interest in learning which ends in learning outcomes that are not optimal. Efforts to improve the quality of the learning environment need to be done by assessing the learning process, teachers, academic achievement, learning atmosphere and social environment. The purpose of this study will be to identify the description of the academic learning environment.Method: This descriptive cross-sectional study was conducted on 271 participating students as a sample using the Dundee Ready Educational Environment Measure (DREEM). The sampling technique used is proportional stratified random sampling. The data were analyzed to determine the frequency distribution of the academic learning environment which was then analyzed for each sub-variable.Results: The results of this study show that the academic learning environment score is 133.75/200 (72%), included in more positive than negative category. Based on the sub dimensions, the results of the learning process (33.41/48), teachers (30.98/44), academic achievement (23.39/32), learning atmosphere (29.79/48), and social environment (16 ,17/28). Academic achievement is the sub dimension with the highest rating and social environment is the sub dimension with the lowest score.Conclusions: The assessment of the academic learning environment is included in the more positive than negative category, meaning that the implementation of nursing education has been going well even though there are deficiencies. DREEM will assess the parts that are already positive, need to be improved and need to be repaired
The Relationship between the Degree of Stressors and the Coping Strategies of Older Adult Living in Nursing Home
Full text linkIntroduction: Stress is potentially overwhelming, especially for older adults. Different types of stressors require different coping strategies. This study aimed to find the relationship between the stressors and the coping strategies among the older adults at a nursing home in Yogyakarta, and to develop a stress debriefing program.Methods: This study utilized a quantitative research method with a descriptive correlational-comparative design. To develop the stress debriefing program, the questionnaires about stressors and coping strategies were used as the research instruments. The respondents recruited using purposive sampling with total of 100 older adults. Simple descriptive through to complex analyses and multivariate regression were carried out using SPSS.Results: The results showed that the p-value of the difference between the demographics and the degree of stressors was 0.70; while the p-value of the relationship between the degree of stressors and coping strategies was 0.07. It means that there was no significant relationship between the degree of stressors and the coping strategies of older adults living in nursing home.Conclusions: The results found that there was no significant relationship between the degree of stressors and the coping strategies employed by the respondents. Nurses should be aware of the stressors and help the residents to develop appropriate coping strategies
Effect of Sea Cucumber on Reducing Periwound Maceration and Inflammation-Related Indicators in Patients with Diabetic Foot Ulcers Indonesia
Full text linkIntroduction: Maceration is one of the problems affecting the healing process of diabetic foot ulcers (DFUs). In complementary therapies, sea cucumber is known to have higher absorbency. However, there are few studies on the reducing of periwound maceration and inflammation-related indicators in DFU.Methods: This was an observational study at a wound care clinic in Indonesia. Thirty-one DFU patients received treatment with sea cucumber were enrolled in the study. As control samples, 35 DFU patients treated with honey were also included. All were new occurrence DFU and had maceration at the baseline. The maceration area and inflammation-relate indicators including TNF-, MMP-2, and MMP were measured on baseline and week 4.Results: There were no significant differences between two groups at the baseline. In the multiple linear regression model, sea cucumber significantly associated with the proportion of maceration reduction than honey at week 4 (β＝0.520, p=0.001). There were no significant differences between two groups in levels on TNF-α, MMP-2, and MMP at week 4.Conclusions: Our results demonstrated that sea cucumber might be appropriate for reducing DFU periwound maceration
Exploring Family Understanding of Schizophrenia: A Qualitative Study Among Rural Families in East Java, Indonesia
Full text linkIntroduction: Families who care for schizophrenia patients will experience various challenges, which are influenced by the family's knowledge and understanding of schizophrenia. This study aims to explore the family's understanding of schizophrenia in their families in rural families in Indonesia in 2020.Methods: This study uses a qualitative research design with a phenomenological approach, which was conducted in East Java Provincial Health Office from July to October 2020. The study participants were five family members who cared for a schizophrenia patient at home. Researchers conducted semi-structured in-depth interviews with participants and analyzed using interpretative phenomenological analysis.Results: Based on the thematic analysis, three main themes were found, including 1) Family doesn't understand schizophrenia; 2) Family ignorance about how to care for the patient; and 3) Schizophrenia patients are considered a burden.Conclusions: The family's ignorance about schizophrenia risks causes their inaccuracy in treating patients. Nurses need to provide education about basic knowledge about schizophrenia and its treatment so that they can provide optimal care and be able to manage the burden they experience
The Effect of Progressive Muscle Relaxation (PMR) on The Mother's Anxiety Level Before Sectio Caesarea at Dinda’s Hospital at Tangerang City
Full text linkIntroduction: The process of delivery through sectio caesarea is a complex event and causes anxiety. Anxiety that occurs can have a negative impact on mothers and babies born. This study aims to determine the effect of progressive muscle relaxation (PMR) on the level of anxiety of mothers before sectio caesarea at Dinda’s Hospital, Tangerang City.Methods: The research method uses a quantitative approach with a quasi-experimental non-equivalent control group conducted on 36 respondents with a simple random sampling technique. Intrument of this study used Zung Self-Report Anxiety Scale (ZSAS) to measure mothers anxiety levels. Intervention delivered to the respondent by researcher a day before enter the operating room. Data processing using editing, coding, cleaning and analysis, to test the effect of PMR to mothers anxiety level, data analysis used independent paired T-test.Results: Result of the analysis show that the provision of PMR techniques can reduce score anxiety levels by 8.2, from 58.3 before intervention to 50.1. The results show that independent paired t-test obtained p-value of 0.001 which means that there is a significant effect between the level of anxiety of the mothers before SC surgery compare with control group.Conclusions: Nurses need to implement and educated mothers about PMR intervention to help reduce the level of anxiety before sectio Caesarea
The Effect of Discovery Learning Method on Students’ Self-Motivation Through Online Learning During The Covid-19 Pandemic
Full text linkIntroduction: The learning process at the university level, especially in nursing, has changed since the number of cases of COVID-19 has continued to increase. Various problems after one year of the pandemic include students complained of boredom and lack of focus on learning compared to conventional learning in the classroom. The aim of this study was to analyze the effect of discovery learning method on students’ self-motivation through online learning in the COVID-19 pandemic.Method: This study used a quasi-experimental with pre-post control group design and conducted in two areas, PSIK Sam Ratulangi University as an Intervention group and PSIK Stikes Jendral Achmad Yani Cimahi as control group. We recruited a total sample of 82 respondents in total. This study lasted for four weeks with six stages described as two t meetings a week. To measure students' self-motivation, the Motivated Strategies for Learning Questionnaire (MSLQ) instrument totaling 32 items was used. Data were analyzed using Wilcoxon test and Mann Whitney test.Results: The results of this study indicate that there is a significant effect of discovery learning methods with self-motivation in online learning in community nursing course [p=0.00; Z = -2.28] and emergency nursing course [p=0.00; Z = -3.43].Conclusions: The results of the study are promising as the course can have a direct effect on the nursing education system, especially in improving the quality of learning methods. This method may be used as a way to improve student skill in the nursing courses especially community nursing and emergency nursing.