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FACTORS AFFECTING NURSE TURNOVER IN HOSPITAL: A LITERATURE REVIEW
Get PDFBackground: A turnover occurrence in the hospital was a constant problem. The cause of turnover was largely inclined to the level of job satisfaction, hostile work environment, excessive workload, resulting in a lack of motivation to stay.
Methods: This study was conducted in a narrative review by looking at the factors causing turnover at various hospitals. The review was done by searching for articles and journals related to factors that lead to nurse turnover in the hospital. The referral journals are published in the accredited journal publications. The literature investigation was conducted in October-December 2017 through Universitas Indonesia online library and Google Scholar. Journals were selected based on predefined criteria and carried out a critical appraisal process.
Results: The results of the journal investigation showed that some factors that support the nurse turnover in the hospital were the poor work environment, job dissatisfaction, excessive workload, the poor relationship between nurse and manager, lack of self-appreciation, burnout and low social support.
Conclusions: The suggestion that can be given is to improve the work environment that is emphasized through policies to maintain the nurse in the workplace.
 
THE STRATEGY TO IMPROVE THE QUALITY OF LIFE AMONG HEROIN ADDICTS THROUGH METHADONE MAINTENANCE THERAPY
Get PDFBackground: Many cases of heroin abuse was the leading cause of death. Due to difficulties stop addiction to heroin, many methods were used for the recovery process. The effective and approved therapy method with a medical approach was transferal heroin with another substance program, which was called methadone maintenance therapy. Methadone was chosen as the main substitution therapy because it has a similar effect to heroin with lengthier bioavailability, so it could be prescribed once a day. There are positive benefits that can make heroin addicts function normally with methadone maintenance therapy, itwill improve the quality of life people with heroin addicts.
Methods: This research used a narrative review method with data retrieval from Universitas Indonesia online database such as PubMed and Springer Link. The research strategy has done by employed several articles about life quality improvement of heroin addicts with methadone maintenance therapy service, which already publish in Universitas Indonesia online database in December 2017. The chosen articles were use, selected by inclusion criteria and exclusion criteria.
Results: From the reviewed the 5 published journal articles, revealed one of the benefits from methadone maintenance therapy services is improving the life quality of heroin addicts.
Conclusions: Methadone maintenance therapy services could improve the life quality of heroin addicts.
 
EFFECT OF TREE MARIGOLD (Tithonia diversifolia (HEMSL.) A. GRAY) LEAVES INFUSION AND ETHANOL EXTRACT ON BLOOD GLUCOSE LEVEL AND LIVER HISTOPATHOLOGY OF STREPTOZOTOCIN-INDUCED MALE WISTAR RATS
Get PDFBackground: Common Indonesians often use alternative therapy for Diabetes Mellitus (DM) due to its high prevalence. Tree marigold (Tithonia difersivolia (Hemsl.) A. Gray) leaves show its positive effect in decreasing blood glucose level. Thus, it is important to analyze the negative effect of consuming the proposing alternative including its toxicity level to vital organs. This study aims to observe the blood glucose level and liver histopathology in streptozotocin-induced diabetic male rats treated by infusion and ethanol extract of the tree marigold leaves.
Methods: Pretest and posttest with control group design experiment was conducted to analyze effect on blood glucose level and posttest only with control group design was for determining liver histopathology. Twenty-four male white rats (Wistar strain) were randomly divided into 4 groups: normal control group (KN), positive control group (K+) treated with 0.45mg/kg of glibenclamid,treatment group 1 (P1) treated by 100 mg/kg of tree marigold leaves ethanol extract, and treatment group 2 (P2) treated by 1373 mg/kg of tree marigold leaves infusion. The rats at the groups of K+, P1, and P2 were induced by streptozotocin to reach hyperglycemic state. Comparison of blood glucose level effect between infusion and ethanol extract was analyzed by One-Way ANOVA continued by post-hoc test, while comparison of liver histopathology effect was determined by Kruskal-Wallis continued byMann-Whitney test.
Results: Significant differences of blood glucose level decrease were found in all groups. Group P2 significantly decreased blood glucose level more than P1 (p=0.000) as much as 124.97 mg/dl and 101.46 mg/dl respectively. Significant differences of liver histopathology were obtained between KN vs K(+), KN vs P2, K(+) vs P2, and P1 vs P2. Group P2 showed more severe of liver histopathology changes than P1 (p=0.025).
Conclusion: Tree marigold leaves extract is more effective in lowering blood glucose level and has less toxic effect to liver histopathology than its infusion.
 
KNOWLEDGE AS DETERMINANTS INCREASE CLEAN AND HEALTHY LIVING BEHAVIORS AMONG STUDENTS IN GENERAL PRIMARY SCHOOL 07 LANDAU-LEBAN SUB DISTRICT MELAWI IN 2015
Get PDFBackground: Clean and Healthy Lifestyle (CHLB) is an attempt to empower students, teachers and schools to know, understand and be able to practice CHLB and play an active role in creating a healthy behavior in school. The preliminary data survey indicated a needs to improve CHLB behavior among children in General Primary School 07 Landau-Leban Sub District Melawi.
Aims: This study aimed to determine the relationship between gender, age, knowledge, attitudes, beliefs, and also the roles of teachers, parents and the School Health Unit (UKS) to CHLB in SDN 07 Landau-Leban Melawi West Kalimantan in 2015.
Methods: The study design was cross-sectional study. The population in this study was 82 students of class IV, V and VI. The statistical test used Chi Square and Multiple Logistic Regression. During data collection, two teachers assisted the programs to the students.
Results: This study showed that 45 students (54.9%) have low CHLB behavior. This behavior is related to knowledge, attitude and role of the teacher. The most dominant variable related to CHLB is knowledge (OR 5.434)
Conclusion: Students with high knowledge tend to have more than 5 times greater CHLB. The findings suggest a need to increase students' knowledge of CHLB in the form of counseling, provision of facilities and infrastructure (sink, anti-septic, healthy canteen, bins, and promotional media such as posters). Improving CHLB to the students requires school's support to provide training incorporated with relevant health facilities
THE RELATIONSHIP BETWEEN WEIGHT INCREASES WITH UPPER ARM CIRCUMFERENCE AMONG THIRD TRIMESTER PREGNANT WOMEN IN YOGYAKARTA, INDONESIA
Get PDFBackground: The incidence of Indonesian pregnant women who suffer from Chronic Energy Deficiency (CED) reached 21.6%. In Yogyakarta, the presentation of CED reached 22.69%. Chronic Energy Shortage (CES) is mainly caused by nutrient intake imbalance that influences the weight gain in pregnant women.
Aims: This is to knowrelationships between body weights among third-trimester pregnant women with their upper arm circumference.
Methods: The study was a quantitative analytical study with cross-sectional approach. This research employed an accidental sampling method to select the 40 third-trimester pregnant women who visited health Centre in Yogyakarta. The data was then analysed using Chi Square test.
Results: There was a significant relationship between weight gain with upper arm circumference among third-trimester pregnant women (pvalue = 0.012). As a note that, the weight gain of the participated pregnant women and their size upper arm circumference were in the regular group.
Conclusion: The significant relationship between weight gain and higher arm circumference among third-trimester pregnant women alarm the needs to provide an advice for nutrition intake balance during pregnancy in Yogyakarta.
 
THE ASSOCIATION BETWEEN KNOWLEDGE AND IRON TABLET CONSUMPTION AMONG PREGNANT WOMEN IN PONDOK KACANG, SOUTH TANGERANG CITY, INDONESIA
Get PDFBackground: Based on 2013 Indonesian Basic Health Research (IBHR), anemia prevalence among pregnant women in Indonesia was still high. Some studies found that knowledge is one of the main factor which affects the consumption of iron tablet among pregnant women. The Pondok Kacang Timur Health Center (Puskesmas Pondok Kacang Timur) in South Tangerang City wasselected as our study site due to their coverage on iron tablet consumption was the lowest in the city. South Tangerang City itself is a new city or town located in the southern part of the Jakarta Capital City (DKI Jakarta).
Aims: This study aimed to know the association between knowledge about iron tablet and iron tablet consumption among pregnant women in Pondok Kacang, South Tangerang City, Indonesia.
Methods: This study was analytical descriptive research with cross-sectional method. It was conducted from 25 July to 20 August 2016. The sample size was calculated using Lemeshow formula so it was obtained a total of 120 formerly pregnant women who currently have infant age of 0 to 6 years old as participants. The data collection was done through interviews using aquestionnaire.
Results: The study revealed that only 34.2% of respondents took iron tablet as given by health worker during their pregnancy. Mean score of knowledge was 7.8 of 13 questions. It was found that there was a correlation between knowledge and iron tablet consumption.
Conclusion: The study suggests to improve knowledge of pregnant women in order to increase their compliance on iron tablet consumption.
 
ASSOCIATION OF INFORMATION RELATED CONTRACEPTION ON YOUTH'S FUTURE WILLINGNESS IN USING CONTRACEPTIVE METHODS
Get PDFIntroduction: One of family planning program objectives for adolescent are informed the youth about some options that they can undertake in terms of controlling their fertility. For instance, married adolescent women in Indonesia were decide to use contraceptive methods when they already had children, and more common on those who has living child
Aims: This study aims to examine the association between information related contraception to youth's willingness to use contraceptive methods
Methods: This study used secondary data from Indonesian Demographic and Health Survey (IDHS) 2012, specifically on youth sample in Sulawesi region. There were 2,975 never married youth aged 15 – 24 was analyzed. Univariate and multi variate analysis was performed with occupied binary logistic regression models to measure youth intention on contraceptive methods in the future.
Results: Female youth were less likely to be more aware to use contraceptive methods in the future comparing to male youth. Youth with some secondary and higher than secondary education have intention to use contraceptive methods when they have a family, compare with those who has lower than secondary school, and also when they got family planning information from watching television. Furthermore, youth who lived in Central Sulawesi, Gorontalo, and North Sulawesi showed that they want to use contraceptive methods in the future, modern and traditional methods as well.
Conclusion: The study result indicate that higher education and better accessibility on family planning information via television give contribution on youth thought in intention to use contraceptive methods in the future when they get married. Besides that, information regarding contraceptive methods should concern with region and custom or culture where youth lived. Knowledge on modern and traditional contraceptive methods also needs to be improved in terms of adding more methods that can be concern in the future for deciding the best methods to choose
THE RELATIONSHIP BETWEEN KNOWLEDGE AND NURSE'S ATTITUDE TOWARDS THE IMPLEMENTATION OF PERMANENT PROCEDURES IN INFUSION INSTALATION
Get PDFBackground: Hospital and other health service facility must implement the prevention and control of infection (PPI) in accordance with the Decree of the Minister No 270/MINISTER/2007. However, in 2010, at Lung Hospital "Dr. H. A. Rotinsulu Bandung”, Indonesia, among 868 patients who had the infusion, the incidence rate of phlebitis reached to 2.64 %. In the infusion installation management, nurses must have knowledge, skills and adequate attitude toward the procedure.
Aims: This study aims to assess how nurses' knowledge to the infusion procedure affects their attitude.
Method: It was a descriptive study using a cross sectional approach. A total of 70 nurses from lung hospital "Dr. H. A. Rotinsulu Bandung”, Indonesia, was selected using random sampling technique from April to July 2011. The nurses work in hospital ward, intensive care unit and emergensy instalation. The respondents were given questionnaire regarding to the assessment of nurses' knowledge and attitude. The collected data was analyzed using Person test to show the association between nurses' attitude and their knowledge to the infusion procedure.
Results: Most of respondents (57.1%) work for 11-20 years. While 38.6% nurses employ less than 10 years, there were 14.3% nurses work for more than 21 years. However, as shown in Table 3, out of 70 nurses, only 50% have good knowledge to the infusion procedure, while 32.9% nurses have enough understanding. The rest 17.1% need more attention, where 2 of that 12 nurses orchestrated negative attitude to the procedure. In addition, the statistical analysis shows that the relationship between the knowledge and the attitude of nurses about infusion procedures was found significant (p value = 0.002).
Conclusion: The results shows the length of work will not affect to the better knowledge of nurses to the infusion procedures. The negative attitude that found among the nurses indicated the importance to highlight this issue to the hospital management. Attention to their understanding to the infusion procedure will improve their attitude, in return it can prevent accident during the handling
THE CORRELATION BETWEEN EDUCATION AND MATERNAL KNOWLEDGE ON HIV TESTING
Get PDFBackgrounds: Pregnant women with HIV will be at risk of transmitting her disease to their babies. HIV testing is an important opening gate of HIV status in pregnant women. The program manager of AIDS Prevention Commission of Bekasi Regency, Ade Buwono, revealed that from 711 HIV-infected, 53% were housewives, found 16 infants were infected with the deadly diseaseAims: In this recent study, correlation between education maternal knowledge about HIV testing was underlined.
Methods: This research was a type of analytic research with cross sectional method. A total of 50 pregnant women from Independent Midwife Clinic "MARNIH HANDAYANI” was selected using accidental sampling approach. The participants were given questionnaire related to measure the knowledge level of respondents to HIV testing.
Results: From the results, it is shown that the level of knowledge of pregnant women about HIV testing is still very low. This study shows knowledge to HIV examination among the respondents is defined by the education level (p value < 0.001), age (p value < 0.001) and the information source (p value < 0.001).
Conclusion: The results shows the importance of the health personnel to provide HIV counseling to every visiting pregnant woman. Health care provider had to educate all pregnant women to test HIV. This is because early HIV / AIDS detection will reduce the risk of Mother-to-Child Transmission
FAMILIY'S SUPPORT AND ITS EFFECT IN INCREASING THE ELDERLY VISITATION TO POSYANDU
Get PDFIntroduction: Along with global tendency of increasing life expectancy, the number of elderly in Indonesia also tends to increase. To monitor the well-being of the elderly, both from the mental and the physical standpoints, the government-run integrated health service posts (Posyandu) hold a special program for the senior citizens.
Aims: To analyze the association between families support and elderly visitation in Danau Panggang Health Center.
Methods: This study used analytic survey with cross sectional design. The population were 378 elderly age 59 years old and older in Danau Panggang Health Center in 2015, and with Taro Yamane, the chosen sample was 194 elderly. The chi-square test was used for statistical analyses.
Results: The study showed most of the respondents (56.7%) do not support and a majority of elderly do not actively participate (57.2%). Hypothesis test results showed that there is a correlation between family support and elderly participation to Posyandu with p-value = 0.000 < (α = 0.05).
Conclusion: Family supports can increase elderly visitation to Posyandu. Participating in Posyandu activities and following the health officers' directions prove beneficial to improve health conditions among the elderly. This research is expected to be an input for Posyandu to enhance its elderly program by optimizing the performance and presence of cadres in each activity.