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Quality Evaluation and Flavonoid Content of Honey from Riau Forest, Indonesia
No full textHoney is a naturally sweet liquid produced by bees from flower nectar, which varies in quality and flavonoid content due to the food source, environment and the bees that produce it. This study aims to evaluate the quality and flavonoid content of honey from the Riau Forest of Indonesia. Quality testing was conducted in accordance with SNI 8664:2018 with sensory, physical, chemical and microbiological parameters. Flavonoid testing was carried out qualitatively using HPLC. The test results showed that the sensory profile of honey was in accordance with the standard, sweet taste, distinctive aroma, brown colour and thick shape. Chemical parameters obtained values of moisture content of 21.92%, diastase enzyme 3.13 DN and HMF 4.14 mg/kg have met the requirements. However, the reducing sugar of 54.1% is still below the requirement. Heavy metal parameters (Pb, Cd, As and Hg) were not detected and microbiological ALT 3.0 x 10 and yeast mould <10 colonies/gr that have met. Furthermore, the results of flavonoid qualitative tests detected several types including Luteolin, Mangiferin, Smiglanin, maltol, isoflavones, quercetin, Cnidimol C, Norcimifungin, Apigenin, Methyl ophiopogonanone B, Pectolinarigenin, Kusenol C, 3,5,6-trihydroxy-4\u27,7-dimetoxyflavone and Lupinifoline. The conclusion of this study shows that honey from Riau forests fulfils most of the quality requirements and has a diverse flavonoid content.
Career Ladder Professionalism in Nursing: A Concept Analysis
No full textA defined career path for nurses is essential, as they constitute the largest segment of healthcare workers and hold strategic and leadership roles in determining the quality of patient care and overall hospital quality. This study aims to analyze the concept of professionalism in relation to the implementation of career paths for nurses within hospital settings. This concept analysis follows the steps outlined by Walker & Avant. A literature search was conducted using the PubMed, Scopus, ScienceDirect, and ProQuest databases to identify articles published between 2014 and 2024. After filtering, 9 articles were selected from various scientific disciplines such as nursing, medicine, education, and other health-related fields. This study identified three main attributes related to the clinical professional ladder: 1) integrity, 2) justice, and 3) beneficence. Antecedents include education, workshops/conferences, experience, and professional identity. Consequences include ethics, patient outcomes, nursing outcomes, future career opportunities, job satisfaction, retention, salary, and organizational commitment. This concept analysis enhances our understanding of the three attributes of the career ladder and professionalism (CLp) and provides insights into future development and uncertainties in nursing management. This concept is highly valuable for nurse management settings, particularly in enhancing professionalism through career path programs. Ultimately, this concept analysis approach encourages both new and experienced nurses to maintain professionalism in the delivery of nursing care.
The Work Environment is Related to The Comfort Level of Nurses According to Kolcaba Theory in Central Surgical Installations
No full textThe work environment in a company plays a crucial role in employee performance. A positive work environment can enhance employee performance, while a poor work environment can negatively impact it. Kolcaba\u27s Comfort Theory emphasizes that comfort is a primary focus in improving workplace conditions. This study aimed to analyze the relationship between the work environment and the comfort level of nurses working in operating rooms. The research method used a quantitative study employed a cross-sectional approach to identify the relationship between independent and dependent variables simultaneously. A quantitative approach was used to study objective phenomena, while the cross-sectional design examined the connection between variables through a single round of data collection. Spearman’s rho statistical test was used to analyze the data. The results study with the Spearman’s rho test indicated a correlation coefficient of 0.683 with a significance level of 0.00, demonstrating a very strong and significant relationship between the work environment and the comfort level of nurses. The analysis showed that a better work environment was associated with higher comfort levels experienced by nurses. The study concluded that there is a significant and positive relationship between the work environment and the comfort level of nurses in operating rooms. Improving the work environment leads to increased comfort levels, enabling nurses to work more effectively
The Effect of Air Quality Parameter on Respiratory Diseases: A Systematic Literature Review
No full textThe issue of the air quality index and its impact on health, specifically human respiratory continues to be a global concern. Recent studies indicate that respiratory diseases are linked to the inflammation caused by air pollutants. The aim of this study was to review the correlation between air quality measurements and factors contributing to the rise in acute nasopharyngitis and other respiratory disorders. This study was a systematic literature review of English language articles published in peer-reviewed academic journals between January 1, 2018, and April 30, 2023. This study found that twelve eligible papers from five reputable electronic databases: PubMed, Springer, ScienceDirect, ProQuest, and Google Scholar were eligible included. Severe respiratory illnesses are caused by factors such as Particulate Matter (PM), nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO), ozone (O3), and air temperature. While all studies showed a direct association between these factors and respiratory diseases, the inconsistent association between O3 and AQI with respiratory disease may be attributed to differences in sample size and geographic settings. A comprehensive review study involving human subjects is necessary to validate these findings
Toilet Training Methods for Toddlers and Preschool-Age Children: A Scoping Review of Current Evidence
No full textIndependence in toileting is a skill that must be achieved throughout the stages of child growth and development. Toilet training (TT) is an important part of child development that can increase independence and minimize disturbances in bowel and bladder control in children. In general, this exercise is performed on children aged 12-36 months (toddlers) and children aged 48-60 months (preschool) depending on each child\u27s readiness. This readiness is commonly shown by the emergence of a child\u27s instinct to defecate or urinate independently. In this process, parents and caregivers play an important role in stimulating independence in children through TT. Unfortunately, most parents and caregivers may find it difficult to initiate, instruct, guide, and demonstrate TT for their child. This review aims to evaluate the effectiveness and applicability of various TT methods based on recent evidence. This review uses the scoping review design by including 3 databases in the search strategy: EBSCO-host, PubMed, and Scopus. All keywords used are synthesized from the PICO were “Toddlers” AND “Preschool Children” OR “Preschool Child” AND “Toilet Training” OR “Potty Training” AND “Toileting”. This study only reviews the results of primary studies from the past five years (2018-2023), published in English or Bahasa, and with experimental designs. Children with a history of functional gastrointestinal and urinary tract disorders were excluded from the study. The methodological validity and risk bias of each study is included in this review using the Joanna Briggs Institute (JBI) instrument. The main findings in this review study indicate that there are 7 types of toilet training interventions that have been developed and implemented. There are The AAP Guideline, The DAP Guideline, The Application of TT, AI Technology, Storytelling Treatment, Hypnoparenting, and TT Demonstration. Findings show that most interventions focus on individual or group settings with additional techniques like demonstration and storytelling. Parents and caregivers, including pediatric nurses, can consider TT method adapted from The AAP Guideline to improved toilet training process among toddlers and preschool-age children.
The Implementation of Passive Leg Raising in Shocked Patients: Scoping Review
No full textShock is a life-threatening condition. It is essential to perform hemodynamic support on shocked patients to restore adequate circulation. Passive leg raising (PLR) is a critical act to assess fluid responsiveness which can provide significant information about fluid needs of shocked patients. The present study aimed to identify the implementation of passive leg raising in shocked patients. The scoping review was the method used in the present study. Relevant literatures were obtained from PubMed, CINAHL and Google Scholar Search engines from 2013 to 2023. The articles were manually extracted through tabulation and the data were thematically analyzed with an exploratory descriptive approach. Nine articles were found relevant and hence were included in the present study. The findings of the 9 articles revealed that the implementation of passive leg raising in shocked patients was an early strategy in assessing fluid responsiveness and fluid administration could be decreased after 48 hours of ICU admission. The findings of the current study suggested that the implementation of PLR significantly assessed fluid responsiveness which in the end guided in conducting fluid resuscitation in shocked patients and could reduce fluid administration in shocked patients for the first 48 hours of ICU admission. Therefore, health professionals working in critical care units including critical care nurses should consider performing PLR to shocked patients.
Development of a Moblie Phone E-Nursing Application Prototype to Improve Self-Care for Heart Failure Patients
No full textGenerally, patients with heart failure will experience activity intolerance resulting in functional limitations and decreased self-care abilities. One of the innovations offered in the Digital era is to develop a mobile phone e-nursing application with mobile technology that can be used by heart failure patients anywhere and anytime. This research aims to create a mobile phone application prototype to improve self-care for heart failure patients. This study is a research and development design. This study involved 32 heart failure patients who had medical records and a history of hospitalization at Mangusada Hospital using a purposive sampling technique. This research produced a prototype the self-care e-nursing application prototype which was developed into 6 main menus including education, weight monitoring, symptom monitoring, diet programs, medication reminders, and rest-activity menus. Then the prototype was evaluated using the System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ). The research results show that the average SUS score reached 84.84 and the overall PSSUQ score was above 5. The conclusion is this prototype is classified as acceptable. Thus, this prototype is worthy of being developed into a real application in the future. Future research is needed to investigate the integration of the e-nursing application with electronic medical records (EMRs) within existing hospital systems
The Influence of Providing Information and Educational Media in Efforts to Prevent Stroke
No full textStroke is the leading cause of physical and mental disability worldwide. In Indonesia, the incidence of stroke is alarmingly high, affecting approximately 10.9% of the population annually, with around 713,783 individuals experiencing stroke each year. Understanding how to prevent stroke is crucial. Clear and regular information, along with effective educational media, are essential for increasing public awareness of stroke. This study aims to determine the impact of social media and knowledge on stroke prevention. This type of study is a non-experimental quantitative study using a cross-sectional. This study is conducted in portions, with patients who are willing and able to talk effectively. Univariate, bivariate, and multivariate analyses were conducted using Pearson correlation tests and linear regression tests. The results show that among the 100 respondents, most were male, aged 41-60 years, and engaged in the best stroke prevention efforts. The Pearson correlation test showed significant correlations between information accuracy, frequency, and educational media for stroke prevention (Pearson p=0.89; p=0.62; p=0.75). The linear regression test revealed that the clarity of information, frequency of information, and educational media together increased stroke prevention efforts (p=0.037), with the clarity of information being the most significant factor. The conclusion is the study concludes that educational media and accurate information are crucial in preventing stroke. It is recommended that the Kasih Sayang Clinic conducts comprehensive stroke education and screening every six months to enhance prevention efforts
Diabetes Self-Management Education on Dietary Compliance in Indonesia: A Descriptive Literature Review
No full textDiabetes Mellitus (DM) is a condition that is becoming more common worldwide, affecting both industrialized and developing countries. The objective of this study was to do a comprehensive analysis of the available literature in order to investigate the impact of Diabetes Self-Management Education (DSME) on adherence to dietary guidelines among individuals with diabetes in Indonesia. This study employed a method of descriptive literature review. Relevant keywords were used to conduct literature searches on academic databases including PubMed, Scopus, and Google Scholar. Relevant articles were picked based on specific criteria, and data were collected from them. The initial studies found from databases were 1,730 and after applied inclusion and exclusion criteria, the final studies included to this study was nine studies (2012 – 2024). The gathered data were subsequently examined through three distinct stages: data reduction, data presentation, and generating conclusions that was done by all authors. The results indicated that Diabetes Self-Management Education (DSME) programs had a notable effect on the degree of adherence to dietary guidelines in individuals with Diabetes Mellitus (DM). Patients who engaged in the DSME program exhibited greater adherence to the prescribed diet, in contrast to those who did not partake in the program
Development of Learning Methods Basic Life Support Based on E-Learning Program for Nurses: Literature Review
No full textBasic Life Support (BLS) training is a must for nurses before entering the world of work. During the establishment of the pandemic in Indonesia, many face-to-face interactions were limited. The limitation also impacts the learning method of nurses. Most of the institutions use the E-learning (online) method. E-learning in nursing study has several advantages, such as being efficient, economical, and flexible. However, it also has disadvantages such as internet access, lack of interaction, and lack of direct practice with the media. This literature review aims to find the best e-learning methods for BLS training. The research design is a literature review. The article was conducted in three journal databases: Google Scholar, Scopus, and PubMed. A total of 16 articles that met the inclusion criteria were reviewed. The study showed that blended learning is the best recommended learning method for BLS. Combined learning methods improve the knowledge and skill performance of the students