Jurnal Keperawatan Padjadjaran
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The Effect of Different Modalities of Mindfulness-Based Interventions on Blood Pressure
No full textBackground: Hypertension is one of the major killers around the world resulting in 7.6 million deaths and 92 million disability-adjusted life years (DALYs) per year (Lawes et al., 2001). Mindfulness-based interventions (MBIs) have been studied as nonpharmacological modalities of lowering blood pressure. However, the evidence about the different modalities of MBIs is still unclear.
Purpose: The aim of this review is to identify the evidence about the effect of different MBIs on lowering blood pressure among different populations including hypertensive patients and healthy individuals.
Methods: Pubmed, Cochrane Central Register of Controlled Trials (Ovid) and EBSCO databases were systematically used to search by using the keywords “(mindfulness) AND (blood pressure)â€. All trials published from 1989 to July 2021 that reported the effect of MBIs on blood pressure as primary or secondary outcomes were included. Trials that did not report their results in English were excluded. Titles and abstracts were first screened for eligibility. Eligible studies were then fully reviewed and summarized.
Results: A total of 53 research articles were included in this review with 3947 participants. They include patients with hypertension, cardiovascular diseases, obesity, cancer, stress, diabetes, pregnancy and healthy individuals. Articles were classified and sorted according to the modality of MBI used for better comparison.
Conclusion: MBI modalities that are instructor guided and include breathing and/or physical exercises might result in a significant reduction of BP, especially among patients with HTN and/or anxiety. This effect could be complemented by other pharmacological and non-pharmacological interventions
The Effect of Earmuff and Earplug Use on Preterm Infants Towards Oxygen Saturation and Pulse
No full textBackground: A bright circumstance, cold temperatures with loud noise andmany activities around can influence oxygen saturation and pulse in pretermbaby.Purpose: This study aimed to identify the effect of using earmuffs andearplugs on the physiological response of preterm infants.Methods: This crossover study involved 15 medically stable preterm infantstreated in a closed incubator. It used the consecutive sampling techniquewhere the babies’ physiological response using Neonatal Pulse Oximetri wasobserved for 30 seconds every 15 minutes for two hours of using earmuffsand earplugs.Results: The result of repeated ANOVA analysis showed that there is nosignifcant difference of pulse repetition frequency before, during, and afterusing the earmuff and earplug to preterm infants. Meanwhile, statistically,there was a difference in the mean of oxygen saturation during and afterusing the earmuff with p = 0.019.Conclusion: The use of ear protection (earmuff and earplug) could assistand support premature infants in maintaining physiological condition.Earplugs are considered better than earmuffs for maintaining a preterminfant’s physiological condition.Background: A bright circumstance, cold temperature with loud noise where there are many activities around could influence baby’s sleep.Objective: This study aimed to identify the effect of using earmuffs and earplugs on the physiological response of preterm infants.Methods: This crossover study involved 15 medically stable preterm infants treated in a closed incubator. It used the consecutive sampling technique where the babies’ physiological response using Anderson Behavioral State Scale was observed for 30 seconds every 15 minutes for two hours of using earmuff and earplug.Results: The result of repeated ANOVA analysis showed that there is no significant difference of pulse repetition frequency before, during, and after using the earmuff and earplug to preterm infants. Meanwhile, statistically, there was a difference in the mean of oxygen saturation during and after using the earmuff with p = 0.019.Conclusion: The use of ear protection (earmuff and earplug) could assist and support premature infants in maintaining physiological condition. This study therefore suggests the use of earplugs earlier on preterm infants.Keywords: earmuffs, earplugs, premature, physiological response
The Prior-to-isolation Psychosocial Experiences of COVID-19 Diagnosed Patients: An Interpretive Phenomenological Analysis
No full textBackground: Changes that occurred during COVID-19 pandemic have caused people to have various responses when receiving a diagnosis of COVID-19; among others are stigma in society, lack of knowledge, various social media news that affect people’s beliefs, and mental health during the pandemic.
Purpose: The purpose of this study was to explore the psychosocial experiences of patients before and when they were frst diagnosed with COVID-19.
Methods: Using a phenomenological approach, we involved 19 COVID-19 survivors who were medically diagnosed and confrmed positive for COVID-19 in the frst 6 months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-toface semi-structured interviews with health protocols and analyzed using the 6-step of Interpretative Phenomenological Analysis (IPA) method.
Results: Three themed-fndings illustrate patients’ psychosocial experiences before being diagnosed: 1) cooperative behavior during the pandemic (with sub themes: recognizing symptoms and looking for medical help); 2) Navigating feelings when frst received a diagnosis (with sub themes: being worried about the diagnosis, suspecting infection based on exposure history, and acknowledging the existence of COVID-19); and 3) Early psychosocial responses (with sub-themes: psychological response, cognitive response,behavioral response, family responses, and social response).
Conclusion: Exploring the experiences of patients with confrmed COVID-19 before and undergoing the isolation period can provide opportunities to improve the quality of physical and psychological services starting from prevention and assistance when receiving a diagnosis so as not to experience a worsening of the condition during treatment. Recommendations are for further study about COVID-19 survivors among children and adolescents who have been treated in the intensive care unit
The life experiences of adolescent female students who use social media
No full textBackground: Social media is a place for students to follow trends. However, Islamic boarding schools limit students by prohibiting them from bringing cell phones; therefore, they are not influenced by the outside world, even online.Purpose: The purpose of this study is to explore the experiences of female students as users of social media related to dormitory rules.Methods: Using a qualitative research design with a phenomenological approach. The research was conducted by in-depth interviews with 8 female students at Madrasah Ulumul Qur'an Langsa aged 15-18 years. Interview transcripts were analyzed using the Colaizzi method.Results: Six themes emerged from this study including: students bring cell phones to boarding schools because of the influence of friends and want to see updates, the use of social media as entertainment in their spare time, social media affects the way students follow fashion, the influence of the outside environment is more dominant on the behavior of students than the media in social media. The values instilled in the pesantren become a bulwark in the face of the outside world, and students want to make the best use of social media.Conclusions: Female students want to make the best use of social media to atone for the violations committed. They also agree that the prohibition of bringing cell phones and access to social media in Islamic boarding schools is the right thing because it can cause negligence and jealousy in friends who do not carry cell phones
Barriers felt by nurses related to childhood basic immunisation in East Nusa Tenggara: A phenomenological study
No full textBackground:Â Immunisation barriers can increase morbidity and mortality associated with vaccine-preventable diseases. Understanding barriers to childhood vaccination is critical to informing effective interventions to maximise coverage.
Purpose: This study aims to explore the experiences of nurses involved in immunisation related to the obstacles they experience in immunisation activities.
Methods: This research is qualitative research with a phenomenological approach. Nurse participants who manage immunisation activities at the public health centre were recruited using a purposive sampling technique. In-depth interviews were conducted with 15 nurses who work in immunisation activities. Inclusion criteria are nurses who directly provide immunisation services and have managed the immunisation program for more than one year. Exclusion criteria were nurses who were on leave. The study was conducted from August to September 2022, and face-to-face interviews were conducted. Interview transcripts were analysed using the thematic analysis method.
Results:Â Three major themes were generated in this study, namely: 1) barriers to immunisation governance systems, 2) barriers to vaccine recipients, and 3) policy barriers.
Conclusions:Â Interventions to overcome barriers to immunisation need to be carried out comprehensively at various levels, such as promoting the benefits of vaccines for the community, strengthening the capacity of officers' competence, reducing political bias, and funding supporting facilities for immunisation programs
English
No full textBackground: The nurse manager is one of the nurses who has authority to implement a nursing management system in a nursing organization to achieve goals based on the input, process and output stages, whether the Covid-19 pandemic has positive and negative impacts on the implementation of the nursing management system. Nursing management is a form of coordination and integration in achieving nursing care and nursing services.
Purpose: The purpose of this study is to explore the experience of nurse managers in implementing nursing management system in the COVID-19 wards.
Methods: This study used a phenomenological descriptive design and in-depth interview data collection methods. Furthermore, the implementation of this research was carried out in 10 hospitals in North Sumatera, especially Medan City, Deli Serdang Regency and Serdang Bedagai Regency. The participants involved in this study were 20 participants and used the Collaizzi data analysis method.
Results: This study revealed 7 themes related to the experience of nurse managers running a nursing management system in the COVID-19 treatment room ; (1) Requires extra high discipline to carry out nursing management functions, (2) There is a psychological disorder for nurse manager to carry out nursing management, (3) Requires moral and material support in carrying out their duties, (4) Performs various efforts to disseminate information on nursing care management systems, (5) Experiences more benefits in implementing nursing management in the COVID-19 ward, (6) Faces complicated obstacles in carrying out nursing management, and (7) Has high expectations in carrying out increasingly complex management functions.
Conclusion: From the themes above, the researcher concludes that the nursing management system in the COVID-19 treatment room involves psychological feelings, requires extra self-preparation, requires support from all parties in providing nursing care, improving nursing services to the fullest and can develop the concept of nursing management system during a pandemic.Latar Belakang: Perawat manajer merupakan salah satu perawat yang menerapkan sistem manajemen keperawatan dalam organisasi keperawatan untuk mencapai tujuan berdasarkan tahapan input, proses dan output. Manajemen keperawatan merupakan bentuk koordinasi dan integrasi dalam mencapai asuhan keperawatan dan pelayanan keperawatan. Tujuan : Tujuan dari penelitian ini adalah untuk menggali lebih dalam terkait pengalaman manajer perawat dalam menjalankan sistem manajemen keperawatan di ruang perawatan COVID-19. Metode : Penelitian ini menggunakan desain deskriptif fenomenologis. Metode pengumpulan data menggunakan wawancara mendalam. Pelaksanaan penelitian ini dilakukan di 10 rumah sakit di Sumatera Utara khususnya Kota Medan, Kabupaten Deli Serdang dan Kabupaten Serdang Bedagai. Jumlah partisipan dalam penelitian ini adalah 20 partisipan. Analisis data menggunakan metode Collaizzi. Hasil : Penelitian ini mengungkapkan 7 tema terkait pengalaman manajer perawat menjalankan sistem manajemen keperawatan di ruang perawatan COVID-19, yaitu (1) Melaksanakan fungsi manajemen keperawatan yang lebih ekstra dan disiplin, (2) Mengekspresikan perasaan psikologis dalam melaksanakan operasi keperawatan sehari-hari, (3) Mendapatkan dukungan moril dan materil dalam melaksanakan tugasnya, (4) Melakukan berbagai upaya memperoleh informasi, (5) Merasa lebih banyak manfaat dalam melaksanakan manajemen keperawatan, (6) Menghadapi kendala yang ekstra dalam melaksanakan keperawatan manajemen, dan (7) Memiliki harapan yang tetap tinggi dalam menjalankan fungsi manajemen yang semakin kompleks. Kesimpulan : Dari tema di atas, peneliti menyimpulkan bahwa sistem manajemen keperawatan di ruang perawatan COVID-19 melibatkan perasaan psikologis, membutuhkan persiapan diri yang ekstra, membutuhkan dukungan dari semua pihak dalam memberikan asuhan keperawatan dan meningkatkan pelayanan keperawatan secara maksimal
The Indonesian Survivors’ Perspective about Recovery from Schizophrenia: An Exploratory Study
No full textBackground: Recovering from schizophrenia is a unique process and is influenced by the cultural background of survivors.
Purpose: The purpose of this study is to describe the important aspects of the recovery process of Indonesian people living with schizophrenia.
Methods: This study used qualitative exploratory descriptive and data were collected through focus group discussion with seven participants at a Residents ofce on July 2018. Data were analysed using the theory of Braun and Clarke to identify key themes.
Results: Five themes arose from this study including becoming an agent of recovery, accepting yourself as you are, keeping a smile in all situations, seeking God’s help as a way to get well, and ignoring by the government.
Conclusion: It was concluded that, in the process of recovery, survivors became agents of recovery, so patient-centred care becomes very important in providing nursing care to the survivors. The result of this research can be considered for community nurses in caring for schizophrenia survivors
International Migration of Nurses from South to North Amidst The COVID-19 Pandemic and Beyond: A Gain or A Drain
No full textThe complexity of health, social and economic problems caused by the COVID-19 pandemic demands rapid, adequate and effective responses. This includes the urgent response from the existing health system to provide high quality of care for infected persons. Unfortunately, the performance of health system in low-resource settings has been weakened prior to the COVID-19 pandemic. The current pandemic has posed more pressure to the health system including the health workforce security and availability with the isolation periods and lock-down scenarios for many low- and middle-income countries. Nursing has been recognized as a profession with high global mobility. Nurses from the South (developing countries) would often migrate to the North (developed countries) due to security, better pay, and professional development, including working conditions. Nevertheless, aggressive recruitment of nurses from South amid the COVID-19 pandemic is considered unethical. Nurses as part of the essential health workforce are critically needed in their home countries. This editorial argues the benefits and disadvantages of nurses’ migration from South to North. Several key sources from both scientific and grey literature were used in this editorial
Global Shortage of Nurses Continues
No full textNurses play an important role in providing healthcare to individuals, families, and communities. One of the major challenges that global health systems face is a nursing workforce shortage. Various factors such as job dissatisfaction, intention to leave, and burnout are some of the predictors of nurse turnover. Another significant concern is whether the profession will be able to attract enough nurses to care for populations in the future. To ensure a healthy population, governments and health policymakers around the world must invest in nursing and healthcare and pay attention to the needs of health systems. To avoid a shortage among nurses, the government and relevant policymakers should pay highly on this issue as it may impact our future healthcare systems
Preventive bacterial translocation and control of Ventilator-Associated Pneumonia: A qualitative study
No full textBackground: Bacterial translocation is one cause of ventilator-associated pneumonia among patients treated in the Intensive Care Unit. The study aimed to observe critical nurses information about bacterial translocation prevention and ventilator-associated control in clinical settings.
Methods: A qualitative phenomenology design was undertaken from July to September 2021. We recruited 40 critical nurses in government and educational hospitals in Surabaya, Indonesia. The in-depth online interview was conducted during the interview process and analysed using Colaizzi’s technique.
Results: We emerged five themes that consist of 1) limited of nurse’s competence, 2) unsupported work environment, 3) barrier of human resource management, 4) work motivation, and 5) development of bacterial translocation preventive tools.
Conclusion: Prevention of bacterial translocation is needed by developing tools and accessible by nurses. Whereases, the capacity and ability need to be developed by training. Nurses and Hospital Managers consider putting the attention of evidence-based tools in clinical settings