Jurnal Keperawatan Padjadjaran
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The Effect of Patient Acuity Tool on Patient Clinical Practicum Assignments on Nursing Student Satisfaction Levels: A Quasi-Experimental Study
No full textBackground: Unequal patient assignment is a problem of nursing students during clinical practicum. Registered nurses use patient acuity to ensure balanced work distribution, but its benefits has not been assessed on student nurses to date.
Purpose: The study’s objective is to determine the effect of patient acuity tool on student nurses’ satisfaction level during practicum.
Methods: The study utilized quasi-experimental design to level II and III nursing students at a University in Quezon City, Philippines. 6-Module Online course including videos, notes, and quiz using Google Classroom was used; orientation and simulation were conducted through Zoom and Facebook Messenger. The participants were tasked randomly to use Patient Acuity Tool or conventional method during patient distribution. A modified Kuopio University Hospital Job Satisfaction Scale was used to identify and compare satisfaction levels of the two groups. Descriptive and Independent Samples T-test using Statistical Package for the Social Sciences version 26 were used to analyze data.
Results: Requiring factors, motivating factors, and working welfare of students utilizing Patient Acuity Tool are higher in overall mean satisfaction rate (3.36, 3.71, 3.89 vs 3.57, 3.81, 3.91); however, mean satisfaction showed no significant difference based on indicators (p-value 0.372, 0.694, 0.052, 0.921, and 0.469) and overall satisfaction (p-value 0.947). The requiring factors of work reflects the lowest mean scores given by those who have used the Conventional Method focusing on number of staff (2.97) and even workload distribution (2.14).
Conclusion: Contrary to the last result, those who have distributed patients using the Patient Acuity Tools gave a mean score of 3.55
Depression, Anxiety and Stress among Students amidst COVID-19 Pandemic: A Cross-Sectional Study in Philippines
No full textBackground: COVID-19 considered as a global health crisis poses mental health problems among individual and specifics to students.
Purpose: This study aimed to determine the depression, anxiety, and stress levels among students amidst COVID-19 pandemic in Philippines.
Methods: A cross-sectional study was undertaken in Region 8, Eastern Visayas Philippines. A total of 311 tertiary respondents randomly selected both private and government owned higher education institutions. The data compilation was done using online questionnaires through Google Forms with validated version of the Stress, Anxiety and Depression Scales 21 (DASS21) is used to calculate students’ level of stress, anxiety and, depression with their socio-demographic features.
Results: We revealed that depression, anxiety and stress are instituted in 18.6 %, 35.1 % and 2.85% of students, respectively, amidst the COVID - 19 pandemics. The symptoms of disorders were moderate to extremely severe in 6.1%, 23.5%, and 0.6% of the study sample, respectively. Age, gender, marital status and family history of illness are significantly different with age group 20 and below, females, singles, and families with no history of illness displaying high level of anxiety. Results also established an association between anxiety and family’s monthly income and history of illness. The higher the monthly income and no presence of illness of families, the more anxious the person.
Conclusion: Finally, the variables used, explained only 1.5% depression, 3.4% anxiety and 1.4% stress in this time of COVID-19 outbreak. It is therefore recommended to essentially develop community-based mental health program for preventive purposes
Antecedents of Psychological Empowerment and The Impact on Nurses Burnout
No full textBackground: The health and well-being of nurses are deteriorating due to several factors such as complicated nursing practices, high patient demands, heavy workload, all of which result in frustration and lead to burnout, especially emotional exhaustion.
Purpose: The purpose of this study was to examine the effect of the antecedents of psychological empowerment on burnout in nurses who worked at the COVID-19 Hospital XYZ in Tangerang during the pandemic.
Methods: This research is a quantitative research with survey. PLS-SEM was used to analyse empirical data obtained through simple random sampling. There were 80 samples collected and analysed through questionnaire that had been distributed online. The results showed that six of the eight variables of quality of work life, as well as psychological empowerment mediating variables, had a significant negative effect on burnout (t-statistic > 1.645).
Results: The direct influence on psychological empowerment was found to be the strongest from the opportunity to develop human capital and adequate and fair compensation (coefficient: 0.627 and 0.361). It was found that there was a negative impact of psychological empowerment on burnout (-0.756), thus the results of this study support the theory that the quality of work life can increase psychological empowerment among nurses, as well as show a new application to the psychological empowerment of nurses.
Conclusion: This research model has moderate predictive accuracy and medium predictive relevance, so it can be developed in further research. There are managerial implications obtained from the findings of this study related to duration of work per week, work environment, granting of autonomy, as well as recommendations for future researchers regarding sample size and geographic coverage
Perceived Stigma, Psychological Response, and Nurse Coping In The Covid-19 Pandemic In Indonesia
No full textNurses are at the forefront of being directly involved in the care of Covid-19 patients. This can put nurses in a difficult position, especially if they had lack support from the surrounding environment. The society’s negative stigma towards nurses can trigger psychological problems for them. Good coping is needed to maintain the work performance of nurses. This study aims to identify the perceived stigma, psychological response, and coping of nurses involved in caring for Covid-19 patients in Indonesia. This research was a cross-sectional study based on an electronic survey. The number of respondents was 509 nurses who came from all regions in Indonesia on 11-20 April 2020. Respondents were nurses who handled Covid-19 patients directly. The data were collected using a modified questionnaire the Berger stigma scale, DASS and Brief of Cope with a total of 27 questions. The questionnaires used have been proven valid and reliable after being tested on 30 nurses treating Covid-19 patients with a Cronbach Alpha value as follows: modified Berger Stigma Scale 0.952; modified DASS 0.928; and modified Brief of Cope 0.753. Most respondents were 26-35 years old (52.1%), female (61.5%), and worked in government-owned hospitals (48.3%). 231 respondents were stigmatized (45.4%), 274 respondents were depressed (46.2%) and 209 respondents experienced stress (41.1%). The majority of respondents chose problem focused coping (65.8%). This study shows that some respondents feel they were stigmatized by society, but they have good coping (problem focused coping) to reduce their mental burden. Negative stigma against nurses is often difficult to avoid. Support from family and colleagues was something that can ease the mental burden of nurses. Support from the government was needed to educate the public so that it does not give negative stigma to nurses and other health workers
Stress Levels and High School Adolescents Coping Mechanism during the Covid-19 Pandemic
No full textBackground: Adolescents are prone to psychological disorders due to their personal nature that they cannot accept changes. It is further exacerbated by the Covid-19 pandemic situation which requires all activities to be carried out online from home.
Purpose: This study aims to determine the relationship between stress levels and coping mechanism in high school adolescents during the Covid-19 pandemic in Halim Jakarta.
Methods: Research design is a cross sectional used for adolescents aged 15-19 years at SMA Negeri 67 Jakarta and SMA Angkasa 1. 342 samples were selected by using the quota sampling method. The measurement of stress levels is done by distributing the Perceived Stress Scale (PSS) questionnaire, while the coping mechanism uses the Brief Cope questionnaire. The research results include the results of univariate analysis and bivariate analysis with the Chi Square test.
Results: The results of this study showed that there was a relationship between stress levels and coping mechanism (p value 0.017), dysfunctional coping strategies (p value 0.000) in high school adolescents during the Covid-19 pandemic. Furthermore, there is no relationship between stress levels and Emotion Focused Strategies (p value 0.703), and Problem Focused Strategies (p value 0.816) in high school adolescents during the Covid-19 pandemic. The female adolescents are more dominant than male adolescents. More respondents from class XII majoring in science are from SMA Negeri 67 Jakarta. There are still teenagers with severe stress during the Covid-19 pandemic. There is a relationhip between stress levels with coping mechanism and dysfunctional coping strategies. But the stress level has no relationship with Emotion Focused Strategies and Problem Focused Strategies.
Conclusion: The results of this study are expected to improve mental health services through routine mental health screening and providing counselling related to stress management in adolescents. Adolescents are also expected to solve problems by optimizing the use of coping mechanism (Emotion Focused Strategies, Problem Focused Strategies) appropriately and avoiding the use of dysfunctional coping strategies
Bridging Innovation to Prevent Ventilator-Associated Pneumonia: A Descriptive Qualitative Study among Critical Care Nurses
No full textBackground: Ventilator-Associated Pneumonia (VAP) is still a concern for individuals who are dependent on a ventilator. It is envisaged that the growth of technology-based innovations would lead to the creation of remedies for the prevention of VAP.
Purpose: The purpose of this study was to learn more about ICU nurses’ perspectives on nursing innovations to avoid VAP in patients who are on ventilators.
Methods: Throughout July and August of 2021, a descriptive qualitative research study was conducted. Through the use of the snowball sampling approach, a total of 30 critical care nurses were recruited. During the interview procedure, each participant had around 40 minutes of time for an in-depth interview using a semi-structured format. In order to analyse the findings of the interviews, the technique proposed by Colaizzi was used.
Results: The following four themes emerged: 1) Development of tools to prevent infection, 2) Innovation to monitor cuff tension, 3) Improvement of nurses’ skills and knowledge in using technology, and 4) Nurses’ burden in using technology.
Conclusion: Nurses may benefit from considering VAP management as a part of technology-based innovation strategy. Nurses have praised the invention for measuring and monitoring the ETT cuff as a source of optimism for future advancement
Lived Experiences of End Stage Renal Disease Patients Undergoing Continuous Ambulatory Peritoneal Dialysis Therapy
No full textEnd stage renal disease (ESRD) is a serious chronic disease that resulted from complications of chronic renal failure and a final diagnosis that requires treatment modalities such as dialysis or continuous ambulatory peritoneal dialysis (CAPD). However, CAPD is rarely selected as renal replacement therapy by ESRD patients in Indonesia. Therefore, the phenomenon associated with patients undergoing CAPD is unclear, especially in Indonesia. The purpose of this study was to explore the lived experiences of ESRD patients undergoing CAPD therapy. The research method employed qualitative descriptive phenomenology. The participants in this study were 10 ESRD patients with CAPD. Data collection utilized semi-structured interviewed and data was analyzed using the Colaizzi approach. The result of the study was explained through 6 themes. These are: 1) Condition improved with CAPD, 2) Freedom of activity, 3) Between feeling better and bored 4) Health is increased, 5) It is sustained life, 6) Resignation to accept illness. In conclusion, the patients with CAPD felt significant positive changes in their life and CAPD is considered life-sustaining for the participants, as the majority of the symptoms was decreased significantly. Therefore, the partisipants felt their conditions improved better. The unpleasant sides of CAPD are feeling bored. The support of the family is important as it produced strength and passion for patients in undergoing CAP
Correlation between Spiritual Well-Being and Level of Fatigue among Patients Suffering from Breast Cancer
No full textCancer-related fatigue has been shown to be a significant side effect that influences a person’s wellbeing, during treatment, and after treatment. It is recorded that cancer patients have also been shown experiencing spiritual distress. The study aims to determine the connection between spiritual well-being and cancer-related fatigue among patients suffering from breast cancer during chemotherapy treatment. 112 patients who were undergoing chemotherapy treatment were recruited in this study using a correlational design. The instruments used in assessing spiritual well-being and fatigue are Functional Assessment of Chronic Illness Therapy - Spirituality (FACIT-Sp) and FACIT-Fatigue Scales. Data were analyzed using the Spearman Correlation analysis. Mean spiritual well-being score was 35.91 (SD = 6.89), and the mean fatigue score was 33.04 (SD = 9.58). There were a moderate and significant correlation between fatigue scores and spiritual well-being (r = .364, p < 0.001). Breast cancer patients who had higher spiritual well-being that means they would alleviate fatigue symptoms. Therefore, nurses should consider that increasing spiritual well-being would reduce fatigue and vice versa
Awareness of the Food-Based Diet Guidelines, Eating Practices, and Preferred Sources of Nutrition Information of Employees in an Open University in the Philippines
No full textBackground: Physical inactivity and unhealthy diet are considered as major risk factors in the development of the “fatal four†Non-communicable Diseases (NCDs) (WHO, 2018). As the University of the Philippines Open University (UPOU) adopts a sedentary work lifestyle with most of the employees spending long hours at the office sitting in front of a computer screen, the university must be able to promote health and wellness in the workplace, particularly healthy eating.
Purpose: Thus, the study aimed to determine UPOU employees’ awareness of the Food-based Dietary Guidelines (FBDGs), adherence to the 2012 Nutritional Guidelines for Filipinos (NGF), and preferred sources of information on healthy eating to provide insights for the development of nutrition interventions in the university.
Methods: A total of 85 healthy employees aged 19-59 years old accomplished an online adapted survey from February to April 2019 which included questions on awareness of the four FBDGs--2012 NGF; Kumainments (simplified version of NGF); Daily Nutritional Guide Pyramid (DNGP); and Pinggang Pinoy (a plate-like pictorial model), eating practices relative to the 2012 NGF, and preferred sources of information on the FBDGs. Data were analyzed using descriptive statistics.
Results: Results of the study showed that most of the respondents were not aware of the FBDGs. Among those who were aware, only a few have read the FBDGs. Adherence to the guidelines was also low as reflected by a very low percentage of respondents practicing the messages on the recommended frequency of intake of food groups.
Conclusion: Results suggest conducting lectures or seminars and producing video materials about nutrition which can be uploaded in UPOU’s online repository of multimedia resources and social media sites to promote healthy eating practices among UPOU employees and ensure a healthy and sustainable workforce
Determining Behavior to Uptake and Its Predictors toward Cervical Cancer Screening among Women: A Case-Control Multistage Study
No full textBackground: Cervical cancer is a primary cause of mortality cancer among Indonesian women. Notwithstanding these threats, cervical cancer screening services have low uptake. Additionally, there was a lack of multistage case-control studies regarding positive behavior and its determinants for cervical cancer screening.
Purpose: This study was to ascertain the uptake behavior and its predictors toward cervical cancer screening.
Methods: A case-control study was conducted in Kediri with a sample size of 410 using multistage random sampling (ratio 1:1) from nine community health services and data were collected between June 11 to September 18, 2019. Data were obtained through questionnaires and assessed using Chi-square, Independent t-test, and multiple logistic regression with adjusted odds ratio (AOR).
Results: Behavior of cervical cancer screening was related to knowledge (AOR= 1.61), husband support (AOR= 1.38), social support (AOR= 5.03), external motivation (AOR= 1.24), internal motivation (AOR= 1.37), perceived susceptibility (AOR= 1.49), perceived barrier (AOR= 0.74), perceived benefit (AOR= 0.73), perceived severity (AOR= 1.36), self-efficacy (AOR= 1.30), perceived threat (AOR= 1.26), and intention to screening (AOR= 3.06) with p value <0.05 after adjusting covariate factors.
Conclusion: Knowledge, husband and social support, external and internal motivation, all domains of health belief, and intention to uptake screening were found to be strongly associated with behavior to uptake cervical cancer screening