Jurnal Keperawatan Padjadjaran
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Prone Position Improve Physiological Parameters of Preterm Infants Weaning from CPAP: A Randomized Control Trial
No full textThe need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472).The need for continuous positive airway pressure (CPAP) was vital for preterm infant with respiratory distress, but the impact of long-term use was very harmful. The effort to do weaning must be done and facilitate the infant to adapt wean off CPAP. The effect of positioning on stabilized physiological parameters may help preterm infant to adapt under gradual weaning from CPAP. Aim in this study to determine the effect of prone positioning on physiological parameters in preterm infants under gradual weaning CPAP. From Mei to September 2020 total sample 60 preterm infants on non-invasive ventilation or CPAP were randomized into prone position (intervention group, n = 30) and supine position (control group, n = 30). Oxygen saturation, respiratory and heart rate between groups were compared. In the prone position was significant higher than supine position at 30th minute. The mean oxygen saturation in the prone position (99.87±0.35) was higher than in the supine position (97.63±1.45; p=0.001), the mean respiratory rate in the prone position (42.10±8.59 breaths/min) was lower than in the supine position (53.20±6.24 breaths/min; p=0.001), and the mean heart rate in the prone position (144.63±13.07/beats/min) was lower than in the supine position (153.53±10.02/beats/min; p=0.001), so that the prone position can be applied to increase oxygen saturation and to maintain the stability of respiratory rate in preterm infants during gradual weaning. The failure to wean off CPAP (re-CPAP) in the prone group was less frequent which is 3 respondents (5% versus 10%). However, there is no relation between positioning and re-CPAP (p=0.472)
Demographic Profile, Knowledge, Attitude, and Practices of Blood Donors in a Low-Middle Income Country
No full textBackground: Demographic profile, knowledge, attitude and practices (KAP) of blood donors in a low-middle income setting was investigated in this study. The study determined the demographic profile of blood donors in terms of sex, age, ethnicity and level of education and measured the level of knowledge, attitude and practices in terms of blood donation.Purpose: The relationship of the donor profiles in terms of level of knowledge, attitude and practices was also determined.
Methods: It utilized a cross-sectional study design which was conducted from February-October 2020. A self-administered questionnaire was distributed to the volunteers of blood donors of a non-institution-based blood bank establishment in Baguio City. Descriptive statistics and Chi-square were used to analyze the data. Ethical clearance was obtained and was approved.
Results: The results revealed that the majority of the respondents were female (59.2%) with age ranged from 18-30 years old (75.3%) and in collegiate level (83.2%). Majority of the respondents’ ethnicities were Tagalog (25.9%). Study revealed that respondents have a high level of knowledge in relation to blood donation, the attitude of the respondents revealed that blood donor had strong agreement to positive statements and disagreement to negative statements. Most of the respondents donated in the past, 62.3% are lapsed donors, 18% were first time donors and the majority had an intention to donate in the future.
Conclusion: In terms of relationship of Demographic Profile to KAP, only Practices revealed a significant relationship to sex, age, ethnicity and level of education with P value ranging from 0.05- <0.0001.
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Determinants of Knowledge and Behaviours of Indonesian Health Care Providers toward the Prevention of COVID-19
No full textBackground: Due to the high risk of exposure of Health Care Providers (HCPs) at the forefront of the COVID-19 responses, HCPs’ knowledge and prevention behaviors towards COVID-19 have become crucial parts of their job performances.
Purpose: This study aims to identify the level of knowledge and prevention behaviors of HCPs toward COVID-19 and factors associates.
Methods: This study utilized a cross-sectional research design. The samples consisted of 182 HCPs in Malang, East Java Province, Indonesia. The data were collected through structured self-developed online questionnaires, consisting of socio-demographic characteristics, knowledge, and prevention behaviors. The data were treated as categorical data types and then analyzed using frequency distribution, chi-squares, and logistic regression performed by SPSS 22 software.
Results: The HCPs working at hospitals have about one time better knowledge than those who work at public health centers, clinics, and pharmacies (COR = 1.03; 95% CI: 0.72-14.76). Nurses have 3.4 times better knowledge than other HCPs (COR = 3.43; 95% CI: 0.27-43.84). HCPs with 5 to 10-year experience have 6.4 times better prevention behavior than those with less than five years or over 10-year experience (COR = 6.42; 95% CI: 0.57-72.76).
Conclusion: The knowledge and prevention behaviors of HCPs toward COVID-19 prevention were influenced by age, residence area, occupation, and the length of working experience. Therefore, HCPs need to understand the new healthy habits and actively contribute to COVID-19 intervention programs
Research Priority of Gerontic Nursing in Indonesia: findings from a Delphi Study
No full textWhile elderly population in Indonesia continues to increase, research around elderly and health care for elderly is still limited. The purpose of this study was to identify priority of research area on Gerontic Nursing in Indonesia. This was a descriptive study, using Delphi study with 2 survey rounds. Round 1 involved 34 participants purposely selected among nurses who worked in the area of and had a research interest in Gerontic Nursing. Open ended online questionnaire about priority areas was sent to potential participants. Data was analyzed for its similarity, resulted in 36 research areas around Gerontic Nursing. Round 2 involved 204 nurses with the same criteria as in round 1, selected using convenience sampling technique. Close ended questionnaire using Semantic Differential Scale ranged from 1 to 9 was sent online to potential participants. Data was descriptively analyzed for median, interquartile range (IQR), and range. Findings indicated 10 levels of research priority. Level 1 research priority with median of 9, IQR 1, and range 5 were long term care for elderly, family knowledge on caring for elderly, personal hygiene in elderly, competency of Gerontic Nurse, and nutrition in elderly. Nurse academics and researchers are suggested to collaborate with nurse practitioners in various settings to conduct research on these priority areas
Correlation between Fatique and Stress among Female in Caring for the Elderly at Hospitals
No full textBackground: Studies showed that the caregiving process has an impact on physical and psychological health, such as stress and fatigue.
Purpose: This research aims to analyze the correlation between fatigue and stress in female caregivers caring for the hospitalized elderly in Medan, Indonesia.
Methods: This is a correlational study with a cross-sectional approach. Data collection was conducted from March to October 2020 and 42 caregivers participated. The data analysis was performed to analyze for frequency distribution and the Pearson correlation test was used to measure the strength of the correlation between variables.
Results: It was reported that 47.5% of female caregivers were in the average age range of 47 years, and provided care almost 24 hours per day. The elderly had been sick for less than a year on average and showed some degree of partial dependence. Based on the results of the Pearson correlation test, the value of Sig. 0.000 < 0.05 was obtained. Furthermore, the direction of the positive relationship can be seen from the sign of the coefficient (Pearson’s correlation of 0.759), which means that the higher the fatigue, the higher the stress level.
Conclusion: These results are expected to be the basic data for future research and should be considered hospitals regarding care for the elderly. This can reduce the impact of the stress on the caregivers’ which can affect the quality of care provided
The Effect of Using Simulation-Based Learning on Nursing Performances of Early Postpartum Hemorrhage in Nursing Students
No full textBackground: Early posypartum haemorrhage (PPH) is a crucial problem in maternal and newborn care. The simulation-based learning has an important role to improve knowledge, practical skills, and attitude in realistic case-based scenarios.
Purpose: This study aims to examine the effect on using simulated scenario in the simulation laboratory on nursing performance of early postpartum hemorrhage of nursing students.
Methods: The quasi-experimental research, one group pretest-posttest design was used to study with the nursing students from the Faculty of Nursing, Naresuan University in Academic Year 2019 during the period of December 1, 2019 to January 31, 2020. The subjects of thirty nursing students were selected by purposive sampling. The instruments were the the ability in nursing of early postpartum hemorrhage through the questionnaires which consists of the performance test and satisfaction before and after the early PPH simulation program. The content of scenario consists of the definition, etiology, risk factors, signa and symptoms, treatment, holistic nursing care, and continuous care. The data were analysed as the descriptive: numbers, percentages, frequency, mean and standard deviation. The paired t-test was used to compare the outcome between pre-test and post-test.
Results: The data were analysed by t-test. The results illustrated that the students who learned through simulated scenario on performance in nursing care of women with early postpartum hemorrhage had, after learning, higher performance in nursing care of women with early postpartum hemorrhage than that before learning at the .01 level of significance. The students were satisfied learning by using the simulation program in the high level (x̄ = 4.26, S.D. = 0.54).
Conclusion: The simulation-based learning improves the core competencies and performances of nursing students for management women with early postpartum hemorrhage as knowledge, potential clinical care skills, and attitude. It will be useful to implement for nursing care women regarding early postpartum hemorrhage in the real situations
The Effect of Brain Game on Cognitive Function in Stroke Patients
No full textThe decline in cognitive function has been a disorder frequently experienced by stroke patients. The present study aimed to determine the effect of android-based brain games on cognitive function in stroke patients. Brain games in this study are designed using an exploratory approach to various cognitive function domains that are damaged. The quasi experiment using two groups pretest and posttest design involved 15 individuals for each group recruited from a hospital in West Java through purposive sampling with a sample calculation formula using a paired numerical analytical research formula. The intervention group received an android-based brain games three times a week for one month, the control group received placebo intervention (mentioning colors of different words) three times a week for one month. The FACT-Cog Version 3 questionnaire utilized as the measuring instrument. Measurements were taken every week after the intervention for one month. The results indicated that there was a significant change in cognitive function scores before and after the intervention in the intervention group (p = 0.000). Meanwhile, in the control group there is no significant change (p = 0.164). Moreover, the results of cognitive function score analysis after intervention between the intervention and control group exhibit a significant difference (p = 0.000). The brain game intervention has a significant effect on cognitive function after the third treatment in the first week (p <0.05). Also, the results exhibit the potential effect of brain games on the cognitive function level of stroke patients. Some of the things that make the intervention in this study effective in improving cognitive function are that the respondents included in this study are only those who have a score greater than or equal to 46, which may be different when applied to patients with lower scores. In addition, the intervention was carried out on respondents who had experienced a stroke for the first time and may be different if applied to people who have had several strokes. Therefore, it is important to expand the criteria for respondents in further research. Furthermore, this can be used as an option of the nursing intervention to manage cognitive problems among stroke patients
Multidimensional Symptom Burden among Patients with Hemodialysis in Indonesia
No full textBackground: Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzed the symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptom assessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden.
Purpose: The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively.
Methods: This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruited from the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto Mangunkusumo National Hospital). Indonesian Version of Chronic Kidney Disease - Symptom Burden Index (CKD-SBI) was used. For the data analysis, descriptive analysis was used.
Results: Total 320 subjects were collected. This study found that lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%), severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27). Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions: occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency (mean = 3.70, SD = 3.65).
Conclusion: Lack of energy and decreased interest in sex were consistently the highest symptom burden among patients with hemodialysis. Creating appropriate interventions and managing the symptoms experienced by patients with hemodialysis comprehensively is very important to improve their quality of life.
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Nurses’ Communicating with Patients in Peripheral and Border Areas in Indonesia: A Phenomenology Study
No full textBackground: Communication is an important part of nursing care. However, Indonesian nurses still feel communication problems due to cultural and linguistic differences, especially in peripheral and border areas.
Purpose: This study explores the communication experience of nurses when providing services to patients in three peripheries and two border areas of Indonesia.
Methods: A phenomenological approach is used in this study. The purposive sampling technique was used to recruit 22 nurses in Indonesia’s periphery and border areas to be involved in the study. The data collection process was carried out from August to October 2021. Data were collected through interviews using a semistructured questionnaire, and verbatim transcripts of audio-recorded interviews were analyzed using thematic analysis.
Results: This research resulted in four important themes, specifically: (1) difficulty in communicating, (2) emotional distress, (3) conflict and understanding, (4) lack of support for competency development.
Conclusion: The findings of this study increase the scientific understanding of the communication barriers of nurses in the culturally diverse periphery and border areas. The barriers encountered can be used by nursing managers to construct ineffective nurse communication problem-solving interventions. The main emphasis on solving communication problems should include continuing education and training support so that nurses’ communication competence can be improved and applied in the service area based on the cultural and linguistic conditions of the patient
An Exploration of Nurses’ Experience of Family Presence During Resuscitation in Intensive Care Setting
No full textThe family presence during resuscitation (FPDR) has received wide support to be implemented in the ICU.The implementation of FPDR has positive impacts on family satisfaction. However, some of the nurses’ opinion still not agree on implementation of FPDR in ICU. This research therefore utilized phenomenological approach to gain descriptive explanation regarding this phenomenon. The purpose of this study is to explore the nurse’s experiences in the implementation of FPDR in the ICU. This research was conducted on the year 2020 and qualitative phenomenological approach was utilized for this research. Ten (10) ICU nurses have participated in this study and in-depth interview was employed for data collection. Data analysis is conducted using Colaizzi. Result of this research areexplained in 6 themes which describe the phenomenon of nurses’ experience onfamily presence during recusitation, as follows: (1) Decisions on family; (2) From burdened to selfconfident; (3) Families enhancing teamwork; (4) The bereaved family disrupts the CPR process; (5) Feels of ignoring patiets’ family and (6) Expectingthe family be accompanied by staff nurse.From a nurse’s perspective, the implementation of FDPR has a positive impact on patients, families and on the ICU nurse team. However, this also has an unpleasant impact on ICU nurses, especially if the nurse is not ready for the practice. Therefore, policy support and training for nurses are needed in its implementation