Jurnal Keperawatan Padjadjaran
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How hemodialysis patients manage dietary and fluid intake? A descriptive qualitative study
No full textBackground: Managing dietary and fluid intake for hemodialysis patients is crucial, but it is also challenging. Non-compliance to diet and fluid intake restriction may increase a patient’s morbidity and mortality. Exploring the experiences of hemodialysis patients who successfully manage those regimens may provide new insight to develop more effective strategies.
Purpose: The study aimed to explore the experiences of hemodialysis patients who successfully manage the dietary and fluid intake restrictions.
Methods: A descriptive qualitative study was applied. Semi–structured interviews were conducted with 15 hemodialysis patients purposively recruited from a hemodialysis unit of a public hospital in West Sumatera, Indonesia. Interviews were transcribed verbatim and thematically analyzed to describe the phenomenon of hemodialysis patients. The study was reported following the COREQ guidelines.
Results: Most participants in this study are female, aged between 38 – 63 years and length of hemodialysis 4 months – 6 years. The finding of this study was that the essential themes that explained how hemodialysis patients adhere to fluid and dietary restrictions are 1) strategies for restricting fluid and dietary intake, 2) motivation to restrict fluid and dietary intake, 3) fear of the effects of non-adherence to fluid and dietary restrictions and 4) social support
The correlation between islamic mindfulness with nursing student professional attitude and caring behavior
No full textBackground. Various stressors during the clinical practices may affect the psychological status of students which potentially impact on their professional attitudes and caring behavior. Prospective nursing students practices on clinical setting is necessary as the basis for strategy development in building students’ caring behavior. The role as care giver that believed can impact to professional attitude and caring behavior is Islamic mindfulness. The aim of the study was to identify the correlation between Islamic Mindfulness with professional attitude and caring behavior among nursing students.
Methods. Cross-sectional design was carried out in this study. A total of 97 Moeslim students of nursing clinical Practices program were recruited from Islamic State University of Jakarta and Makassar Indonesia during November to December 2022 by total sampling. Instruments of Islamic Mindfulness questionnaire, Caring Asessment Tool and Professional attitude for Nurses students were used. Data collected by online. Bivariate analysis was performed to test the correlation between Islamic mindfulness with professional attitude and caring behavior among nursing students.
Results. The mean score of Islamic mindfulness was 38.27 (SD=5.60), Professional attitude was 67.09 (SD=9.56) and Caring behavior was 84.96 (SD=15.14). Islamic mindfulness had very week-positive correlation with professional attitudes but not significant (r=0.148; p-value= 0.073). Islamic mindfulness had a weak-positive and significant correlation with caring behavior (r=0.363; p-value= 0.0001).
Conclusion. Islamic mindfulness had a significant correlation to caring behavior. It is important to Nursing students features Islamic mindfulness to strengthen the caring behavior
The unmet needs of palliative care among patients with non-malignant chronic illness in Indonesia: A phenomenology study
No full textBackground and Objectives: People with chronic illness tend to report multiple and complex symptoms that decrease their ability to meet their needs and quality of life (QoL). As an approach to address people with chronic illness, palliative care is still shortly focused on people with chronic malignancies in Indonesia. Eventually, that paradigm makes the spectrum of palliative care interpreted narrowly only for cancer or end-of-life (EOL) patients. This study explores the experience and needs of patients diagnosed with non-malignant chronic illness towards their illness to identify the need for palliative care. This study used a qualitative method with a phenomenological approach.
Material and Methods: A total of seven (7) participants were involved in semi-structured interviews that were previously selected based on screening using an adult palliative patient score developed by Cipto Mangunkusumo Hospital (RSCM), Jakarta. Only participants with a score above or equal to 4 (four) are selected to participate. All qualitative data is recorded, transcribed, and analyzed using Colaizzi's approach.
Results: There are seven major interrelated themes emerging from this qualitative study that uniquely match with the illness trajectory of non-malignant chronic patients. The themes are: (1) negative feelings that cannot be described at the time of diagnosis, (2) ignorance of the disease process, (3) late realization that illness cannot be cured, (4) helplessness during the medication/treatment process, (5) shame of being a burden to family and surroundings, (6) limited access, (7) family and God as motivation and hope reinforcement to recover at the end of illness stage.
Conclusions: People with non-malignant chronic complain of several challenges, which are not much different from those with cancer. Therefore, patients with non-malignant chronic illness (PWNMCI) also have a similar need for palliative care. A deeper and broader assessment of palliative care should also be implemented in patients with non-malignant chronic illness from the early diagnostic process
Factors influencing children's dietary variety in Eastern Indonesia: A comprehensive national analysis
No full textBackground: Limited dietary diversity among children is a critical public health concern across Indonesia, with Eastern Indonesia facing the most severe nutritional challenges among children. Purpose: This study aims to identify factors influencing children's dietary diversity in Eastern Indonesia. Methods: A cross-sectional study design was employed, utilizing data from the 2017 Indonesia Demographic and Health Survey (n = 1,476). Dietary diversity was assessed using the dietary diversity score (DDS), categorized into adequate and inadequate levels. Results: Key sociodemographic factors associated with DDS included the number of children in the household, place of residence, economic status, breastfeeding practices, and vitamin A supplementation, with p-values of 0.007, <0.001, 0.001, <0.001, and <0.001, respectively. Children who were not breastfed were 0.5 times more likely to have inadequate DDS compared to those who were breastfed (95% CI: 0.36–0.67). Urban-dwelling families had a 0.7 times lower risk of inadequate DDS than rural counterparts (p = 0.026; 95% CI: 0.47–0.95). Additionally, children from low-income families were twice as likely to experience inadequate DDS compared to those from higher-income families (p = 0.012; 95% CI: 1.14–2.99). Conclusion: Rural residency, low income, lack of breastfeeding, and inadequate vitamin A supplementation significantly contribute to poor dietary diversity among children in Eastern Indonesia. These findings highlight the need for targeted government interventions to bridge gaps in maternal education, enhance healthcare access, and improve families' socioeconomic conditions, ultimately advancing child nutrition and health in the region
Perceived benefit is the strongest determinant factor of medication adherence in the elderly with hypertension
No full textBackground: The level of medication adherence among the elderly with hypertension is decreasing globally, including in Indonesia. Medication adherence is a major factor in treatment effectiveness for hypertensive patients. The Health Belief Model is one of the theories illustrating factors influencing patients’ medication adherence.
Purpose: This study aimed to analyze determinant factors of medication adherence among the elderly with hypertension based on the application of the health belief model.
Methods: This is a descriptive-analytic study with a cross-sectional approach. Sampling used a proportional stratified random sampling technique involving 193 patients with hypertension recruited from one of the Regional General Hospitals in Denpasar City Center. Data were obtained using three questionnaires, namely demographic characteristics, the health belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using binary logistic regression.
Results: The research results showed the majority of respondents (62.7%) were compliant in taking medication. Multivariate test results showed that perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p <0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480) is related to medication adherence in the elderly with hypertension.
Conclusions: Perceived benefit is the strongest determining factor of medication adherence among the elderly with hypertension. Respondents with high belief in perceived benefits tend to adhere to medication 12.061 times compared to respondents with low belief in perceived benefits. Health workers are advised to increase the elderly's belief in the perceived benefits and perceived susceptibility to increase their medication adherence
Evaluation of the clinical nurse career path system in Indonesian Hospitals: Identifying areas for improvement and development
No full textBackground: The clinical nurse career path system significantly impacts nurses' professional growth, job satisfaction, and service quality. Evaluating its effectiveness is vital for enhancing human resource management. Purpose: This study aimed to evaluate the nursing career path in Indonesia, identifying areas for improvement and development. Method: This study used a mixed-methods approach with nine participants and 339 samples. Surveys targeted clinical nurses, while interviews involved nursing management. Data was analyzed using descriptive statistics and thematic analysis. Results: Managerial experiences revealed three themes: (1) implementation of the nurse career path as a mandatory accreditation process, (2) challenges in the implementation of the nurse career path, and (3) expectations for career path implementation. The process evaluation pinpointed areas for improvement, including organizing, internship programs, Continuous Professional Development (CPD), and career advancement. In product evaluation, 80.8% of nurses had good perceptions, with a 77% job satisfaction rate. Analysis showed a positive correlation between perception and job satisfaction (P < 0.001).
Conclusion: The clinical nurse career path in hospitals requires more attention, especially in areas such as human resources, which are not yet full-time, and leadership policies regarding rewards, regulations, and nurse placement in the implementation of career paths related to organizing, internship programs, CPD, and career advancement. Enhancing these aspects is vital for boosting nurses' job satisfaction and improving service quality and patient care
Nursing interventions for improving quality of life among patients with coronary heart disease after percutaneous coronary intervention: A scoping review
No full textBackground: Percutaneous coronary intervention (PCI) aims to improve the quality of life (QoL) for coronary heart disease (CHD) patients, but many patients still have poor QoL. The impact of poor QoL causes long-lasting feelings of frustration, anxiety, fear, and worry that make a person give up or lose enthusiasm for the future.
Objective: This study aimed to describe nursing interventions to improve the QoL of CHD patients after PCI.
Methods: This research used the scoping review method by including all full-text primary studies written in English and published between 2013 to 2023 from three databases, EBSCO-host, PubMed, and Scopus, and one e-resource, Sage Journals. The keywords used were “coronary artery disease OR myocardial infarction OR cardiovascular disease AND quality of life AND percutaneous coronary intervention OR PCI OR Angioplasty AND Nursing care OR nursing intervention.”
Results: A total of eight articles discussed nursing interventions to improve the QoL among CHD patients after PCI. There are two categories of interventions that nurses can carry out: hospital-based (inpatient or outpatient) rehabilitation and cardiac tele-rehabilitation.
Conclusions: Hospital-based (inpatient or outpatient) rehabilitation and tele-rehabilitation interventions potentially improve post-PCI patients’ QoL, psychological well-being, cardiovascular capacity, social support, and adherence to CHD rehabilitation program. Standardized intervention guidelines need to be created in the future for each outcome of interest based on evidence-based findings so that specific interventions to improve the quality of life of CHD patients can be applied directly in daily practice
The comfort level in breast cancer patients’ based on patients’ characteristics during the COVID-19 pandemic
No full textBackground: Comfort level in breast cancer patients is one of the most critical factors influencing patient’s treatment commitment. The COVID-19 pandemic has affected various sectors, especially health status.
Objectives: This study aims to describe patients' comfort levels during the COVID-19 pandemic and to investigate the relationship between patients’ characteristics and comfort levels.
Methods: This study involved 108 respondents using a consecutive sampling technique at one time (cross-sectional). The research instrument was Comfort Assessment Breast Cancer Instrument (CABCI). The data were analyzed using Chi-Square.
Results: The results showed that the comfort level in this study is categorized as comfortable. The best comfort aspect is the environmental aspect and the least is the physical aspect. In addition, there are two variables related to comfort, treatment (p = 0.007; α = 0.05) and treatment room (p = 0.000; α = 0.05). The best comfort level was found in chemotherapy treatment and outpatient rooms. Patients feel comfortable with a neat, clean, conducive hospital environment and the implementation of health protocols. These aspects could effectively prevent the spread of COVID-19.
Conclusions: The results of this study recommend nursing services to optimize all aspects of comfort, which could still be improved. Interventions that maintain or improve comfort will optimize patients’ health conditions
Hope in children with cancer: A narrative review and a concept synthesis
No full textBackground: Hospitalized children with cancer encounter pain, suffering, fear, and life-threatening situations which can cause them to feel hopeless.
Purpose: The aims of this study are to acquire new insights about the concept of hope in children with cancer and to identify the attributes, antecedents, and consequences of hope in children with cancer.
Methods: Nine English and Thai-language studies that discussed the hope in children or adolescents with cancer were located using the online database in nursing (1990–2023). Qualitative analysis and synthesis of these studies were completed using an adaptation of Walker and Avant’s concept synthesis method.
Results: The antecedents of hope of children with cancer were hope of other persons surrounding them and the relationship between these children and others. The attributes of hope in children with cancer were hope for cure, intentional hope and inner strength. Also, the consequences of hope in children with cancer were well-being, quality of life, coping behavior, expressing new feelings of safety or comfort, and conveying trust to others.
Conclusions: This study found that hope is important and has a positive effect on body-mind and the emotions of children with cancer. Thus, healthcare providers such as nurses should enhance hope in children with cancer by promoting their inner resources, positive experiences, and emotional support, while decreasing negative emotional factors. Therefore, children with cancer have hope in their treatment outcomes and inner strength, leading to their expressing new feelings of safety and a good quality of life
Tabu Pangan, Keberagaman Makanan dan Prevalensi Kurang Energi Kronis pada Ibu Hamil di Pedesaan Indonesia
No full textBackground: Chronic energy deficiency is strongly associated with poor pregnancy outcomes. Food taboo and dietary diversity are suspected as main risk factors of chronic energy deficient in pregnant women in rural area. Nevertheless, none studies elaborated the inferential relationship of those factors with chronic energy deficiency during pregnancy.
Purpose: to describe dietary diversity score and perception of food taboo and examine it association with chronic energy deficiency prevalence in pregnant women in a rural area
Methods: This cross-sectional study involved 178 pregnant women aged 15-45 years. Food taboo and dietary diversity scores was drawn from single 24 hours food recall while the perceived reason of food taboo was assessed by focus group discussion. Chronic energy deficiency was determined by mid-upper arm circumference by standard tape. Food taboo and dietary diversity score interaction was generated and binary logistic regression analysis with α= 5% and 95% confidence interval were performed to provide adjusted associations
Results: Almost half of respondents had food taboo (43.8%) and had low dietary diversity score (43%) while one of fifth (19.7%) of respondent were chronic energy deficient. Those with food taboo and low dietary diversity were two times more likely to suffer from chronic energy deficiency. However, only pregnancy related factor (parity) was associated significantly with the outcome.
Conclusions: Although the relationship between food taboo and chronic energy deficiency was not statistically significant, pregnant mother with food taboo should be encouraged to have a cultural-specific health and nutrition education