Jurnal Keperawatan Padjadjaran
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Spatial distribution of pediatric cancer patients using Geographic Information System (GIS) across the Philippines
No full textBackground: Every year, many children around the world get cancer, and this is a severe health problem. The Philippines is one such country where childhood cancer is a leading cause of death. This study uses unique maps (Geographic Information Systems or GIS) to examine these young cancer patients' locations. By doing this, we hope to find areas with more cases and see if children in those areas have easy access to the medical care they need.
Methods: Methods involved primary and secondary data collection, including surveys and hospital records, with geospatial data analyzed using QGIS 3.4 Madeira. The study focuses on four Department of Health (DOH) tertiary hospitals: Philippine Children Medical Center (PCMC), Bicol Regional Training and Training Hospital (BRTTH), Southern Philippines Medical Center (SPMC), and Vicente Sotto Memorial Medical Center (VMMC) Participants from significant regions contributed to the study.
Results: Results indicate that cancer centers, notably the primary children’s hospital, cater to patients from far-reaching areas, causing them to consult distant hospitals despite accessible alternatives. Nearly all (around 92.5%) patients seek care at specialized hospitals, even though only a small proportion (roughly 12.3%) live close to such facilities. Instead, 37.3% reported the closest health facility (within 10 kilometers) is a secondary government hospital, increasing the burden on patients with additional travel and non-medical costs.
Conclusions: The study concludes that pediatric cancer patients face challenges accessing healthcare facilities, necessitating alternative methods like telemedicine and mobile clinics. The findings underscore the need for improved healthcare infrastructure and human resources to address the burdens faced by these patients
Effect of breathing relaxation on stress related to COVID-19 pandemic among older adults in nursing homes: A pre-experimental study
No full textBackground: Elderly in nursing homes are facing more mental health consequences due to the COVID-19 pandemic situation. Assessment of the appropriate intervention in declining the level of stress-related to pandemic situations among institutionalized elderly is critical.
Purpose: this study was conducted to evaluate the effectiveness of breathing relaxation on stress related to the COVID-19 pandemic among elderly people in nursing homes.
Methods: a quasi-experimental with a one-group pretest-posttest design was used in the present study. Thirty elderlies were recruited using the purposive sampling method. Perceived Stress Scale (PSS-10) related to COVID-19 was used to identify the level of stress among the elderly. Twenty minutes of breathing relaxation were conducted once a day for 1-week from January 6 to January 12, 2021. The intervention was taught and guided by the researcher in small groups of 5-7 elderly based on the number of residents in the homesteads.
Results: Of 30 participants, 60% were female, and the mean age was 72.80 (SD=8.50) years. The average length of stay in the nursing home was 8.10 (SD=8.75) years. The elderly in nursing homes who performed breathing relaxation once a day for one week significantly decreased their stress related to the COVID-19 pandemic (t = 4.881, Ï = .000).
Conclusion: The current study highlights the significance of breathing relaxation in relieving perceived stress related to COVID-19 pandemic. This intervention is useful in daily practice for improving the psychological well-being of the elderly, especially in a pandemic situation
Relationship between eHealth Literacy and Health Promoting behaviors among nursing students
No full textBackground: Utilizing health literacy is important in establishing knowledgeable health advancements and practices, which can become deterrents to promoting a healthy lifestyle. Technological advancements improve health information availability and accessibility that potentially affect the users’ proficiency and their capability in applying the accessed health information. However, accessing health information via IT for health promotion requires e-health literacy.
Purpose: The objective of the study is to determine the relationship between eHealth literacy and health-promoting lifestyle behaviors among nursing students.
Methods: Descriptive-correlational study was applied to 131 nursing students recruited through a purposive sampling method from a nursing school in Philippines. The researchers adopted original English version of the e-Health Literacy Scale and Health-Promoting Lifestyle Profile II (HPLP) to collect the data. The gathered data were analyzed using descriptive analysis; frequency, percentage, mean, standard deviation, and test the correlation using Pearson's r correlation.
Results: A total of 131 nursing students were employed in the study with a mean age of 20.14 (±1.22). Participants were female (71.8%) and are Level 1 students (44.3%) The mean of the total sum score for eHealth literacy was 31.24 (±4.30) while the over-all item mean was 3.92 (±0.54). On the other hand, the health-promoting behavior has a mean score of 2.43 (±0.43) while its subscales have a mean score of 2.46 (±0.45) for nutrition, 2.45 (±0.62) for physical activity, and 2.39 (±0.47) for health responsibility. It was found that eHealth literacy had a significant relationship with the students’ health-promoting behavior (r=0.245, p=0.005). Hence, students who have a high level of eHealth literacy are more inclined to perform healthy behaviors.
Conclusion: The results of this study showed that the development of strategies to improve the e-health literacy of nursing students may contribute to the maintenance of their health-promoting behaviors. Identified intervention strategies based on eHealth literacy are needed to encourage healthy practices, which may reduce risks of illnesses due to unhealthy lifestyle behaviors among nursing students
Neonatal developmental care practice: Current nursing implementation
No full textThe intervention standard of Synactive Development Theory, followed by the Neonatal Integrative Developmental Care Model, has long been recommended as a strategy to lessen the impact of hospitalization on newborns in the NICU. However, it has yet to be widely applied, particularly in developing countries. At least three elements contribute to these developmental care (DC) practices: professional efficacy, nurses' perceptions of developmental care, and a task-oriented organizational culture. Therefore, to improve the DC implementation, it is critical not only to focus on increasing the capacity of personal staff but also to ensure that organizational culture supports DC implementation, with the care unit's managerial staff playing an important role
More with document work, less with patient care: An institutional ethnography of discharge planning practices for diabetic patients
No full textBackground: Diabetic patients required comprehensive discharge planning. However, this is a complex and challenging process. Nurses play significant roles and experience tensions in operating the everyday discharge planning practices.
Purpose: to explore how nurses’ everyday activities in providing DP for diabetic patients were regulated by the ruling relations operating in the hospital as an institutional context.
Methods: This institutional ethnography study applied phone-call interviews with 18 participants, participant observation, and document review to collect the data. Data analysis was concurrently conducted with the data collection processes following the institutional ethnography analytical approach. Trustworthiness was established.
Results: The everyday discharge planning practices for diabetic patients follow the flow of patient care. Nurses perceived these practices to be problematic as the initial assessment form did not guide the discharge education, which was informal and unstructured, and documentation was burdensome. The hospital accreditation, nurse ward manager, and the registered nurse were identified as the ruling relations that regulate those practices through the hospitals’ standards and forms, monitoring, and completeness principle.
Conclusion: The hospital’s forms, monitoring, and completeness principles are activated as the ruling relation that regulates the discharge planning practices for diabetic patients for satisfying good hospital service quality through standards and forms, monitoring, and completeness principles. This situation drives nurses to work more closely with the documents. Further study is crucial to identify a strategy to effectively bridge discharge planning practices and documentations works
Unresponsive feeding practices in overweight and obese suburban preschool-aged children: A qualitative case study
No full textBackground: Irresponsible feeding behavior is the cause of being overweight in early childhood.
Purpose: This study aimed to investigate the dietary habits of preschool-aged children residing in a suburban region of Indonesia characterized by a significant prevalence of obesity among children aged five and below.
Methods: This study was a case study design conducted in South Tangerang, Banten Province, Indonesia, involving six moms who had toddlers with overweight to obese nutritional status. The number of six participants was decided after the saturation coding of the fifth participant, and then one more participant was interviewed to ensure that the data was genuinely saturated. The mothers were selected to participate in the study and were interviewed in depth. The researcher also observed the participants' eating behavior. The analytical framework was used in this research, and then the interview transcripts were analyzed using thematic analysis.
Results: The four themes found were 1) The inability to respond to internal cues of satiety, 2) Distraction at mealtimes, 3) Unhealthy food in emotional eating, and 4) Mothers practice persuasive feeding.
Conclusions: The children show unresponsive feeding behavior, which notably contributes to the prevalence of overnutrition during early childhood. Community health professionals should strengthen their efforts to improve feeding behaviors among mothers to address the nutritional status of preschool-aged children
Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges
No full textBackground: Dengue Shock Syndrome (DSS) is a severe complication of dengue fever that can lead to life-threatening conditions such as thrombosis and acute kidney injury (AKI). These rare complications highlight the importance of early recognition and multidisciplinary management to improve clinical outcomes.
Purpose: This case study aims to report and discuss the clinical management and outcomes of a patient with DSS complicated by inferior vena cava thrombosis and AKI, focusing on nursing interventions and therapeutic strategies.
Methods: This manuscript reports a case by utilizing the patient’s baseline data, clinical progression, and treatment outcomes. A middle-aged male patient presented to the emergency department with high fever, shock, and signs of plasma leakage. Laboratory and imaging findings confirmed DSS with AKI and inferior vena cava thrombosis. The patient received fluid resuscitation, inotropic support, anticoagulation therapy, and multidisciplinary care, including close nursing monitoring.
Results: After seven days of hospitalization, the patient showed significant improvement, with resolution of shock, normalization of platelet count, and recovery of renal function. Comprehensive nursing care, including vital sign monitoring, medication management, and patient education, played a pivotal role in the recovery process. At a follow-up visit on day 12, the patient demonstrated full recovery with no complications.
Conclusions: This case highlights the importance of early diagnosis and a multidisciplinary approach, including cautious anticoagulation therapy, to effectively manage DSS with thrombosis and AKI. Integrating nursing interventions and strict monitoring were crucial to achieving positive clinical outcomes. This report provides valuable insights into managing similar cases in endemic areas
Hubungan Karekteristik Perawat pada Program Preceptorshipterhadap Proses Adaptasi Perawat Baru
No full textPerawat baru adalah perawat yang memasuki pengalaman baru yang sebelumnya tidak dialami. Transisi shockmuncul sebagai pengalaman dari peran yang sudah dikenal yaitu sebagai mahasiswa ke peran yang belum dialami yaitu sebagai perawat pelaksana profesional. Program pembimbingan perawat baru sangat penting untuk mempercepat proses adaptasi. Program preceptorshipadalah pendekatan efektif dalam pengajaran klinik, merupakan bagian integral dari orientasi perawat baru. Angka turnoverperawat baru tiga tahun terakhir (2007-2009) di RS A adalah antara 37%-59%, di RS B dalam tiga tahun ini (2008-2010) adalah antara 2,6%-14,7%. Di RS C dalam dua tahun ini (2009-2010) adalah antara 14,6%-27%. Penelitian ini bertujuan mengetahui hubungan program preceptorship dan karekteristik perawat dengan proses adaptasi perawat baru. Desain penelitian deskriptif korelasi dengan pendekatan potong lintang. Sampel penelitian 100 perawat baru. Instrumen digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa variabel karekteristik perawat yang meliputi lama kerja (p=0.004), konflik (p=0.000), strategi koping (p=0.003), self efficacy(p=0.000), dan program preceptorship(p=0.002) berhubungan dengan proses adaptasi. Faktor dominan yang berhubungan dengan proses adaptasi adalah self efficacydengan nilai odds ratio(OR) 6,68. Program preceptorshipdan karekteristik perawat self efficacy(p=0.000), konflik (p=0.003), dan lama kerja (p= 0.003) berhubungan dengan proses adaptasi perawat baru. Manajer keperawatan perlu menyediakan preceptoryang kompeten yang menjadi role modeluntuk meningkatkan self efficacyperawat baru sehingga membantu proses adaptasi.Kata kunci: Karekteristik perawat, program preceptorship, proses adaptasi AbstractNovice nurse is a nurse who have a new experience that had not previously experienced. Transition shock’ experience emerged cause of changing role from the well-known role as a student into the unfamiliar role as professional nurses. Preceptorship program for the novice nurse is very important to speed up the process of adaptation. Preceptorship program is an effective approach in clinical teaching and an integral part of the orientation for novice nurses. Turnover rate of novice nurses in last 3 years (2007-009) in the Hospital A is between 37%-59%, in Hospital B in 3 years (2008-2010) is among 2.6%-14.7%. While in the Hospital C within 2 years (2009-2010) is among the 14, 6%-27%. The research aims to determine the correlation of preceptorship programs and the characteristics of nurses with the adaptation process of novice nurses. The study design used a descriptive correlation with the cross-sectional approach. The samples were 100 novice nurses. The instrument used was a questionnaire. The results show that the variables of nurses’ characteristics which includes length of working (p=0.004), conflict (p=0.000), coping strategies (p=0.003), self-efficacy (p=0.000) and preceptorship program (p=0.002) are correlated with the process of adaptation. Dominant factor related to the adaptation process is self-efficacy with the OR 6.68. Preceptorship programs and the characteristics of nurses self efficacy (p=0.000), conflict (p=0.003), and length of working (p= 0.003) correlated with the process of adaptation of the novice nurses. Nursing managers need to provide a competent preceptor who be able to become a role model for improving self efficacy of novice nurses to assist their adaptation.Key words:Nurse characteristics, preceptorship program, process of adaptatio
Application of telenursing as a nursing care delivery model in improving treatment adherence and glycemic control: A scoping review
No full textBackground: Diabetes mellitus is one of the chronic diseases that cause the highest mortality and high medical costs;, therefore medication adherence and glycemic control are important in disease management, one of which is through telenursing.
Purpose: To determine the telenursing model to improve medication adherence and glycemic control in patients with type 2 diabetes mellitus.
Methods: This study was designed a scoping review. The databases used are CINAHL, PubMed, ScienceDirect and Google Scholar. Articles published from 2016-2022 with appropriate inclusion and exclusion criteria. Thematic analysis was used based on study design, telenursing communication model, telenursing process, duration of telenursing and results.
Results: There were 12 relevant articles out of 2112 articles. We found a telephone call follow up is the most common method used for delivery of telenursing intervention. Telenursing intervention is implemented from at least 3 months until 12 months, and includes the assessment of current disease conditions, assessment of adherence to the prescribed treatment plan, treatment plan information, and solutions or follow-up to current issue.
Conclusion: Telenursing can be used as a nursing care delivery model in the diabetes mellitus type 2 patients because it is proven to reduce glycemic control, improve treatment adherence, reduce body mass index (BMI), glycosylated hemoglobin (HbA1c), and cholesterol, and improve diet adherence, physical exercise and self-management.Latar Belakang: Telenursing merupakan salah satu metode untuk meningkatkan kepatuhan pengobatan dan kontrol glikemik pada pasien diabetes mellitus tipe 2 untuk mencapai kesejahteraan.
Tujuan: Mengetahui model telenursing untuk meningkatkan kepatuhan minum obat dan kontrol glikemik pada pasien diabetes melitus tipe 2.
Metode: Penelitian ini menggunakan design scoping review. Basis data yang digunakan adalah CINAHL, PubMed, Science Direct dan Google Scholar. Artikel yang diterbitkan dari 2016-2022 dengan kriteria inklusi dan eksklusi yang sesuai. Pencarian artikel menggunakan boolean operator dan frase operator (OR dan AND) dan kata kunci yang disesuaikan dengan Medical Subject Heading (MESH) adalah sebagai berikut: diabetes mellitus Tipe 2 OR diabetes mellitus AND telenursing OR telemedicine OR telehealth AND Kepatuhan pengobatan OR kepatuhan dan kepatuhan terapeutik OR kepatuhan OR kontrol terapeutik AND glikemik OR kontrol glukosa darah.
Hasil: Ada 12 artikel yang relevan dari 2112 artikel. Kami menemukan tindak lanjut panggilan telepon adalah metode yang paling banyak digunakan untuk memberikan intervensi telenursing. Intervensi telenursing dilaksanakan minimal 3 bulan sampai 12 bulan, yang berisi tentang penilaian kondisi penyakit saat ini, penilaian kepatuhan terhadap rencana perawatan yang ditentukan, informasi rencana perawatan, dan solusi atau tindak lanjut masalah saat ini.
Kesimpulan: Telenursing dapat digunakan sebagai model pemberian asuhan keperawatan pada pasien diabetes mellitus tipe 2 karena terbukti dapat menurunkan kontrol glikemik, meningkatkan kepatuhan pengobatan, menurunkan indeks massa tubuh (IMT), hemoglobin glikosilasi (HbA1c), kolesterol, memperbaiki pola makan. kepatuhan, latihan fisik dan manajemen diri
Development and psychometric properties of the transphobia scale among Indian adolescents
No full textBackground: Most of the studies employed in the concerning area use foreign scales or translated versions for measurement of transphobia. It isreally unfortunate a democratic country like India does not possesses anystandardized scale to measure the transphobia of adolescents.
Purpose: Therefore, this study includes the development and validation of ascale for the assessment of transphobia in Indian adolescents.
Methods: A total 516 students of CBSE school aged 14-16 years were sampled. The items for the preliminary transphobia scale were drawn after interviewing the adolescents, consultation with a reference group and review from existing standardized scales. A total 516 participants were assessed for psychometric properties of the scale. Criterion validity was evaluated by using the ATTMW (attitude toward transgender men and women) Scale.
Results: Exploratory Factor Analysis (EFA) revealed six factors accounting for 65.30% of observed variance. The final 31-item scale contained six factors: Interpersonal Ease, Gender Prejudices, Gender Obstinacy, Human Values, Gender Stereotype and Gender Abuse. Transphobia scale was highly reliable in terms of internal consistency (Cronbach’s alpha 0.927). Criterion validity with the ATTMW was statistically significant.
Conclusion: As the conclusion of the study, the Indian transphobia scale can be used as a reliable and valid tool for the measurement of transphobia for Indian adolescents