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Supportive Care Needs of Women with Breast Cancer: A Systematic Review
Full text linkIntroduction: An understanding of supportive care needs is essential to achieve good quality care for women with breast cancer. This concept defines the needs of cancer patients in relation to the physical, emotional,
psychological, social, informational and spiritual domains since the start of their journey through diagnosis, treatment, survivorship, palliative care
and the grief process. Methods: This study was conducted to explore the unmet supportive care needs of women with breast cancer. Databases were searched in the
journals using pre-determined keywords such as ‘supportive care needs’, ‘breast cancer’ and ‘woman’. The databases used were Scopus, Pro Quest, Science Direct and EBSCO. The search was limited to journals published in
the period 2014-2020. Out of the 189 nursing journals initially found, 16 journals were selected that met all of the eligibility criteria. Eight studies
used a cross-sectional design. Results: Most of the breast cancer patients were in the post-diagnosis
phase and had survived. More than 50% of the journals reported that the needs of breast cancer women were going unmet. The predictors of a higher level of need among the breast cancer patients are age, social support and information. The most prevalent unmet needs among the
women with breast cancer were found to be in the health system and related to information. The women with breast cancer who had more unmet needs in the physical and psychological domains were more likely to have a poor quality of life.. Conclusion: Future research should focus on improving the education and psychological support programs available to provide for the unmet
supportive care needs of patients newly-diagnosed with breast cancer.This can provide high quality care for them
Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat
Full text linkPendahuluan: Pelaporan insiden merupakan langkah pertama yang penting untuk meningkatkan keselamatan pasien dan dapat digunakan sebagai rancangan program yang berpusat pada masalah keselamatan pasien. Pelaporan insiden medis merupakan elemen penting peningkatan keselamatan pasien dan kualitas peningkatan perawatan dan harus menjadi bagian integral dari budaya organisasi. Penelitian ini bertujuan menganalisis faktor pengalaman kerja, pendidikan, persepsi, sikap, motivasi dan kepemimpinan terhadap pelaporan insiden keselamatan pasien pada perawat di ruang instalasi rawat inap RSUD Prof. Dr. W. Z. Johannes Kupang. Metode: Desain penelitian ini menggunakan cross sectional. Besar sampel penelitian 143
responden yang memenuhi kriteria inklusi. Variabel dependen yaitu pelaporan insiden keselamatan pasien, sedangkan variabel independen yaitu pengalaman kerja,
pendidikan, persepsi, sikap, motivasi dan kepemimpinan. Data dikumpulkan menggunakan kuesioner dan observasi pada perawat. Data kemudian dianalisis menggunakan regresi logistik berganda dengan nilai signifikan ≤ 0,05.
Hasil: Hasil menunjukkan bahwa ada pengaruh persepsi terhadap pelaporan insiden keselamatan pasien (p= 0,05) dan ada pengaruh kepemimpinan terhadap pelaporan
insiden keselamatan pasien (p= 0,02).
Kesimpulan: Kesimpulan dari penelitian ini adalah ada pengaruh persepsi dan kepemimpinan terhadap pelaporan insiden keselamatan pasien. Peneliti selanjutnya
disarankan untuk melakukan penelitian tentang pengaruh pelatihan terhadap peningkatan pelaporan insiden keselamatan pasie
Development of a family resiliency model to care of patients with schizophrenia
Full text linkFamilies who care for schizophrenia suffer stress and lose the ability to treat. Family stress can be mediated by resili�ence. Objective: This study aimed to develop a family resi�lience model based on family-centred nursing for persons with schizophrenia. This study used a mixed-method cross-sectional approach. The population was a family of caregivers for persons with schizophrenia at Mental Hospi�tal in Surabaya, Indonesia. The respondents were 137 fam�ilies recruited by simple random sampling. Variables include family factors, risk factors, protective factors, patient factors, family stress, family resilience and family ability to care for persons with schizophrenia. The data were collected using questionnaires and then analysed with partial least squares. The statistical results afforded material for focus group discussions with six families and
10 health workers (psychiatrists, psychologists and nurses) in order to improve the model. The result showed family stress was influenced by family factors (path coeffi�cient = �0.145; t = 2.26), risk factors (path coeffi�cient = 0.753; t = 16.7) and patient factors (path
coefficient = 0.159; t = 3.23). Family resilience is influ�enced by risk factors (path coefficient = 0.316; t = 2.60), protective factors (path coefficient = 0.176; t = 2.22) and family stress (path coefficient = 0.298; t = 2.54). Family resilience affects the family ability to treat persons with schizophrenia (path coefficient = 0.366; t = 5.36). The family resilience model increases family capability by 13.4%. The model helps families through stress manage�ment by controlling the burden and stigma so that families are able to survive, rise, growing stronger and be better at caring for persons with schizophrenia
The Effect of Corn Silk Ethanol Extract (Zea Mays. L) on Decreasing the Blood GlucoseLevels
Full text linkDiabetes mellitus is a chronic metabolic disease which impacts on serious complications. Corn Silk complementary herbal therapies were effective in decreasing blood glucose levels. The study aimed to examine the effect of corn silk ethanol extract (Zea mays L) on reducing the blood glucose levels. This study used a true experimental, pre-test, and post- test with the non-equivalent control group. Eighteen mice tail samples were recruited using random allocation technique sampling and divided into two groups (interventions and control groups). Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the paired t-test. The results showed that the decrease in Glucose intervention group downhill from 144,33+11,543 to 137,78+5,740 after the intervention. Meanwhile, in the control group, the mean in Glucose increases from 134,00+10,124 to 153,78+7,412. The paired t-test obtained a p-value of 0.000, indicating that there were significant differences in the effect of giving Corn Silk ethanol extract (Zea mays L) to decrease glucose levels the intervention and the control group. Conclusion: Giving Corn Silk Ethanol Extract (Zea Mays L) can lower Glucose Levels
Organizational Effectiveness with Mckinsey 7s Model Approach on Public Health Center in Madura, Indonesia
Full text linkPublic Health Centre (Puskesmas) has many challenges in providing health services, it was caused by
many factors. This study aimed to analyze organizational effectiveness with McKinsey 7s model approach on
puskesmas performance in Sampang Madura district. An explorative survey design with 226 nurses with stratified
random sampling as a sample. Data were analyzed by using SEM (Structural Equation Modelling) PLS (Partial Least
Square). Leadership, salary, service, policy and human research are measured by McKinsey 7S Framework Model
development. The outer model result is based on the result of validity and reliability of indicator, from the research
showed that the indicators below 0.6 on the loading factor table are variable of service, sub-variable system and
policy. After the factor loading value <0.6 is removed, the value of AVE and composite reliability is increasing, so all
value are > 0.5 for AVE and > 0.7 for composite reliability. The result of the inner model showed that T-Test value >
1.96, indicating that all variables of organizational effectiveness with the McKinsey 7S Framework Model approach
significantly to Puskesmas Performance with T-test value > 1.96. MC Kinsey 7S Framework Organizational
Effectivity can be implemented as a rule and also joint commitment between Health and Puskesmas easy to monitor
and evaluate
Faktor-Faktor yang Mempengaruhi Kualitas Dokumentasi Keperawatan: A Systematic Review
Full text linkBackground: Nursing documentation is the most important part of the nursing profession, providing structured,
consistent and effective communication to give quality services to patients based on professional and legal
standards. Objective: To identify scientific evidence about the factors that influence the quality of nursing
documentation. Methods: This systematic review was compiled based on study of literature from various journal data bases in the last 5 years, including Scopus, Sciencedirect, Proquest, and Google Scolar by conducting a comprehensive review using the PRISMA guidelines. Keywords used were "nursing documentation" OR "Standard Nursing Language" OR "quality of nursing documentation" AND "Quality
Diagnosis Intervention Outcome". The articles used to compile this systematic review were 13 original articles
on data base identification. Results : the factors affecting the quality of documentation were the level of
knowledge, abilities, facilities, patient and nurse ratios, workplace climate, leadership and organizational
models, training in nursing process standards, nursing language standards and accreditation. Conclusion: The
quality of documentation increased when the affecting factors were improved. Suggestion: This systematic
review can be used as a guideline in implementing nursing documentation in hospitals with the aim of producing quality nursing documentation
The Effect of Reminiscence Therapy on The Level of Anxiety for Elderly People
Full text linkThe amount of anxiety was increased in the elderly person. The anxiety was caused by several factors, and there were elderly internal factors and the environment. Anxiety had a negative impact on the elderly’s life. One of the non-pharmacological therapy that can be used to treat anxiety was reminiscence therapy.Reminiscence therapy was an intervention that memorizes a beautiful experience. This research was aimed to determine the effect of reminiscence therapy to reduce the elderly’s anxiety level.
This research used Pre-Experimental One Group Pre-Post Test
design. The population of this research was 20 elderly who
experience anxiety. This research used a total sampling technique. The number of respondents in this study was 20 respondents. The independent variable in this research was reminiscence therapy, and the dependent variable was the level of anxiety. Data were collected using the Zung Self-Rated Anxiety Scale (ZSAS) questionnaires which consisted of 20 questions. The anxiety levels were analyzed by using the Wilcoxon signed-rank test, with a level of significance
α<0.05. The results showed that reminiscence therapy influenced the anxiety level with a significant level of p=0.000. This reminiscence therapy could reduce the anxiety level of the elderly.
This therapy was recommended as one of the options that can be used modality therapy in the elderly who experience anxiet
The Effect of Cutaneous Stimulation Slow Stroke Back Massage on Sleep Quality Improvement in Elderly
Full text linkThe elderly is susceptible to declining sleep quality. There are several causes of decreased sleep qualities such as increasing sleep latency, decreasing sleep efficiency, waking up earlier, and unable to back to sleep. One of the nonpharmacological methods, Cutaneous Stimulation: Slow Stroke Back Massage, helps the patient to increase their sleep quality. Moreover, it represents a positive
experience of the individual to improve relaxation and sleep quality. This researchused a quasi-experimental design. There were 32 elderly who have sleep disorders, become object research of this study. These object researches were
categorized into two groups (treatment & control). This research used Total Sampling’s data collection method. Moreover, it used cutaneous stimulation: Slow
Stroke Back Massage as an independent variable and improvement of sleep quality as the dependent variable. Besides that, this research uses the Pittsburgh
Sleep Quality Index (PSQI) questionnaire to collect the data. Furthermore, it used the Wilcoxon Sign Rank Test and Mann Whitney Test to analyze significance level
α ≤0.05. The result of statistic obtains value p=0.001 (0.001 < 0.05) in Wilcoxon Sign Rank Test and value a=0.000 (0.000 < 0.05) in Mann Whitney Test. The final
analysis shows that cutaneous stimulation: Slow Stroke Back Massage affects the improvement of sleep quality an elderly
The Effect of Listening to Asmaul Husna, Isometric Handgrip Exercise, and Foot Hydrotherapy Intervention to Reduce Blood Pressure in the Elderly with Hypertension
Full text linkThis study aimed to assess the effectiveness of the influence of listening to Asmaul Husna (the names of God are beautiful, good, great, and noble), isometric handgrip exercise, and foot hydrotherapy interventions on blood pressure in elderly with hypertension. Background: Hypertension or high blood pressure often appears without symptoms, so it is called a silent killer. Based on these problems, non-pharmacological methods can reduce blood pressure, namely the intervention of listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy. Method: Quasi-experimental research design with pre-post test control group design involving 60 respondents using probability sampling techniques. The independent variable in this study was listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy intervention, while the dependent variables were systolic, diastolic blood pressure, and pulse. The data obtained were then analyzed using the Independent t-Test or Wilcoxon Signed Rank Test and Mann Whitney with a degree of significance α ≤ 0.05. Results: Results of data analysis using the Independent t-Test statistic in the treatment group and control group were, for pulse (p = 0.000). The results of tests with Mann Whitney obtained the following result for systolic (p = 0.000) and diastolic (p = 0.000), which means that there were changes in systolic, diastolic, and pulse before and after listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy. Discussion: Listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy interventions have positive benefits for reducing systolic and diastolic blood pressure, and pulse in the elderly with hypertension. For further research, the researchers suggest that more studies about the effectiveness of this intervention should be conducted by increasing the number of dependent variables
The relationship of family support and self efficacy with diet compliance in patients with coronary heart disease
Full text linkCoronary heart disease (CHD) is a chronic disease that cannot be cured. One of the problems in the
management of CHD is patient adherence to the diet. Family support and self-efficacy can be factors
that influence adherence to the diet of CHD patients. The study aimed to determine the relationship
between family support and self-efficacy with adherence to the diet of CHD patients. The study used
a correlational method with a cross-sectional design. The population was 105 CHD patients taken by
purposive sampling technique. Variables are family support, self-efficacy, and diet compliance of
CHD patients. The instrument used was a questionnaire. Data were analyzed using the Spearman
Rho test with a level of significance≤0.05. There was a significant relationship between family support
and diet adherence of CHD patients (p = 0,000) with a positive direction such as the better the family
support, the higher the level of diet adherence. The relationship between self-efficacy and diet
adherence has a weak relationship (p = 0.025) with a positive direction, the better self-efficacy, the
higher the diet adherence. The behavior of adherence to the diet of CHD patients can be improved
by improving family self-efficacy support