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The experiences of grandparents raising grandchildren in Indonesia
Get PDFPurpose – The raising of grandchildren by grandparents is a global phenomenon, and it is common in Indonesia. This is because parents are often unable or unwilling to raise their own children. However, the debate around “grandparenting” is still limited in Indonesia. The purpose of this paper is to gain a better understanding of the experience and views of grandparents on “grandparenting.”
Design/methodology/approach – The methodology employed was qualitative and informed by phenomenology. The authors conducted in-depth interviews with 13 grandparents who were raising their grandchildren who were under five years old. The data were analyzed using thematic content analysis.
Findings – 5 main themes and 13 subthemes emerged from the analysis of the data. The themes were responses, strategies for overcoming negative responses, the grandparents’ role, the reason for raising grandchildren, and the cultural aspect of “grandparenting” in Java. All of the grandparents enjoyed their roles as grandparents. They felt that they helped fulfill their grandchildren’s physical and educational needs. Social implications – The experience of raising a grandchild can be both positive and negative, depending on the cultural aspects in the Java and the family as a whole system. Grandparents require healthcare and
informal support to maintain their well-being. Originality/value – This paper provides new insights into “grandparenting” closely related to social and
cultural aspect within the community. Grandparents enjoy being a part of the Javanese tradition. The
supportive role of grandparents in Indonesia is important. However, older adults need to balance the role of
“grandparenting” and rest time so that they remain healthy and ha
Using the Health Belief Model by Shadow Teachers in Identifying the Behavior of Children with Special Needs
Get PDFThe identification of behavioral and emotional disorders of children with special needs in inclusive classroom learning by using the important health belief model approach is carried out by shadow teachers before starting learning. This is used to regulate and place children into different learning systems by adjusting for their needs in relation to meeting the learning outcomes. This study aims to explore the meaning of the shadow teacher’s experience in identifying the behavioral and emotional problems that occur when accompanying children with special needs at following along with the learning in inclusive classes with the health belief model approach. This study was a phenomenology qualitative study that used a purposive sampling technique. The data analysis used the Interpretative Phenomenology Analysis approach. Through in-depth interviews, observations and assistance from the note file, the population involved 7 participants who produced five themes. Three sub-themes were identified for perceived susceptibility: (1) lack of adherence to orders, (2) aggressive behavior, (3) difficulty expressing desires. Two sub-themes identified on perceived severity: (1) independence, (3) stigma. This study encourages the improvement of competence, especially the implementation of assessments when dealing with children with special needs, concerning the provision of adequate facilities and arrangements for inclusive learning and to raise public awareness of the acceptance of children with special needs in the community.
Keywords: Health Belief Model, Behavior, Children Special Need
The Correlation between Family Support and Quality of Life in Mothers with Positive HIV in Surabaya
Get PDFThe quality of life of mothers with positive Human Immunodeficiency Virus (HIV) is a concern due to a lack of family support. The aim of this study was to determine the relationship between family support and the quality of life of mothers living with positive HIV in Surabaya. This was a descriptive correlational study with a cross sectional approach. The subjects were 30 mothers with positive HIV from two public health care facilities in Surabaya who were already confirmed to have positive HIV by healthcare professionals without manifestation of Acquired Immune Deficiency Syndrome (AIDS). Family Support Questionnaires used were family support and World Health Organization Quality of Life (WHOQOL) HIV for quality of life. The data was analysed using Spearman’s Rho correlation test with P value < 0.05. The result showed that the majority of respondents are in early adulthood (26-35 years). Some respondents had HIV for less than 4 years and used anti retro viral (ARV) for 2 years. There was a moderate positive correlation between family support and quality of life of mothers with positive HIV (P = 0.026, Spearman’s rho = 0.48). The better the family support, the higher the quality of life which may be achieved by the clients.
Keywords: family support, quality of life, mother, HI
Clinical Supervision Training to Increase Nurses’ Work Performance in Hospitals
Get PDFA common problem often faced by healthcare service management is the difficulty in finding qualified nurses. Training is one of the characteristics of an organization that has a positive impact on increasing professionalism and the work performance of nurses at the hospital. Improving supervision is a method to monitor the quality of services by hospital supervisors. This study attempts to determine the effect of clinical supervision training as one of the organizational characteristics on increasing the work performance of nurses at the hospital. The quasi-experimental study design was used in this study with 68 nurses who were working in a hospital in Banjarmasin. The observation was carried out before and after training. The dependent variable in this study is clinical supervision training, and the independent variable is work performance. Univariate, and bivariate were used in data analysis. There was an effect of clinical supervision training as one of the organizational characteristics on increasing the work performance of nurses at the hospital (p=0.00). Clinical supervision training increased work performance on clinical supervision abilities. Nurse training improved the quality of healthcare services, especially nursing care.
Keywords: clinical supervision, nurse, work performanc
The Effect of the Health-Trace Map Game towards Motivation on a Clean and Healthy Life Style among Street Children in Surabaya
Get PDFStreet children generally live in a less supportive environment, with inadequate facilities and infrastructure, and a lack of health information. These make street children vulnerable to health problems. Increasing motivation for a clean and healthy lifestyle in street children is a good solution to maintain their health. The Heath-Trace Map game is a learning media that can be used as motivation. The aim of this study was to analyse the effect of the Health-Trace Map game as health education media towards motivation on clean and healthy lifestyles among street children. The One Group Pre-Post Test design was used in this study. 30 street children had joined this study. The Wilcoxon Sign Rank Test with a significant level of α < 0.05 was performed to analyse the data. The results showed the p value = 0,000 (p value < α = 0,05), from which it can be concluded that the Media Health Trace Map Game had an effect on increasing the Motivation of Clean and Healthy Life Behaviour among Street Children in Surabaya.
Pipit Festy WKeywords: Children, health, media, motivatio
Promoting Spiritual Nursing Care in an Intensive Care Unit: A Systematic Review
Get PDFMost of the patients in intensive care units (ICU) are intubated. These conditions can affect the psychological, social and spirituality condition of the patients. The nurse’s role in terms of providing spiritual care is still not optimal. Many feel the urge to reach out to their patients and offer spiritual support, but they do not know how to do it. However, the procedure or intervention needed for providing spiritual care is still little known about. This study aimed to explain the nursing interventions that could be applied for promoting spiritual care based on the existing literature. The systematic review was guided by the PRISMA protocol. A comprehensive search was carried out on a selection of databases; PubMed (Medline), CINAHL, Scopus, Springerlink, ProQuest, EBSCOHost, Web of Science Clarivate Analytic and Science Direct. The searching of published studies was done comprehensively using several keywords: “spiritual nursing care” OR “spiritual care in ICU” OR “spiritual intervention” OR “spiritual AND nurse” OR “spiritual AND critically ill patients” OR “implement spiritual intervention”. The searches were limited to publications in English with the year of publication being from 2009 up to February 2019. Ten studies were included in the review. This review confirmed some of the ways to promote spiritual nursing care in the ICU. Nurses, in promoting spiritual nursing, need the ability to communicate effectively and also to collaborate with the patient’s family and/or chaplain. It is hoped that this review could be a reference for nurses to allow them to provide spiritual nursing care in the ICU.
Keywords: nursing, spiritual care, intensive care uni
Experiences of Recovery from Acute Coronary Syndrome: A Systematic Review
Get PDFUnderstanding how patients experience recovery from acute coronary syndrome is critical for improving continuity of care. Continuity of care from hospital to home can be particularly challenging. This review aims to provide an overview of patients’ experiences of recovery from ACS. Data sources used keyword search of Medline, CINAHL plus, Scopus, Science Direct and Proquest databases. The inclusion criteria were conducted with adult population, qualitative research and articles published in English language in 2008-2018. This review used Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines. The samples of 21 qualitative articles were included. Discharge planning and systematic follow-up shortly after discharge are increasingly viewed as being important. Patients need adequate instruction and information on how to integrate health information. Further research is needed to improve intervention strategy among people suffering from ACS, especially in developing countries.
Keywords: Acute coronary syndrome, experience, recover
Peer Group Support on the Treatment Adherence of Pulmonary Tuberculosis Patients
Get PDFAbstract. In recent years, pulmonary tuberculosis attracts the global concern as about 1.2
million people died of the disease by 2014. Treatment disobedience is one of the most factors
causing the increase in mortality and morbidity rates. This study aimed to identify the effect of
peer-group support towards treatment adherence in pulmonary tuberculosis patients. The study
used quasi-experimental research with pre-test and post-test groups. The sample was 36 people
selected with purposive sampling method. The independent variable was peer group support,
while the dependent variable was the treatment adherence. The data were analyzed by Chisquare test and McNemar‘s test. The results of Chi-square test showed that the peer group
support had significant effect to treatment adherence in taking medication time sub-variable
(p=0.005) and the McNemar‘s showed a significant difference between pre-test and post-test in
mentioned sub-variable (p=0.004). The results proved that peer group support could affect the
medication time adherence on pulmonary tuberculosis patients. It can be concluded that peer
group support can be used as an optional intervention to increase the obedience of pulmonary
tuberculosis treatment in patients
Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals
Get PDFAim: Staffing is believed to have a profound influence on the reduction of maternal mortality and severe maternal morbidity. Our research aims to examine the relationship between staffing characteristics and severe maternal outcomes.
Methods: We conducted a retrospective cross-sectional study analyzing the data of deliveries and staffing from the eleven maternity units at the tertiary hospitals in the Java region of Indonesia. Results: The present study revealed that staffing characteristics were significantly associated with severe maternal outcomes. Maternity units with a higher nurse to birth ratio reduced the odds of severe maternal outcomes by 52% (OR = 0.476; 95% CI: 0.307–0.739).
However, admission to units with a higher midwife to birth ratio increased the odds of experiencing severe maternal outcomes by 1.8 times (OR = 1.809; 95% CI: 1.070–3.059). The likelihood of severe maternal outcomes in maternity units is reduced by 52% for every additional year of nursing experience (OR = 0.476; 95% CI: 0.304–0.745), and by 69% for every additional year of midwifery experience
(OR = 0.313; 95% CI: 0.200–0.491).
Conclusions: The findings signify the prominent role of healthcare workers in maternal healthcare at the tertiary level. A further study is recommended to provide more support for the evidence-based policy in relation to developing safe staffing standards within the maternal
healthcare framewor
THE EFFECT OF PRE-OPERATION BASED EDUCATION ON ANXIETY REDUCTION AMONG PATIENTS WITH POST OPEN REDUCTION INTERNAL FIXATION
Get PDFOpen Reduction Internal Fixation (ORIF) is one ofthe management among patients who have a fracture.The study aimed at examining the effect of health education pre operation anxiety reduction among fracturing patients curries post open reduction internal fixation. A quasi-experimental, pre-test and post-test with non-equivalent control group was applied in this study. Thirty-four samples were recruited by using total sampling and divided into two intervention and control groups.Data analysis was performed and presented in descriptive statistics,and significant findings were computed using the paired t-test. Results: The results showethat the mean anxious level intervention group downhill from 28,76+4,603 to 16,61+2,487 after the intervention. Meanwhile,in the control group, the mean anxious level slightly downhill from 28,18+4,066 to 23,82+4,362. The paired t-test obtained a p-value of 0.000, indicating that there were significant differences in the decrease in anxiety level between the intervention and the control group. Conclusion: Preoperative health education interventions based on the health belief model can reduce the level of anxiety in patients with cruris fractures after ORIF surgery.The nurse profession is expected to be
able to use preoperative health education actions based on the health belief model to become one of the independent nursing interventions