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Hospital nurses’ perceptions of distributive justice under the national health insurance scheme in Indonesia
Full text linkBackground: National Health Insurance (NHI) is a health financing scheme implemented in Indonesia to
achieve universal health coverage. This is a mandatory social insurance with approximately two-thirds of
the members made up by the poor, who are subsidised by the government. The principle of distributive
justice is central in the NHI relating to fairness and equity in accessing health care, especially in this
resource-constrained country. The nursing workforce is the largest direct health care provider and the
workforce that experiences the impact of this policy.
Objective: To describe narrative views and experiences of hospital nurses regarding fairness and equity
in implementation of the NHI.
Research design: This study employed a qualitative approach. Individual semi-structured interviews were
conducted with a non-probability sampling technique of hospital nurses. Data were analysed using content analysis technique.
Participants and research context: Study participants included 16 nurses recruited from three different
types of hospitals at secondary and tertiary levels in East Java province, Indonesia.
Findings: Data analysis from interviews with study participants yielded the following four themes and
categories: 1) helping the neediest people: a) access to affordable health care, b) sharing for solidarity,
c) adequate standardised treatment; 2) a discriminatory service system: a) the dilemma of paying for
priority services, b) different professional and resource allocations; 3) enduring impacts of the policy: a)
higher workload, b) different attitudes for different social classes, c) unimproved financial incentives; and
4) managing new changes: a) nurses as the centre of communication, b) addressing patients’ complaints,
c) strengthening teamwork.
Conclusion: The findings highlight distributive justice challenges in implementing the NHI system in hospitals, as voiced by nurses. Despite more people enjoying the benefits of NHI, the hospital service system
has allowed a discriminatory approach in caring for patients, with nurses bearing the burden of impacts
and being obliged to make continuous adjustments. Understanding and addressing these issues will improve fairness and equity in utilising quality health care
Teaching Methodologies Regarding Palliative Care Competencies on Undergraduate Nursing Students: A Systematic Review
Full text linkThe teaching problem in undergraduate nursing students (UNS) is a lack of empirical evidence of teaching methodologies for achieving palliative care competencies (PCC). The purpose of this review was to synthesize the evidence of palliative care (PC) teaching methodologies for UNS and
their effectiveness to achieve PCC. Four electronic databases were searched, including Scopus, ProQuest, PubMed, and CINAHL, from 2015 to 2020. Full-text available, published in peer-reviewed journals, written in English and
aimed at verifying the effectiveness of teaching methodologies for achieving PCC were included. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise the trustworthiness, relevance, and the results of published papers. Five studies were considered relevant for this systematic review. The learning methodology
carried out to achieve PCC for UNS varies from multimodality approaches, simulation-based experience to high fidelity simulation. Kolb's Experiential Learning Theory proved to be effective in improving students' PCC, especially in the aspects of knowledge, attitude, comfort, and selfawareness.
The learning methodology identified in this review was proven to be effective to improve the PCC on UNS; simulation being the most widely applied method in teaching strategies
Effect of trauma-focused cognitive behavior therapy on depression and the quality of life of the elderly in Indonesia
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Determinants of age‐appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children
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Factors Associated to Positive Aspects in Caregiving for People Living with Dementia in Family Caregivers
Full text linkCaring for People with Dementia (PwD) has various negative effects that are detrimental to caregivers. The existence of Positive Aspects of Caregiving (PAC) makes the experience of caring for PwD more positive, valuable and protects caregivers from various negative impacts while caring for PwD. This study aims to explain the factors associated with PAC. These literature reviews were accessed from six databases (Scopus, CINAHL, Science Direct, ProQuest, PubMed, and SAGE Journal), with the keywords factor, positive
aspects of caregiving, Dementia/ Alzheimer’s, during January 2021, limited to 2016-2020, and in English. A total of 318 journals were selected using PRISMA, then leaving 16 journals to be analyzed using The Joanna Briggs
Institution Checklist. Sixteen journals were analyzed and divided into two themes, factors that affect PAC (n = 9) and factors affected by PAC (n = 7).
Factors that affect PAC are caregiver characteristics, care-recipient characteristics, and social support. Factors affected by PAC are caregiving outcomes. Factors that increase PAC are lower education level, good social
support, severe BPSD, shorter duration of care, and relationship with carerecipient (except spouse), and gender (male). The mediating factors that increase PAC are unmet needs and reciprocal filial piety. Factors that lower
PAC are higher education level, the use of avoidance coping, and older age.
We found inconsistencies in caregiver marital status and relationship with care-recipient because the finding still uncertain