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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
Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals
Full text linkFactors associated with post-traumatic stress disorder (PTSD) following natural disaster among Indonesian elderly
Full text linkRelationship Between Sleep Quality And Hypertension Among Working-Age Population In Indonesia
Full text linkBarriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective
Full text linkIntroduction: Acute coronary syndrome (ACS) patients are at a higher long-term risk of recurrent cardiovascular events.
The transition from hospital to home is a delicate time. Patients frequently have potentially unavoidable adverse events and hospital readmissions after being discharged from the hospital. This study aims to explore the barriers of patients’ transition experiences from hospital to homecare in post-acute coronary syndromes.
Methods: An exploratory qualitative research design with a phenomenological approach was used in the study. Research
data were collected using semi-structured interviews from April to Juli 2020. It was selected from 15 patients diagnosed with acute coronary syndrome (ACS) using the purposive sampling technique. The data were analyzed using thematic content analysis.
Results: This study recruited 15 participants post-ACS. Four barriers were identified: (1) Psychological barriers: stress, fear, anxiety; (2) physical barriers: chest pain, dyspnea, palpitation; (3) lack of knowledge, including diet, coronary disease, return to work, medication, and heart attack intervention; and (4) low adherence to smoking cessation, daily activity, and medication adherence.
Conclusion: At the time of discharge, there is a need for a new approach to communicating with the patients, educating
patients and families, and preparing for ACS patients. The findings of this study will help nurses better understand the barriers of transitional care from the hospital to the hom
The Effect Of Physical Training in the Form of Walking on Blood Pressure Reduction and the Quality of Life of the Elderly Living With Hypertension
Full text linkThis study aims to analyze the effects of physical exercise in the form of walking on systolic blood pressure, diastolic blood pressure and the quality of life of the elderly with hypertension. Hypertension is called a silent killer because the disease causes death. Hypertension affects the quality of life of the elderly in terms of their physical health, psychological condition, social relations and environmental condition. The study design used was quasi-experimental. The sample involved consisted of 27 respondents in the intervention group and 27 respondents in the control group. The independent variable in this study was physical exercise on foot and the dependent variables were blood pressure and quality of life. The instruments used were an aneroid tensimeter, a stethoscope and a questionnaire. Analysis was done using the Wilcoxon Signed Rank Test and the Mann Whitney test with a significance level α ≤ 0.05. Physical exercise on foot significantly impacted systolic blood pressure (p = 0,000), diastolic blood pressure (p = 0.001) and quality of life in terms of physical health (p = 0.014), psychological condition (p = 0,000), social relations (p = 0,000) p = 0,000) and the environmental conditions (p = 0,000). The walking exercise has positive benefits when it comes to overcoming the problem of blood pressure and improving the quality of life of hypertensive patients. For further research, the researchers suggest carrying out physical exercise in the form of walking at different intensities and paying attention to confounding factors for hypertension
Spiritual-Based Motivational Self-Diabetic Management on the Self-Efficacy, Self-Care, and HbA1c of Type 2 Diabetes Mellitus
Full text linkLow self-efficacy has an impact on self-care ability and HbA1c level. The purpose of this study was to determine the effect of spiritual-based motivational self-diabetic management on the self-efficacy, self-care, and HbA1c of adults with type 2 diabetes mellitus. Methods: A quasi-experiment was conducted in this study. Total sample was collected from 80 respondents who were obtained through cluster sampling. The respondents were divided into two groups and they completed the self-care inventory-revised (SCI-R), self-efficacy questionnaires, and HbA1c blood check. The data was analyzed using parametric and non-parametric tests. Results: The results showed there to be differences between the pretest and posttest values of the variables of self-efficacy, self-care, and HbA1c in the treatment group. Conclusions: Spiritual-based motivational self-diabetic management as conducted by the researcher can increase the patient’s self-efficacy and self-care abilities and decrease their HbA1c level
Analysis of the Need for Nurse Competency Training at Ahmad Yani Islamic Hospital Surabaya
Full text linkIntroduction: Minimum service standards field of administration and management about employee training require at least 20 hours per year. The aims of this study was to analyze the training needs of nurses at the Ahmad Yani Islamic hospital in Surabaya. In addition, this study explain the organizational analysis, conduct operational analysis, explain individual analysis nurse staff and prioritize nurse training needs in Ahmad Yani Islamic Hospital Surabaya. Method: This research is a observational description. The number of respondents about 55 nurses participating the study. Results: Based on the aspect of quantity of work, the workload of nurses is classified as high by 49.1%. Most have applied a high quantity of work aspects as much as 78.1%. In the aspect of quality of work, most nurses have performed high tasks. Conclusion: Analysis of organizations related to organizational climate at Ahmad Yani Islamic hospital in general was described by nurses in good condition. There are a number of things that need to be considered, namely guaranteed nurse self development through Training, work protection for nurses, nurse remuneration needs to be improved. Operational analysis related to the general competence of nurses in the nurse law is quite capable and most nurses have already taken action. Operational analysis relating to the priority of nurses' training needs is a main priority.
Keywords: Operational Analysis; Individual Analysis; Nurse Training Priority
The influence of family psychoeducation to selfawareness family in caring for family members who have mental disorders
Full text linkPsychiatric or mental disorder is also called the deviation from the ideal state of mental health. The
fact, there is still many families who are neglect family members with a mental disorder. This occurs
because the family feels embarrassed, stressed, and burdened. Treatment and care are always undoubtedly able to have an impact on family life, for example, the issues of the economy, psychology, and social family. One of the interventions to reduce the psychological burden is the
giving of family psychotherapy education. The purpose of this study was to identify the influence of
family psychoeducation to self-awareness family in caring for family members who have mental disorders. This study used a quasi-experimental pre- post-test control group design by using purposive sampling that obtained 20 patients treatment groups, and 20 patients control groups. Data were collected by a questionnaire. Data were analyzed by Wilcoxon Signed Rank Tests and Mann-
Whitney Tests. Wilcoxon Tests results showed p = 0,000 (p≤0,05), meaning that family psychoeducation affects the increased self-awareness of family in caring for family members who have experienced psychiatric. The Mann-Whitney Test results showed p = 0,000 (p≤0.05), meaning
there was a significant difference in granting psychoeducation against the treatment and control
group. It can be concluded that a good self-awareness family will affect the improvement of the quality
of caring to the client and decrease the number of recurrences of the client
A Systematic Review of Early Intervention for Suicide Prevention among College Students
Full text linkAbstract: Suicide is a worrying health problem with a high prevalence among students. An effective and
efficient program in preventing suicide is needed for campus environments. This research investigated various forms
of suicide prevention programs and identified the most effective and efficient interventions. The databases were
Scopus, Proquest, Pubmed, Cinahl, and SagePub using keywords consisting of “intervention”, “suicide” and
“college student”. This systematic review used Item Reporting Approach for Systematic Review and Meta-Analysis
(PRISMA) to analyze 15 articles extracted from databases using specific criteria. The interventions to reduce the
risk of suicide among student were peers’ willingness to intervene, positive thinking and social support, affirmation,
spiritual motivation, web-based videos, online screening and counseling, online mental health assistance, surveys
web-based personal experiences, Question-Persuade-Refer (QPR) training with Gatekeepers, dialectic group skills
training and group cognitive therapy, and social norm campaigns. There are advantages and disadvantages of
suicide interventions concerning student compliance, faculty staff involvement, a small number of subjects and
social stigma about mental illness. Web-based or online interventions posed more advantages, especially about the
social stigma. Web-based or online interventions were the most preferred interventions among students because they
had a lower chance of creating a negative stigma