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INTERVENTION TO REDUCE ANXIETY IN NURSING STUDENTS: A SYSTEMATIC REVIEW
Get PDFBackground: Conditions of anxiety and other psychological problems was found in nursing
students. Anxiety and stress were received during academic process and professional education,
such as stress due to academic load, the demands of clinical experience and other personal
issues. Various kinds of interventions are recommended to reduce anxiety in nursing student,
but has not been found the appropriate intervention which can be applied to all nursing
education settings, neither clinical education nor profession. Purposes: These sistematic review
is determined, described and analyzed the previous studies in intervention to reduce anxiety for
nursing students. Method: A systematic review was conducted using the PICO searching
method. Research articles published were restricted to 2011-2017 and identified from the
following database: Sage, Google Scholar, Proquest and Science Direct. Results: Article search
obtained 15 articles: 6 articles about mindfullness-based intervention reduction on anxiety. 1
article mentions that anxiety can not be lowered with hatha yoga meditation, while 5 other
articles mentions that mindfullness-based stress reduction on anxiety is more effective for
decreasing anxiety. Conclusion: interventions that were found effective related to
mindfullness-based stress reduction. Those are meditation, hypnosis and others. Meditation is
conducted together with internal reinforcement by words repeatedly.
Keywords: Anxiety, Nursing Students, Systematic Review
ANALYZING OF MOTIVATION IN LEARNING FOREIGN LANGUAGE FACED BY NURSING STUDENTS
Get PDFIntroduction: Health Education of nursing has a remarkable growth in the number of graduates
produced. This is also supported Indonesia has a lot of nursing power resources to supply the
world's demand. Foreign languages courses are elective courses which are provided each of
Higher Education that aims to compete abroad. Motivation students have a strong influence in
the decision of the elective courses. Method: This study used qualitative design by three
respondents with in-dept interview with structured questions. To validate the data, the
researcher used data triangulation by lecturers and friends. Result and discussion: The
respondents motivated in learning foreign language to improve the ability of speaking other
language, they motivated to able speaking with people in other countries in order to avoid miss
understanding. They believed that it can increase the quality of students to continue their study
or to work abroad in order to get high levels of life. Recommendation: The foreign language
should be recommended include into the nursing curriculum, so that the students were high
motivated in learning foreign language not only English but also Japanese and Arabic should
be more meeting in the curriculum.
Keywords: foreign language, motivation, nursing education and learnin
EFFECTIVENESS OF INTERPROFESIONAL EDUCATION (IPE) PROGRAM ON STUDENTS PERCEPTION OF TEAMWORK
Get PDFIntroduction: Health problems more complex and require teamwork professions. Teamwork
requiring the same perception among members of the profession. This study aimed to evaluate
the effectiveness of IPE program on students' perceptions of team work. Methods: It is a
combination of research (mixed research) to measure the effectiveness of IPE program to
change students' perceptions of teamwork. Subjects were 8 department of Surakarta Health
Polytechnic students who carry out programme IPE in Ngemplak, Boyolali, with a number of
652 respondents. The sample is 50% of students from each department. Student perceptions
were measured using a questionnaire Interdisciplinary Education Perception Scale (IEPs)
according Luecht, Madsen, and Taugher (1990) combined with FGD students perseption. Data
were analyzed using Two Way ANOVA using SPSS 18 series. Results: (1) The value of the
average of student perceptions before implementing IPE program is 54.32, the highest in
orthotic prostetic (2) The value of the average perception after implementing IPE program is
67.48, the highest in Jamu (3) Program IPE can add friends and new knowledge from other
professions (4) IPE program effectively to improve student perceptions. Conclusions: IPE
programs can effectively improve students' perceptions of teamwork across professions (t = -
13.229; p=0.000).
Keywords: Interprofesional Education (IPE), Teamwork, Student Perceptio
GASTROENTERITIS ACUTE HANDLING AND ACUTE DIARRHEA IN CHILDREN: SYSTEMATIC REVIEW
Get PDFIntroduction: The main causes of death in patients of acute diarrhea is the severity of the
dehydration caused by excess fluid in the body expenditures. For most cases, hydration is the
most important aspect in the treatment of diarrhea, but rehydration fluid does not impact on the
duration of diarrhea as well as volume. Methods and analysis: We will perform a systematic
review of the literature taken from the site database of medical journals EBSCOhost MEDICAL
Resources: CINAHL, Dentistry and MEDLINE with the inclusion criteria 1) journal published
is the full text, 2) speak English, 3) there reverensi complete, 3) and contains the results of
diarrhe acute or acute gastroenteritis and teraphy and for children without time restrictions. The
collection obtained from 13 journals that discuss the treatment of acute diarrhea and acute
gastroenteritis. Discussion: Of some journals have been conducted systematic review, found a
way of dehydration status assessments pediatric patients, handling both the nutritional and
therapeutic measures as well as drugs that can be used.
Keyword: Acute diarrhea, acute gastroenteritis, children
Factors influencing Indonesian women's use of maternal health care services
Get PDFEmploying the 2012 Indonesia Demographic and Health Survey data, we aimed to examine factors influencing married women to use maternity services. Data of married women who had given birth in the last five years before the survey were included in the analysis (n = 14,672). Factors of education, employment, women's age at first marriage, age at first birth, spousal education difference, contraceptive use, place of residence, and woman's attitude toward wife beating were associated with the use of antenatal care, institutional delivery, and postnatal care services. The likelihood of women using those recommended maternal health care services increased along with the increased educational attainment among women and their spouses, and the older age at first birth. Higher schooling years may contribute to improving adequate maternal health care. Community awareness on maternal health issues should be promoted and to include the prevention of early marriage, teenage pregnancies, and domestic violence.By the end of Millennium Development Goals (MDGs) the maternal mortality ratio (MMR) has been successfully reduced by almost half since 1990 (United Nations, 2015). Nevertheless, more than three hundred thousand women around the world died during pregnancy and childbirth in 2015, while millions of women experience risks of obstetric complications and other health problems (World Health Organization, 2015). Almost 59% of these maternal deaths were from ten developing countries including Indonesia (World Health Organization, 2015). This country ranks the fourth highest maternal mortality ratio among Southeast Asia countries after Lao PDR, Myanmar, and Cambodia (ASEANstats, 2015). Based on the 2012 Indonesian Demographic and Health Survey (the 2012 IDHS), the maternal mortality ratio fell slightly from 390 deaths per 100,000 live births in 1991 to 359 deaths per 100,000 live births in 2012 (Bappenas, 2015). Every year, about five million women give birth in this country bringing more concern on this persistent high mortality rate (MoH, 2015).Utilization of maternal health care is central to reducing maternal mortality. Having a minimum of four antenatal care (ANC) visits and childbirth assistance from the skilled health worker are among major essential recommendations to prevent adverse pregnancy outcomes (World Health Organization, 2007). The United Nations (1999) set up the ultimate target of skilled birth attendance at 90% by 2015. Globally, the utilization of maternal health is lower than the expected target as indicated by 71% of births were assisted by health professionals and approximately 50% pregnant women in developing countries received recommended ANC services in 2014 (United Nations, 2015). Compared to this global situation, Indonesia shows a more remarkable achievement. Between 1991 and 2014, the percentage of Indonesian women having four or more ANC visits and the skilled birth attendance increased from 56% to 86% and from 41% to 87%, respectively (Bappenas, 2015). However, the utilization rate of the facility-based delivery services was 63% in 2012 (Statistics Indonesia (Badan Pusat Statistik?BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes-MOH), Sein, 2012). In their previous study in Indonesia, Beegle, Frankenberg, and Thomas (2001) reported the significant association between variables of age and the husband-wife educational gap, and the use of prenatal and delivery care. Likewise, another study of Indonesia revealed that several factors, such as living in rural region, lower family income, poor maternal knowledge, and high birth orders with closely spaced births (less than two years), had significant associations with the low utilization of ANC (Titaley, Dibley, & Roberts, 2010).As the reduction of maternal mortality remains significant in the next global development agenda, it is imperative to have a better understanding of factors associated with the utilization of three aspects of maternity care ? antenatal, delivery and postnatal services using the most recent available nationwide data. In this study, therefore, authors aimed to examine factors that affect the use of maternal health care services among Indonesian women. We expect that the results of this study contribute to supporting effective policies and approaches as well as identifying further research for improving the utilization of maternal health care
SELF-CARE NEEDS IN PATIENTS WITH PHYSICAL IMMOBILIZATION
Get PDFIntroduction: The quantity of unfulfilment of self-care in patients with physical immobilisation can decrease the quality indicator of nursing care. Self-care for physically immobilised patients is affected by basic condition factors. The study aimed to analyse the factors that can affect the fulfilment of self-care needs in patients with physical immobilisation.
Methods: The study design was descriptive cross-sectional, with purposive sampling technique and the samples were 36 nurses and 36 physically immobilised patients. The independent variable was the fulfilment of self-care needs. Dependent variables were patient demography (age, sex), nurse (knowledge, action, motivation), and health care factors (occupation
design/nursing care method). The instrument used was a questionnaire and observation form. Data were then analysed using double linear regression analysis, with significance ɑ ≤ 0.05. Results: From the double linear regression test result was obtained p-value (Sig) = 0.000 R Square = 0.889. Partially it was obtained p-value of age p(sig)=0,005, sex p(Sig)=0.038, knowledge p(Sig)=0.889, action p(Sig)= 0.000, and motivation p(Sig)=0.003. Conclusion: Factors of patients (age, sex) and nurses (action, motivation) influence the fulfilment of self-care needs for patients with physical immobilisation. However,nurses’ knowledge does not have any influence. The study result can be considered as input for nurses in developing the quality of nursing care in the fulfilment of self-care needs.
Keywords: basic conditioning factor, physical immobilized patient, self-car
THE ELDERLY’S SATISFACTION WITH THE SERVICE QUALITY OF A COMMUNITY GERIATRIC HEALTH PROGRAMME IN INDONESIA: A CROSS-SECTIONAL STUDY
Get PDFIntroduction: The achievement of the geriatric health programme is still under a number of government targets and the research about the satisfaction of elderly in contributing to this program still limited. This study aims to identify the correlation between the service quality of a geriatric health programme in the community with the satisfaction of older adults. Methods: The research design was cross-sectional and involved 277 elderly people as the respondents. The service quality was measured using a service quality (SERVQUAL) questionnaire with three different sub-variables of input, process and outcome. The elderly people’s satisfaction was examined using several parameters including reliability, assurance, tangibles, empathy and responsiveness (RATER). The data obtained from the questionnaires was analysed using the Spearman Rho test with a significance level of <0.05 to determine the correlation between the variables. Results: Good service quality provided satisfaction among the elderly. The Spearman Rho test result for input quality was p = 0.000 with a correlation coefficient of 0.705, while the test result for process quality was p = 0.000 with a correlation coefficient of 0.750. The outcome quality was p = 0.000 with a correlation coefficient of 0.766. The results showed that there is a relationship between the independent and dependent variables. Conclusions: Good service quality regarding the input, process and output of the service can enhance the satisfaction levels of the elderly. This study can be referred to as a parameter and evaluation for the PHC to maintain and improve the service quality standards for the elderly
DEVELOPMENT OF PERFORMANCE ASSESSMENT INSTRUMENT FOR NURSES BASED ON WEB IN INPATIENT UNIT
Get PDFIntroduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing’s task. The purpose of this study is to develop nurses’ performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital. Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument’s was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses’ performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70. Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server. Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result
