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DEVELOPMENT OF A SUPERVISION MODEL BASED ON EXPERIENTIAL LEARNING FOR THE IMPLEMENTATION OF PATIENT SAFETY GOALS AT A TEACHING HOSPITAL IN SURABAYA
Get PDFIntroduction: One of the demands of clients who access health services is patient safety. The hospital is required to maintain and upgrade the patient's safety goals. Nurses as health care providers are at risk of making error and mistakes during their duty which may cause harm to the patient. The purpose of this study was to develop a model of supervision based on experiential learning in the implementation of patient safety goals. Method: This research used explanatory survey. The sample was from nurses who were working at a ward UNAIR hospital, one hundred respondents were selected by using stratified random sampling technique. The variables in this research were organizational characteristics, individual characteristics, work characteristics, supervision based on experiential learning and the implementation of patient safety goals. Data collection was through the survey using questionnaires. The data were analyzed using Partial Least Square (PLS). Result: There were a significant effect of organizational characteristics, individual characteristics and work characteristic on the supervision based on experiential learning. This result indicated that the improvement of organizational, individual and work characteristics also improved the implementation of supervision based on experiential learning. Supervision based on experiential learning affects the implementation of patient safety goals. Conclusion: Supervision based on experiential learning uses four stages: concrete experience, reflective observation, abstract conceptualization and active experimentation. Supervision affects the implementation of patient safety goals by nurses in the hospital
IMPROVING NURSING WORK SERVICES THROUGH DEVELOPMENT MODEL OF QUALITY OF NURSING WORK LIFE
Get PDFIntroduction: The performance of nurses in a hospital is influenced by the mental and emotional state of the nurse; the higher the workload, the greater the work stress of the nurse. It is a necessity to conduct research to explain a quality of nursing work life model based on the context of Indonesian nurses. Methods: The research process consisted of two stages: observational analytic and model trial. The first phase used cross-sectional design with cluster random sampling technique and obtained 102 samples. The second stage used a quasi-experiment design with pre-post test with control group design and obtained 33 samples. The data was analysed by Partial Least Squares and paired t-test analysis. Results: It was found that the number of the nurses with Burnout Syndrome in the hospital was 67.6%. The depersonalisation indicator in the low category was 73.5%, and the high category of self-achievement indicators had 89.2%. Conclusions: It can be concluded that improving the performance of care services is more effective through improving the quality of nursing work life. This study found that the nurses’ quality of life affected the increased nursing work service because their working scope involves interacting with other professions and the environment
FAMILY PROCESS WITH BREAST CANCER PATIENT IN INDONESIA
Get PDFIntroduction: Breast cancer occupies the first position in Asia's women cancer cases in recent years. Signs and symptoms experienced by the patient affect the stress condition of the patient as well as the family as a caregiver. The condition changes to deal with problems during patient assistance as a major problem in an outpatient setting. The demands of adaptation to through the needs during the period of assistance by the family is more complex. The study aimed to determine the experience of stress and adaptation of breast cancer patient's family. Methods: The qualitative method used with in-depth interviews on seven respondents who were the family caregiver of breast cancer patients. Setting carried out at the shelter house in Bandung. The analysis process used thematic analysis based on Braun & Clarke. Results: The results found five main themes are: 1) Stressor on breast cancer patients, 2) Crisis fulfillment of companion needs, 3) Crisis accompaniment, 4) Coping mechanisms of caregiver, and 5) Ability in adaptation. Conclusions: Family experience in assisting breast cancer patients who undergo outpatient also impact families tension who traversed with a subjective effort optimally to adapt in accompanying patients and the needs of other resource support system. Suggestions for future step are early recognition of stress by health workers especially nurses to be able to provide targeted interventions to develop positive adaptation to clients. The development through research is needed in applying family center care both the outpatient and inpatient care in an integrated manner
The Improvement of Student Competency in a Clinical Study in Indonesia: What Factors Played An Important Role?
Get PDFBackground: The improvement of nursing student competency currently is still an issue for the majority of nursing education institutions in Indonesia. This is due to their partnership with hospitals having not been supported by adequate policies and other factors. Objectives: The purpose of this study is to identify the appropriate model for improving student competency in a clinical study. The design used in this study was an observational study with cross-sectional approach. Methods: The research design used a cross-sectional approach involving five hospitals and five Universities. Three hundred and eighty-four participants were recruited from these sites. The data was analysed using multiple logistic regression. Results: The results showed that the partnership contributed 3.36 times, the patient variations 2.96 times, the job description of the clinical educator 2.30 times, a role model 2.28 times, and the expertise of the faculty educator 2.08 times towards the achievement of student competency in the clinical study. Conclusions: It can be concluded that the partnership aspect, patient variation, job description of the clinical educator, role model, the expertise of the faculty educator, and the level of education has a significant role to improve the achievements coming from the level of student competency in the clinical study. The results of this study can be used by nursing educational institutions, hospitals and the government to organise a nursing education model for the more optimal achievement of the student's competencies
RELATIONSHIP BETWEEN WAIST-HIP RATIO (WHR) AND TOTAL CHOLESTEROL LEVELS OF EMPLOYEES IN STIKES BINA SEHAT PPNI
Get PDFIntroduction: Waist-Hip Ratio (WHR) is an anthropometric indicator which accurate enough
to describe the composition of body fat associated with central obesity. Waist circumference
illustrates the high deposits of dangerous fat in the body, while the hip circumference is a
protective factor in cardiovascular disease events. Method: This research was used correlation
analysis with cross sectional approach. There were two research variables, WHR as
independent variable and total cholesterol levels as dependent variable. Population this study
were all employees of STIKES Bina Sehat PPNI Mojokerto, 79 respondents. Sampling
technique used in this study was purposive sampling. The sample of this study were all
employees of STIKES Bina Sehat PPNI Mojokerto who are accordance with the inclusion
criteria as many as 35 people. Data were collected using meter line to measure waist-hip
circumference and use cholesterol test kit to measure total cholesterol levels. Result: The
results of Spearman Rho Test showed there was no correlation between WHR and total
cholesterol levels, p = 0,688 ( p > 0,05 ) and r = 0.06. Conclusion: This result research showed
there was no significant correlation between WHR and total cholesterol levels of employees in
STIKES Bina Sehat PPNI Mojokerto. So that, not all people who have excessive WHR will
have excessive total cholesterol levels too.
Keywords: Antropometri, Waist Hip Ratio, Total Cholestero
TREADMILL EXERCISE FOR INCREASING WALKING FUNCTION AFTER STROKE
Get PDFIntroduction: Stroke is the leading cause of physical disability, weakness in the fulfillment of
daily living activity, difficulty walking, and mental decline in reproductive age and the elderly
who have an impact on socio-economic. From a number of clients post stroke, 10% of clients
can return to work without drawbacks, the disabled 40% lighter and 50% with severe
disabilities. The purpose of this study was to evaluate the effectiveness of treadmill exercise as
motor rehabilitation interventions in improving walking ability in client post stroke. Methods:
The key words, namely: "post stroke, rehabilitation, exercise treadmill, post stroke
rehabilitation". Search journal articles done electronically using multiple databases, namely: EResources,
Sage Journal, Pro Quest, Google Scholar, Science Direct. Limitations in the use of
10 years (2006 -2016). Results: In general, all been reviewed journals provide results that
provide benefits as treadmill exercise interventions to improve walking ability in post stroke
client. Conclusion: Some exercise treadmill described as a useful intervention for improving
walking ability post stroke clients. So, expect the stroke patients and their families can be
motivated to do physical activities in order to improve the independence of post-stroke patients.
Keywords: post stroke, rehabilitation, exercise treadmill, post stroke rehabilitatio
EFFECTIVENESS OF EDUCATION PROGRAM INTERPROFESIONAL (IPE) HEALTH STATUS OF FAMILY
Get PDFIntroduction: The family is an important part in the success of health development. Index of
healthy family as a health status indicators and the strategy appears logical to gain of healthy
direction based on the family. Interprofesional Education (IPE) is the strategy of health
education institutions in contributing to improving the health status of the family. Assess the
effectiveness of the program Interprofesional Education (IPE) to the improvement of health
status of the family. Method: This is a Quasi-Experimental research with pre post design.
Subjects were 120 families with healthy family index value <0.800. Treat the form of
counseling families through programs Interprofesional Education (IPE). The research was
conducted from July to December 2016. Results: (1) The value of the average index of a healthy
family before being implemented program IPE 0,400 unhealthy category (2) Index healthy
families after the implementation of the program of IPE is pre healthy with the average value
of 0.690 (3) IPE effective in improving the health status of the family , p = 0.000 (4) there is a
family medical issue that can not be solve because there is no appropriate departement of the
institution handle this issue. Conclusions: IPE effective in improving family health status (p =
0.000)
Keywords: Interprofesional Education (IPE), Status of Family Health, Healthy Family Inde
ETIOLOGY FACTORS ANALYSIS THAT INFLUENCE TO CONGESTIVE HEART FAILURE INCIDENT IN ICVCU DR. MOEWARDI HOSPITAL SURAKARTA
Get PDFIntroduction: Congestive heart failure is a patophysiological state when the heart is unable to
pump blood adequately to meet the needs of oxygen and nutrients of tissues. Etiologic factors
that found in ICVCU dr. Moewardi Hospital Surakarta are hypertension, myocardial infarction,
and pneumonia. Methods: This research is descriptive analytic with cross sectional approach.
Data analysis using logistic regression is used with a sample of 37 respondents. Results: The
results showed the significant influence of congestive heart failure and hypertension (p = 0.05),
myocardial infarction (p = 0:15), pneumonia (p = 0.18). Hypertension is an etiologic factor
dominant effect on the incidence of congestive heart failure with OR = 3,383. Conclusions:
Based on the result, it can be concluded that the three variables (hypertension, myocardial
infarction, and pneumonia) affect on congestive heart failure significantly. Recommendations
in this research is to do further research with a sample of more and longer study time, as well
as increasing the number of variable factors etiology.
Keywords: hypertension, myocardial infarction, pneumonia, congestive heart failur
DETERMINANTS OF ANEMIA IN ADOLESCENT GIRL
Get PDFIntroduction: Anemia is a health problem that often experienced by teens. The prevalence of
anemia in Aik Mual village according to Central Lombok Health Service. From 129 patients
with anemia, who suffered of anemia in men around 13%, while patients with anemia in
adolescent girls around 87%. This aims of this research to determine the dominant factors of
anemia in adolescent girls in SMPN 3 Praya 2016. Method: Type of the research used is
observational analytic. The design of the research is cross-sectional, researchers conducted
observations or measurements of variables at once. Samples used as many as 40 of 67 from
third grade students of SMPN 3 Praya 2016. Result: From statistic test results carried out by
researchers, researcher got the result of family income (p = 0984), knowledge of anemia (p =
0.025), eating habits (p = 0.141) , eating habits inhibitor (p = 0.141) nutrition consumption (p
= 0.499), infectious diseases (p = 0.312), pattern of menstruation (p = 0.036). Conclusion: It
can be concluded that knowledge of anemia and menstrual patterns have a relationship with
the incidence of anemia, while inhibiting food intake, boosters, nutritional intake, and
infectious diseases were not related to the incidence of anemia in adolescent girls in SMPN 3
Praya 2016. The determinant or dominant factor of anemia is knowledge of anemia.
Keywords: Determinants, Anemia, adolescent gir
THE RELATIONSHIPS BETWEEN NURSE’S CARING WITH CLIEN’S COMFORT ISLAMIC PERSPECTIFE
Get PDFPlanning a global spiritual is set in quality and quantity the presence of a nurse, spiritual director, as well as the closest; supports the healing relationship with increasing patient
expectations; presents a support system such as family, friends, social; provide an opportunity to pray; appropriate dietary therapy religion; and support the religious ritual. The next nursing
process is the implementation of planning and systematically evaluate the nursing process of spiritual. The application of the nursing process from the perspective of the spiritual needs of
patients is not straightforward because of success in providing spiritual care is gaining understanding of the spiritual dimension of patients. Spirituality in its many clients perceived the same as religious or religion. Islamic religious dimension to be explored from the patient as the recipient askep. Assess the patient's religious practices is not enough to provide information to nurses to understand the patient confidence to overcome the disease. Spiritual nursing process can be carried out optimally when nurses have caring. Caring is the behavior holistically provide assistance to individuals. Caring is the essence of nursing is known as
"human science and human care". This paper focuses on caring developed by caroline and Watson were assessed from an Islamic perspective. Caring assessed from an Islamic perspective will be tested to assess the psychological comfort of the patient. Psychological comfort of patients in a comfortable assessed value from the Islamic perspective