Airlangga University

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    FOSTERING SOFT SKILLS IN NURSING THROUGH CARING THEORY IN NURSING ETHICS COURSE

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    Introduction: Nursing education is the foundational process to build nursing student to be excellent in their future competency. Fostering soft skills in nursing support students’ competence to improve the quality of caring to patient in health care area. Soft Skills Framework identifies basic or foundational skills for workplace success to promote incremental grow in nursing profession. Nursing is a form of professional service that is based on nursing knowledge. Soft skills in Nursing are an interpersonal relationship process and an interaction between nurse and patient in social environment during nursing care given. The characteristic professional nursing is nurse’s caring, when if it is done properly based on the standards, it can improve the quality of nursing services. Method: The study was conducted to explore the component of nursing ethical values to fostering soft skills in nursing students. Result: Nursing ethics should teach the contain such as the human dignity, privacy, autonomy in decision making, responsibility, collaboration, and accuracy in caring, commitment, human relationship, sympathy, honesty, and individual and professional competency. Discussion: Soft skills in education and health care practice promote quality in health care services including autonomy, justice, veracity, confidentiality, good communication, respect patients and families. So that, learning ethics for health providers is important for nursing students to be professional because they promote quality care and change the innovation caring through interpersonal performance in the workplace. Key words: soft skill in nursing, caring theory, nursing ethic

    THE RELATION BETWEEN THE TEACHER’S ROLES IN TEACHING ENGLISH FOR SPECIFIC PURPOSES TO THE THREE DIFFERENT DEGREES OF NURSING PROGRAM STUDENTS’ MOTIVATION OF APPLYING ENGLISH IN NURSING TERMS

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    Introduction: Nursing as a familiar job within public health in this nowadays time builds the consideration of mastering English brings advanced concept in order to reach better education and career in globalization era and the mindset changes of English language education. Related to that phenomenon, English for Specific Purposes (ESP) teacher should also notice that in teaching ESP they have to play their roles to help students in the teaching and learning process which can influence the students’ motivation, later on, in applying the English in the nursing terms. This literatures’ review is aimed to know the relation between the teacher’s roles in teaching ESP to the three degrees of nursing program students’ motivation of applying English in nursing terms. Methods: The literatures are found by using the database for the related references which focuses primarily on understanding in depth the teacher’s roles in the teaching and learning process of ESP to nursing program students and the relation to the motivation of the nursing program students in applying the English in nursing terms. Results: All the literatures which are taken for this study found that the kinds of roles played by ESP teacher are as the lecturer, clinical or practical teacher, role model, facilitator, mentor, assessor, curriculum assessor, resource developer, and study guide producer. Besides, it is also found that the nursing programs students in different degrees can have the same motivation in applying the English in their own nursing terms’ level of degrees. Discussion: Several roles played by the ESP teacher in the teaching and learning process can have the relation to the students’ motivation in applying the English in nursing terms whether for the different level of degrees in the nursing program. In reality they are often interconnected and closely related one to another. The teacher’s roles in the teaching and learning process of ESP to nursing program students can be used by teachers as the development of their roles in teaching and learning process. Indeed a teacher may take on simultaneously several roles, however, a professional ESP teacher (in this case: nursing) should be aware of their important roles, deal, and develop those roles within themselves as those will affect and give positive influence to the students’ motivation in applying English in nursing terms even in the different level of degrees of the nursing programs. Key words: Teacher’s Roles, Teaching English for Specific Purpose (ESP), Nursing Students’ Motivation, Different Degree, Applying English in Nursing Term

    PREVENTING CARDIOVASCULAR COMPLICATIONS BEHAVIORS IN ELDERLY WITH POORLY CONTROLLED TYPE 2 DIABETES MELLITUS IN INDONESIA

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    Background: Preventing cardiovascular complications behaviors is the cornerstone in Elderly with poorly controlled type 2 DM to prevent CVD complications. Purpose: To describe the prevention cardiovascular complications behaviors in the Elderly with poorly controlled type 2 DM in Cilegon City, Indonesia. Methods: A quantitative descriptive study to describe the preventing cardiovascular complications behaviors of 60 Elderly with poorly controlled type 2 DM who met inclusion criteria. These patients were selected by using random sampling assignment from Elderly Health Care Unit, Public Health Center, Cilegon City, Indonesia. Preventing cardiovascular complications behaviors was measured by using the preventing cardiovascular complications behaviors questionnaire (PCCBQ). The PCCBQ was modified from a previous study and with adequate reliability (Chronbach’s alpha was .88). Results: The subjects who participated in this study were Elderly more than 60 years. More than half of the subjects were female (75%) who had been studied in the elementary school (51.7%). The majority of the patients had no experience of any previous structural educational program or counseling program related to the preventing cardiovascular complications behaviors (96.7%). The result showed a moderate level of preventing cardiovascular complications behaviors in the Elderly with poorly controlled type 2 DM (Min-Max= 24-91, M= 58.43, SD= 13.68). Discussion: CVD complications are common DM complications in the Elderly with poorly controlled type 2 DM. The level of preventing cardiovascular complications behaviors in the Elderly with poorly controlled type 2 DM is moderate. This is due to some of Elderly have experience related to health behaviors including unstructured educational program at the Eldery Health Care Unit, self-learning, family support, belief and perceptions. Conclusion: The level of preventing cardiovascular complications behaviors in the Elderly with poorly controlled type 2 DM was moderate level. Two subscales of preventing cardiovascular complications behaviors including physical exercise and taking medications regularly were at a low level, whereas the DM diet and heart healthy diet and smoking cessation were at a moderate level. Key words: preventing cardiovascular complications behaviors, elderly, poorly controlled type 2 DM, Indonesia

    INTRADIALYSIS EXERCISE INCREASING THE HEMODIALYSIS ADEQUACY ON CHRONIC KIDNEY DISEASE PATIENTS

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    Introduction: Hemodialysis is treatment to replace the excretion function of kidney, a live saving treatment for patient with chronic kidney disease (CKD) at the end stage condition of kidney disease. The effectiveness of hemodialysis in giving back the oxygenated blood in to the body is called as hemodialysis adequacy. Intradialysis Exercise is an alternative intervention to increase hemodialysis adequacy. This study was purposed to examine the effect of Intradialysis Exercise in increasing the hemodialysis adequacy in terms of : body weigth, ureum level, intradialysis blood pressure, post dialysis blood pressure and pulse . Method: This research was a quasy - experimental study with pre-post test design. Using simple random sampling technique, 64 eligible hemodialysis patient at DR. Pirngadi Medan Hospital were recruited as the participants. The number of the participants was then devided into 16 patients for control group and 48 patients for intervention group. The Intradialysis Exercises were given for eight weeks. The statistic methods used to analyzed the data was t-test and multiple regression. Result: The results of the study identified that the Intradialysis Excercise was influencing hemodialysis adequacy in decreasing body weight (p=0,000), and ureum level (p=0,043), but there was no significant effect on intra and post dialysis blood pressure and pulse (p>0,05). Intradialysis Exercise in accordance with age, gender, BMI, fluid intake were significantly interfere body weight (p=0,002), but not for the ureum level, intra and post dialysis blood pressure and pulse (p>0,05). Discussion: There was a significant effect of Intradialysis Exercise in increasing hemodialysis adequacy. This study recommended to introduce the Intradialysis Exercise as a method of an independent nursing intervention in hemodialysis unit through sosialition, training and a policy. Key words : hemodialysis; hemodialysis adequacy; intradialysis exercise; chronic kidney diseas

    THE EFFECTIVENESS OF EFFICACY TRAINING TOWARD QUALITY OF LIFE PATIENT’S UNDERGO HEMODIALYSIS

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    Introduction: The incidence of chronic kidney disease increases every year and can develop slowly. A common problem many patients undergoing hemodialysis were non-adherence of fluid restriction that can lead increasing the risk of cardiovascular and hypertension that affect quality of life. Cardiovascular disease is the leading cause mortility and morbidity in patients undergoing hemodialysis and can cause death by 50%. This study aims to determine the effectiveness of efficacy training to quality of life chronic kidney disease patient’s undergo hemodialysis. Method: This study design is quasi-experimental with pretest-posttest with control group. The sample in the study was 30 hemodialysis patients were divided into treatment groups (conducted training efficacy) and the control group (performed routine monitoring). Sampling with purposive sampling. This research was conducted in the hemodialysis unit Sultan Agung Islamic Hospital Semarang. Patients in the treatment group performed a total of 12 technical training sessions efficacy during hemodialysis. Measuring the quality of life questionnaire World Health Measurements are also performed in the control group. Result: Mc Nemar test results there are differences in quality of life before and after the training efficacy in the treatment group (p value 0.008). Chi Square test results showed there are differences in quality of life treatment group and control group ( p value 0,024). Conclusions: Efficacy training effeective to improve the quality of life chronic kidney disease patient’s who undergo hemodialysis Key words: training efficacy, quality of life, hemodialysi

    DIABETES SELF MANAGEMENT EDUCATION (DSME) INCREASE KNOWLEDGE LEVEL PATIENT DIABETES MELLITUS TYPE 2 (Study in Puskesmas Bangkalan)

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    Introduction: Treatment of Diabetes Mellitus Tipe 2 is not only affected by medical treatment, but also need hight knowledge that useful for succes in self care of DM Tipe 2 patient. From data of field collected that lots of DM’s patient who have minimum knowledge need to be given education program called DSME. Diabetes self management education (DSME) is an ongoing process that has been conducted to facilitate of knowledge, skills and abilities of patients with DM to perform self care. The purpose of this research was to identify the effect of DSME on level of knowledge of DM type 2. Method: The types of research used Quasi-Experiment Design. The number samples was 39 people for treatment group and 39 people for control group by simple random sampling method. The instruments of research that have been were used questionnaire and booklet. Result: The result level of significance of knowledge in Mann-Whitney Test was 0,000 (p < α; α = 0,05), so that Ho rejected. Discussion: It means there was effect diabetes self management education on level of knowledge in diabetes mellitus type 2. In this research, it is suggested that nurses can use DSME as sources of information and a health promotion program to improve knowledge and self efficacy in patients with DM type 2. Key words : DSME, level of knowledg

    THE EFFECT OF TEAMS GAME TOURNAMENT TO BEHAVIOUR PREVENTION OF ACUTE RESPIRATORY INFECTIONS AMONG SCHOOL AGE CHILDREN

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    ABSTRACT Introduction: Acute respiratory infections was one of infectious disease that remains a major problem in health, especially in indonesia. ARIs can attack various ages, especially children. These happens because health education method to teach children about that has not been developed. TGT is one as an effort to solve this problem. The aim of this study was to analyze the effect of TGT to change behaviour in preventing acute respiratory infections among school age. Method: This study was a pra-experiment using pretest-posttest one group design. Sample was school age children at fifth class of SDN Mojo 3 Surabaya. 43 respondents were involved according to cluster random sampling. TGT method was independent variable while knowledge, attitude, and action were dependent variables. Data were collected by using questionnare and observation sheet. Data then analyzed by using Wilcoxon Signed Rank Test with level of significance p<0.05. Results: Result had showed that TGT method had effect on knowledge (p=0.000) and action (p=0.000) but not on attitude (p=0.127). Discussion: It can be concluded that TGT method about ARIs prevention in school can improve the level of knowledge and action in ARIs prevention, but not the attitude. There might be other factors that influenced the attitude that were not investigated in this study. TGT is recomended to implement health promotion for school age about ARIs prevention. It can mix with other method to improve attitude of ARIs prevention behaviour. Key words: teams game tournament (tgt), acute respiratory infections (aris), school age, knowledge, attitude, and actio

    PROMOTING SOCIAL INCLUSION FOR INDONESIAN MENTAL HEALTH CONTEXT: A REVIEW OF THE EMERGING SOCIAL INCLUSION LITERATURE

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    ABSTRACT Introduction: After the closure of mental health hospital in the western world, the mental health service users are now involved in the wider society interactions. However, another problem arises as the consequences of the closure, which is how to integrate the service users in the social lives without experiencing hindrances in those processes. Therefore, mental health services in the western world are now shifting the focus to overcome the barriers by promoting social inclusion. However, it appears that deinstitutionalisation in mental health would not become the main issues in the foreseeable future for Indonesian mental health environment. Therefore, social inclusion is not the main issues in mental health circumstances in the country, yet, the community integration, as it happens in western world, also remains the main issues in recent days. Method: This paper provides a review of the emerging social inclusion literature as part of the recovery process which gradually implemented in the Indonesian mental health context. Result: Research findings are highlight the understanding of the cultural background of the society to whom such concept will be implemented, discuss the social inclusion and exclusion, in the context of European and Islamic culture as a religion that is embraced by the majority of the people in the country. then the implication of social inclusion promotions in practical ways. Discussion: Social inclusion is also able to be implemented with the local consideration. The three places which are Mosque, Family, neighbour, are the reasonable area where people with mental health will experience the appropriate access and support. Key words: Social Inclusion, Mental Health, Promotio

    WHOLE BODY COMFORT SWADD (BEDONG, IND.) MODEL FOR BODY TEMPERATURE STABILIZATION AND MOTORIC MOVEMENT STABILIZATION IN LAWANG PUBLIC HEALTH CENTER COVERAGE AREA OF MALANG REGENCY

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    Background: Swaddling (Membedong, Ind.) is a tradition throughout generations since centuries ago that done by Indonesians especially in Java Island. People tend to wrap their baby tightly starting from the shoulders until the feet without any room for movement. One of swaddling model that is useful for body temperature stabilization and does not interfere with baby motoric development is whole body comfort. This research aims to know whole body comfort model’s influenceon stabilizing body temperature and developing neonates motoric in Lawang District Public Health Center coverage area of Malang Regency. Method: Using a Quasy experimental research design. Populationsare all 0-28 day-old childrenas much as 43 children. 32 samples are taken by consecutive sampling technique. Result: Based on independent sample t-test statistical analysis indicates that there are no differences between control and experimental group’body temperature on intervention-day I and II but just as the opposite, significant differences obtained on day III to IV. Result of Mann whitey test shows no significant difference between control and experimental group’ coarse motoric movement development on intervention-day I and II while there is one on day III to VII. There are no significant differences between control and experimental group’fine motoric movement on intervention-day I to III while there is on day IV to VII. Conclusion:Surely recommended for parents to gently wrap their baby by being not too tight, so that the feet and hands are not squezzed and depressed in clothing. Baby temperature should always be monitored during swaddusage and baby must remain stimulated for coarse and fine motoric development. Key words: whole body comfort swaddling, body temperature, baby motoric movemen

    ZIKA VIRUS AND PREGNANCY

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    Introduction: Zika virus infection (ZIKV) has emerged as a significant threat for the health of pregnant women and newborns in populations living or visiting Latin America since the epidemic begun in 2015. Reported possible consequences included particularly the risk of associated microcephaly, still to be proved in detail and confirmed, but potentially of other congenital defects. Methods: The method used a database journals in PubMed, ProQuest and Medline used the keywords, after the data obtained was reviewed journal research was conducted. Search result found 22 journal but in accordanced with the topic was 8 journal with a span of February-March 2016. Result: 1). Provide further support for a link between maternal ZIKV infection and fetal and placental abnormalities that is not unlike that of other viruses that are known to cause congenital infections characterized by intrauterine growth restriction and placental insufficiency. 2). women with a positive ZIKV RT-PCR or with cocerning findings on USS should be referred to a fetal medicine service for evaluation and follow up. 3). Although there are several barriers for developing vaccines and other measures for pregnant women, these barriers are surmountable with concerted efforts and leadership. Discussion: 1). Women with suspected or confirmed ZIKV infection should be monitored closely, with serial ultrasonography to evaluate for signs of placental insufficiency, given the risks of fetal death and intrauterine growth restriction. 2). All pregnant women who have potentially ben exposed to ZIKV should be revered to their local maternity unit for 4-weekly fetal ultrasound scan (USS) examinations. 3). No specific antiviral treatment is available for zika virus disease. Key words : zika virus, pregnanc

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