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THE RELATION BETWEEN ANTICIPATORY GUIDANCE OF SIBLING RIVALRY AND SIBLING RIVALRY ON PRESCHOOL (2-6 YEARS) IN WEST KWANYAR BANGKALAN
Get PDFIntroduction : Sibling rivalry is jealousy or dislike from sister ot brother that comes naturally when present new member in the family . The previous research showed that 6 children (60%) were sibling rivalry, while 4 children (40%) were not sibling rivalry. The purpose of this research is analyze the relation between anticipatory guidance of sibling rivalry and sibling rivalry on preschool in West Kwanyar Bangkalan. Method :The Research design was analitik correlational with cross sectional approach. Unit analysis was preschool 2-6 years who have a young sister or brother, resources was mother who has child of preschool and have sister or brother, with 37 sample. The independent variable was anticipatory guidance sibling rivalry and dependent variable was sibling rivalry. Technique of data collection were questionnaire. Statistic test used spearman rank with α (0,05). Result and analyze : The result of this research was more than 50% was less in anticipatory guidance of sibling rivalry (23 respondents or 62,2% ), and children who had sibling rivalry were 17 respondents (45,9%). The result of spearman rank showed that P value (0,00) with α (0,05), there was mean P value < α, so H0 was rejected and H1 was accepted, it mean there was relation between anticipatory guidance of sibling rivalry and sibling rivalry in preschool (2-6 years) in Kwanyar Barat Bangkalan. Discuss : The result of this research can be used as an information for parents to give insight for children particularly to do anticipatory guidance sibling rivalry to avoid sibling rivalry between old brother and young sister.
Keywords: anticipatory guidance, sibling rivalry, preschool (2-6 years
GINGER THERAPY TO REDUCE PAIN IN ELDERLY WITH OSTEOARTHRITIS
Get PDFIntroduction:The aging process is a natural biological process which can’t be avoided , and running continuously. It will lead to changes in anatomical , physiological , and biochemical in the body , so it will affect the body's ability to function and overall. Osteoarthritis ( OA ) is a degenerative joint disease that is most common and often lead to an inability with symptoms such as joint pain , stiffness, and limitation of movement. Studies in experimental animal, mice proved that ginger extracts have anti-inflammatory substances. The purpose of this study was to determine the effect of ginger compress in elderly patients with OA , based on some of the existing literature. Method: we get three literature after going through the PICO strategy and selection of appropriate literature topics we find. The study design of the three journals using different designs include phenomenology; qualitative research ; observational studies and case studies. The population of each journal was : 1) Journal A : 10 people with OA, over the age of 45 years, 2) Journal B : 20 people with OA, with an average age of 64 years ( 80 % women), 3)Journal C, consists of :56 patients with knee or hip OA (average age 66 years ; 73 % women), 120 patients with knee or hip OA ( average age 58 years , 26 % women ), and 29 patients with knee OA ( average age 62 years , 79 % women ). Results:The results of the literature review of the three journals is a topical treatment or a compress of ginger has the potential to relieve symptoms , improve overall health , and increase the independence of people with chronic osteoarthritis . There is no significant effect in patients with OA in the knee or hip. Discussion: Further research is needed to design of research , instrument , and ginger doze needed for safety and effectiveness
Keywords :Ginger therapy, Pain, Osteoartritis, Elderl
THE CORRELATION OF THERAPEUTIC COMMUNICATION AND PATIENT SATISFACTION AT KERTABUMI ROOM,DR. WAHIDIN SUDIRO HUSODO HOSPITAL, MOJOKERTO
Get PDFIntroduction: Therapeutic communication is a means for nurses in building mutual trust and to increases client satisfaction, so it can provide good image for health professionals, especially nursing profession. The purpose of this study was to determine the connection of Therapeutic communication and patient satisfaction at Kertabumi in Dr. Wahidin Sudiro Husodo Mojokerto Hospital. Method: The design that was used to research in this study was an analityc correlation with of cross sectional study type. The sample used was purposive sampling. Result: The result showed good therapeutic communication nurse was 27 respondent (79,4%),while for patient satisfaction, 34 respondent (100%) were satisfied. From the analysis using Sperman Rho, probability value 0,000 (p < 0,05), this means there was a connection between therapeutic communication with patient satisfaction. It also found a correlation coefficient of 0,576, the connection between therapeutic communications with patient satisfaction in the strong category. Discussion: Conclusion Based on the result of this study at Kertabumi in Dr. Wahidin Sudiro Husodo Mojokerto Hospital�fs are expected to maintain and improve of therapeutic communication for nurses to build optimal nursing.
Keywords: therapeutic communication, patient satisfaction, nurse
THE EFFECT OF IMPLEMENTATION ON NURSING ROUND AND PATIENT SATISFACTION
Get PDFIntroduction: Nursing professional is a comprehensive service provided to the patient include bio psycho social, economical and cultural. Comprehensive range of services that will make patient satisfaction, nursing service quality will be achieved. The purpose of this study was to determine the effect of implementation of nursing rounds the purpose patient satisfaction. Method :The research design used in this study was design One Group Pre Post Test Design. Population as many as 40 respondents in Space Mecca/ Medina room and Adult room Muhammadiyah General Hospital, Gresik. Sampling consecutively obtained 28 samples of research. Instruments used in the form of a questionnaire. Statistical analysis using the Wilcoxon Signed Rank test with significance level α < 0.05. Result: The results showed there were differences to nursing rounds respondents were less satisfied (72.4%) decreased to (6.9%) after nursing rounds. From the resulted of statistical analysis obtained the value ρ = 0.000 < α = 0.05 means there are effect of implementation of nursing rounds to patient satisfaction. Conclusion : The research was expected to nurses routinely to implementation nursing rounds to patients who were treated in accordance with the provisions of the old nursing rounds.
Keywords: nursing rounds, patient satisfactio
THE EFFECT OF GIVING CRUDE EXTRACT OF PURSLANE TOPICALLY TO ACCELERATE THE 2nd GRADE OF BURN HEALING PROCESS IN GUINEA PIGS
Get PDFIntroduction Burns can be treated either chemically or naturally. Purslane is one of the herbs that are useful for healing wound because it has a lot of advantages like antimycrobacterium, increasing fibroblast cell proliferation and collagen synthesis. Aim this research to explain the effect of giving crude extract of purslane to accelerate the second grade of burn wound healing process in guinea pigs. Method This research using a true-experimental design by 20 samples, 3 months old-male guinea pigs, divided into two groups, 1 treatment group and 1 control group. This classification was done randomize. Data obtained from the observation of the signs both of inflammatory and proliferation phase. Mann-Whitney statistical test used to analyze erythema and edema inflammatory phase. While wound fluid, wound granulation, and wound side using non-parametric statistical test namely Kruskal-Wallis. Result Result showed that there were differences between crude extract of purslane and control group in erythema (p=0.028), wound granulation (p=0.057) and wound side (p=1.000) at 3rd day, erythema (p=0.028), wound granulation (p=0.028) and wound side (p=1.000) at 5th day, and erythema (p=1.000), wound granulation (p=0.027) and wound side (p=0.029) at 7th day. Discussion In conclusion, crude extract of purslane was proven to be more effectives in accelerated burn wound grade 2nd healing, increasing fibroblast cell proliferation and reduce any infection risks. For further research, microscopic observation of collagen, PMN-cell (neutrophile), MN-cell (Lymphocyte and monocyte) is needed.
Keyword: purslane, Portulaca oleracea L., burn wound healin
THE RELATIONSHIP OF WORK STRESS WITH NURSE PERFORMANCE IN CRITICAL ROOMS (EMERGENCY UNIT, OPERATING THEATER AND RECOVERY ROOM) CARUBAN HOSPITAL MADIUN
Get PDFIntroduction: Nurses working in critical rooms (Emergency Unit, Operating Theater and Recovery Room) challenged every day to provide a more complex nursing not only with emergency patient conditions and strict observation all the time but also manage sophisticated technology, interacts with family and other care givers. The challenges and workload of nurses in critical room owned, nurses have the potential to experience job stress that would have an impact on the performance of nurses. The purpose of this study was to determine the relationship between stress and performance of nurses in the critical rooms Caruban Hospital Madiun. Method: The study design used is a design researcher correlational study with cross sectional approach. The study population was all nurses in the critical rooms Caruban Hospital Madiun some 43 people. While the samples obtained by 35 people. The instruments used in data collection was a questionnaire and job stress questionnaire nurse performance. The analysis technique used is Spearman's Rho with SPSS 19.0. Result: The results showed that the stress of nurses in the critical rooms Caruban Hospital Madiun, almost all of which 31 (88.6 %) of respondents have job stress research with lightweight category. Performance of nurses in the critical rooms Caruban Hospital Madiun, most of which 19 (54.3 %) of respondents have a good performance by category. No statistically significant relationship between work stress with the performance of nurses in Caruban Hospital Madiun 2015 (significant values (p) of 0.002 (0.002 < 0.05)). Closeness of the relationship between work stress with the performance of nurses in Caruban Hospital Madiun 2015 was classified as moderate (correlation value of 0.502). Conclusion: It is expected that the nurses can prepare themselves to be able to adapt in the face of work and be able to do some things to alleviate distress in the works.
Keywords : work stress, nurse performance, and critical roo
HEALTH PROMOTION STRATEGY ON HIV-AIDS IN THE AFFECTED AREA ON MOUNT MERAPI YOGYAKARTA
Get PDFIntroduction: HIV-AIDS is a global health problem leading cause of death in Indonesia. Discussion with spiritual leaders on the Mount of Merapi Yogyakarta said that after volcanic eruption lot ofs sand miners from outside the area have arrived with bringing commercial sex workers (CSWs). Furthermore, local people access CSWs for having free seks as well. This situation will contribute to sexual transmission infections (STIs) so that providing health education on the prevention of HIV-AIDS is essential asaim of the study. Method: Topics of health education included HIV-AIDS, prevention of HIV-AIDS transmission from mother to child, and medical and herbal therapies to increase immunity conducted by lecturer and discussion. Result: This study concludes that health education is good way to share knowledge in order to improve better understanding on HIV-AIDS. Discussion: Further studies, participatory approach from community will provide a good entry point to addres vulnerability to HIV-AIDS, and engaging community in participating voluntarily counselling test (VCT) is efficient way in HIV prevention, care, and treatment.
Keywords: health education, HIV-AIDS, VC
THE ANALYSIS FACTORS OF FAMILY SUPPORT RELATED TO EXCLUSIVE BREASTFEEDING BASED ON PRECEDE PROCEED THEORY IN PUBLIC HEALTH CENTRE RINBESI ATAMBUA SELATAN
Get PDFIntroduction: Family Support is needed to help mother to give exclusive breastfeeding. Family Support can be influenced by several factors, such as knowledge, attitude, culture, resources and the role of health workers. This Study was aimed to analyze those factors related to family Support in Public health centre Atambua Selatan. Method: This Research used cross sectional design. The population were 44 mothers of the breastfeeding mothers and breast feeding mother who have infant with age 0-6 months. Purposive sampling was used to select 26 eligible participants. The variables in this study were knowledge, attitude, culture, resources, and the role of health workers. The dependent variable was family support. Data were collected through questionare and analyzed with spearmen’s Rho correlation test with level of significant p , 0,05. Results: Result showed that the family’s knowledge (p = 0,889), attitude (p= 0,635), respurces (P = 0,651), and the role of healt workers (p = 0,169) were not significant, Culture (0,001) is wassignificant. Discussion: Based on Data analysis, it can be concluded that there were no correlation between knowledge, attitude, resources, and the role of health workers with family support with exclusive breastfeeding in Public health centre Atambua Selatan but there is correlaion between culture with family support for exclusive breastfeeding in Public health centre Atambua Selatan. Therefore, more research is needed to involving the family in improving the successful of exclusive breastfeeding.
Keywords: Knowledge, attitude, Culture, resources, Family Support
THE INTEGRATION OF FAMILY CENTRED NURSING AND TANNAHIL’S MODEL TOWARD FAMILY’S ABILITIES TO CONTROL TEENAGERS’ RISKY SEXUAL BEHAVIORS IN BANGKALAN
Get PDFIntroduction:Risky sexual deviations (paraphilias) are heterosexual vaginal coitus with partners who do not want pregnancy and who do not use contraceptive methods without marital status. Nowadays, prevalence increasingly rises and result in worrying effects. This research was aimed to prove the effects of integration of family centered nursing and Tannahil’s model on family’s abilities to control teenagers’ risky behaviors.Method:This research used a quasy experiment, control group pretest-posttest design. Research subject was the parents who had 10th and 11th grade-teenagers having lovers and having been invited to consoling teachers due to their behaviors, in SMA in Bangkalan. Sample consisted of 45 experiment group and 45 control group. Sample used purposive sampling technique. Result:The result indicated that there was difference of before and after treatment with value of family’s abilities (p=0,00), teenagers’ self control (p=0,00), knowledge (p=0,00), teenagers’ activities (p=0,00), searching patterns of information access (p=0,04), and success commitment for group behaviors (p=0,003).Conclusion: It meant that there were effects of integration of family centered nursing and Tannahil’s model on family’s abilities to control teenagers’ risky behaviors.It is suggested that public health center establish partnership program among nurses, families and teenagers to create comfortable environment full of protection for teenagers so that the teenagers will not make outside environment to look for solutions.
Key Words: integration, FCN &Tannahil’s model, family’s abilities, self control, knowledge, activity,information access, success commitmen
PATIENT SAFETY SOLUTIONS RELATED TO NURSING SERVICES USING LEAN HOSPITAL METHODS IN HAJJ GENERAL HOSPITAL SURABAYA
Get PDFBased on the data in Hajj General Hospital (RSUH) Surabaya in 2014, there were some problems on patient safety incident related to nursing care as much as 40%. Results of Risk Matrix Grading (RMG) showed 80% green (moderate) and 11.7% blue (light). They require solutions to improve the quality of services.
This research used Operation Research with Lean Hospital methods in solving patient safety incident, by eliminating waste. Patient safety incident problems are resolved is that to have grading blue (light) and green (medium). There were 8 patient safety incidents during the 2 months of observation with the types of incident were 1 incident almost injury, 4 incidents were no injuries and 3 unexpected incidents. Based on professional caregivers and management that related patient safety incidents was 3 incidents for nursing, 2 incidents for doctors, 2 incidents for nutrition and 1 incident for management. In this research, there are several types of waste, namely waste incident in inventory, waste in defect products, waste in product movement, waste of over product and waste of time.
This Operational research produced solutions that were proposed 5 new standard operating procedures and revised 3 old standard operating procedures in service. Proposed Standard Operating Procedures (SOP) based Profession care giver were 5 SOP for nurses, 2 SOP for nutrition and 1 SOP for medical. This shows that the existing SOP need to be revised regularly and there are some activities of the service development without SOP. Long-term proposals for RSUH Surabaya include a). To activate the use of the elective surgery rooms on the 5th floor and to separate the emergency surgery rooms on the 2nd floor in the Al Aqsa building; b). To product additional programs in hospital management information system about the identity and patient's diet is automatically changed according to the movement of patients between the treatment rooms.
Key words: Quality of nursing, patient safety, risk matrix grading, Lean Hospital