Airlangga University

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    THE APPLICATION OF LEADERSHIP BEHAVIOR MODULE BASED ON PATH-GOAL THEORY TO SATISFACTION AND PERFORMANCE OF NURSES

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    Introduction: The satisfaction and performance of nurses contribute to the quality of health care in hospitals. The leadership behaviors that can be used to improve performance and satisfaction is leadership behavior based on Path-Goal theory. The purpose of this study was to clarify the effect of the application of leadership behavior module based on Path-Goal theory to satisfaction and the performance of nurse Methode: This study used quasy experiment with pre -post test design. The population in the study were all nurse unit managers and all nurses in Rumah Sakit Muhammadiyah Gresik and Rumah Sakit Muhammadiyah Sekapuk Ujung Pangkah Gresik. Samples were selected by random sampling proportional. Samples 2 nurse unit manager and 12 nurses both the treatment group and the control group. The independent variable: the application of leadership behavior based on Path-Goal Theory. Dependent variables: satisfaction and performance of nurses. Data were collected by questionnaires and observation, and analyzed by Independent T-Test and Paired t-test with significance level α ≤ 0.05 Results and Analysis: The results showed there were differences in nurse’s job satisfaction before and after implementation of leadership behavior’s base on Path-Goal theory (p<0.001), there were differences in nurse’s performance before and after implementation of leadership behavior’s base on Path-Goal theory (p<0.001), nurse unit manager’s leadership behavioral base on Path-Goal theory improve nurse satisfaction (p<0.001) and nurse unit manager’s leadership behavioral base on Path-Goal theory improve the performance of nurses (p<0.001). Discussion and conclusion: The nurse unit manager’s leadership behavioral base on Path-Goal theory can improve nurse’s satisfaction and performance, so that by applying leadership behavior according to the characteristics of subordinates will provide psychological comfort to subordinates. So that subordinates will be motivated to work. Keywords: Path-Goal leadership behaviors module, nurse’s satisfaction, nurse's performanc

    EFFECT OF MODIFICATION RESISTED HAND EXERCISE MUSCLE STRENGTH OF UPPER LIMB CLIENT HEMIPARASE POST ISCHEMIC STROKE

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    Hemiparese is a common problem that can caused disability. Exercise is still considered effective to prevent disability. This study is aimed to increased the muscle strength on hemiparese patient's muscle strength caused by ischemic stroke in RSUD Gambiran Kota Kediri. This study used Quasi Experiment pre and post test research designs. Number of samples were 24 respondents who were divided into intervention group and control group. Evaluation research was done on the first day and eigth day for the two groups. Data were analyzed Paired T test and Independent T Test. Study results showed an increased in muscle strength (p =0.000) in both the intervention groups and there are significant differences between the two groups (p = 0009), which means there is a difference between the control group treatment group. The implication of this research are to use exercise as one of the independent nursing interventions in caring stroke patients with hemiparase and to improve the quality of nursing care, makes healing process faster, prevent complications dan also enrich nursing science. Key words: stroke; hemiparese; modification resisted hand exercise; muscle strength

    (Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment)

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    Pendahuluan. TB paru merupakan salah satu masalah kesehatan masyarakat di dunia yang menonjol. Ketidakpatuhan pasien terhadap pengobatan merupakan kontributor yang signifikan terhadap kejadian resistensi obat. Penelitian ini bertujuan untuk mengembangkan dan menguji model asuhan keperawatan untuk mencegah ketidakpatuhan pasien TB dalam pengobatan. Metode Penelitian ini terdiri dari dua tahap: tahap satu, pengembangan model, menggunakan analisis deskriptif, dan tahap dua, pengujian model, menggunakan desain kuasi-eksperimental. Sampel terdiri dari pasien dan perawat di dua pusat kesehatan di Surabaya yang diperoleh dengan consecutive sampling. Data dikumpulkan melalui wawancara, kuesioner, daftar centang dan focus group discussion. Analisis data dilakukan dengan menggunakan Partial Least Square dan uji Wilcoxon. Hasil. Model terbukti efektif untuk meningkatkan hampir semua aspek kepatuhan pasien terhadap pengobatan TB (pengetahuan, disiplin dalam mengambil obat keteraturan kontrol, dan kemampuan untuk memantau hasil pengobatan dengan p <0,05), kecuali terhadap kemampuan untuk mengatasi efek samping obat (p = 1.000). Hal ini dimungkinkan karena tidak banyak pasien yang mengalami efek samping obat, sehingga pengalaman mereka terbatas. Diskusi. Model asuhan keperawatan KM terbukti efektif untuk meningkatkan kepatuhan pasien terhadap pengobatan. Penelitian selanjutnya disarankan untuk mengevaluasi dampak dari model asuhan keperawatan KM dalam populasi yang lebih besar

    Lived experience of Indonesian nurses in Japan: A phenomenological study

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    Aim: The movement of Indonesian nurses via a bilateral agreement with Japan has led to a substantial number of migrants to work as nurses in that nation’s healthcare system. The purpose of this research was to develop a deeper understanding of the meaningful experiences of Indonesian nurses while working in Japanese hospitals. Methods: In this phenomenological study, sampling was purposive and was based on information shared by five Indonesian nurses. The data were collected in interviews; the analysis was thematic. Results: Six key themes were identified: (i) seeking better than before; (ii) communication challenges; (iii) the nursing examination as a culmination; (iv) differences in nursing practice; (v) cultural differences; and (vi) the benefits of living in developed country. Among these challenges, communication as the basis of shared meaning and understanding was viewed as a complex issue, by both patients and coworkers. Conclusion: The results of this study call for further intervention in supporting Indonesian nurses living in Japan in their struggle with the issue of communication. The emphasis on language acquisition for personal and professional objectives, and the bridging of cultural differences as well, should be considered in an international context

    PUBLIC PARTICIPATION IN HEALTH DEVELOPMENT PROGRAM IN WONOKROMO DISTRICT

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    Introduction: Basic health development as stated in the Health development plan: (1) Humanitarian, (2) empowerment and self-reliance, (3) Fair and equitable, and (4) Promoting and benefits. Realizing the welfare of society (healthy society) required the Government's seriousness in its achievement. One of the aspects that must be met is public participation. Research issues is how is the form of public participation as the public independence and empowerment in Wonokromo district, Surabaya. This research is descriptive research, which aims to describe about this public participation form as the activitiy of public independence and empowerment in Wonokromo district, Surabaya. In determining informants used purposive technique with key informant technique (key informant). Method: The research strategy was an ethnographic research with the techniques of data collection in the form of observation, in-depth interviews, and the document data source. The data collected were analyzed using interpretive descriptive analysis techniques. Result: The results showed that this form of public participation were still top down. The system of Government in Wonokromo does not fully unearth potential and leverage activities society power sourced (UKBM). Discussion: With public active participation it is expected that it can increase public independence and empowerment by staying involved the active participation of health resources that are owned as a facilitator. Key words: participation, independence and empowermen

    ANALYSIS OF THE CHANGE OF INTENT KEEP SKIN HYGIENE IN DORMITORIES AT AL-MUKMIN DAUGHTER ASROR BANGKALAN MADURA

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    Introduction : Skin hygiene is the main cause of Scabies. The high incidence rate of Scabies is caused by the low skin hygiene. The skin hygiene in Pondok Pesantren Al-Asror is in the lowest rank among other personal hygiene. Therefore, this research was purposed to analyze the change in willingness to maintain skin hygiene resulted from health counseling held in female dormitory of Pondok Pesantren Al-Asror (Islamic Educational Center), located in Bangkalan, Madura. Method : The research was pre-experimental one group pre-post test design. The population involved all female students, totally 125 students, in which 96 respondents were chosen as the samples by using the simple random sampling technique. The data were collected by using questionnaires spread before and after giving health counseling in the location mentioned above, then analyzed by using T-test with the significance level of 0.05. Result : The result of analysis using T-test showed that p = 0.000 which meant that there was a significant change in the intention after receiving health education. So p = < α so that H0 was rejected illustrating that there was a change in the intention to maintain the skin hygiene in the Islamic educational center. The research concluded that the health counseling can change the intention to maintain the skin hygiene. Hence, the students are expected to keep the skin hygiene to improve the health level. Key words: intention, health counseling, skin hygien

    ANALYSIS OF FACTOR THAT RELATED WITH DISASTER PREPAREDNESS ON UNDERGRADUATE HEALTH STUDENT IN AIRLANGGA UNIVERSITY SURABAYA

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    Unpreparedness of disaster community anticipating result many fatalities and economic loss every it were happen as earthquake, tsunami, volcanic eruption, flood, and avalanche. The aim of the reasearch to analysis of factor that related with disaster preparedness. The research design was analytic descriptive Population of the research is undergraduate health student in Airlangga University Surabaya (Faculty of Nursing, Faculty of Public Health, and Faculty of Medicine) with 97 student as a samples. The independent variable that be measured was an experience of encounter the disaster, disaster education, and disaster knowledge, and dependent variable that be measured was an aplication of disaster preparedness. The research data accumulation by the instrument be in the form of questionnaire an analyzed with chi square and spearman rho statistik check. The research outcome evidence that knowledge level were not significant result (P=-0,76), experience of ecounter the disaster (P= 0,453) and disaster education (P= 0,381) also have not a significant result to disaster preparedness. The next is better if measured an other factor that result with disaster preparedness on undergraduate health student in Airlangga University Surabaya. Keywords : Preparedness, Disaster, Knowledge, Experienc

    TUBERCULOSIS PATIENT HABITUAL OF COUGHING AND SPUTUM DISPOSE

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    Introduction: Tuberculosis contagious was can be directly to healthy person when confronted by talking, coughing, and droplet. This condition was depend on tuberculosis patient, especially about sputum dispose. The study purpose was describe of the tuberculosis patient habits of sputum dispose. Methods: Design study was cross sectional. Subject were 111 tuberculosis patients, who recorded in register at public health center of Kota and Kabupaten Blitar in January – April 2015. Subject criteria were not multi drug resistant and not being hospitalized when data collection. Varibles study were patient characteristic, habits when coughing, and sputum disposal habits. Data collection used questionnaires, conducted in May – August 2015. Analysis used descriptive and correlation. Result: This study showed that patient habits when coughing are very bad, that are the cough position is straight forward, do not shut mouth, using the hand to close, and no hand washing after coughing. And, patient habit of sputum dispose has correlated with used closer container, used disinfectant in container, and how to dispose of sputum accumulated. Analysis: The patient coughing habits was not good and dangerous for those who live around. Because the bacteria that fell together with droplet will be easy to breed and can get into the lungs via the inhaled air. In case the transmission of tuberculosis will be fast. So, patient efforts to collected sputum given disinfectant should be maintained, but will be changing used the soap as disinfectant into formaldehyde. Example formaldehyde which is easily available and often used is softener and perfuming clothes. Discuss: Health education for tuberculosis patients need to be improved abaout good way of hands wash to prevent contagious and use of formaldehyde to kill germs. Key words: tuberculosis, habit, sputum dispose, health educatio

    ROLE ATTAINMENT COMPETENCY DEVELOPMENT STIMULATION WORKING MOTHERS HAD INFANTS 0-3 MONTHS

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    Introduction:Tthe role of a mother to do stimulation progress so that children reach developmental optimal1. Achievement Roles or Role Attainment working mother can be either excitatory development of competence in delivering babies 0-3 months in the form of a process of self-development stimulation developments that will have an impact on infant development. The research aims to analysis role attaintment of working mothers in the competence of stimulation developments that affect the development of infants . Method: The study design was analytic correlational with cross sectional approach. Population is working mothers had babies 0-3 months are 45 and by simple random sampling as many as 32. Collecting data using questionnaires for role Attainment competence development stimulation and observation sheet KPSP. Data were analyzed with the Mann Whitney statistical test. Results: Of the study 62.5% of respondents between 20-35 years old mother. 78.1% of respondents secondary maternal education. 68.8% of women work in factories. 78.8% of respondents position middle child and infant 56.3% 62.5% boy sex mom competent enough stimulation. 25% of infant development doubted. With Mann-Whitney statistic r = 0.000 for r <a sense there is a relationship role Attainment competence development stimulation and development. Discussion: Role Attainment stimulation competence development within the competence necessary stimulation for babies to develop optimally. Developmental delays in young infants by looking KPSP can still be achieved in the next month with early detection of growth and development conducted by health officials together with the mother to correct deviations in the development of the baby. Keywords: role attainment, working mothers, developmen

    CAREGIVER COPING EXPERIENCES ON TAKING CARE THE DEMENTIA ELDERLY IN A NURSING HOME

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    Introduction. Taking care dementia was stressful for both physical and emotional. The stress and burden influenced the caregiver’s quality of life. Consequently, emotional and behavior changes shown by the caregiver which is called coping mechanism appeared. The objective of the study is to identify a caregiver’s coping experiences on taking care the dementia elderly in nursing home. Method.This study used qualitative research design with phenomenology approach. The sampling technique used purposive sampling. There were ten participants that consisted of seven caregiver’s and three members of the nursing home management used. This study used interview, processing and the analysis used Collaizi method. Result.The study result identified fifteen themes, first it was dementia concept. The ways of taking care the dementia comprised the basic need, objective, method and social support. The obstacles which the caregivers felt were demand and burdens. The ways of handling obstacles were modified ways of care, coping mechanism and the supports sources. The caregiver’s hope in the comprised the structure of dementia, quality of life the elderly, health services and the caregiver’s welfare. Conclusion. Caregiver’s coping were influenced by the caregiver’s understanding about dementia, the way for caring them, the obstacles, problem solving and caregivers hope. The result suggests the need of support from other caregiver, nursing home members, caregiver’s family, community health centers, regional hospital, social department, and other organizations in dementia care. Ethnography study use uncertainty in illness model to explore caregiver coping experiences need to conduct for future study. Keywords: Experiences, Coping, Caregiver, Elderly, Dementi

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