91 research outputs found
Supporting family carers in caring for older people in the community in Indonesia
No full textThe purpose of the study:\ud
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The purpose of this research study was to improve the health status of older people living in the community through implementing a family carers' training program.\ud
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Background of the study:\ud
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Many previous studies have reported the improvement of family carers' knowledge in providing better care for older people as well as reducing their burden, anxiety and depression. However, those studies have not addressed clearly the impact of the programs on the health status of older people living in the community.\ud
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Design of the study:\ud
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An experimental design with pre and post-tests of intervention and control groups was used in the study.\ud
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The intervention of the study:\ud
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The intervention group attended the training program and received a training package consisting of 8 health education booklets and trainees'guide at the beginning of the study. They were also provided with guidance practice and follow-up support following the training program. The control group received usual care and support during the study. However, at the end of the study they were provided with the training package.\ud
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Population and sample:\ud
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All older people (60 years and above) living with their family carers in the district of Beiji, Depok Indonesia formed the population for this study. Two villages were randomly selected from the six villages in this district. One village was randomised to become the intervention group and the other became the control group. A sample of 120 older people and their primary carers (120) were selected from of the two villages. Therefore, the total sample consisted of 480 participants made up of 240 family carers and 240 older people.\ud
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Data collection and instruments:\ud
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The data were collected within three time points (baseline, 3 and 6 months) by using several tested and widely used instruments. Some additional questions relating to the family carers' training program were also added. All instruments were tested for reliability in Indonesia before being used for the present study.\ud
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Data analysis:\ud
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T-test and Chi-square analyses were used to identify baseline differences between the intervention and control groups. ANOVA was used to examine the differences between selected internal or external factors of older people and the health status of older people. Two-way repeated measures ANCOV A was chosen to evaluate the differences within the three time points and between groups and controlled for baseline differences or some potential confounders. Friedman's test was used to test the variances which were not equal and for categorical data. For the dichotomous variables, the Cochran's test was chosen.\ud
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Results:\ud
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Overall, the findings over the six-month period for the intervention group showed a significant increase for the knowledge, skills, attitudes, global social support and life satisfaction perceived by family carers when compared to those of the control group. The objective burden was significantly lower in the intervention group than that of the control group. The subjective burden was not significantly different between the groups. However, further analysis using independent pairwise comparisons (Bonferroni) showed the intervention group significantly lower than the control group. Similarly the health status of older people in the intervention group, including physical, mental, global social support, life satisfaction, and blood pressure was significantly increased when compared to those of the control group. In contrast to these findings, the activities of daily living of older people were not significantly different between groups.\ud
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Conclusions:\ud
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In conclusion, the Family Carers' Training Program made a positive impact on the health status of older people through increasing the family carers' ability in caring for older people. This program was found to be acceptable by the population and feasible to implement within the Indonesian population
Hubungan Lingkungan Kerja dengan Perilaku Caring Perawat di RS Pgi Jakarta
Get PDFMeilati Suryani*Junaiti Sahar**Dewi gayatri** ABSTRAKKepuasan pasien terhadap pelayanan keperawatan lebih didasarkan kepada perilaku caring perawat seperti sikap yang ramah, cepat tanggap terhadap kebutuhan pasien serta mau mendengarkan keluhan pasien yang disebut dengan perilaku caring. Perilaku caring perawat selain ditentukan oleh faktor individu juga didukung oleh lingkungan kerja yang baik. Penelitian ini untuk mengetahui hubungan lingkungan kerja dengan perilaku caring. Jenis penelitian deskriptif korelasi dengan sampel 95 pasien dan 95 perawat. Persentase perawat yang berperilaku caring tinggi menurut persepsi pasien adalah 53%. Hasil analisis menggunakan uji Chi Square menyatakan pengaturan beban kerja dan pengembangan profesional berhubungan dengan perilaku caring (p = 0,000). Perawat perlu meningkatkan kompetensi dan komunikasi dengan pasien. Rumah sakit perlu meninjau kembali kebutuhan tenaga dan beban kerja perawat, menjadikan caring sebagai salah satu komponen penilaian kinerja perawat, serta meningkatkan role model kepala ruangan. Kata Kunci: Lingkungan kerja, Perilaku caring perawat, Persepsi pasien ABSTRACTPatient satisfaction to nursing delivery service is most base on nurse attitude which called caring. Caring nurse behavior not only determined by individual factor but also supported by good work environment. This research was to recognize the relationship between work environment and nursing caring behavior according to patient's perception. This is descriptive correlation with 95 patient and 95 nurse as samples. According to patient's perception, as much as 53% of nurses are caring. The result showed that professional development and workload management are significantly associated with nursing caring behavior (p=0.000). Nurses require to improve communication skill. The hospital require improve head nurse as role model, make caring as component for nursing appraisal performance, asses the need for nursing workload and staffing
Kritik Pada Penelitian Kualitatif
Get PDFResearch is a method to answer questions or to solve problems. This article addresses to enrich the readers how ro review a research report through critique research. Research is conducted by a systematic set of procedures and steps and to be clearly and detail reported. Report and/ or article resulted from a research will be considerably feasible implemented whenever the result of study has been reviewed through an accurate and deepen process of assessment or examination which is called critique research. Critique research can be taken by using ten elements and criteria formulated by qualitative research experts. The ten elements include: topic, purpose, design or approach, informant/ participant description, method of data collection, data analysis, findings, conclusion and recommendation. Each element has criteria as an indicator. Therefore, the authenticity of the research report and or articles need to be assessed by careful critical analysis as to broaden the understanding, determine evidence for use in practice and provide a background for conducting further research study
Peran Perawat Dalam Penerapan ‘PHC’ Pada Pelayanan Kesehatan Ibu dan Anak – Keluarga Berencana
Get PDFPenelitian ini menggunakan desain penelitian eksploratif yang bertujuan menguraikan kegiatan yang dilakukan perawat dan mengindentifikasi faktor yang mempengaruhi kegiatan perawatan dalam pelayanan KIA dan KB di Puskesmas dan di masyarakat.Penelitian dilakukan terhadap empat perawat yang masing-masing bekerja di Puskesmas Induk dan Puskesmas Pembantu di Bogor dan Puskesmas Induk dan Puskesmas Pembantu di Depok. Tiap perawat diamati oleh dua orang peneliti selama jam kerja untuk mengetahui jumlah waktu yang digunakan untuk kegiatan KIA dan KB.Hasil penelitian menunjukkan bahwa prosentase waktu rata-rata yang digunakan perawat untuk pelayanan KIA dan KB adalah 29,6% dari total waktu pelayanan Puskesmas. Waktu yang lain digunakan oleh perawat untuk melaksanakan kegiatan pemeriksaan, penyuntikan, pengisian kartu pemanggil pasien dan menyiapkan obat. Perawat yang bekerja pada Puskesmas di Bogor menunjukkan bobot kegiatan paling tinggi dalam pelayanan KIA dan KB, sedangkan tiga perawat lainnya, hanya melakukan kegiatan pada Balai Pengobatan, depot obat dan kegiatan non keperawatan lain. Kegiatan perawat tertinggi di Posyandu adalah pemberian imunisasi dan pemantauan pertumbuhan yaitu 89,3% dari kegiatan lain. Puskesmas yang memberikan kewenangan yang lebih besar kepada perawat dan perawat dengan kemampuan lebih untuk melakukan pelayanan KB, ternyata menunjukkan cakupan KB yang cukup tinggi, yaitu 82,4%.Beberapa faktor yang menyebabkan perawat kurang berperan dalam pelayanan KIA dan KB antara lain karena perawat tidak diberikan kewenangan untuk memberikan pelayanan KIA dan KB, serta uraian tugas yang kurang jelas dan tidak sesuai dengan latar belakang pendidikan perawat. This resort utilized exploratif descriptive design with the purpose of describing the nurse’s activities and identification of factor affective nursing activities in maternal child healt care and family planning services in health center and community.For nurses working at twograin health center and to subdistrict health center located in Bogor and Depok were included in this study. Each nurse was observed by two observers throughout the working in hours to collect data on time spent bu nurses for maternal child health care and family planning services.The result of study revealed that the average of presentage time spent by nurses to provide maternal child health care and family planning sevices was 26,6% of total time spent in health center. The rest of time was spent by nurses for non-nursing activities such as examination parenteral medication, filling out frames, calling for patients and preparing the madication. The nurse who worked at health center in Bogor. Showed the most time spent for maternal child health care and family planning services, while another three nurses only worked at medical room, and drug counter and did non-nursing activities. Imunization and mentoring of child growth were reported as the most activities done (89,3%) at integrated health post (Posyandu) compared to another nurses’s activities. The health center with more autonomy giren to the nurses and asses with more competencies to provide family planning services that infact had an high coverage of family planning which was 82,4%.Several factors affecting the low contributing of nurses on mater hal child health care of family planning have been identified in this study were that those nurses were not authorized to offer maternal child health care of family planning, and the unclear job descriptions, as well ad inadequate educational background of nurses
Peran Perawat Dalam Penerapan ‘PHC' Pada Pelayanan Kesehatan Ibu Dan Anak – Keluarga Berencana
Get PDFPenelitian ini menggunakan desain penelitian eksploratif yang bertujuan menguraikan kegiatan yang dilakukan perawat dan mengindentifikasi faktor yang mempengaruhi kegiatan perawatan dalam pelayanan KIA dan KB di Puskesmas dan di masyarakat.Penelitian dilakukan terhadap empat perawat yang masing-masing bekerja di Puskesmas Induk dan Puskesmas Pembantu di Bogor dan Puskesmas Induk dan Puskesmas Pembantu di Depok. Tiap perawat diamati oleh dua orang peneliti selama jam kerja untuk mengetahui jumlah waktu yang digunakan untuk kegiatan KIA dan KB.Hasil penelitian menunjukkan bahwa prosentase waktu rata-rata yang digunakan perawat untuk pelayanan KIA dan KB adalah 29,6% dari total waktu pelayanan Puskesmas. Waktu yang lain digunakan oleh perawat untuk melaksanakan kegiatan pemeriksaan, penyuntikan, pengisian kartu pemanggil pasien dan menyiapkan obat. Perawat yang bekerja pada Puskesmas di Bogor menunjukkan bobot kegiatan paling tinggi dalam pelayanan KIA dan KB, sedangkan tiga perawat lainnya, hanya melakukan kegiatan pada Balai Pengobatan, depot obat dan kegiatan non keperawatan lain. Kegiatan perawat tertinggi di Posyandu adalah pemberian imunisasi dan pemantauan pertumbuhan yaitu 89,3% dari kegiatan lain. Puskesmas yang memberikan kewenangan yang lebih besar kepada perawat dan perawat dengan kemampuan lebih untuk melakukan pelayanan KB, ternyata menunjukkan cakupan KB yang cukup tinggi, yaitu 82,4%.Beberapa faktor yang menyebabkan perawat kurang berperan dalam pelayanan KIA dan KB antara lain karena perawat tidak diberikan kewenangan untuk memberikan pelayanan KIA dan KB, serta uraian tugas yang kurang jelas dan tidak sesuai dengan latar belakang pendidikan perawat. This resort utilized exploratif descriptive design with the purpose of describing the nurse's activities and identification of factor affective nursing activities in maternal child healt care and family planning services in health center and community.For nurses working at twograin health center and to subdistrict health center located in Bogor and Depok were included in this study. Each nurse was observed by two observers throughout the working in hours to collect data on time spent bu nurses for maternal child health care and family planning services.The result of study revealed that the average of presentage time spent by nurses to provide maternal child health care and family planning sevices was 26,6% of total time spent in health center. The rest of time was spent by nurses for non-nursing activities such as examination parenteral medication, filling out frames, calling for patients and preparing the madication. The nurse who worked at health center in Bogor. Showed the most time spent for maternal child health care and family planning services, while another three nurses only worked at medical room, and drug counter and did non-nursing activities. Imunization and mentoring of child growth were reported as the most activities done (89,3%) at integrated health post (Posyandu) compared to another nurses's activities. The health center with more autonomy giren to the nurses and asses with more competencies to provide family planning services that infact had an high coverage of family planning which was 82,4%.Several factors affecting the low contributing of nurses on mater hal child health care of family planning have been identified in this study were that those nurses were not authorized to offer maternal child health care of family planning, and the unclear job descriptions, as well ad inadequate educational background of nurses
PENGALAMAN KEPALA RUANG DALAM MENGELOLA RUANG RAWAT INAP DI RSUD AMBARAWA
Get PDFKepala ruang adalah manajer operasional yang merupakan pimpinan yang secara langsung mengelola seluruh sumber daya di unit perawatan untuk menghasilkan pelayanan yang bermutu. Penelitian ini bertujuan bertujuan untuk memperoleh gambaran arti dan makna pengalaman kepala ruang dalam mengelola ruang rawat inap di RSUD Ambarawa. Desain penelitian yang digunakan adalah metode fenomenologi deskriptif, pengumpulan data dengan FGD dan wawancara mendalam. Partisipan pada penelitian ini diambil secara purposive sampling,analisa data menggunakan metode Collaizi. Hasil penelitian teridentifikasi lima belas tema tentang gambaran respon kepala ruang terhadap peran dan fungsinya sebagai manajer lini, persepsi kepala ruang dalammenjalankan fungsi manajemen, hambatan dalam mengelola ruang rawat inap, dukungan dan harapan yang diperoleh kepala ruang agar perannya optimal. Berdasarkan hasil penelitian yang diperoleh, kepala ruang perlumemahami, melaksanakan fungsi manajemen guna mendukung kelancaran pelayanan di ruang rawat inap yang menjadi tanggungjawabnya dan diharapkan meningkatkan perencanaan dan ketenagaan di ruangan. Kata kunci: pengalaman, kepala ruang, mengelola, ruang rawat ina
Terapi Musik pada Gangguan Tidur Insomnia
Get PDFThis study aims to identify music therapy in insomnia sleep disorders. The research design used is a systematic review through Scopus, ScienceDirect, ClinicalKey and Wiley Online with the keywords Sleep disorder, Insomnia, Sleep quality and Music therapy from 2017-2021. The results showed that music therapy with a tempo of 60-80 beats that was listened to 30-60 minutes before going to bed for approximately 1 to 2 weeks improved sleep quality by positively affecting PSQI scores. In conclusion, music therapy with soothing tones can reduce insomnia symptoms.
Keywords: Sleep Disorders, Insomnia, Sleep Quality, Music Therap
Strategi Mengurangi Stigma Penyakit Kusta di Komunitas
No full textBackground: The impact of the stigma caused people with leprosy not only suffer physically but also psychologically because they were isolated and ignored by family members and the surrounding community. Aims this study is to describe strategy to decrease stigma for leprae patient. Methods: The type of research design included in the literature review. The studies will be reviewed in English using qualitative, quantitative, and mixed methods. Searches were carried out using Science direct, PubMed (Medline), Google Search and Proquest with keywords for each variable. Keywords in leprosy search, AND (Stigma or discrimination) AND (Intervention or IEC or counseling). Results: The stigma is explained in five categories, namely the integration of leprosy services into health care, communication, information and education programs, socio-economic rehabilitation, change in name of leprosy, and counseling. Conclusion: The interventions carried out provide at least evidence of success in efforts to deal with stigma with various strategies, namely the integration of leprosy programs into health care, IEC and SER interventions
PENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGAN
Get PDFKualitas hidup lansia dipengaruhi berbagai faktor seperti kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Penelitian ini bertujuan mengetahui pengaruh latihan keseimbangan terhadap kualitas hidup lansia di Kota Depok. Penelitian quasi experiment ini dilakukan pada dua kelompok; 30 lansia sebagai kelompok kontrol dan 30 lansia sebagai kelompok perlakuan. Teknik pengambilan sampel yang digunakan adalah multistage random sampling. Hasil penelitian menunjukkan bahwa latihan keseimbangan berpengaruh signifikan, meningkatkan kualitas hidup lansia (p<0,001). Hal ini disebabkan karena latihan keseimbangan dapat meningkatkan kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya untuk meningkatkan kualitas hidup pada lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian pada kelompok usia yang berbeda untuk mengetahui keefektifan latihan keseimbangan lansia.
Kata Kunci: lansia, latihan keseimbangan, kualitas hidup
Abstract
Quality Improvement of Elderly Life in Depok City with Balance Exercise. The quality of life (QOL) of the older adult is affected by various factors such as physical health, psychological health, social relationships and environment. This study aimed to investigate the effect of balance exercise on quality of life among older adults. This quasi-experimental design included two groups; 30 subjects as intervention groups and 30 subjects as control groups. The sample was taken by multistage random sampling. There were significant improvements in quality of life among older adults (p<0,001). Balance exercise can improve physical health, psychological health, social relationships, and environment. Balance exercise can be utilized as one of the preventive efforts to increase the quality of life among older adults in the community. Further research may consider a variety of age to know the effectiveness of balance exercise.
Keywords: balance exercise, older adult, quality of lif
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