Fundamentals of Nursing, -8/E

“Nurse, heal yourself” is a delightful imperative! This is a call for wholeness for nurses. This wholeness includes all facets of life: physical, mental, emotional, psychological, spiritual, and social. This article suggests various practical ways to attain wholeness for nurses, beginning from their training days. Relaxation time, time management, and physical exercises are inevitable stress- busters. Building good home, work, and social relationships positively affect wholeness. Each nurse must practice encouraging self-talk. Boundaries must be maintained and communicated properly. A growth mindset is surpassing to performance mindset. Therapeutic humor is a healer. This article promises to assist all nurses in finding balance in life and work. Keywords: Mental Wholeness; Social Wholeness; Spiritual Wholeness; Emotional Wholeness; Personal Boundaries, Stress; True-Self; Self-Talk; Co-Dependency; Time Management; Growth Mindset; Work-place Bullying; Therapeutic Humor; Laughter.

https://www.iiste.org/Journals/index.php/JNSR/article/download/38723/39824

Nurse, Heal Yourself: Wholeness for Nurses

Background: Caring for a critical ill patient are challenges for nurses. The nurse is required to deliver comprehensive nursing care including mental, psychological and physical. Caring behavior of nurse is inﬂuenced by several factors both internal and external. Objectives: This study aimed was to examine the relationship between nursing supervision, spirituality, caring efﬁcacy, emotional quotation, work stress and working periods with caring behavior while deliver care for a critical patient.
 Methods: Cross-sectional design was used with the number of participants were 66 nurses. Data were collected in July 2018 in three wards: emergency room, HCU, and ICU in dr. DradjatPrawiranegara Hospital, Banten. Instruments used were the Spiritual Orientation Inventory questionnaires, Manchester Clinical Supervision Scale, Caring Behavior Assessment, and Caring Efﬁcacy Scale which were modiﬁed and tested for validity and reliability. Data were analyzed using multivariate linear regressions.
Results: The results showed that there were signiﬁcant relationships between nursing supervision(r=0.511;p 0.05).
Final statistical analysis by using multiple regression showed that nursing supervision Beta=0.434;p<0.01),spirituality (Beta = 0.312; p<0.01) and caring efﬁcacy (Beta = 0.297; p<0.01) were recognized as predictors of nurse’s caring behavior in care critical patient ward.
Conclusion: The Increasing of nursing supervision as an external effort and developing activities are expected to improve spirituality and caring efﬁcacy of nurse is needed to improve nurse’s caring behavior in caring for a critical patient.

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Predictors of Nurse’s Caring Behavior towards Patients with CriticalIllness

The concept of spiritual and religious care, as core components of palliative care for patients at end of life stages, has achieved significant organized applications and advances in modes of intervention and tools. The past two decades have witnessed waves of secularization with impacts of the concepts of spirituality and chaplaincy that diverged away from religion, more so in the UK and some European countries as compared to US applications. Spirituality became more generic and broad that revealed itself in helping and education of patients and families to earth and think of meaning and purpose of life, suffering death and dying. The issues of spirituality and religiosity in the Islamic culture, teachings and attitudes towards patient care at terminal stages of life, is distinguished by clarity and harmony in view of clarity of Muslim beliefs and interpretations concerning purpose, meaning and mission of human life on this earth, end-of-life care and the afterlife. This paper will address the contemporary western diverse concepts of spirituality, its relationship with religiosity in terminal patient care, and will elaborate on the holistic Islamic views and attitudes towards this stage of human life. International Journal of Human and Health Sciences Vol. 02 No. 02 April’18. Page : 65-70

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Spiritual Care at The End Of Life: Western Views and Islamic Perspectives

Health services in hospitals still receive many complaints from the public, including the quality of nursing services. The purpose of this study is to develop a nurse performance model based on knowledge management: SECI with a caring approach to quality of nursing services in hospitals The research design carried out was quantitative with cross sectional design to identify organizational factors, nurse factors, occupational factors, opportunities for knowledge management-based nurse performance: SECI with caring approach. Sample of nurses was 120 respondents and data analysis used SEM-PLS. The hypothesis analysis showed significant result only for working factors variable (T value = 2,658, p = 0.008), because the statistical T-value >1.64 (two-tiled) or >1.96 (one-tiled) and probability value (P value) < 0.05. It can show that ' organizational factors, nurse factor variables and opportunity variables do not affect nurse performance, while working factor variables can. Working factors improve nurse performance, which includes objective performance, feedback, correction, form of work, while other factors do not affect nurse performance. Â© 2020 EManuscript Technologies. All rights reserved.

Development of nurse performance model based on knowledge management: seci with caring approach to quality of nursing services in hospital

Caring was the behavior provide assistance holistically to individuals. In fact, nurses Caring behaviors made only modest, yet an art in nursing care which should always be a nurse. The good personality and spiritual be one of the factors that affect the formation of nurses Caring behaviors. Spiritual was the passion or impulse that comes out from within themselves to do the noble. The research objective was explained a spiritual relationship nurses with nurses caring behaviors. The research design was used cross sectional. The population in this researchs were associate nurses in the ward. A sample were taken of 88 nurses with consecutive sampling technique. Data collection was done at the General Hospital of Haji Surabaya, Al Irsyad General Hospital Surabaya and Muhammadiyah Gresik Hospital. Data collection was used questionnaire, with multivariate data analysis Structural Equation Modeling- Partial Least Square (PLS-SEM). The results showed no significant relationship between demographic with spiritual nurses. Demographic indicators for the hypothesis test was psychological, length of work, education, and wards. Demographics nurses with nurse caring no significant relationship. Spiritual nurses significant relationship with the caring nurses at 7.061. These results indicated that modeling should be done was draw line from the spiritual to the caring nurses and the others deleted. The conclusion of the research was the spiritual nurses significant relationship with the nurses caring behaviors. Suggestions have to do is always give spiritual training to nurses as one of supporting the implementation of nursing care.

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Nurses’ Spirituality Improves Caring Behavior

Objective: It is discovered that approximately 80% patients with chronic kidney failure undergoing haemodialysis treatment experience a difficulty to sleep. Such issue could decrease the patients’ living quality. The relaxation therapy using spiritual approach based on the patients’ religion to improve sleep quality has not been scientifically proven yet. This study aims to analyze the effect of religious relaxation therapy on patients with chronic kidney failure undergoing haemodialysis treatment. 
Materials and methods: The research was quasy experiment with prepost test control group design. The subjects of the research are the entire patients with chronic kidney failure who undergo haemodialysis treatment in the Islamic Hospital. The samples are taken from sixty clients recruited by random sampling allocation technique. Those clients aged 20-65 years old, Moslem and no complications. Patients’ sleeping quality is determined by The Pittsburgh Sleep Quality Index (PSQI). Meanwhile, the data is analyzed by using Wilcoxon sign rank statistic test and Mann Whitney U test. 
Results and Discussion: The research showed that the religious relaxation therapy is proven to have a more improved good sleep quality (73.3 %) while the control group tends to be stagnant. The religious therapy is proven to have a positive effect on sleep quality by p = 0.000 
Conclusion: The religious relaxation therapy gives positive effects in improving the sleep quality for patients with chronic kidney failure who undergo haemodialysis treatment. 
Bangladesh Journal of Medical Science Vol.19(1) 2020 p.48-52

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The Effect of Religious Relaxation Therapy on Improving Sleep Quality of Patients Chronic Kidney Failure: A Pilot Study in Surabaya

Objectives: Caring is the essence of the nursing process delivered by nurses in diverse cultural settings exceptionally is Islamic caring. This research aims to develop an Islamic caring model for the psycho-spiritual comfort of coronary disease patients. Method: The research method used was analytic observational with a cross-sectional design. This research recruited 70 clients from the population of the heart disease patients in three Islamic hospitals by using simple random sampling. Data were collected by questionnaire and analyzed by Partial Least Squares-Structural Equation Modeling (PLS-SEM). Results: The research showed that there were influences from the nursing and service factors towards Islamic caring with a value of t= 7.79; 2.06. There was influence from Islamic caring towards psycho-spiritual comfort with a value of t= 2.85. Conclusions: The Islamic caring model is a nurseâ��s behavior that emphasizes Islamic values that include the characteristics of maintaining confidence, compassion, and competence to enhance the patientsâ�� psycho-spiritual comfort. Â© 2018, Indian Journal of Public Health Research and Development. All rights reserved.

The development of islamic caring model to improve psycho-spiritual comfort of coronary disease patients

Introduction: Acute respiratory tract infections (ARI) is a disease that is the primary cause of death, especially in children. Toddlers can be prevented from developing ARI with increased immunity. Giving breast milk can increase children's immunity, but there are still children who experience ARI. This study aimed to explain the differences in Acute Respiratory Tract Infections (ARI) events in toddlers who are exclusively and non-exclusively breastfed. Methods: The research design used was descriptive-comparative with a retrospective design. The population in this study were all children one to three years of age. A sample of 158 toddlers was recruited by a purposive sampling technique. Data retrieval was done with the criteria that the child had visited a public health centre (puskesmas) or integrated health care service post (posyandu), and does not suffer from a disease such as asthma or have any allergies. The variables were measured using a questionnaire and observation sheet. Data analysis was done by a chi-square test and binary logistic regression. Results: The results showed that there were differences in ARI incidence in toddlers (one to three years) who were exclusively and non-exclusively breastfed with a value of p = 0.003. The air pollution factor proved to be significant, dominantly affecting the incidence of ARI. Conclusion: Differences in ARI incidence in toddlers who are exclusively and non-exclusively breastfed is possible due to air pollution factors. Key implications for nursing practice from this research are improving services, and prevent the occurrence of ARI.

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Siti Nur Qomariah

Papers

Nurses’ Spirituality Improves Caring Behavior

The Effect of Religious Relaxation Therapy on Improving Sleep Quality of Patients Chronic Kidney Failure: A Pilot Study in Surabaya

The development of islamic caring model to improve psycho-spiritual comfort of coronary disease patients

Exclusive Breastfeeding Associated with the Reduction of Acute Respiratory Tract Infections in Toddlers with High-Risk Factors

Factors the incidence of hypoglycemia in diabetes mellitus patients: A pilot study in the emergency room.