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Showing papers in "Jurnal Ners in 2019"


Journal ArticleDOI
TL;DR: Traditional health promotion media such as leaflets and posters are still useful in the current digital era, especially for adult respondents, and will be more effective when combined with other mediasuch as videos, telephone interactions, games and others.
Abstract: Introduction: The use of health promotion media in the digital era, such as e-health and m-health, is increasing. However, traditional health promotion media, such as posters and leaflets, are still used. This review aimed to identify the effectiveness of the use of traditional health promotion media (leaflets and posters) in a community setting in the digital era. Methods: The data was gathered using the following steps: (1) determining the topic, (2) determining the keyword chain, (3) looking for the relevant literature in the database and (4) analyzing the article. The search using a predetermined keyword chain in Scopus, Science Direct and Sage Journals produced 208 publications. Results: After applying the inclusion and exclusion criteria, 16 publications were selected for review. Conclusion: Traditional health promotion media such as leaflets and posters are still useful in the current digital era, especially for adult respondents. This form of media will be more effective when combined with other media such as videos, telephone interactions, games and others.

20 citations


Journal ArticleDOI
TL;DR: The Indonesian version of the HAM-A fulfills the criteria of a reliable (fair acceptable criteria) and valid (good criteria) assessment tool to assess the work-related stress in the nursing profession.
Abstract: Introduction: Specific work characteristics have placed nurses as one of the professions with a high level of work-related stress. If not managed properly, work-related stress can cause adverse effects. Signs of stress can be seen in people's behavior, thinking or physical symptoms. One of a subjective measurement tool that is widely used to measure work-related stress is the Hamilton Anxiety Rating Scale (HAM-A), however, the literature that discusses the results of the HAM-A translation, validity and reliability test in the nurse profession is still limited. This study aims to translate HAM-A into the Indonesian version, then test its validity and reliability in nurses. Methods: A Cross-sectional study with stratified random sampling method was conducted on 98 nurses from July to August 2018. The English version of HAM-A consists of 14 items has been a translation into Indonesian version. Pearson Product Moment Correlation was used to evaluate the construct validity and Cronbach's alpha scores were used to assess the internal consistency reliability of the Indonesian version of HAM-A. Results: Item construct validity based on the Pearson correlation ranged from 0.529 to 0.727, Cronbach’s alpha reliability was obtained at 0.756. Conclusion: The Indonesian version of the HAM-A fulfills the criteria of a reliable (fair acceptable criteria) and valid (good criteria) assessment tool to assess the work-related stress in the nursing profession.

19 citations


Journal ArticleDOI
TL;DR: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.
Abstract: Introduction: The increasing need for palliative care (PC) in the intensive care unit (ICU) is characterised by an increasing number of patients with critical and terminals conditions. It requires comprehensive treatment of nurses, through PC. Self-efficacy is a major predictor that affects the application of PC in ICU. Therefore, nurses need to have high self-efficacy to provide quality PC for patients and their families. This study aimed to analyse the factors that dominant relates to nurses' self-efficacy in implementing of providing PC in ICU. Methods: This research was correlational research with cross-sectional survey design. The sampling technique used was total sampling, which involved 127 critical nurses who were actively working at a general hospital in Bandung, Indonesia. Data were collected using questionnaires. Bivariate analysis using Pearson correlation and Rank-Spearman test and multivariate analysis using linear regression. Results: The results showed that the majority of respondents had high self-efficacy, working experience >15 years, enough interest to the nursing profession had less knowledge and negative perception related to the PC in ICU. There was a significant relationship between self-efficacy with work experience, nurses' interest in the nursing profession, knowledge and perception variables. The most dominant factors related to self-efficacy, namely knowledge and perceptions of nurses related to PC. Conclusion: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.

13 citations


Journal ArticleDOI
TL;DR: In this article, the authors used a cross-sectional survey design to measure young staff nurses' perception of leader empowering behaviors and psychological empowerment and found that the positive influence of the empowering behaviors of leaders in enhancing staff nurses’ level of psychological empowerment was highlighted.
Abstract: Introduction: Empowerment has become an important concept in nursing that has gained acknowledgment in theories and practice of leadership and management. A positive organization espouses empowerment to attract and retain employees. While it is not new to nursing, there is little published research on empowerment among nurses in the Philippines. This study aimed to measure young staff nurses’ perception of leader empowering behaviors and psychological empowerment. Methods: This study used a cross-sectional survey design participated by 44 conveniently chosen staff nurses in a private teaching and training hospital in Iloilo City, Philippines. The participants were asked to answer 5-point Likert scale questions utilizing adopted instruments. Descriptive and non-parametric statistical stools were used with Mann-Whitney U test to determine differences and Spearman’s rank correlation to establish relationship between variables. Results: Overall, young staff nurses perceived their leaders’ behaviors to be highly empowering (M=3.89). Staff nurses also had a high level of psychological empowerment (M=4.07). Leader empowering behaviors was significantly related to staff nurses’ perception of psychological empowerment (p=.001). Staff nurses’ level of psychological empowerment were significantly different in terms of employment status (p=.020) and years of work experience (p=.014). Conclusion: This study highlights the positive influence of the empowering behaviors of leaders in enhancing staff nurses’ level of psychological empowerment. It is vital for nurse managers to continually demonstrate leadership behaviors that empower staff nurses at the unit level.

8 citations


Journal ArticleDOI
TL;DR: The tingling and pain in the feet can be reduced or even disappear as well as preventing complications such as foot ulcers that can often become amputations in Diabetes Mellitus patients.
Abstract: Introduction: Diabetes Mellitus (DM) is a cause of morbidity mainly due to vascular complications. The prevention of diabetic foot problems can be done through metabolic control and foot exercises. The purpose of this study was to determine the effect of diabetes foot spa measures on blood glucose levels, foot sensitivity and the ankle brachial index. Methods: This research was a pre-experimental design. The population totaled 170 DM patients and the sample was finalized at 30 respondents. The independent variable was diabetic foot spa, while the dependent variables were blood glucose levels, blood sensitivity and the ankle brachial index. The data was analyzed using a t-test and Wilcoxon rank test. Results: Diabetic foot spa in early neuropathy detection testing has a blood glucose level of t=9.523 and a p value=0.000. Diabetic foot spa also significantly affects foot sensitivity with a ρ <α (0.001<0.05) and an ankle brachial index of (ABI) ρ<α (0.008 < 0.05). Conclusion: Diabetic foot spa conducted regularly and independently can reduce the level of complications in Diabetes Mellitus patients. Furthermore, the tingling and pain in the feet can be reduced or even disappear as well as preventing complications such as foot ulcers that can often become amputations.

7 citations


Journal ArticleDOI
TL;DR: This study identifies the correlation between caring efficacy with nurse caring behavior in taking care of critical patients at dr. Dradjat Prawiranegara Serang Hospital in Banten Province and can be used by academic as a prospective nurse and health professionals to implement a concept of caring efficacy to improve caring behavior.
Abstract: Introduction: Critical patients have different needs compared to patients in other general inpatient wards, so they need extra treatments from a nurse. Nurse caring behavior gived through an approach in which nurses work by improving their concern to patients. However, it is influenced by caring efficacy in which a nurse is confident to express his or her caring to patients. The aims of this study were to identify the correlation between caring efficacy with nurse caring behavior in taking care of critical patients at dr. Dradjat Prawiranegara Serang Hospital in Banten Province Methods: This is a quantitative study with employed a correlation study. The sample size comprised 66 Nurses of ER, ICU and HCU with total sampling technique. The instruments used are CES (Caring Efficacy Scale) to measure caring efficacy and CBA (Caring Behavior Assessment) to measure nurse caring behavior. Descriptive analysis using mean, standard deviation, percentage and frequency distribution. Meanwhile, inferential analysis used Pearson's Correlation. Results: The univariate analysis results showed the mean ± DS score of caring behavior is 87.6 ± 10.12. Meanwhile, the mean ± DS score of caring efficacy is 86.23 ± 8.74. Further, inferential analysis revealed a significant (p < 0.000) and moderate correlations (r = 0.448) between caring efficacy and nurse caring behavior. Conclusion: Higher of nurse's caring efficacy were followed by higher of nurse's caring behavior in taking care of critical patients. Findings can be used by academic as a prospective nurse and health professionals, to implement a concept of caring efficacy to improve caring behavior. Further research can be a focus on the nursing interventions based on nurses caring behavior to strengthen and increase in taking care of critical patients.

7 citations


Journal ArticleDOI
TL;DR: The government and health services need to increase the promotion of a healthy lifestyle, exceptionally robust diet programs, to encourage the population to maintain ideal body weight and to reduce the rate of hypertension.
Abstract: Introduction : Hypertension can cause cardiovascular disease, and it is still a serious global problem. The Prevalence of hypertension has increased every year. Some of the factors associated with hypertension are obesity and physical activity. The prevalence of obesity has increased every year, and many people have lower levels of physical activity. This study aims to analyse the correlation between Body Mass Index (BMI), physical activity and hypertension in Indonesia. Methods : This study used a cross-sectional study design using secondary data from the Indonesia Family Life Survey 5 (IFLS5) conducted in 2014 - 2015. The sample consisted of individuals in the households interviewed and 26,472 Respondents fulfilled the criteria. The data were analysed using multivariate logistic regression. Results : The results showed that most of the respondents were of productive age. More than half of the respondents were female (52.05%). The respondents who Had hypertension totalled 22.63 %. After being controlled by the covariate variables, the results showed that the obese respondents had 4.08 times higher odds of experiencing hypertension compared to the normal respondents (AOR= 4.08, 95% CI = 3.68-4.53, p-value = 0.000) and that the respondents who were overweight were 2.49 times likely to get hypertension compared to the respondents who were normal (AOR = 2.49, 95% CI = 2.32-2.67, p-value = 0.000). Meanwhile, the respondents with an underweight BMI were 0.58 times more likely to have hypertension compared to the respondents who were normal (AOR = 0.58, 95% CI = 0.52-0.65, p-value = 0.000). Conclusion : Individuals with a higher BMI will be more at risk of hypertension While physical activity is not related to hypertension. The government and health services need to increase the promotion of a healthy lifestyle, exceptionally robust diet programs, to encourage the population to maintain ideal body weight and to reduce the rate of hypertension.

6 citations


Journal Article
TL;DR: Dismenore yang tidak ditangani dengan benar dapat menganggu aktivitas sehari-hari karena lemah, gelisah, atau depresi, bendungan haid dirongga panggul, kram hebat yang menyertai keluarnya sebuah gumpalan bekuan dari rahim.
Abstract: Dismenore yang tidak ditangani dengan benar dapat menganggu aktivitas sehari-hari karena lemah, gelisah, atau depresi, bendungan haid dirongga panggul, kram hebat yang menyertai keluarnya sebuah gumpalan bekuan dari rahim, gangguan di rongga panggul akan mengakibatkan berbagai gangguan didaerah tersebut dan kontraksi rahim yang hebat. Untuk mengurangi rasa nyeri dismenore tersebut di anjurkan untuk menggunakan terapi Murottal, tindakan ini sangat cocok untuk mengurangi rasa nyeri dismenore. Tujuan penelitian ini adalah untuk mengetahui efektifitas terapi murottal terhadapnyeri dismenore pada remaja putridi SMANegeri 2 Bangkinang Kota Tahun 2019. Metode yang digunakan adalah quasi experimenyang pemilihan subjek dilakukan dengan non random, dengan jenis rancangan the one group pretest-posttest design. Populasi adalah seluruh siswi SMA Negeri 2 Bangkinang Kota dengan jumlah 580 orang siswi. Penentuan sampel menggunakan Purposive sampling, jumlah sampel pada penelitian ini sebanyak 30 orang. Alat pengumpulan data yang digunakan adalah lembaran Observasi dengan menggunakan skala intensitas nyeri. Analisa yang digunakan adalah analisa univariat dan bivariat dengan menggunakan uji Pairet Sample t test. Hasil penelitian bahwa rata-rata tingkat nyeri dismenore sebelum dilakukan terapi 5,57, setelah dilakukan terapi Murottal turun menjadi 3,67. Serta menunjukan adanya hubungan signifikan antara terapi murottal dengan nyeri dismenore dengan nilai p-value (0.000) <α (0,05), diharapkan para remaja atau perempuan dapat mengaplikasikan terapi Murottal untuk mengurangi nyeri dismenore.

6 citations


Journal ArticleDOI
TL;DR: Factors of maternal knowledge about infection prevention and family support need to be considered in increasing the ability of mothers to care for babies with LBW.
Abstract: Introduction : Low birth weight (LBW) infants are very susceptible to illness. LBW treatment with the principle of preventing infection is very important at home. The purpose of this study was to determine the relationship between maternal knowledge and family support with the prevention of infection at home. Methods : This study used a correlation design. The samples were 160 mothers who had low birth weight infants with inclusion criteria mothers give birth to babies weighing less than 2,500 grams with ages 0-2 months. The samples were obtained through purposive sampling. The dependent variable was the mother's ability to prevent infection while the independent variable was the mother's knowledge and family support. The instruments used were questionnaires. This research analyzed using Spearman Rho. Results : The results showed that there was a strong correlation between knowledge and the ability to prevent infection in treating low birth weight (r = 0.696; p = 0.00) and that there was a moderate correlation between family support and infection prevention ability when treating a low birth weight (r = 0.54. p = 0.000). Conclusion : Factors of maternal knowledge about infection prevention and family support need to be considered in increasing the ability of mothers to care for babies with LBW. The factor of maternal knowledge about prevention of infection has a strong correlation value when compared to family support factors. Further research is needed on the model of increasing maternal knowledge about LBW infants during home care.

6 citations


Journal ArticleDOI
TL;DR: Red ginger massage can be applied as a complementary treatment to help reduced joint stiffness and functional disability in addition to standard drug treatment usage in osteoarthritis disease.
Abstract: Introduction: Recent research has provided data on the efficacy of the massage therapy and the role of essential oil in the management of osteoarthritis (OA) symptoms. Although both areas of research have demonstrated strong evidence that the muscles and massage with essential oil may affect OA symptoms, massage with essential oil applied on the quadriceps muscle has received no attention. The purpose of this study was to identify the effect of red ginger massage on joint stiffness and functional disability in elderly with osteoarthritis. Methods: This study was a randomized control group pre-test and post-test experimental study design involving 62 elderly with osteoarthritis divided into two groups namely red ginger massage and control groups by random cluster sampling. The instrument used was Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Statistical test used were paired t-test and MANCOVA. Results: Baseline value of stiffness and functional disability in intervention group were 4.47 ± 1.717 and 35.93 ± 12.806. After 8 weeks stiffness and functional disability became 2.40 ± 1.380 and 19.50 ± 9.420 Stiffness and functional disability were decreased on intervention group with p-value 0.000 and 0.004. It means there was influenced by red ginger massage on stiffness and functional disability in elderly with osteoarthritis. Conclusion: Red ginger massage can be applied as a complementary treatment to help reduced joint stiffness and functional disability in addition to standard drug treatment usage in osteoarthritis disease.

5 citations


Journal ArticleDOI
TL;DR: Foot exercise and foot care can be one of the independent nursing interventions used to prevent the complications of diabetes mellitus, as they have been proven to improve the peripheral vascular status of patients with diabetes Mellitus by 70-80%.
Abstract: Introduction: Diabetes mellitus is a cause of health problems which occurs in most countries. Approximately 13 - 15% of all patients with diabetes mellitus will experience peripheral circulatory disorders. Foot exercise and foot care are interventions that can be implemented to prevent foot ulcers. Methods: This study employed a pre-post-test quasi-experimental design with a control group. The sample consisted of 94 patients with diabetes mellitus who were assigned to the intervention group (n=47) and the control group (n=47) respectively. Consecutive sampling was used to recruit the samples. The instruments used to collect the data included 10-g monofilament for the diabetic neuropathy test, a HbA1c test and a sphygmomanometer. The collected data was analyzed using a paired t-test. Results: The results of this study showed there to be significant effects from foot exercise and foot care on the HbA1c test, in relation to the frequency of the dorsalis pedis artery and diabetic neuropathy with a significance value of 0.00 (p 0.05). Conclusion: Foot exercise and foot care can be one of the independent nursing interventions used to prevent the complications of diabetes mellitus, as they have been proven to improve the peripheral vascular status of patients with diabetes mellitus by 70-80%.

Journal ArticleDOI
TL;DR: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition and health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.
Abstract: Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia. Methods : This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025). Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.

Journal ArticleDOI
TL;DR: Haemodialysis patients who performed PMR interventions showed a promising outcome on a decrease in anxiety, blood pressure and pulse, suggesting that the regular application of PMr interventions can control vital signs in patients undergoing haemodIALysis.
Abstract: Introduction: Haemodialysis is one of the kidney replacements therapies, but, as it cannot wholly replace kidney function, it still causes complications such as increased blood pressure and pulse which can lead to anxiety for the patient. The purpose of this study was to explain the effect of Progressive Muscle Relaxation (PMR) on anxiety, blood pressure and pulse in haemodialysis patients. Methods: The study design was a true pre-post-test control group design experiment. The total sample was 105 haemodialysis patients taken by purposive sampling technique and divided into two intervention groups and one control group. The independent variable was PMR, and the dependent variables were anxiety, blood pressure and pulse. Data were obtained using a questionnaire and analysed using the Kruskal Wallis Test and Mann-Whitney U test with a significance level <0.05. Results: The results of the PMR two times per week group analysis for one month showed a significant influence on anxiety (p=0.000), blood pressure (p=0.000), and pulse rate (p=0.000). Mann-Whitney U Test Results showed a significant effect on anxiety (p=0.004), blood pressure (p=0.000), and pulse (p=0.000). Conclusion: Haemodialysis patients who performed PMR interventions showed a promising outcome on a decrease in anxiety, blood pressure and pulse. The regular application of PMR interventions can control vital signs in patients undergoing haemodialysis

Journal ArticleDOI
TL;DR: The majority of the antecedent, transaction stage, and outcome showed an average condition which requires an improvement in order to provide a good quality education programme.
Abstract: Introduction: Preceptorship is clinical education for nursing students by conducting constructive partnerships between nurse educators and practitioners. Therefore, the purpose of this study was to find out the effectiveness of the preceptorship programme using the Stake Model Evaluation Programme in terms of aspects antecedents, transactions, outcomes and behaviours. Methods: This study uses descriptive design with quantitative and qualitative approaches. The sample consists of 131 students, 22 clinical preceptors and 22 academic preceptors. The quantitative data were collected using questionnaires, observation and document studies. Qualitative study was conducted using an interview. Descriptive analysis uses mean, standard deviation, percentage, frequency distribution and qualitative analysis using a content analysis. Results: The study evaluation found that at antecedent stage. About 68.2% to 90.9% clinical preceptors had a good preparation on the student preparation stages as perceived by the academic preceptor and preceptee. While in the stage of transaction, preceptors are able to teach nursing care and students to perform nursing care from simple to complex in accordance with the competencies achieved. Only less than half (45.5%) of students had good implementation of nursing care, including assessment, diagnosis, planning, implementation and evaluation. However, more than 68% of them showed good professional attitudes and communication. The outcome phase obtained consistency in the result of the practice phase with the national competency test with value from 76.2% to 97.4%. Conclusion: The majority of the antecedent, transaction stage, and outcome showed an average condition which requires an improvement in order to provide a good quality education programme. Future studies may also need to design an alternative approach for students’ supervision in clinic.

Journal ArticleDOI
TL;DR: It is suggested that mothers’ intention is influenced by family members suggestions, indicating that their capacity in decision making was limited and relying to other member, and further investigation is required to unveil the underlying reasons of being non-adherence.
Abstract: Introduction: Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory for children under 5 years old in Indonesia and government-provided free services. However, the available records indicated that adherence to the program remains a challenge. This study aimed to investigate factors associated with mothers’ intention to comply with the immunization program, particularly among those who had children of younger than one year old. Methods: The study was conducted through a cross-sectional analysis. Fourty-six mothers self-registered them selves as participants of this study. The data were collected through check-listed interviews, to investigate the correlations between social factors, information factors, attitude toward behaviour, subjective norm, perceived behavioural control, and intention to adhere to the compulsory immunization program. The data were then analysed using logistic regression and spearman rank test with significance level of α=0.05. Results: Mothers’ attitude, subjective norm, perceived behavioral control, and knowledge have significant correlations with the intention in completing the immunisation program for their children (respectively p = 0.009; 0.014; 0.025; 0.038). Their intention positively correlated with adherence to complete the program (p=0,002). However, other factors studied did not correlate either with mothers’ intention to adherence to the program. Conclusion: This study suggests that mothers’ intention is influenced by family members suggestions, indicating that their capacity in decision making was limited and relying to other member. Further investigation is required to unveil the underlying reasons of being non-adherence.

Journal ArticleDOI
TL;DR: One of the results of the study revealed that psycho-education programs using education interventions can be an alternative intervention to reduce stigma.
Abstract: Introduction: The stigma in families who are caring for patients who experience mental illness in the modern era is high. Some of the experiences of patients with mental illness reveal that they are still stigmatized. This is not just the patients but also the families that care for them. The aim of this study was to conduct a systematic review relating to the stigma felt by the families of the patients experiencing mental illness. Methods: The database used to identify the potential articles was Scopus. The articles were limited to a range of 5 years from 2014 through to 2018. The keywords used in the literature review were "Stigma Family" And "Mental illness". Results: Fifteen articles from eight countries were evaluated. The families were confirmed as experiencing stigma: labeling, stereotyping, separation and discrimination. Stigma means that the families face psychological, social and intrapersonal consequences which can reduce the family quality of life and family functioning. Conclusion: There are opportunities for negative outcomes related to the family resilience. One of the results of the study revealed that psycho-education programs using education interventions can be an alternative intervention to reduce stigma.

Journal ArticleDOI
TL;DR: Differences in ARI incidence in toddlers who are exclusively and non-exclusively breastfed is possible due to air pollution factors, and key implications for nursing practice from this research are improving services, and prevent the occurrence of ARI.
Abstract: 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.

Journal ArticleDOI
TL;DR: All constructs are able to explain and support the QNWL instrument model and can be used to measure the quality of work life of nurses in all classes of hospitals in Indonesia.
Abstract: Introduction : The validity and reliability of the quality of nursing work life (QNWL) instrument in hospitals that suitable to treatment needs include: trust, care, respect, learn, and contribute need, have to be assessed. Therefore, in order to perform good care, it is necessary to notice QNWL aspect, which the implementation may be assessed by using valid and reliable instruments. This study aimed to evaluate the construct validity of the QNWL scale in hospital. Method s : The research used a cross-sectional approach and the respondents were 100 experts in nursing and 400 nurses working in four hospitals in Gresik, Indonesia, who have been working for minimum one year. The sampling technique was purposive sampling. We analyzed the data using content analysis, the validity of item discrimination using Pearson products moment, reliability with Cronbach’s alpha, and construct validity with Confirmatory Factor Analysis. Results : The results based on content validity index QNWL instrument was 0.2075-0.915, with an average 0.7059 (high). Item discrimination capacity was 0.339-0.79 (high), while the reliability was 0.9374 (very high) and the validity of the construct meets the goodness of fit criteria. Conclusion : All constructs are able to explain and support the QNWL instrument model. This research can be used to measure the quality of work life of nurses in all classes of hospitals in Indonesia.

Journal ArticleDOI
TL;DR: Barriers to the handling of TB in rural areas from the perspective of public health center professionals and barriers from the aspect of health care facilities are explored.
Abstract: Introduction: Tuberculosis (TB) is still one of the main health problems in Indonesia. Various efforts have been made by the government to handle the TB problem in Indonesia, one of which is implementing a direct observed therapy short course (DOTS) program. However, the handling of TB disease in Indonesia, especially in rural areas is still not optimal. This study aims to explore barriers to the handling of TB in rural areas from the perspective of public health center professionals. Methods: This study is a qualitative research with a phenomenological approach. Sampling was done by purposive sampling with a sample of 8 participants. Data is collected through focus group discussions. Thematic analysis is carried out using colaizi step. Results: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities. Conclusion: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.

Journal ArticleDOI
TL;DR: Affirmation-tapping as a complementary nursing intervention can increase the serotonin serum levels of the post-caesarean section patients by complementing conventional treatments, and participant pain complaints were lowest in the affirmation-t tapping group with the highest serotonin levels present.
Abstract: Introduction: Affirmation - tapping interventions have been shown to reduce pain complaints in post-operative patients completing conventional treatment. This is thought to be due to serotonin performance but clinical studies have not been conducted . The aim was to compare the mean perception of the pain reported by post-operative patients given affirmation- tapping treatment with another treatment as a complementary nursing intervention. This was to see if the performance of the serotonin serum level is different from in other treatments. Methods: We used a randomized post-test only control group design carried out in parallel in post-caesarean section patients. The sample totaled 40 patients divided into four groups (10 in affirmation, 10 in tapping, 10 in affirmation-tapping and 10 in the control). They were obtained through simple random sampling. The instruments included affirmation-tapping guidelines, Elisa kits and the McGill - Melzack Pain Questionnaire short-form (MPQsf). The independent variable was the intervention of affirmation-tapping and the dependent variables were pain perception and serotonin level. The data was analyzed using simple linear regression. Results: The average variant of the serotonin levels in the affirmation-tapping treatment group was higher and thus differed significantly from the other groups. Conclusion: Affirmation-tapping as a complementary nursing intervention can increase the serotonin serum levels of the post-caesarean section patients by complementing conventional treatments. Participant pain complaints were lowest in the affirmation-tapping group with the highest serotonin levels present and these were significantly different to the other groups. Affirmation – tapping was recommended as a complementary intervention in nursing post-operative patients that complements conventional treatment.

Journal ArticleDOI
TL;DR: In this paper, the authors compared the knowledge scores of the nursing students in blended learning concerning a research and statistics course at a private faculty of nursing and found that there was a significant difference (p value < 0.0001) between the students' score in the mid and final exam examinations.
Abstract: Introduction: Blended learning is assumed to improve the students’ understanding of learning at nursing school especially in the current industrial revolution 4.0 era. The combination of classroom and online activities is expected to provide better study outcomes. This research aimed to compare the knowledge scores of the nursing students in blended learning concerning a research and statistics course at a private faculty of nursing. Methods: The knowledge scores resulted from the student’s score in their mid and final examinations (0-100). A total of 474 respondents who were third year students involved in the study. This study applied a pre-experimental design. Due to the data having a significant non-normal value (p value < 0.001), this study further compared the mean-rank of the students’ score using a Wilcoxon test analysis. Results: The results of this study revealed that there was a significant difference (p value < 0.0001) between the students’ score in the mid (Median 72.5; SD 9.82) and final exam examinations (Median 86.66; SD 4.75). This means that the students had a better score in their final exam. Conclusion: Applying a blended learning method was a positive experience for the nursing students in terms of knowledge. It is needed to explore the students’ understanding and interest in their learning process using blended learning.

Journal ArticleDOI
TL;DR: The findings suggest that the family burden on the caregivers was diverse and that this has an effect on the ability of the family to care for patients with mental disorders.
Abstract: Introduction: The main caregivers of people with mental disorders are their family members. Families as the caregivers of people with mental disorders is associated with a significant burden. This systematic review aims to identify and summarize the main focus based on the scientific evidence about family burden as the caregivers of people with mental disorders. Methods: The databases used were Scopus, Science Direct and Sage Journal with the keywords ‘burden’, ‘family’, ‘caregiver’, ‘mental’, ‘health’, ‘illness’, ‘disorder’ and they were limited to 2014 – 2018 from within nursing and health science journals. One hundred and four full text articles were reviewed. The 14 articles that fulfilled the inclusion criteria were analyzed using narrative synthesis followed the Joanna Briggs Methodology model for the Qualitative Systematic Review to find the main themes of each article. Results: Seven main themes were found to be related to family burden as the caregivers of a family member with mental disorders. The 7 themes were knowledge, emotional burden, physical burden, medication, financial burden, social burden, health services and government support. Conclusion: The findings suggest that the family burden on the caregivers was diverse and that this has an effect on the ability of the family to care for patients with mental disorders. Family burden has become an important indicator for the provision of mental health services.

Journal ArticleDOI
TL;DR: A healthy lifestyle, stress-controlled to minimize complaints in menopausal women is recommended.
Abstract: Introduction: Every woman will have menopausal experiences at the end of a biological process called menstrual cycles. Several complaints can be aggravated by lifestyle and stress. This study was to analyze the relation of lifestyle and stress levels with a menopausal complaint in women. Methods: This study was correlational with a cross-sectional approach. The study involved 101 menopausal women lived in a community selected by proportional random sampling. The independent variables were lifestyle and stress levels in menopausal women. The dependent variable was a menopausal complaint. This study used primary data provided by questionnaires and interviews. The data were analyzed using Spearman’s Rho. Results: There was strong correlation between lifestyle (p=0.000; r=-0.424), stress levels (p=0.000; r=0.535), and complaint in a menopausal woman. Conclusion: A healthy lifestyle, stress-controlled to minimize complaints in menopausal women. Further research is needed on factors that increase stress in postmenopausal women.

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TL;DR: In this article, the authors found that sexual education with dreall healthy is more effective to increase children self-protection knowledge because it can stimulate the children's brain nerves so that their memory could be better.
Abstract: Introduction: The number of child sexual abuse cases in Indonesia are still high, including in Ogan Komering Ilir Regency, South Sumatera. One of the preventive effort that can be practiced is teaching them about children self-protection knowledge from sexual abuse through sexual education using appropriate methods and media, such as watching animated video and dreall healthy. The aim of this research was to determine difference in dreall healthy and animated video about sexual education toward children self-protection knowledge from sexual abuse. Methods: This research was a quantitative study and use quasi experiment design with pretest-postest group. Samples in this research were 40 children in dreall healthy group and 37 children in the animated video group, the samples were taken using purposive sampling technique. The data were collected by using questionnaire and data analysis was using paired t test and independent t test. Results: This research showed that there was difference in children self-protection knowledge from sexual abuse before and after sexual education with dreall healthy and animated video with p value 0.000 (α ≤0.05) and there was difference in children self-protection knowledge from sexual abuse between dreall healthy and animated video with p value 0.014 (α ≤0.05). Conclusion: Sexual education with dreall healthy is more effective to increase children self-protection knowledge because it can stimulate the children’s brain nerves so that their memory could be better. It was expected that parents, public health center staffs, and counselor in schools be able to provide sexual education as early as possible to the children.

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TL;DR: Sociodemographic factors and information factors significantly influenced family behaviour factors in early detection of high-risk of pregnancy and need to optimize family empowerment through health information efforts in health promotion efforts.
Abstract: Introduction: Pregnancy and childbirth are physiological processes experienced by women, but they sometimes have risky conditions. There are still many pregnant women and their families who are unable to detect a high-risk of pregnancy early. This study aims to determine family behaviour in conducting early detection of a high-risk of pregnancy in terms of sociodemographic and information factors. Methods: This study uses an explanatory survey design with a cross sectional design. The sample size of this study was 146, with simple random sampling. The independent variables were sociodemographic factors (age, gender, ethnicity, education, income and religion) and information factors (experience, and media exposure) while the dependent variable is family behaviour. The instrument with the questionnaire used the Likert scale. The data was analysed using partial least square. Results: The results showed that Structural Equation Modelling-Partial least square (SEM-PLS) statistical analysis, through Confirmatory Factor Analysis (CFA), obtained sociodemographic factors on family behaviour of 1,999, and information factors on family behaviour of 13,78. The value of the influence of sociodemographic factors (0.102) and the value of the influence of information factors (0.754). R 2 (0.63) and Q 2 value of 0.65. Conclusion: Sociodemographic factors and information factors significantly influenced family behaviour factors in early detection of high-risk of pregnancy. Information factors have a greater effect on family behaviour than sociodemographic factors. Midwives as health service providers at the health care centre need to optimize family empowerment through health information efforts in health promotion efforts. Further research requires the involvement of other factors to improve family behaviour, especially in the ability of families to detect early high-risk pregnancies.

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TL;DR: HIV/AIDS-related knowledge has a slight contribution in determining HSUS's willingness to participate in VCT, but other factors like demographic factors, social determinants, close person, health education, fear, and HIV-related stigma may affect the willingness to participation in V CT.
Abstract: Introduction: Health sciences university students (HSUS) are susceptible to HIV infection due to frequent contact with patients whose HIV status is unknown. This study aimed to compare the HIV/AIDS-related knowledge and the willingness to participate in VCT among HSUS, analyzing the differences between groups, and correlation and effect between variables. Methods: This cross-sectional study involved 357 HSUS from the faculty of nursing, pharmacy, psychology and medicine at an accredited university. Samples were selected using simple random sampling. Data analysis used descriptive statistic, Pearson correlation, one-way ANOVA test, and linear regression test (α<0.05). Results: Most respondents were 20-21 years old single female who still live with parents, exposed to HIV/AIDS material twice/more via academic activities; lack of HIV/AIDS-related knowledge (51.5%), highest mean found in medical students (73.1%); willing enough to participate in VCT (83.5%), highest mean found in nursing students (86.4%). No correlation found between variables (p=0.101), and the regression model was not significant (p=0.101). HIV/AIDS-related knowledge contributed only 0.8% influence on the willingness to participate in VCT among HSUS (R 2 =0.008), other unidentified factors possibly play a more important role. Conclusion: Besides knowledge, other factors like demographic factors, social determinants, close person, health education, fear, and HIV-related stigma may affect the willingness to participate in VCT among HSUS. HSUS's knowledge about HIV/AIDS was low but their willingness to participate in VCT was quite high. HIV/AIDS-related knowledge has a slight contribution in determining HSUS's willingness to participate in VCT. Further analysis of other potential factors is needed to determine stronger predictors.

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TL;DR: The impact of the side effects of antiretroviral therapy has caused the clients with HIV/AIDS to choose other therapies such as ART replacement therapy to improve the quality of life for patients with HIV /AIDS.
Abstract: Introduction: Quality of Life (QoL) is one of the most important things for a patient with HIV/AIDS. Good QoL will improve the adherence to treatment, especially antiretroviral therapy. The purpose of this study was to explore about the quality of life of the patients with HIV/AIDS undergoing antiretroviral therapy. Methods: The data was collected through a literature review from electronic databases such as Scopus, ProQuest, Google Scholar and Springerlink journal. The keywords were "quality of life", "HIV/AIDS", "quality of life of patients with HIV/AIDS" or "quality of life and HIV/AIDS and antiretroviral therapy". Results: The researcher obtained 15 articles based on the inclusion criteria. Several research articles that were analyzed showed that the Quality of Life of HIV/AIDS patients undergoing antiretroviral therapy was not all good. This is caused by the side-effects of using antiretroviral therapy and the side-effects that were physical, psychological, social and environmental. Conclusion: The impact of the side effects of antiretroviral therapy has caused the clients with HIV/AIDS to choose other therapies such as ART replacement therapy to improve the quality of life for patients with HIV/AIDS.

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TL;DR: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight, and researchers recommend theUse of nesting with supine orprone positions routinely in premature babies.
Abstract: Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies. Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test. Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9). Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.

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TL;DR: Combined intervention with supplementary feeding based on locality may improve the health outcomes and community empowerment remains an important key in improving the engagement of women in maternal health issues.
Abstract: Introduction: rates of health problems related to a chronic lack of energy in pregnant women in Indonesia remain prevalence. This study aimed to develop community empowerment and supplementary feeding on health status and nutritional status among pregnant women. Methods: the sample included 189 pregnant women living in the six villages in the Jember District. The research used a cluster random sampling technique. The variables included community empowerment, supplementary feeding, health status, and nutritional status of pregnant women. Data analysis was performed using structural equation modeling (SEM) with parameter data estimation using software (Analysis of Moment Structures (AMOS) version 21). Results: estimations of the direct effects were as follows: community empowerment on health status (0.224), supplementary feeding on health status (0.169), health status on nutritional status of pregnant women (0.001), community empowerment on nutritional status of pregnant women (2.857), supplementary feeding on nutritional status of pregnant women (-0.537), community empowerment on nutritional status of pregnant women through health status (0.000), supplementary feeding on nutritional status of pregnant women through health status (0.000), community empowerment on health status (0.224), supplementary feeding on health status (0.169). Conclusion: community empowerment remains an important key in improving the engagement of women in maternal health issues. Combined intervention with supplementary feeding based on locality may improve the health outcomes.

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TL;DR: Most of the students have high levels of religiosity and strong self-efficacy in the prevention of high-risk behaviour, and findings can be used by academic and health professionals, to implement a religiosity based program to strengthen a self- efficacy of HIV- risk behaviour.
Abstract: Introduction: The high prevalence of HIV infection among an age group of 18–25 years, both globally or nationally, was indicating students vulnerable to HIV/AIDS infections. Prevention of HIV risk behaviours can be used as a religiosity approach to strengthening the self-efficacy on prevention HIV-risk behaviour. However, there were limited studies on the association between religiosity and self-efficacy on prevention of HIV-risk behaviour among student, especially Muslim students. The aims of this study were to identify the correlation between religiosity with self-efficacy in the prevention of HIV-risk behaviours. Methods: The study employed a correlation study. The sample size comprised 404 Muslim university students with proportionate stratified random sampling. Student’s religiosity was measured by The Muslim Piety questionnaire and self-efficacy was measured by Self-Efficacy in the Prevention of HIV-Risk Behaviour questionnaire. Descriptive analysis using mean, standard deviation, percentage and frequency distribution. Meanwhile, inferential analysis using Pearson's Correlation. Results: The results were found that most of the students have high levels of religiosity and strong self-efficacy in the prevention of high-risk behaviour. Further analysis revealed a significant (p < 0.005) and strong correlations (r = 0.6780) between religiosity and self-efficacy in the prevention of HIV-risk behaviour. Higher levels of religiosity were followed by higher levels of self-efficacy on the prevention of HIV-risk behaviours among students. Conclusion: findings can be used by academic and health professionals, to implement a religiosity based program to strengthen a self-efficacy of HIV-risk behaviour. Further research can be a focus on the nursing interventions based on religious beliefs to strengthen self-efficacy in the prevention of HIV/AIDS infections.