Publikasi Ilmiah merupakan sarana bagi Pengajar dan Peneliti FIK UI dalam meningkatkan kualifikasi dan kompetensi akademik, sekaligus perwujudan kontribusi intelektual terhadap perkembangan keilmuan di bidang keperawatan. Publikasi lmiah berupa publikasi jurnal ilmiah nasional dan internasional, serta seminar/konferensi nasional dan internasional.
| Judul | Author | Abstrak | Link |
|---|---|---|---|
| Sleep disturbance, associated symptoms, and quality of life in adults living with HIV in Jakarta, Indonesia | Hening Pujasari, Judith Levy, Gabriel Culbert, Alana Steffen,David Carley & Mary Kapella | Adverse symptom experiences, including sleep disturbances, are important negative predictors of quality of life (QoL), but few studies conducted in low-income countries have examined the impact of poor sleep and its associated symptoms on QoL among people living with HIV (PLWH). To this end, 200 PLWH who were receiving treatment with antiretroviral therapy (ART) were recruited through a community nongovernment organization in Jakarta, Indonesia. Validated instruments measured QoL, sleep disturbance, fatigue, pain, ART adherence, substance use, drug use severity, and methadone treatment. Descriptive statistics, bivariate correlations, and multivariate linear regression were conducted to identify independent correlates of QoL. Overall, participants perceived their QoL as being good to very good (mean = 105.70, standard deviation = 14.7) and higher among women than men (p < 0.05). After adjusting for sex, education, drug-use severity, and ART adherence, QoL was negatively associated with fatigue, insomnia, and pharmacological treatment with methadone. Along with other known symptoms of HIV, sleep problems and their complications are important to clinically address and research more fully to assure satisfying QoL among PLWH. | Sleep disturbance, associated symptoms, and quality of life in adults living with HIV in Jakarta, Indonesia |
| The Relationship Between Self-Esteem, Family Relationships And Social Support As The Protective Factors and Adolescent Mental Health | Rike Triana, Budi Anna Keliat | Purpose : Mental disorders begin to occur at the age of 10-29 years about 10-20 %. Protective factors to prevent mental disorders in adolescents were self-esteem, family relationships and social support. The purpose of this study was to determine the relationship between the protective factors of self-esteem, family relationships, and social support and adolescent mental health. Methodology: This research employs a correlative design. The subjects were 452 students in 8 grade (aged < 15 years old) that chosen by a purposive sampling technique. Data were collected by five questionnaires: demographic data, Rossenberg Self-Esteem Scale, Family Relation Index, Child and Adolescent Social Support Scale, Mental Health Continuum Short Form. Main Findings: The results show that the protective factors of self-esteem, family relationships, and social support have a positive and significant influence on adolescent mental health (p < 0,05). Applications: These findings showed the important role of protective factors (self-esteem, family relationships, social support) to adolescent mental health. Schools, parents and mental health nurses need to develop programs to promote mental health by improving the protective factors of self-esteem, family relationships, and social support. Novelty/Originality: There are no studies involving comprehensive protective factors include individuals, families and communities on adolescent mental health. Keywords adolescents, mental health, self esteem, family relationship, social support | The Relationship Between Self-Esteem, Family Relationships And Social Support As The Protective Factors and Adolescent Mental Health |
| The Ratu's Model: A prevention model of postpartum depression | Ratu Kusuma, Budi Anna Keliat, Yati Afiyanti Evi Martha | Introduction : The Ratu's Model is a nursing model to prevent postpartum depression, is a product of Ratu's dissertation. Depression is one of the common psychological problem experienced by postpartum women. The number is estimated to reach 20% in Indonesia, 15–20% in the Riau Province, and must to be pressed to 1%. Objectives : This study aims to identify the effectiveness of Ratu's Model to prevent postpartum depression. Method : Quasi-experiment research alongside with pre–post test analysis of the control group, number of the respondents was undergone among 54 women pregnant and the spouses in each intervention and control group. Educational intervention was given toward intervention group for 3 times, with 3 times monitoring, and 3 times measurement. Result : A significant correlation between Ratu's Model with lowered postpartum depression incidence. Conclusion : The Ratu's Model is effective lowering the incidence of postpartum depression. Keywords : Ratu's model, Postpartum depression, Depression prevention | The Ratu's Model: A prevention model of postpartum depression |
| Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study | Muthmainnah, Krisna Yetti, Dewi Gayatri,Kuntarti | Adequate remuneration is an effort to attain nurses' retention and enhance the work motivation, which, in turn, can exert a positive impact on the nurses' performance, enabling them to deliver quality services. This study aims to determine the correlation between the remuneration satisfaction and motivation of nurses in the hospital setting. We conducted a descriptive, quantitative study using the cross-sectional approach on 74 nurses, who were enrolled using the total sampling method, at one hospital in Depok (West Java, Indonesia). Although the remuneration satisfaction was measured using a questionnaire developed by us, the work motivation was measured using the Herzberg questionnaire. A significant correlation was observed between the remuneration satisfaction and work motivation (P=.019; =0.05). Nurses satisfied with the remuneration had 3 times the chance of displaying high work motivation. This study recommends hospitals to apply the remuneration system based on the Minister of Health Decree Number 652 of 2010. Keywords: Remuneration, satisfaction, work, motivation, nurse | Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study |
| Experience of Domestic Violence Survivor Women in Searching Their Life Purpose and Self-Resilience | Laura Khattrine, Noviyanti, Achir Yani S. Hamid , Novy HC Daulima | Victims of intimate partner violence (IPV) often experience several psychological disorders, such as anxiety, low self-esteem, and depression, driving them to a point where they lose their life purpose. Resilience implies the ability of victimized women to adapt to their stressful situations or recover by regaining the balance among their physiological, psychological, and social aspects of life. Those who attain self-resilience are called survivors—a phenomenon that has been scarcely investigated regarding the discovery of life purpose and self-resilience of women who are survivors of IPV in Central Java. Thus, this study aims to gain insight into the experience of IPV survivors in discovering their life purpose and self-resilience. We conducted qualitative research on six IPV survivors and determined four themes—self-reliance and bravery marking the beginning of life recovery, support from the closest person who provides strength, coping strategies used for the survival, and learning from experience to reinforce future goals. This study recommends mental health nurses to act as counselors for IPV survivors to support them in their recovery phase to enhance the mental health of patients. Keywords: IPV, women. | Experience of Domestic Violence Survivor Women in Searching Their Life Purpose and Self-Resilience |
| Fear of Recurrence Predictors among Indonesian Gynecological Cancer Survivors | Ira Sukyati, Yati Afiyanti, Hayuni Rahmah, Ariesta Milanti | Fear of cancer recurrence (FCR) is the most common psychological issue amongst gynecological cancer survivors, and yet it remains unexplored, especially in developing countries such as Indonesia. Hence, this study aimed to identify the predictive factors of FCR among gynecological cancer survivors in Indonesia. A descriptive cross-sectional design was used. Women diagnosed with gynecological cancer, who had completed primary treatment were recruited from a referral hospital in Jakarta, Indonesia. Data were collected using a demographic and disease-related questionnaire and the Fear of Cancer Recurrence Inventory. Pearson's correlations test, t-test, and linear regression analysis were performed. A total of 114 women participated in this study. Age was the strongest predictor of FCR in the domains of severity, psychological distress, insights, and reassurance. Marital status and type of treatment strongly predicted the FCR domains of functional impairment and coping strategies, respectively (P < .05). The findings of this study indicate the importance of patient characteristics while addressing the issue of FCR among gynecological cancer survivors. Further studies aimed at understanding FCR among gynecological cancer survivors may provide insight into the aspects of this condition that necessitate more attention. Keywords: Fear of recurrence, gynecological cancer survivor, fear of cancer recurrence inventory, survivorship. | Fear of Recurrence Predictors among Indonesian Gynecological Cancer Survivors |
| Difficulties in Performing Prayers as a Muslim Transgender Individual | Chaterina Janes Pratiwi, Agung Waluyo, Sri Yona, Herni Susanti | The number of transgender individuals living with human immunodeficiency virus (HIV) in Indonesia is increasing. As human beings, transgender individuals have needs, including spiritual and religious needs. The purpose of this study is to explore transgender individuals’ experiences when praying as Muslims. This qualitative study uses a phenomenological approach. We recruited 15 transgender Muslims living with HIV. Answers obtained during the course of in-depth interviews revealed the following trends: (1) Constraints encountered when attempting to pray as transgender individuals among the Muslim community; (2) transgender women perceive that they are men while praying; and (3) hospital nurses do not provide spiritual guidance. Nurses should provide for the spiritual needs of transgender individuals. Keywords: Prayers, Islam, transgender, HIV. | Difficulties in Performing Prayers as a Muslim Transgender Individual |
| Early Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of Psychosis | Nurilla Safitri Damanik, Budi Anna Keliat, Herni Susanti | Low self-esteem is an early prodromal sign of psychosis in adolescents. Early intervention is needed to prevent psychosis among this age group. Thus far, no studies have investigated the effects of group cognitive-behavioral therapy (CBT) and family psychoeducation (FPE) on the selfesteem of adolescents in Indonesia. The present study aimed to explore the influence of CBT and FPE on the self-esteem of adolescents with early prodromal signs of psychosis. An experimental study was conducted. Of the 79 participants selected after screening using the prodromal questionnaire and Rosenberg’s self-esteem scale questionnaire, 39 were further classified into the intervention group and 40 into the control group using the random sampling technique. The analysis was performed using the paired t-test and analysis of variance. Results revealed that the RSES score of the CBT and FPE groups was significantly higher than that of the control group (p <.05). CBT and FPE, which are considered early therapeutic interventions, are recommended to increase the self-esteem of adolescents with early prodromal signs of psychosis. Keywords: Adolescents, psychosis. | Early Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of Psychosis |
| Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire in Breast Cancer Patients | Muthia Octaviana Widianti, Sri Yona, Masfuri, Agung Waluyo | The number of patients with breast cancer in the world, including Indonesia, is high. Breast cancer survivors experience numerous physical, psychological, and social changes, which affect their sexual desire. Sexual desire is intimately linked with body image, social support, and side effects of chemotherapy. This study aimed to investigate the correlations of body image, social support, and side effects of chemotherapy with sexual desire. This cross-sectional study included 110 consecutive patients undergoing chemotherapy at public and private hospitals in Semarang and in a public hospital in Jakarta. The results demonstrated significant correlations between sexual desire and body image (P=.000), social support (P=.000), and side effects of chemotherapy (P=.003). The results of multivariate analysis showed that among the factors investigated, body image had the greatest effect on sexual desire. To address issues related to this decrease in sexual desire among patients with breast cancer, nurses should evaluate body image, social support, and side effects of chemotherapy soon after patients with breast cancer have undergone chemotherapy. Keywords: Breast cancer, body image, social support, chemotherapy effects, sexual desire. | Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire in Breast Cancer Patients |
| Optimizing the use of digital sensors (non-invasive) for early detection of risk factors for recurrent stroke to improve quality of care: A systematic review [version 1; peer review: awaiting peer review] | I Made Kariasa, Elly Nurachmah, Setyowati, Raldi Artono Koestoer | Background: Improving awareness in patients with stroke to detect risk factors of recurrent stroke has recently become a major challenge for all health professionals in preventing recurrence among stroke survivors. Utilization of advanced technology, such as digital sensors, (a non-invasive device) is among the breakthroughs in detecting the risk of disease and promotes more effective prevention and improves quality of care. This study aims to conduct a systematic review on studies addressing early detection of the risk factors of recurrent stroke through the utilization of digital sensors. Methods: A literature search was carried out on articles published between 2011 - 2018 on EBSCO, Elsevier, Science Direct, ProQuest, Springer link, PubMed, MEDLINE, PLoS, and the Journal of Community Nursing. The search identified quantitative research studies on the utilization of digital sensors in cases of hypertension, diabetes mellitus, hypercholesterolemia, and cardiac disorders that contributed to stroke recurrence. Each study’s bias was assessed using Review Manager 5. Results: Ten articles were analyzed through data extraction. Robust assessment of independent risk factors which provoke recurrent stroke such as hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases could lead to conservation of health resources. It is very important to monitor these factors. With the development of technology, the potential use of non-invasive monitoring for hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases as risk factors for recurrent stroke events is considered effective because it is easy, simple, low cost, sensitive, and does not cause additional suffering for patients. Conclusion: A practical and non-invasive method for early detection and monitoring of risk factors may reduce the risk of stroke recurrence among stroke survivors. Keywords: Digital sensor, quality of care, risk factors, recurrent stroke. | Optimizing the use of digital sensors (non-invasive) for early detection of risk factors for recurrent stroke to improve quality of care: A systematic review [version 1; peer review: awaiting peer review] |
| Effectiveness of balance exercise among older adults in Depok City, Indonesia | Stefanus Mendes, Kiik, Junaiti Sahar, Henny Permatasari | Objective : Falls are a serious problem for older adults. Balance impairment is one of the most significant reasons why adults fall from a standing position. This study aims to investigate the effect of an eight-week postural balance exercise intended to reduce the risk of falls among older adults in a community in Depok City, Indonesia. Method : This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 30 respondents and a control group of a further 30 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test. Results : The balance exercise significantly affected the respondents’ postural balance and reduced their risk of falling. There were significant differences between the two groups (intervention group and control group) in postural balance (p < .001) and the risk of suffering a fall (p = .023). Conclusion : Balance exercises can be utilized as one of the preventive efforts to maintain postural balance and reduce the risk of falls among older adults. Future studies may consider the variation of age to more accurately determine the effectiveness of this balance exercise. Keywords : Accidental falls; Adult; Exercise therapy; Indonesia; Postural balance; Risk | Effectiveness of balance exercise among older adults in Depok City, Indonesia |
| Nurse’s Competence in Supporting the Spiritual- Religious Needs of Patients in Indonesia | Supriyanto, Achir Yani S. Hamid, Dede Rosyada, Muctarudin Mansyur, Ferry Efendi | Introduction : The fulfilment of religious ritual needs is a form of spiritual nursing intervention. The main Islamic ritual is the fardhu prayer, which should not be abandoned despite illness and hospitalisation. The purpose of this study was to find out the nurse's constraints relating to help to meet the need of conducting fardhu prayers for hospitalised patients from their experience of providing nursing care to patients. Method : This study was a qualitative, using the phenomenology approach, focusing on 8 associate nurses, 3 nurse managers and 1 participant, who was the Head of the Spiritual Counselling division. Data collection was done through a Focus Group Discussion and the data analysis used the Colaizzi method. Results : The results of the study yielded four main themes: the competence of nursing services for fardhu prayer, the availability of facilities, the perception of constraint on the patient, and limited support. Discussions : The nurses’ competency at fulfilling the spiritual needs of patients in Indonesia should be developed and fostered in order to accommodate the health needs of Indonesian society as a whole. Keywords : Fardhu prayer, Muslim spiritual nursing service, Islamic religious ritual. | Nurse’s Competence in Supporting the Spiritual- Religious Needs of Patients in Indonesia |
| Family's experience in caring for clients with suicidal risk in indonesia | Renny Nova, Achir Yani S. Hamid, Novy HC Daulima. | Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping. Keywords: client with suicidal risk; family experience | Family's experience in caring for clients with suicidal risk in indonesia |
| Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency | Verra Widhi Astuti, Astuti Yuni Nursasi, Sukihananto. | Pulmonary Tuberculosis (pulmonary TB) is a common infectious disease in the world, including in Indonesia. It is very easily transmitted through sputum splashes. It encourages development of interventions in order to control the transmission of TB, such as structured health education. The aims of this study were to determine the effect of structured health education intervention on the prevention behavior of pulmonary TB in Bogor regency, Indonesia. This study used quasi-experimental design with pre- and post-test design, involving 82 adults age community member who were devided into intervention and control group. The study was conducted in districts with high TB prevalence selected by purposive sampling, while the research subject was selected using simple random sampling. The results showed that structured education significantly affects knowledge (p value = 0,000), attitude (p value = 0,000), and skill prevention of pulmonary TB transmission (p value = 0,000). Structured health could applied as an alternative choice of community nursing interventions that can be given to people at risk of pulmonary TB. Keywords: nursing intervention, pulmonary TB, structure health education, prevention of transmission | Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency |
| Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery | Sri Yona, Rita Ismali, Elly NurachmahElly Nurachmah, Judith Levy, Kathleen Norr. | The number of female injection drug users in Indonesia is rapidly increasing. This study explores the experiences of women living with HIV in recovery from heroin injection. Using a ground theory approach, 22 women former drug users in Jakarta participated in this study. Six themes emerged: the challenges of quitting, the role of self-motivation, the utility of methadone treatment, the importance of partner and family support, the transformation of “self” and situation, and the rewards of a normal life if successful. These women’s accounts point to the personal and cultural challenges that they faced as women, wives, and mothers. Keywords: Indonesian female drug users, women in drug recovery, HIV | Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery |
| Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia | Helen Brooks, Irmansyah, Herni Susanti, Bagus Utomo, benny Prawira, Livia Iskandar, Erminia Colucci, Budi Anna KeliatBudi Anna Keliat, Karen James, Penny Bee, Vicky Bell, Karina Lovell. | Background : Public engagement events are an important early strategy in developing a meaningful research agenda, which is more impactful and beneficial to the population. Evidence indicates the potential of such activities to promote mental health literacy. However, this has not yet been explored in Indonesia. Aim This paper describes a mental health public engagement festival carried out in Indonesia in November 2018 and uses evaluation data to consider the acceptability and use of such activities in Indonesia in the future. Method : Evaluation data was collected from 324 of the 737 people who attended a six-day mental health festival comprising 18 events including public lectures, film screenings, arts activities, exercise classes and panel discussions. Attendees were asked to evaluate the festival in terms of its quality, benefits and areas for improvement. Descriptive statistics were used to analyse the evaluation data. 87 service users, carers, academics and professionals also engaged in a research prioritisation exercise to collaboratively determine mental health research priorities for Indonesia. Results : Participants evaluated the festival extremely positively with a significant majority (92%) rating the quality of the festival as good or excellent. Attendees reported an increase in their understanding of mental health issues and identified intended behaviour change including an increased propensity for future engagement with mental health research. Key strengths of the festival included the central role of patients, carers and the local community in the design and delivery of the festival which promoted emotional engagement and development of shared understanding and the use of international experts which in attendees’ opinion further enhanced the credibility of festival activities. Conclusion : This manuscript indicates that a co-produced mental health public engagement festival is a potentially acceptable way to increase awareness of mental health in Indonesian populations. Future festivals should be larger in scope and target men, older people and the general public to maximise benefit and incorporate rigorous evaluation of effectiveness. | Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia |
| Nurse’s Competence in Supporting the Spiritual-Religious Needs of Patients in Indonesia | Supriyanto, Achir Yani S. Hamid, Dede Rosyada, Muctarudin Mansyur, Ferry Efendi. | Introduction : The fulfilment of religious ritual needs is a form of spiritual nursing intervention. The main Islamic ritual is the fardhu prayer, which should not be abandoned despite illness and hospitalisation. The purpose of this study was to find out the nurse's constraints relating to help to meet the need of conducting fardhu prayers for hospitalised patients from their experience of providing nursing care to patients. Method : This study was a qualitative, using the phenomenology approach, focusing on 8 associate nurses, 3 nurse managers and 1 participant, who was the Head of the Spiritual Counselling division. Data collection was done through a Focus Group Discussion and the data analysis used the Colaizzi method. Results : The results of the study yielded four main themes: the competence of nursing services for fardhu prayer, the availability of facilities, the perception of constraint on the patient, and limited support. Discussions : The nurses’ competency at fulfilling the spiritual needs of patients in Indonesia should be developed and fostered in order to accommodate the health needs of Indonesian society as a whole. Keywords : Fardhu prayer, Muslim spiritual nursing service, Islamic religious ritual. | Nurse’s Competence in Supporting the Spiritual-Religious Needs of Patients in Indonesia |
| Family's experience in caring for clients with suicidal risk in indonesia | Renny Nova, Achir Yani S. Hamid, Novy HC Daulima. | Suicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping. Keywords: client with suicidal risk; family experience | Family's experience in caring for clients with suicidal risk in indonesiath suicidal risk in indonesia |
| Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency | Verra Widhi Astuti, Astuti Yuni Nursasi, Sukihananto. | Pulmonary Tuberculosis (pulmonary TB) is a common infectious disease in the world, including in Indonesia. It is very easily transmitted through sputum splashes. It encourages development of interventions in order to control the transmission of TB, such as structured health education. The aims of this study were to determine the effect of structured health education intervention on the prevention behavior of pulmonary TB in Bogor regency, Indonesia. This study used quasi-experimental design with pre- and post-test design, involving 82 adults age community member who were devided into intervention and control group. The study was conducted in districts with high TB prevalence selected by purposive sampling, while the research subject was selected using simple random sampling. The results showed that structured education significantly affects knowledge (p value = 0,000), attitude (p value = 0,000), and skill prevention of pulmonary TB transmission (p value = 0,000). Structured health could applied as an alternative choice of community nursing interventions that can be given to people at risk of pulmonary TB. Keywords: nursing intervention, pulmonary TB, structure health education, prevention of transmission | Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency |
| Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery | Sri Yona, Rita Ismali, Elly Nurachmah, Judith Levy, Kathleen Norr. | The number of female injection drug users in Indonesia is rapidly increasing. This study explores the experiences of women living with HIV in recovery from heroin injection. Using a ground theory approach, 22 women former drug users in Jakarta participated in this study. Six themes emerged: the challenges of quitting, the role of self-motivation, the utility of methadone treatment, the importance of partner and family support, the transformation of “self” and situation, and the rewards of a normal life if successful. These women’s accounts point to the personal and cultural challenges that they faced as women, wives, and mothers. Keywords: Indonesian female drug users, women in drug recovery, HIV | Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery |
| Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia | Helen Brooks, Irmansyah, Herni Susanti, Bagus Utomo, benny Prawira, Livia Iskandar, Erminia Colucci, Budi Anna Keliat, Karen James, Penny Bee, Vicky Bell, Karina Lovell. | Background: Public engagement events are an important early strategy in developing a meaningful research agenda, which is more impactful and beneficial to the population. Evidence indicates the potential of such activities to promote mental health literacy. However, this has not yet been explored in Indonesia. Aim: This paper describes a mental health public engagement festival carried out in Indonesia in November 2018 and uses evaluation data to consider the acceptability and use of such activities in Indonesia in the future. Method: Evaluation data was collected from 324 of the 737 people who attended a six-day mental health festival comprising 18 events including public lectures, film screenings, arts activities, exercise classes and panel discussions. Attendees were asked to evaluate the festival in terms of its quality, benefits and areas for improvement. Descriptive statistics were used to analyse the evaluation data. 87 service users, carers, academics and professionals also engaged in a research prioritisation exercise to collaboratively determine mental health research priorities for Indonesia. Results: Participants evaluated the festival extremely positively with a significant majority (92%) rating the quality of the festival as good or excellent. Attendees reported an increase in their understanding of mental health issues and identified intended behaviour change including an increased propensity for future engagement with mental health research. Key strengths of the festival included the central role of patients, carers and the local community in the design and delivery of the festival which promoted emotional engagement and development of shared understanding and the use of international experts which in attendees’ opinion further enhanced the credibility of festival activities. Conclusion: This manuscript indicates that a co-produced mental health public engagement festival is a potentially acceptable way to increase awareness of mental health in Indonesian populations. Future festivals should be larger in scope and target men, older people and the general public to maximise benefit and incorporate rigorous evaluation of effectiveness. | Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia |
| The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional study | Shizheng Du, Yuling Cao, Tong Zhou, Agus Setiawan, Myat Thandar, Virya Koy, Mohd Said Bin, Nurumal, Hong Anh, Wipada Kunaviktikul, Yan Hu. | Background: Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have assessed the knowledge, ability, and skills (capacity) of PHC providers in delivering care. This study aimed to identify the capacity of PHC providers in countries of the Southeast and East Asian Nursing Education and Research Network (SEANERN). Methods: A multi-national cross-sectional survey was performed among SEANERN countries. A 1–5 Likert scale was used to measure eight components of knowledge, ability, and skill of PHC providers. Descriptive statistics were employed, and radar charts were used to depict the levels of the three dimensions (knowledge, skill and ability) and eight components. Results: Totally, 606 valid questionnaires from PHC providers were returned from seven countries of SEANERN (China, Myanmar, Indonesia, Thailand, Vietnam, Cambodia, and Malaysia), with a responsive rate of 97.6% (606/621). For the three dimensions the ranges of total mean scores were distributed as follows: knowledge dimension: 2.78~3.11; skill dimension: 2.66~3.16; ability dimension: 2.67~3.06. Furthermore, radar charts revealed that the transition of PHC provider’s knowledge into skill and from skill into ability decreased gradually. Their competencies in four areas, including safe water and sanitation, nutritional promotion, endemic diseases prevention, and essential provision of drugs, were especially low. Conclusions: The general capacity perceived by PHC providers themselves seems relatively low and imbalanced. To address the problem, SEANERN, through the collaboration of the members, can facilitate the appropriate education and training of PHC providers by developing feasible, practical and culturally appropriate training plans. | The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional study |
| Evaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer Hospital | Tuti Nuraini, Enie Novieastari,< Krisna Yetti. | The concept of caring is used by nurses in providing nursing care. However, there are factors that influence nurses’ caring attitudes, such as job stress and dehumanization, which make nurse caring behavior decrease. Our program offers a solution to build a caring culture for cancer nurses. The activities carried out were the socialization of the caring culture to nurses, training for the head nurse as a change agent who guided nurses, assignment from the head of the hospital to the head nurse, and a guidance program for the head nurse as a champion to nurses. After the activity was finished, we evaluated the implementation of caring culture by focus group discussion for the head nurse. As a result, eight themes were obtained: observation guidance about caring behavior to help champions monitor and increase the nurses’ caring attitudes, training about caring to help nurses change their caring attitude, excessive workload makes nurses display less-caring behavior, Whatsapp application helps socialize caring culture, spiritual power from the inside fosters caring behavior, support from hospital leaders for caring behavior, needs for caring behavior training and therapeutic communication for all health care providers and administrative staff, needs for caring behavior standard operating procedures (SOP) and guidance from senior nurses. The number of nurses who behave caring well also increase by 38% after intervention (p = 0.021). The result of FGD can be suggestions for the hospital of ways to improve the caring culture. Keywords: caring culture, oncology nurse, training, champion, Focus Group Discussion (FGD) | Evaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer Hospital |
| Expectations of survivors towards disaster nurses in Indonesia: A qualitative study | Herni Susanti, Achir Yani S. Hamid, Sigit Mulyono, Arcellia Farosyah Putri, Yudi Ariesta Chandra. | Objective: This study aims to explore the expectations of survivors towards disaster nurses. Methods: The study used qualitative content analysis. Data were collected in 2017 through three focus group discussions with 21 survivors and in-depth interviews with three community leaders; the respondents had experienced one of the following events: a) an earthquake in Padang 2009, b) a volcanic eruption in Yogyakarta 2010, and c) flooding in Jakarta 2014. Results: Four themes represented survivors’ expectations of what nurses can do in responding to a disaster, including: a) provision of direct nursing care, b) provision of information of health service access, c) provision of resources through cross-sector coordination, and d) disaster preparedness activities for the community. Conclusions: This study suggests the importance of disaster nurses having the competency to update information regarding healthcare access, particularly the utilization of health insurance and providing culturally competent care to the survivors. Disaster nurses are also expected to be able to train the community and families about preparedness-related activities. Besides, these disaster nurses should improve their competency in disaster risk reduction. More broadly, such nurses should have the ability to advocate and coordinate with the local government and other stakeholders regarding access to healthcare services and continuous rapid assessment, so that survivors receive immediate and appropriate treatment. Keywords: Disasters; Focus groups; Health services accessibility; Indonesia; Nurses; Professional competence; Survivors | Expectations of survivors towards disaster nurses in Indonesia: A qualitative study |
| The relationship between social support and emotional status among patients with chronic obstructive pulmonary disease | Dede Fatimah, Shanti Farida Rachmi,Agustin Indracahyani. | Objective: This study intended to evaluate the relationship between social support and emotional status among patients with chronic obstructive pulmonary disease (COPD). Method: The study used a cross-sectional method with a consecutive sampling technique at three public hospitals in DKI Jakarta. Data from 200 samples were processed using Chi-Square statistical tests. Data were obtained through questionnaires. Result: The results of the analysis of the relationship between social support and emotional status in COPD patients showed that there was no relationship between social support with emotional status (depression) (p = 0.921), emotional status (anxiety) (p = 0.184), and emotional status (stress) (p = 0.795). Conclusion: Many factors affected emotional status in COPD patients. This study has not been able to prove the relationship between social support and emotional status among patients with COPD. Keywords: COPD; Emotional status; Social support | The relationship between social support and emotional status among patients with chronic obstructive pulmonary disease |
| Associated factors of post-hemodialysis recovery time in kidney failure patients | Gusti Ayu Ary Antari, Lestari Sukmarini, Muhamad Adam. | Objective: To identify the factors related to post-hemodialysis recovery time in kidney failure patients. Method: This study used a descriptive correlation design with a cross-sectional method. The samples in the study were 185 hemodialysis patients at Sanglah Central Hospital, Denpasar, who were recruited through a consecutive sampling technique. Data were analyzed using multiple linear regressions. Results The results of the study showed that the mean recovery time was 578.41 ± 402.27 min. Post-hemodialysis recovery time was found to be significantly related to the hemodialysis schedule (p = 0.029), comorbid diseases (p = 0.046), the number of acute complications (p = 0.001), and depression (p = 0.004). The results of multivariate analysis showed that the number of acute complications during hemodialysis was the most dominant factor related to recovery time (β = 0.747). Conclusion Gender, upper-arm circumference, hemodialysis schedule, sodium dialysate concentration, intradialytic weight loss, comorbid diseases, and the number of acute complications were found to be significant correlated with post-hemodialysis recovery time. Keywords Hemodialysis; Kidney failure; Post-hemodialysis recovery time | Associated factors of post-hemodialysis recovery time in kidney failure patients |
| How does organizational culture influence care coordination in hospitals? A systematic review | Tisan Meily Runtu, Enie Novieastari, Hanny Handayani. | Objective: This research to review the attributes of the organizational culture that may influence care coordination and to identify which organizational culture type that may enhance care coordination. Methods: We conducted a systematic review published in Science Direct, Proquest and Scopus. The inclusion criteria were quantitative and qualitative studies with respect to organizational culture and care coordination in hospitals, published in the English language between January 2006 and July 2017. PRISMA-P 2015 checklist was utilized to analyze and report this review. Results: 359 articles generated, 66 articles were reviewed. Our review found that organizational culture generally falls into four categories: hierarchy, clan, adhocracy, and market. Our review, furthermore, indicated that the following organizational culture attributes influenced care coordination: relationships and communication within the team, teamwork, success criteria, conflict management, and the authority and autonomy. Conclusion: Our review suggested hospital managers adapt clan culture to improve care coordination in their hospitals. Keywords: Interprofessional collaboration; Care coordination; Organizational culture | How does organizational culture influence care coordination in hospitals? A systematic review |
| The impacts of career ladder system for nurses in hospital | Bela Pertiwi, Rr. Tutik Sri Hariyati. | Objective: To examine the impacts of the career ladder programme on nurses’ job satisfaction. Method: We did a systematic review of the literature from 2008 to 2018. Data were collected from five databases (EBSCO, ProQuest, SAGE Journals, and Science Direct), using the keywords of nursing career ladder, job satisfaction, and clinical ladder. Results: Sixteen articles were included in the review. The results showed the impacts of the career ladder system for the nurses in hospital were: (1) career advancement, (2) development of mentorship, (3) establishing an effective reward system, (4) skill and education development, and (5) awareness of duty. Development of mentorship and career advancement were shown to influence the development of nurse competency significantly. Conclusions: Mentorship and career advancement had the largest impact on the nurses’ career ladder implementation. Nurse managers have a substantial role in improving the implementation of the career ladder in order to enhance nurses’ satisfaction. Keywords: Career ladder; Mentorship; Nurse satisfaction; Reward system | The impacts of career ladder system for nurses in hospital |
| Analysis of participants’ characteristics and risk factors for stroke recurrence | I. Made Kariasa,, Elly Nurachmah,,Setyowati, Raldi Artono Koestoer. | Objective: This preliminary study aimed to identify risk factors contributing to recurrent stroke. Method: The study design was a descriptive analytic with a cross-sectional approach. The study involved post-stroke patients admitted to inpatient and outpatient of a neurology department. Ninety-eight participants were selected through consecutive sampling. Results: The study results suggested that patients with a bachelor's degree (2%) had a lower risk of recurrent stroke, while housewives (32.7%), patients with ischemic stroke (63.3%), and patients with a second incidence of stroke (78.6%) had a higher risk for recurrent stroke. Risk factors for stroke included modifiable factors such as hypertension, cardiovascular disease, hypercholesterolemia, obesity, diabetes mellitus, smoking habit, alcohol abuse, stroke history, and use of contraceptive pills; and non-modifiable factors such as age, sex, ethnicity, and genetics. The results revealed that hypertension (86.7%), as a modifiable risk factor, posed the highest risk for recurrent stroke. Being of Javanese ethnicity (60.2%) was indicated as the non-modifiable risk factor with the highest risk of recurrent stroke. Conclusion Risk factors are firmly associated with stroke recurrence. It is necessary to investigate stroke patients’ self-screening further to manage modifiable factors. Keywords Recurrent stroke; Risk factors; Participants’ characteristic | Analysis of participants’ characteristics and risk factors for stroke recurrence |
| The correlation between infant and toddler feeding practices by working mothers and the nutritional status | Anita Dewi Permatasari, Fajar Tri Waluyanti. | Objective: This study aims to determine the correlation between infant and toddler feeding practices in working mothers with the nutritional status of children aged 6–23 months in Depok City. Method: This study applied cross-sectional design and cluster sampling technique. The study population was 8772 with a sample of 223 selected respondents. Feeding practices measured by the Guidelines for the Integrated Childhood Illness Management Chart from the Indonesian Ministry of Health, while nutritional status was measured by calculating children's weight-for-height. Results: The results indicated that most feeding practices were inappropriate (98.9%) with normal nutritional status in children (80.8%). The results of the statistical analysis showed that there was no significant relationship between feeding practices and nutritional status in infant and toddlers (p = 0.923). Conclusion: The results indicate there were other parameters to determine nutritional status, so further analysis needs to be done. Keywords: Working mother; Feeding practices; Nutritional status | The correlation between infant and toddler feeding practices by working mothers and the nutritional status |
| Experiences of palliative care nurses in providing home-based care for patient with advanced cancer | Marlon Sijabat, Debie Dahlia,, Agung Waluyo. | Objective: The main concern of caring for an advanced cancer patient is to fulfill the physical, psychological, social, and spiritual needs to reduce the patient's suffering for a dignified death. The purpose of palliative care is to provide comfort and appropriate palliative care nursing. The courage and dedication to fulfill the complex needs for a dying patient become a unique experience for palliative care nurses. Method: Such experience was explored by using a descriptive phenomenological approach. Eight palliative care nurses were involved as the participants. The findings from the interview were analyzed by using Colaizzi method. Results: The analysis resulted six themes: palliative care given after the primary job in hospital, family's assumption of palliative care nurse as a caregiver, palliative care nurse concerned more on patient's physical needs, palliative care nurse more dominant in collaborating to overcome the pain, providing care for imminent death in accordance with predefined standards, and challenges in decision making regarding to palliative care. Conclusions: It is suggested to improve the services to become a palliative care nurse specialist, to improve knowledge and training of palliative care nurse, and to manage the policy of palliative care nurse in National Health Service system. Keywords: Nurse experience; Home-based terminal palliative care; Palliative nurse | Experiences of palliative care nurses in providing home-based care for patient with advanced cancer |
| The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse prevention | Nita Sukamti, Budi Anna Keliat, Ice Yulia Wardani. | Objective: Substance abuse is one of the most serious problems in Indonesia and is highly prevalent among adolescents. Therefore, psychotherapy is needed in preventing substance abuse for adolescents. This study aims to analyze the influence of coping skills training and family health education on self-esteem in a sample of 87 young people. Method: The sample was divided into two groups using simple random sampling. ANOVA was used to determine differences between the control group and those receiving coping skills training and family health education. Results: Self-esteem improved significantly in the group that received the experimental training (F(1.85) = 44.70, p < 0.001). Some practical implications can be deduced for psychiatric nurses to implemented coping skill training and family health education as a standard treatment in substance abuse prevention among adolescents. Keywords: Coping skill training; Family health education; Self-esteem; Adolescents; Substance abuse prevention | The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse prevention |
| Board game as an educational media for dengue prevention knowledge for school-aged children | Vivi Leona Amelia, Agus Setiawan, Sukihananto. | Indonesia is one of the endemic countries for dengue fever, and for the incidents are increasing year by year. Children are the risk population to dengue incidents than the others age groups. Part of the dengue prevention is increasing the knowledge, and also the children’s knowledge. The use of the game is the enjoyable way for learning in children. Aim: The aim of the study was to know children's basic knowledge about dengue prevention and develop an educational media for children. This study uses a quasi-experimental design with pre and post-test and using a control group. Method: The participants are a school-aged children between the ages of 10-12 years old with total 92 participants who were divided into intervention group and control group. Results: The results showed that there are a significantly increasing score at children basic knowledge at intervention group about dengue fever sign and symptom (p=0,001); prevention strategy based on Indonesia Health Ministry guidelines (p=0,001); chemistry agent (p=0,000); biology agent (p=0,000); self-protection (p=0,001); and immune system (p=0,001). There are difference knowledge between intervention and control groups (p=0,000). Conclusion: The conclusion of the study is board game can be designed to be an educational media to give a health education about dengue prevention strategy to the children. Keywords: Board game, dengue prevention strategy, educational media | Board game as an educational media for dengue preventionknowledge for school-aged children |
| Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatients | Muhamad Jauhar, Astuti Yuni Nursasi, Wiwin Wiarsih. | Objective The study was to determine the influence of self-management counseling on self-efficacy in relation to the health-seeking behavior of patients with pulmonary TB at top referral hospital in West Java. Method A quasi-experimental design, involving a pre- and post-assessment, was applied. Purposive sampling was used to select an intervention (n = 30) and control group (n = 30). Results Self-management counseling was associated with an improvement in self-efficacy in relation to the health-seeking behavior and treatment adherence of patients with pulmonary TB (a mean increase in self-efficacy of 6.60 point) (p-value = 0.001). Conclusion Self-management counseling significantly increased self-efficacy in relation to the health-seeking behavior and treatment adherence of pulmonary TB patients. Self-management counseling is recommended as a nursing intervention for pulmonary TB patients, especially in the early phase of treatment (i.e., the first 1–2 months) during the administration of medication at primary and secondary healthcare facilities. Keywords Pulmonary TB; Outpatients; Self-efficacy; Self-management; Counseling; Nursing | Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatients |
| The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs | Dikha Ayu Kurnia, Yulia, Agung Waluyo, Agustin Indrachayani.Agustin Indrachayani. | Objective This study aimed to explore the lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs. Method We employed a phenomenological approach involving seven colorectal patients with undernutrition selected using purposive sampling method. We employed in-depth interviews to collect data and Colaizzi's content analysis to analyze data. Results We identified the following six themes: (1) cancer is the cause of weight loss, (2) preferred foods have potential to cause cancers; (3) concerns regarding digestive issues; (4) pathological response toward foods; (5) delayed meal times; and (6) suicidal thoughts outside the context of the disease. Conclusions It is important for nurses to provide patient education and design teaching instructions for patients in meeting their nutritional needs by considering barriers experienced by patients. Nurses along with dietitians and physicians may also develop guidelines to address undernutrition for colorectal cancer patients. Keywords Colorectal cancer patients; Experience; Nutritional needs; Undernutrition | The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs |
| History of violence performed by family on people with mental illness following hospitalization | Kristianus Triyaspodo, Novy Helena Catharina Daulima, Ice Yulia Wardani. | Objective Violence experienced by people with mental illness may result in serious psychological effect. The impact may cause relapse among them which raises the case prevalence. This study aimed to identify the description of the history of violence performed by family on people with mental illness following hospitalization. Method The study design was qualitative with a descriptive phenomenological approach. Results The result identified six themes, which included family's knowledge deficiency as the cause of violence experienced by people with mental illness, main caregiver as perpetrator of violence on people with mental illness, physical abuse as the common type of violence experienced by people with mental illness, helplessness as the impact of violence, distraction as coping mechanism, and expectation of people with mental illness to be relieved from violence. Conclusions The study result suggested that all psychiatric nurses provide cognitive therapy for the victim of abuse and family psycho-education therapy for the abuser to prevent the recurring of abuse on people with mental illness. Keywords Family; Mental illness; Violence | History of violence performed by family on people with mental illness following hospitalization |
| The self-esteem of gay men with HIV/AIDS in social adaptation | Yayu Handayani, Herni Susanti, Mustikasari. | Objective The stigma and discrimination experienced by gay men with HIV/AIDS may lead to various psychosocial problems, one of which is low self-esteem. This condition might affect their attempts to adapt to the social environment. The objective of this study was to investigate self-esteem among gay men with HIV/AIDS in social adaptation. Method This study had a descriptive qualitative design and employed snowball sampling to recruit nine participants. The data were analyzed using thematic analysis. Results We identified three themes in this study: (1) self-esteem of gay men with HIV/AIDS, (2) the influence of self-esteem on social adaptation, and (3) coping mechanisms for social adaptation. Conclusion In the social domain, stigma and negative perceptions within the society affect the participants’ self-esteem. This paper provides suggestions for non-governmental organizations and health services to assist gay men with HIV/AIDS in overcoming low self-esteem. Keywords Self-esteem; Gay; HIV/AIDS; Social adaptation | The self-esteem of gay men with HIV/AIDS in social adaptation |
| The correlation between sleep quality and levels of stress among students in Universitas Indonesia | Kusuma Herawati, Dewi Gayatri. | Objective This study estimated the prevalence of and the correlation between sleep quality and levels of stress among college students. Method Design of this study is analytical with the cross-sectional approach. There are 450 college students who participated and chosen by a stratified random sampling technique in the University of Indonesia. A self-administrated questionnaire is distributed to assess sleep quality used the Pittsburgh Sleep Quality Index (PSQI), and the stress level by used the Perceived Stress Scale (PSS). The study samples came from three clusters are health, science and technology, and social humanities. Result The result is analyzed using Chi-square test and showed a significant relationship between sleep quality and level of stress among Students of the University of Indonesia (p = 0.001; α = 0.05). Students are with poor sleep quality 4.7 times more likely to have higher stress than students who have a good sleep quality. Conclusion The results showed that poor sleep quality most widely owned by a grove social humanities have strong relationship with cluster and stress level. Students with poor sleep quality 4.7 times more likely to have higher stress than students who have a good sleep quality. Stress experienced due to poor sleep quality ratings. This research recommend to applied stress management in order to increase sleep quality. Keywords College student; Levels of stress; Sleep quality | The correlation between sleep quality and levels of stress among students in Universitas Indonesia |
| Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in Jakarta | Devi Nurwidhiyasari, Shanti Farida Rachmi, Agustin Indracahyani, Tuti Nuraini. | Objective The aim of this study was to assess the quality of life associated with the health of patients with COPD. Method The design of this study used a cross-sectional with convenience sampling method in 200 stable COPD patients, who had suffered COPD for more than 3 months but who did not have stage 3 or stage 4 chronic heart failure, at three Hospital in DKI Jakarta. Groups A to D were divided based on the COPD Assessment Test (CAT), the exacerbation category using the recommendation from GOLD, and the quality of life questionnaire using the St. George's Respiratory Questionnaire (SGRQ). Results The chi-square analysis showed that p = 0.000 (p < 0.05), indicating that there was a difference of proportion between Group A, Group B, Group C, and Group D, which means that there is relationship between the ABCD Groupings classification on the quality of life. Conclusions This study shows that there is a relationship between severity using ABCD Groupings Classification and the quality of life for COPD patients. Keywords Chronic obstructive pulmonary disease (COPD); Health-related quality of life (HRQOL); Classification of ABCD Groupings; GOLD | Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in Jakarta |
| Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative study | Tres Silowati, Hanny Handiyani, Shanti Farida Rachmi. | Objective This study analyzes the different rate of incidence and prevention behavior for needlestick injuries (NSIs). Method This is a quantitative study using a cross-sectional design. Respondents were selected using a stratified sampling method. The total number of respondents taking part in this research is 258, consisting of 51 academic nursing students, 70 clinical nursing students, and 137 in-service nurses who were selected randomly. Result A Kruskal–Wallis test indicates that there is no significant difference (p 0.162). Beliefs and values influence the practice of breastfeeding, but a chi-squared test indicates that there is a significant difference in the NSI (p < 0.001) in the prevalence of NSI among academic nursing students, clinical nursing students, and in-service nurses. Conclusion NSIs among nursing students and nursing staff can be minimized by adopting safer practices when handling hypodermic syringes. Supervision must be conducted to make sure that nursing students and nurses adopt safer behaviors. Keywords Behavior; NSI; Nurse; Nursing students | Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative study |
| The fight against stigma in the recovery process of post-pasung mentally ill patients | Ida Ayu Putri Wulandari, Novy Helena Catharina Daulima, Ice Yulia Wardani. | Objective To identify the resistance against stigma as part of the recovery process in post-pasung mentally ill patients. Method A descriptive phenomenology approach was used in this qualitative research. The 12 participants in the sample were selected using the purposive sampling method. The data collected through in-depth interviews with post-pasung mentally ill patients. The Colaizzi method was used to analyze the data. Results Four themes emerged from the data analysis: the reluctance to be confined again; the demand to interact with other people; the sense of discrimination by being stigmatized, and the desire not to differentiated from others. Conclusion The freedom from stigma could begin with how mentally ill patients perceive their acceptance by society. Based on the results, optimized community mental health nursing for mentally ill patients in their neighborhoods is urgently required. Keywords Stigma; Mental illness; Pasung; Recovery | The fight against stigma in the recovery process of post-pasung mentally ill patients |
| Supportive care needs in predicting the quality of life among gynecological cancer patients | Yati Afiyanti, Ariesta Milanti, Riska Hediya Putri | Unmet supportive care needs have been shown to lower the quality of life of cancer patients, including those with gynecological cancer. Therefore, we examined how the unmet supportive care needs might predict the quality of life of gynecology cancer patients undergoing therapy. We had a convenience sample of 153 patients from two major cancer hospitals in Jakarta, Indonesia, complete the SCNS-SF34 and EORTC QLQ-30. Analysis showed that unmet supportive care needs predict poorer quality of life (i.e., lower global health status and functional status, and more cancer-related symptoms). This study emphasizes the need for supportive care services in the areas of psychological, physical, and sexuality to be prioritized to improve the patients’ quality of life. | Supportive care needs in predicting the quality of life among gynecological cancer patients |
| Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school | Indah Ramadhan, Budi Anna Keliat, Ice Yulia Wardani. | Adolescents are prone to use drugs when they have low self-esteem. Assertiveness training and family psychological education therapies are mental health nursing specialist interventions that are expected to increase adolescent self esteem so that adolescent has ability to prevent drug use. This study aims to determine the effect of assertiveness training and family psychological education therapy on adolescent self-esteem in the prevention of drug use in boarding schools. The research design was a quasi-experimental pre-post test with a control group. Sixty four adolescent students at the boarding school were selected using purposive sampling technique and cluster random sampling. The intervention group 1 only received general nursing intervention and the intervention group 2 received general nursing intervention, assertiveness training, and family psychological education therapy. The results showed that the self-esteem of adolescent students increased significantly after receiving nursing intervention and in the high self-esteem category (p = 0.017), after assertiveness training and family psychological education therapy, adolescent self-esteem in the intervention group 2 increased greater than only general nursing intervention ( P = 0, 000) with the high self-esteem category. There is the influence of assertiveness training and family psychological education therapy on adolescent self-esteem in prevention of drugs uses in a boarding school. Community health center is recommended to do nursing care in school through school health unit program either by primary care nurse or nurse specialist of mental health nursing. Keywords: Assertiveness Training; Family Psychological Education Therapy; Self-Esteem; Drugs; Adolescent; Boarding Schools. | Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school |
| Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation | Sri Laela, Mustikasari, Ice Yulia Wardani. | Patients with degenerative disease were hospitalized may experience an anxiety psychological problem affecting the condition of the illness. The handling of this case aims to determine the change of symptom signs and ability of anxiety patients after exercise thought stopping and family psychoeducation. The design was case study with 25 participants. The analysis was performed on symptoms and abilities of patients and families before and after nursing intervention, thought stopping and family psychoeducation. The case handling on the same topic has been done before, but that distinguishes the author using Peplau's interpersonal theory approach. This makes its different and important to do. The result of the case handling shows the age of 18-60 years, female 13 people, men 12 people, Sundanese and the decreased signs of anxiety symptoms, also the increased the ability of families in caring for family members who experienced anxiety. Nursing intervention, thought stopping and family psychoeducation are recommended as nursing therapy for patients anxiety with degenerative diseases. Keywords: anxiety, family psychoeducation, thought stopping | Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation |
| Mobile health application in implementation of maternity nursing care: Literature review | Lina Anisa Nasution, Rr. Tutik Sri Hariyati. | Indonesia is a developing country with relatively high maternal mortality number. One of the influencing factors for that condition is health services at antenatal, intranatal and postnatal period has not been optimized yet. The optimization effort has been done in several countries through health service based on utilization of mobile phone technology called mobile health. The literature study aimed to present information from previous studies about implementation and benefits of mobile health in the maternity nursing care. The literature sources divided into three country categories including Western, non Western and Indonesia and consist of 30 online literatures. The implementation of mobile health in maternity nursing care showed positive impact in knowledge, motivation, and health behavior of the mother. Indonesia as developing country which can be strategic country in utilizing mobile health because of mostly Indonesian is mobile phone users. Nurse in corporation with cross sectors is supposed to develop mobile health in many strategic topics specifically in the effort of reducing the Maternal Mortality Rate (MMR) in Indonesia. Keywords : Information technology, maternity, mobile-health, nursing care. | Mobile health application in implementation of maternity nursing care: Literature review |
| The policy review related to suporting families of people with mental health problems in Indonesia | Herni Susanti, Ice Yulia Wardani, Eka Malfa Sari. | Government policies and legislation can in fl uence the mental health of the population, including the families of people with serious mental illnesses. Recently, mental health policies in Indonesia have focused on human right of the individuals with mental illnesses, and this may explain why there has been little emphasis on supporting families in Indonesia. A policy review was conducted to identify the government guidance related to the directives for mental health services to support the families of people with serious mental illnesses in the country. A systematic review approach was undertaken for 16 relevant documents related to policies, standards, and guidelines of mental health services for the families of people with serious mental illnesses in Indonesia. The fi ndings of this policy review suggest that there are signi fi cant challenges for mental health services in Indonesia to support the families on behalf of their needs and wellbeing. The crux of the matter is that there have been policies that should be useful to professional, families and services users, yet problems to access these documents may exist. The information from the policy review can enhance the understanding about current mental health services in Indonesia. It is also a valuable source to direct an investigation about what Indonesian families want from the services. This study expects recommendations to respond to the needs which are practical and realistic based on the country’s own limitations in terms of policy support and information access. | The policy review related to suporting families of people with mental health problems in Indonesia |
| Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia | Mustikasari, Junaiti Sahar, Harif Fadhillah, Anggi Pratiwi. | Post-traumatic stress syndrome (PTSS) may be experienced by individuals who were traumatized by unpleasant experiences, such as earthquakes, which occur suddenly, and are diffi cult to predict. This study is aimed to explore PTSS experienced by nurse survivor following earthquakes in several areas in Indonesia. A qualitative study was conducted to participants with the following criteria: nurses who were actively working in the primary level health care services (health centers) and had experienced PTSS as determined by screening results. The study was conducted in regencies/cities that have experienced earthquakes in West Sumatra, North Sulawesi, Yogyakarta, East Java, and Banten. Data were collected for 3 months, between September and November 2011. Participants were recruited through purposive sampling according to the inclusion criteria for PTSS screening (experienced 2-3 years of grief). Ten participants agreed to be interviewed. Data were analyzed by thematic analysis. Two main themes emerged consisting of physical and psychological responses of nurses. Trembling and being scared have been the consistent response up to several years after the incident. The results of the study can serve as source of information for developing nursing skills in the prevention and mitigation stage of disaster, as well as for the formulation of supportive policies. | Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in IndonesiaPost-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia |
| The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension | Noor Rochmah Ida Ayu, Trisno Putri, Dwi Nurviyandari, Kusuma Wati, Etty Rekawati. | This study is to determine the correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension. It was a descriptive analytical type of quantitative research with the cross-sectional approach. Data were collected from the working area of Tugu Community Health Center, Depok involving 108 older persons with hypertension. Two questionnaires were used to measure the characteristic of the respondents (questionnaire A) and family support, social support, and adherence to physical exercise (questionnaire B). The data analysis included univariate, bivariate, and multivariate correlations. There is a signi fi cant correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension. Family support has the greatest in fl uence on the adherence to physical exercise among the older persons with hypertension (β coeffi cient value: 0.381). The older persons with hypertension need a strong support from the family or closest friends to improve the adherence to hypertension treatments, one of which is physical exercise. Family support has the major infl uence on the adherence to physical exercise among the older persons so that the development of communitybased and family-based nursing strategies through the empowerment of the older persons care groups and family empowerment is essential to be carried out. | The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension |
| Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur | Sri Laela, Budi Anna Keliat, Mustikasari. | Ibu postpartum dengan bayi prematur yang lahir secara sectio caesaria akan membutuhkan proses adaptasi yang lebih dibandingkan dengan ibu postpartum normal yang melahirkan bayi cukup bulan. Ibu postpartum dengan bayi prematur berisiko mengalami postpartum blues dan ansietas.Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapi suportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Desain penelitian yang digunakan quasi-experiment with control group pretest-posttest design dengan metode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayi prematur yang dirawat di ruang Perina – Nicu sebanyak 62 responden, diambil melalui convenience sampling. Instrumen yang digunakan dalam penelitian ini adalah HARS dan EPDS.Hasil penelitian menunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000) pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapi suportif, dan lebih besar penurunan secara bermakna dibandingkan dengan kelompok yang hanya mendapat tindakan keperawatan Ners. Terapi thought stopping dan terapi suportif mampu menurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur dua kali lebih besar dibanding pemberian tindakan keperawatan Ners. Kata kunci: Ansietas;postpartum blues;terapi suportif;thought stopping | Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur |
| Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension | Etty Rekawati, Pera Putra Bungsu, Wiwin Wiarsih. | Objective: Aging is a natural process that will be experienced by everyone, and during the aging period there will be a decrease in body function especially in cardiovascular function so that it will cause health problems such as hypertension. Hypertension is a health problem that is generally found in the elderly and the need for appropriate treatment such as the implementation of physical exercise for the elderly and the role of the family to help the elderly overcome this problem. The purpose of this study was to determine the behavior of elderly caregivers with the implementation of physical exercise in the elderly with a hypertension health problem. Method: This research uses descriptive correlational design. The sample size was 108 respondents. Data analysis used Chi-Square test. Results: The results of this study indicated that the behavior of elderly caregiver affects the implementation of physical exercise in the elderly with hypertension (p-value<0.001; OR=4.781). Conclusions: The results of this study indicate that the behavior of elderly caregivers influences the implementation of physical exercise in the elderly with hypertension. The results of this study are expected to provide input to community nurses as providers of nursing care, one of them is nursing care providers for families can work with family members as caregivers, especially in the elderly with hypertension health problems to motivate families to do effective treatment so that elderly hypertension can exercise physical according to the prescribed recommendations. Keywords: Elderly; Elderly caregiver; Hypertension; Physical exercise. | Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension |
| Developing a health education game for preschoolers: What should we consider? | Arbianingsih, Yeni Rustina, Tri Krianto, Dian Ayubi. | Objective To provide a comprehensive picture of what preschoolers prefer in computer game so that such game may be developed as a medium in health education. This is an important step to attract the children's attention so that the learning objectives from the educational game can be achieved. Method This study used descriptive qualitative approach and involved seven children aged from three to six years. Purposive sampling was used to choose participants in accordance with the inclusion criteria. Participants were also chosen on the basis of whether they had good communication skills based on evaluation by their teachers. Data were collected through interviews and observation of types and models preferred by preschoolers followed by the analysis process using the Colaizzi method. Results Research showed there were three characteristic features of games preferred by preschoolers: 1) main character was preferred to be a moving creature, contain elements of fantasy, and have an attractive appearance; 2) game model was favored when it involved activities and rewards, and 3) the use of bright colors, particularly primary and secondary colors. Conclusions To develop an appealing game for preschoolers, features such as the main character, activities in the games, and bright colors should be considered. Keywords: Computer game; Health education; Preschool children | Developing a health education game for preschoolers: What should we consider? |
| Chewing gum is more effective than saline-solution gargling for reducing oral mucositis | Kadek Cahya Utami, Happy Hayati, Allenidekania. | Objective This quasi-experimental study compared the effectiveness of chewing gum and gargling with a saline solution as two types of intervention to reduce oral mucositis scores. Method The sample consisted of 44 children who were divided into two groups, one of which chewed gum, and the other gargled with a saline solution. The Mann-Whitney U test was used to analyze the data. Results There was a significant difference (p = 0.001) in post-intervention oral-mucositis scores. The significant mean difference between the groups indicated that the decreased oral mucositis scores for the chewing gum group was more substantial than for the group gargling with a saline solution (p = 0.001). Conclusions The data showed that chewing gum is more effective than gargling with a saline solution, and it can be incorporated into the nursing protocol for treating pediatric cancer patients. | Chewing gum is more effective than saline-solution gargling for reducing oral mucositis |
| Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? | Ely Mawaddah, Nani Nurhaeni, Dessie Wanda. | Objective Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia. Method The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12). Statistical analysis was conducted using the Wilcoxon test, paired t test, and Kruskal-Wallis test. Results A significant difference in the oxygen saturation level was found among the three groups, particularly in the semirecumbent group. No significant difference was observed on the comfort level in all groups. Conclusions The semirecumbent position can be applied to improve the oxygenation status of children under five with pneumonia. Therefore, nurses should teach the family how to position the children with pneumonia during their hospitalization. Keywords Child; Oxygenation; Comfort; Pneumonia; Prone; Semirecumbent | Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? |
| The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia | Nur Eni Lestari, Nani Nurhaeni, Siti Chodidjah. | Objective There is controversy regarding the effectiveness of chest physiotherapy to solve airway obstruction problems experienced by children younger than five years of age with pneumonia. The aim of this study was to determine the effectiveness of chest physiotherapy and nebulization on the respiratory status of these children. Method This study was quasi-experimental with a pre- and post-test nonequivalent control group design. Thirty-four respondents selected by consecutive sampling were divided into two groups: one that received nebulization and one that received nebulization with chest physiotherapy. The independent t-test was used to analyze the effect of chest physiotherapy and nebulization on the respiratory status of children younger than age five with pneumonia. Results There was a significant mean difference in heart rate, respiratory rate, and oxygen saturation between the control and intervention group (p = 0.000). Despite the correlation between age and heart rate, other characteristics (nutritional status, exclusive breast-feeding, vaccination, the length of illness, and the content of nebulization medication) had no effect on heart rate, respiratory rate, and oxygen saturation. Conclusions The combination of nebulization and chest physiotherapy is more effective than nebulization only. It is important to reconsider the combination of nebulization and chest physiotherapy to overcome airway obstruction problems. Keywords: Nebulization; Chest physiotherapy; Respiratory status; Pneumonia | The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia |
| Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia | Rahma Annisa, Nani Nurhaeni, Dessie Wanda. | Objective This study aimed to examine the correlation between inhalation therapy and length of hospital stay in children under age of five with pneumonia. Method This cross-sectional study included 102 consecutive patients (secondary data) with pneumonia. The patients were divided depending on the type of therapy they received: Group I used inhalation therapy with bronchodilator β-agonist + NaCl 0,9%, Group II used inhalation therapy with bronchodilator β-agonist and anticholinergic + NaCl 0,9%, Group III used inhalation therapy with NaCl 0,9%, and Group IV used no inhalation therapy. Results The study results showed a significant correlation between the use of inhalation therapy and the length of hospital stay (p = 0.000) after being controlled age, leucocyte count, and the type of antibiotic therapy. However, there was no significant correlation between the use of inhalation therapy and the length of hospital stay in children under the age of five with pneumonia after sex and oxygen therapy being controlled. Conclusions Inhalation therapy with a combination of bronchodilator β-agonist and anticholinergic + NaCl 0.9% and with bronchodilator β-agonist + NaCl 0.9% are the two most effective treatments with which to reduce the length of hospital stay in toddlers with pneumonia. Keywords: Inhalation; Length of hospital stay; Pneumonia | Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia |
| Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children | Arbianingsih, Yossy Utario, Yeni Rustina, Tri Krianto, Dian Ayubi. | Objective This research aimed to examine the effectiveness of an Android mobile game application called Arbi Care as a means to prevent diarrhea and build self-efficacy in hand washing among preschool children. Method This research used a pre- and post-test control group and time series design approach. Respondents were chosen randomly from a group of four to six years children. The intervention group (n = 60) received Arbi Care intervention for 25 minutes, twice a week, for five weeks while the control group (n = 60) received standard education. Self-efficacy was measured by using questionnaire and observation. Measurement was carried out three times in the sixth, eight, and tenth week post-intervention. The data was analyzed using the GLMRM test. Results There was a significant increase in the average score of self-efficacy in hand washing for the intervention group versus the control group. Moreover, there were significant differences in the results of average scores in which the intervention group showed much better self-efficacy improvement over the control group during the first, second, and final post-test after the intervention was given (p < 0.001). Conclusions An Android-based educational game can be an effective medium to improve hand washing self-efficacy among preschool children, thus helping to prevent diarrhea. Keywords: Educational; Game; Self-efficacyHand-washing; Preschool; Diarrhea | Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children |
| Spirituality in adolescents with cancer | Sembiring Lina Mahayati, Allenidekania, Happy Hayati. | Objective As adolescents with cancer are at risk of experiencing spiritual distress, they tend to have unique spiritual needs. Spirituality plays a significant role for adolescents with cancer as it contributes to increased comfort and calmness, and better coping mechanisms when confronted with the illness, which indirectly improves the adolescent’s quality of life. This study aimed to explore spiritual experiences in adolescents with cancer. Method A qualitative study using a phenomenology approach was conducted. Nine adolescents with chemotherapy-treated cancer were purposefully selected to be involved in this study. The data were analyzed using thematic analysis. Results This study identified six spiritual themes in adolescents with cancer: a) accepting their illness; b) believing their illness in God’s will; c) improving spiritual practices; d) expressing empathy to parents; e) maintaining relationships with significant others, and f) achieving self-actualization. Conclusions This study demonstrated that spirituality gave hope to adolescents by helping them to overcome existential problems related to cancer. We believe it is necessary for nurses to address the spiritual needs of adolescent with cancer as this will help these young people accept their condition with more grace and humility. Keywords: Adolescent; Cancer; Experience; Spiritual | Spirituality in adolescents with cancer |
| Impact of family empowerment model on satisfaction and children's length of stay in hospital | Nani Nurhaeni, Yeni Rustina, Nur Agustini, Novi Enis Rosuliana. | Objective The purpose of the study was to identify the impact of family empowerment model intervention on family satisfaction and children’s length of stay in the hospital due to pneumonia. Method The design of the study was that of a quasi-experiment. About 83 family-child groups were divided into 42 pair in the intervention group and 41 pair in the control group; which were recruited using consecutive sampling using certain inclusion criteria. Three district hospitals in Jakarta were used in this study. A questionnaire and family empowerment instrument were developed and used to collect the data. An analysis of the data used independent and paired t-test. Results The results of the study showed a significant difference between the intervention and control groups in empowerment and satisfaction aspects after the intervention (p= 0.000; p= 0.000). An analysis of length of stay using the t-test indicates a significant difference between the intervention and control groups (p= 0.000). Conclusions The family empowerment model (FEM) intervention has a positive impact on families, as it can increase both the satisfaction and the empowerment of the family. Another important indicator of the FEM’s success is its ability to decrease the length of stay of patients. Keywords: Family empowerment; Children under 5; Pneumonia; Length of stay; Family satisfaction | Impact of family empowerment model on satisfaction and children's length of stay in hospital |