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A Scoping Review of the Health Technology Procurement Decision Process in Indonesia Cashin, Andrew; Tumanggor, Roxsana Devi
Nurse Media Journal of Nursing Vol 9, No 1 (2019): (JUNE 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: There is no doubt technological development in the caring sciences can be an enabler of better outcomes. Technological development and the adoption of new technology can also become a constraint and pose challenges to the current patterns of work and organizational elements. A framework for decision making of when to purchase and incorporate new technology is required.Purpose: This paper aimed to determine what is known of procurement decisions of advanced technology in healthcare generally and particularly in Indonesia.Methods: A scoping review was conducted to ascertain the current understanding of what forms the basis of procurement decisions of health technology generally and particularly in Indonesia. Â Â Results: A paucity of peer review literature was identified. There was no identified peer reviewed literature with a focus on Indonesia. Without a guiding evidence base and agreed decision making framework, it is likely that there is great variation in practices.Conclusion: In the absence of a solid body of literature to inform practices, two principals to move to a sustainable adoption and integration of advancing and emerging technology into practice in the health care sciences are presented, and provide a scaffold to facilitate navigating what can be tricky waters constituted by enthusiasm and trepidation.

EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON THE FUNCTIONAL STATUS OF THE ELDERLY IN THE INTEGRATED SERVICES UNIT OF THE ELDERLY BINJAI Elfira, Eqlima; Nurbaiti, Nurbaiti; Tumanggor, Roxsana Devi
Jurnal Keperawatan Respati Yogyakarta Vol 7, No 2 (2020): MEI 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i2.531

The elderly are very vulnerable to overcome musculoskeletal disorders such as joint pain and back pain. The estimated health status of the elderly can be changed in their Functional Status, which will affect Physical, psychological, and spiritual. This study discusses progressive muscle relaxation training in the Functional status of the elderly in the Binjai Elderly Integrated Services Unit. The research method was conducted by pre-experiment with the design of one group pretest-posttest. The number of samples consisted of categories from 60 years to 82 years, collected 33 people. The implementation method is done with progressive relaxation exercises for 30 minutes in a seated position with 15 hand and foot movements with 33 elderly people repeatedly. Data collection tools in this study use demographic data questionnaires and Barthel index. Data analysis using Pearson correlation coefficient, where the value of sig. (2-tailed) 0.085> 0.05 which means there is no significant effect between progressive muscle relaxation exercises with the functional status of the elderly. The progressive muscle relaxation exercises only experience changes in vital signs so that it is very effective in a sitting or standing position.

Perawatan Postpartum Suku Simalungun: Studi Fenomenologi Tumanggor, Roxsana Devi; Saragih, Merry Saira
TROPHICO: Tropical Public Health J. Vol. 2 No. 2 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v2i2.8793

Masa nifas atau masa postpartum adalah masa sejak bayi dilahirkan hingga plasenta lepas dari rahim, dan ini berlanjut sampai enam minggu berikutnya. Beberapa budaya dan suku di Indonesia menunjukkan bahwa terdapat beberapa tradisi yang sudah dilakukan secara turun temurun dalam penanganan ibu sebelum dan setelah melahirkan. Namun, masih belum banyak penelitian yang dilakukan terkait persepsi budaya perawatan ibu nifas pada suku suku di Indonesia termasuk suku Simalungun. Penelitian ini bertujuan untuk mengeksplorasi perawatan ibu nifas menurut suku Simalungun di Indonesia. Desain penelitian yang digunakan adalah studi fenomenologi dengan teknik in-depth interview. Teknik pengambilan sampel yang digunakan adalah purposive sampling terhadap sepuluh partisipan yang dilaksanakan pada bulan April â€“ Juni 2018. Setiap partisipan diwawancarai dengan pertanyaan terstruktur sekitar 45-60 menit. Transkrip hasil wawancara dibaca berulang ulang untuk menganalisis tema dan sub tema. Analisa data dilakukan dengan thematic analysis. Hasil penelitian menunjukkan enam tema perawatan ibu nifas menurut suku Simalungun, yaitu (1) Pengaturan Fisik Ibu Post Partum, (2) Pantangan Makanan Tertentu (3) Pembatasan Aktivitas (4) Dukungan Keluarga (5) Tradisi Sebelum Kelahiran Bayi (6) Perawatan Setelah Kelahiran Bayi. Hasil penelitian ini diharapkan dapat dijadikan sebagai sumber pengetahuan dan strategi dalam melakukan pelayanan kesehatan terhadap ibu nifas berbasis budaya. Sehingga kearifan lokal budaya tertentu bisa menjadi salah satu pendekatan kesehatan berbasis komunitas. Hasil penelitian ini dapat digunakan sebagai informasi awal dan dapat menjadi sumber pengetahuan pada penelitian berikutnya tentang perawatan ibu nifas dengan berbagai suku di Indonesia.

Hubungan tingkat religiusitas dan tingkat kecemasan mahasiswa keperawatan selama pandemi COVID-19 Tumanggor, Roxsana Devi; Nasution, Nikmal Hasanah
TROPHICO: Tropical Public Health J. Vol. 2 No. 2 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v2i2.8810

Mahasiswa menunjukkan beberapa gejala psikologis selama Pandemi COVID-19, seperti rasa takut terinfeksi COVID-19 dan kecemasan.Â Riset menunjukkan bahwa religiusitas adalah faktor penting yang harus di integrasikan ke dalam intervensi intervensi keperawatan untuk mengurangi risiko faktor kecemasan maupun dampak psikologis lainnya.Â Penelitian ini adalah penelitian cross-sectional yang bertujuan untuk menganalisis hubungan antara tingkat religiusitas dan tingkat kecemasan mahasiswa selama Pandemi.Â Berdasarkan teknik proportional stratified random sampling didapatkan 87 orang mahasiswa keperawatan sebagai sampel penelitian.Â Instrumen yang diujikan dalam penelitian ini adalah The Centrality of Religiosity Scale (CRS) dan kuisioner kecemasan terhadap COVID-19 yang sudah melalui uji validitas dan reliabilitas.Â Data dianalisis dengan uji korelasi Pearson untuk analisis hubungan kedua variabel dan menentukan distribusi frekwensi karakteristik sampel yang diteliti.Â Hasil penelitian ini menunjukkan bahwa lebih dari 90% sampel adalah perempuan, dan tiga diantaranya pernah terinfeksi dengan COVID-19.Â Â Â Â Berdasarkan hasil uji statistik untuk mencari hubungan dengan uji Korelasi Pearson menunjukkan hubungan kuat antara religiusitas dan kecemasan terhadap COVID-19. Hasil analisis statistik diperoleh koefisien korelasi -0,404 dengan P 0,00<0,05. Nilai koefisien korelasi menunjukkan terdapat hubungan negatif yang signifikan, artinya semakin tinggi religiusitas maka semakin rendah kecemasan terhadap COVID-19.

The Relationship Between Body Mass Index and Body Image Among Adolescent Students Ayumi, Maulidya; Tumanggor, Roxsana Devi
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.17291

Adolescence is a period marked by significant changes, including physical changes such as alterations in body mass index (BMI). Deviations in BMI from expected norms can impact an adolescent's body image. This study aims to examine the relationship between BMI and body image among male and female adolescents at SMAN 2 Kisaran. The research employed a quantitative approach with a descriptive correlational design. The population for this study included 648 adolescents, with a sample size of 247 respondents selected through proportionate stratified random sampling. We tested the correlation using the Spearman correlation test. The results indicate that adolescents with a normal BMI tend to have a positive body image (95 individuals, 38.5%), while those with an obese BMI tend to have a negative body image (17 individuals, 6.9%). The analysis showed a statistically significant relationship between BMI and body image, with a p-value of 0.00, less than the alpha value of 0.05. This study highlights the importance of parental and educational roles in providing education about ideal body shapes and suggests the establishment of counseling services to support mental health and self-esteem related to body image among adolescents.

Physical and Mental Health Assessment Among School Age Children in Islamic School, Medan Tumanggor, Roxsana Devi; Nurbaiti; Siregar, Cholina Trisa
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.8808

Children are individuals under the age of 18 years with significant physical and mental growth and development. But, in fact, this growth and development cannot be achieved perfectly. Based on the survey results, several factors are the causes of the child's optimal growth and development, such as economic factors, the level of knowledge and education of the mother. If examined, this factor is closely related to family poverty factors. Not only that, the data related to children's mental health is also almost non-existent, so that children not only face problems related to physical problems, but also problems related to psychological disorders. Therefore, it takes an intervention that can be done on children in optimizing physical and mental health. In this case an approach is needed in the form of school-based intervention in organizing a program for examining the physical and mental health of children. Program implementation has been carried out at the Tahfidz Plus Khoiru Ummah School, at the kindergarten level (17 children) and elementary school (30 children, grade 1-5 elementary school) by coordinating with school teachers who are responsible for each class. The first action taken was a physical examination for all kindergarten and elementary school children. Based on the results of the physical examination, there is no abnormality on the child's health scale. Child health problems found only with flu and cough problems. To overcome this, children have been taught related to health promotion in an effort to prevent disease by demonstrating proper hand washing, proper toothbrushing, wound care and diarrhea. For a physical examination of mental health, screening is done by inviting children to talk about their daily lives during a physical examination while identifying other symptoms outside the instrument checklist. There are 2 instruments used in children's mental health screening, namely Early Childhood Screening Assessment which will be used for kindergarten children and instruments for Social, Academic & Emotional Behavior Risk Screener for elementary school children. Based on the results of temporary screening, there was only one elementary school child who needed further treatment and needed more accurate discussion with the class teacher at the next meeting.

Psychosocial Care Service in the Mental Health Provision Tumanggor, Roxsana Devi
Caring: Indonesian Journal of Nursing Science Vol. 2 No. 1 (2020): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v2i1.4081

The approach of health service can be divided into a medical term and psychosocial term that are applied by the mental health professional. The mental heath services help their clients with mental illness by giving a specific treatments particularly from psychological view. The information in this essay were collected from two databases that are CINAHL and Health Science.Â It also included the University of Wollongong e-journal database for nursing program.Â Based on the internet research, it is imperative that the intervention can be delivered in the form of case management. This paper therefore will discuss the psychosocial care for mentally ill clients in terms of concept, components, interventions and benefit in the practical area. The strategies to develop the treatment more effective are also discussed in depth. Keywords. psychosocial care, medical care, mental health.

Fatigue Among Nursing Students During COVID-19 Pandemic in Medan Tinambunan, Hotria Veronika; Tumanggor, Roxsana Devi
Caring: Indonesian Journal of Nursing Science Vol. 4 No. 1 (2022): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v4i1.8812

The COVID-19 pandemic requires students to implement an online learning system. However, the online learning method will be effective if it is supported by a systematically stable network. Online learning stimulates several problems related to physical and psychological issues. This study aims to describe nursing studentsâ€™ fatigue during online learning at the Faculty of Nursing, University of Sumatera Utara. This study is a descriptive study with a sample of 87 respondents, which were taken using the proportionate stratified random sampling technique. The research instrument used in this study consisted of two parts, namely demographic data and Chalder fatigue instruments. Data collection is conducted through online with google forms link via WhatsApp group. The prospective samples were fill the agreement to participate in the survey and research link was send directly. Data analysis was conducted to determine the frequency distribution of the variables studied. The results showed that the majority of the samples were female (89.7%), aged 20-22 years (69.4%). For the fatigue level, the data showed that most students were in the range of moderate levels of fatigue (52.2%). And, there are 2 students (2.3%) who are in severe fatigue range. Based on the results of this study, it is hoped that it can become basic data for further research that can provide a more in-depth analysis of the fatigue contributed factors among students during online learning with pandemic COVID-19 affect.

Academic Stress Among Nursing Students in Medan Tumanggor, Roxsana Devi; Jamilah, Ummu
Caring: Indonesian Journal of Nursing Science Vol. 4 No. 2 (2022): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v4i2.8838

Stress occurs when a stressor stimulates an individual's brain and leads to physical and psychological symptoms. Students must deal with some stressors in their studies that cause a high complexity of problems. Furthermore, in some cases, it leads to some academic stress. This study aims to describe the academic stress of the Nursing Students of the Faculty of Nursing, Universitas Sumatera Utara. This research is a descriptive study with a cross-sectional approach. The population in this study were all undergraduate nursing students, totalling 574 people, with a sample of 85 people using the proportionate stratified random sampling technique. All samples are obtained with the Slovin formula and recruited with the sweepstake technique in every class. Data analysis was conducted to determine the frequency distribution of the variables studied. The results showed that there were 35 students without academic stress (41.2%), 47 students with mild academic stress (55.3%), and three students with moderate academic stress (3.5%). Based on the study results, it is recommended that further researchers need to conduct further exploration of student academic stress in qualitative studies.

Self Harm Behavior Among High School Students: A Descriptive Study Tumanggor, Roxsana Devi; Sri Raudhatul Jannah; Simatupang, Nur Intan
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Self-harm is a prevalent form of self-inflicted behavior not motivated by the desire to die. Previous reports have shown that the youngest age group is the most affected on a global scale. Therefore, this study aimed to investigate the most prevalent forms of self-harm and the associated psychosocial factors among high school students in Medan, Indonesia. The convenience sampling was implemented and data were obtained through questionnaire containing demographic information and Self-Harm Screening Inventory (SHSI), which comprised 10 yes or no questions. To investigate the association between demographic variables and particular behavior, descriptive statistics and bivariate cross-tabulations were implemented. The results showed that the most frequently reported behavior included head banging (23%), intense scratching (33.3%), and hitting oneself (37.9%). Several factors, such as female gender, history of abuse, suicide attempts, emotional dysregulation (frequent anger), eating disorders, and exposure to domestic violence, were found to have significant associations. Furthermore, self-harm behavior was prevalent among high school students and was related to various psychosocial risk factors. These results emphasize the need for school-based mental health interventions concentrating on the early identification of at-risk youth, emotional regulation, and trauma history.

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