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All Journal Nurse Media Journal of Nursing JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Nurse and Health: Jurnal Keperawatan Riau Journal of Empowerment Indonesian Journal of Health Development Jurnal Keperawatan Widya Gantari Indonesia KOMMAS: Jurnal Pengabdian Kepada Masyarakat Prosiding Seminar Nasional Hasil-hasil Penelitian dan Pengabdian Pada Masyarakat Literasi: Jurnal Pengabdian Masyarakat dan Inovasi J-ABDIPAMAS (Jurnal Pengabdian Kepada Masyarakat)
Winarti, Wiwin
Department Of Nursing, Faculty Of Health Science, Universitas Pembangunan Nasional Veteran Jakarta
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Nursing Public Health Social Sciences Other

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Exploring Nurses' Perceptions of Disaster Preparedness Competencies Wiwin Winarti; Naomi Gracya
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.51936

Abstract

Background: Indonesia frequently experiences natural disasters, underscoring the importance of nursing competencies in disaster preparedness. Nevertheless, especially among general nurses, the factors shaping these competencies are not well understood.Purpose: This study aimed to explore Indonesian nurses’ perceptions of disaster preparedness competencies and compare these perceptions across distinct characteristics.Methods: Adopting a cross-sectional design, 230 nurses from all wards of a public hospital in Jakarta Province were selected via quota sampling. The Nurses’ Perceptions of Disaster Core Competencies Scale (NPDCC) questionnaire was utilized to assess nurses’ perceptions of competencies across five domains. The study employed  Chi-square, Fisher’s exact, and Likelihood ratio tests, followed by backward (likelihood ratio) multiple logistic regression, to analyze the relationship between nurses’ characteristics and their perception of disaster preparedness competencies.Results: Results indicated that 51.7% of nurses perceived their disaster competencies as high, with an average score of 175.84(25.017). Further analysis revealed that nurses’ perceptions of these competencies were influenced by education (p=0.002), disaster simulation experience (p=0.036), and awareness of hospital disaster plans (p=0.012), with Nagelkerke’s R2=0.140. Nurses with a diploma qualification were 2.569 times more likely to perceive their skills as lower. Lack of simulation experience and unawareness of the plan further diminished perceived competencies, with ORs of 2.050 and 5.420, respectively.Conclusion: While education, disaster simulation experience, and plan awareness are crucial for nurses’ perceptions of disaster competencies, enhancing other supportive factors is also vital. This study recommends that hospitals increase educational opportunities, emphasizing regular disaster simulations and granting better access to disaster plans, to bolster nurses’ disaster preparedness competencies.
DETERMINANTS OF MYOCARDIAL INFARCTION OUTCOMES IN A NON-PERCUTANEOUS CORONARY INTERVENTION HOSPITAL IN JAKARTA Talitha Syifa Laili; Wiwin Winarti
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.579

Abstract

Background: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings. Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia. Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status. Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality. Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.
Co-Authors Aldin Aditya Fareza Arief Wahyudi Jadmiko Arum Pratiwi Aulia Marshanda Apsarie Diah Tika Anggraeni Helda Helda Laksita Barbara Machmuddah, Zaky Nadia Shahidda Naomi Gracya Nirmala Nirmalasari, Vina Putri Rahayu Rosiana, Rosiana Sang Ayu Made Adyani Santi Herlina Santi Herlina Sila Aimanatul Afifah Tahar, Emiza binti Talitha Syifa Laili Triyono Triyono Wahyudi, Chandra Tri Winarsih Winarsih