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Barriers to Palliative Kader in Assisting Cancer Patients and Families at Home Hermawan, Stepanus Maman; Wihardja, Hany
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.2719

Abstract

Palliative care programs are important to improve the quality of life of patients and families in the face of life-threatening disease problems through prevention and alleviation of symptoms. This research aims to explore the barriers of palliative kader’s in providing care and assistance to cancer patients and families. This qualitative research is using a descriptive method. The sampling technique in this study was the purposive sampling technique. Participants in this study were 10 palliative kader in the DKI Jakarta area who provided services in the form of care and assistance to cancer patients and families, data collection techniques using in-depth interviews. Four themes emerged in the form of (1) lack of family support, (2) inadequate health promotion media, (3) lack of support system for palliative kader’s, and (4) lack of confidence in the care and assistance of cancer patients and families. This study emphasizes the importance of adaptive coping mechanisms for patients and families so that they can support palliative kader in care and assistance in the form of meeting basic needs. Empowerment increases the ability of palliative kader’s through training to strengthen the duties and roles of kader and coordinate with relevant stakeholders who can accommodate the solution of any obstacles experienced by palliative kader.
Contribution of Self-Efficacy and Work Motivation in Shaping Caring Beharvior of Nurses Wihardja, Hany; Zendrato, Mey Lona Verawaty; Gunawan, Ni Putu Ika Novita; Fitriani, Rina
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4129

Abstract

Caring is the core of nursing practice, reflecting a nurse's approach to expressing genuine concern for the patient. Caring behavior of nurses is a form of caretaking that facilitates patients to achieve an optimal improvement in the quality of their recovery and health. Caring is driven by the self-confidence and work motivation of an individual nurse. This study aims to explore the correlation between nurses' self-efficacy, work motivation, and the caring behavior at Military Hospital in South Jakarta. This study used a cross-sectional design to explore the relationship between the variables of self-efficacy, motivation, and caring behavior. The study population included nursing staff from both inpatient and outpatient units. A total sample size was 122 nurses and was collected through a e-questionnaire and analyzed using descriptive statistics and bivariate correlation analysis. The results showed that there was a significant relationship between self-efficacy (p value 0.001, R = 0.295) and work motivation (p value 0.012, R = 0.236) with nurses' caring behavior. The correlation coefficient showed that both self-efficacy and work motivation had a positive correlation with nurses' caring behavior. Self-efficacy and work motivation significantly influence nurses’ caring behavior, highlighting the need for interventions to enhance these factors among nursing staff to improve patient care.
Self-Transformation of Lay Workers through Field-Based Learning Experiences on Cancer Palliative Care Hermawan, Stepanus Maman; Wihardja, Hany
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6289

Abstract

Palliative care is essential in improving quality of life for cancer patients, especially in community settings where access to specialist care is limited. In Indonesia, lay workers play a vital role in bridging formal health services and patients requiring psychosocial and emotional support. This study explores the self-transformation experiences of palliative care lay workers following an advanced palliative cancer training program in Jakarta. Using a qualitative approach with interpretative phenomenological analysis, the study involved 14 participants selected through purposive sampling. Data were collected via in-depth interviews and analysed thematically. Findings reveal four main themes: (1) increased confidence and competence after training, (2) challenges in implementing palliative care in the community, (3) the importance of social and institutional support, and (4) recommendations for improving future training. The study concludes that experiential, context-based training enhances lay workers’ ability to provide holistic care, though systemic support and mentorship are crucial for sustainable impact. This research contributes to the growing evidence on community lay workers in palliative care and offers insights for designing programs that empower lay workers as reliable care agents in community-based cancer management.