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Self-Transformation of Lay Workers through Field-Based Learning Experiences on Cancer Palliative Care Stepanus Maman Hermawan; Hany Wihardja
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.
Hubungan Karakteristik Individu dan Riwayat Stroke dengan Kekuatan Otot pada Pasien Stroke Hermawan, Stepanus Maman; Wihardja, Hany
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.996 KB)

Abstract

Stroke is the third leading cause of death worldwide. Serious long-term disability and paralysis is a burden forsurvivor stroke patients. Disability is caused due to muscle and nerve weakness in the upper and lower limbs.This study aims to identify the relationship between individual characteristic and history of primary stroke tomuscle strength in stroke patients in outpatient and inpatient units in General Hospitals, West Kalimantan. Thisresearch used a cross-sectional descriptive analysis approach using questionnaires and Manual Muscle Testing(MMT). The sample in this study were 99 stroke patients. The study was conducted in April to June 2018.Statistical test results showed a significant relationship between age (p = 0.026), gender (p = 0.029), andstroke history (p = 0.036) and muscle strength. Muscle strength can be increased with strengthening exercisesthat are repetitive and consistent. This exercise must be adjusted to the age, gender, and condition of theprevious muscle atrophy to preventing long-term disability.
PENGALAMAN PERAWAT DALAM MERAWAT PASIEN COVID-19 DENGAN KOMORBIDITAS Wihardja, Hany; Anggraeni, Lina Dewi; Silalahi, Polmaida
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol. 10 No. 2 (2022): Edisi Juli - Desember 2022
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v10i2.335

Abstract

Introduction: In 2020 as much as 89,3% from 180 COVID-19 patients have a comorbidity. Patients with comorbidity are more at risk of being infected with COVID-19 with severe clinical manifestations. This challenge requires nurses to be more critical in treating of COVID-19 patients with comorbidity to prevent complications and mortality. This study aimed to explore the nurse’s experiences in caring for COVID-19 patients with comorbidity in private hospital in central of Jakarta. Methods: The researcher applied a phenomenological descriptive design. Data were collected using in-depth interview from 12 nurses. The participants were nurses who work in COVID-19 unit and have treated patient COVID-19 with comorbidity obtain purposive sampling. The research conducted from November 2020 to February 2021 and data were analyzed by Colaizzi’s method. Result: The study found five key themes from nurse’s experience in caring for COVID-19 patients with comorbidity that includes fear in caring for COVID-19 patients, being very exhausted, high workloads, getting lesson learn from patients and God who strengthens us. Nurses express fear when caring for COVID-19 patients because of the fast and easy transmission of COVID-19 through droplets. Nurses also feel exhausted because they have to use layered PPE while working. The theme of high workload was revealed because of the influenced on the number of nurses due to the large number of those who contracted COVID-19 while working. The source of strength theme describes nurses as being greatly strengthened by their closeness to God. Conclusion: This study explores five key themes derived from the expressions of nurses who have experience treating COVID-19 patients with comorbidities. The recommendation from the result of this study suggests that the need for personal support such as motivation and psychology support from family and coworkers so that nurses feel more confident at work. Hospitals are also expected to make approach and provide psychological support for nurses who feel mental stres such as fear or exhausted after caring for COVID-19 patients.