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The Prior-to-isolation Psychosocial Experiences of COVID-19 Diagnosed Patients: An Interpretive Phenomenological Analysis Mira Wahyu Kusumawati; Heni Dwi Windarwati; Setyawati Soeharti
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i2.1968

Abstract

Background: Changes that occurred during COVID-19 pandemic have caused people to have various responses when receiving a diagnosis of COVID-19; among others are stigma in society, lack of knowledge, various social media news that affect people’s beliefs, and mental health during the pandemic. Purpose: The purpose of this study was to explore the psychosocial experiences of patients before and when they were frst diagnosed with COVID-19. Methods: Using a phenomenological approach, we involved 19 COVID-19 survivors who were medically diagnosed and confrmed positive for COVID-19 in the frst 6 months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-toface semi-structured interviews with health protocols and analyzed using the 6-step of Interpretative Phenomenological Analysis (IPA) method. Results: Three themed-fndings illustrate patients’ psychosocial experiences before being diagnosed: 1) cooperative behavior during the pandemic (with sub themes: recognizing symptoms and looking for medical help); 2) Navigating feelings when frst received a diagnosis (with sub themes: being worried about the diagnosis, suspecting infection based on exposure history, and acknowledging the existence of COVID-19); and 3) Early psychosocial responses (with sub-themes: psychological response, cognitive response,behavioral response, family responses, and social response). Conclusion: Exploring the experiences of patients with confrmed COVID-19 before and undergoing the isolation period can provide opportunities to improve the quality of physical and psychological services starting from prevention and assistance when receiving a diagnosis so as not to experience a worsening of the condition during treatment. Recommendations are for further study about COVID-19 survivors among children and adolescents who have been treated in the intensive care unit.
Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 - 16 Years: A Multi-Centre Cross-sectional Study Heni Dwi Windarwati; Retno Lestari; Ridhoyanti Hidayah; Ahmad Afif Supianto; Satrio Agung Wicaksono; Niken Asih Laras Ati; Mira Wahyu Kusumawati; Dewa Ayu Anggi Gharbelasari; Ridwan Sofian; Phat Prapawichar
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i2.2009

Abstract

Background: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents. Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents. Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression. Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296-3.608) were signifcantly correlated with family communication. Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting.
Behavior Therapy in Those Who Are Addicted to Online Games Atin Humayya; Heni Dwi Windarwati; Indah Winarni
Journal of Nursing Science Update (JNSU) Vol. 10 No. 1 (2022): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.775 KB) | DOI: 10.21776/ub.jik.2022.010.01.10

Abstract

Adolescents addicted to online games harm their physical, psychological, and social health and require therapy. Providing therapy such as behavior therapy can help reduce online game addiction. This research aims to review articles that discuss the addictive behavior of online games and the therapy used. The method used in this study is a literature review by identifying articles from a systematic review identifying articles from four data based on ScienceDirect and PubMed in 2020. Based on the inclusion and exclusion criteria set, using the keywords behavior therapy, adolescents, and online game addiction from 2017-to 2020. We discovered 15 publications that satisfied the inclusion criteria and deserved to be considered in our examination of data-based articles. Adolescents who experience online game addiction discussed they vary in the causes, symptoms, effects, and psychotherapy given. Cognitive Behavioral Therapy (CBT), Social Skill Training (SST), and Mindfulness are all types of behavior therapy that can help kids addicted to online games. Psychotherapy can help teens addicted to internet games.
Pengalaman Perawat Bekerja dengan Sistem Informasi Kesehatan dan EHR: Scoping Review Betty Isana; Kumboyono Kumboyono; Heni Dwi Windarwati
Jurnal Kesehatan Vokasional Vol 7, No 4 (2022): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.73874

Abstract

Latar Belakang: Penerapan sistem informasi kesehatan dan electronic health record (EHR) meningkat secara signifikan di era digital. Perawat sebagai pengguna terbanyak sistem informasi kesehatan memiliki peran penting dalam penerapan sistem.Tujuan: Menggambarkan pengalaman perawat ketika bekerja menggunakan sistem informasi kesehatan dan EHR.Metode: Penelitian menggunakan metode scoping review berdasarkan petunjuk PRISMA dan menelusuri tiga database, yaitu ProQuest, EBSCO, dan ScienceDirect. Pencarian menggunakan kata kunci “nurse”, “experiences”, “health”, “information”, “technology”, “electronic”, dan “record” dikombinasikan dengan kata “AND”, “OR”, dan “NOT”. Artikel dipilih dari publikasi dalam kurun waktu sepuluh tahun terakhir dan menggunakan Bahasa Inggris.Hasil: Didapatkan 17 artikel yang berhubungan dengan pengalaman perawat selama bekerja menggunakan sistem informasi kesehatan dan EHR. Perawat mengalami peningkatan interaksi dengan sistem dan perangkatnya. Kepuasan, kesejahteraan, dan stres kerja perawat dapat dipengaruhi oleh kualitas sistem. Dukungan organisasi berupa pelatihan dan pendampingan diperlukan selama proses adaptasi perawat terhadap penerapan sistem baru. Sistem informasi juga dapat mempermudah komunikasi antar perawat maupun petugas lain.Kesimpulan: Perawat menggambarkan berbagai pengalaman berkaitan dengan penerapan sistem informasi kesehatan dan EHR. Implikasi penelitian ini adalah memberikan wawasan dan masukan bagi organisasi kesehatan yang mengembangkan atau menerapkan sistem baru agar berjalan optimal.Kata kunci: pengalaman, perawat, sistem informasi, EHR.
The Success of Nursing Team Cooperation in Nursing Care during Pandemic: A Scoping Review Lilis Widianah; Heni Dwi Windarwati; Tita Hariyanti; Salizar Binti Mohamed Ludin
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (852.128 KB) | DOI: 10.30604/jika.v7i3.1101

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Introduction: The nursing care success was depended on teamwork quality and The pandemic situation could affect the increase of nurse workload in performing nursing intervention. Objective: Aimed to identify the factors that could affect nursing team cooperation success in performing nursing care. Method: The scoping review research was conducted through article identification from four databases such as ScienceDirect, ProQuest, EBSCO, and PubMed in 2019-2021 according to PRISMA-ScR. Search article by using these following keyword combinations: “teamwork OR nursing work OR partnership OR nursing team AND nursing care AND pandemic of COVID-19” to collect related articles. Results: Based on the result of 815 scientific article analysis, about 15 full text articles were in accordance with inclusion criteria for the research review. The internal factors which affected teamwork success in nursing care were consisted of human resource, physical condition, and psychological aspect. Meanwhile, the external factors were consisted of communication, work environment, workload, policy, and documentation. Conclusions: The internal and external factors could be used as a base to identify positive and negative aspects that might affect the success of nursing team performance in carrying out nursing care. Abstrak: Latar Belakang: Keberhasilan asuhan keperawatan tergantung pada kualitas kerjasama tim dan situasi pandemi dapat mempengaruhi peningkatan beban kerja perawat dalam melakukan intervensi keperawatan. Tujuan: Untuk mengetahui faktor-faktor yang dapat mempengaruhi keberhasilan kerjasama tim keperawatan dalam melakukan asuhan keperawatan. Metode: Penelitian scoping review ini disusun dengan mengidentifikasi artikel dari empat database seperti ScienceDirect, ProQuest, EBSCO, dan PubMed tahun 2019-2021 menurut PRISMA-ScR. Pencarian artikel dengan menggunakan kombinasi kata kunci sebagai berikut: “teamwork OR nursing work OR partnership OR nursing team AND nursing care AND pandemic of COVID-19” untuk mengumpulkan artikel yangs esuai.  Hasil: Berdasarkan hasil analisis 815 artikel ilmiah terdapat 15 artikel teks lengkap yang memenuhi kriteria inklusi untuk digunakan dalam tinjauan penelitian. Faktor internal yang mempengaruhi keberhasilan kerja sama tim dalam melakukan asuhan keperawatan terdiri dari sumber daya manusia, kondisi fisik, dan aspek psikologis. Sedangkan faktor eksternal terdiri dari komunikasi, lingkungan kerja, beban kerja, kebijakan, dan dokumentasi. Kesimpulan: Faktor internal dan eksternal dapat digunakan sebagai dasar untuk mengidentifikasi aspek positif dan negatif yang dapat mempengaruhi keberhasilan kinerja tim keperawatan dalam melaksanakan asuhan keperawatan.
Psychosocial Impact on Families during the COVID-19 Pandemic: A Scoping Review Nadya Karlina Megananda; Heni Dwi Windarwati; Lilik Zuhriyah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (738.986 KB) | DOI: 10.30604/jika.v8i1.1575

Abstract

Background: COVID-19 pandemic did not only give rise disorder on COVID-19 confirmed patients, but also the patients’ family, thus it brought various psychosocial impacts. Objective: This article was aimed to explain psychosocial impacts on family during pandemic of COVID-19. Methods: This article used systematic review method through scientific article identification on four databases: PubMed, ProQuest, Ebsco, ScienceDirect in 2019-2021. The articles were selected through PRISMA based on both inclusion and exclusion criteria determined. The next step was analysis and result determination. The last step was consultation to experts of mental health. Results: Psychosocial impacts that appeared on family due to pandemic of COVID-19, for instance sleep disorder, anxiety, need for an increased social support, financial toxicity, lack of food supply, abandonment, depression, lonesome, mourning, post-traumatic stress, isolation, anticipative grief, worry, fear, stigma, discrimination, anger, stress transmission, risk of family welfare disturbance, confusion, parenting stress and domestic violence. The form of intervention that could be given to family such as cooperation with health service, health education, virtual social support, public complaint, maintenance of physical health, involvement among family members, limitation of information and mental health therapy. Conclusion: Identification of the family as an at-risk group could trigger mental health services to understand more about causes and consequences of psychological morbidity on this group of people.Abstrak: Pendahuluan: Pandemi COVID-19 tidak hanya menimbulkan gangguan pada pasien yang terkonfirmasi positif COVID-19 namun juga terjadi pada keluarga sehingga menimbulkan berbagai dampak psikososial. Tujuan: Artikel ini bertujuan untuk memaparkan dampak psikososial pada keluarga saat pandemi COVID-19. Metode: Metode yang digunakan pada artikel ini adalah sistematika review dengan melakukan identifikasi artikel ilmiah pada empat database yaitu Pubmed, ProQuest, Ebsco, ScienceDirect tahun 2019-2021. Artikel diseleksi dengan PRISMA berdasarkan kriteria inklusi dan ekslusi yang ditetapkan. Tahap selanjutnya yaitu analisis dan menetapkan hasil. Tahap terakir melakukan konsultasi kepada pakar kesehatan jiwa. Hasil: Dampak psikososial yang muncul pada keluarga akibat pandemi COVID-19 antara lain adalah gangguan tidur, kecemasan, kebutuhan peningkatan dukungan social, toksisitas financial, kekurangan pasokan makanan, pengabaian, depresi, kesepian, berduka, stress pasca trauma, pemisahan, kesedihan antisipatif, kekhawatiran, ketakutan, stigma, diskriminasi, marah, penularan stress, resiko gangguan kesejahteraan keluarga, kebingungan, stress pengasuhan dan kekerasan dalam rumah tangga. Intervensi yang dapat diberikan pada keluarga meliputi kerjasama dengan pelayanan kesehatan, pendidikan kesehatan, dukungan social melalui virtual, aduan masyarakat, menjaga kesehatan fisik, keterlibatan antar sesama anggota keluarga, pembatasan informasi dan terapi kesehatan jiwa. Kesimpulan: Identifikasi keluarga sebagai kelompok berisiko dapat memicu layanan kesehatan jiwa untuk lebih memahami penyebab dan konsekuensi morbiditas psikologis pada kelompok ini.