Articles
The Role of Direct Observed Treatment in Tuberculosis Treatment Successful at Community
Nursalam Nursalam;
Makhfudli Makhfudli;
Dominikus Rato
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (172.455 KB)
|
DOI: 10.20473/jn.v4i1.5015
Introduction : The succeeded of the tuberculosis treatment depends on the obedience of the patient in taking the tuberculosis’s medication assisted by the direct observed treatment shortcourse (DOTS) to refrain resistancy and dropping out of the program. The aimed of this study was to analyze the correlation between DOTS’s role with the successfullness of lung’s tuberculosis treatment program at Bajawa city.Methods : A cross sectional simple random sampling design was used in this study. Population were all the Direct Observed Treatment Supervisors and patients who have had finished their treatment of tuberculosis. Sample were 43 respondents. The independent variables in this study were the role of the DOTSs, education level, family support, motivation and the DOTSs attitude. The dependent variables were the patient’s obedience in taking medication and the evaluation of the acid fast bacterias in their sputum. Data were collected by using questionnaire and observation sputum the to evaluate acid fast bacteria. Data were analyzed by using Spearman Rho with significance level with α<0.05.Results : The result showed that role of the DOTSs had significance correlation with the succeeding program of tuberculosis (r=0.023), education level had significance correlation (r=0.043), family support as the DOTS had significance correlation (r=0.021), motivation (r=0.032) and attitude (r=0.014).Conclusion: It can be concluded that the role of the DOTS has correlation with succesing tuberculosis treatment. Discussion : The role of PMO cause the succesfully of Tb treatment for the community in Bajawa City, Ngada NTT.
The Correlation of Organizational Role Stressors with Stress Level of ICU Nurses
Nursalam Nursalam;
Ferry Efendi;
Ni Luh Putu Dewi Puspawati
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (303.629 KB)
|
DOI: 10.20473/jn.v4i1.5020
Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses.Methods : This study used cross-sectional design involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05.Results : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139.Conclusion :It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.
Improving Nursing Work Services through Development Model of Quality of Nursing Work Life
Tri Ismu Pujiyanto;
Suprihati Suprihati;
Nursalam Nursalam;
Anastasia Ediyati
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (463.419 KB)
|
DOI: 10.20473/jn.v12i2.6294
Introduction: The performance of nurses in a hospital is influenced by the mental and emotional state of the nurse; the higher the workload, the greater the work stress of the nurse. It is a necessity to conduct research to explain a quality of nursing work life model based on the context of Indonesian nurses.Methods: The research process consisted of two stages: observational analytic and model trial. The first phase used cross-sectional design with cluster random sampling technique and obtained 102 samples. The second stage used a quasi-experiment design with pre-post test with control group design and obtained 33 samples. The data was analysed by Partial Least Squares and paired t-test analysis.Results: It was found that the number of the nurses with Burnout Syndrome in the hospital was 67.6%. The depersonalisation indicator in the low category was 73.5%, and the high category of self-achievement indicators had 89.2%.Conclusion: It can be concluded that improving the performance of care services is more effective through improving the quality of nursing work life. This study found that the nurses’ quality of life affected the increased nursing work service because their working scope involves interacting with other professions and the environment.
The Elderly’s Satisfaction with the Service Quality of a Community Geriatric Health Programme in Indonesia: a Cross-Sectional Study
Nursalam Nursalam;
Mochamad Cholid Hanafi;
Elida Ulfiana
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (553.022 KB)
|
DOI: 10.20473/jn.v12i2.6519
Introduction: The achievement of the geriatric health programme is still under a number of government targets and the research about the satisfaction of elderly in contributing to this program still limited. This study aims to identify the correlation between the service quality of a geriatric health programme in the community with the satisfaction of older adults.Methods: The research design was cross-sectional and involved 277 elderly people as the respondents. The service quality was measured using a service quality (SERVQUAL) questionnaire with three different sub-variables of input, process and outcome. The elderly people’s satisfaction was examined using several parameters including reliability, assurance, tangibles, empathy and responsiveness (RATER). The data obtained from the questionnaires was analysed using the Spearman Rho test with a significance level of <0.05 to determine the correlation between the variables.Results: Good service quality provided satisfaction among the elderly. The Spearman Rho test result for input quality was p = 0.000 with a correlation coefficient of 0.705, while the test result for process quality was p = 0.000 with a correlation coefficient of 0.750. The outcome quality was p = 0.000 with a correlation coefficient of 0.766. The results showed that there is a relationship between the independent and dependent variables.Conclusions: Good service quality regarding the input, process and output of the service can enhance the satisfaction levels of the elderly. This study can be referred to as a parameter and evaluation for the PHC to maintain and improve the service quality standards for the elderly.
Predictors of Family Stress in Taking Care of Patients with Schizophrenia
Rizki Fitryasari;
Nursalam Nursalam;
Ah Yusuf;
Rachmat Hargono;
Chong-Mei Chan
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (49.152 KB)
|
DOI: 10.20473/jn.v13i1.7762
Introduction: Taking care of schizophrenia patients is challenging and causes stress for the family involved. The study was conducted to identify the predictors of family stress present when taking care of a patient with schizophrenia. The ABCX Stress Theory of Hill was used as the theoretical framework.Methods: This study used a correlational design. The sample was 137 families who were caring for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The data was collected by a questionnaire and analysed by multiple regression to determine the relationship of the family’s structure, family knowledge, the burden of care, stigma, social support, the patient's illness duration, the patient’s frequency of relapse and the patient's severity level with family stress.Results: The results showed that the family’s stress was predicted by the family’s structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the patient’s frequency of relapse (p=0.005). The burden of care was the strongest predictor of family stress (Beta= 0.619).Conclusion: The patient's frequency of relapse and stigma were other kinds of family stressor. The stressors stimulated a negative perception, called the care burden. Limited adequacy of the family structure-function will inhibit the family in using other resources, creating family stress. Nurses may develop an assessment format that consists of the family stress predictors in order to create a nursing care plan specific to reframing the techniques of family stress management.
Grieving as an Internal Factor of Nurse-Patient Interaction in a Dialysis Unit
Ika Yuni Widyawati;
Nursalam Nursalam;
Kusnanto Kusnanto;
Rachmat Hargono;
Pei-Lun Hsieh
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (542.888 KB)
|
DOI: 10.20473/jn.v13i1.8005
Introduction: The quality of the nurse-patient interaction is one factor that affects the patient adherence, but a study that provides an overview of factors in the nurse-patient interaction in improving or maintaining dialysis patient adherence has not been found. The aim of this study was to provide an overview of the various factors involved in the interaction process between nurses and patients undergoing dialysis in relation to their adherence to fluid and dietary restrictions.Methods: A qualitative research design with an interpretive phenomenology approach was used in this study. The researcher intends to interpret the findings of the research, in this case the activity of the dialysis patients, in order to get a picture of the various factors involved in the process of interaction between nurse and dialysis patient. The unit of analysis used in this study was the disclosure or exposure of the internal factors of the nurse-patient interaction process, especially in relation to fluid and dietary restrictions. There were 15 participants who were selected based on the inclusion criteria. In-depth interviews, with field notes, were used in this study as the data collection method.Results: The analysis of the theme based on the goal of the research includes grieving, needs and values/morals, but in this article, the researchers only describe one theme - grieving.Conclusion: This result provides an overview of the findings on nurse-patient interaction factors that can serve as baseline data for the development of nursing care, both in nursing assessments and interventions aimed at improving dietary adherence and the fluid restriction of dialysis patients.
Developing Family Resilience Models: Indicators and Dimensions in the Families of Pulmonary TB Patients in Surabaya
Dhian Satya Rachmawati;
Nursalam Nursalam;
Muhammad Amin;
Rachmat Hargono
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (235.063 KB)
|
DOI: 10.20473/jn.v14i2.16549
Introduction: Family resilience is the process of adaptation and coping in the family as a functional unit. A lack of family involvement in the care programs for TB sufferers is one of the factors of concern. The purpose of this study was to analyze the indicators of the family resilience of patients with pulmonary TB.Methods: This study used an observational analytical method with a cross-sectional approach. The study population was the families of new pulmonary TB sufferers in the Surabaya area, taken using the rule of the thumb guideline with a sample of 130 respondents. The sampling technique using was systematic random sampling. The variables in this study were the stages of family resilience: survival, adaptation, acceptance, growing stronger and helping others, which were measured using a questionnaire. The data was analyzed using second CFA.Results: The results showed that the family resilience model is also the fit model. This refers to the results of the goodness of fit test. Family Resilience = 0.724 Survival, Family Resilience = 0.762 Adaptation, Family Resilience = 0.945 Acceptance, Family Resilience = 0.783 Growing Stronger and Family Resilience = 0.879 Helping Others.Conclusion: The results of this study provide information on the stages of family resilience and the ability of each stage so then it can be used as a reference when developing family nursing care plans for patients with pulmonary TB.
Exploring the Influencing Factors on Breast Self-Examination Among Myanmar Women: A Qualitative Study
Nyein Moh Moh Myint;
Nursalam Nursalam;
Eka Mishbahatul Mar’ah Has
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.20473/jn.v15i1.18863
Introduction: Breast self-examination (BSE) is the most sensitive and cost-effective method to diagnose breast cancer at an early stage in healthcare resources’ limited setting. However, the practice of BSE is low in Myanmar. Although various international studies were conducted to clarify the influencing factors in irregular BSE practice, there is a range of different factors and the answer is not yet clear. Hence, this study is aimed to explore the influencing factors on the practice of breast self-examination among Myanmar women.Methods: A qualitative exploratory-descriptive study was conducted on eight women through in-depth semi-structured interviews between February 2020 and March 2020. The samples were women who lived in the rural area of Myanmar and purposive sampling technique was used. Data were analyzed using Colaizzi’s method, which consisted of seven stages.Results: Four themes emerged as the results of the in-depth interview, namely knowledge of breast cancer, knowledge regarding breast self-examination, barriers to performing regular BSE and ways to improve BSE practice.Conclusion: This study showed that the women were inadequate in knowledge and practice regarding BSE and breast cancer. Some barriers of BSE practice are rooted in the inadequate skill of BSE and the women’s attitude. Greater understanding about breast cancer and improving the confidence of women in BSE will lead to better prognosis. Hence, healthcare authorities and providers should encourage a formal health education program and the results from this study hope to be useful in future rural health education programs of BSE practice.
Effect of Combination Mirror Therapy and Cylindrical Grip on Self-Care of Post-Stroke Ischemic Patients
Bernadetta Germia Aridamayanti;
Nursalam Nursalam;
Iqlima Dwi Kurnia
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.20473/jn.v15i1Sp.18906
Introduction: Stroke is the leading cause of disability at a productive age. Hemiparesis upper limb is an example of a disability that is found post-stroke, which limits self-care such as eating, bathing, toileting and dressing. The purpose of this study was to determine the effect of a combination of mirror therapy and cylindrical grip on improving self-care of post-stroke patients.Methods: The design of this study was quasi-experimental (pre-post test with control group design). The population was post-stroke patients who experience upper limb hemiparesis in the Medical Rehabilitation Poly. A sample of 66 respondents (33/33) was chosen using purposive sampling. The independent variable was a combination of mirror therapy and cylindrical grip, and the dependent variable was self-care. Data were collected using a self-care questionnaire with strong validity and reliability. Analysis was undertaken using Kolmogorov Smirnov and Wilcoxon Sign Rank Test. Interventions were given three times a week for a month.Results: In the intervention and control groups there were significant differences between self-care before and after the intervention with a value of 0.000 (p <0.05).Conclusion: The increase in the intervention group can be seen from the sub-variables in self-care toileting, which involves cleaning the genitalia area after defecation/urination. This intervention stimulates the finger sensory and motor nerves so that they can perform self-care to the maximum. A combination of mirror therapy and cylindrical grip has been shown to improve self-care.
Identification of Nursing Problems in Hospitalized Patients with Diabetes Mellitus
Wikan Purwihantoro Sudarmaji;
Nursalam Nursalam;
Sartika Wulandari
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.20473/jn.v15i1Sp.20516
Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.