Articles
Discharge Planning of STEMI Patients by Multidisciplinary Professionals to Improve the Health Services
Rahmatul Fitriyah;
Nursalam Nursalam;
Ita Maulidiawati
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v15i1Sp.20519
Introduction: Discharge planning starts at admission and begins by determining the educational needs. The objective of this study was to explore the implementation of discharge planning held by multidisciplinary professionals for STEMI (ST elevation myocardial infarction) patients. Methods: The design of this study was descriptive and the data was collected through in-depth interviews with the participants.Results: The results of the interview were transcribed verbatim, and then a FGD (Focus Group Discussion) was conducted. The participants consisted of11 nurses, 1 nutritionist and 1 pharmacist with a minimum working period of 2-10 years. Sampling started with the purposive sampling method. Several things influence the implementation of discharge planning viewed from the perspective of multidisciplinary professionals according to productivity theory in the organization of a cooperative, namely the motivation of the health workers, the abilities and knowledge of the health workers, the job design and the work schedule involved. Conclussion: . For the future, it is necessary to have digital guideline/tools available that can be easily accessed by multidisciplinary professionals to make the work schedule for health workers optimal to improve the health services.
Knowledge and Skill in Relation to the Speed and Accuracy of the Nurses When Assessing Using an Early Warning System (EWS)
QolbiNur Q.Y;
Nursalam Nursalam;
Ahsan Ahsan
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v15i1Sp.20522
Introduction: Errors when filling in or interpreting the results of the EWS assessment causes delays and inaccuracies for the nurses when providing a clinical response. The aim of this study was to explain the relationship between the nurse’s knowledge and skill with the speed and accuracy of the nurse when assessing via EWS.Methods: This study used a correlation design with a cross-sectional approach. The sample consisted of 104 nurses working in the inpatient ward of internal medicine according to the inclusion criteria. The sample was obtained through purposive sampling. The independent variable was the nurses’ knowledge and skill while the dependent variable was the nurse’s speed and accuracy when assessing using the EWS. The instruments used were questionnaires and observation sheets. The data was analyzed using Spearman Rho.Results: The results of the study showed that there was a very strong correlation between the knowledge-accuracy of the nurses when assessing using the EWS (r = 0.805; p = 0.000) and the nurse's skill-accuracy when assessing using the EWS (r = 0.823; p = 0.000). There was a strong correlation between the knowledge-speed of nurses assessing using the EWS (r = 0.269; p = 0.006) and the nurse's skill and speed when assessing using the EWS (r = 0.262; p = 0.007).Conclusion: The nurse’s knowledge and skill has a stronger relationship with accuracy when assessing using the EWS when compared to the nurses' speed.
The Effect of a Combination of Group Therapy and Support on the Self-Efficacy and Deviant Behavior of Adolescents
Winda Kusumawardani;
Nursalam Nursalam;
Hanik Endang Nihayati
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v15i1Sp.20531
Introduction: The purpose of this study was to investigate the effect of combination therapy and supportive group therapy on the self-efficacy and deviant behavior among adolescents.Methods: The design of this study was quasi-experimental (pre-post test with a control group design). The population was based on the inclusion criteria of young men aged 15-19 years old in high school in Surabaya and the exclusion criteria was adolescents with physical disabilities, mental disorders and illness. A sample of 62 respondents (31/31) was collected using purposive sampling. The independent variable was a combination of group therapy and supportive therapy. The dependent variable was self-efficacy and deviant behavior. The intervention was given 4 times over 4 weeks and the control group was given a standard intervention. The data was collected using a self-efficacy questionnaire. The analysis was conducted using MANOVA.Results: In the intervention and control groups, there was a significant difference between self efficacy and deviant behavior in the adolescents before and after the intervention with a value of 0,000 (p <0.05).Conclusion: The increase in self-efficacy in the intervention group can be seen from the magnitude of the sub-variables. The deviant behavior variable decreased. The increase in the self-efficacy intervention group was due to the presence of facilities that helped the students to find information and explore their potential. The decrease in the deviant behavior variables is due to their increased knowledge and the positive support from their peer groups.
Middle School Students’ Perception on a Health Promoting School to Prevent Bullying: A Qualitative Study
Masunatul Ubudiyah;
Nursalam Nursalam;
Tintin Sukartini
Jurnal Ners Vol. 16 No. 1 (2021): APRIL 2021
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v16i1.23399
Introduction: Bullying at school is an old phenomenon in the adolescent group. Despite massive prevention programs, it has not yet resolved by teachers and schools, and this also can affect school climate aspects. The aim of this study was to explore students’ perceptions who are being bullying victims about health promoting schools to prevent bullying at school.Methods: This study used a qualitative case study design. The research sample was 18 middle school students in grades 8 and 9 in East and West Surabaya. A sample was recruited through snowball sampling. Interview guidelines were used to collect the data through in-depth interviews. The data were subjected to thematic analysis.Results: Middle school students identified three main requirements related to prevent bullying were health education, health services, and healthy school environment. These themes were found among the participants with a bullying victim’s history.Conclusion: Health education, health services, and healthy school environment are the theme for preventing bullying cases at school. To prevent bullying requires collaboration from various parties, such as students, teachers and school policy makers to be able to apply the rules while in school.
The Development of Nursing Diagnosis-based Indonesian Nursing Diagnosis Standard on Clinical Clinical Pathway among Patients with Stroke Infarction
Hani Riska Ariyanti;
Nursalam Nursalam;
Slamet Riyadi Yuwono
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 2 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v3i2.196
Infarction stroke is a significant health issue in developing countries and developed countries. The purpose of this study was to create a nursing diagnosis based on the Indonesian nursing diagnosis standard on clinical pathway clients with infarction stroke. The research design used to research and develop using a descriptive approach. The sample of this research was the clinical pathway toward the client with infarction stroke and their medical records through medical records search. The development of clinical pathways developed by researchers is the clinical pathway instrument with four nursing diagnoses based on Indonesian nursing diagnosis standards such as impaired physical mobility, risk of falls, impaired verbal communication, and the risk of ineffective cerebral perfusion. The majority (93%) of nursing diagnoses that arise are disorders of physical mobility. Determination of appropriate nursing diagnosis in clinical pathway clients with infarction stroke is essential as a guideline in performing nursing care to the clients, especially for a nurse. Consequently, the nurse can perform nursing care based on nursing care standards.
Stigmatization of Household Mother with HIV/AIDS in Tulungagung District, East Java, Indonesia
RIO ADY ERWANSYAH;
Nursalam Nursalam;
Ferry Efendy
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v3i1.203
Stigma is an assessment of behavior or character that is not fair or gives a negative title to a particular person or group that aims to isolate. The study aimed to explore the experience of housewives with HIV AIDS about the stigma experienced by health workers. A qualitative method with a phenomenological approach was applied in this study. Eleven informants were selected from Tulungagung Regency area. We conducted the data collection using the in-depth interview; data analysis was carried out according to Collaizi's steps. The results of this study are information about the stigmatized experience of PLWHA, namely 1) Writing identity with a specific code, 2) HIV status of informants was discussed by nurses at the hospital, Using gloves and masks when handling, even if only limited to checking body temperature, 3) Separation of hospitalization rooms while undergoing hospitalization, 4) Not given health services because of the unavailability of drugs when sick, This research shows that there is still a stigma received by PLHIV from health workers, so that further treatment of stigma in health care institutions is needed to improve the professionalism of health services, health workers in health care agencies must be able to provide fair services to every patient who needs health care and maintain patient privacy
Family, Teacher, and Peer-Support for the Dental Health Behavior among School-Age Children in Kwanyar Sub-District
Ach. Arfan Adinata;
Nursalam Nursalam;
Mira Triharini
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 3 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v3i3.223
Oral and dental health is an integral part of overall body health and is common in school children. Support from family, teachers, and peers plays an essential role in the dental health behavior of school-age children. This study aims to identify the relationship between interpersonal support and the behavior of elementary school students in maintaining dental health in Kwanyar District, Bangkalan Regency. Samples in the study of 150 grade 5 primary school students in Kwanyar Sub-District, Bangkalan Regency were obtained using Simple Random Sampling. The independent variable is interpersonal support, and the dependent variable is student behavior in maintaining dental health. The time of the study began April 08th - May 11th, 2019. The results of the study showed that family support was mostly in the good category, 71.3%. Teacher support is mainly in the good category 62.7% and friend support mainly in the less group 51.3%. The behavior of students in maintaining dental health is mainly in the good category 66.0%. The statistical test used is the Chi-Square test using SPSS 16.0. Chi-square test results were obtained on family support p-value 0.001 (<0.05), on teacher support p-value 0.032 (<0.05) and peer support value 0.804 (> 0.05). It means there is a relationship between family support and teachers with behavior in the Kwanyar District of Bangkalan District Work Area in 2019, while peer support has no ties. Conclusion: Interpersonal support, which includes family support and teachers, has an important role in shaping the behavior of school-age children and maintaining dental health. Parental and teacher support helps children in facing obstacles in maintaining dental health
Self-care Management to Prevent Exacerbation for Patients with Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review
Abdan Syakura;
Nursalam Nursalam;
Andri SW
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 3 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v3i3.228
COPD is currently the number four cause of death in the world but is projected to be the third leading cause of death in 2020. The causes of recurrence are essential to be studiedbut prevention of recurrence is preferred in implementing prevention of recurrence in COPD patients. A systematic review of studies on the prevention of recurrence and the use of technology across the lifespan. The databases, Pubmed, Scopus, Elsevier, scholar, were systematically selected in this study. The authors independently rated the reporting of the qualitative studies included. Thematic synthesis was used to analyze the data. The search identified 330 papers. Eighteen research papers met the study inclusion criteria. The review revealed that self-management is an essential factor in reducing the recurrence of COPD sufferers. Alternative models of pulmonary rehabilitation are needed to improve equitable access and outcomes associated with patients. Telerehabilitation using information technology can achieve an equivalent increase in results compared to traditional pulmonary rehabilitation. It is efficient and cost-effective to rehabilitate; the proposed telerehabilitation model is designed to be applied appropriately into clinical practice. It takes a willingness and ability to carry out the prevention of recurrence of COPD sufferers. Knowledge and mastery of information technology are expected to improve the prevention of recurrence of COPD sufferers
The Effect of Health Coaching-based Health Belief Model on Preventing the Pulmonary Tuberculosis Transmission at Puskesmas Karang Taliwang and Ampenan West Nusa Tenggara
Dady zharfan hanif;
Muhammad Amin Amin;
Andri Setiya Wahyudi;
Nursalam Nursalam
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 4 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v3i4.253
Adherence is an essential factor in achieving optimal health status in patients with tuberculosis. The study aimed to examine the effect of health coaching on preventing the infection of pulmonary tuberculosis patients. A quasi-experimental study design, pre, and post-test with the non-equivalent control group. Seventy samples were recruited by using a purposive sampling technique. The intervention group received the health coaching program for two months, while the control group received the usual care. The results showed that health coaching was to improve adherence prevention of infection (p<0,001). Health coaching based on the Health Belief Model was a positive effect on preventing infection transmission
PENGARUH BA (BENZIL ADENIN), ABA (ABSISIC ACID) DAN MANITOL TERHADAP PERTUMBUHAN DAN PENYIMPANAN TUNAS SAMBANG COLOK (Aerva sanguinolenta) SECARA IN VITRO
NFN Amalia;
Nursalam Nursalam;
N. Nova Kristina
Buletin Penelitian Tanaman Rempah dan Obat Vol 15, No 2 (2004): BULETIN PENELITIAN TANAMAN REMPAH DAN OBAT
Publisher : Pusat Penelitian dan Pengembangan Perkebunan
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DOI: 10.21082/bullittro.v15n2.2004.%p
Penelitian pengaruh zat pengatur tumbuh dan manitol terhadap pertumbuhan dan penyimpanan in vitro tanaman sambang colok (Aerva sanguinolenta) telah dilakukan di laboratorium Plasma Nutfah dan Pemuliaan Balittro, mulai Nopember 2003 sampai dengan Februari 2004. Penelitian terdiri atas dua tahap. Tahap satu adalah perbanyakan tanaman dan tahap kedua adalah penyimpanan pada media penghambat. Media perlakuan untuk perbanyakan adalah MS + BA (0,1; 0,3 dan 0,5) mg/l dan media penyimpanan yang digunakan adalah : MS + BA 0,1 mg/l, MS + ABA (1 dan 2) mg/l, MS + Manitol 3 dan 5%. Kedua kegiatan penelitian dilaksanakan dengan menggunakan rancangan acak lengkap faktor tunggal, setiap perlakuan terdiri atas 10 botol dan setiap botol terdiri atas 2 eksplan. Hasil penelitian menunjukkan bahwa media terbaik untuk perbanyakan tunas sambang colok adalah MS + BA 0,1 mg/l dengan jumlah tunas rata-rata 9,1 per eksplan. Untuk media penyimpanan perlakuan yang terbaik adalah MS + ABA 1 mg/l dengan jumlah tunas rata-rata 1,5 per eksplan dan tinggi tunas 2,9 sampai masa penyimpanan 32 minggu.