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All Journal International Journal of Public Health Science (IJPHS) IJCCS (Indonesian Journal of Computing and Cybernetics Systems) Jurnal Ilmu keperawatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Teknologi Informasi dan Ilmu Komputer Jurnal Berkala Epidemiologi Journal of Information Systems Engineering and Business Intelligence Khazanah Informatika: Jurnal Ilmu Komputer dan Informatika Indonesian Journal of Cancer International Journal of Artificial Intelligence Research Belitung Nursing Journal Jurnal Kesehatan Komunitas Journal Of Nursing Practice Indonesian Contemporary Nursing Journal (ICON Journal) Media Ilmu Kesehatan Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Seminar Nasional Keperawatan Jurnal Keperawatan Respati Yogyakarta Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) International Journal of Environmental, Sustainability, and Social Science Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Indonesian Journal of Cancer Journal of Health and Nutrition Research Berita Kedokteran Masyarakat Zaitun :Jurnal Ilmu Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Physical Therapy Journal of Indonesia Media Kesehatan Politeknik Kesehatan Makassar Academic Hospital Journal Journal of Health Research and Technology Poltekita: Jurnal Ilmu Kesehatan

Christantie Effendy

Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta

Author-ID : 2411743

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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BURDEN AMONG FAMILY CAREGIVERS OF ADVANCED-CANCER PATIENTS IN INDONESIA Ike Wuri Winahyu Sari; Sri Warsini; Christantie Effendy
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Background: There have been various studies into the family caregivers’ experiences in taking care of advanced-cancer patients. But a study exploring the burden among family caregivers has not yet been conducted in Indonesia, a country which has strong family bonds among family members. Objective: This present study aimed to identify the burden among family caregivers of advanced cancer patients. Methods: This study was a cross-sectional study conducted from December 2016 to February 2017 on 178 consenting family caregivers and advanced cancer patients, selected using a purposive sampling technique. The Caregiver Reaction Assessment (CRA) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes. Results: The burden among family caregivers was 2.38 ± 0.38 (mean range 1-5). The highest burden was in the disrupted schedule domain. Conclusion: Our findings identified that the burden among family caregivers was at the medium level. The length of care per day and family support are potential targets for preventative intervention strategies to reduce the burden among the family caregivers.

PATIENTS’ AND NURSES’ PERCEPTIONS OF PALLIATIVE CARE OUTCOMES: A COMPARATIVE STUDY Dewiyuliana Dewiyuliana; Sri Warsini; Christantie Effendy
Belitung Nursing Journal Vol. 5 No. 2 (2019): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Patients with advanced cancer require treatment and the fulfillment of their needs, based on the results of assessments regarding their physical symptoms, psychological and spiritual needs. Palliative care should be delivered with a person-centered care approach. It is important to consider the patients’ reports of their carings’ outcomes. Comparisons between the patients’ and nurses’ perceptions of palliative care outcomes can be used to improve the quality of palliative care. Objective: The purpose of this study is to compare the patients’ and nurses’ perceptions of palliative care outcomes during the patients’ hospitalization. Methods: This is a comparative descriptive study with a cross-sectional design. Data were collected from May to June 2018 from a total of 106 patients with advanced cancer, and 61 nurses. The versions of the Palliative care Outcome Scale (POS) for patients and nurses were used to measure the palliative care outcomes of the patients’ and nurses’ perceptions. Result: The study found a significant difference between the perceptions of the patients and nurses for the palliative care outcomes, particularly in the information availability domain (p = 0.001), the other symptoms domain (p = 0.029), and the anxiety feelings domain (p = 0.030), while the other seven domains had no significant differences between both groups (p > 0.05). Conclusion: The anxiety feelings, other symptoms and information availability domains are the aspects of palliative care which need more attention from health care providers, especially nurses, when caring for patients with advanced cancer.

PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS Atsarina Fauzan; Sri Setiyarini; Christantie Effendy; Martina Sinta Kristanti
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care. Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used. Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients, (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making. Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.

Common ethical dilemmas of family caregivers of palliative patients in Indonesia Martina Sinta Kristanti; Kusmaryanto Kusmaryanto; Christantie Effendy
Belitung Nursing Journal Vol. 7 No. 3 (2021): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1457

Family caregivers, especially in Asian countries, have a profound role in caring for a sick family member. However, there are wide variations between the Asian and western world in terms of culture and facilities. Therefore, the problems and needs of family caregivers between those two regions may also be distinct, and it is important to explore and elaborate based on our empirical evidence. In Indonesia, motives and values in caregiving and religion become the wheel-power of the family caregivers in providing care. This affects action and consequences for caregivers. This paper attempts to elaborate on common ethical dilemmas that usually face by family caregivers in Indonesia. Unfortunately, family caregivers typically are not prepared to make those challenging decisions. Therefore, we recommend not only that family caregivers need to be involved in the caring process, but also their issues and ethical dilemmas should be assessed and addressed by health care professionals, especially nurses, who have the most frequent contact with patient and family caregiver.

INDIKATOR KUALITAS PELAYANAN HOME CARE PADA PASIEN STROKE: SEBUAH REVIEW: Indikator kualitas pelayanan home care Nur Chayati; Christantie Effendy; Setyopranoto Setyopranoto
Jurnal Kesehatan Komunitas Vol 5 No 3 (2019): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Background: One method to identify the level of performance is using quality of care indicators. Even though many quality indicators of health care have been announced, those which specify in home care services are limited in that none of them describe the stroke patientsâ€™ condition. The purposes of this study are to determine through systematic literature review what methods can be used to assess the quality of home care that patients received and to identify what components can be used as a determinant of the quality of home care services. Method: Google Scholar, EBSCO, ProQuest and PubMed database websites were searched for articles and information. Results: The method that was used is a qualitative study using a literature review with quantitative analysis of a previously accepted research instrument with a questionnaire that has been widely available and considered reliable. The researchers identified thematic differentiation in grouping the quality indicators used by those articles, however most of them are classified as outcome indicators, one as process indicator, and none as structure or input indicator. Overall quality indicators in home care that are used by the three articles are based on the Home Care Quality Indicators Instrument (HCQIs). Conclusions: Several studies discussed home care quality indicators but no articles specifically analyze home care provision for stroke patients. Further research is needed to clarify the components indicators for stroke patients and more importantly, these indicators should be valid, and reliable.

Tingkat Depresi pada Pasien Kanker di RSUP Dr. Sardjito, Yogyakarta, dan RSUD Prof. Dr. Margono Soekarjo, Purwokerto: Pilot Study WIDIYONO S; SRI SETIYARINI; CHRISTANTIE EFFENDY
Indonesian Journal of Cancer Vol 11, No 4 (2017): October- December 2017
Publisher : National Cancer Center - Dharmais Cancer Hospital

Depression is psychological distress often occurred on cancer patient. Depression can increase perception about pain, reducing drug efficacy and longer length of stay at hospital. The objective of this study was to describe the condition of cancer patients depression who undergoing treatment at RSUP Dr. Sardjito Yogyakarta and RSUD Prof. Dr. Margono Soekarjo Purwokerto. This was a descriptive study using a cross sectional design and a pilot study. Subject were taken using non probability with purposive sampling technique. Beck Depression Inventory (BDI) was employed for selection purposes. From this study, 25,71% are experienced with mild depression, 45,71% had moderate depression and 28,58% suffered severe depression. We propose that medicine has been rated helpful by cancer patient. Psycotherapy like music therapy is part of Complementery and Alternative Medicine (CAM) can also be considered useful in lowering negative emotions beside of routine medicine like psychopharmaceutical. Doctor and Nurse can safely recommend any of these interventions for depression.ABSTRAK Depresi merupakan masalah psikologi yang sering terjadi pada pasien kanker. Depresi dapat meningkatkan persepsi pasien akan rasa sakit, menurunkan sensitivitas khasiat pengobatan, dan memperpanjang waktu rawat di rumah sakit. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kondisi depresi pada pasien kanker yang dirawat di RSUP Dr. Sardjito, Yogyakarta, dan RSUD Prof. Dr. Margono Soekarjo, Purwokerto. Ini adalah penelitian deskriptif dengan desain cross sectional dan merupakan pilot study . Total jumlah sampel adalah 70 responden. Pengambilan sampel dilakukan dengan cara non probability sampling dengan teknik purposive sampling . Alat ukur yang digunakan adalah Beck Depression Inventory (BDI). Hasil penelitian menunjukkan sebanyak 25,71% pasien kanker mengalami depresi ringan; 45,71% mengalami depresi sedang; dan 28,58% mengalami depresi berat. Saran dalam penelitian ini adalah bahwa diperlukan intervensi yang tepat untuk mengatasi gejala depresi. Selain pemberian psikofarmaka, tenaga kesehatan, khususnya dokter dan perawat, dapat memberikan psikoterapi lain, misalnya terapi musik yang merupakan bagian dari terapi komplementer

Self-Selected Individual Music Therapy for Depression during Hospitalization for Cancer Patients: Randomized Controlled Clinical Trial Study Widiyono Widiyono; Sri Setiyarini; Christantie Effendy
Indonesian Journal of Cancer Vol 13, No 3 (2019): September
Publisher : National Cancer Center - Dharmais Cancer Hospital

Background: Depression is a psychological distress that often occurs on cancer patients. Depression can increase patient perception about pain, resulting reduced drug efficacy and longer length of stay. Drug treatment for depression sometimes has side effects. Another intervention to decrease depression on cancer patients is music therapy. Music therapy might avoid polypharmacy in cancer patients. The purpose of this study was to determine the effects of self-selected individual music therapy toward depression of cancer patients.Methods: The method used in this study was the randomized control trial (RCT). Simple Random Sampling was assigned randomly by three researcher assistants to participants (N=70) of intervention and control group. The intervention used was self-selected individual music therapy (SeLIMuT). SeLIMuT was applied four times in 2 days with a duration of 15 minutes each session. Beck Depression Inventory (BDI) was employed for selection purposes. The data were analyzed using Mann-Whitney with p < 0.05 and 95% CI. The effectiveness of therapy was analyzed by the effect size test using abs r.Results: Based on the result of the bivariate analysis, there was an effect of giving self-selected individual music therapy to reduce depression with depression gap in both groups with p-value of 0.001 (p < 0.05). The value of the effect test obtained abs r = 0.82 (r > 0.5). At the end, the self-selected individual music therapy had moderate effect toward depression of cancer patients.Conclusions: Music therapy is safe, inexpensive, and easy to use, for and by patients. The nurse can safely recommend any of these interventions for depression on cancer patients. Specific selections or types of music may have different effects on different patients and may provide different effects at different time, so the use of self-selected individual music therapy is recommended.

Gambaran pemberian nutrisi enteral pada pasien dewasa Roni Purnomo, Sri Setiyarini, Christantie Effendy
Berita Kedokteran Masyarakat (BKM) Vol 22, No 1 (2006)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3661

Background: A high prevalence of malnutrition in hospitals leads to the increasing of more attention paid for nutrition management. Enteral nutrition feeding in a proper way will give advantages such as protecting nutrition status in order not to go worse and preventing or reducing the occurrence of metabolic complication and infection, It requires specific knowledge and expertise in nutrition area, management of enteral nutrition feeding is a part of nurse's responsibilities. Method: This study was aimed to obtain a description of technical feeding of enteral nutrition to adult patient at Dr. Sardjito Hospital Yogyakarta,The type of this study was descriptive explorative by means of quantitative method, data was collected through observation to research subject who are the patients undergoing enteral nutritional therapy with a total number of 21 patients. This study was done within December 19t" 2005 â€” January 91h 2006. Result: The result showed that a high percentage of enteral nutrition feeding done by family was 40 actions (63.49%) while that done by nurses was 23 actions (36.51%). Enteral nutrition feeding that was considered as properly done was only 20 actions (31,75%) while that considered as improperly done was 43 actions (68.25%). The most frequent things that were not done in enteral nutrition feeding were checking the intestinal distortion before and after the nutrition feeding, aspirating residual volume of stomach before nutrition feeding. considering the rate of feeding, and some did not set the position of semifowler (30Â° â€” 45Â°) during enteral nutrition feeding. Conclusion: This study showed that most of enteral feeding had not been done based on theoretical standard. Keywords: Technical feeding. enteral nutrition, adult patient

KEPUASAN MAHASISWA DALAM MENTORING PENYUSUNAN PROPOSAL KARYA TULIS ILMIAH DI PROGRAM STUDI DIPLOMA III KEPERAWATAN POLTEKKES KEMENKES PONTIANAK Hieronimous Amandus; Dian Mawarni; Christantie Effendy; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 34, No 6 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

“Difficult to meet supervisor” and “lack of feedbacks”: student’s perception of problems in writing final year project in undergraduate program Objective: This study explores the role of mentoring felt by the students involved in the making. Specifically, we want to disclose what students consider helpful and what is considered to be less helpful for final project preparation. Methods: Respondents were 82 third year nursing students at Poltekkes Kemenkes Pontianak who were writing thesis. The questionnaire consisted of 16 questions consisting of (a) lecturer-student communication and interaction, (b) mentoring roles and responsibilities, and (c) quality of mentorship. The questionnaire consisted of a question following the items in Beck et al.’s research, measured by a Likert scale consisting of good, moderate, and less. Six students were taken for in-depth interviews, selected based on different counselors. Results: Of the 16 themes about mentoring, “pretty good” at most for all items. Item analysis showed support of several concerns that have been predicted. Although “like the guiding figure” and “feel the support of lecturers including two things that stand out in the opinion of students about thesis supervisor figure. Students reported two main issues in their mentoring process: “advisers are difficult to see” and “lack of meaningful input from advisers”. Conclusion: Student satisfaction in mentoring is influenced by the quality of the mentors. Students feel satisfied if the characteristics, roles and responsibilites of the supervisor in accordance with student expectations. This study ensures that there are limitations in the availability and seriousness of the lecturers in thesis coaching. Further studies on mentorship and support capacity are needed. AbstrakTujuan: Penelitian ini mengeksplorasi peran mentoring yang dirasakan oleh mahasiswa terkait dalam pembuatan. Secara spesifik, kami ingin mengungkapkan hal-hal apa yang dianggap mahasiswa membantu dan hal seperti apa yang dianggap kurang membantu penyusunan tugas akhir. Metode: Responden adalah 82 mahasiswa keperawatan tahun ketiga di Poltekkes Kemenkes Pontianak yang sedang menulis skripsi. Kuesioner terdiri dari 16 pertanyaan yang terdiri dari (a) komunikasi dan interaksi dosen-mahasiswa, (b) peran dan tanggung jawab pembimbingan, dan (c) kualitas pembimbingan. Kuesioner terdiri dari pertanyaan mengikuti item dalam penelitian Beck et al., diukur dengan skala Likert terdiri dari baik, cukup, dan kurang. Enam mahasiswa diambil untuk wawancara mendalam, dipilih berdasarkan pembimbing yang berbeda. Hasil: Dari 16 tema tentang pembimbingan, “cukup baik” paling banyak untuk semua item. Analisis perbandingan antar item membuktikan kekhawatiran yang sering mengemuka. Meskipun “menyukai sosok pembimbing” dan “merasa mendapat dukungan dari dosen termasuk dua hal yang menonjol dalam pendapat mahasiswa tentang sosok pembimbing skripsi. Penelitian ini melaporkan dua hal yang paling mencolok terkait dengan proses pembimbingan: dosen tidak mudah ditemui dan mahasiswa tidak merasa mendapat masukan yang berarti dalam proses belajar. Simpulan: Studi ini mengukuhkan keterbatasan dalam kapasitas dari dosen dalam pembimbingan skripsi. Studi lebih lanjut tentang kapasitas pembimbing dan dukungan untuk mereka sangat mendesak.

Hindering and Supporting Factors of Entrepreneurship Implementation for Nurses: A Narrative Review Christantie EFFENDY; Maryadi MARYADI; Nurdina Wahyu HIDAYATI; Ruby SUSMAWATI
International Journal of Environmental, Sustainability, and Social Science Vol. 4 No. 3 (2023): International Journal of Environmental, Sustainability, and Social Science (May
Publisher : Indonesia Strategic Sustainability

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38142/ijesss.v4i3.573

Entrepreneurship in the nursing field is still rising giving greater opportunity for these nursing entrepreneurs. However, nurses need to identify the obstacles and the supports so that their businesses will run well and succeed. To identify the hindering and supporting factors for nurses in entrepreneurship. This study was a narrative review with literature research using electronic databases, which included Science Direct and PubMed between 2011-2021. The framework from the European Medical Writers Association developed by Ferrari was used to guide the study From the total of 11 identified and analyzed literatures, there were seven hindering factors (fear; knowledge and skill; prior working culture experience; decision-making policy and regulations; health insurance, colleague jealousy; and unprofessional attitudes) and two supporting factors (knowledge and skills; ability to seek opportunities). Conducting entrepreneurship in nursing still faces several obstacles but also has some supports, and therefore can be done by developing nursesâ€™ self-potentials and professional attitudes.

Co-Authors A.A. Ketut Agung Cahyawan W Adnan, Nur Fatimah Afridayani, Meri Agustina Sandramustika, Agustina Agustina Sri Oktri Hastuti Ainur Rahma, Ainur AKICHIKA MIKAMI Andina Setyawati, Andina Anggraini Lizdiana Wulandari Ardika, Noviana Ayu Arif Rahman Mansur, Arif Rahman Arifin Triyanto Ashar Prima Atsarina Fauzan Bambang Suryono, Bambang Basuki, Suko Bayu, Yoni Setyo Nugroho Christaputri, Silvia Tri Wahyu Darwito, Darwito Dewi Gayatri Dewiyuliana Dewiyuliana Diah Husna Nugraheni, Diah Husna Dian Mawarni Dimas Utomo Hanggoro Putro Dwi Aris Agung Nugrahaningsih Dwi Asih Kusumaningrum, Dwi Asih Dwi Susanti Elsi Dwi Hapsari Endro Basuki Erlina Erlina Fatwa Sari Tetra Dewi Fitria Fitria Fitriana, Nazula Fitrina Mahardani Kusumaningrum Gracia Rosiharjati Sarihastanti Hardiyani, Tati Haryani Haryani Heny Suseani Pangastuti Heny Suseani Pangastuti Heny Suseani Pangastuti Heny Suseani Pangastuti Heru Suwardianto Hieronimous Amandus Hikmawati, Ulfa Ibeneme, Sam Ike Wuri Winahyu Sari Intansari Nurjannah Ismail Setyopranoto Ispriyatiningsih, Ispriyatiningsih Kaningsih Yuniarti, Kaningsih Karolin Adhisty Khudazi Aulawi Kornelia B Simamora, Kornelia B Kurniawan, Catur Lailya Khusna Latifa Erdiana, Latifa Lorica, J D Made Ririn Sri Wulandari Mae Sri Hartati Wahyuningsih Martina Sinta Kristanti Maryadi Merry Olvia Mubasysyir Hasanbasri Muhammad Deri Ramadhan Mulyainuningsih, Wa Ode Saridewi Narni Tri Sulastri, Narni Tri Ningsih, Dini Cristia Novriyanti, Sukma Nur Chayati Nurdina Wahyu HIDAYATI Nurhasanah, Erna Nurul Aida Fathya Osman Sianipar Perdana, Melyza Praditia, Irsa Gusninda Probosuseno Putri Mentari Endraswari Putri Utami Ayu Maninggar Putu Oka Yuli Nurhesti Raeni N, Raeni Rahayu Widiyanti, Rahayu Ridho Rahmadi Ridho Rahmadi Rizki Surtiyan Surya Rizky, Indah Roni Purnomo Rosaria Andriani, Rosaria Ruby SUSMAWATI Rudi Haryono, Rudi S, WIDIYONO Sardiman, Muhammad Satiti, Sekar Setyopranoto Setyopranoto Shodiq, Abror Siregar, Khairati Siti Na'imah SITI NURJANAH Sitti Rahma Soleman Solihin, Asri Handayani Sri Setiyarini Sri Setiyarini Sri Setiyarini Sri Setiyarini SRI SETIYARINI SRI SETIYARINI, SRI Sri Styowati Sri Wahyuni Sri Wahyuni Sri Warsini Suminarhati, Herlina Supriyati Supriyati Tou, Nurhaeka Tsauroh, Salsabila Fiqrotu Vita Ari Fatmawati Wahyudi, Vijna Putri Sukma Wandansari, Sri Wenny Artanty Nisman, Wenny Artanty WIDIYONO S Widiyono Widiyono Widyawati Widyawati Wirastuti, Fita Wiwin Lismidiati Yati Afiyanti Yayi Suryo Prabandari Yohani Setiya Rafika Nur Yuan Sa'adati Yundari, Yundari Yuyun Christyanni, Yuyun Zulia Putri Perdani, Zulia Putri

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