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Empowerment of Parents with Stunting Children Indanah Indanah; Dessie Wanda; Nani Nurhaeni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (741.709 KB) | DOI: 10.30604/jika.v7i4.1183

Abstract

Stunting is a chronic nutritional problem facing the world. Parental empowerment is necessary for stunting prevention. The main goal of this paper is to systematically review the literature to identify parental empowerment interventions and interventions to improve nutritional status in children, especially stunted children. This Systematic Review uses the PRISMA method, identifies articles published in English, in the last five years (2017 to 2022) through data based on ClinicalKey, ProQuest, SAGE Journal, Scopus, Science Direct, JSTOR, and EBSCO Host, and produces eight relevant literature. The results show a significant relationship between parental empowerment and the nutritional status of children. Parental empowerment is an effort to improve knowledge and skills as well as parents' self-confidence about the care, upbringing, and development of children. Indicators of parental empowerment are assessed based on education, employment, income, and parents' ability to make decisions. Interventions to improve the ability of mothers in the care of stunted children can be carried out through the assistance of health workers in the parenting process. Interventions to improve children's nutritional status through education to mothers about nutrition and nutrition delivery strategies, independently and across sectors. Z score from WHO is the most relevant nutritional status assessment indicator used. Abstrak: Stunting merupakan permasalahan gizi kronik yang dihadapi dunia. Pemberdayaan orangtua diperlukan untuk pencegahan stunting. Penulisan artikel bertujuan menganalisis dengan systematic review untuk mengidenfikasi intervensi pemberdayaan orangtua dan intervensi untuk memperbaiki status nutrisi pada anak, terutama anak stunting. Systematic Review ini menggunakan metode PRISMA, mengidentifikasi artikel yang diterbitkan dalam bahasa inggris, kurun waktu 5 tahun terkahir (2017 sd 2022) melalui data based ClinicalKey, ProQuest, SAGE Journal, Scopus, Science Direct, JSTOR dan EBSCO Host, dan menghasilkan 8 literatur yang relevan. Hasil dari analisis yang dilakukan mengidentifikasi ada hubungan yang signifikan antara pemberdayaan orangtua dengan status gizi anak. Pemberdayaan orangtua merupakan upaya untuk meningkatkan pengetahuan dan ketrampilan serta rasa percaya diri orangtua tentang perawatan, pengasuhan dan perkembangan anak. Indikator pemberdayaan orangtua dinilai berdasarkan pendidikan, pekerjaan, penghasilan dan kemampuan orangtua dalam pengambilan keputusan. Intervensi untuk meningkatkan kemampuan ibu dalam pengasuhan anak stunting dapat dilakukan melalui pendampingan petugas kesehatan dalam proses pengasuhan. Intervensi untuk memperbaiki status nutrisi anak melaui pendidikan pada ibu tentang nutrisi dan strategi pemberian nutrisi, secara mandiri maupun lintas sectoral. Z score dari WHO merupakan indicator penilaian status gizi yang paling relevan digunakan.
Bermain Terapeutik Puppet Play sebagai Intervensi untuk Menurunkan Kecemasan pada Anak saat Hospitalisasi Devi Tirta Ningrum; Dessie Wanda
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5725

Abstract

This study aims to analyze various types of puppet play to reduce children's anxiety levels while hospitalized. The method used is a systematic review through the Proquest database, Scopus, Science Direct, and Google Scholar. The selected articles were assessed for quality with the guidance of the Joanna Briggs Institutes (JBI). The results showed that from 11 review articles, it was revealed that playing puppet play effectively reduced children's anxiety during hospitalization, and the range of children given pain reduction strategies was 3-19 years. In conclusion, therapeutic puppet play can effectively reduce stress in children who experience hospitalization. Keywords: Children, Playing with Puppets, Hospitalization
Penggunaan Teknologi Kesehatan dalam Mendukung Manajemen Kesehatan Anak setelah Menjalani Perawatan Friska Nababan; Siti Chodijah; Dessie Wanda
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5739

Abstract

This study aims to discover how health technology-based applications support managing children's health, whether carried out by the patients themselves or their parents. The method used is a systematic review by searching articles through online databases, including PubMed, Science Direct, Ebsco, Sage Publication, Cochrane Library-Cochrane Reviews, Embase, CINAHL, and Clinical Key Nursing. The results showed that using health technology-based applications affected increasing self-confidence, controlling disease conditions, competency and knowledge levels, parental self-efficacy in caring for children, increasing medication adherence, and improving children's quality of life. Apart from that, the effectiveness of time and materials also has a positive impact on the use of health technology. In conclusion, health technology-based applications provide a positive influence or effect that supports parents (caregivers) in managing their children's health well. Increasing parents' self-confidence, self-efficacy, knowledge, and competence in caring for children will accelerate parents' transition to caring for children at home. Keywords: Mobile Application, Home Care, Child Health Management, Health Technology
Frequent Skin Injuries in Neonates from Various Skin Injuries Monitoring Instruments: A Systematic Review Tanty Harjati; Yeni Rustina; Dessie Wanda
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 3 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i3.486

Abstract

Aims: Maintenance of skin and tissue integrity is one of the main focuses of various health care facilities throughout the world so that the implementation of effective prevention of skin trauma requires a protocol for early identification of at-risk patients in prevention of skin trauma. Objective: Knowing the effektiveness of the SRAMT instrument compared to other skin trauma monitoring instruments for monitoring neonatal skin trauma. Method: This research method is in the form of systematic review, database search is done through proquest, SAGE Journal, Sciencedirect, Clinicalkey Nursing and manual research. There were eight journal articles that met the inclusion criteria. Based on the article it was concluded that the instrument had gone through validity, reliability, interrater tests and correlation coefficients so that it was suitable for use in pediatric and neonatal patients. Result: There were seven journal articles that met the inclusion criteria. The most common type of skin injury are caused by the use of an indwelling vascular catheter and medical devices. The most common locations for skin injury are the nasal septum and the head area, including the face and scalp. Compared to other skin injury monitoring instruments, the SRAMT subscale is more comprehensive by having three skin trauma risk assessment sections, including skin trauma risk categories, management guidelines based on skin injury risk categories and prevention that can be carried out based on the type of skin injury that occurred. This guide is very important to reduce the risk of skin injury in neonates and provide uniformity in nursing care provided by nurses.
Improving the quality of life for premature infants through the continuity of care approach: A literature review Dyah Dwi Astuti; Dessie Wanda
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).208-224

Abstract

Background: The agenda for strengthening the global health architecture is to improve quality of life for premature infants. Premature births increase the morbidity and mortality of newborns, necessitating innovation in primary health care. Objectives: This study was conducted to examine innovation programs with a continuity of care approach in primary health care for premature infants in an effort to strengthen the global health architecture. Methods: A literature review method was used to analyze articles obtained using databases such as Science Direct and Google Scholar. The researcher used the key words “continuity of care” and “premature infants”. The inclusion criteria were full-text journal articles published from January 2020-December 2022 in English-language journals. Results: This study obtained ten articles that correspond to the continuity of care approach for premature infants. The articles included four qualitative studies, three quantitative studies, one mixed-method study, one literature review, and one systematic review. There are three themes related to the continuity of care for premature infants, including (1) Primary healthcare with information continuity, relationships continuity, and management continuity; (2) Continuity of care in the antenatal, natal, and postnatal periods; (3) The continuity of care on premature infant approach improves the outcome of premature infant care, the ability of parents, and health service quality. Conclusions: A continuity of care approach can increase the achievement of adequacy, equity, efficiency, and effectiveness in primary health care for premature infants. Joint synergy between the community, health services, and health policymakers is essential in efforts to strengthen the quality of life for premature infants.
Oral feeding skills in premature infants: A concept analysis Dyah Dwi Astuti; Yeni Rustina; Dessie Wanda
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2107

Abstract

Background:  The delay in developing oral feeding skills becomes a problem experienced by premature infants. One of the reasons for the delay may be related to inconsistent definitions of oral feeding skills, which can cause discrepancies in the provision of nursing care. Objective: This study aimed to clarify the concept of oral feeding skills in premature infants. Methods: The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: CINAHL, PubMed, ProQuest, EMBASE, and Google Scholar, to find articles between January 2020 and December 2022. Results: The literature search obtained 20 articles on oral feeding skills from various disciplines. Five attributes were developed from the concept analysis, including (1) coordination ability to suck, swallow, and breathe, (2) the ability to regulate oral-motor functions, (3) the ability to regulate sensory functions, (4) the ability to maintain the stability of physiology function, and (5) the ability to regulate feeding behavior. Antecedents to oral feeding skills include immaturity of the nervous system, gestational age, feeding intolerance, increased length of stay and cost of care, increased rehospitalization, stress on parents, and increased morbidity and mortality. Consequences include optimization of growth and development, reduction of length of stay and cost of hospitalization, increased bonding attachment, increased self-efficacy of parents in caring for premature infants, and improvement of the quality of life of premature infants. Conclusion: The concept analysis provides five comprehensive attributes and their antecedents and consequences. However, this concept can be used to provide nursing care to premature infants, assess the criteria for discharge, and optimize nutrition for the growth and development of premature infants.
Patient and family-centered care for children: A concept analysis Tuti Seniwati; Yeni Rustina; Nani Nurhaeni; Dessie Wanda
Belitung Nursing Journal Vol. 9 No. 1 (2023): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2350

Abstract

Background: Family-centered care has evolved into patient and family-centered care. Although this is not a new concept; however, its application to nursing practice is very challenging among nurses due to its ambiguity. Objective: This study aimed to clarify the concept of patient and family-centered care for children. Methods: Walker and Avant’s concept analysis method was used. A literature search was also done using the following databases: Google Scholar, ProQuest, ScienceDirect, and Scopus, for articles published from 2011 to 2021.  Results: The defining attributes of patient and family-centered care are partnership, communication, respect, and compassion. Antecedents include patient and family involvement, readiness to collaborate and participate, competency and desire of the care professional team, supportive environment, and policies. Consequences of the patient and family-centered care include improved child outcomes and quality of life, promotion of patient safety, increased patient and family satisfaction, enhancement of humanistic values, reduction of hospitalization cost and length of stay, and decreased stress, anxiety, and depression in family members. Conclusion: Four attributes of patient and family-centered care, its antecedents, and consequences may aid researchers in better understanding the concept and its application in nursing practice. This concept can also be used to establish quality care delivery strategies and promote professional relationships between nurses, patients, and families in clinical settings.
Understanding the experiences of caregivers of HIV-exposed children under five: A phenomenological inquiry Happy Hayati; Nani Nurhaeni; Dessie Wanda; Nuraidah Nuraidah
Belitung Nursing Journal Vol. 9 No. 2 (2023): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2479

Abstract

Background: Children born to mothers with HIV require special care from the womb to the postnatal period, and caregivers involved in their care face several challenges. Objective: This study aimed to explore caregivers’ experiences providing care for HIV-exposed children under five. Methods: This study employed a phenomenological approach. Ten caregivers of HIV-exposed children living in Jakarta, Indonesia, were selected using snowball techniques. Online in-depth interviews were conducted to collect data from September 2021 to July 2022, and thematic analysis using Colaizzi’s method was performed for data analysis. Results: The study involved ten caregivers (nine females and one male) aged between 23 and 42 years. Seven of them were mothers who tested HIV-positive, while one was an adoptive father, one was a mother’s sister, and one was an aunt of HIV-exposed children. The majority of them were housewives and had a low educational background. Three themes were generated: (i) disease-transmission foreboding, (ii) prejudice against mothers and children exposed to HIV, and (iii) seeking support. Conclusion: Caring for HIV-exposed children poses emotional and physical challenges for caregivers, necessitating support from health professionals and peer groups. Nurses play essential roles in improving caregiver well-being and supporting optimal growth and development in HIV-exposed children under five by designing intervention programs. Furthermore, to enhance home-based HIV care in Indonesia, the government must implement social interventions that target families with limited resources.  
Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study Dyah Dwi Astuti; Rinawati Rohsiswatmo; Dessie Wanda; Diah Mulyawati Utari
Belitung Nursing Journal Vol. 9 No. 5 (2023): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2772

Abstract

Background: Many preterm infants face feeding difficulties during the transition from enteral to oral feeding due to organ immaturity, resulting in aspiration, airway instability, and oral feeding intolerance. These challenges can increase morbidity and mortality among preterm infants. Nurses play a vital role in providing interventions to minimize negative impacts and enhance the safety of preterm oral feeding. Objective: This study aimed to explore the experiences of Indonesian nurses in improving preterm oral feeding readiness. Methods: A qualitative descriptive study was conducted involving ten nurses working in intensive care units as participants through purposive sampling. Data were collected through semi-structured, in-depth interviews conducted from January to March 2023. Thematic analysis was applied for data analysis. Results: Four key themes developed in this study: 1) comprehensive and holistic nursing assessment, 2) challenging and complex nursing issues, 3) the need for nutritional management skills, and 4) the necessity of collaborative support. Conclusion: Nurses play a pivotal role in enhancing oral feeding readiness among premature infants. Their responsibilities include assessing oral feeding readiness, addressing nursing challenges, and implementing multidisciplinary stimulation involving parents. This study provides a foundational framework for developing interventions to improve preterm oral feeding readiness.
Pengalaman Perawat dalam Memberikan Perawatan Atraumatik pada Anak di Rumah Sakit Nursasmita, Rizqi; Tri Waluyanti, Fajar; Wanda, Dessie
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.785 KB) | DOI: 10.32419/jppni.v4i2.185

Abstract

Abstrak Perawat anak memiliki peran penting untuk mencegah terjadinya dampak negatif hospitalisasi melalui aplikasi konsep perawatan atraumatik dalam memberikan asuhan keperawatan pada anak. Tujuan: Tujuan penelitian adalah mengeksplorasi secara mendalam tentang pengalaman yang dialami perawat dalam memberikan perawatan atraumatik pada anak yang mengalami hospitalisasi. Metode: Penelitian ini menggunakan metode kualitatif deskriptif fenomenologi di RSAB Harapan Kita Jakarta pada bulan Mei 2016. Pengambilan data melalui wawancara semi terstruktur terhadap tujuh perawat yang dipilih dengan purposive sampling. Data transkrip dianalisis secara manual dengan metode Yin (2011) dan Graneheim & Lundman (2004). Hasil penelitian: dihasilkan empat tema yaitu ada dualisme peran orang tua dalam perawatan atraumatik, dilema dukungan rumah sakit dalam perawatan atraumatik, intervensi yang digunakan perawat dalam perawatan atraumatik, dan refleksi perawatan atraumatik untuk perawat. Kesimpulan: Gambaran eksplorasi pengalaman perawat dalam memberikan perawatan atraumatik meliputi dualisme peran (positif dan negatif) orang tua, beragam intervensi perawatan atraumatik yang telah diaplikasikan, dilema dukungan rumah sakit dalam perawatan atraumatik berhubungan dengan infeksi nosokomial maupun hambatan internal, serta perawat melakukan refleksi perawatan atraumatik yang telah dilakukan.Kata Kunci: anak, pengalaman, perawat, perawatan atraumatikThe Experiences of Nurses in Providing Atraumatic Care for Children during Hospitalization AbstractA nurse has an important role to prevent the negative impact of hospitalization through the application of concepts atraumatic care in providing nursing care in children. Objective: The research aim is to explore the experiences of nurses in providing atraumatic care for children during hospitalization. Method: This research method using qualitative phenomenology descriptive study at RSAB Harapan Kita Jakarta in May 2016. Collecting data through interviews with seven nurses selected with using purposive sampling. Transcript data was analyzed manually with Yin (2011) and Graneheim & Lundman (2004) method. Results: The results of the study describes the four themes, namely a duality of the role of parents in the atraumatic care, support hospitals dilemma in atraumatic care, nursing interventions used in atraumatic care, and the reflection of atraumatic care for nurses. Conclusion: An illustration of nurses’ exploratory experiences in providing atraumatic care includes dualism of the roles (positive and negative) of parents, various atraumatic care interventions that have been applied, hospital support dilemmas in atraumatic care related to nosocomial infections and internal support, and nurses doing reflecting on atraumatic care.Keywords: atraumatic care, experience, nurse, pediatric
Co-Authors - Budiyati Adawiyah, Robiyatul Adelia, Hazrina Agung Waluyo Agus Setiawan Allenidekania Allenidekania Anggraeni, Lina Dewi Annida Falahaini Annida Falahaini Anton Purkon Patoni Apriyanto Apriyanto Arianingsih, Tri - Arifin, Yelly Sari Astuti - Astuti Astuti Astuti, Dyah Dwi Awaliah, Awaliah Ayu Puspitasari, Endang Ayu Syaiful, Afifah Ayu Widya Ayu Widya Lestari Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Budi Anna Keliat Desi Anggraini Devi Tirta Ningrum Devi Trianingsih Dewi Gayatri Diah Mulyawati Utari Dyah Dwi Astuti Efa Apriyanti El Nino Tunjungsari Elfi Syahreni Elizabeth, Beatrix Ella Nurlela Hadi ELY MAWADDAH Enie Novieastari Enjelita Karujan Etty Rekawati Fajar Tri Waluyanti Fitri Annisa Friska Nababan Hamdani Hamdani Happy Hayati Happy Hayati Hazrina Adelia Herlina Febrianti Herlina Herlina Imami Nur Rachmawati Imas Mulyani Imelda Imelda Immawati, Immawati Indanah Iqomh, Muhammad Khabib Burhanuddin Iqomh, Muhammad Khabib Burhanuddin Jajang Gunawijaya Jeni Oktavia Karundeng Juanda Mutifa Lestari, Ayu Widya Lia Herliana Maria Ulfah Mega Hasanul Huda Mohamad, Rini Wahyuni Mugi Hartoyo Mutifa, Juanda Nani Nurhaeni Nani Nurhaeni Nastasya, Ricca Olivia Ngatmi Ngatmi Ngatmi Ningrum, Dewi Tirta Novita Agustina Novitasari, Prihatini Dini Novy Helena Chatarina Daulima Nur Agustini Nur Emiria, Windi Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah Nuraidah, Nuraidah Nurhayati Nurhayati Nursasmita, Rizqi Oktavia Karundeng, Jeni Olivia Bawaeda Paskaliana Hilpriska Danal Poppy Fitriani Prasetya, Mega Anastasya Riwu Putry Nur Faidah Rahayu, Bhekti Yuniarti Reni Mareta Riau Roslita Rinawati Rohsiswatmo Risa Fitriana Risna Merysa Sari Anggela Setiawati, Santun Siti Chodijah Siti Kusnul Khatimah SITI WAHYUNI Sri Hartini M.A, Sri Hartini Sri Melfa Damanik Sri Rosma Kencana Sulistiana Susanti, Suryane Sutanto Priyo Hastono Syaiful, Afifah Ayu Syarifah Aini Tanjung Tanty Harjati Tuti Seniwati Tuti Seniwati Widyatuti Yayah Yayah Yayah Yayah, Yayah Yeni Rustina Yeni Rustina Yeni Rustina Yudan Whulanza Yuni Maria Olviani Ndede