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Burnout among nurses working in COVID-19 pandemic Tri Ismu Pujiyanto; Fery Agusman Motuho Mendrofa; Umi Hani
International Journal of Public Health Science (IJPHS) Vol 11, No 1: March 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i1.21267

Nurses are at high risk of burnout because of the characteristic of their work that expends most of the time in delivering care to the patients. This study aimed to describe burnout among nurses working during corona virus disease 2019 (COVID-19) using nurses' demographic characteristics. This observational cross-sectional study involved 149 nurses from some hospitals and public health centers in Semarang using an online questionnaire from May 1 to June 15, 2020. Primary data were collected using Maslach Burnout Inventory including emotional exhaustion, depersonalization, and reduced personal accomplishment. Univariate and multivariate analyses were performed. The study showed that 63.6% of nurses in the COVID-19 unit were at high levels of emotional exhaustion, 56.3% of them were at high levels of depersonalization, and 46.7% of them are at high levels of reduced personal accomplishment. Education was the only demographic factor that was significantly related to emotional exhaustion and depersonalization (p<0.05) with a weak correlation. The work environment and the reduced anxiety-related factors were not significantly correlated with the reduced personal accomplishment with a very weak correlation, while the nurses’ unit was significantly correlated with depersonalization (p<0.05) with a very weak correlation. The results found that burnout develops among nurses due to the work environment-related factors such as the unit of work, corona-infected patients, personal protective equipment usage, and the specific characteristics of the workplace. Nurses’ characteristics affect their ability to manage the workload even in a pandemic. Nurses need optimal supports to build their self-efficacy. The organizational efforts play an important role in strengthening nurses to prevent burnout.

Could coronavirus 2019-infected disease patients get cope with the treatment?: A qualitative study Fery AM Mendrofa; Umi Hani; Yuni Nurhidayat
International Journal of Public Health Science (IJPHS) Vol 10, No 4: December 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i4.20912

A pandemic of a novel coronavirus-infected disease is currently ongoing in the world. Most patients have to be isolated due to the treatments. This study aimed to make sense of how patients with coronavirus-infected disease understand and experience infectious isolation. The research used a qualitative design with a phenomenological approach. Data collection was conducted with in-depth interviews of nine patients with coronavirus disease-2019 (COVID-19) confirmed who had been in the isolation room. The analysis was conducted on interview transcripts by organizing keywords found into categories, sub-themes, and themes based on Colaizzi's approach. The results indicated that the participants experienced fright due to the isolation and attempted to integrate their isolation experiences. Isolation highlighted a sense of threat posed by cross-infection, a threat that participants experienced as originating from others and from themselves to others. Participants described feeling changes experienced after several days of treatment. Participants reported various symptoms of the disease and received careful care while in isolation. They still communicate with family. Isolated patients are able to deal with the treatment by improving their coping strategies. Participants reported the most support from their families, even from a distance. Future research could explore experiences of isolation from family and staff perspectives and identify the psychological aspect in caring for the COVID-19 patients.

Persepsi Warga Binaan Pemasyarakatan Perempuan terhadap peran sebagai Ibu: Studi Kualitatif Umi Hani; Agus Setiawan; Poppy Fitriyani
Jurnal Smart Keperawatan Vol 7, No 1 (2020): Juni 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v7i1.281

Jumlah narapidana atau warga binaan pemasyarakatan perempuan terus meningkat sehingga perlu mendapat perhatian. Hal ini berkaitan dengan kebutuhan kesehatannya yang unik serta subyek yang terkena dampak termasuk anak. Pemenjaraan menimbulkan pemikiran, perasaan, sikap, dan gagasan tersendiri bagi warga binaan pemasyarakatan perempuan untuk menjalankan perannya sebagai ibu. Tujuan penelitian. Penelitian ini bertujuan untuk menggali persepsi warga binaan pemasyarakatan perempuan di Rutan Kelas IIA Jakarta Timur dalam menjalankan peran sebagai ibu. Metode. Penelitian menggunakan desain kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan dengan wawancara mendalam terhadap tujuh warga binaan perempuan. Transkrip wawancara dianalisis dengan mengorganisasikan kata kunci yang ditemukan ke dalam kategori, sub tema, dan tema. Hasil. Hasil penelitian menjelaskan bahwa warga binaan pemasyarakatan perempuan memiliki persepsi yang sama tentang peran seorang ibu dalam pengasuhan anak. Peran penting seorang ibu yaitu memperhatikan kesehatan anak, mendidik anak, mendampingi anak, dan mencukupi semua kebutuhan anak. Partisipan tetap dapat menunjukkan perilaku-perilaku positif dan pengasuhan. Partisipan memiliki efikasi diri yang tinggi dalam pengasuhan anak. Kesimpulan. Efikasi diri yang dimiliki ibu berdampak pada persepsi dan kemampuannya untuk menjalankan peran selama dan setelah dipenjarakan. Hasil penelitian ini diharapkan dapat menjadi acuan bagi kolaborasi profesi antara lembaga peradilan, perawat komunitas, akademisi, dan elemen terkait untuk meningkatkan perhatian terhadap pelaksanaan peran ibu di lembaga pemasyarakatan Kata kunci: pemenjaraan; pengasuhan; peran sebagai ibu; warga binaan pemasyarakatan PERCEPTION OF FEMALE INMATE ON ROLE AS MOTHER: PHENOMENOLOGY STUDY ABSTRACT The number of female inmate continues to increase and needs attention. It is related to their unique health needs as well as affected subjects including children. Imprisonment creates their own thoughts, feelings, attitudes, and ideas for women in prison to carry out their role as mothers. This study was aimed to explore the perceptions of female inmate in Class IIA detention centers in East Jakarta in carrying out their role as mothers. The study used a qualitative design with a phenomenological approach. Data was collected by in-depth interviews of seven female inmates. Interview transcripts were analyzed by organizing the keywords found into categories, sub themes, and themes. The results of the study explained that female inmates have the same perception about the role of a mother in childcare. An important role of a mother is to pay attention to children's health and education, accompany their children, and meet all the needs of children. Participants can still show some positive parenting behaviors. The self-efficacy of the mother has an impact on her ability to perform roles during and after imprisonment. The results of this study are expected to be a reference for professional collaboration between the judiciary, community nurses, academics, and related elements to raise awareness of imprisoned mothers and children affected by female inmate. Keywords: imprisonmen; parenting; mother’s role; female inmate

Child-Rearing by Imprisoned Women: Sadness, Anxiety, and Feelings of Guilt Umi Hani; Agus Setiawan; Poppy Fitriyani
Jurnal Keperawatan Indonesia Vol 24, No 2 (2021): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i2.1061

The number of imprisoned women continues to increase. Imprisonment of women affects them as perpetrators of crime and those who have relationships with and ties to them, such as children. This phenomenological study aims to explore the experience of imprisoned women in Jakarta in playing the role of mother. In-depth interviews were conducted to explore the experiences of seven imprisoned women. Through a thematic content analysis, we identified specific keywords, the results revealing the sadness, anxiety, and feelings of guilt experienced by imprisoned mothers in relation to their child-rearing. Imprisoned mothers also experience difficulties in meeting their children's needs, together with inadequate child-rearing facilities. The situation experienced by imprisoned women influences their family relationships, which can lead to family crises. The results of this study are expected to serve as a reference for professional collaboration between judicial institutions, community nurses, academics, and related parties, increasing the attention paid to imprisoned mothers and children affected by maternal incarceration.Abstrak Pengasuhan Anak oleh Wanita di Penjara: Kesedihan, Kecemasan, dan Perasaan Bersalah. Jumlah wanita yang dipenjara terus mengalami peningkatan. Pemenjaraan bagi perempuan tidak hanya memengaruhi perempuan sebagai pelaku kejahatan, tetapi juga pada subyek yang memiliki hubungan dan ikatan dengan perempuan tersebut, salah satunya adalah anak. Penelitian ini bertujuan untuk mengeksplorasi pengalaman wanita yang dipenjara di Jakarta dalam mengasuh anak. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologis. Pengumpulan data dilakukan dengan wawancara mendalam terhadap tujuh wanita yang dipenjara. Melalui analisis konten tematis kata kunci yang ditemukan dalam transkrip wawancara disusun dalam kategori, sub tema, dan tema. Hasil penelitian menjelaskan kesedihan, kecemasan dan perasaan bersalah yang dialami oleh ibu yang dipenjara dalam pengasuhan anak. Para ibu yang dipenjara juga mengalami kesulitan dalam memenuhi kebutuhan anak dan fasilitas pengasuhan anak yang tidak memadai. Situasi yang dialami oleh ibu yang dipenjara memengaruhi hubungan dalam keluarga sehingga menghadapi krisis keluarga. Hasil penelitian ini diharapkan dapat menjadi referensi untuk kolaborasi profesional antara lembaga peradilan, perawat komunitas, akademisi, dan elemen terkait untuk meningkatkan perhatian bagi ibu dan anak yang dipenjara yang terkena dampak hukuman penjara ibu. Kata Kunci: pemenjaraan, pengasuhan anak, perawat komunitas, perempuan narapidana

Efficacy of Brain Gym on the Cognitive Function Improvement of People with Dementia Fery Agusman Motuho Mendrofa; Dwi Indah Iswanti; Umi Hani
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 4 (2020): November 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.4.2020.557-564

Dementia is a neurodegenerative syndrome caused by a chronic and progressive disorder accompanied by decreased brain function that affects emotions, memory, decision making, behavior and other brain functions that interfere with daily activities. This study aimed to determine differences in cognitive function in elderly dementia before and after brain exercise. This was a quasi-experimental research with one group pre and post-test design conducted in June 2020. The population was residents in some nursing homes in Semarang City. Samples who were willing to participate in research, 60-80 years old, and had Clock Drawing Test score in more than 2 were included for this study. The sample in this study was 63 older adults who were selected using a purposive sampling technique. The respondents enrolled in brain gym eight times each morning for 10-15 minutes in 2 weeks. Due to the pandemic, these interventions assisted by facilitators and adhered to health protocols in every interaction. The cognitive function obtained from the Short Portable Mental Status Questionnaire for pre and post-test. Univariate analysis described cognitive function in the elderly before and after brain exercise. The normality test using Shapiro Wilk showed that the data were normally distributed so that the dependent T-test was carried out to determine the effectiveness of brain exercise therapy on cognitive function in elderly dementia. The mean cognitive function before brain exercise was 6.6, and after brain exercise, it was 8.8. There was a significant difference between cognitive function before and after brain exercise (p-value <o.o5). Brain exercise affects improving cognitive function in older adults with dementia.

The Framework in Risk Management Process: Lesson Learned from Hospital During Pandemic Fery Agusman Motuho Mendrofa; Rusmini Rusmini; Umi Hani; Sutrisno Sutrisno
Indonesian Journal of Global Health Research Vol 4 No 3 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The pandemic situation poses great challenges for health care facilities such as rapidly changing hospitals in meeting the demands of infrastructure and operations. In addition to the need for adaptation related to the services provided, hospitals must be able to reduce the number of Covid-19 deaths as a top priority for health authorities. Uncertain conditions lead to the emergence of risks that cause losses so it is important to have risk management in hospitals This study was conducted to review risk management in hospitals in Semarang City that already have a framework for dealing with the COVID-19 pandemic and assess the impact of implementing the framework to the risk management process. This study is a cross-sectional study to see the relationship between the application of a risk management framework to the implementation of the Covid-19 risk management process in hospitals. The population in this study is all regulatory documents and reports on the implementation of the COVID-19 risk management process in hospitals in Semarang City in the period January 2020 to December 2021. Data is collected from documents and recording data in hospital related to regulations and risk management assessment instrument. Data were analyzed using Partial Least Square (PLS) software with SmartPLS 3.0 to test the hypothesis by looking at the probability value and its t-statistics. The study shows that the framework has a positive effect on the implementation of the risk management process in hospitals (T-Statistic > 1.96, p value < 0.05). The stronger the implementation of the COVID-19 risk management framework, the more positive the implementation of the COVID-19 risk management process will be.

The Framework in Risk Management Process: Lesson Learned from Hospital During Pandemic Fery Agusman Motuho Mendrofa; sri Rusmini; Umi Hani; Sutrisno Sutrisno
Indonesian Journal of Global Health Research Vol 4 No 3 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The pandemic situation poses great challenges for health care facilities such as rapidly changing hospitals in meeting the demands of infrastructure and operations. In addition to the need for adaptation related to the services provided, hospitals must be able to reduce the number of Covid-19 deaths as a top priority for health authorities. Uncertain conditions lead to the emergence of risks that cause losses so it is important to have risk management in hospitals This study was conducted to review risk management in hospitals in Semarang City that already have a framework for dealing with the COVID-19 pandemic and assess the impact of implementing the framework to the risk management process. This study is a cross-sectional study to see the relationship between the application of a risk management framework to the implementation of the Covid-19 risk management process in hospitals. The population in this study is all regulatory documents and reports on the implementation of the COVID-19 risk management process in hospitals in Semarang City in the period January 2020 to December 2021. Data is collected from documents and recording data in hospital related to regulations and risk management assessment instrument. Data were analyzed using Partial Least Square (PLS) software with SmartPLS 3.0 to test the hypothesis by looking at the probability value and its t-statistics. The study shows that the framework has a positive effect on the implementation of the risk management process in hospitals (T-Statistic > 1.96, p value < 0.05). The stronger the implementation of the COVID-19 risk management framework, the more positive the implementation of the COVID-19 risk management process will be.

Risk of Dementia and Community-Based Patient Safety Regarding Health in the Elderly Women Umi Hani; Indah Wulaningsih; Shindi Hapsari; Fery Agusman Motuho Mendrofa; Tri Ismu Pujiyanto
Indonesian Journal of Global Health Research Vol 4 No 4 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Multimorbidity is a challenge in elderly women's health. The increased risk of adverse health outcomes associated with frailty is related to patient safety issues, which is need broad community involvement to improve patient safety. This study aimed to describe the cognitive function of menopause women and describe the community empowerment regarding the community-based patient safety. This study was descriptive cross-sectional survey used MMSE, MOCA, and WHO-QOL brief questionnaire. The study participants were conveniently collected from 98 elderly women in nursing home and community in Semarang. A mixed methods analysis of patient safety incidents in the community related to older adults including the basic descriptive statistics and the differences of cognitive function and quality of life after giving the intervention. 87% of women are at risk for mild dementia, with a moderate quality of life for 60%. 73.5% (MMSE) and 71.4% (MOCA-INA) respondents were at mild to moderate level of memory impairment. Community-based doodle art therapy was significantly effective to improve memory index and quality of life. Patient safety that is often reported in female patients is associated with decreased cognitive function. Patient and community involvement can positively influence health outcomes.

Doodle Art Therapy to Improve the Quality of Life Vascular Dimensia Prevention Shindi Hapsari; Umi Hani; Widiyaningsih Widiyaningsih
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 2 (2022): July-December 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i2.1417

Vascular dementia is a cause of urgent public health problems. Cerebrovascular diseases such as stroke are often the main factor in the incidence of dimensionality. Doodle art as part of the art can be a therapy that provides sensory and cognitive stimulation for sufferers who experience neurological disorders such as brain injuries, strokes, and brain tumors. In this context, therapy is expected to decrease the risk of patients developing vascular dementia, and promote quality of life. This study aimed to evaluate the effectiveness of doodle art therapy on the quality of life in post-stroke patients. This study used quasi-experimental pre and post-test design without control group. The sample of this study was 25 post-stroke community dwelling adult, aged > 25 years, and able to communicate. Respondents participated in doodle art therapy in four session. After the intervention, the quality of life was measured. Univariate statistics were tested to see the respondents’ characteristics and quality of life before and after treatment. The data were normally distributed using the Kolmogorov-Smirnov test. Thus differences in quality of life before and after treatment were analyzed using paired T-Test. After providing the intervention, cognitive function, level of independence and quality of life are tested again and see the difference. We use several tools including a MMSE and WH-QOL brief. Studies show that 87% of respondents are at risk of developing mild dementia, with a moderate quality of life of 60%. 73.5% of respondents were at mild to moderate levels of memory impairment based on MMSE. The quality of life scores was significant difference before and after therapy p value <0.05). Doodle art therapy in nursing interventions is significantly effective for improving the quality of life in the elderly. Doodle art therapy activates the part of the brain that is impaired. The application of doodle art therapy interventions in groups involves group processes in environmental orientation abilities. Doodle art therapy can be a recommendation in efforts to prevent dementia.

TERAPI DOODLE ART DALAM UPAYA PENCEGAHAN DEMENSIA VASKULAR Shindi Hapsari; Umi Hani; Widiyaningsih Widiyaningsih
Jurnal Perawat Indonesia Vol. 6 No. 3 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Demensia vaskular (vascular dementia/VaD) adalah penyebab demensia terbesar. Insiden gangguan kognitif dan demensia merupakan masalah kesehatan masyarakat yang mendesak, dan penyakit serebrovaskular seperti stroke seringkali menjadi kontributor utama. Doodle art sebagai bagian dari seni dapat menjadi terapi yang memberikan stimulai sensori dan kognitif bagi klien yang mengalami gangguan neurologis seperti cedera otak, strok, dan tumor otak. Penelitian ini bertujuan untuk menilai efektivitas terapi doodle art terhadap fungsi kognitif pada pasien post-stroke di Semarang. Penelitian ini menggunakan rancangan kuantitatif dengan pendekatan quasi-experimental pre dan post-test tanpa kelompok kontrol. Sampel penelitian ini penderita paska stroke setidaknya dalam 1 tahun terakhir, berusia > 25 tahun dan dapat berkomunikasi. Penelitian diawali dengan skrining awal tekanan darah dan kemandirian. Responden mengikuti terapi doodle art dalam empat kali pertemuan. Setelah intervensi, pengukuran fungsi kognitif dilakukan kembali. Statistik univariat diujikan untuk melihat karakteristik dan fungsi kognitif responden sebelum dna setelah perlakuan. Data tidak berdistribusi normal menggunakan uji Shapiro Wilk, sehingga perbedaan fungsi kognitif sebelum dan setelah perlakuan dianalisis menggunakan Wilcoxon. Terapi doodle art secara signifikan meningkatkan fungsi kognitif responden (p<0,05). Doodle art sebagai bagian dari seni dapat menjadi terapi yang memberikan stimulai sensori dan kognitif bagi klien yang mengalami gangguan neurologis. Terapi seni dirancang untuk menstimulasi fungsi sensori dan motorik untuk mengaktifkan bagian dari otak yang mengakibatkan gangguan neurokognitif. Intervensi secara berkelompok melibatkan proses kelompok dalam kemampuan orientasi lingkungan. Terapi doodle art dapat menjadi rekomendasi dalam upaya pencegahan demensia. Keywords: Demensia Vaskular, Stroke, Terapi Doodle Art

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