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Reflective Writing in Basic Nursing Concept Course: A Qualitative Study of Nursing Students Evelyn Hemme Tambunan; Idauli Simbolon
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 4, No 1 (2022): April
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v4i1.211

Abstract

Nursing students need to be trained in reflective competence as early as possible since it is an essential attribute for developing autonomous, critical and advanced practitioners in the future. However, there remains less attention in the usage at the bachelor nursing programs, particularly in the first year level. This study aimed to  explore freshman nursing students’ reflective writing experience in basic nursing concept courses. Descriptive qualitative study was used in this study. Focus group interviews using zoom meeting platform were conducted with ten participants recruited through purposive sampling using the inclusion criteria, such as freshman nursing students who successively take basic nursing concept courses in semester 1 and 2 in academic year of 2019-2020 and attended learning process using reflective writing. Data were analyzed using qualitative content analysis. The experience of freshmen nursing students of reflective writing can be summarized into three themes, including difficulty at the initial process, challenging in the progress, and satisfying at the end of the process. Although freshmen nursing students struggled to understand the purpose and work on reflective writing, by the end of the two semesters, it had become a fun and satisfying experience. It has benefited both the learning process and the students personal lives. Students will be challenged to become proficient in reflective writing and improve self regulated learning over the course of two semesters. Reflective writing utilization based on other guidelines could be adopted. Nursing student critical thinking evaluation in reflective writing successively is needed to be considered
Nursing Students Challenges in Studying While Working in The Era of The Covid-19 Pandemic: a Qualitative Focus Group Study Ellen Ruth Tambunan Tambunan; Evelyn Hemme Tambunan
Jurnal Gema Keperawatan Vol 15, No 2 (2022): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v15i2.2347

Abstract

Studying while working in the era of the Covid-19 pandemic has become a challenging experiences among nursing students. Various experiences in such positive and negative experiences as well as challenging experiences in online learning were the themes of several qualitative research results. This study aim to investigate the nursing students challenges in studying while working in the era of the Covid-19 pandemic. Two focus-group interviews were conducted with 17 participants (age 40-60 years) who have working experience as a nurse more than 10 years in an extension nursing program at one of private nursing school in Bandung, Indonesia. Trustworthiness was established by Moser and Korstjens criteria. Then, the qualitative inductive content analysis was performed. Four themes were generated namely time challenges, technology challenges, individual challenges and learning challenges. There were ten sub-themes emerged namely studying and working at the same time, dividing time between studying, working and doing household chores, time and location difference, use of computer and zoom, internet network, age and length of time not in college, physical health, credits and many courses, lots of learning tasks and learning strategies. While there is a growing body of research on the online learning challenges in the era of Covid-19 pandemic, a need to continue to study it through thoughtful, well-designed studies to serve as a guide to scholars and educators in online learning and beyond.
TINGKAT KECEMASAN, DEPRESI, STRESS, DAN MEKANISME KOPING PERAWAT DI RUANGAN ISOLASI COVID-19 Hamonangan Tambunan; Evelyn Hemme Tambunan
Jurnal Perawat Indonesia Vol. 6 No. 3 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.917 KB)

Abstract

Kecemasan, depresi dan stress merupakan masalah psikologis yang dapat timbul pada perawat dalam merawat pasien Covid-19. Mekanisme koping merupakan salah satu cara dalam mengatasi masalah tersebut. Sehingga penting untuk mengetahui tingkat kecemasan, depresi, stress serta mekanisme koping perawat di ruangan isolasi Covid-19. Keterlibatan 30 responden perawat ruangan isolasi Covid-19 dan survei menggunakan kuesioner DASS-42 dan Brief COPE dalam bahasa Indonesia menjadi alat analisis data secara deskriptif. Sebagian besar tingkat kecemasan (77%), depresi (80%) dan stres (67%) perawat ruangan isolasi Covid-19 berada pada kategori normal. Mekanisme adaptif digunakan oleh sebagian besar responden (93,3%) dalam mengatasi kecemasan, depresi dan stres. Pengelolaan sumber-sumber dalam memberikan jaminan kesejahteraan sumber tenaga utama seperti perawat dalam pelayanan kesehatan menjadi hal yang utama agar dapat memberikan layanan kesehatan yang berkualitas.
Hubungan antara Usia Menarche dan Riwayat Penggunaan Kontrasepsi dengan Usia Menopause Sapti Heru Widiyarti Djula; Evelyn Hemme Tambunan
Jurnal Ilmiah Keperawatan Indonesia (JIKI) Vol 6, No 2 (2023): Jurnal Ilmiah Keperawatan Indonesia (JIKI)
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jiki.v6i2.8203

Abstract

Latar belakang: Usia menarche dan penggunaan kontrasepsi berhubungan dan juga tidak berhubungan dengan usia menopause. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan usia menarche dan riwayat penggunaan kontrasepsi dengan usia menopause. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain survei analitik dengan menggunakan rancangan cross sectional. Teknik sampling menggunakan purposive sampling berjumlah 55 perempuan usia menopause di kelompok komunitas kerohanian Bandung, Jawa Barat. Analisis data menggunakan deskriptif kuantittif untuk menggambarkan karakteristik respondedn dan uji Chi-square untuk melihat hubungan antar variabel. Hasil: Tidak terdapat hubungan antara usia menarche dan penggunaan kontrasepsi dengan usia menopause. Simpulan: Perlu untuk melakukan pengembangan penelitian terkait hubungan usia menarche dan penggunaan kontrasepsi dengan usia menopause dengan memperhatikan confounding factor untuk meningkatkan kualitas hasil penelitian. Kata Kunci: Kontrasepsi; Usia menarche; Usia menopause
Gambaran Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSA Bandar Lampung Gresya Linda Siregar; Evelyn Hemme Tambunan
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1092

Abstract

The kidney is a very important organ in regulating the body's fluid and electrolyte balance. If the kidneys are damaged, chronic kidney disease occurs which causes the need for renal replacement therapy, namely hemodialysis. The hemodialysis therapy may affect the quality of life of patients with chronic renal failure. The aim of this study was to determine the description of the quality of life of patients with chronic renal failure who undergo hemodialysis therapy. This study used a quantitative descriptive study with a cross sectional approach. The population in this study amounted to 70 people, and the determination of the sample using convenience sampling technique as many as 57 people. Data collection using the quality of life scale from the World Health Organization Quality of Life (WHOQOL-BREF) which contains 26 items The questionnaire consists of 24 question items covering 4 dimensions, namely physical health, psychological, social and environmental relationships and 2 general question items regarding quality of life. Data analysis in this study used univariate tests. The result showed that the quality of life of chronic renal failure patients undergoing hemodialysis in general is a good majority (81%). While based on the dimensions, the physical health dimension is mostly moderate (51%), the psychological health dimension is mostly good (73.7%), the social relationship dimension is mostly good (66.7%) and the environmental dimension is mostly good (86.0%). The description of the quality of life of chronic renal failure patients undergoing hemodialysis shows moderate and good categories.
Tingkat Depresi, Kecemasan dan Stres Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Ivanna Femi Baransano; Evelyn Hemme Tambunan
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.1093

Abstract

Chronic renal failure is a chronic and irreversible impairment of kidney function that requires lifelong hemodialysis therapy. This condition causes chronic renal failure patients to experience depression, anxiety and stress. This study was conducted to determine the level of depression, anxiety and stress of chronic renal failure patients undergoing hemodialysis therapy. This study is non-experimental using a quantitative descriptive design with a cross sectional approach. The population in this study amounted to 70 people, and the determination of the sample using convenience sampling technique was as many as 57 subjects. Data collection using the Indonesian version of the Depression Anxiety Stress Scale-42 (DDAS-42) questionnaire which has been valid and reliable, consisting of 42 question items to measure the level of depression (14 items), anxiety (14 items) and stress (14 items). Data analysis in this study used a univariate test. The results showed that the depression level of chronic renal failure patients undergoing hemodialysis is almost entirely (91%) in the normal depression category, some (56.1%) are at normal anxiety levels, almost entirely (91%) are at normal stress levels and a small proportion (9%) are in the mild stress category. The description of the level of depression, anxiety and stress of chronic renal failure patients undergoing hemodialysis is in the normal and mild categories. Further research can be done by exploring more deeply the factors associated with the level of depression, anxiety and stress of chronic renal failure patients undergoing hemodialysis.
Technological Challenges in Online Learning During Covid-19 Pandemic: A Focus Group Discussion Exploring Nursing Students’ Perspectives Evelyn Tambunan
Jurnal Ners Vol. 7 No. 1 (2023): APRIL 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i1.13489

Abstract

In nursing education, the use of technology can have a significant influence on the online learning process. However, in the Covid-19 pandemic era of nursing education, many challenges in online learning were encountered. Within this context, the present study aimed to explore undergraduate nursing students’ perceptions regarding the technological challenges in online learning during Covid-19 pandemic. A qualitative study was conducted using zoom focus group discussions synchronously with the help of a discussion guide consisting of five open-ended questions. Overall, 34 nursing students were recruited using a maximum variation sampling technique; these students then participated in four focus group discussions. All interviews were recorded, transcribed verbatim, and analyzed for thematic contents using the standard created by Kyngas content analysis framework. A thematic content analysis yielded four core themes: (1) technical issues, (2) technology cost, (3) inexperience in ICT, (4) clinical learning issues. The seven sub-theme emerged: (1) incompatibility technological devices, (2) unstable internet connectivity, (3) purchase adequate technology devices, (4) purchase additional study quota, (5) students’ new experience, (6) faculties’ new experience, (7) inadequate clinical learning platform. Technological challenges were encountered in online learning during Covid-19 pandemic. This represents a significant picture perceived by nursing students. The challenges in online nursing education should be rigorously evaluated to monitor its effectiveness.
Depresi, Kecemasan, Stres dan Kualitas Hidup Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa Evelyn Hemme Tambunan; Ernawaty Siagian
MAHESA : Malahayati Health Student Journal Vol 3, No 2 (2023): Volume 3 Nomor 2 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.765 KB) | DOI: 10.33024/mahesa.v3i2.9709

Abstract

ABSTRACT Hemodialysis is a therapy for patients with chronic renal failure, where depression, anxiety and stress are psychological reactions that are often experienced. This condition can affect the patient's quality of life. This study aims to determine the relationship between depression, anxiety and stress with the quality of life of chronic renal failure patients undergoing hemodialysis.The research design used in this study was analytic observational with a cross sectional approach. The study was conducted in October-December 2022 in the hemodialysis unit at one of the private hospitals in Bandar Lampung. 57 patients with chronic renal failure were willing to become respondents according to the inclusion criteria. DASS-42 questionnaire was used to measure depression, anxiety and stress and WHOQOL-BREF was used to measure quality of life. The results showed 8.8%, 43.8%, 10.5% and 7.2% of chronic kidney failure patients undergoing hemodialysis experienced depression, anxiety, stress and quality of life. Statistical data using logistic regression obtained the results of p=0.028, p=0.002, p=0.035. There is a relationship between depression, anxiety and stress with the quality of life of renal failure patients undergoing hemodialysis. It is necessary to consider a larger sample size and explore more deeply related to depression, anxiety and stress in GGK patients undergoing hemodialysis. Keywords: Depression, Anxiety, Stress, Quality Of Life, Crf Patients, Hemodialysis ABSTRAK Hemodialisis merupakan terapi bagi pasien yang mengalami gagal ginjal kronik, dimana depresi, kecemasan dan stres merupakan reaksi psikologis yang sering dialami. Kondisi ini dapat mempengaruhi kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara depresi, kecemasan dan stres dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa. Desain penelitian yang digunakan dalam penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan pada bulan Oktober-Desember 2022 di unit hemodialisa di salah satu rumah sakit swasta di Bandar Lampung. 57 pasien gagal ginjal kronik bersedia menjadi responden sesuai kriteria inklusi. Kuesioner DASS-42 digunakan untuk mengukur depresi, kecemasan dan stres dan WHOQOL-BREF digunakan untuk mengukur kualitas hidup. Hasil penelitian menunjukkan 8,8%, 43,8% , 10,5% dan 7,2% pasien gagal ginjall kronik yang menjalani hemodialisa mengalami depresi, kecemasan, stres dan kualitas hidup. Data statistik menggunakan regresi logistik didapatkan hasil nilai p=0,028, p=0,002, p=0,035. Terdapat hubungan antara depresi, kecemasan dan stres dengan kualitas hidup pasien gagal ginjal yang menjalani hemodialisa. Perlu untuk mempertimbangkan jumlah sampel yang lebih besar dan menggali lebih dalam terkait depresi, kecemasan dan stres pada pasien GGK yang menjalani hemodialisa. Kata Kunci: Depresi, Kecemasan, Stres, Kualitas Hidup, Pasien GGK, Hemodialisa
A Phenomenological Study of Nursing Students' Experience in Clinical Practice When The Post Covid-19 Era Jeanny Rantung; Evelyn Hemme Tambunan
Jurnal Gema Keperawatan Vol 16, No 1 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i1.2542

Abstract

Clinical practice is a pivotal requirement in nursing education to shape professional nurses. The Covid-19 pandemic has interfered with the effectiveness of clinical practice processes. Yet it must be a starting point to create a better clinical learning environment. The aim of this study is to explore the experiences of nursing students in engaging clinical practice in the era of post Covid-19 pandemic. A descriptive phenomenological approach was used to collect data from individual in-depth interviews from 18 March to 10 April 2023 using purposive sampling technique. Ten nursing students were interviewed in depth and audio-recordings were transcribed verbatim. Colaizzi's seven-step descriptive phenomenological methodology served as the basis for data analysis. Lincoln and Guba criteria were applied to assure the trustworthiness of this study. Four main themes were generated: initial feeling of clinical practice in post Covid-19 era, challenges in theory-practice gap, clinical practice environment, grateful for the opportunity to conduct clinical practice offline. The findings of this study are useful for nursing education together with the clinical field to facilitate a supportive clinical learning environment to enhance clinical engagement of nursing students. There is a need for scrutinizing factors that hinder or enhance the clinical learning process of nursing students. Studies on what makes nursing education and clinical fields involve deeply in students' clinical practice and learning while others do not are also pertinent.
DESCRIPTION OF THE CARING BEHAVIOR OF NURSING LECTURERS IN ONLINE LEARNING IN THE COVID-19 PANDEMIC ERA Glorya Glorya; Evelyn Hemme Tambunan
Jurnal Keperawatan Respati Yogyakarta Vol 10 No 1 (2023): JANUARY 2023
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v10i01.714

Abstract

Nursing education is the center of caring development in the community. Although in online learning, educators are the main key in implementing caring behavior. This study aims to determine the level of caring behavior of nursing lecturers in online learning in the era of the Covid-19 pandemic. The research design used was descriptive quantitative with a cross sectional approach. The sampling technique used a convenience sampling method with a total of 141 nursing students from D3 and Bachelor of Nursing study programs who have participated in online learning since March 2020. The data collection tool is a technology-mediated caring questionnaire for online nursing education, consisting of 58 valid statement items. The results showed that the caring behavior of nursing lecturers in the very high category was 49 (34%), in the high category was 52 (37%), in the medium category was 23 (17%), in the low category was 10 (7%) and in the very low category was 7 (5%). It is hoped that the results of this study will become a reference in managing the online learning process to facilitate a caring atmosphere among students and also between students and lecturers.