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Journal : Jurnal NERS

Kinerja Bidan dalam Deteksi Dini Penyimpangan Tumbuh Kembang Anak Sri Utami; Nursalam Nursalam; Rachmat Hargono; Rekawati Susilaningrum
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.688 KB) | DOI: 10.20473/jn.v11i2.2510

Abstract

Background: Children are the future of a nation.They should be able to grow and develop optimally. One effort that can be done to help children grow and develop optimally is through an early detection of deviationsin child’s growth. The purpose of this study was to develop a model of midwife performance improvement through the optimization of self leadership strategy. Method: This study was an observational study with cross sectional design. The subjects were 222 midwives working at the health center services in the area of Surabaya Health Department taken by using proportional random sampling technique. Exogenous variables were job design, history of training of early detection of deviationsin child’s growth, self leadership strategy, midwife skill, midwife activity in early detection of deviationsin child’s growth, andendogenous variable was midwife performance in early detection of deviationsin child’s growth. Data were analyzed using Partial Least Square (PLS). Result: The result of inner model analysis showed that the value of T-statistic of the influence of self leadership strategyon midwife performance improvement, the influence of midwife skill on activity performance improvement, the influence of self leadership strategyon activity performance improvement and on midwife performance improvement was higher than T-table (1.96). Whereas, training of early detection of deviationsin child’s growth did not influence midwife skill improvement since the value of T-statistic was lower than T-table (<1.96). In addition, there was also no influence of job design on midwife skill improvement and on midwife activity performance improvement in early detection of deviationsin child’s growth. Discussion: Optimization of midwife self-leadership ability is a factor to be considered as an effort to improve the performance of midwives in early detection of deviationsin child’s growth.
Development of Transactional Communication Model for Midwife and Postpartum Mother on Exclusive Breastfeeding Rekawati Susilaningrum; Sri Utami; Susilorini Susilorini
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (574.977 KB) | DOI: 10.20473/jn.v12i1.3774

Abstract

Introduction. Exclusive breastfeeding has become a major issue in Surabaya because the number of exclusive breastfeeding coverage are less than 80% which is below the national target. The purpose of this study was to develop a transactional communication model based on management between midwife and postpartum mother on exclusive breastfeeding.Method. The design used in this study was cross-sectional with 175 postpartum mothers in public health center Surabaya as the samples that recruited by purposive sampling. Questionnaires were used as instrument and data were analyzed by using descriptive statistical test and Partial Least Square (PLS). Result. The result showed that predisposing factors and enabling factors were able to improve the practice of exclusive breastfeeding directly or indirectly by transactional communication with t-table (>1.96). However, reinforcing factors could not directly improve the practice of exclusive breastfeeding. This study indicates that practice of exclusive breastfeeding could be improved with transactional communication based on human interaction theory.Conclusion. The implementation of transactional communication between midwife and mother would be able to optimize the predisposing factors, enabling factors, and reinforcing factors on the practice of exclusive breastfeeding.
The Development of Nursing Job Performance Model in The Implementation of Integrated Management of Childhood Illness (Imci) in Surabaya Rekawati Susilaningrum; Chriswardani Suryawati; Septo Pawelas Arso
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.451 KB) | DOI: 10.20473/jn.v7i1.4002

Abstract

Introduction: MTBS is a comprehensive approaches for child illnes and one of the way to reduce an infant and under fi ve years morbidity and mortality rateas well as appropriately to apply in public health center. In fact, MTBS has not been implemented as procedure guidance. The objective of the study was to examie the implementation of MTBS viewed from Van Meter and Van Horn model as basic measurement and the goal of policy, the sources of policy, a communication among organisation and the implementation of MTBS.Method: The study was qualitative design. Data were collected by in depth interview. Six Nurse and midwife were recruited as a sample by purposive sampling. Informant triangulation were head of PHC and head of deputy health services. Analysis was by means of content analysis.Result showed that the written and indicator of basic measurement and goal policy was not available yet. Sources of policy, namely health.Result: For the health workers was sufficient and they have a good competency to carry out MTBS and have workload focus on three types. Fasilities was no room, form was difficult to provide, instruments and medication was sufficient available, but there was no specific funding. Communication was carried out only on the training program by MTBS fascilitator. Characteristic of beaurocracy structure (SOP) consists of preparation, implementation, eporting and recording.There was no specific preparation, it only an introduction dessimination was done. The implementation was not as modul and the form of MTBS was not used anymore. The implementation of MTBS lack support from Public Health center and Health Care District of Surabaya. Healh worker unmotivated to implement MTBS.Conclusio: the implementation of MTBS lack support from health worker, Public Health Center and Health Care District of Surabaya.It is recomended that Health Care District & Public Health Center cooperatively should have commitment to assess the implementation of MTBS in Surabaya.
Development of Leadership and Communication Skill Model on Midwifery Students in Physiological Delivery Practice Sri Utami; Rekawati Susilaningrum; Susilorini Susilorini
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.78 KB) | DOI: 10.20473/jn.v12i2.6211

Abstract

Introduction: Currently there is a tendency for students only prioritising hard skills without improving their soft skills. This is indicated by the negative attitudes and actions such as delay task submission, bad time management, and a lack of commitment towards a task. The purpose of this research is to find out the model of leadership skill development and communication skill of the vocational Midwifery course.Methods: This study consists of two stages. The research type was observational and explanatory. The first stage used a cross-sectional design and the second stage was quasi-experimental. The subjects of the study for the first stage was 130 respondents, calculated by “rule of the thumb” and by purposive sampling. The second stage consisted of 38 respondents taken by random sampling. The exogenous variables are motivation, self-leadership strategies, job satisfaction, psychological empowerment, self-efficacy, and task commitment. The endogenous variables are leadership skill and communication skills. In the first stage, the data were analysed using PLS and the second stage used a Wilcoxon test with α = 0,05.Results: The variables of motivation, self-leadership and job satisfaction could improve communication skills. In stage 2 (after training), all of the variables increased significantly with p <0,05.Conclusions: Training using the self-leadership module can improve the ability of motivation, self-leadership strategies, job satisfaction, self-efficacy, psychological empowerment, task commitment, communication and student leadership skills.
Analysis of the causes of low birth weight infants in terms of nutritional status and maternal health history Utami, Sri; Susilaningrum, Rekawati
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.38318

Abstract

Introduction: The incidence of low-birth-weight infants is still high and requires serious attention to prevent infant mortality. This study aimed to analyze the causes of low-birth-weight infants' nutritional status and maternal health history. Methods: This cross-sectional study was conducted in May to July 2021 at two hospitals in Surabaya. The study involved 498 mothers who had newborns within three years from 2019 and were recruited using simple random sampling. The inferential test was conducted using logistics regression with a significance level of 0.05. Results: According to the adjusted model, variables that were significantly associated with the incidence of low-birthweight infants were the husband's job as private worker (OR=0.021; 95% CI = 0.023-0.123), child number as one (OR=0.214; 95% CI = 0.114-3.428), parity as prime (OR=0.749; 95% CI = 0.197-3.652) and history of low-birth-weight infants in previous births (OR=0.015; 95% CI = 0.004-0.006). Conclusions: Individual and family factors remand an essential variable in low-birth-weight prevalence. Nurses are responsible for providing socialization to mothers and fathers who are having and planning to have children. Cultural factors in the family and community where the mother lives also need to be carried out in further research.
Low-birth-weight scorecard for early prevention: the accuracy for predicting low-birth-weight infants based on maternal risk factor Utami, Sri; Susilaningrum, Rekawati
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49729

Abstract

Introduction: Babies with low birth weight (LBW) have a risk of complications and health problems. One of the efforts to prevent LBW births is to detect risk factors in pregnant women. This study aimed to test the accuracy of an early LBW detection scorecard based on maternal risk factors. Methods: The research design used was observational analytical. The sample in this study was 177 mothers who were registered and delivered at hospitals and public health centers in Surabaya and were selected using a purposive sampling method. The research instruments used were LBW scorecard, maternal medical records, and baby's scale. The accuracy of the scorecard was measured with Mann-Whitney test, and Receiver Operating Characteristic (ROC) curve. Results: The LBW scorecard which was based on maternal factors analysis can significantly predict LBW births (p = 0.000). Based on the ROC curve analysis, it was known that the early detection scorecard has a cut-off point of 3.5, and an accuracy of 88.70%, which indicated that the scorecard has high accuracy in predicting LBW. Conclusions: The LBW early detection scorecards is  able accurately to predict the incidence of LBW births. Through analysis and calculation of maternal risk factor, it can be seen whether the mother is at risk of giving birth to a LBW or normal weight baby. Early detection of LBW can improve services for at-risk babies, resulting in a positive impact on their health outcomes.