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Work Stress Level and Caring Behaviour of Nurses Retno Lestari; Kumboyono Kumboyono; Luthfia Dyta
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.605 KB) | DOI: 10.20473/jn.v5i2.3939

Abstract

Introduction: A nurse who experience burnout feelings will influence their motivation, and quality performance. This situation is probably affecting a decline in work quality towards the caring behaviour demonstrated by nurses to their patiens, particularly for a nurse who are working in the long-stay installation room facing directly to patient's problems. The purpose of this research is to identify the work stress level of nurse towards the nurse's caring behaviour in the long-stay installation room (IRNA) in general hospital in Malang.Method: This research used descriptive – correlational, the sampling was Non Probability Purposive Sampling with 93 nurses as the corresponds. The data was analyzed by operating Correlation Pearson, with a significance of p < 0.05.Result: The result found that there was a substantial correlation between the work stress level and the nurse's caring behaviour with p = 0.008 and r = -0.274, and it was a negative correlation.Discussion: It means that when the stress level of nurses will declined, the nurse's caring behavior automatically will beamplified. Conversely, if the stess level of nurses intensively increased, the nurse's caring behaviour become decreased. Thus, this research is needed to be analyzed further in order to asses the quality of caring behaviour by expanding the connected indicator and variable. It is aimed to improve the professionalism and quality of nurses in giving the best service to patients this research need to be continued further in order to asses the quality of nurse's caring behavior by expanding the variable, which is related to internal factors, such as knowledge, perception, emotion, ect and also connected to external factors, such as environment, both physically and non physically like: climate, human being, social economic, culture and ect.
Relationship between stress, anxiety, and depression with suicidal ideation in adolescents Heni Dwi Windarwati; Retno Lestari; Satrio Agung Wicaksono; Mira Wahyu Kusumawati; Niken Asih Laras Ati; Shofi Khaqul Ilmy; Ari Dwi Sulaksono; Desi Susanti
Jurnal Ners Vol. 17 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i1.31216

Abstract

Introduction: Suicide is a significant mental health problem in adolescents around the world that requires comprehensive treatment. This study aimed to examine the relationship between stress, anxiety, and depression with suicidal ideation in adolescents. Method: This research used quantitative methods with a cross-sectional approach. The number of respondents was 869 adolescents, with a total sampling technique. The instrument used to measure stress, anxiety, and depression is the Depression Anxiety Stress Scale (DASS-21), while the idea of suicide is measured using the Scale for Suicide Ideation (SSI) instrument. Results: The result of this study showed that teenagers who had suicidal ideation were 206 (23.7%) respondents, while 663 (76.3%) of other respondents did not have the idea of suicide. There was a significant relationship between suicidal ideation with stress levels (p-value 0.000), anxiety (p-value 0.000), and level of depression (p-value 0.000) in adolescents. Conclusion: Mental and psychological health support measures must be given to adolescents to prevent an increase in suicide ideas.
PHENOMENOLOGY STUDY: RESILIENCE EXPERIENCE OF FARMER AFTER ERUPTION OF KELUD MOUNTAIN IN 2014 IN PUNCU VILLAGE OF PUNCU DISTRICT KEDIRI DISTRICT Lilik Setiawan; Retty Ratnawati; Retno Lestari
NurseLine Journal Vol 2 No 2 (2017): November 2017
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v2i2.5926

Abstract

The eruption of the volcano resulted in material damage, loss of life, environmental damage, and psychological impact. The psychological impact of Mount eruption is one that needs attention for psychological impact that can lead to Post traumatic Stress Disorder (PTSD). The purpose of study was to explore resilience experience of farmer after eruption of Kelud Mountain in 2014 in Puncu village of Puncu district, Kediri. The research design was qualitative with interpretive phenomenology approach. Data collection used in-depth interview method through semi-structured interview guide involving six participants and analysis was conducted with interpretive phenomenology analysis (IPA). This research produced nine themes including: 1) feel comfortable to live in kelud montain slope, 2) believing mounth activity can be unpredictable, 3) Believes the eruption brings blessings, 4) Feeling in a state of degradation 5) Accepting reality, 6) Trying to rise from difficult situation, 7) Looking for peace of mind, 8) Hoping for good disaster management, 9) Reviving community tradition. The role of health personnel in providing services to farmers affected by eruption of the mountain is needed so that they can understand, live and accept the conditions adaptively.
STUDI FENOMENOLOGI: MEKANISME KOPING ANGGOTA KELUARGA YANG MERAWAT ANAK SKIZOFRENIA (Phenomenological Study: Family Members Coping MechanismsTreatingSchizophreniaChildren) Rindayati Rindayati; Indah Winarni; Retno Lestari
Journals of Ners Community Vol 6 No 2 (2015): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3599.448 KB) | DOI: 10.5281/j ners community.v6i2.43

Abstract

ABSTRAK             Mekanisme koping merupakan upaya yang dilakukanuntukmengadaptasi stresor,dan dalam pelaksanaannya dapat dilakukan secara konstruktifmaupundestruktif. Anggota keluarga yang merawat anak skizofrenia memerlukan mekanisme koping agar tidak jatuh dalam kondisi stres. Penelitian ini bertujuan untuk mengeksplorasi mekanisme koping anggota keluarga yang merawat anak skizofrenia (13-18 tahun).Penelitian ini dilaksanakan di Gresik bulan Juli 2015. Penelitian ini adalah penelitian kualitatif dengan menggunakan paradigma fenomenologi interpretif. Pemilihan partisipan dengan purposive sampling sebanyak 7 partisipan. Dengan kriteria partisipan: (1) memiliki pengalaman merawat anak skizofrenia minimal 1 tahun, (2) sehat secara fisik dan psikologis, (3) bersedia ikut sebagai partisipan, (4) dapat menceritakan pengalamannya dengan baik. Analisis data menurut Van Manen (1990) (1) Mempertahankan keaslian dari pengalaman hidup atau fenomena(2) Menginvestigasi pengalaman yang ada berdasarkan fenomena (3) Merefleksikan tema-tema esensial yang menjadi karakteristik dari sebuah fenomena (4) Mendeskripsikan dan menuliskan ulang fenomena.Hasil dari penelitian ini didapatkan delapan tema yang mewakili bagaimana mekanisme koping anggota keluarga yang merawat anak skizofrenia. Tema terdiri dari gejala skizofrenia sebagai stresor, efek stresor terhadap perasaan, tindakan dalam merawat, perubahan selama merawat, harapan anggota keluarga yang merawat, strategi koping, hambatan anggota keluarga yang merawat dan perilaku adaptasi. Mekanisme koping yang digunakan anggota keluarga didapatkan adanya problem focused coping dan emotional focused coping. Adaptasi yang dilakukan adalah adaptasi adaptif dan maladaptif.Berdasar hasil penelitian ini disarankan bagi anggota keluarga yang merawat anak skizofrenia untuk menggunakan koping yang adaptif, sehingga tetap dapat merawat anak dengan baik. Kata kunci: Mekanisme Koping, Anggota Keluarga, Anak Skizofrenia ABSTRACT                Coping mechanisms is the effort made to adapt to stressors, and the implementation can be done constructively or destructively. Family members who care for children with schizophrenia require coping mechanisms that do not fall under stressful conditions. This study aims to explore the coping mechanisms of family members caring for children skizofrena (13-18 years). In Gresik July 2015.               This research is qualitative using an interpretive phenomenological paradigm.Selection of participants by purposive sampling as much as 7 participants. With participants criteria: (1) have experience taking care of children with schizophrenia at least 1 year, (2) healthy physically and psychologically, (3) are willing to participate as a participant, (4) can recounts well. Analysis of the data by Van Manen (1990) (1) Maintaining the authenticity of the experience of life or phenomena (2) Investigate the experience that is based on the phenomenon (3) Reflects the themes essential characteristic of a phenomenon (4) Describe and rewrite the phenomenon. Results of this study found eight themes that represent how the coping mechanisms of family members who care for children with schizophrenia. The theme consists of the symptoms of schizophrenia as a stressor, the effect of stressors on the feelings, acts of caring, changes during caring, hope family members caring, coping strategies, barriers to family members who care and behavioral adaptations. Coping mechanisms used family members found the problem focused coping and emotional focused coping. Adaptation is done is an adaptation of adaptive and maladaptive. Based on the results of this study suggested for family members who care for children with schizophrenia to use adaptive coping, so it still can care for the child properly. Keywords: Coping Mechanisms, Member of the Family, Child Schizophrenia
Pendekatan Pelayanan Kesehatan Holistik-Komprehensif Pada Kasus Menopause FEBRI ENDRA BUDI SETYAWAN; FENY TUNJUNGSARI; RETNO LESTARI
HANG TUAH MEDICAL JOURNAL Vol 18 No 1 (2020): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

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Abstract

Abstract Menopause is a natural process that occurs in the reproductive cycle of women aged over 40 years. These changes will affect physical and psychological state of a woman, and they are not ready to deal with this condition. Family doctors should provide information about menopause and how to manage various changes during menopause. The results of previous studies were very limited in examining various menopausal management options which were safe, comfortable and have less negative impacts. This study aimed to examine a holistic-comprehensive approach in the case of menopause. Systematic review results were obtained from 55 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source from 2010 to 2019. The systematic review results explain that the management of menopause cases can be optimized through a holistic-comprehensive approach. Holistic aspect includes the components of biopsychosocial and comprehensive needs which are carried out through promotive, preventive, curative and rehabilitative efforts. Menopausal women often not only experience physical symptoms, but also psychological symptoms which will impact their quality of life. It can be concluded that a holistic-comprehensive approach can be carried out as an effort by family doctors to optimize the management of menopause
PHENOMENOLOGY STUDY: CAREGIVER EXPERIENCE IN NURSING ELDERLY WITH SELF-CARE DEFICIT AT PANTI WERDHA PANTI PANGESTI LAWANG Ellia Ariesti; Retty Ratnawati; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.439 KB) | DOI: 10.21776/ub.jik.2018.006.01.4

Abstract

Elderly is the last stage of human growth development and often related to body function derivation which cause helplessness. Self-care deficit was one of the elderly problem and lead to inferiority, high dependecy to caregiver, and critical point during elderly life period. Elderly whom stayed  at nursing home, would depends their self-care to the caregiver because their family could not have abillity to nursing them. This research aim was to explore the caregiver experienced in nursing elderly with self-care deficit at Panti Werdha Panti Pangesti Lawang. Qualitative research design were used, with intepretive phenomenology aprroachment. Data collection technique was depth interview method and semistructured interview guidelines were used. This researh generated ten themes: still fulfilled elderly self-care who were unable to met their necessity, gratefull feeling and not burdened when nursing the elderly, pity and learnt to be patient, tried to aprreciate elderly by didn’t show displeasing expression and show responsibility, became angry and force the elderly during nursing period, tried to fulfill all elderly necessities, a lot of energy were needed and teamwork, elder people had their own behavior, willingness to nurse the elderly better and more passionate, were called to nurse the elderly similar to their parents. This condition would lead to frustation, burdened feeling, exhaustion, and stress in caregiver. Conditions above need further prevention from health care provider.
THE EXPERIENCE OF SHADOW TEACHERS IN HELPING CHILDREN WTH SPECIAL NEEDS IN TELOGO PATUT ELEMENTARY SCHOOL I GRESIK Abd Nasir; Indah Winarni; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2900.009 KB) | DOI: 10.21776/ub.jik.2018.006.01.1

Abstract

Shadow teacher in their profession are always dealing with special needs children who have intellectual impairment, behavioral and emotional disorders and learning disorders. This is an exhausting job because shadow teachers should be able to ensure that the child is always adaptive during the lesson. Shadow teacher also must know how to adapt to the child’s character, and this task also spends a lot of time. However, the existence of children in the class is not supported by good learning guidelines. The purpose of this study was to explore the experience of shadow teachers with the child with special needed. This qualitative research used Interpretative phenomenology research design and data analysis used interpretative phenomenology analysis approach. Data collection process used in-depth interviews and observations, and this research involved six participants. This research produced 9 themes: (1) believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others (3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strict rules, (7) believe that visualization is the way to make children’s focus increased, (8) feel that togetherness must be build together with the children, and (9) feel that government and society’s concern to these children with special needs is still lacking. Guiding and leading children with special needs is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effort and can make the children with special needs can live peacefully in the middle of society.Shadow teacher in their profession are always dealing with special needs children who have intellectualimpairment, behavioral and emotional disorders and learning disorders. This is an exhausting jobbecause shadow teachers should be able to ensure that the child is always adaptive during the lesson.Shadow teacher also must know how to adapt to the child’s character, and this task also spends a lotof time. However, the existence of children in the class is not supported by good learning guidelines.The purpose of this study was to explore the experience of shadow teachers with the child with specialneeded. This qualitative research used Interpretative phenomenology research design and data analysisused interpretative phenomenology analysis approach. Data collection process used in-depth interviewsand observations, and this research involved six participants. This research produced 9 themes: (1)believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others(3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strictrules, (7) believe that visualization is the way to make children’s focus increased, (8) feel thattogetherness must be build together with the children, and (9) feel that government and society’sconcern to these children with special needs is still lacking. Guiding and leading children with specialneeds is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effortand can make the children with special needs can live peacefully in the middle of society.
STUDI OBSERVASI TERHADAP RENDAHNYA KUNJUNGAN PASIEN RAWAT JALAN PELAYANAN MEDIK SPESIALISTIK LAIN WENNY RETNO SARIE LESTARI; FIDA RAHMAYANTI; VIVA MAIGA MAHLIAFA NOOR
AKADEMIKA Vol. 16 No. 2 (2018): Agustus 2018
Publisher : Pusat Publikasi dan Penerbitan Karya Ilmiah STIE Indonesia Malang

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Abstract

Promotion and decision making from customer have positive relation. Marketing promotion mix is one of a promotion communication tools in a company. Preeliminary study in Muhammadiyah Malang University Hospital (UMM Hospital) showed that patient visitation from other medical specialistic is still low. This study objectives are to know the factors of low patient visitation to other medical specialistic in UMM Hospital. Methodology used in this study are observation, focus group discussion (FGD), documents review, and interview. The study result shows that there are no monitoring and evaluation that has been done to promotion activities, therefore promotion activities are not maximal. Solution that agreed to UMM Hospital are making guideline and standard operational of procedurs (SOP) of monitoring and evaluation of promotion activities, and quistionnare to patient visitation in UMM Hospital.
Cognitive Behaviour Therapy (CBT) Lowers Online Game Addiction Rates in Adolescents Hotma Roiningsih Tambunan; Kumboyono Kumboyono; Retno Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.756 KB) | DOI: 10.30604/jika.v8iS1.1665

Abstract

High curiosity in adolescents is often shown by playing online games excessively. Continuous and excessive use of online games has many negative impacts, including reduced sleep duration, reduced focus on learning, and increased financial costs incurred. Action that can be given to overcome the negative impact of using online games is the provision of psychotherapy. Psychotherapy that can be given and is believed to be able to reduce the level of online game addiction in adolescents is cognitive behavior therapy (CBT). This study aims to identify the benefits of CBT in reducing online game addiction in adolescents. This type of research is quasi-experimental with a nonequivalent control group design. The research subjects were divided into two groups: the intervention group (23 people) and the control group (23 people). The research was conducted at the Malang National Vocational School in September-November 2022. Data were analyzed using the Wilcoxon and Mann-Whitney tests. This study showed that the treatment group's average value of online game addiction statistically decreased with a p-value of 0.000 (p less than 0.05). In contrast, in the control group, there was no difference in the p-value of 0.059. A different test for the two groups yielded a p-value of 0.000. From these results, it can be seen that there is a difference in the level of online game addiction between the treatment and control groups. Giving CBT to adolescents is statistically proven to reduce addiction to online games so that adolescents can improve their quality of life by carrying out positive activities that benefit them. Abstrak: Rasa keingintahuan yang tinggi pada remaja sering ditunjukkan dengan bermain game online secara berlebihan. Penggunaan game online yang dilakukan secara terus menerus dan berlebihan memiliki banyak dampak negatif, antara lain berkurangnya durasi tidur, fokus belajar berkurang, dan meningkatnya biaya finansial yang dikeluarkan. Tindakan yang dapat diberikan dalam mengatasi dampak negatif penggunaan game online yaitu pemberian psikoterapi. Psikoterapi yang dapat diberikan dan dipercaya dapat menurunkan tingkat adiksi game online pada remaja yaitu cognitive behavior therapy (CBT). Studi ini bertujuan mengidentifikasikan manfaat pemberian CBT dalam menurunkan tingkat adiksi game online pada remaja. Jenis penelitian ini adalah quasi-experimental dengan rancangan nonequivalent control group design. Subjek penelitian dibagi menjadi dua kelompok yaitu kelompok intervensi (23 orang) dan kelompok kontrol (23 orang). Penelitian dilakukan di SMK Nasional Malang pada bulan September-November tahun 2022. Data dianalisis menggunakan uji Wilcoxon dan Mann-Whitney. Hasil penelitian ini menunjukan nilai rata-rata tingkat adiksi game online pada kelompok perlakuan secara statistik mengalami penurunan dengan p-value 0,000 (p kurang dari 0,05), sedangkan pada kelompok kontrol tidak terdapat perbedaan p-value 0.059. Uji beda dua kelompok didapatkan hasil p-value 0.000, dari hasil ini terlihat ada perbedaan tingkat adiksi game online antara kelompok perlakuan dan kontrol. Pemberian CBT pada remaja secara statistik terbukti menurunkan tingkat adiksi game online, sehingga remaja dapat meningkatkan kualitas hidup dengan melakukan aktivitas positif yang bermanfaat bagi remaja.