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Feeling as A Bullying Victim” Perceptions of Adolescent Female with Thalassemia Major: A Qualitative Study Sartika, Nanda; Allenidekania, Allenidekania; Nurhaeni, Nani
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v5i4.2251

Abstract

Adolescent female with thalassemia major disease experience various psychological, emotional, and social behavioral problems that affect their perceptions of being a woman in the future. The purpose of this study was to explore the perceptions of female teenagers with thalassemia major about being woman. This study uses a descriptive phenomenological approach. The method used was in-depth interviews using semi-structured interview guidelines, and data was analyzed using the Colaizzi method. There were 12 participants selected using a purposive sampling technique. The results was based on the theme, fear of ill- treatment, with the sub-themes, fear of bullying from friends and fear of physical violence from men. Adolescent female with thalassemia major in this study experienced bullying both verbally and physically. Verbally, adolescents receive various kinds of negative labels that are often said by their friends. Three teenagers in this study received physical abuse (physical violence) from their friends and their father. Adolescents with this disease experience fear and worry about their future as women, especially with the experience of treatment from those around them.
Understanding Differences In Emotional Experiences Among Caregivers In Caring For Children Under Five Exposed To HIV Hayati, Happy; Wanda, Dessie; Nurhaeni, Nani; Nuraidah, Nuraidah
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3853

Abstract

An increase in HIV cases in housewives is at risk of increasing the population of children exposed to HIV. Caregivers of children exposed to HIV are at risk of having problems caring for children exposed to HIV. The difficulties experienced by caregivers can be affected by the condition of the child, who may or may not be infected with HIV. This study aims to get an n overview of the emotional experience of caregivers in caring for children underfive who are exposed to HIV. Methods: The research design uses a qualitative method with a phenomenology approach. Data collection was carried out using snowball sampling techniques and obtained from ten participants domiciled in Jakarta and its surroundings. The participants recruited in this study are caregiver of HIV-exposed children. Data collection was carried out using in-depth interview techniques. Data analysis uses thematic analysis using the Colaizzi method. This study obtained ten participants consisting of seven biological mothers, two children’s relatives and one foster parent. There were seven children with HIV-negative and five children with HIV-positive. Two caregivers in this study cared for more than one child exposed to HIV, namely one child with HIV-positive and one child with HIV-negative. The study found three themes: easy versus complex; grace and entrustment; and love and pity. This study concluded the that there are differences in emotional experiences among caregivers in caring for children underfive exposed to HIV influenced by the child’s HIV status. Positive affirmations and emotional support from health professionals adjusted to the values and socio-cultural condition of caregivers will benefit caregivers in providing adequate care for children.
Respon Emosional Orang Tua Dalam Merawat Anak Dengan Kanker Dalam Kondisi Perawatan Palliatif : Respon Emosional Orang Tua Dalam Merawat Anak Dengan Kanker Dalam Kondisi Perawatan Palliatif Rina Mariyana; Allenidekania; Nani Nurhaeni
NERS Jurnal Keperawatan Vol. 14 No. 2 (2018): NJK Volume 14, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i2.13

Abstract

Cancer is one of the main causes of morbidity and mortality in the world. In caring for children with cancer, parents experienced many changes from this disease where parents feel giving up, feel emotional, and lack of communication between parents and the palliative team can influence the plan for palliative care in children. This study aims to explore the parents’ emotional response in caring for children with cancer under palliative care condition. The study was conducted at Jakarta, Bogor, and Bekasi. The research applied descriptive qualitative phenomenology design. Parents caring for children with cancer under palliative care were in-depth interviewed with open-ended questions. Data were then analyzed using the Colaizzi method. This study produced a theme. Anger, effort to distract their anger, exspression the anger, powerlessness. This study shows that during palliative care, parents experience a variety of emotional responses that they cannot control. Therefore, nurses are very important to provide an assessment and facilitate the fulfillment of needs that involve family members and religious experts to control the emotional response caused by the mother.
Application Of Kolcaba Theory In Child Patients With Pain Problems In The Infection Room Oktavia Karundeng, Jeni; Nurhaeni, Nani; Wanda, Dessie
Journals of Ners Community Vol 13 No 4 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i4.1966

Abstract

Pain is a health problem to consider especially for children and adolescents. Studies showed 15-35% of children in the nonclinical population suffered persistent and chronic pain. This study aims to provide an overview of the fulfillment of comfort needs in children with pain problems through the provision of Virtual Reality interventions. The application of Kolcaba's theory in providing nursing care for children with pain problems can provide holistic benefits and guide nurses in conducting systematic assessments. The application of virtual reality as an intervention in nursing care has also been proven to provide a sense of comfort and reduce pain and anxiety. The method used is a case study with a nursing care approach to 5 patients with pain problems aged > 10 years. The comfort level will be measured using the Comfort Behavior Checklist Scale. Cases were taken in the pediatric infection room of National Referral Hospital DR. Cipto Mangunkusumo.
Faktor risiko kejadian unplanned extubation pada pasien anak di pediatric intensive care unit: Sebuah tinjauan sistematis Sihotang, Jojor; Huda, Mega Hasanul; Nurhaeni, Nani; Wanda, Dessie; Nugroho, Alfin
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1939

Abstract

Background: Introduction: Unplanned extubation (UE) is a common adverse event in the Pediatric Intensive Care Unit (PICU) and can lead to clinical deterioration, increased morbidity, and decreased quality of care. Despite various preventative measures, UE remains a challenge in pediatric intensive care. Purpose: To synthesize current evidence on risk factors associated with unplanned extubation in pediatric patients to support the development of effective, evidence-based prevention strategies. Method: A systematic literature search was conducted in Scopus, ProQuest, and PubMed databases for observational studies published in the past 15 years following PRISMA guidelines. The methodological quality of included studies was assessed using the Newcastle–Ottawa Scale (NOS). Narrative synthesis was used to summarize and integrate the study findings. Results: Eleven observational studies met the inclusion criteria, with eight studies demonstrating a low risk of bias. The most consistent risk factors associated with UE were inadequate sedation and patient agitation. Other important risk factors include suboptimal endotracheal tube (ETT) fixation, high nurse-to-patient ratios, night shift care, and limited nursing experience. The relationship between patient age and UE risk has shown varying results across studies. Conclusion: The incidence of unplanned extubation in pediatric patients in the PICU is multifactorial and influenced by patient factors, clinical conditions, the care environment, and equipment and procedures. Modifiable factors, such as sedation management, standardization of ETT fixation, and optimization of nursing resources, are the most potential targets for intervention. UE significantly impacts the quality of care, particularly the quality of nursing care, due to variations in the preventive interventions implemented. Therefore, implementing a best-practice-based prevention bundle is crucial to reducing UE rates in the PICU.   Keywords: Pediatric Intensive Care Unit; Pediatric Patients; Risk Factors; Unplanned Extubation.   Pendahuluan: Unplanned extubation (UE) merupakan kejadian tidak diinginkan yang sering terjadi di Pediatric Intensive Care Unit (PICU) dan dapat menyebabkan penurunan kondisi klinis pasien, peningkatan morbiditas, serta penurunan mutu pelayanan. Meskipun berbagai upaya pencegahan telah dilakukan, kejadian UE masih menjadi tantangan dalam perawatan intensif anak.Tujuan: Untuk mensintesis bukti terkini mengenai faktor-faktor risiko yang berhubungan dengan kejadian unplanned extubation pada pasien anak guna mendukung pengembangan strategi pencegahan yang efektif dan berbasis bukti.Metode: Pencarian literatur sistematis dilakukan pada basis data Scopus, ProQuest, dan PubMed terhadap studi observasional yang dipublikasikan dalam 15 tahun terakhir dengan mengikuti pedoman PRISMA. Kualitas metodologis studi yang diinklusi dinilai menggunakan Newcastle–Ottawa Scale (NOS). Sintesis naratif digunakan untuk merangkum dan mengintegrasikan temuan penelitian.Hasil: Sebanyak 11 studi observasional memenuhi kriteria inklusi, dengan 8 studi menunjukkan risiko bias yang rendah. Faktor risiko yang paling konsisten terkait dengan kejadian UE adalah sedasi yang tidak adekuat dan agitasi pasien. Faktor risiko penting lainnya meliputi fiksasi endotracheal tube (ETT) yang tidak optimal, rasio perawat–pasien yang tinggi, perawatan pada shift malam, serta pengalaman perawat yang terbatas. Hubungan antara usia pasien dan risiko UE menunjukkan hasil yang bervariasi antar penelitian.Simpulan: Kejadian unplanned extubation pada pasien anak di PICU bersifat multifaktorial dan dipengaruhi oleh faktor pasien, kondisi klinis, lingkungan perawatan, serta aspek alat dan prosedur. Faktor-faktor yang dapat dimodifikasi, seperti manajemen sedasi, standarisasi fiksasi ETT, dan optimalisasi sumber daya keperawatan, merupakan target intervensi yang paling potensial. Kejadian UE berdampak signifikan terhadap mutu pelayanan, khususnya mutu asuhan keperawatan, akibat variasi intervensi pencegahan yang diterapkan. Oleh karena itu, implementasi bundle pencegahan berbasis praktik terbaik sangat penting untuk menurunkan angka kejadian UE di PICU.   Kata Kunci: Faktor Risiko; Pasien Anak; Pediatric Intensive Care Unit; Unplanned Extubation.
The role of parental embrace in children's pain management during invasive procedures: A systematic review Aronggear, Nona Mulyani; Allenidekania, Allenidekania; Nurhaeni, Nani; Adawiyah, Robiyatul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1483

Abstract

Background: Children undergoing invasive procedures in hospitals, such as IV insertion or injection, often experience significant pain and anxiety, especially in critically ill children. Non-pharmacological interventions such as parental holding have been studied as an effective approach in reducing children's pain responses during procedures. Purpose: To analyze the scientific evidence regarding the role of parental holding in pain management in children during invasive procedures, including in critically ill children. Method: A search was conducted through PubMed, Scopus, and ScienceDirect databases following PRISMA guidelines. Inclusion criteria included RCT design, population of children undergoing invasive procedures, parental holding intervention, and outcomes in the form of pain intensity and/or anxiety. A total of 1,324 articles were identified, while 8 studies met the criteria and were analyzed narratively. Results: Showed that parental holding is effective in reducing children's pain and anxiety, as well as increasing emotional comfort for both children and parents. Despite its proven benefits, implementation of this intervention is still limited in clinical practice and lacks standardized guidelines, especially in pediatric intensive care units. Conclusion: Parental hugs have been shown to be effective in reducing procedural pain in infants and children during invasive procedures.
Co-Authors Adawiyah, Robiyatul Ade Wulandari agustina, novita Ahmad Ahmad Aina Aprilma Ray Aldri Frinaldi Allendekania Allendekania Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania Andin Sefrina Andin Sefrina Anggraeni, Lina Dewi Anisa Sulastri Apriyanti , Efa Armina Armina Aronggear, Nona Mulyani Astuti Astuti Astuti Astuti Awaliah, Awaliah Ayuni Rizka Utami Ayuni Rizka Utami Bambang Supriyatno Casman, Casman Chodidjah, Siti Dera Alfiyanti Desak Pt. Kristian P. Desak Putu Kristian Purnamiasih Desi Anggraini Dewi Gayatri Dewi Sri Handayani Dewi, Martina Mutiara Diah Ayu Agustin Dian Ayubi Efa Apriyanti Elfi Syahreni Elfrida Ratnawati Elfrida Silalahi ELY MAWADDAH Etty Rekawati Eva Yuliani Fajar Tri Waluyanti Firda Dewi Yani Fitri Annisa Hadiyati Fudla Hamdani Hamdani Happy Hayati Hayuni Rahmah Heriandi Sutadi Ikeu Nurhidayah Ikeu Nurhidayah Imami Nur Rachmawati Imelda Imelda Immawati, Immawati Ina Yuhana Indanah Insi Farisa Desy Arya Iqomah, Muhammad Khabib Burhanuddin Iqomh, Muhammad Khabib Burhanuddin Iqomh, Muhammad Khabib Burhanuddin Isna Hanifah Jen-Jiaun Liaw Jeni Oktavia Karundeng Jojor Sihotang Juanda Mutifa Juanda Mutifa Khusnul Khotimah La Ode Abd Rahman La Saudi lilis kurniawati, lilis Maolidya, Winona Martiningsih Martiningsih Medya Aprilia Astuti Mega Hasanul Huda Meidiana Bangun Milawati Milawati Mohamad, Rini Wahyuni Muhammad Khabib Burhanuddin Iqomah Munqidz Zahrawaani Mutifa, Juanda Ngatmi Ngatmi Ngatmi Ni Bodro Ardi Ni Luh Kompyang Sulisnadewi Novita Agustina Nugroho, Alfin Nur Agustin Nur Agustini Nuraidah Nuraidah Nuraidah Nuraidah, Nuraidah Nurbetti Br Ginting Nurti Yunika Kristina Yunika Gea Oktavia Karundeng, Jeni Pasa, Cita Wulan Paskaliana Hilpriska Danal Puspitasari, Jayanti Dwi Qori’Ila Saidah Rahmawani, Atika Rahmawati Handayani Reni Ilmiasih Ria Andriani Riau Roslita Rina Mariyana Risna Merysa Robiyatul Adawiyah Rokhaidah Rokhaidah Rokhaidah, Rokhaidah Rosa Melati Sartika, Nanda Siti Chodidjah Sri Hendrawati Susi Hartati Syamikar Baridwan Syamsir Tri Mariha Tris Eryando Tuti Seniwati Tuti Seniwati Ulfia Fitriani Nafista Unang Wirastri Wahyu Hartini Wanda , Dessie Wati, Alfah Ratna Windiastri, Fitri Yati Afiyanti Yayah, Yayah Yeni Rustina Yeni Rustina Yuli Lestari