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MODEL PERAWATAN KESEHATAN KESELAMATAN KERJA BERBASIS AGRICULTURAL NURSING: STUDI ANALISIS MASALAH KESEHATAN PETANI Susanto, Tantut; Purwandari, Retno; Wuryaningsih, Emi Wuri
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.693 KB) | DOI: 10.20473/%oj.Ners111%y45-50

Abstract

Introduction:The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to the interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self-administered the questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and logistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is an illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffee, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of systolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on joint and bone related to age and recess of worked.Discussion: The health problems of farmers were characterized by the nutritional problem, anemia, hypertension, and pain that related to the sociodemographic environment of biologic, psychologic, and worked. An agricultural nursing model could be developed for assessment of related factors that formulated diagnoses of health problems on farmers at rural area. Introduction:The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self administered questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and ogistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffe, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of sistolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on join and bone related to age and recess of worked. Discussion: The health problems of farmers was characterized of nutritional problem, anemia, hypertension, and pain that related to sociodemographic environment of biologic, psychologic, and worked. Agricultural nursing model could be develop for assessesment of related factors that formulated diagnoses of health problems on farmers at rural area. 
LATIHAN GERAK MATA UNTUK KESEHATAN MATA: STUDI KASUS PADA KELUARGA BINAAN DI DESA KEMUNINGSARI LOR KECAMATAN PANTI KABUPATEN JEMBER Anwari, Misbakhul; Vidyawati, Rita; Salamah, Ropickhotus; Refani, Mashila; Winingsih, Nur; Yoga, Dwi; Inna, Rizka; Susanto, Tantut
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.252 KB) | DOI: 10.32528/ijhs.v0i0.1540

Abstract

Kebiasaan buruk ini dapat berpengaruh pada sistem-sistem tubuh pada anak sekolah usia 6-12 tahun.  Kebiasaan buruk yang dapat mengakibatkan kerusakan pada mata yaitu seperti aktivitas melihat dekat meliputi waktu dan jarak yang dihabiskan untuk membaca, penggunaan komputer, menonton televisi dan bermain TV game atau handphone, serta lamanya pajanan terhadap cahaya. Hal ini paling banyak disebabkan oleh semakin bertambah usia pada saat perkembangan bola mata maka panjang aksial bola mata juga akan bertambah sehingga cahaya akan jatuh di depan retina. Sarana media visual antara lain televisi, komputer dan video game, dan aktivitas melihat dekat yang terlalu banyak seperti melihat layar komputer, bermain video game, dan menonton televisi yang dapat melemahkan otot siliaris mata dan mengurangi ketajaman mata/visus. Pemeriksaan secara dini perlu dilakukan untuk mencegah terjadinya masalah pada mata, tetapi dengan menggunakan teknik non farmakologi berupa latihan gerak mata dapat dilakukan. Peelitian ini adalah penelitian kualitatif pada keluarga Ny. I dengan responden An. A dengan dilakukan pretest dan postest pengukuran visus/ketajaman mata. Hasil akhir penelitian didapatkan bahwa perubahan visus pada An. A terjadi secara bertahap yaitu pada pertemuan pertama sebesar 20/60 dan pada pertemuan ke-12 didapatkan hasil 39.4/60. Hasil penelitian didapatkan bahwa terdapat pengaruh yang signifikan antara latihan gerak mata terhadap kesehatan mata pada An. A di Desa Kemuningsari Lor Kecamatan Panti Kabupaten Jember. (p-value = 0,001)Kata Kunci :Anak sekolah, Visus/ketajaman mata, latihan gerak mata.Kebiasaan buruk ini dapat berpengaruh pada sistem-sistem tubuh pada anak sekolah usia 6-12 tahun.  Kebiasaan buruk yang dapat mengakibatkan kerusakan pada mata yaitu seperti aktivitas melihat dekat meliputi waktu dan jarak yang dihabiskan untuk membaca, penggunaan komputer, menonton televisi dan bermain TV game atau handphone, serta lamanya pajanan terhadap cahaya. Hal ini paling banyak disebabkan oleh semakin bertambah usia pada saat perkembangan bola mata maka panjang aksial bola mata juga akan bertambah sehingga cahaya akan jatuh di depan retina. Sarana media visual antara lain televisi, komputer dan video game, dan aktivitas melihat dekat yang terlalu banyak seperti melihat layar komputer, bermain video game, dan menonton televisi yang dapat melemahkan otot siliaris mata dan mengurangi ketajaman mata/visus. Pemeriksaan secara dini perlu dilakukan untuk mencegah terjadinya masalah pada mata, tetapi dengan menggunakan teknik non farmakologi berupa latihan gerak mata dapat dilakukan. Peelitian ini adalah penelitian kualitatif pada keluarga Ny. I dengan responden An. A dengan dilakukan pretest dan postest pengukuran visus/ketajaman mata. Hasil akhir penelitian didapatkan bahwa perubahan visus pada An. A terjadi secara bertahap yaitu pada pertemuan pertama sebesar 20/60 dan pada pertemuan ke-12 didapatkan hasil 39.4/60. Hasil penelitian didapatkan bahwa terdapat pengaruh yang signifikan antara latihan gerak mata terhadap kesehatan mata pada An. A di Desa Kemuningsari Lor Kecamatan Panti Kabupaten Jember. (p-value = 0,001)Kata Kunci :Anak sekolah, Visus/ketajaman mata, latihan gerak mata. 
PENGARUH SENAM ANTI HIPERTENSI LANSIA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI DESA KEMUNINGSARI LOR KECAMATAN PANTI KABUPATEN JEMBER Anwari, Misbakhul; Vidyawati, Rita; Salamah, Ropickhotus; Refani, Mashila; Winingsih, Nur; Yoga, Dwi; Inna, Rizka; Susanto, Tantut
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.908 KB) | DOI: 10.32528/ijhs.v0i0.1541

Abstract

Masalah kesehatan yang terjadi pada lansia umumnya adalah penurunan fungsi organ yang memicu terjadinya berbagai penyakit degeneratif termasuk hipertensi. Penyakit degeneratif pada lansia jika tidak ditangani dengan baik maka menurunkan kualitas hidup lansia. Hipertensi merupakan suatu gejala penyakit degeneratif kardiovaskuler yang paling banyak di alami oleh lansia dan belum dapat diketahui dengan pasti penyebabnya. Penatalaksanaan hipertensi pada lansia selain dengan farmakologi dapat pula dilakukan dengan non farmakologi seperti senam anti hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh senam anti hipertensi lansia terhadap penurunan tekanan darah lansia dengan hipertensi di Desa Kemuningsari Lor Kecamatan Panti Kabupaten Jember. Penelitian ini adalah penelitian kuantitatif dengan rancangan preexperiment design One Group Pre test-post test. Pengumpulan data menggunakan Sphygmomanometer air raksa, sedangkan analisis data menggunakan uji Wilcoxon Signed Rank Test. Hasil dari penelitian ini adalah tekanan darah sebelum pemberian intervensi sebagian besar adalah prehypertension (87,5%), tekanan darah setelah pemberian intervensi senam hipertensi sebagian besar adalah normal (87,5%), dan terdapat pengaruh senam anti hipertensi terhadap tekanan darah lansia di Desa Kemuningsari Lor Kecamatan Panti Kabupaten Jember (p-value = 0,001). Kata Kunci : Lansia, senam hipertensi, tekanan darah
PEMBERIAN SENAM ANTIHIPERTENSI SEBAGAI UPAYA MENSTABILKAN TEKANAN DARAH: STUDI KASUS PADA KELUARGA BINAAN DI DESA KEMUNINGSARI LOR KECAMATAN PANTI KABUPATEN JEMBER Anwari, Misbakhul; Vidyawati, Rita; Salamah, Ropickhotus; Refani, Mashila; Winingsih, Nur; Yoga, Dwi; Inna, Rizka; Susanto, Tantut
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.731 KB) | DOI: 10.32528/ijhs.v0i0.1542

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Hipertensi merupakan penyakit tidak menular yang terjadi pada sistem kardiovaskuler dan memiliki angka mortalitas dan morbiditas yang tinggi. menurut WHO pada tahun 2020 Penyakit Tidak Menular (PTM) akan menyebabkan kematian sebesar 73% dan seluruh kesakitan di dunia sebesar 60% (WHO, 2013). Hipertensi dapat diatasi dengan terapi farmakologis dan non farmakologis. Pola perilaku perlu untuk diperhatikan bagi seseorang yang mengalami hipertensi. Pola perilaku seperti pengaturan pola makan, kebiasaan tidur, dan teratur untuk berolahraga. Penelitian ini bertujuan untuk mengetahui pengaruh pola perilaku terhadap kestabilan tekanan darah pasien hipertensi. Sampel dalam penelitian ini adalah pasien kelolaan keperawatan keluarga yaitu Ny. Y yang mengalami hipertensi yang berada di Desa Kemuningsari Lor Kecamatan Panti Kabupaten Jember. Teknik pengambilan sampel dari penelitian ini berdasarkan pasien kelolaan dalam mata kuliah keperawatan keluarga. Hasil penelitian menunjukkan bahwa pola perilaku mempengaruhi kestabilan tekanan darah pada pasien hipertensi. Kata kunci: Senam antihipertensi, Tekanan Darah
PENGARUH TERAPI KEPERAWATAN KELUARGA TERHADAP TINGKAT KEMADIRIAN KELUARGA DENGAN PERMASALAHAN KESEHATAN REPRODUKSI PADA REMAJA DI KELURAHAN RATUJAYA KECAMATAN PANCORAN MAS KOTA DEPOK Susanto, Tantut
Jurnal Keperawatan Vol 1, No 2 (2010): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.815 KB) | DOI: 10.22219/jk.v1i2.412

Abstract

PENGARUH TERAPI KEPERAWATAN KELUARGA TERHADAP TINGKAT KEMADIRIAN KELUARGA DENGAN PERMASALAHAN KESEHATAN REPRODUKSI PADA REMAJA DI KELURAHAN RATUJAYA KECAMATAN PANCORAN MAS KOTA DEPOKEffect Of Family Nursing Therapy To Family Self Sufficiency Level With Adolescent Reproductive Health Issues In Ratujaya, DepokTantut SusantoProgram Studi Ilmu Keperawatan Universitas JemberJl. Moch. Seruji 182 Jember 68111e-mail: susanto_unej@yahoo.comABSTRAKRemaja merupakan aset bangsa untuk terciptanya generasi mendatang yang baik. Perubahan alamiah dalam diri remaja sering berdampak pada permasalahan remaja yang cukup serius. Perilaku remaja saat ini sudah sangat mengkhawatirkan, hal ini ditandai dengan semakin meningkatnya kasus-kasus seperti aborsi, kehamilan tidak diinginkan (KTD), dan penyakit menular seksual (PMS) termasuk HIV/AIDS. Penelitian bertujuan mengaplikasikan terapi keperawatan keluarga terhadap tingkat kemandirian keluarga dengan permasalahan kesehatan reproduksi remaja. Metode penelitian deskriptif analitik dengan rancangan cross sectional. Sample pada penelitian ini adalah 10 keluarga dengan tahap perkembangan remaja yang berisiko mengalami permasalahan kesehatan reproduksi di Kelurahan Ratujaya Kecamatan Pancoran Mas Kota Depok. Hasil penelitian tingkat kemandirian keluarga dalam mengatasi permasalahan kesehatan reproduksi remaja dikaitkan dengan 5 tugas keluarga dalam mengatasi masalah kesehatan keluarga. Lima keluarga dengan kemadirian tingkat III, empat keluarga dengan tingkat kemandirian II, dan satu keluarga dengan tingkat kemandirian I. Kesimpulan penelitian tehnik pemberian pendidikan kesehatan (KIE: komunikasi, informasi dan edukasi), coaching dan conseling dalam pengembangan dan ketrampilan hidup remaja (tanggung jawab, kepercayaan diri, dan penolakan ajakan pergaulan bebas secara asertif), dan pengembangan ketrampilan orang tua dalam berkomunikasi secara efektif dengan remaja. Saran perlu adanya program peer group dan social support group untuk remaja dalam menjalani pertumbuhan dan perkembangan terutama dalam masalah kesehatan reproduksi.Kata kunci: remaja, terapi keluarga, kesehatan resproduksiABSTRACTAdolescent represent nation asset for the creation of generation come good. Natural change in adolescent often affect at serious adolescent problems enough. Adolescent behavior in this time have very is feeling concerned about, this matter is marked with growing of case like abortion, pregnancy do not be wanted, and sexual transmitted diseases including HIV/AIDS. Objective therapy application treatment of family to family independence level with problems of health of adolescent reproduction. Method analytic descriptive with sectional cross device. Sample at this research are 10 family with adolescent growth phase which is natural at risk of problems of health reproduce in Sub-District of Ratujaya District of Pancoran Mas Town Depok. Result family independence level in overcoming problems of health of related to adolescent reproduction 5 family duty in overcoming the problem of health of family. Five family with independent level III, four family with II independence level, and one family with independence level I. Conclusion technique of giving education of health (KIE: communications, information and education), counseling and coaching in development and is skilled of adolescent life (responsibility, trust of self, and deduction of free association invitation by asertif), and skilled development of old fellow in communicating effectively adolescently. Suggestion need the existence of group peer program and group support social to adolescent in experiencing growth and develop especially in problem of health of reproduction.Keywords: adolescent, family therapy, health of reproduction
(ANALYSIS SITUATION APPLYING OF MANAGEMENT SERVICE TREATMENT OF HEALTH OF COMMUNITY: ADOLESCENT FRIENDLY OF REQUIREMENT HEALTH REPRODUCTIVE ADOLESCENT AGGREGATE IN SUB-DISTRICT OF TUGU, CIMANGGIS TOWN DEPOK) Susanto, Tantut
Jurnal Keperawatan Vol 2, No 2 (2011): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v2i2.620

Abstract

Adolescent group as a group at risk in community during a period of growth transition and development require caring which totally and is inwrought. Caring adolescent through adolescent friendly related to health of adolescent reproduction. Aim of this situation analysis is depicting of service management system execution health of treatment of adolescent friendly in community in Sub-District of Tugu Cimanggis Town Depok. This adolescent analysis situation reproduction medicare emphasized at analysis four factors, that is strength, weakness, opportunity, and threat an organization in adolescent treatment. Result of analysis there are problem of is fourth of management function, that is planning function, organizational, directing, and controlling of health of adolescentreproduction in adolescent friendly. This matter need the existence of health service reproduce in community through adolescent peer group in community in the effort improving knowledge, attitude, and is skilled of adolescent life in health of reproduction.
POJOK REMAJA : UPAYA PENINGKATAN KETRAMPILAN KESEHATAN REPRODUKSI Susanto, Tantut; Rahmawati, Iis
Jurnal Keperawatan Vol 3, No 2 (2012): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.945 KB) | DOI: 10.22219/jk.v3i2.2601

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POJOK REMAJA : UPAYA PENINGKATAN KETRAMPILAN KESEHATAN REPRODUKSIAdolescent Corner for Life Skills Improvement With Sexual and Reproductive Health AdolescentTantut Susanto1, Iis Rahmawati2, Lantin Sulistyorini31, 2, 3Program Studi Ilmu Keperawatan Universitas Jember Jl. Kalimantan 37 Bumi Kampus Tegalboto Jember 68111 e-mail: 1)susanto_unej@yahoo.comABSTRAKPermasalahan kesehatan reproduksi remaja diakibatkan belum optimalnya komitmen dan dukungan pemerintah dalam bentuk kebijakan yang mengatur tentang pendidikan seksual dan reproduksi bagi remaja pada tatanan keluarga, masyarakat, dan sekolah. Program Pojok Remaja (P2R) merupakan suatu model asuhan keperawatan sekolah yang dapat diterapkan oleh perawat komunitas dalam mengkaji kebutuhan dan sumber-sumber serta mengidentifikasi nilai-nilai dalam populasi remaja melalui penyusunan suatu program dalam pemenuhan kesehatan reproduksi remaja di sekolah dan kelompok remaja melalui integrasi model pelayanan kesehatan di sekolah dengan program UKS. Tujuan penelitian untuk mengidentifikasi pengeruh pojok remaja terhadap pemenuhan kebutuhan kesehatan reproduksi remaja yang mengikuti P2R ditinjau dari pengetahuan, sikap, dan perilaku kesehatan reproduksi remaja. Desain penelitian menggunakan quasi eksperiment dengan rancangan randomized control group design with pretest dan postest. Sampel penelitian 45 responden kelompok perlakuan dan kontrol yang diambil secara cluster sampling. Hasil uji mann whitney dengan alfa 0,05 disimpulkan ada pengaruh pemberian program pojok remaja terhadap pemenuhan kebutuhan kesehatan reproduksi remaja (p 0,022). Berdasarkan hasil penelitian disarankan untuk dilakukan peningkatan pembinaan pelayanan kesehatan remaja di sekolah yang terintegrasi dengan program UKS.Kata kunci: remaja, pojok remaja, kesehatan reproduksiABSTRACTSexual and reproductive health adolescent problems in Indonesia is caused not optimalized the goverment support like policy for prevent in health education sexual and reproductive health at community, family, and school. Adolescent corners program is a model for identify and assessment for values and resources of sexual and adolescent reproductive health, that integrated with school health nursing program. Te aim of this research is to identify the influences adolescent corner for improvement sexual and reproductive health needs in adolescent. Quasi eksperiment with randomized control group design with pretest dan postest design that used in this research who 45 samples with intervention and control group, with cluster sampling method. Mann whitney test results, with alfa 0.05 concluded there was influences of adolescent corner for improvement sexual and reproductive health (p 0.022). based on the results of research can be encouraged to improvement sexual and reproductive health needs for adolescent in school that integrated with school health nursing program.Keywords: adolescent, adolescent corner, sexual and reproductive health
Relationship between Occupation and Mother’s Parity Status with Attitude towards Breastfeeding Widodo, Ramadhan Rifandy; Susanto, Tantut; Susumaningrum, Latifa Aini
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 5, No 2 (2019): Vol 5, No 2 (2019)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v5i2.19045

Abstract

ABSTRAKPeran ganda pada ibu yang bekerja rawan menimbulkan stress yang dapat mempengaruhi pembentukan sikap ibu terutama sikap pemberian ASI, dimana sikap merupakan salah satu faktor penting yang mendorong keberhasilan pemberian ASI. Penelitian ini bertujuan mengidentifikasi hubungan pekerjaan dan status paritas ibu dengan sikap pemberian ASI (Air Susu Ibu) pada bayi usia 0-6 bulan di Kecamatan Panti Kabupaten Jember. Penelitian dengan desain cross sectional dilakukan pada 273 ibu yang memiliki bayi usia 0-6 bulan dengan stratified random sampling. Kuesioner digunakan untuk mengidentifikasi karakteristik responden dan sikap ibu dalam pemberian ASI eksklusif. Chi-square test digunakan untuk menjawab tujuan penelitian ini. Hasil penelitian menunjukkan sebagian besar pekerjaan ibu adalah ibu rumah tangga (80,2%) dan sebagian besar ibu memiliki sikap pemberian ASI yang cukup (90,8%). Analisis bivariat menunjukkan tidak terdapat hubungan antara pekerjaan  ibu dengan sikap pemberian ASI (χ2= 2,089; p-value= 0,352). Akan tetapi teridentifikasi bahwa status paritas ibu berhubungan dengan sikap pemberian ASI (χ2= 14,050; p-value= 0,001). Dapat disimpulkan dari penelitian ini bahwa pekerjaan ibu tidak berhubungan dengan sikap pemberian ASI, tetapi status paritas ibu berhubungan dengan sikap pemberian ASI. Program KB (Keluarga Berencana) perlu ditingkatkan dengan tujuan mendorong ibu memberikan ASI kepada anaknya sesuai usia yang ditentukan. ABSTRACTDouble roles for working mothers caused stress which effects on their attitude towards breastfeeding practice. The objective of this study was to identify the correlation between mother’s employment and parity and attitudes towards breastfeeding among mothers in Panti district, Jember regency. A cross-sectional study was conducted among 273 mothers who have infants 0-6 months using stratified random sampling. Respondents’ characteristics and attitudes towards breastfeeding were measured using a questionnaire. A chi-square test was used to analyze the data. The results showed most of the mother was housewives (80,2%), most of the mother were multipara (64,5%) and most of the respondents have sufficient attitudes towards breastfeeding (90,8%). There were no relationship between mother’s employment and attitudes towards breastfeeding (χ2= 2,089; p-value= 0,352). However, there were significant relationship between maternal’s parity and attitudes towards breastfeeding (χ2= 14,050; p-value= 0,001). This study showed there was no relationship between mother’s employment and attitudes towards breastfeeding, although maternal’s parity showed different results. Therefore, family planning program should be improved correctly to support mothers breastfeed their babies until the six month age to achieve exclusive breastfeeding practice. 
Identifying Community/Public Health Nursing Competencies in Indonesia: A Modified Delphi Method Widyarani, Destia; Susanto, Tantut; Wahyuni, Dwi; Pham, Huong Thi Thu
Nurse Media Journal of Nursing Vol 10, No 3 (2020): (December 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i3.29435

Abstract

Background: Nurses in public health centers, or known as public health nurses (PHNs), have duties in implementing promotive, preventive, curative, and rehabilitative efforts. In Indonesia, there is no basic reference to the competencies that should be performed by PHNs. The provision of health services in the community should cover two areas, namely inside and outside the building (Minister of Health’s Regulation No. 279 Year 2006); it causes nurses in the community to further hone their skills while in the field.Purpose: This study aimed to identify the competencies of the Indonesian PHNs from experts using the C/PHN competencies of the Quad Council Coalition through a Delphi method.Methods: This study was quantitative research with a Delphi method. We employed a purposive sampling technique to recruit the experts of public health nurses. The experts did a Delphi method to identify, analyze, and modify the C/PHN Competencies of the Quad Council Coalition into the Indonesian version of C/PHN Competencies with local cultures.Results: Results showed that from eight domains of the Quad Council Coalition C/PHN competencies, there were changes for priority of the PHN competencies in Indonesia. All priorities were classified into eight groups, namely: (1) Leadership Skills and Thinking Systems; (2) Community Dimensions of Practice; (3) Assessment Analytic; (4) Policy Development and Program Planning; (5) Communication Skills; (6) Financial Planning and Management and Planning; (7) Public Health Sciences Skills; and (8) Cultural Competency.Conclusion: The Quad Council Coalition of C/PHN competencies are appropriate with the Indonesian PHN competencies, although the priority is changed related of local wisdom as stated in the Minister of Health’s Regulation No. 279 Year 2006. Therefore, the Indonesian P/HN competencies should be developed to support the Indonesian health people through family approach.
Validity and Reliability of Indonesian Public Health Nursing Competencies in Achieving Indonesian Healthy Program with a Family Approach: A Pilot Study Susanto, Tantut; Susumaningrum, Latifa Aini; Rasni, Hanny; Yunanto, Rismawan Adi
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.29748

Abstract

Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesia play a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal. Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA. Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) program from 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHN core competencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’ α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safe birth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesiaplay a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal.Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA. Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) programfrom 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHNcorecompetencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safebirth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.
Co-Authors Abdul Kholis Abishta, Mareta Atha Niar Adhita Fitrina Andiani Adiba, Rayhana Adinata, Putra Afkarina, Dina Agus Kharmayana Rubaya Agus Setiawan Agustina, Dina Nurul Aini S, Latifa Aini Susumaningrum, Latifa Aini, Latifa Ainia Herminiati, Ainia Aji, Rizki Rama Alfid Tri Afandi Algozi, Bayu Aliyyu, Erins Sephia Alvinda yuanita Andiana Andiana Animas Debby Sugesti Andriani Anisa Kirnawati Anisah Ardiana Annisah Dwi Intan Annisah Dwi Intan Firdausi Nuzula Anwari, Misbakhul Arifa, Yeni Zanuba Arizal Al Farisi Arizana, Windhy Dwi Surya Asaluna, Magnis Asathinuz Zaman Aryakhiya Asih Larasati, Niken Asma Yudhi Efendi Astuti, Soekma Yeni Astutik, Novitasari Puji Atik Rohmawati Mulyaningsih Ayu Pricilia Fatimah Azhar, Chintya Dwi Bachtiar, Syahroni Badrus Sholeh Bahtiar, Syahroni Basri, Muhamad Hasan Berdida, Daniel Joseph E. Bhaskara, Ferdian Aji Bimantoro, Aditya Sindhu Langit Bondan Palestin, Bondan Cahyadi, Jihan Wildan Rahmah Damayanti, Trisya Aulia Darmawan, Muhammad Hafiz Alif Daviyana, Yuldani Adinda Dennata, Maxzellent Fullevind Surya Dessy Arna, Yessy Dewi Marianthi Dewi Negeri Atika Dewi Rokhmah Dewi, Ira Kristina Dhea Cristina Diah Estingtias Diana Kholida Diana Kholida Diana Kholida Dianita, Eka Mei Dimas Zaqy Firdausi Dinda Angelina Hariyono Djaya, Andi Muhammad Fiqri Muslih Dodi Wijaya Dwi Cahyono, Bagus Dwi Linda Aprilia Aristi Dwi Wahyuni Dwi Yoga Edho Choyrul Huzzein Effendi, Raihan Adijun Ega Putri Nurwita Eka Afdi Septiyono Eka Aprilia Wulandari Emi Wuri Wuryaningsih Ersanti, Septin Wahyu Erti Ikhtiarini Dewi Erwin Nur Rif'ah Erwin Nur Rif'ah Evy Aristawati Fadhila, Amalia Mufid Fadilah, Shinta Nur Fahdany, Zahra Aulia Fahruddin Kurdi Fajar, Aulana Ikhsan Fakhiroh, Lia Fauziah, Wahyuni Febsyna, Yuyus Firdausiah, Laylatul Firmansyah, Ardian Safy Fithria Fitrio Deviantony Frandita Eldiansyah, Frandita Frihatin Al Isnaini Grysha Viofananda Agung Kharisma Ade Hadi Prayitno, Hadi Handoko, Dhimas Rizky Hanny Rasni Hany Rasni Hany Shofia Naela Hariyono, Dinda Angelina Haryono Haryono Hasan, Hafifah Haudan, Muhammad Albar Henny Permatasari Hilmi, Idfiana Hisyam, Badrul Nurul Hokama, Naoki Husniyeh, Maviratul Iis Safira Ariviana Ika Mardiyah Bratajaya Indri Andriani Inna, Rizka Insyaf Prawita Sari Intan Rahmawati Intania, Tirsa Ira Rahmawati Ira Rahmawati Irawan Fajar Kusuma Irawan Fajar Kusuma Istifada, Rizkiyani Iswari, Desy Isworo, Tirta Amerta Itsna Abidah Mardiyah Ivana, Novelia Nashrul Keliat , Budi Anna Khoidi, Mokhlas Khoiron Khoiron Khoirun Nasikhin Khoirunnisa’, Melta Bintang Aulia, Hamdiah Kholidi, Mokhlas Kurdi, Fahrudin Kusuma, Anas Pramesti Kusumaningtyas, Aprilia Latifa Aini Latifa Aini Susumaningrum Levi Nadya Nur Imamah Livia Dwi Ramadhani Ludviani, Tita Maharani Al Faruq, Aulia Azizah Maharani, Feno Aureola Maharani, Indri Althafah Mandasari, Diniati Kurnia Wahyu Manurung, Martha Mardiyah, Ika Mashila Refani Masrifah, Elly Maulana, Alzena Ahnaf Maulana, Muhammad Alfin Maulida, Firdina Maulidia, Riza Rohmatul Maulita, Firsilia Reza Ma’fuah, Siti Ma’fuah, Sofiatul Meilynda Ekanovvareta Merina, Nuning Dwi Miftahurroziqin, Moch Azzam Misbakhul Anwari Mokhlas Kholidi Muchtaruddin Mansyur Mufarrokha, Umairotul Muhamad Wahid Agus Prasetyo Muhamad Zulfatul A’la Muhammad Alfin Maulana Muhammad Athok Fitriyansyah Muhammad Cholilurrohman Hadi Muhammad Nur, Kholid Rosyidi Muqodimatul Masruro Muqodimatul Masruro Mustapa, Gesit Wira Mutia Nur Maulida Sandy Nadhea Alfionita Nahdah Khoirotul Ummah Naretta Khoirunisak Nasikhin, Khoirun Nazwa Ramadhani Nihayati, Hanik Endang Niken Asih Laras Ati Nila Uli Saadah Nindy Shara Meiyana Ningrum, Reza Setya Ningsih, Ayu Putrias Ninna Rohmawati Novi Anoegrajekti Nuning Dwi Merina Nur Amalia Nur Amalina, Talita Nur Azizah, Happy Salwa Nur Winingsih Nur, Kholid Rosyidi Muhammmad Nuraini, Muvida Putri Nurfika Asmaningrum Nurhayati, Nurhayati Nurhidayah, Ririn NURUL AZIZAH Nurul Huda Obay, Aprilia Lisa Oktasari, Kingkin Nindi Pagaksari, Faridatul Hikmah Pangestu, Yogi Wahyu Penulis Hanny Rasni Permatasari, Andina Yulia Dwi Permatasari, Chovivah Rohmah Permatasari, Resi Pham, Huong Thi Thu Pradhika Ghozi Syamsiar Pradila, Laila Lisa Pranata, Rikza Amalia Salsabila Prasetyo, Ananto Adi Prasetyono, Juli Dwi Prastica, Vinanda Maria Purnama, Vini Indah Putra M, Rangga Bagustarama Putra, Ary Januar Pranata Putri, Cindy Destia Putri, Okky Oktaviyana Putriadi, Nadilla Qadriyah, Elok Lailatul Qudsyiyah, Roro Dewi R Endro Sulistyono Rabbani, Mohamad Iqbal Fahmi Rahmawati, Iis Rama Aji, Rizki Ramadani, Sinta Dwi Ramadhan, Ridho Ramadhani, Jufa Aulya Refani, Mashila Resita Ovina Intiyaskanti Retno Purwandari Retno Wardani, Hamidah Reza Maulita, Firsilia Rhosani, Nur Oktavia Risha Putri Mahrdika Riski Hidayaturrohkim Rismawan Adi Yunanto Rista Dwi Pratiwi Rita Vidyawati Rizka Inna Rizqi Nur Aini Rofiatul Nur Jannah Rondhianto Rondhianto Ropickhotus Salamah Roro Dewi Roro Dewi Qudsyiyah Rosyida, Imaniar RR Dian Tristiana Saito, Ruka Salamah, Ropickhotus Salim, Vigo Agustilano Saputra, Rizky Lukman Sari, Amelia Febriantika Sari, Annisa Tribekti Cantika Sari, Sinta Resti Nilam Sato, Mayumi Sayekti, Essy Sonontiko Sholeh, Mochammad Fikris Siagian, Yulidya Ardiva Br sigid sudaryanto, sigid Sigit Mulyono Sinta Kholifah Mar'ah Konitatillah SITI KHOLIFAH Siti Marina Wiastuti Siti Nur Kholifah Siti Nur Wahidah Siti Nurmalasari Siti Sholikah Slamet Siswoyo Slamet Siswoyo Slamet Siswoyo slamet Siswoyo Soekma Yeni Astuti Soko, Febry Lambang Killy Aji Sugimoto, Hiroshi Sulton Wariin Sulton Wariin Suminarwati, Atik Sri Suparman Suparman Susumaningrum, Latifa Sutrisno Sutrisno Suyani Indriastduti Suyani Indriastuti Syahroni Bahtiar Syahroni Bahtiar Syahrul Talapessy, Elsa Yolanda Try Nurhayati Ubaidillah Utsman Ulfah, Choiria Firdatul Vidyawati, Rita Vinda Prihatini Rahmatillah Vio Putri Andi Lestari Vivi Oktaviana Wulandari Wahyu Purnomo, Wahyu Wantiyah Wantiyah Wariin, Sulton Wiastuti, Siti Marina Wibowo, Aurellia Putri Vinta Widodo, Ramadhan Rifandy Widyarani, Destia Winarti, Linda Windarso, Sarjito Eko Windarwati , Heni Dwi Winingsih, Nur Wirda Hayati Wulandari, Eka Aprilia Wulandari, Inayah Riski Wulandari, Selvia Yahtarita ulfia Adisiwi Yanuari, Karina Paramita Yoga, Dwi Yudhistira, Muhammad Arief Yulia Aisyah Nuribu Yunidar Dwi Puspitasari Yunus Nur Zakarya Yurin Ainur Azifa Yusuf Afandi Yuzqi Rizqullah Zainudin, Harsah Bahtiar Zolkefli, Yusrita binti