Articles
Development of Intention to Stay Model for Temporary Nursing Staff in RS UNAIR
Ike Nesdia Rahmawati;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v9i2.2687
Introduction: Intention to stay of nurses is important to reduce turnover rate and to improve the stability of hospital. Quality of nursing work life (QNWL) has been found to influence intention to stay. However, reliable information of this effect is limited. The purpose of this study was to develop the model of intention to stay for temporary nursing staff in RS UNAIR.Method: Anexplanative cross-sectional survey design was used in this study. Data were collected by using questionnaire among 32 nurses working at different units in this hospital through simple random sampling and analyzed by partial least square (PLS). Result: QNWL affected job satisfaction but did not affect commitment. Commitment was significantly affected by job satisfaction. There was effect of job satisfaction on intention to stay. Commitment also significantly affected intention to stayDiscussion: QNWL is a predictor of intention to stay trough job satisfaction and commitment. It is recommended that more focused interventions on QNWL, job satisfaction, and commitment developments may improve intention to stay. Recruitment of non-nursing staff to carry out billing and administrative tasks is urgently needed. Suggestions for further research is to analyze the effect of empowerment, remuneration, and career ladder on nurses’ intention to stay.
Model Development of Nursing Student Loyalty in Politeknik of Health
Hammad Hammad;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3881
Introduction: Loyalty of nursing student is an important factor that nursing education should pay attention in order to compete with other nursing educations; involved by perceived value, expectation, and quality assurance in nursing higher education. The purpose of this study was to develop a loyalty model of nursing student in nursing higher education.Methods: This study was an explanatory research with cross sectional approach. Population were nursing student in Poltekkes Banjarmasin, with 112 samples which is selected by proportional random sampling. Data was collected by giving questionnaire and analyzed by partial least square.Result: Result of this study indicates that was an effect of costumer expectation on quality assurance in nursing higher education, there was effect of costumer expectation on perceived value in nursing student, there was an effect of customer expectation on student satisfaction (4) there was effect of quality assurance in nursing higher education, there wasn’t any affect of quality assurance in nursing higher education on student satisfaction, there was effect of perceived value in nursing student on student satisfaction, there was effect of student satisfaction on student loyalty. Conclusion: Overall result of this research were, student loyalty in nursing higher education developed by student satisfaction. Student satisfaction formed by perceived value. Perceived value developed from two aspects quality assurance, and student expectation, quality assurance of higher education wasn’t directly effect to student sasfaction. However, indirectly effect through student perceived value. Student satisfaction in nursing higher education was stronger effect than any other variable in this loyalty model. Loyalty model in this research can be use for improvement student loyalty on health education that focused on improvement student satisfaction without deny the other aspect. Further research is needed to analyze word of mouth effect on student loyalty.
Life Experiences of Patients Suffering end Stage Renal Disease
Yulis Setiya Dewi;
Harmayetti Harmayetti;
Ninuk Dian Kurniawati;
Erna Dwi Wahyuni;
Deni Yasmara;
Abu Bakar;
Sukma Randani I
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3888
Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.
Recommendation in Decreasing Burnout on the Contract Nurses
Dewa Kadek Adi Surya Antara;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3891
Introduction: Burnout is a problem that often arises in the field of human service. Nursing profession is very susceptible in experiencing burnout related to the served work involving interpersonal interactions, as well as work environment. Area of worklife is predictor factors trigger burnout, resulting in the turnover intention. The purpose of this study was to provide recommendations in decreasing burnout on the contract nurses in the Sanglah Central Hospital.Methods: This study was an explanatory research using crosssectional approach. The population consists of the nurses at the third class ward Sanglah Central Hospital-Denpasar. Eighty one nurses were recruited as sample by proportional random sampling technique. Data were collected through questionnaires and focus group discussion (FGD), and they were analyzed by using Partial Least Square (PLS).Result: Results of this study showed that control had effect on fairness, community and reward but it had no effect on workload, workload had significant effect on emotional exhaustion, value had no effect on justice and depersonalization however it showed effect on community, reward, emotional exhaustion and decreasing personal accomplishment, emotional exhaustion had effect on depersonalization and turnover intention, depersonalization had no effect on turnover intention but it had effect on the decreasing of personal accomplishment, emotional exhaustion and decreasing personal accomplishment have effect on turnover intention of contract nurse.Conclusion: The decreasing of burnout can be done by forming personal values and reducing workload of the contract nurses. The personal values can be formed through controls of the two aspects: community and appreciation depersonalization has the most dominant influence in the burnout dimensions established by aspects of emotional exhaustion, turnover intention can be decreased by reducing the dimensions of emotional exhaustion and improving personal achievement. The decreasing burnout model can be applied in other hospitals because it provides an overview of the aspects that affect burnout and prevents the emergence of turnover intention.
Pencegahan Iritasi Mukosa Hidung pada Pasien yang Mendapatkan Oksigen Nasal
Ninuk Dian Kurniawati;
Abu Bakar
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v6i2.3976
Introduction: The provision of oxygen therapy is traditionally use a humidifier to moisten the oxygen and prevent irritation of the nasal mucosa. Recent research proves that the use of a maximum of 4 lpm nasal oxygen without using a humidifier (non humidifier) up to 8 hours does not cause irritation of the nasal mucosa and prevent colonization of bacteria in the humidifier. The purpose of this study was to determine the effectiveness of nasal oxygen administration using a non-humidifier more than 8 hours in the prevention of irritation of the nasal mucosa.Method: This study employed an analytic survey with cross-sectional study design. As many as 20 patients at inpatient wards of Port Health Center Hospital Surabaya were recruited as sample by means of consecutive sampling. Inclusion criteria was patients must not suffer from upper respiratory tract infection and do not suffer from impaired immunity. Independent variables were oxygen flow and long of oxygen therapy. Dependent variable was irritation of the nasal mucosa. Data were analyzed with descriptive statistics and tested with spearman rho correlation test.Result: The results showed that the use of oxygen up to 140 hours with 4 LPM had no effect on the nasal mucosa such as signs of irritation and complaints of discomfort in the nose area.Discussion: It can be concluded that the use of non-humidifier for a maximum of 140 hours with flow maximum of 4 lpm is effective in preventing irritation of the nasal mucosa. Further research on the effectiveness of non humidi fi ers in the elderly population and children under five years of age is needed.
Latihan Nafas Modifikasi Meniup Balon Terhadap Pengembangan Paru pada Pasien Hematothoraks dan Pneumothoraks
Tintin Sukartini;
Sriyono Sriyono;
Nursalam Nursalam;
Ninuk Dian Kurniawati;
Adi Sukrisno
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i1.4945
Collaps is a condition of the absence of air in alveoli. Lung collaps result from the presence of air or blood in the cavity. Modified ballon blowing respiratory exercise is intended to improve lung ventilation,increase vital capacity and preven atelectasis. The objective of this study was to analyze the effect of modified ballon blowing respiratory on lung compliance in pneumothorax and haemathorax. A quasy experimental design was used in this study with 10 respondens who met the inclusion criteria. The independent variabel was modified ballon blowing respiration exercise and the dependent variable was lung compliance by observing thorax foto, repiratory rate and vital capacity. Data were analyzed by using t test, Mc.Nemar and chi square test. The results showed that modified ballon blowing respiratory execise is effective to assit lung compliance with significant level on vital capacity (p=0.018).
Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia pada Lansia
Kusnanto Kusnanto;
Harmayetty Harmayetty;
Ira Suarilah;
Ninuk Dian Kurniawati;
Ulin Marliana
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i1.4949
Introduction: Insomnia is the primary sleeping problem experienced mostly by elderly. The objective of this study was to examine the effect of lavender aromatherapy for insomnia reduction in elderly.Methods: This study used pre-experimental design, with 15 samples, recruited by using total sampling. The independent variable was aromatherapy and the dependent variable was insomnia. Data were collected by using structured interview with questionnaire and observation. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of p≤0.05.Results:The results showed that lavender aromatherapy given to elderly had beneficial effect on sleep quality and quantity of this age group. The sign and symptoms of insomnia become reduced with significance level of p=0.001.Conclusion: Lavender aromatherapy can be used as alternative intervention for overcoming insomnia in elderly.
Development of the Mind-Body-Spiritual (MBS) Nursing Care Model for Coronary Heart Disease Patients
Ninuk Dian Kurniawati;
Nursalam Nursalam;
Suharto Suharto
Jurnal Ners Vol. 13 No. 2 (2018): October 2018
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v13i2.6607
Introduction: Patients with coronary heart disease (CHD) may experience various physical, psychological or spiritual issues. A holistic mind-body spiritual nursing care (MBS) model is needed to help patients' cope with the issues. This study aimed to develop an MBS nursing care model for CHD patients.Method: The study employed a crossectional design with 110 CHD patients participated in the study. Respondents were asked to fill out questionnaires to gather the required data. Criteria for respondent selection were Moslem, aged 40-75 year, medical diagnosis of CHD, and haemodynamically stable. The independent variables were focal, contextual and residual stimuli, while the dependent variables were coping and spirituality. Data were analyzed using partial least square.Results: The results show that the mind-body-spiritual nursing care formed focal stimuli. Spirituality is formed by focal, contextual, residual stimuli and coping style. Nursing care significantly affects spirituality, shown by T-statistics of 6.795. Spirituality can be explained by patience, endeavour toward wellness, and offer the results only to God by 72%, while the rest is explained by other factors.Conclusion: MBS nursing care model has a strong relationship with spirituality. This model needs to be applied in a further research to see its effectiveness in improving spirituality and expression of cardiovascular risk inflammatory markers.
Information Technology-based Interventions for Health Care Support in Patients with Chronic Kidney Disease: A Systematic Review
Inda Rian Patma Putri;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17030
Background: Self-management and support in managing therapeutic regimens is very important for patients with CKD. Information technology-based interventions are increasingly being used to support the self-management of patients with CKD. This study aimed to conduct a systematic review to evaluate information technology-based interventions in relation to the support of the health management of patients with CKD.Method: We conducted a systematic review using electronic databases (Scopus, Science Direct, ProQuest) limited to the last 8 years from 2010 to 2018 with the relevant keywords. The studies included used RCT, pilot and case-control methods focusing on patients with CKD stage 1-5 and that reported on at least one outcome from the health management of patients with CKD.Result: Out of the 7.852 studies taken, 13 studies fulfilled the inclusion criteria. The interventions in this systematic review are multifaceted, including smartphone/PDA (6/13), telematics devices (2/13), internet/web (3/13) and a combination of several interventions (2 studies). In total, 12 (92%) out of the 13 studies showed a positive outcome from the intervention, 7 studies showed improved outcomes in the clinical points, 3 studies had improved adherence and 2 studies improved knowledge.Conclusion: This evidence indicates the potential of IT-based interventions (i.e. smartphone/PDA, computer, internet/web, telematic device) to support the health management of patients with CKD. The variety of interventions in this systematic review requires further research on which interventions are best applied.
Family Counselling Enhances Environmental Control of Allergic Patients
Santi Dwi Lestari;
Lailatun Nikmah;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.18069
Introduction: Allergies can cause complications such as inadequate nutrition, impaired sleep quality, and inhibition of child growth and development. There were about 15% children who suffered from dust allergies in 2017 in Indonesia. Parents lacking of knowledge about environmental control can increase the prevalence of allergic relapse in children. Counselling is a method of health education that aims to improve knowledge, and practice. The purpose of this study was to investigate whether counselling has any influence on allergic related knowledge and environmental control measures skills.Methods: The design of study was a pre-experiment design. There were 14 respondents in this study who were recruited at a university hospital based on inclusion criteria with consecutive sampling. The independent variable was counselling, the dependent variable were knowledge and environmental control measures. Data were collected using both a questionnaire was developed from the AAAAI and a check list was used to determine parents' skills on environmental controls. Data were analysed using Wilcoxon Sign Rank Test with significance level of α<0,05.Results: There was an influence of counselling on knowledge and environmental control measures (knowledge level, p= 0,001; practice level p= 0,001).Conclusion: It is concluded that counselling is significantly increased knowledge and environmental control measures level.