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The Influence of Community and Societal Factors on the Occurrence of Wasting in Children Aged 3-5 Years Hadi, Yuni Riska; Ristya Widi Endah Yani; Anisah Ardiana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. 2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.I2.2024.149-159

Abstract

Background: Nutritional problems in toddlers remain a serious issue in several regions in Indonesia, including the working area of Songgon Health Center in Banyuwangi Regency. Aims: This study aims to analyze the influence of community and societal factors on wasting in children aged 3-5 years. Methods: The study uses a case-control approach with the entire population of toddlers in the working area of Songgon Primary Health Center as the target population. A cluster random sampling technique was used to obtain a sample of 166 individuals (83 wasting cases and 83 controls). Data were collected using a questionnaire that had passed validity and reliability testing. The collected data were analyzed through bivariate analysis using the chi-square test, and multivariate analysis using logistic regression. Results: The research results on wasting showed the following pvalues: t for family income 0.520 > α (0.05); occupation 0.263 > α (0.05 access to healthcare 0.121 > α (0.05); f immunization status 0.064 > α (0.05); education 0.436 > α (0.05); maternal knowledge 0.148 > α (0.05); family support 0.931 > α (0.05), and food security 0.430 > α (0.05), thus it can be interpreted these do not have a significant influence on wasting incidence. However, environmental sanitation significantly influences wasting incidence, as the p-value is 0.002 < α (0.05). Conclusion: The most influential factor in wasting incidence is environmental sanitation. Meanwhile, factors that have no influence are family income, mother’s occupation, healthcare access, immunization, education, knowledge, family support, and food safety.
Case Study of Implementation of Adverse Event Prevention Program: Decubitus Ulcer in Bedrest Patient with Stroke in the ICU Room with S.S.K.I.N Approach Rizky Lukman Saputra; Anisah Ardiana; Kholid Rosyidi M.N; Yudho Tri Handoko
Caring : Jurnal Keperawatan Vol. 13 No. 1 (2024): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v13i1.1871

Abstract

Patient safety is one of the aspects of providing excellent service for patients in hospitals, especially in the ICU. One method of managing patient safety is to prevent pressure ulcers in the ICU. The aim of this study is to explain the management of pressure ulcer prevention in the ICU for bedridden stroke patients using an intervention approach with form chart media. The research method used in this study is a case study design that includes assessment processes, data analysis, diagnostic rehabilitation, intervention, implementation, and evaluation. We collected data through observation, interviews, and physical examinations. We carried out the intervention in two shifts. We measured the risk of pressure ulcers using the Braden scale, provided health education to the family, and ensured the nurse correctly filled out the form. The obstacle to increasing the number of nurses is the workload and the feeling that human resources are still insufficient. There are no signs of pressure sores on the patient's back. In the implementation of the pressure ulcer prevention program using the skin approach, family involvement is necessary to ensure the program continues without adding to the workload of nurses in the ICU. Conclusion: Modifications to the formchart and family involvement in the program are necessary for the implementation of the pressure ulcer prevention program using formchart media in the ICU.
OBSERVATIONAL STUDY ON THE ANALYSIS OF PHLEBITIS INCIDENCE AND CONTRIBUTING FACTORS IN THE CLASS 2 INPATIENT WARD AT dr. SOEBANDI REGIONAL HOSPITAL JEMBER Wijaya, Dodi; Sofia Rosa Dewi; Anisah Ardiana; Achmad Sigit
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 10 No. 1 (2025): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v10i1.724

Abstract

Hospitals can spread nosocomial infections, including phlebitis, within 72 hours of admission. Phlebitis, an inflammation of veins often caused by IV lines, can lead to severe systemic infections. This study examines the incidence and contributing factors of phlebitis in Class 2 inpatient wards at RSD dr. Soebandi Jember, using observational analytic methods and a quota sampling of 88 adult patients from a 756-patient population, selected via Slovin's formula. Observations from September 10-18, 2024, involved the Visual Infusion Phlebitis Scale (VIP) and medical records. Results showed 77 patients (87.5%) without phlebitis, and 11 patients (12.5%) with phlebitis: 8 (9.1%) with mild degree 1 and 3 (3.4%) with degree 2 symptoms. Contributing factors include age, gender, chronic diseases, and reactions to certain medications. These findings suggest the importance of adherence to standard operating procedures for IV care to prevent infections. Practical implications include improving nurse training on IV care protocols to minimize phlebitis and related complications, thereby enhancing patient outcomes.  
The Health Literacy Level among Adult Patients in Rural and Urban Public Health Centers of Pandalungan Region: A Dual-Center Comparative Study Sofyan Nurdiansyah; Nurfika Asmaningrum; Retno Purwandari; Anisah Ardiana; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan dr. Soebandi Vol 10 No 1 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Health literacy is an important component to ensure healthy behavior which is a determinant to a person’s health and life quality. Health literacy contributes to improving a person's health to make healthy lifestyle choices, prevent disease, seek information about appropriate treatment, and determine the best remedies to treat a disease. Objective: This study was aimed to determine the differences in the level of adult patients’ health literacy in rural and urban health centers in Pandalungan region in Jember regency, East Java, Indonesia. Methods: The study was designed as comparative descriptive research. Purposive sampling was conducted on 216 adults who visited two public health centers (henceforth PHCs) in rural and urban areas which were determined based on the highest visitors of 2019 in each rural and urban region. Data was collected using HLS-EU-16Q. The data analysis were descriptive analysis, Mann Whitney U Test, and chi-square test. The level of statistical significance was set at p<0.05. Results: The study found a significant difference in the level of health literacy among adults who visited urban and rural PHCs (p<0.001). The level of health literacy in respondents who visited PHCs urban areas (132.29) was higher than those who visited PHCs rural areas (84.71). The three sub domains of health literacy showed a significant difference between rural and urban areas (p<0.001). The location of PHCs, age, education level, and occupation were the factors associated with health literacy level. Conclusion: Our findings highlight the impact of geographical areas as a driving variable to the level of adults’ personal health literacy. The role of the rural-urban areas affects the individual skills and abilities as the precursor to health literacy. Thus, reducing health literacy barriers is an essential element for promoting health equity, which further can reduce health disparities and promotes the human rights principles of nondiscrimination and equality.
NURSING WORK ARRANGEMENT IN HEALTH CARE SETTINGS DURING THE PAN DEMIC OF COVID-19: NURSE MANAGERS’ PERSPECTIVES Nurfika Asmaningrum; Kholid Rosyidi M.N; Retno Purwandari; Anisah Ardiana
NurseLine Journal Vol. 5 No. 2 (2020): November 2020
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i2.60150

Abstract

Nurses are health service provider playing pivotal role and serving at the forefront of tackling COVID-19. As such, their health and safety are pivotal. Therefore, a policy is needed in arranging their work system in response to COVID-19 pandemic. The workarrangement denotes an effort to prevent human-to-human infection transmission of COVID-19. However, the nursing work system adjustment model is not yet known. The aim of the study is to explore a model for adjusting the work system of nurses in health care facilities during the COVID-19 pandemic, from the perspective of nurse managers. This study applied descriptive qualitative method. It involved 9 (nine) managers who were recruited from 2 (two) public hospitals which became the national designated for handling COVID-19. These subjects were chosen using purposive sampling technique. Data collection employed semi-structured interviews through virtually telephone and con ference. Resultant data were analyzed using content analysis. The study has unraveled five main categories related to the arrangement of the nursing work system during the pandemic, including the management of nurse personnel, adjustment of nursing work rules, adjustment of nursing work patterns, adjustment of nursing work procedures, and flexibility of nursing work. Through the work system regulation, hospital managers have implemented the principle of maintaining health, safety and security of nurses while working in health care facilities. The adjustment of nursing work system aims to reduce the nega tive impact of the health crisis and reduce anxiety for nurses. This is mainly because the level of anxiety associated with COVID-19 may pose adverse effects on nurses' wellbeing
THE CORRELATION OF THE NURSES' CARING BEHAVIOR WITH PARENTS' ANXIETY LEVEL RELATED TO INVASIVE PROCEDURES TO PEDIATRIC PATIENTS Dwi Wahyuni; Anisah Ardiana; Ahmad Rifai
NurseLine Journal Vol. 5 No. 1 (2020): May 2020
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.60152

Abstract

Hospitalization causes pediatric patients to have received various treatments in the hospital such as invasive procedures.Hospitalization results in anxiety either to children or parents. Parental anxiety could be decreased by nurses' caring behavior. This research aimed to analyze the correlation between nurses' caring behavior with parents' anxiety levels related to an invasive procedure to pediatric patients in RSUD dr. Haryoto Lumajang. The research design was correlational descriptive with a cross-sectional approach. Purposive sampling was used with criteria of parents who have experienced accompanying invasive procedures in children with a minimum stay of a day. A total of 112 parents with a hospitalized child were included with purposive sampling technique. This study showed that participants had high perceptions of caring behaviors and 91% of parents had noanxiety. The result of Kendall tau b correlation test showed that p-value 0.036 (alfa = 0.05) and teta = -0.164. This study found that nurses' caring behavior correlated to parents' anxiety level related to an invasive procedure to pediatric patients in RSUD dr. Haryoto Lumajang. The correlation results showed a very weak relationship, however the higher nurses' caring during hospitalization may lower parents' anxiety because of an invasive treatment. This study indicated that nurses' caring behavior can reduce parents' anxiety. The application of caring behavior should be improved, particularly in pediatric nursing. As a result, caring as the essence of nursing can be achieved