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Journal : International Journal of Public Health Science (IJPHS)

Burnout among nurses working in COVID-19 pandemic Tri Ismu Pujiyanto; Fery Agusman Motuho Mendrofa; Umi Hani
International Journal of Public Health Science (IJPHS) Vol 11, No 1: March 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i1.21267

Abstract

Nurses are at high risk of burnout because of the characteristic of their work that expends most of the time in delivering care to the patients. This study aimed to describe burnout among nurses working during corona virus disease 2019 (COVID-19) using nurses' demographic characteristics. This observational cross-sectional study involved 149 nurses from some hospitals and public health centers in Semarang using an online questionnaire from May 1 to June 15, 2020. Primary data were collected using Maslach Burnout Inventory including emotional exhaustion, depersonalization, and reduced personal accomplishment. Univariate and multivariate analyses were performed. The study showed that 63.6% of nurses in the COVID-19 unit were at high levels of emotional exhaustion, 56.3% of them were at high levels of depersonalization, and 46.7% of them are at high levels of reduced personal accomplishment. Education was the only demographic factor that was significantly related to emotional exhaustion and depersonalization (p<0.05) with a weak correlation. The work environment and the reduced anxiety-related factors were not significantly correlated with the reduced personal accomplishment with a very weak correlation, while the nurses’ unit was significantly correlated with depersonalization (p<0.05) with a very weak correlation. The results found that burnout develops among nurses due to the work environment-related factors such as the unit of work, corona-infected patients, personal protective equipment usage, and the specific characteristics of the workplace. Nurses’ characteristics affect their ability to manage the workload even in a pandemic. Nurses need optimal supports to build their self-efficacy. The organizational efforts play an important role in strengthening nurses to prevent burnout.
Could coronavirus 2019-infected disease patients get cope with the treatment?: A qualitative study Fery AM Mendrofa; Umi Hani; Yuni Nurhidayat
International Journal of Public Health Science (IJPHS) Vol 10, No 4: December 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i4.20912

Abstract

A pandemic of a novel coronavirus-infected disease is currently ongoing in the world. Most patients have to be isolated due to the treatments. This study aimed to make sense of how patients with coronavirus-infected disease understand and experience infectious isolation. The research used a qualitative design with a phenomenological approach. Data collection was conducted with in-depth interviews of nine patients with coronavirus disease-2019 (COVID-19) confirmed who had been in the isolation room. The analysis was conducted on interview transcripts by organizing keywords found into categories, sub-themes, and themes based on Colaizzi's approach. The results indicated that the participants experienced fright due to the isolation and attempted to integrate their isolation experiences. Isolation highlighted a sense of threat posed by cross-infection, a threat that participants experienced as originating from others and from themselves to others. Participants described feeling changes experienced after several days of treatment. Participants reported various symptoms of the disease and received careful care while in isolation. They still communicate with family. Isolated patients are able to deal with the treatment by improving their coping strategies. Participants reported the most support from their families, even from a distance. Future research could explore experiences of isolation from family and staff perspectives and identify the psychological aspect in caring for the COVID-19 patients.
Independency Models of Nursing self-care for Ischemic Stroke Patient Fery Agusman Motuho Mendrofa; Chatarina U. Wahyuni; Nursalam Nursalam; Hasan Machfoed; Kuntoro Kuntoro; Hari Basuki Notobroto; Rachmad Hargono; Bagus Widjonarko
International Journal of Public Health Science (IJPHS) Vol 4, No 2: June 2015
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.364 KB) | DOI: 10.11591/ijphs.v4i2.4717

Abstract

Stroke injury such as physical and psychological disorders was required assistance such as the community, nursing professional and family. Family and social factors play an important role in independence strokes such as support family members provide encouragement for self care.The objective of aim the study wasto assess indicator of self care and model family support related self care. A cross-sectional survey research design was used. Data was collected with interviews by home visited method. Data were analyzed with confirmatory analysis for determined of validity and reliability indicator, models analyzed by SEM (Structural Equation Model).Family support such as information, instrumental, reward and emotion were valid indicator for family support. Self care indicators such as eat, bath, titivate, dress, defecating, urination and transfer to building of self-care. Indicators of eating, bathing, titivate, dress, defecate, urination, and transfer is an indicator for self care. It could be concluded that eating, bathing, ornate, dress, and the transfer is valid and reliable. Model showed that self-care needs were improved of self-carepatients with through family support.
Deep Breathing Relaxation Techniques Improve Emotional Control on Tuberculosis Patients Domianus Namuwali; Fery Agusman Mendrofa; Meidiana Dwidiyanti
International Journal of Public Health Science (IJPHS) Vol 5, No 3: September 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (449.162 KB) | DOI: 10.11591/ijphs.v5i3.4803

Abstract

Tuberculosis is an infectious disease caused by Tuberculosis Mycobacterium. Based on  WHO report in 2014, the world population suffering from tuberculosis were 9.6 million people while in Indonesia it was amounted 324 539 people. Tuberculosis patients have a tendency to experience emotional disturbance due to the illness. A deep breathing relaxation is a nursing action for controlling emotions of tuberculosis patients. The study design is quasi-experimental design with one group pre-test-post-test. Data were collected by using a questionnaire adapted from Gross and John (2003). Data were analyzed using paired t test. The results of this research is deep breathing relaxation technique is effective to control emotions of tuberculosis patients with p value = 0,001.
Factors related to family’s ability to care for schizophrenic patients Dwi Indah Iswanti; Nursalam Nursalam; Rizky Fitryasari; Fery Agusman Motuho Mendrofa; Kandar Kandar
International Journal of Public Health Science (IJPHS) Vol 12, No 2: June 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i2.22635

Abstract

Schizophrenic patients in family members makes the family helpless and unable to care for them. Patient, family, social environment, and health service factors can affect the family's ability to care for schizophrenic patients. The aims of this study are to analyze factor predictors of the family's ability to care for schizophrenic patients. This study used a correlational study design. The sample of this study is 135 schizophrenic families in the outpatient clinic of Dr. Amino Gondohutomo Regional Psychiatric Hospital with purposive sampling. The instruments in this study are the questionnaire which developed and modified from the experience caregiving instrument (ECI), inner resource scale (SAS-I), mental health inventory (MHI), Berkeley Expressivity Questionnaire, Barthel Index, caregiving tasks in caring for an adult with mental illness scale (CTiCAMIS). Data were analyzed using a multiple regression test. The result shows the family's ability to care for schizophrenic patients predicted by the variables of family resources (p-value=0.019) and social support (p-value=0.0.32). Family resources as the strongest predictor of the family's ability to care for schizophrenic patients (B=0.242). It is necessary to develop integrated family empowerment interventions that increase and activate the family's inner resources.
Including families in schizophrenia treatment: a systematic review Iswanti, Dwi Indah; Nursalam, Nursalam; PK, Rizki Fitryasari; Mendrofa, Fery Agusman Motuho; Hani, Umi
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22462

Abstract

The family as one of system support for schizophrenia treatment in the primary care setting has been a challenge in integrating family services into mental health. This study aimed to review the urgent of family involvement during the treatment of schizophrenia in health mental services using the Family-Centered Care approach. A systematic review was performed using the population, intervention, comparison, outcome, study design (PICOS) framework within Scopus (27 articles), ProQuest (151 articles), Science Direct (93 articles), EBSCO (124 articles), and Springer (149 articles) published databases in the last five years using the keywords of “Family- Centered Care, nursing, AND Schizophreni*”. The articles were empirical quantitative, qualitative, or mixed-methods studies published within 2017- 2021 where study participants were clinically diagnosed with schizophrenia and intervention approaches were within the scope of family involvement. Twenty-four articles met the inclusion criteria for review. Evidence supports a professionally engaged relationship between patients, families, and providers with open knowledge exchange, communication, and collaboration. Family-centered care requires empathy, understanding, respect, and empowerment to choose, control decisions, and empower in the treatment of schizophrenia. This study concludes the importance of family involvement in the treatment of schizophrenia from the start. Health care providers help families through the admissions process.
The role of family-centered care in enhancing stroke rehabilitation outcomes: an integrative literature review Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah; Saifudin, I Made Moh. Yanuar
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24847

Abstract

Family-centered care (FCC), which emphasizes the involvement of family members as active participants in the care process, represents a significant paradigm within the realm of stroke rehabilitation. This study aimed to locate and synthesize the most recent evidence concerning the advantages, methodologies, and obstacles associated with the integration of FCC in stroke rehabilitation. The approach taken involves conducting an integrative literature review following the guidelines set forth by Whittemore and Knafl. A thorough exploration of four databases including PubMed, CINAHL, Scopus, and PsycINFO, was carried out, focusing on both quantitative and qualitative studies published between January 2012 and December 2022. Inclusion criteria comprised studies involving adult stroke patients undergoing rehabilitation, detailing family-centered interventions, and presenting outcomes for either the patients or their families. Upon the screening process, 25 studies met the inclusion criteria and were included in the analysis. Various strategies have been identified to effectively involve families in the rehabilitation process, such as educational initiatives, collaborative planning for home-based care, and provision of support for caregivers. However, the implementation of FCC faces challenges stemming from factors at the system level, provider level, and patient/family level, in conclusion, the integration of FCC in stroke rehabilitation yields substantial benefits for both patients and caregivers. It is imperative for nurses to engage families as collaborative partners, tailor interventions according to specific requirements, offer assistance to caregivers, and instigate changes at the systemic level.