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Factors Affecting the Meaning of Life in Breast Cancer Patients at Malang City, Indonesia Supriati, Lilik; Nova, Renny; Ahsan, Ahsan; Rodli, Muhammad; Rismayanti, I Dewa Ayu; Kapti, Rinik Eko
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1300

Abstract

The meaning of life is considered to affect breast cancer patients positively. Finding meaning in life is key to improving well-being during and after experiencing a traumatic event such as cancer. Previous research was still rare to explore the factors affecting the meaning of life in breast cancer patients. The study aimed to analyze the factors influencing the meaning of life of breast cancer patients.  This study was an analytical observational method with a cross-sectional design. The inclusion criteria of the respondents were breast cancer patients who had obtained at least one cycle of chemotherapy. We used purposive sampling, and the total sample in this study was 135 respondents. Questionnaires were used to collect the data. Data were analysed by multivariate test, namely a linear regression test with a significance level of p ≤ 0,05. The result showed only two variables affect the meaning of life, communication of health workers and spirituality, respectively. The strongest variable was the communication of health workers.  The equation from the analysis showed that 11 % explained the phenomenon. The spirituality and communication of health workers positively affected the meaning of life. Application of therapeutic communication as well as spiritual support are needed in nurses to patients while undergoing therapy. Therefore, nurses must pay attention to spirituality and good therapeutic communication when providing patient services.  
ANALYSIS OF FACTORS AFFECTING PATIENT SATISFACTION WITH CHRONIC DISEASES IN OUTPATIENT SERVICES: SCOPING REVIEW Mukuan, Carlina; Ahsan, Ahsan; Kapti, Rinik Eko
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2942

Abstract

Kepuasan pasien merupakan indikator penting dalam penilaian kualitas layanan kesehatan, terutama bagi pasien dengan penyakit kronis yang memerlukan perawatan jangka panjang. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepuasan pasien dengan penyakit kronis terhadap layanan rawat jalan. Penelitian ini menggunakan metode scoping review dengan pencarian artikel melalui database PubMed, ScienceDirect, dan Google Scholar, menggunakan kata kunci: "patient satisfaction", "chronic disease", "outpatient services", "scoping review", dan "service quality". Ditemukan 315 artikel pada tahap awal, dan setelah dilakukan proses seleksi berdasarkan kriteria inklusi dan eksklusi, diperoleh 20 artikel yang dianalisis. Temuan menunjukkan bahwa faktor-faktor seperti kualitas interaksi dengan tenaga medis, aksesibilitas layanan, dan dukungan emosional sangat memengaruhi tingkat kepuasan pasien. Meningkatkan kepuasan pasien dapat dicapai melalui peningkatan kualitas layanan serta perhatian terhadap kebutuhan emosional dan fisik pasien dengan penyakit kronis.
Diagnostic accuracy of TRISS, GAP score, and KTS in predicting survival of traumatic brain injury patients Fauzi, Akhmad; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).539-557

Abstract

Background: Traumatic brain injury (TBI) is one of the leading causes of morbidity and mortality worldwide, often resulting in long-term disability or death. The critical period for survival is within the first 6–12 hours after trauma, when secondary brain injury may occur due to hypoxia, hypotension, and systemic complications. To assist clinicians in predicting patient outcomes, several trauma scoring systems have been developed, including the Trauma and Injury Severity Score (TRISS), Glasgow Coma Scale–Age–Systolic Pressure (GAP) Score, and Kampala Trauma Score (KTS). Objectives: This study aims to evaluate the accuracy of these three scoring systems in predicting survival outcomes in TBI patientsMethods: This research employed a quantitative observational analytic design with a cohort approach involving 212 patients who presented to the Emergency Department (ED) with TBI. Patients were assessed using TRISS, GAP Score, and KTS, and survival status was observed for up to 6 hours. Data were collected by trained ED nurses using standardized procedures, including measurement of Glasgow Coma Scale (GCS), age, respiratory rate, neurological status, systolic blood pressure, and the number of severe injuries. Data analysis included diagnostic tests such as sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy. Results: The results indicate that GAP Score had the highest sensitivity (99,5%), while GAP score demonstrated the highest specificity (85,7%). The highest PPV was found in TRISS and GAP score (97,1%), whereas KTS had the highest NPV (71,4%). GAP Score achieved the highest accuracy (96,7%), making it the most effective method for predicting TBI patient survival.Conclusions: The GAP Score is recommended as the most accurate and practical tool for predicting survival in traumatic brain injury patients presenting to the emergency department, especially in clinical environments that require rapid decision-making.
Integrating Swanson’s Caring Theory into Discharge Planning Education: Effects on Patient Satisfaction in Postoperative Care Pradini, Septi Wahyu; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.03

Abstract

The patient's beliefs have been shown to influence their ability to perform self-care in a manner that minimizes post-operative complications. Patient satisfaction with the quality of discharge planning education is also a factor that can influence patient acceptance to undergo post-operative care at home. Patients who are dissatisfied with the nurses' information and instructions are likely to demonstrate noncompliance postoperatively. The integration of the Swanson Theory of Caring approach into discharge planning education has the potential to enhance patient satisfaction. The objective of this study was to analyze the effect of discharge planning education utilizing the Swanson Theory of Caring approach on increasing patient satisfaction in post-operative care. The quasi-experimental study employed a non-randomized pretest-posttest control group design. The study's participants were 78 patients, who were divided into two groups: a control group and an intervention group. The control group received discharge planning education according to standard operating procedures. The intervention group received discharge planning education with the Swanson Theory of Caring approach. The results of the Wilcoxon signed-rank test demonstrate a p-value of 0.00, indicating a high degree of statistical significance. The mean increase in satisfaction for the treatment group was 6.06, with a p-value of 0.00. The mean increase in satisfaction for the control group was 3.16, with a p-value of 0.00. The findings suggest that patient satisfaction levels in the treatment group surpassed those observed in the control group. The present study finds that education on discharge planning utilizing the Swanson Theory of Caring approach is associated with increased patient satisfaction in postoperative care.
Nurse Competence, Work Environment, and Patient Safety: The Mediating Role of Bedside Handover in Indonesia: A Cross-Sectional Study Kaparang, Sova Nova; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.484

Abstract

Background: Patient safety remains a major global concern, especially in low- and middle-income countries (LMICs) where resource limitations and communication gaps contribute to preventable harm. Although bedside handover is recognized as a strategy to enhance transparency and safety culture, few studies have examined its mediating role between nurse competence, work environment, and patient safety. Methods: This cross-sectional study, conducted in accordance with STROBE guidelines, involved 258 inpatient nurses selected through proportionate stratified random sampling from four hospitals in North Sulawesi, Indonesia. Eligible participants had at least one year of experience and were actively involved in bedside handover. Validated instruments the Nurse Competence Scale (NCS), Area of Worklife Survey (AWS), Nursing Handoff Competency Scale (NHCS), and Safety Care Activity Scale (SCAS), were used. Structural Equation Modeling with Partial Least Squares assessed measurement validity and structural relationships. Results: All instruments met recommended validity and reliability standards, and the sample primarily comprised early-career female nurses. Structural modeling showed that both nurse competence and the work environment were positively associated with bedside handover, which in turn demonstrated a strong relationship with patient safety. Bedside handover partially mediated the influence of nurse competence and fully mediated the influence of the work environment on patient safety. Conclusion: Bedside handover serves as a central mechanism linking individual capabilities and organizational conditions to safer patient outcomes. Strengthening competency development, promoting fairness and teamwork, and standardizing bedside handover practices may offer practical, low-cost pathways to improve patient safety in LMIC contexts
Self-Efficacy and Emotion Regulation as Correlates of Psychological Distress among Family Caregivers of Working-Age Hemodialysis Patients in Indonesia: A Cross-Sectional Study Supriati, Lilik; Sunarto, Muhammad; Nova, Renny; Kapti, Rinik Eko; Rismayanti, I Dewa Ayu
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.557

Abstract

Background: The increasing prevalence of chronic kidney disease among working-age populations has heightened psychological distress among family caregivers, especially in low- and middle-income countries. However, the roles of self-efficacy and emotion regulation in influencing this distress remain unclear. This study aimed to examine the relationships between self-efficacy, emotion regulation, and psychological distress among family caregivers of patients undergoing hemodialysis. Methods: This cross-sectional study, reported in accordance with STROBE guidelines, involved 201 family caregivers recruited through convenience sampling to ensure accessibility in hemodialysis settings. Self-efficacy and emotion regulation were independent variables, while psychological distress was the dependent variable. Data were collected using validated and reliable instruments General Self Efficacy Scale (GSE), Emotion Regulation Questionnaire (ERQ), The Kessler Psychological Distress and analyzed using Spearman’s rank correlation tests. Results: The results show significant negative correlations between psychological distress and both self-efficacy (r = −0.346, p < 0.001) and emotion regulation (r = −0.217, p < 0.001). These findings indicate that higher levels of self-efficacy are associated with lower psychological distress. Similarly, better emotion regulation is associated with reduced psychological distress, with self-efficacy demonstrating a stronger association. Conclusion: These findings highlight the importance of psychosocial resources in supporting caregiver well-being in family-centered care contexts. It is recommended to integrate psychological counseling programs for families of patients with chronic kidney disease undergoing hemodialysis, along with structured educational interventions emphasizing the importance of emotion management.