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Journal : Journal Of Nursing Practice

How is the Coping Mechanism, the Function of Adolescent Role in the Implementation of Vaccination of Covid-19 Vaccine Based on Psychological Distress? : Cross-sectional Study M. Suhron; M.Hasinuddin; Faisal Amir; Siti Sulaiha; M. Fajar Sadiq
Journal Of Nursing Practice Vol. 7 No. 1 (2023): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i1.337

Abstract

Background: The role of Adolescent in implementing the Covid-19 vaccine is still lacking due to their maladaptive coping mechanisms, as indicated by unstable emotions. Maladaptive coping mechanisms hinder the optimal functioning of adolescent in vaccine implementation. Therefore, improvements in coping mechanisms are needed to enhance the optimal functioning of teenagers in this regard. This shows that the role of teenagers in implementing the Covid-19 vaccine is still low.    Purpose: The aim of this research is to examine, using Callista Roy's theory, the relationship between coping strategies and the role of adolescents in implementing the Covid-19 vaccine. Methods: This study's design employed a cross-sectional analytical survey method with a population of 132 and a sample of 127 families utilizing proportionate stratified random. A questionnaire on coping strategies, social roles, and psychological discomfort was employed in this study, and the Spearman Rank test was used to analyze the results.   Results: Based on the Spearman's Rank results, there is a relationship between coping strategies, adolescent role function, and psychological pressure in the implementation of the Covid-19 vaccine because the p-value is smaller than 0.05. Conclusion: Coping strategies, adolescent role functions, and psychological pressure have a significant relationship with the implementation of the covid vaccine in adolescents. As a result, it is recommended to maximize the role of adolescents, one of which is by empowering adolescent Vaccine Ambassadors who can serve as a platform for the aspirations of adolescents in the implementation and socialization of vaccines while also supporting it as a government program.
Modification of the National Early Warning Score (NEWS) Observation Sheet for Patient Emergency Conditions in Hospitals Siti Sulaiha; Ima Nadatien; Eppy Setiyowati
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.452

Abstract

Background: Currently, the trend of patients admitted to the hospital is increasingly complex and has many co-morbidities, some of which the patient's condition will suddenly worsen or become critical, due to various interrelated causes such as weak monitoring systems and staff reactions to emergencies. Delays in treatment or inadequate care for patients who are treated in the Hospital Ward can result in several adverse conditions, namely increased patients transferred to the ICU (Intensive Care Unit), increased LOS (Lenght of Stay) in the hospital, heart attacks, or patient death. Purpose: The purpose of this study to analyze the differences in the modification of the NEWS observation sheet on the emergency conditions of patients at the hospital. Methods: The type of research used is quasi-experimental with a pre-test-post-test control group design. With a population of 160 patients and a total patient sample of 62 patients with 31 patients for the intervention group and 31 patients for the control group. How to take samples with purposive sampling technique. The independent variables in this study were the NEWS observation sheet and the NEWS modification, while the dependent variable was the patient's emergency condition. The instruments in this study were NEWS observation sheets and NEWS modifications, integrated patient development record sheets, pre-test and post-test sheets. Data analysis used Wilcoxon test and Mann Whitney test with a value of α = 0.05. Results: The results showed that the modification of the NEWS (National Early Warning Score) observation sheet with a graphic was more influential than the NEWS observation sheet in increasing vital sign monitoring with p=0.00, while the NEWS observation sheet as a control had an influence with a significant level of p=0.043, both the model shows that it is equally influential in detecting changes in patient conditions and as an aid in communicating with other health workers. Conclusion: The conclusion of this study is that after being given a modified NEWS observation sheet which is a scoring system that is simple, practical and proven to increase alertness and response to signs of bad physiological changes so that patient safety can be monitored optimally and mortality rates can decrease.