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Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review Fithriyyah, Yayu Nidaul; Alim, Syahirul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.790

Aims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students' knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19. Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis. Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students' knowledge level regarding infection control standards, (2) nursing students' attitudes towards infection control standards, (3) nursing students' practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control. Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships.

Program for Infection and Cancer Prevention Activities (PROACTIVE) towards knowledge and attitudes of self-hygiene and breast self-examination for adolescents Fithriyyah, Yayu Nidaul; Rachmawati, Meyka Budi; Farhany, Fajrul Falah; Nugroho, Nur Huda Adi
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.96631

Introduction: Pesantren are Islamic educational institutions that implement a boarding system. Insufficient sanitation increases the risk of contagious disease transmission. Besides infectious diseases. Moreover, there is a rising trend of cancer incidence in adolescents.Objective: To evaluate the effectiveness of the Program for Infection and Cancer Prevention Activities (PROACTIVE) on knowledge and attitudes regarding personal hygiene, infectious diseases, and cancer among students in the Pesantren.Methods: This study used a quasi-experimental design with a single-group pre-test and post-test approach. It was conducted at MA Nur Iman Sleman, located within a Pesantren environment, 47 students completed both the pre- and post-test questionnaire. Data were analyzed using descriptive and inferential statistics.Results: The study at MA Nur Iman revealed a significant increase in knowledge about Acute Respiratory Infections (ARIs) post-intervention, especially in Class 1 (from 2.91 to 3.07, P=0.0001). Scores related to personal hygiene, handwashing, residential cleanliness, and women's reproductive health showed good scores. However, the overall practice of Breast Self-Examination (BSE) did not show significant changes, However, two statements related to laziness and embarrassment during BSE showed significant improvements (P=0.000).Conclusions: The intervention was effective in enhancing awareness and attitudes regarding Acute Respiratory Infections (ARIs). However, there is a need for an engaging and continuous educational approach to form a lasting awareness and attitude among adolescents, particularly concerning cancer.

Nurses' Roles and Challenges to Providing Care for Tropical Diseases: A Scoping Review Fithriyyah, Yayu Nidaul; Haryani, H
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17561

Tropical diseases are associated with tropical regions, but global access travel, climate change, and environmental factors affecting disease vectors may spread to non-endemic countries. This review reinforces the view of nurses' roles and challenges to providing care for tropical diseases. This scoping review search included: SCOPUS, PubMed, EBSCO Medline, Science Direct, and citation search: Google Scholar. Studies included if the population was nurses or part of a multidisciplinary or provider intervention on tropical diseases and original English articles between 2011 and 2021 with various methods. From 773 studies identified, 23 met the inclusion criteria. Three themes emerged: 1) nurses role as health providers, educators, motivators, leaders, collaboration, and coordination; 2) providing safe working and job satisfaction; and 3) The role of organizations, health systems, and policymakers. There were also three challenges: 1) lack of skills, knowledge, and training for nurses, 2) the stigma of tropical diseases, 3) sociocultural approach. The role and practice of nursing in tropical diseases vary across healthcare settings, influenced by nurses' stigma, knowledge, training, job safety, and satisfaction. Nurse lack knowledge and training compared to other health workers. Potential to increase nurse participation with a sociocultural approach and involving nurse's leadership roles require further research

Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review Fithriyyah, Yayu Nidaul; Alim, Syahirul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.790

Aims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students' knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19. Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis. Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students' knowledge level regarding infection control standards, (2) nursing students' attitudes towards infection control standards, (3) nursing students' practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control. Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships.

The Roy’s adaptation model in a patient with Guillain-Barre Syndrome (GBS): a case report Fithriyyah, Yayu Nidaul; Haryani
BKM Public Health and Community Medicine Vol 37 No 12 (2021)
Publisher : Universitas Gadjah Mada

Purpose: The incidence of Guillain-barré syndrome (GBS) may increase during an infectious disease outbreak or pandemic. Disease progression often has an impact on the patient and family. Presents how Roy Adaptation Model (RAM) can guide nurses to assist and identify patient needs with GBS in a hospital setting. Methods: A case report. The RAM assessment uses Russo (2019) through interviews and observation, and the RAM intervention was guided by Akram Mansouri et al. (2019). Results: Patients showed adaptive behavior following RAM intervention in 4 modes. RAM intervention by integrating patient and family to help the patient’s cognators coping with recognizing and responding adaptive self-management to stimuli. Conclusions: The RAM guidelines were applicable for nurses to identify realistic and effective interventions for patients diagnosed with GBS involving the family in the hospital setting.

Gambaran Kualitas Tidur Pasien Airborne Disease di Ruang Isolasi Airborne Rumah Sakit di Yogyakarta Damayanti, Diah Fitri; Fithriyyah, Yayu Nidaul; Madyaningrum, Ema
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 2 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95785

Background: The quality of sleep is a crucial determinant of patients’ life quality. Those with airborne diseases are treated in isolation rooms where environmental factors significantly impact their sleep quality. Disturbances in sleep can lead to complaints about the non-conducive environment, thus affecting the rest and recovery of patients.Objective: To assess the sleep quality of patients with airborne diseases in isolation rooms.Methods: This cross-sectional descriptive study sampled 78 patients in airborne isolation rooms of a hospital in Yogyakarta from November 2023 to January 2024. Inclusion criteria included patients which older than 19 years old, conscious, and able to communicate, with a hospital stay of 2-6 days. Exclusion criteria were unstable general conditions, use of sleep medications, and mental disorders. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and data were analyzed using the Mann-Whitney and Kruskal-Wallis tests.Results: Most of patients (79,5%) reported poor sleep quality. Poor sleep was most prevalent among those aged 46-65 years (55,1%), males (43,6%), patients diagnosed with tuberculosis (50%), and those with metabolic endocrine disorders (20,5%). Pain (23,1%) and shortness of breath (21,8%) were most common complaints. The PSQI dimensions showed that most patients struggled with sleep duration. Gender was the only significant factor affecting sleep quality (p-value 0,021), with males experiencing poorer sleep quality.Conclusion: In a Yogyakarta hospital, 79,5% of patients with airborne diseases in isolation rooms have poor sleep quality. This study provides baseline data for developing strategies to address sleep disturbances in isolation settings.INTISARI Latar Belakang: Kualitas tidur merupakan faktor penting dalam menentukan kualitas hidup pasien. Pasien dengan penyakit airborne dirawat di ruang isolasi dan faktor lingkungan berperan signifikan terhadap kualitas tidur pasien. Gangguan tidur dapat menyebabkan keluhan tentang lingkungan yang tidak kondusif, memengaruhi istirahat dan pemulihan pasien.Tujuan: Untuk menilai kualitas tidur pasien dengan penyakit airborne yang dirawat di ruang isolasi.Metode: Penelitian deskriptif dengan pendekatan cross-sectional ini melibatkan 78 pasien di ruang isolasi airborne pada sebuah rumah sakit di Yogyakarta, dengan rentang waktu dari November 2023 hingga Januari 2024. Kriteria inklusi adalah pasien berusia lebih dari 19 tahun yang komposmentis dan dapat berkomunikasi, dengan masa rawat 2-6 hari. Kriteria eksklusi termasuk kondisi umum yang tidak stabil, penggunaan obat tidur, dan gangguan jiwa. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI) dan data dianalisis menggunakan uji Mann-Whitney dan Kruskal-Wallis.Hasil: Mayoritas pasien (79,5%) melaporkan kualitas tidur yang buruk. Kualitas tidur buruk lebih sering terjadi pada usia 46-65 tahun (55,1%), laki-laki (43,6%), pasien dengan diagnosis tuberkulosis (50%), dan mereka yang memiliki gangguan metabolik endokrin (20,5%). Keluhan nyeri (23,1%) dan ketidaknyamanan bernapas/sesak napas (21,8%) adalah keluhan yang paling umum. Menurut PSQI, mayoritas pasien mengalami masalah pada dimensi durasi tidur. Jenis kelamin adalah faktor signifikan yang memengaruhi kualitas tidur (p-value 0,021), dengan jenis kelamin laki-laki mengalami kualitas tidur yang lebih buruk.Simpulan: Mayoritas pasien penyakit airborne di ruang isolasi sebuah rumah sakit di Yogyakarta memiliki kualitas tidur yang buruk. Studi dapat dijadikan data dasar untuk mengembangkan strategi penanganan gangguan tidur di ruang isolasi.

Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review Fithriyyah, Yayu Nidaul; Alim, Syahirul
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.790

Aims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students' knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19. Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis. Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students' knowledge level regarding infection control standards, (2) nursing students' attitudes towards infection control standards, (3) nursing students' practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control. Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships.

Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): a community resilience program for COVID-19 at Griya Lare Utami Bantul Fithriyyah, Yayu Nidaul; Saifudin, I Made Moh. Yanuar; Martani, Hersinta Retno; Arumningtyas, Fajar; Khalish, Gaviota; Ermamilia, Aviria; Wanti, Ipang Fitria; Aulawi, Khudazi; Haryani, Haryani; Kustanti, Anita
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.82755

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.

Intervensi Motivational Interviewing terhadap Kepatuhan Manajemen Hemodialisis pada Pasien Penyakit Ginjal Kronik dengan Kehamilan: Studi Kasus Ulayya, Aisyah Iffah; Fithriyyah, Yayu Nidaul; Wahyuni, Tatik Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 3 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.108299

Background: Pregnancy in women with Chronic Kidney Disease (CKD) undergoing hemodialysis is a rare and high-risk condition, particularly when there is nonadherence to hemodialysis regimens. Unlike other chronic diseases, evidence on the effectiveness of Motivational Interviewing (MI) in improving adherence among pregnant CKD patients remains very limited. Objective: To evaluate the impact of MI on adherence to hemodialysis management in a pregnant with patient CKD. Case report: There was a 23-year-old woman on hemodialysis for four years at 24 weeks' gestation. The patient was non-adherent to dialysis, medication, and antenatal care (ANC). MI was delivered in five sessions (lasting 30-45 minutes) for four weeks, using a logbook as reading materials. Results: MI improved patient awareness and communication with healthcare providers. However, it was not fully effective in ensuring adherence with hemodialysis management, medication consumption, ANC visits, and long-term contraceptive choices in this pregnant patient with CKD. Key barriers included financial issues, childcare responsibilities, and unplanned pregnancy. Conclusion: MI is recommended in nursing practice to build patient trust and understanding. Formal training and family involvement are needed to enhance MI effectiveness.INTISARILatar belakang: Kehamilan pada wanita dengan Penyakit Ginjal Kronik (PGK) yang menjalani hemodialisis merupakan kondisi langka dengan risiko tinggi, terutama bila terdapat ketidakpatuhan terhadap regimen hemodialisis. Berbeda dengan penyakit kronik lain, bukti mengenai efektivitas motivational interviewing (MI) untuk meningkatkan kepatuhan pada pasien PGK dengan kehamilan, masih sangat terbatas. Tujuan: Mengevaluasi dampak MI terhadap kepatuhan manajemen hemodialisis pada pasien PGK dengan kehamilan. Laporan kasus: Perempuan 23 tahun, menjalani hemodialisis selama 4 tahun, usia kehamilan 24 minggu. Pasien tidak patuh dalam hemodialisis, konsumsi obat, dan kunjungan antenatal care (ANC). Intervensi MI dilakukan sebanyak 5 sesi (30-45 menit) selama 4 minggu menggunakan logbook sebagai materi. Hasil: Intervensi MI meningkatkan kesadaran dan komunikasi pasien dengan tenaga kesehatan, namun belum sepenuhnya efektif dalam meningkatkan kepatuhan manajemen hemodialisis, konsumsi obat, kunjungan ANC, dan pemilihan kontrasepsi jangka panjang pada pasien PGK dengan kehamilan. Hambatan utama meliputi faktor ekonomi, tanggung jawab mengasuh anak, dan kehamilan yang tidak direncanakan. Simpulan: Intervensi MI direkomendasikan untuk praktik keperawatan karena dapat membangun kepercayaan dan pemahaman pasien. Pelatihan formal dan keterlibatan keluarga diperlukan untuk meningkatkan efektivitas MI.

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