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JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)

JNKI
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Published by Universitas Alma Ata Yogyakarta

ISSN : 23547642 EISSN : 25031856 DOI : -

Core Subject : Health, Education,

Health Professions Medicine & Pharmacology Nursing Public Health Other

Jurnal Ners dan Kebidanan Indonesia (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in collaboration with AIPNI (Asosiasi Institusi Pendidikan Ners Indonesia), AIPKIND (Asosiasi Institusi Pendidikan Bidan Indonesia), PPNI (Persatuan Perawat Nasional Indonesia), and IBI (Ikatan Bidan Indonesia).

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Articles 10 Documents

Search results for , issue "Vol 6, No 1 (2018): MARET 2018" : 10 Documents clear

The relationship of pregnant women knowledge About iron deficiency Anemia and the role of family In Compliance in consuming Fe tablets in health center Hary Yadi; Asmarita Jasda
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Pregnancy leads to increased energy metabolism, hence the need for energy and other nutrients increases during pregnancy. Increased energy and nutrients are needed for growth and development of the fetus, the increase in the amount of the uterus, changes in the composition and metabolism of the mother's body. If levels of iron in the body of pregnant women is less, then there will be a condition called anemia. That's because iron is an essential microelement for the body. This substance is especially needed in hemopoiesis (blood formation), ie in the synthesis of hemoglobin. The purpose of this study was to determine Knowledge of Pregnant Women About Iron Deficiency Anemia and Family Role With Compliance In Consuming Iron Tablet in health center . This study was a quantitative research, analytical, with cross sectional study subjects all mothers who have antenatal and get a tablet Fe in Tanjungpinang health center based on data consist of 40 respondents. The result of this study was significat relationship between knowledge of pregnant women to iron deficiency anemia with Compliance Consuming Tablet iron show the value of p 0814, the p-value is greater than the p value 0:05 was shows that no have correlation between knowledge of pregnant women about iron deficiency anemia with Compliance Consuming Iron Tablets. Family Role in monitoring drinking iron tablet with Compliance Consuming Iron Tablets shows the value of p 0.00 is smaller than the value of α 0.05. This shows that there is a relationship between family role in monitoring drinking iron tablet with compliance consuming iron tablet. This study indicated to increase Knowledge Level Of a Person On Iron Deficiency Anemia Not Consume The Influence Behavior Of Iron Tablet But Can Improve The Role Of Family In Compliance With Pregnant Women Eat Iron Tablet.

Accuracy of Hemoglobin Measurement Using Noninvasive Oxyhemoglobinometer in Pregnant Women at Health Center of Bantul District Ratih Devi Alfiana; Hasballah Zakaria; Muhammad Nurhalim Shahib; Herman Susanto
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Iron deficiency anemia is a major health problem in pregnant women and has a detrimental effect on mothers and newborns. Given the consequences of anemia during pregnancy, an easy and accurate diagnosis is important. During this measurement of hemoglobin levels by involves taking the blood invasively, causing discomfort and trauma for the patient. Therefore, a hemoglobin level gauge is required using a non-invasive oxymeter system, in which the patient will be free of pain with minimal risk of infection and allow for the monitoring of the patient in critical condition. The purpose of this study was to compare the results of hemoglobin concentration using an oxyhemoglobinometer with automated hematology analyzer as gold standard to know the difference of result of accuracy. This study is a diagnostic test with cross sectional design. 78 normal pregnant women who checked their pregnancy at the center of health in Bantul district, each of them are examined their hemoglobin level by using the oxyhemoglobinometer and automated hematology analyzer as a comparison. For the different results were used pairwise t test, and with diagnostic test formula obtained accuracy values. There is a difference between the oxyhemoglobinometer tool with the average of 12.2 ± 1.7 and in the automated hematology analyzer obtained an average of 11.6 ± 1.2. With a value of p 0.001 which means there is a significant difference between the two tools. The results of the diagnostic test analysis obtained an accuracy of 69.2%. The oxyhemoglobinometer device cannot be used as an accurate measurement of hemoglobin levels, because the tool its low of accuracy

The Relationship of Nurse’s Workload and Caring in Internal Disease Ward and Surgery Ward in Regional Public Hospital Gilang Ramadhan; Mahfud Mahfud; Zulpahiyana Zulpahiyana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Background: Caring is the efforts conducted by nurses to be close with the client to provide appropriate interventions in accordance with the problems experienced. One that causes bad nurses' caring behaviors is their workload that is not balanced. Workload is all activities undertaken by nurses during their duties in a nursing unit. Research Objective: To find out the correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo. Research Method: This research was a quantitative research using cross sectional design. The population in this study were all nurses working in Internal Disease Ward and Surgical Ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo. The total sample was 65 using total sampling technique. The research instruments for workload was using NASA-TLX questionnaire and for nurses' caring behaviors was using a questionnaire. The data processing was using Kendall's tau statistical test. Research Results: The results showed that the majority of respondents with a high workload implemented caring behaviors in the category of enough by 19 respondents (29.2%), while the respondents with very high workload implemented caring behaviors in the category of less by 9 respondents (13.8%). The Kendall's tau analysis showed the results of p = 0.000 (p < 0.05) and r = -0.618, meaning that there was a correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo with strong correlation and negative correlation, meaning that the higher the workload, then the lower the caring behaviors. Conclusion: There was a correlation between workload and nurses' caring behaviors in internal disease ward and surgical ward of Dr. Tjitrowardojo Regional Public Hospital, Purworejo

The Experiences Of Infection And Prevention Control Nurses (Ipcns) In Cultivating Hand Hygiene Erna Tsalatsatul Fitriyah; Meidiana Dwidiyanti; Luky Dwiantoro
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Healthcare-Associated Infections (HAIs) are infections that patients get while undergoing treatment and medical procedures in the hospital or other healthcare facilities after more than 48 hours. Improving the quality of hand hygiene practices can reduce pathogen transmission that causes HAIs. Infection and Prevention Control Nurses (IPCNs) as the pioneers of infection prevention and control should play an active role in cultivating hand hygiene in the hospital environment. Unfortunately, until the present time, there is evidence that IPCNs have not played their roles optimally in making hand hygiene a culture in the hospital. This study aimed to explore the experiences of IPCNs in cultivating hand hygiene at the inpatient wards in a regional hospital in Semarang, Indonesia. This study used a qualitative research design with a phenomenological approach. The samples were recruited using purposive sampling technique, consisting of three IPCNs as the main participants, and one Infection Prevention and Control Officer (IPCO) and three Infection Prevention and Control Link Nurses (IPCLNs) as the triangulation participants. Data were collected using semi-structured in-depth interviews and analyzed using the content analysis. The results revealed two themes. First, the appropriate education implementation and its documentation are important to provide an adequate understanding of medical and non-medical staffs, patients and families so that they are willing to perform hand hygiene properly. Second, the implementation of hand hygiene requires complete infrastructures and facilities, proper monitoring and evaluation system, as well as appropriate role models and motivation so that hand hygiene can become a positive culture. This study concludes that IPCNs have positive and negative experiences while trying to cultivate hand hygiene. IPCNs understand and agree that their ability to provide proper education and sensitivity to the factors affecting the implementation of hand hygiene can improve the people’s understanding and compliance with hand hygiene. In the end, hand hygiene will eventually become one of the positive cultures in the hospitals. Keywords: IPCNs, hand hygiene

The Level Of Education And Knowledge Associated With Complience Of Health Care Workers For Triage Implementation Eka Surasa; Siti Nurunniyah; Zulpahiyana Zulpahiyana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2018.6(1).77-83

Triage is a process of patients classification based on the type and the level of emergency condition in health services especially in Emergency Room (ER). In the ER, Health Care Workers (HCWs) never know when do patients come, how many and how do their condition. For anticipating that conditions, the ER HCWs need good arrangement especially in the rapid identification of patients, therefore patients can be classified based on the type and level of emergency. ER requires HCWs who have triage standard operational procedures (SOP) compliance to make sure the effective services. The factors associated with HCWs compliance are internal factors and external factors. The internal factors are level of education, knowledge, motivation, age and working period. The external factors are supervision, reward and punishment system. Key Word: Triage, level of education, knowledge, compliance of health care workers

Life Quality Of End Of Life Patient's Family in Intensive Care Units Noor Fitriyani; Reni Sulung Utami; Achmad Zulfa Juniarto
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Fifty percent of end-of-life patients spend the last time of their life in the Intensive Care Unit (ICU). End of life conditions have an impact on the psychological, physical, social, and family environment that affect the quality of life of other families. Family welfare will have an impact on care outcomes, hospitalization time, and patient stressor levels. The purpose of this study was to explore the life quality of end of life patient's family in ICU. This research used qualitative method with descriptive phenomenology approach. Sampling was done by purposive sampling technique with 9 participants. data were collected through in-depth interviews and analyzed using the Colaizzi method. The data validity was designed to meet the principle of triangulation of researchers and theory. The results showed 7 dimensions of life quality of end of life patient's family of physical health (fatigue, sleep disorder, headache, decreased appetite), mental health (anxiety, sadness, hope of improved family health condition), spiritual health (acceptance), health social (social support), daily life (daily life adjustment), financial health (financial burden), and environment (opportunity to get information, family infrastructure). This study concludes that end of life condition of critical patients impacts on the 7 dimensions of family life quality. Nurses should pay attention to the family life quality because it affected the condition of the patient and family as the care service unit. Keywords: Life Quality, Family, End Of Life, Intensive Care Unit

Factors Affecting The Primigravida Anxiety During The 3rd Trimester of Pregnancy Regarding The Upcoming Labor Farida Aryani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Pregnant women who experience anxiety experience an emotional reaction associated with the mother's concerns with the well-being of her self and her fetus, the sustainability of pregnancy, childbirth and when it plays a mother. This study aims to determine the factors affecting the primigravida anxiety of the 3rd trimester. The type of the research was quantitative with analytic observational method and with cross sectional design. The results show that the factors related to primigravic anxiety of third trimester were physical exercise in the form of pregnancy exercise with p value 0,000 (p <0,05), while maternal age, occupation, education level, and husband support had no effect on primagravida anxiety of the 3rd trimester where p value> 0.05. Conclusion: the factors associated with primigravida anxiety of the 3rd semester is a physical exercise in the form of pregnancy exercise

The Implementation Of Integrated Patient Progress Notes In Interprofessional Collaborative Practice Puput Risti Kusumaningrum; Edi Dharmana; Madya Sulisno
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

ABSTRAKLatar Belakang : Interprofessional Collaborative Practice (IPCP) merupakan bentuk kerjasama antar tenaga kesehatan dalam melakukan kolaborasi, komunikasi, dengan pendekatan yang terkoodinasi dalam berbagi pengambilan keputusan seputar masalah kesehatan untuk memastikan bahwa perawatan yang diberikan handal dan berkelanjutan. The World Health Organization (2010) juga menekankan pentingnya kolaborasi interprofesi. Kolaborasi interprofesi akan menurunkan angka komplikasi, lama rawat di rumah sakit, ketegangan dan konflik diantara tim kesehatan, tingkat kematian, serta mengurangi biaya perawatan dan durasi pengobatan, meningkatkan kepuasan pasien dan tim kesehatan. Pelaksanaan IPCP belum berjalan dengan baik salah satunya karena berbagai tenaga kesehatan masih menggunakan catatan medis yang terpisah dengan catatan perawatan dan catatan tenaga kesehatan lain untuk merekam kondisi pasien. Dengan demikian, untuk meningkatkan pelaksanaan IPCP membutuhkan media yang mendukung yaitu dengan mengintegrasikan catatan professional kesehatan menjadi satu catatan pasien yang terintegrasi. Sehingga antar tenaga kesehatan dapat berkolaborasi dengan media berupa catatan perkembangan pasien terinteintegrasi. Tujuan : Penelitian ini untuk mengeksplor pengalaman dokter spesilais, perawat, apoteker, ahli gizi, dan fisioterapis pada pendokumentasian Catatan Perkembangan Pasien Terintegrasi (CPPT) dalam IPCP di Ruang Rawat Inap RS UGM Yogyakarta.Metode : Rancangan penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini diambil dengan teknik nonprobability sampling menggunakan teknik purposive sampling. Pengambilan data dilakukan dengan indepth interview semistructure selanjutnya peneliti menganalisis semua data dengan menggunakan inductive content analysis dengan melakukan pengkodean terbuka, membuat kategori dan abstraksi data.Hasil : Empat tema telah dididapatkan dalam studi ini, yaitu pemahaman tenaga kesehatan tentang Catatan Perkembangan Pasien Terintegrasi dalam IPCP, Tingkat Kepatuhan tenaga kesehatan, Faktor Pendukung, Faktor Penghambat pendokuemntasian CPPTKesimpulan : Pendokumentasian Catatan Perkembangan Pasein Terintegrasi yang ditulis semua tenaga kesehatan merupakan media atau komunikasi non verbal yang dapat digunakan dalam pelaksanaan IPCP sehingga dengan adanya pendokumentasian Catatan Perkembangan Pasien Terintegrasi yang sesuai standar dapat menunjang pelaksanaan IPCP di Rumah Sakit. Peran masing-masing tenaga kesehatan sangat penting dalam keberhasilan pelaksanaan IPCP dan harus mendapat dukungan dari managemen rumah sakit. Kata Kunci: catatan teri terintegrasii; rekam medis; kolaborasi; multidisiplin ilmu.

The Description Of Diabetics’ Acceptance Stage Toward Diabetes Mellitus’ Diagnoses Ana Nistiandani; Achmad Zulfa Juniarto; Niken Safitri Dyan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

Abstract Diabetes Mellitus (DM) is a chronic condition which requires various kinds of lifetime treatment which cause grief. Grief has stages which can be passed though normally with the attainment of acceptance stage. Acceptance attainment renders a description maintaining that grief in its process is undergone normally through uncomplicated grief reaction and emotional responsiveness. A diabetics who manages to attain the acceptance stage will have a better glycemic control, while a diabetics with a low acceptance stage may experience an ineffective coping, improper self-treatment, and distress increase, all of which end up in a bad glycemic control which causes physical complications. This suggests that a description of s’ acceptance stage is important to identify. Accordingly, the aim of this research is to identify and analyze the description of diabetics’ acceptance of DM diagnoses. The method utilized is descriptive-observational, the data collected using the ‘Acceptance of Disease and Impairments Questionnaire’ (ADIQ). The analysis employed in this research is a descriptive analysis. The sampling technique used is consecutive sampling. The research result shows that, based on the diagram of ADIQ administered on 20 s, there are 30% found to be in the stage of acceptance, while there exist 70% to be in the stage of not yet attaining acceptance, which comprises denial (20%), resistance (10%), and sorrow (40%). Failure in attaining the acceptance stage is caused by the s’ still being in the states of denial, resistance, and sorrow. Based on the research result, it can be concluded that the s dominantly stay at the stage of not yet attaining acceptance. The diabetics who have attained acceptance may still be exposed to the risk of undergoing a maladaptive response which may trigger depression, anxiety, worsened physical health, self-treatment discontinuation, powerlessness, low self-esteem, social isolation, even suicidal drive. This is all caused by grief which constitutes a fluctuate condition where every diabetes can contribute to describing his or her condition at every stage. Keywords: stages of grief, acceptance, denial, resistance, sorrow

The Progressive Muscle Relaxation and Deep Breathing as Effective Procedures in Reducing the Stress Levels on Older People Rizky Erwanto; Fajarina Lathu Asmarani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 6, No 1 (2018): MARET 2018
Publisher : Alma Ata University Press

The world population and proportion of elderly people at present are increasing. The increasing population of the elderly people needs special attention because elderly people included in the group of a population at risk. A population at risk is the group with certain characteristics that able to generate health issues. The changes in physical capability are able to influence the entire body’s functions and capabilities. One of the occurring changes is the aging process embodied as psychosocial changes. The psychosocial changes also able to induce a stress in elderly people. One of the complementary and alternative nursing management is through the therapies of a progressive muscle relaxation and a deep breathing. Progressive muscle relaxation and deep breathing do not cause side effects, do not require additional cost, and can be performed individually as well as do not require routine training from the instructor, able to reduce the heart rate and able to relax the body. These interventions can be done by nurses or caregivers in service institutions or nursing home which performed in accordance with the determined SOP (Standard Operational Procedure). This research is aimed to determine the effectiveness of progressive muscle relaxation and deep breathing to reduce the stress on elderly people in the Hanna Nursing Home Yogyakarta. There were 40 elderly people who live in Hanna Nursing Home involved in this study. This research method was a Quasi Experimental design with pre and post test without control group design. The sample tehcnique in this study was quota sampling which considers either inclusive or exclusive criteria. The instrument of the study was DASS instrument to measure the stress levels of elderly people. The measurement results of the stress function of elderly people through the utilization of DASS show that there was a decline of mean value in about 4.4 points. From the paired t-test, 0.000 p-values were acquired. The results of the bivariate test by using the DASS instrument showed that the interventions of progressive muscle relaxation and deep breathing in reducing the stress of elderly people in Hanna Nursing Home Yogyakarta were effective. Keywords: the progressive muscle relaxation, deep breathing, stress, elderly people

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