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JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
ISSN : 23547642     EISSN : 25031856     DOI : -
Core Subject : Health, Education,
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).
Arjuna Subject : -
Articles 449 Documents
Factors influencing pediatric nurses' compliance with risk of falls prevention standards to achieve patient safety at Wonosari Hospital Special Region of Yogyakarta Widiawati, Anita; Lienawati, Alida; Nurunniyah, Siti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).516-530

Abstract

Background: The incidence of fall risk for inpatient pediatric patients increased from 2022 to 2023. The incident is a serious problem and has an impact on child morbidity and mortality. The incident occurred due to a lack of evaluation of nurses' compliance with efforts to prevent the risk of falls in hospitalized children. Several studies have been conducted to determine the factors that affect nurses' compliance with fall risk prevention standards, such as education, attitude, motivation, workload and work environment factors but have not been carried out systematically on all of these factors and have not been implemented specifically for pediatric nurses.Objectives: This study aims to find out what factors most affect nurses' compliance  with fall risk prevention standards in hospitalized children at Wonosari Hospital.Methods: This study uses a cross sectional approach. The population is 86 respondents of nurses that holding care in pediatric rooms. Samples were taken using the total sampling technique.  Compliance, knowledge, attitudes ,motivation ,workload and work environment measured by valid and reliable adoption questionnaire with calculates r > table r  and Cronbach's alpha > 0.70).Results:  The results show that the p value of <0.05 There is a relationship between knowledge, attitudes, motivation, workload, and work environment to comply with the prevention of the risk of falling. The most influential factor on nurses' compliance is the motivation factor, was shown to have an odds ratio value of 83.444 followed by knowledge factors (OR=58.164), attitude (OR=4.064), workload (OR=0.626), and work environment (OR=0.085).Conclusions: There is a relationship between knowledge, attitudes, motivation, workload and work environment to compliance  with the risk of falling in hospitalized  children. Motivation is the most influential factor in nurse compliance, It is hoped that the management of the hospital, will evaluate programs to prevent the risk of falling in hospitalized children
Factor influencing child marriage in Tanjung Terdana Village 2020-2022 Sholehah, Annida; Destariyani, Elvi; Damarini, Susilo; Elly, Nur; Widiyanti, Desi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).412-421

Abstract

Background: Child marriage is a marriage that takes place at an age under 19 years that can threaten life and health. Indonesia's child marriage rate is ranked 7th globally and is ranked 2nd in ASEAN. Child marriage brings more harm than good, it tarnishes children rights in so many aspects including the health rights. It can affects children’s growth and development, especially females under the age of 19 can experience such serious injuries considering the reproductive organ is still immature for them to have sex, let alone pregnant and give birth. Apparently, the child marriage can be influenced by many factors, such as culture, socio-economic and environment. Altough the marriage age has been regulated in laws, the number of child marriage is still arrising.Objectives: This study aims to determine the factors that affecting child marriage in Tanjung Terdana Village, Pondok Kubang District, Central Bengkulu Regency.Methods: The research method is analytic observational with a cross-sectional design. The population is a reproductive age women that married in KUA Pondok Kubang distric in 2020-2022. Samples were taken by a total sampling technique of 31 reproductive age women, and data was collected using a questionnaire. Data analysis used a chi square, fisher’s exact and logistic regression.Results: The results indicate that culture, environment and sosio-economic influence the child marriage with a value (p-value) <0,05, where the most dominant factor is culture.Conclusions: The health workers can work and collaborate cross-sectorally with the local community leaders in order to develop counseling and education programs about reproductive health in the community, especially among adolescents.
The Effectiveness of Growth and Development Feedback Sheets on Increasing the Knowledge, Attitudes and Skills of Midwives in Providing Growth and Development Education for Toddlers Tangerang Kasmayanti, Septi; Nurlatifah HR, Teni; Anwar, Ruswana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).461-475

Abstract

Children who experience non-optimal growth and development have an impact on emotional, behavioral, educational achievement and health problems in the future, one of the efforts to improve the level of child welfare by stimulatingearly detection of child growth and development. The purpose of the study was to determine the effectiveness of the use of growth and development feedback sheets on increasing the knowledge, attitudes and skills of midwives inproviding growth and development education for children under five in Tangerang City. The research method used wastrue experimental with the form of the randomized pretest and posttest control group design. midwife research sample. The sampling technique used random sampling totaling 72 people. the intervention group was given a growth anddevelopment back sheet as many as 36 respondents and the control group was given the SDIDTK book as many as 36 respondents. Bivariable analysis was done with correlation test and man whitney. The results of the study knowledge r=0.035 (<0.05), attitude r=0.000 (<0.05), skills r=0.000 (<0.05). The growth and development worksheet ismore effective than the SDIDTK book with an N-Gain calculation of 80.13%, which means it is effective. Themultivariate results of Pillai's trace obtained a value of r= 0.000 so that there is an effectiveness of the growth and development back sheet on increasing the knowledge, attitudes and skills of midwives in providing growth anddevelopment education.
Electric therapy is used to reduce pain in a mother giving birth Hidayah, Nur; Prasodjo, Ipin; Lestari, Puji Sri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).422-431

Abstract

Background:Pain during labor is a physiological response but can result in an increase in catecholamines which result in disrupting uterine contractions which can cause uterine inertia, prolonged labor, inadequate oxygenation to the fetus and fetal distress, as well as death of the mother and/or fetus if labor pain is not treated. According to (Utami & Putri, 2020) Severe pain can affect the increase in heart rate, respiratory system, increase in blood pressure and can cause stress, thereby inhibiting the release of the hormone oxytocin which results in inadequate contractions and disruption of cervical dilatation. Uterine contractions cause complaints of labor pain which can cause anxiety and fatigue in the mother during labor and have a negative influence on the progress of labor and the well-being of the fetus.Non-pharmacological pain management includes administering electrical therapy (TENS). Transcutaneous electrical nerve stimulation (TENS) is a therapy that uses electric current to treat pain due to various conditions, ranging from nerve disorders, disorders, to pain due to childbirth. Objectives of this research is to find out how much influence electrical therapy has in reducing pain in mothers giving birth. Methods The quasi-experimental research design uses a one group pretest-posttest design. The research population was mothers in the first stage of labor in the Sukoharjo Independent Midwife Practice area. The sampling technique was total sampling with a sample size of 20 people. Results obtained a reduction value of 1.55 (mean diff.) or a reduction of 23.2% and p=<0.001 (p<0.05) which means there is a significant difference in the pain scale before and after electrical therapy. therapeutic treatment. Conlusions, electrical therapy is effective in reducing pain in mothers giving birth.Key words: electrical therapy, labor pain, mother giving birth.
Increasing weight in children aged 1-2 years with complementary foods for breast milk moringa cassava fish meatballs and green bean biscuits in Bukti Village Puspa, Kadek Agustina; Lutfiana, Indrie
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).476-489

Abstract

Background: The prevalence of stunting in Indonesian children has been high for the past decade at 37%. Bukti Village that there are nutritional problems in children aged 1-2 years out of 80 children, there are 54 children (66.25%) and the incidence of stunting is 8 children (10%). Bukti Village has the advantage of food sources in the form of fish, cassava, moringa and mung beans. Intervention to prevent stunting by increasing children's weight through moringa cassava fish balls and mung bean biscuits.Objectives: Increase weight in children aged 1-2 years with moringa cassava fish balls and mung bean biscuits.Methods: The design used in this study is a mix method where in this study quantitative data is found and described qualitatively. The quantitative research design used is a pretest-posttest design. This study used a sample of 54 children aged 1-2 years in Bukti Village, the sampling technique used purposive sampling with the inclusion criteria of children who were malnourished and the exclusion criteria of children with diarrhea and worms.  Bivariate analysis using Kruskal Wallis, while qualitative data used descriptive analysis on phenomenology with semistructure interview techniques until the sample was saturated. Results: The results of the study showed that ini 3 intervention groups and 1 control groups there was weight gain after being given Moringa Cassava Fish Balls and mung bean biscuits. Intervention group 1 (giving meatballs) value of p= 0.001, intervention group 2 (giving biscuits) value of p= 0.003 and intervention group 3 (giving meatballs and biscuits) value of p= 0.000. The control group of this study was given additional food in the form of biscuits from the Kubutambahan 1 Health Center value of p= 0.658.Conclusions: There was an increase in weight in children aged 1-2 years after being given cassava fish meatballs, moringa and mung bean biscuits.
Analysis of the relationship between treatment patterns based on patient characteristics in cases of hypertension complications at PKU Muhammadiyah Gamping Hospital Ariansyah, Diffa Zahra; Wulandari, Ari Susiana; Estiningsih, Daru; Nurinda, Eva
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 3 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(3).365-378

Abstract

Background   : Hypertensive disease is often referred to as "The Silent Disease" or silent disease. The percentage of complication hypertension in Indonesia is cerebrovascular disease 21.6%, heart disease 40.9%, and kidney disease 33.2%. Yogyakarta is one of the provinces in Indonesia with a prevalence of complication hypertension of 32.86%. Each year, an estimated 9.4 million people die from hypertension and complications.Objective        : To analyze the relationship between treatment patterns based on sociodemographic characteristics in complication hypertensive patients in Inpatient PKU Muhammadiyah Gamping Hospital.Methods: This study was analytical research methods using retrospective methods. The sampling technique was in this study is the total sampling technique. The variables used in this study were patterns of antihypertensive drug use associated with sociodemographic factors including gender, age, and patient health insurance (BPJS or non-BPJS). The test analysis was Chi-Square Test and Kendall's tau-b Test for variable blood pressure relationships and drug use patterns.Results: Sociodemographic characteristics of respondents include: adult age (16.7%) and elderly (83.3%), male and female gender (50.0%), BPJS treatment coverage (91.7%) and general (8.3%). Hypertensive disease complications include: stroke (20.8%), myocardial infarction (4.2%), kidney failure (4.2%), heart failure (33.3%), diabetes mellitus (37.5%). Drugs used: Amlodipine (23.10%), Candesartan (30.80%), Nifedipine (11.50%), Bisoprolol (19.20%), Clonidin (5.80%), Captopril (1.90%), Lisinopril (3.80%), and Ramipril (3.80%).Conclusion: There was no relationship between sociodemographic characteristics and treatment patterns and there was a relationship between systolic / diastolic blood pressure with drug use patterns in cases of complication hypertension at PKU Muhammadiyah Gamping Hospital.
The effect of educational animation illustrations on the self-efficacy of post-ORIF (Open Reduction and Internal Fixation) lower extremity patients Niza, Rani Kholifatul; Budiono, Budiono; Bachtiar, Arif; Marsaid, Marsaid
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).432-439

Abstract

Background: Low self-efficacy is currently one of the health problems in post-operative patients. Patients who have undergone surgery can experience decreased self-efficacy due to post-operative complications. Efforts to overcome low self-efficacy can be done through a cognitive behavioral approach by providing education, one of which is through animated illustration educational videos.Objectives: This study aims to determine the effect of animated illustration education on low patient self-efficacy in performing early mobilization after lower extremity ORIF.Methods: This study used a “pre-experimental” method with a One Group pre-test post-test design approach. Respondents were selected using a purposive sampling technique, based on the inclusion criteria that had been set, totaling 34 respondents. Respondents were given animated illustration education intervention, then an assessment was conducted whether there was an effect of animated illustration education on respondents' self-efficacy. The research instrument was a self-efficacy measurement questionnaire based on 3 aspects, namely level assessment, generality, and strength. Data analysis test using paired sample t-test (α = 0.001).Results : The results of the study showed that the patient's self-efficacy score before being given preoperative animated illustration education was relatively low, namely 35.29. After being given education, the average score increased to moderate, namely 43.85. There was an increase in the self-efficacy score of 8.56. The results of the paired sample t-test obtained a p value of 0.001 <ɑ (0.05). This means that there is an effect of providing animated illustration education to lower extremity post-ORIF patients on patient self-efficacy in carrying out early mobilization.Conclusions: Education based on animated illustration videos can improve patient understanding of post-operative procedures and in turn increase patient self-efficacy or confidence in performing movements, including early mobilization, which will ultimately accelerate the healing process of the disease.
The effect of differences in the management of mild pain with and without hypnotherapy speakers in post-operative cancer patients Sugiyono, Iis; Suardi, Achmad; Suryani, Suryani; Anwar, Anita Deborah; Rowawi, Roni; Wijayanegara, Hidayat
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).490-503

Abstract

Background: Cancer, a prevalent non-communicable disease globally and in Indonesia, poses significant health challenges. Pain, a frequent and dreaded symptom in cancer patients, can severely impact their functional abilities, quality of life, and elevate stress levels within families. Non-pharmacological approaches to pain management, like hypnotherapy, offer safe, affordable, and readily applicable solutions.Objectives: This research seeks to evaluate the impact of varying approaches to managing mild pain, specifically comparing the use of hypnotherapy speakers versus their absence, in post-operative cancer patients at RSPAD Gatot Soebroto during the period from December 2023 to January 2024.Methods: This quantitative study employs a Quasi-Experimental design with a Two Group Pretest-Posttest format. The research took place in the Obstetrics Ward on the second floor of PIS RSPAD Gatot Soebroto from December 16, 2023, to January 17, 2024. A total of 44 participants were included, divided into a control group and an intervention group. Data collection was carried out using observation sheets and universal pain assessment tools. Descriptive statistics were analyzed using univariate analysis, and normality tests were performed before conducting bivariate analysis to assess data distribution.Results: The research revealed a notable decrease in pain scores following the use of hypnotherapy speakers. Initially, the average pain score was 2.59 (SD=0.59) prior to the therapy, which dropped to 0.73 (SD=0.83) post-therapy. Both the administration of Paracetamol alone and in combination with hypnotherapy speakers significantly alleviated pain in patients with ovarian and cervical cancer (p<0.001). Moreover, a significant difference was observed between the intervention and control groups in the post-test results (p=0.004).Conclusions: These results suggest that combining Paracetamol with hypnotherapy speakers is more effective at alleviating pain in patients with ovarian and cervical cancer than using Paracetamol alone. This study serves as a valuable reference for future research on the utilization of hypnotherapy speakers and offers practical guidance for midwives to adopt hypnotherapy speakers to expedite pain relief in cancer patients.
Socio-Cultural Relationship to Self-Efficacy of Breastfeeding in Pregnant Women in the 3rd Trimester in the Working Area of Imogiri Ist Health Center and Kretek Community Health Center, Bantul Regency Sulistiawati, Sulistiawati; Dian Ayuningrum, Lia; Dwiarini, Muafiqoh; Lestari, Prasetya; Worawong, Chiraporn
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 3 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(3).379-389

Abstract

Background: Socio-cultural factors, especially in Javanese society very influence the success and failure of exclusive breastfeeding. Social culture can be in customs, traditions, taboos, etc. Breastfeeding mothers who have low breastfeeding self-efficacy when they later face problems while breastfeeding will tend to make it easier to decide to use alternative techniques for breastfeeding their babies.Objective: To determine the socio-cultural relationship towards breastfeeding self-efficacy in third-trimester pregnant womenMethod: The type of research is a quantitative analytical descriptive. Data collection methods use surveys, observations, or interviews with a cross-sectional approach method. The sampling technique used purposive sampling of as many as 126 respondents with a gestational age of >30 weeks and according to the inclusion criteria. There are 2 instruments used, namely Sociocultural and Breastfeeding Self-efficacy Scale-Short Form (BSES-SF)Results: Based on research conducted on 126 respondents, Social Culture Supports ( 0.000 < 0.05) and Social Culture Does Not Support (0.009 < 0.05) from the Chi-Square test with value 0,000  (p > 0.05) H a rejected means it shows that there is a significant relationship between social culture and breastfeeding self-efficacy.  The Breastfeeding Self-Efficacy Score showed that most respondents had high self-confidence ( 82.5 % ).Conclusion: There is a significant relationship between social culture and breastfeeding self-efficacy. In this study, it can be said that respondents in the research area do not have traditions, culture, and taboos that do not support breastfeeding. The majority of respondents with supportive social culture (95%) have high breastfeeding self-efficacy (73%) with quite a large difference from moderate and very low breastfeeding self-efficacy (27%)
Description of breastfeeding on hyperbilirubinemia infants with light therapy in the perinatology room of Muhammadiyah Hospital Taman Puring Mustikawati, Mustikawati; Hikma, Wd Erty; Fiandy, Rani Pratiwi; Fitriani, Vany
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).440-448

Abstract

Background: Hyperbilirubinemia is a condition where excessive bilirubin builds up in the blood, causing yellowing of the skin, sclera, and nails. Hyperbilirubinemia is a common finding in newborns and will start appearing clinically in newborns when blood bilirubin levels are 5 – 7 mg/dl. hyperbilirubinemia can be caused by several factors, including gestational age, birth weight, blood type, breast milk intake, prematurity, and congenital diseases or disorders.  Objectives: to describe how breastfeeding could help reduce bilirubin levels in infants with hyperbilirubinemia receiving light therapy in the Perinatology Room at Muhammadiyah Hospital Taman Puring. Methods: the research used a qualitative descriptive approach, collecting data through interviews, observations, and documentation. The inclusion criteria in this research are: hyperbilirubinemia infants with phototherapy, exclusive breastfeeding, no comorbidities and parents willing to have their infants become case study subjects. The study involved three infants aged 3-7 days with hyperbilirubinemia who were given breastfeeding and light therapy. Results: showed that infants who underwent light therapy for 24 to 48 hours, combined with breastfeeding tailored to their fluid needs based on body weight (169 ml/day for a 2700-gram baby, 320 ml/day for a 3200-gram baby, and 465 ml/day for a 3150-gram baby), experienced a significant reduction in bilirubin levels. Conclusions: breastfeeding and light therapy resulted in a notable decrease in serum bilirubin levels in hyperbilirubinemia infants. The study recommended that nurses promote exclusive breastfeeding and ensure the breastfeeding process was effective and met the infants’ needs to help lower bilirubin levels.