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Joko Gunawan
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Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
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Articles 7 Documents
Search results for , issue "Vol. 6 No. 3 (2020): May - June" : 7 Documents clear
EXTENT OF HEMODIALYSIS NURSES’ PRESENCE AS PERCEIVED BY PATIENTS Ma. Almira Pliego Nebres; Clarence Bien Ladion Nebres; Bienvisa Ladion Nebres
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.201 KB) | DOI: 10.33546/bnj.1091

Abstract

Background: Nursing presence is an essential nurse caring behavior of being with the patient. This is particularly true for those with chronic renal disease and who regularly undergo maintenance hemodialysis treatment in the hospital setting. When nursing presence is perceived by patients in a nurse-patient relationship, it is more likely to result in enhanced satisfaction with the quality of nursing care. Thus, it is important for hemodialysis nurses to be aware of the relevance of nurse-patient interactions in planned care considering that these interactions are integral to the extent to which nursing presence is experienced and perceived by patients.Objective: This study aims to determine the hemodialysis nurses’ extent of nursing presence as perceived by patients undergoing hemodialysis treatment in two hospitals in Iligan City, Philippines.Methods: Utilizing the descriptive research design, the study was conducted in two hospitals in Iligan City, Philippines.  A total of 121 hemodialysis patients were purposely selected to determine their perception as to the extent of hemodialysis nurse’s nursing presence utilizing the 25-item Presence of Nursing Scale (PONS) instrument. Descriptive statistics were used for data analysis.Result: The overall rating by the hemodialysis patients in both hospitals was “always" on the hemodialysis nurses’ extent of nursing presence with an average mean score of 4.47 in all 25 items of the PONS. The highest rated item which reflects that the nurse cares for the patient as a person had an average mean score of 4.63 (always) while the lowest rated item indicating that the nurse is meeting the spiritual needs of the patient had an average mean score of 4.23 (always).Conclusion: The nurse-patient relationship is enhanced by the presence of nurses who are more responsive and interactive with the patients, resulting in patients who are more satisfied with nursing care. Thus, it is suggested that nurses in dealing with patients of varying backgrounds should consider their unique needs when giving information, explanations, health education and nursing care.
AN INTERVENTION PROGRAM TO IMPROVE NURSES’ COMPETENCIES IN DISASTER RESPONSE: A MIXED-METHODS STUDY PROTOCOL Cut Husna; Hajjul Kamil; Mustanir Yahya; Teuku Tahlil
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1154.095 KB) | DOI: 10.33546/bnj.1081

Abstract

Introduction: Indonesia has the highest risk and vulnerability to both natural and non-natural disasters in the world. Aceh Province located on the confluence of two earth fault plates has been discovered to be exposed to a higher risk leading to significant physical, emotional, and psychological problems. Therefore, there is a need for immediate disaster response efforts to reduce the impacts, and nurses are the largest care providers with adequate competencies to ensure effectiveness. Objective: The study aims to develop a study protocol to measure the effectiveness of the intervention program to improve nurses’ competencies in disaster response. Methods: A sequential exploratory mixed-method study design will be used. A qualitative phase is to explore nurses’ competencies in disaster response according to nurses, disaster survivors, hospitalized patients, members of the Ulama Consultative Assembly of Aceh, and hospital policymakers using FGDs and in-depth interviews. The result of this phase is to develop intervention and instruments. Data are analyzed using a content analysis. A quantitative phase is to examine the effectiveness of the initiated intervention programs on nurses’ competencies in disaster response with a randomized controlled trial study design. There will be three groups in this phase, namely Evidence-Based Intervention (EBI) group, Islamic-Based Intervention (IBI) group, and Control Group (CG). The nurses’ competencies related knowledge, skill, and attitude will be measured using valid and reliable instruments. Data will be analyzed using independent t-test, and a repeated measure one way ANOVA. Discussion: The findings are expected to be the basis for the development of appropriate tools and better intervention in nursing practice and education in relation to evidence and Islamic-based disaster curriculum as well as a guide for future research. Trial registration: on process with request number ANZCTR 378930
THE EFFECTIVENESS OF LOCAL WISDOM-BASED COUNSELING TO PREVENT IRON DEFICIENCY ANEMIA AMONG PREGNANT WOMEN: A PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL Darmawati Darmawati; Tongku Nizwan Siregar; Hajjul Kamil; Teuku Tahlil
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (790.235 KB) | DOI: 10.33546/bnj.1080

Abstract

Background: Anemia during pregnancy is a health problem that often occurs in developing countries. Local wisdom-based counseling is considered a new approach in preventing iron deficiency anemia among pregnant women by integrating cultural beliefs into antenatal counseling. Objective: The study aims to measure the effectiveness of local wisdom-based counseling model among pregnant women to prevent iron deficiency anemia. Methods: This paper outlines the protocol of a randomized controlled trial method. Two intervention programs will be developed, the local wisdom-based program and health-based counseling intervention program, and will be tested among 150 pregnant women from nine public health centers in one district of Aceh Province. Sample selection will be completed through a simple random selection process. The effectiveness of the interventions will be assessed using a self-report questionnaire and a hemoglobin test. Data will be analyzed using descriptive and inferential statistics. Discussion: The expected outcome in this study is a significant difference in hemoglobin levels between both intervention groups. It is also expected that there will be an increase in knowledge, attitude, and behavior in the group who will receive local wisdom-based counseling intervention than the other group who will receive health-based counseling intervention. A local wisdom-based counseling approach is expected to give an effective model to reduce the prevalence of iron deficiency anemia among pregnant women. The effectiveness of this model may suggest the further application in the other regions. Registration trial number: ACTRN12620000299909
THE RELATIONSHIP OF EMOTIONAL INTELLIGENCE, WORKPLACE CULTURE, AND NURSE PERFORMANCE IN A PRIVATE HOSPITAL IN MEDAN INDONESIA Fajar Amanah Ariga; Jenny Marlindawani Purba; Mahnum Lailan Nasution
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1063

Abstract

Background: Nurse performance plays an important role in ensuring high quality care to achieve patient outcomes in hospitals. Therefore, factors related to the performance warrant investigation. Emotional intelligence and workplace culture are assumed to be related to nurse performance. Objective: To determine the relationship of emotional intelligence, workplace culture, and nurse performance at one of private hospitals in Medan Indonesia. Methods: This study employed a cross-sectional design with 126 associate nurses who were selected using a simple random sampling technique. Emotional intelligence, workplace culture, and nurse performance were measured using valid questionnaires. Spearman-Rank correlation test was used for data analysis. Results: Majority of nurses had high performance, emotional intelligence and workplace culture. There were significant relationships between emotional intelligence, workplace culture, and nurse performance, with a strong (r= .68; p= .01) and medium level (r= .30; p= .01), respectively. Conclusion: Nurses with high emotional intelligence and good workplace culture would show good performance in providing professional nursing care to patients. It is recommended for the hospital managers and nurse managers to improve emotional intelligence of nurses and create better workplace culture in order to improve the nurse performance.
VALIDATION OF ELDERLY ABUSE ASSESSMENT TOOL Joel Rey Ugsang Acob
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (683.727 KB) | DOI: 10.33546/bnj.1096

Abstract

Background: Several screening tools for elderly abuse have been developed but they have rarely been validated properly for wider use. The multiplicity of the tools available revealed the need to develop through collaborative research, a simple and reliable tool that can be adapted and used in different geographical and cultural settings. As the cases of abuse increase, nurses are in a position to rescue this vulnerable population through equipping knowledge and be knowledgeable on using elderly assessment tool for abuse cases. Objective: To validate the developed Filipino-based elderly abuse assessment tool. Methods: The study utilized descriptive confirmatory method design and underwent validation and reliability process. Five experts conducted the scrutiny during validation and 220 elderly clients’ subjected the tool for reliability tests. Data are analyzed using SPSS version 23, while frequency and percentage were used for continuous variable. Results: The Elderly Abuse Assessment Tool is valid and reliable. The tool is clear in terms of the word composition, the texts are understood easily, comprehensive, and relevant based on expert reviews. It has I-CVI of 0.84 (44 items) and increases value in its second version to 0.87 (42 items). On one hand, the tool obtained a very high degree of reliability with Cronbach’s Alpha of 0.974 during the second version. Regardless of item numbers are retained, the value remains high. Constructs identified from the validated tool. Kaiser’s criterion or the Eigenvalue result of the second version of the developed tool revealed six factors that can be extracted. However, in the Scree test or plot, only two factors located above the inflection points. This means that two factors or constructs can be named. The researcher decided to choose the lesser number for easier naming of factors. The tool was classified into two constructs, namely physico-sexual and psycho-financial factors, respectively. Conclusion: The Elderly Abuse Assessment Tool (EAAT) is valid and has a very high degree of reliability. Physico-sexual and Psycho-financial are the two major constructs of the tool. Filipino nurses can now articulate their expression of unending caring through the utility of the validated Elderly Abuse Assessment Tool (EAAT).
ARE INDONESIAN NURSES READY FOR HEALTHCARE ROBOTS DURING THE COVID-19 PANDEMIC? Feni Betriana; Tetsuya Tanioka; Rozzano Locsin; Hema Malini; Devia Putri Lenggogeni
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1114

Abstract

Healthcare robots are used in Indonesia and other countries to combat COVID-19 pandemic. This article was aimed to describe a perspective about healthcare robots, and to recommend ways for Indonesian nurses to engage with healthcare robots during the COVID-19 pandemic. One view hindering healthcare robot appreciation as partners of nurses is its threat to their practice. However, with the current environment of COVID-19 ‘frontline’ situations, increasing infections of patients with SARS COV2, limited personal protective equipment, and the fastidious nature of maintaining social distancing and mask-wearing, it may be best to view healthcare robots as significant partners to facilitate safety, and ease the demands of nursing care activities in order to safeguard human lives while enhancing human well-being. Educating healthcare practitioners about healthcare robot programming and assurance of its safe and secure use can advance robot appreciation as partners in healthcare. These goals, challenges, and recommendations can provide Indonesian nurses some pathways-to-readiness towards a partnership involving healthcare robots, particularly during this COVID-19 pandemic, and in the future.
THE ROLE OF CHLOROQUINE AND PSYCHOSOCIAL SUPPORT IN A PATIENT WITH COVID-19: A CASE REPORT IN INDONESIA Ade Dilaruri; Ira Rahmawati
Belitung Nursing Journal Vol. 6 No. 3 (2020): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (966.592 KB) | DOI: 10.33546/bnj.1132

Abstract

Background: COVID-19 is caused by the 2019 novel coronavirus (2019nCoV) which was identified on 7 January 2020 by the Chinese Center for Disease Control and Prevention (CDC) from the throat swab sample of a patient. This novel coronavirus is phylogenetically similar to the severe acute respiratory syndrome coronavirus (SARS-CoV) that caused SARS outbreak in 2002. Objective: To describe a case of a COVID -19 patient in a hospital in Indonesia. Case Report: A 55-year-old male was admitted to the Emergency Department of Arifin Achmad Hospital on 31 March 2020. He was transferred from a private hospital after three days of hospitalization. Previously, he came to another hospital complaining palpitation, cough, having difficulty of breathing, and intermittent fever. He then was advised to be admitted and tested for a COVID-19 test. At first, he did not admit to having traveled recently. After three days, the pharyngeal swab test was received confirming that he was contracted with COVID-19. The patient was then transferred to our hospital and hospitalized for ten days. Discussion: The patient was fully recovered after ten days of treatment with antiviral drug namely Oseltamivir 75 mg orally twice a day and chloroquine phosphate 500 mg twice a day orally. The combination of both drugs showed an immune-modulating activity which might increase its antiviral effects. Therefore, the use of this agent in COVID-19 patients might be worthwhile. During hospitalization, reducing patient anxiety was also one of our main goals as many studies has found that anxiety is associated with poor immune system. Conclusion: This case report demonstrated the current situation in Indonesia where people become reluctant to fully disclose their symptoms or travel history to the health care workers, which may put many others on the risk of being transmitted with the virus. Although the proven efficacy of chloroquine is still lacking, it has become the favorable choice at this moment as indicated in our study. Reducing the patient’s anxiety towards the disease may help to speed the patient’s recovery. Also, we need to educate public that COVID-19 might be a life-threatening disease but it is also a treatable disease.

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