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Jurnal Keperawatan Indonesia
Published by Universitas Indonesia
ISSN : 14104490     EISSN : 23549203     DOI : https://doi.org/10.7454/jki
Core Subject : Health,
Health Professions Nursing
Focus and Scope Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) contributes to the dissemination of information related to nursing research and evidence-based study on urban nursing issues in low-middle income countries. The scope of this journal is broadly multi-perspective in nursing areas such as Nursing Education, Clinical Practice, Community Health Care, Management and Health System, Health Informatics, and Transcultural Nursing, with a focus on urban nursing issues in low-middle income countries. JKI is committed to communicating and being open to the discussion of ideas, facts, and issues related to health across a wide range of disciplines. The journal accepts original research articles, synthesized literature, and best practice reports or case reports that use the quantitative, qualitative, or mixed-method approach. JKI adheres to journalistic standards that require transparency of real and potential conflicts of interest that authors and editors may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE), the World Association of Medical Editors (WAME), and the Committee on Publication Ethics (COPE). Letters and commentaries about our published articles are welcome. All submitted contributions will undergo a blind peer-review process according to appropriate criteria.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
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Table of Content Volume 23 No.1 March 2020 Rina Setiana
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.1211

Abstract

Changes in The Signs, Symptoms, and Anger Management of Patients with A Risk of Violent Behavior After Receiving Assertive Training and Family Psychoeducation Using Roy’s Theoretical Approach: A Case Report Yanuar Fahrizal; Mustikasari Mustikasari; Novy Helena Catharina Daulima
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.598

Abstract

Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre–posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient’s ability to overcome the risk of violent behavior. The application of Roy’s adaptation theory and Stuart’s stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior. Abstrak Perubahan Tanda, Gejala, dan Manajemen Marah pada Pasien dengan Risiko Perilaku Kekerasan Setelah Menerima Pelatihan Asertif dan Psikoedukasi Keluarga Menggunakan Pendekatan Teori Roy: Studi Kasus. Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis (mengontrol marah dengan cara fisik, minum obat teratur, cara verbal dan cara spiritual) dan tindakan keperawatan spesialis (latihan asertif dan psikoedukasi keluarga). Laporan kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan yang diberikan adalah tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dengan menggunakan pendekatan teori adaptasi Roy dan adaptasi stress Stuart. Tindakan keperawatan dilakukan secara berurutan/ bertahap dimulai dengan tindakan keperawatan generalis kemudian dilanjutkan dengan tindakan keperawatan ners spesialis. Metode yang digunakan adalah pre-posttest dimana setiap pasien mendapatkan tindakan generalis serta tindakan ners spesialis latihan asertif dan psikoedukasi keluarga yang masing-masing terdiri dari 5 sesi. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Penggunaan pendekatan teori adaptasi Roy dan teori adaptasi stress Stuart berpotensi sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan. Kata Kunci: latihan asertif, psikoedukasi keluarga, risiko perilaku kekerasan, skizofrenia 
Pap Test Practice and Barriers of Nurses in Bandung, West Java Putu Inge Ruth Suantika; Yanti Hermayanti; Titis Kurniawan
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.843

Abstract

The lack of interest from the public and health workers, such as nurses to carry out a pap test, is one of the triggers of cervical cancer cases. The purpose of this study was to identify the implementation of pap tests and barriers of nurses in Bandung, West Java. This study used a cross-sectional descriptive study design with a sample of 286 married nurses. Data collection was conducted during two months. The analysis was conducted by the Fisher exact test or chi-square test. The results showed that the level of education and religion had a significant relationship with the pap test behavior (p= 0,000; p= 0.031). The most perceived barrier was that respondents felt uncomfortable with the male examiners. So it was recommended to provide female examiners in the ob-gyn section in the hospitals and to improve the nurses' perceptions with pap test. Keywords: barrier, nurse, pap smear, practice Abstrak Perilaku dan hambatan pap smear pada perawat di Kota Bandung, Jawa Barat. Fenomena yang terjadi pada kasus kanker serviks adalah minimnya minat dari masyarakat bahkan petugas kesehatan seperti perawat untuk melakukan pap smear sebagai bentuk pencegahan kanker serviks. Tujuan penelitian ini adalah untuk mengidentifikasi pelaksanaan pap smear serta hambatannya pada perawat di Kota Bandung, Jawa Barat. Penelitian ini menggunakan desain studi deskriptif cross-sectional dengan jumlah sampel 286 perawat yang sudah menikah. Pengumpulan data dilakukan pada Februari hingga Maret 2018. Analisis menggunakan fisher exact test atau chi-square test. Hasil penelitian menunjukkan bahwa tingkat pendidikan dan agama memiliki hubungan yang signifikan dengan perilaku pap smear (p= 0.000; p= 0.0301). Hambatan yang paling dirasakan adalah responden merasa kurang nyaman dengan pemeriksa laki-laki sehingga direkomendasikan untuk penyediaan pemeriksa perempuan pada bagian obgyn di rumah sakit serta memperbaiki persepsi perawat yang salah terhadap pap smear.  Kata Kunci: hambatan, pap smear, perawat, perilaku
Oral Care Prevents Late-Onset Sepsis in Risk Preterm Infants Fitri Wahyuni; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.551

Abstract

The incidence of infections in preterm infants is still quite high. In this study, oral care with human breast milk was implemented in risk preterm infants as a precaution. The study was conducted using a quasi-experimental method with a non- equivalent control group and posttest only design in 40 risk preterm infants. The participants were divided into two groups of 20. The data were analyzed using independent t-test and a Wilcoxon test. The results show that this intervention has an effect on the incidence of late-onset sepsis in preterm infants. The effect is based on symptoms: body temperature instability (p = 0.021), C-reactive protein (p = 0.006), and leukocytes (p = 0.020) all indicated differences between the two groups. It is recommended that this practice be adopted as a routine therapy program in perinatology.Keywords: exclusive breastfeeding, late-onset sepsis, oral care, risk preterm infants, sepsis Abstrak Perawatan Mulut Mencegah Sepsis Neonatorum Awitan Lambat pada Bayi Prematur Risiko Tinggi. Angka kejadian infeksi setelah lahir pada bayi prematur masih cukup tinggi. Pelaksanaan intervensi pemberian oral care menggunakan air susu ibu pada bayi prematur risiko tinggi telah dilakukan sebagai pencegahan. Penelitian dilakukan menggunakan metode kuasi eksperimen dengan desain post-test only, kelompok kontrol non ekuivalen, pada 40 bayi prematur risiko tinggi sebagai sampel. Responden dibagi menjadi dua kelompok, masing-masing kelompok 20 responden. Data dianalisis menggunakan uji t independen dan wilcoxon. Hasil Intervensi ini terbukti memiliki manfaat terhadap dalam menurunkan kejadian sepsis neonatorum awitan lambat pada bayi prematur berdasarkan tanda klinis seperti ketidakstabilan suhu tubuh (p value 0,021), hasil pemeriksaan C-Reaktif Protein (p value 0,006) dan leukosit (p value 0,020) yang menunjukkan adanya perbedaan yang bermakna antara kelompok kontrol dan kelompok intervensi. Intervensi ini diharapkan dapat dilanjutkan menjadi program terapi rutin yang akan dilakukan di ruang rawat perinatologi. Kata Kunci: ASI eksklusif, bayi prematur, oral care, sepsis, sepsis neonatorum awitan lambat
Effectiveness of Otago Exercise on Health Status and Risk of Fall Among Elderly with Chronic Illness Stefanus Mendes Kiik; Antonius Rino Vanchapo; Maria Fitrya Elfrida; Muhammad Saleh Nuwa; Siti Sakinah
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.900

Abstract

Falls are a serious consequence of declining physical function. Otago exercise is a strength and balance training program designed to prevent falls and enhance health status among the elderly. This study aimed to investigate the effect of a 12-week Otago exercise intended to reduce the risk of falls and health status among the elderly with chronic illness in the social elderly institution. This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group (21 respondents) and a control group (21 respondents). The sample used in this study were elderly living in a social elderly institution. The sample was selected using simple random sampling. The data were analyzed using Mann–Whitney test, independent t-test, and Chi-square test. Otago exercise significantly reduced the respondents’ risk of falling and enhanced their health status. Significant differences were observed between the two groups in terms of the risk of fall (p= 0.041) and health status (p= 0.011). Otago exercise significantly improves the health status and reduces the risk of falling among elderly with chronic illness. The exercise can be recommended for older adults with chronic illness in social elderly institutions and communities. Abstrak Efektivitas Latihan Otago terhadap Status Kesehatan dan Risiko Jatuh pada Lansia dengan Penyakit Kronik. Jatuh adalah konsekuensi serius dari penurunan fungsi fisik. Latihan Otago adalah program latihan kekuatan dan keseimbangan yang didesain untuk mencegah jatuh dan meningkatkan status kesehatan pada lansia. Penelitian ini bertujuan untuk menginvestigasi efek 12 minggu latihan Otago untuk menurunkan risiko jatuh dan meningkatkan status kesehatan pada lansia dengan penyakit kronik di Panti Sosial lansia. Penelitian Quasi-eksperimental ini menggunakan pre-post dengan kelompok kontrol. Kelompok intervensi dan kontrol masing-masing terdiri dari 21 responden. Sampel dalam penelitian ini adalah lansia yang tinggal di UPT Kesejahteraan Sosial Lanjut Usia Budi Agung Kupang.  Teknik sampling yang digunakan adalah simpel random sampling. Data dianalisis menggunakan Mann-Whitney test, Independent t-test dan Chi-square test. Latihan Otago secara signifikan menurunkan risiko jatuh dan meningkatkan status kesehatan. Ada perbedaan signifikan antara kedua kelompok dalam hal risiko jatuh (p= .041) dan status kesehatan (p= 0.011).  Latihan Otago secara signifikan menurunkan risiko jatuh dan meningkatkan status kesehatan pada lansia dengan penyakit kronik. Kata Kunci: lansia, latihan Otago, penyakit kronik, risiko jatuh, status kesehatan
Self-Efficacy and Feeling of Security Associated with Risky Sexual Behavior among Commercial Sex Workers Living with HIV Anki Tias Yolanda; Agung Waluyo; Lestari Sukmarini
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v0i0.537

Abstract

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p = 0.033; OR = 2.762) with risky sexual behavior. No significant relationship was noted between income (p = 0.244), knowledge (p = 0.110), attitude (p = 0.978), drug use (p = 0.150), alcohol consumption (p = 0.642), and sexual violence (p = 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities. Abstrak Efikasi Diri dan Perasaan Aman Berhubungan dengan Perilaku Seksual Berisiko pada Pekerja Seks Komersial dengan HIV. Pekerja Seks Komersial (PSK) menjadi populasi kunci penularan HIV. Perkembangan sektor pariwisata dan penerimaan masyarakat menjadikan PSK tetap bertahan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang memengaruhi perilaku seksual berisiko pada PSK dengan HIV positif. Desain penelitian ini adalah cross-sectional dengan jumlah sampel 80 Orang Dengan HIV AIDS (ODHA) PSK di Daerah Istimewa Yogyakarta dan Jawa Tengah. Analisis data menggunakan Chi-Square dan regresi logistik ganda. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara efikasi diri (p< 0,001; OR= 9,365) dan perasaan aman (p= 0,033; OR= 2,762) dengan perilaku seksual berisiko. Tidak terdapat hubungan yang signifikan antara penghasilan (p= 0,244), pengetahuan (p= 0,110), sikap (p= 0,978), pemakaian narkoba (p= 0,150), konsumsi alkohol (p= 0,642), dan kekerasan seksual (p= 0,968) dengan perilaku seksual berisiko. Pelayanan keperawatan diharapkan lebih berfokus pada upaya promotif dan preventif dengan melibatkan masyarakat dalam meningkatkan rasa aman dan efikasi diri PSK melalui program-program kesehatan dan peningkatan fasilitas kesehatan. Kata Kunci: HIV, pekerja seks komersial, perilaku seksual berisiko
“I Do Not Feel Confident and Uncomfortable Discussing Patients’ Sexuality Concerns”: A Thematic Analysis of Indonesian Nurses’ Experiences in Discussing Sexuality with Patients Hayuni Rahmah; Yati Afiyanti; Imami Nur Rachmawati; Titin Ungsianik; Tri Budiati; Wiwit Kurniawati
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.1173

Abstract

Despite the increasing complexity of the tasks and responsibilities in providing nursing care to patients, many Indonesian nurses may not possess adequate knowledge and skills to discuss sexuality with their patients. The purpose of this study is to explore the experience of Indonesian nurses in providing nursing care to patients regarding sexual problems. This research adopted a descriptive qualitative design to explore the experiences of Indonesian nurses in solving their patient’s sexual problems. Ten nurses working in a general hospital in Indonesia participated in this work. These nurses were interviewed extensively, and the data were transcribed and analyzed thematically. Four main themes were identified in this study: (1) Nurses believe that discussing a patient's sexual problems as part of their professional responsibility, (2) discomfort and embarrassments are barriers to providing adequate solutions to help resolve a patient's sexual problems, (3) nurses assume that most patients are not interested in discussing sexual problems because of illness, and (4) nurses do not have the confidence to discuss the patient's sexual problems. The findings of this study confirm that many nurses feel hesitant and uncomfortable when addressing patients' sexual problems. Thus, Indonesian nurses require more training related to providing nursing care to patients with sexual problems.  Abstrak “Saya Merasa Tidak Percaya Diri dan Tidak Nyaman dalam Mendiskusikan Masalah Seksual”: Analisis Tematik Pengalaman Perawat Indonesia Mendiskusikan Masalah Seksual Pasien. Terlepas dari meningkatnya kompleksitas tugas dan tanggung jawab dalam memberikan asuhan keperawatan kepada para pasien, banyak perawat Indonesia mungkin tidak memiliki pengetahuan dan keterampilan yang memadai untuk membahas seksualitas dengan pasien mereka. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawat Indonesia dalam memberikan asuhan keperawatan kepada pasien terkait masalah seksual. Penelitian ini mengadopsi desain deskriptif kualitatif untuk mengeksplorasi pengalaman perawat Indonesia dalam menyelesaikan masalah seksual pasien mereka. Sepuluh perawat yang bekerja di rumah sakit umum di Indonesia berpartisipasi dalam penelitian ini. Perawat diwawancarai, kemudian data ditranskripsi dan dianalisis secara tematis. Empat tema utama diidentifikasi dalam penelitian ini: (1) Perawat percaya bahwa mendiskusikan masalah seksual pasien adalah bagian dari tanggung jawab profesional mereka, (2) ketidaknyamanan dan rasa malu adalah hambatan untuk memberikan solusi yang memadai untuk membantu menyelesaikan masalah seksual pasien, (3) perawat menganggap bahwa sebagian besar pasien tidak berminat mendiskusikan masalah seksual karena penyakitnya, dan (4) perawat tidak memiliki percaya diri untuk mendiskusikan masalah seksual pasien. Temuan penelitian ini mengkonfirmasi bahwa banyak perawat merasa ragu dan tidak nyaman ketika menangani masalah seksual pasien. Oleh karena itu, perawat Indonesia membutuhkan lebih banyak pelatihan terkait memberikan asuhan keperawatan kepada pasien yang memiliki masalah seksual. Kata Kunci: deskriptif kualitatif, masalah seksual, perawat Indonesia, perawatan seksual
Perceived Competence and Transition Experience of New Graduate Filipino Nurses Nicolette Anne Ubas-Sumagasyay; Ryan Michael Flores Oducado
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.1071

Abstract

Recruitment and hiring of new graduate nurses is seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had a high level of self-reported fundamental nursing skills (M= 7.99) and core competence (M= 8.16), although areas needing improvement were identified. There were no significant differences in the perceived competence based on the length of experience, year graduated, area of assignment, sex, type of school graduated, CPD participation, and hospital bed capacity (p> .05). The major difficulty experienced by new graduates during their transition was related to changes in role expectations (72.2%). Majority expressed the need for increased support during their transition (83.5%). The most satisfying aspects of their working environment were ongoing learning (81%) and peer support (74.7%), while the least satisfying was the negative nursing work environment (55.7%). New graduate nurses are equipped with the necessary nursing skills and core competencies. However, there are still gaps and areas needing improvement that should be addressed and supported to assist them in their transition to the world of professional nursing practice. Follow up, feedback, mentoring, and preceptorship are beneficial to enhance the competencies of new graduate nurses and facilitate their successful transition into the nursing workforce.  AbstrakPersepsi Kompetensi dan Pengalaman Transisi Perawat Lulusan Baru Filipina. Rekrutmen dan perekrutan perawat lulusan baru dipandang sebagai strategi potensial untuk mengurangi masalah kekurangan perawat. Namun, penelitian sebelumnya mengungkapkan bahwa perawat lulusan baru tidak cukup siap untuk memasuki praktik dan mengalami kesulitan transisi. Penelitian ini bertujuan untuk menentukan persepsi kompetensi dan pengalaman transisi perawat lulusan baru Filipina. Tujuh puluh sembilan perawat lulusan baru yang dipilih dengan mudah disurvei dalam penelitian cross-sectional deskriptif ini. Instrumen yang dikelola sendiri digunakan untuk mengumpulkan data. Statistik deskriptif, uji Mann-Whitney U, dan uji Kruskal-Wallis adalah alat statistik yang digunakan. Hasil menunjukkan bahwa perawat lulusan baru memiliki tingkat tinggi keterampilan keperawatan fundamental yang dilaporkan sendiri (M= 7,99) dan kompetensi inti (M= 8,16), meskipun bidang yang perlu perbaikan diidentifikasi. Tidak ada perbedaan signifikan dalam kompetensi yang dirasakan berdasarkan lama pengalaman, tahun lulus, bidang tugas, jenis kelamin, jenis sekolah yang lulus, partisipasi CPD, dan kapasitas tempat tidur rumah sakit (p> 0,05). Kesulitan utama yang dialami oleh lulusan baru selama transisi mereka terkait dengan perubahan dalam ekspektasi peran (72,2%). Mayoritas menyatakan perlunya peningkatan dukungan selama masa transisi mereka (83,5%). Aspek yang paling memuaskan dari lingkungan kerja mereka adalah pembelajaran berkelanjutan (81%) dan dukungan sebaya (74,7%), sedangkan yang paling tidak memuaskan adalah lingkungan kerja keperawatan negatif (55,7%). Perawat lulusan baru dilengkapi dengan keterampilan keperawatan dan kompetensi inti yang diperlukan. Namun, masih ada kesenjangan dan bidang yang perlu diperbaiki yang harus ditangani dan didukung untuk membantu mereka dalam transisi mereka ke dunia praktik keperawatan profesional. Tindak lanjut, umpan balik, pendampingan, dan pelatihan guru bermanfaat untuk meningkatkan kompetensi perawat lulusan baru dan memfasilitasi keberhasilan transisi mereka menjadi tenaga kerja keperawatan.Kata kunci: penilaian kompetensi, perawat lulusan baru, keterampilan keperawatan, pengalaman transisi

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