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Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
Nursing
Nurse Media Journal of Nursing (e-ISSN: 2406-8799, p-ISSN: 2087-7811) is an international journal that provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological nursing, community nursing, mental health nursing, pediatric nursing, maternity nursing, nursing leadership and management, complementary and alternative medicine (CAM) in nursing, and education in nursing. The journal is published regularly in June and December every year. Starting 2020, the journal will publish three issues each year, that is in April, August, and December
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Articles 14 Documents
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Search results for , issue "Vol 11, No 1 (2021): (April 2021)" : 14 Documents clear
Effectiveness of Pelvic Floor Muscle Training and Yoga on the Quality of Life in Perimenopausal Women with Urinary Incontinence Purba, Juliani
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.32156

Abstract

Background: Urinary incontinence is a symptom of genitourinary disease in perimenopausal women that can seriously affect both physical and mental health and quality of life (QOL). Pelvic floor muscle training (PFMT) and yoga are the exercises that have been applied to treat urinary incontinence. Research that compares the effect of PFMT and yoga on improving the quality of life of women with urinary incontinence is necessary. Purpose: This study aimed to compare the effectiveness of PFMT and yoga to improve the QOL in perimenopausal women with urinary incontinence.Methods: A quasi-experimental study with a nonequivalent control group design involving 48 perimenopausal women with all types of urinary incontinence was conducted. The participants were selected by consecutive sampling and equally divided into two groups. Each group was given the PFMT intervention and yoga exercise three times a week for eight weeks. The QOL was assessed using the incontinence impact questionnaire short form (IIQ-7). The data were analyzed by the Mann-Whitney U test, Wilcoxon signed rank test, and paired sample t-test.Results: The mean (standard deviation) score of total IIQ-7 in the PFMT group were lower (3.58 [2.57]) than that in the yoga group (5.17 [2.14]; p=0.061). There were differences in IIQ-7 score in the domains of physical activity (p<0.001), social relationships (p<0.001), and traveling (p<0.001) in the PFMT group. In contrast, in the yoga group, differences were found only in the emotional health domain (p=0.039). The IIQ-7 score was better in the PFMT group than in the yoga group.Conclusion: PFMT was as effective as yoga exercise to improve the QOL. PFMT and yoga should be taught to perimenopausal women with urinary incontinence.
Factors Associated with Genital Hygiene Behaviors in Cervical Cancer Patients in Surakarta, Indonesia Umami, Afriza; Sudalhar, Sudalhar; Lufianti, Anita; Paulik, Edit; Molnár, Regina
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.35829

Abstract

Background: Maintaining genital cleanliness is essential for women since intimate organ problems can cause female tract infections. Poor genital hygiene can affect sexually transmitted infections, and therefore, it is prominent to investigate factors related to genital hygiene behaviors in women to reduce this type of infection.Purpose: This study aimed to find out the factors associated with genital hygiene behaviors in cervical cancer patients.Methods: A case-control study was conducted on cervical cancer patients in Surakarta, Indonesia, from December 2017 to February 2018. A structured questionnaire was used to collect data from 178 subjects using a fixed disease sampling technique that consisted of 56 cases of poor genital hygiene behaviors and 122 controls of good genital hygiene behaviors with a comparison of 1:2. The dependent variable was genital hygiene behaviors, while the independent variables were stress, exposure to social media regarding genital hygiene, environmental sanitation, husband’s education, and support. Logistic regression was employed for data analysis.Results: Genital hygiene behaviors increased with exposure to social media related to genital hygiene (OR=9.20; 95% CI=3.87 to 21.87, p<0.001), good environmental sanitation (OR=5.16; 95% CI=2.19 to 12.14, p<0.001), high husband’s education (OR=6.49; 95% CI=2.23 to 18.91, p=0.001) and support (OR=2.88; 95% CI=1.24 to 6.67, p=0.013). Women who experienced psychological problems such as stress showed decreased genital hygiene behaviors (OR=0.25; 95% CI=0.94 to 0.71, p=0.009).Conclusions: Genital hygiene behaviors in women increased with exposure to social media related to genital hygiene, adequate environmental sanitation, high husbands’ education, and support. In contrast, stress decreased women’s behaviors in practicing genital hygiene. These findings emphasize the need for women to improve genital hygiene behaviors as well as for nurses to explain how to increase women's genital hygiene behaviors.
A Qualitative Study on the Breastfeeding Experiences of Young Mothers Astuti, Andari Wuri; Kurniawati, Herlin Fitriana; Kurniawati, Herlin Fitriani
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33539

Abstract

Background: Breastfeeding practice for young mothers could be problematic, especially when supports are absent. Evidence reported that young mothers have risks of experiencing mental health problems and of behavioural problems in their children. Data showed that 36 per 1,000 childbirth occurred among Indonesian female adolescents aged 15-19 during 2018. Nevertheless, the breastfeeding experience of young mothers has not been well studied, particularly in the Indonesian context. Therefore, to develop professional caring and supporting relationships, it is important to address this knowledge gap.Purpose: This study aimed to explore the experiences of breastfeeding practices among Indonesian young mothers.Methods: A qualitative exploratory study was employed, and one-to-one in-depth interviews were conducted on 18 young mothers between May until August 2019. Data analysis was guided by Colaizzi’s thematic approach.Results: Four key themes emerged from the qualitative data, i.e., formal support of breastfeeding, the role of family, partner and peers, culture and judgement, and future aspirations and healthcare. Indonesian young mothers sought formal information on breastfeeding from healthcare providers. However, there was a lack of translation into practices due to lack of supports from partners, cultural beliefs, and parents' interference, which consequently led to the failure of breastfeeding. Indonesian young mothers were suggesting that breastfeeding information should also be provided to their circle of supports, such as partners and close relatives. Conclusion: Indonesian young mothers experienced complex situations through their journey of breastfeeding practices. A tailored maternity health service involving partners, parents, and communities into culture-sensitive programme intervention is needed to provide professional caring, and reliable supportive sources of breastfeeding for young mothers. 
Knowledge, Attitude, and Practice toward COVID-19 among Healthy Population in the Philippines Tuppal, Cyruz P.; Ninobla, Marina Magnolia G.; Ruiz, Mara Gerbabe D.; Loresco, Richard D.; Tuppal, Shanine Mae P.; Panes, Iril I.; Oducado, Ryan Michael F.; Prudencio, Denise Angelo M.; Vega, Paolo D.; Eribal, Mark John E.; Real, Don Vicente P.; Roa, Mary Nellie T.
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.36067

Abstract

Background: COVID-19 pandemic has become a severe health threat to the Philippines and around the world. At the early onset of the pandemic, it is imperative to measure the knowledge, attitude, and practice (KAP) among healthy individuals to better understand the causes, transmission, and preventive measures. Purpose: This study aimed to identify the knowledge, attitude, and practice towards COVID-19 in a healthy Filipino population during the early onset of the pandemic outbreak.Methods: This cross-sectional rapid online and web-based survey was conducted among healthy Filipino population. A total of 1634 subjects participated via the Google survey link. Descriptive statistics were used to describe the respondents' profile characteristics and KAP scores. The One-Way ANOVA or independent sample t-test was used to measure KAP scores' differences when grouped according to respondents' profile characteristics. Pearson correlation was used to measure the relationship among the KAP scores. The data were all analyzed using the SPSS version 26.0. Results: The overall knowledge scores revealed 67.7%. Filipinos believed COVID-19 would finally be successfully controlled and confident that the Philippines can win the battle against the virus through preventive practices. KAP scores showed significant differences with age, sex (p<0.000), and place of residence (p<0.000), occupation (p<0.000), and marital status (p<0.000). A significant positive low correlation between knowledge and practice (r=0.076, p<0.01), attitude and practice (r=0.100, p<0.01).Conclusion: Albeit a low knowledge of COVID-19, healthy Filipino populations had a positive attitude and compliant with the preventive measures. This study hopes to contribute to the growing corpus of literature on COVID-19 to provide evidence-based information towards health promotion, illness prevention, and control of possible virus' spread.
Exploring Health Professionals’ Perceptions of Husbands’ Responsibilities in Muslim Women’s Health Widiasih, Restuning; Nelson, Katherine
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33852

Abstract

Background: The husband has an important role in women's health. However, the information related to their roles is limited, including from the perspectives of health professionals. The health professionals' support and behavior have influenced men's and women's health behavior. Purpose: This study aimed to determine the health professionals’ perceptions of husbands’ roles and behavior in women's health, especially in the Muslim community.Methods: A qualitative descriptive approach applied in this study. Data were collected using the interview method. Ten clinicians from rural and urban areas of West Java, Indonesia, with a range of experience engaging with Muslim husbands involved in this study. Semi-structured interviews were recorded and then transcribed by the researchers. The transcribed data were analyzed using the comparative analysis for the interview technique.Results: Four main themes were identified: (1) Contextual factors impact husbands' roles in women's health; (2) Extensive roles of Muslim husbands in women's health; (3) Husbands and others involved in decisions about women's health; and (4) Level of health literacy affects husband's actions in women's health and cancer.Conclusion: Health professionals perceived that husbands' roles in Muslim women's health are pivotal, especially in supporting health treatments in health services. Little information was obtained about husbands' support in cancer prevention and early detection. Nurses can take the lead in improving Muslim husbands' understanding of women's health and cancer and raising their awareness of cancer screening for their wives.
Balance Strategy Exercise versus Lower Limb-ROM Exercise for Reducing the Risk of Falls among Older People Azkia, Zakia; Setiyani, Rahmi; Kusumawardani, Lita Heni
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33229

Abstract

Background: Falls are a significant health problem and the most common cause of injuries in older people. Different types of exercise have been recommended to prevent falls, including balance exercise and range of motion. However, there is a lack of evidence to compare the effect of the two exercises.Purpose: This study aimed to compare the effect of Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) exercise on reducing the risk of falls among older people living in long-term care facilities. Methods: This was a quasi-experimental study using a pre-post design without a control group. A total of 30 older adults from two nursing homes who met the inclusion and exclusion criteria participated in the study. A cluster randomization technique was used to assign the older people into either BSE or Lower-Limb ROM groups evenly. Treatment was given for 30 minutes per session, three sessions per week for three weeks. The risk of falls was measured using the Timed Up and Go (TUG) test. The paired t-test, Wilcoxon and Mann-Whitney U-test were used to analyze the data. Results: Results showed significant differences in the TUG scores before and after the intervention within both the BSE (p=0.001) and the Lower Limb-ROM group (p=0.001). However, the Lower Limb-ROM group demonstrated a significantly higher reduction in TUG score than the BSE group after the intervention (p=0.008).Conclusion: Lower Limb-ROM exercise is better to reduce the risk of falls among older people living in institutional care than BSE. This exercise can be applied as part of a fall prevention program in nursing homes.
From Nursing to Courtroom: A Qualitative Descriptive Study of the Preparations, Motivations, and Barriers of Nurses Becoming Lawyers Estoque, Homelo Valenzuela; Padagas, Reynold Culimay
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33886

Abstract

Background: Transitioning is a common phenomenon that happens such as in a career shift provoked by either internal or external factors. This phenomenon also occurs to nurses becoming lawyers. Considering its complexity, such transition entails a process.Purpose: This study aimed to describe and uncover the preparations, motivations, ad barriers of nurses who transitioned into nurse-lawyers in the Philippines. Methods: The study employed descriptive-qualitative research design utilizing twenty participants selected through purposive and snowball or referral sampling techniques. A semi-structured interview guide was used for the data collection using Google form. Braun and Clarke’s thematic analysis was utilized as the primary treatment of the transcribed data. Strict observance of ethical standards in conducting research was ensured.Results: The study found out several themes and subcategories from the thematic analysis conducted. These included (1) “pre-planning emotive expressions”; (2) “motivations of career shift”; (3) “support mechanisms to afford career shift”; (4) “barriers to career shift”; (5) “the interconnectedness of law and nursing”; and (6) “impacts of the career shift.” Conclusion: Generally, the career shift of the nurse-lawyers presented significant themes pertinent to their preparations, motivations, and barriers in becoming lawyers. Apparently, these are all primordial in the career transition of the nurse-lawyers. Essentially, the study provides preliminary findings that may become springboard in the construction of a grounded theory that would explicate the transition of the nurse-lawyers as a phenomenon uniting and expanding nursing and the practice of law as complementary sciences.
The Experiences and Meanings of Nurses’ Smiles to Patients in the Emergency Department Fitriana, Vera; Santoso, Agus; Dharmana, Edi
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.28377

Abstract

Background: Psycho-emotional aspects play an important role in both health services and health workers in the emergency department. Smiles are forms of interactions between nurses and patients that are given in providing health services to patients in terms of nonverbal communication. However, high workloads in the emergency unit may hinder nurses from smiling. Purpose: This study aimed to explore the experiences and meanings of nurses’ smiles to patients in the emergency department.Methods: This study employed a qualitative design with a descriptive phenomenological approach. Thirteen participants were recruited through purposive sampling using the inclusion criteria, such as emergency nurses with more than three years of work experience and nurses who had attended training on effective communication. Data were collected through in-depth interviews with semi-structured questions and analyzed using the Colaizzi’s phenomenological approach. Results: The study generated four themes, namely, the importance of smiles in emergency services, the miracle of smiles, the hindrances for emergency nurses to smile, and that smiles and humor in an emergency situation are important for children. Conclusion: The study concluded that nurses’ smiles had a significant benefit on emergency department services as a form of interpersonal relationship, although the practice still needs to be improved. Nurses are expected to be able to apply smiles in communicating with patients and their families in the emergency departments.
Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study Sh Sugiharto; Wiwiek Natalya; Bambang Widjanarko Otok
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33926

Abstract

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services. 
Nurses’ Intention to Work during the COVID-19 Outbreak in West Sumatra, Indonesia Mailani, Fitri; Huriani, Emil; Muthia, Rahmi; Sarfika, Rika
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.34093

Abstract

Background: Nurses who work on the front-line and are involved in caring for COVID-19 patients have a high risk of transmission. The increase in the number of confirmed and suspected cases, followed by an increase in workload, a limitation of personal protection equipment, a lack of effective treatment, and inadequate emotional support may contribute to the work intention during a pandemic.Purpose: This study aimed to describe nurses’ intention to work and provide care when people may be at risk of the COVID-19 and examine its relating factors. Methods: This was a cross-sectional and survey-based study that collected the respondents' characteristics and the intention to work measurements from 238 nurses in 36 hospitals in West Sumatera, Indonesia. Data analysis was performed using descriptive statistics, T-tests, and ANOVA.Results: The mean and standard deviation scores of nurses’ intention to work during the COVID-19 outbreak were 42.49±5.92. The isolation experience, the presence of authorized beds for COVID-19, and sufficient protection equipment supply, were correlated to the intention to work (p=0.016, p=0.035, p=0.000). Nurse respondents expected that hospital managers should provide more attention to nurses who agreed to attend to work during the COVID-19 outbreak. Conclusion: Nurses showed preserved intention to work during the COVID-19 outbreak. The factors correlated with intention to work were isolation experience, the presence of authorized beds for COVID-19, and protection equipment supply. The government and hospital management should ensure strategies and regulations to provide adequate hospital protective equipment supplies. They should also support compensations to nurses who actively care for patients during the COVID-19 outbreak.

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