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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 5 Documents
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Search results for , issue "Vol 6, No 1 (2016): (JUNE 2016)" : 5 Documents clear
A Review of the Quality Improvement in Discharge Planning through Coaching in Nursing Rahayu, Candra Dewi; Hartiti, Tri; Rofi’i, Muhamad
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.596 KB) | DOI: 10.14710/jil.%v.%i.10-18

Abstract

Background: Discharge planning quality will improve the quality of nursing care, patient’s self-reliance, quality of life, self-efficacy, and reduce the recurrence rate andLOS (Length of Stay) as well as reduce the cost. Coaching is a method to increase professionalism in the delivery of nursing and caring. Coaching in nursing will improve the nurses’ skills, knowledge, and motivation in providing nursing discharge planning.Purpose: The study aimed to review coaching in nursing to improve the quality of discharge planning.Methods: A literature review was done by collecting the results of scientific publications within 2011-2016 from databases such as EBSCO, ProQuest, PubMed,Google scholar, and the American Journal of Nursing (AJN). Searching was done using the keywords of “coaching”, “nurse”, “supervision” and “discharge planning”.Results: Six scientific publications were selected in accordance with the criteria of this research. Those publications were of quantitative correlation, experimental and qualitative studies. Results of the review showed that the discharge planning is part of nursing care. Coaching is a competence which must be possessed by nursing managers.Unfortunately, the majority of managers were still lacking in their ability to conduct coaching to nurses.Conclusion: Coaching is important for nurses to improve the quality of discharge planning. However, many nurses still have limitation on their capability to do coaching. It is recommended that nurses are given coaching training to develop their ability in coaching.
Management for Preventing Ventilator-Associated Pneumonia at ICU Panti Rapih Hospital: A Clinical Case Study Theresia, Siwi Ikaristi Maria
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.3 KB) | DOI: 10.14710/jil.%v.%i.19-26

Abstract

Background: Ventilator-Associated Pneumonia (VAP) is one kind of nosocomial infection that happens to patients who use mechanical ventilator and tracheostomy. Patients who are hospitalized in Intensive Care Unit (ICU) would have high risk onsuffering from Pneumonia.Objective: This paper aims to describe the interventions of nurses and to give recommendations for managing the VAP prevention using case study method.Methods: The data were collected from a patient who used mechanical ventilator and continued by observing and interviewing the nurses who took care of the patient.Results: The development of late onset of VAP was noticed after 96 hours. The observation result showed that there were fungi appeared after conducting a sputum culture from the patient. There was an increase of White Blood Cells on 72 hours after the intubation and the temperature increased until 37o C while the patient was using ventilator. Unfortunately, the nurses were not aware of the tendency of late onset VAP development in the patient.Discussion: Fungi are microorganism which causes VAP. The fungi were not proliferating because the patient had received early antibiotics for treatment. Early administration of antibiotics will prevent the development of VAP, but late VAP is associated with antibiotic-resistant organism. The significant increase of WBC count and the tendency of temperature while the patient was using ventilator were signs for developing infection. VAP can be prevented by conducting good oral hygiene every 2 hours using chlorhexidine 0.12% and using orogastric tube and ETT with sub glotticport to patients who use mechanical ventilator. Furthermore, positioning the patient’s head with 35o - 45o bed elevation is intended to prevent aspiration as well as checkingadequate endotracheal tube cuff of at least 20 cm H2.Conclusion: Awareness, responsibility, knowledge, skills of nurses are basis forinfection control especially for preventing VAP incidents.
Triage process in Emergency Departments: an Indonesian Study Rochana, Nana; Morphet, Julia; Plummer, Virginia
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.116 KB) | DOI: 10.14710/jil.%v.%i.27-37

Abstract

Background: Triage process has rapidly developed in some countries in the last three decades in order to respond to the demand for emergency services by growing population and emergency health needs. However, this development does not appear to match in Indonesian hospitals. The triage process in Indonesia remains obscure.Purpose: This study aimed to describe triage process in Indonesia from a range of different perspectives.Methods: The research design of this study was descriptive qualitative using semistructured interviews of 12 policy makers or persons responsible from 5 different organizations which informed triage practice in Indonesia. The data were analyzed using a three step content analysis.Results: The result produced 3 themes. First, four steps of triage process ranging from receiving to prioritizing were reported as the triaging procedures in Indonesia which were almost similar to the international literature except for a re-triage step. Second,primary and secondary triage processes were also applied in all emergency departments in Indonesia. Last, no prolonged waiting time in Indonesia could be assumed whether the triage process was effective and efficient or it was only a quick process of sorting to rapidly increase the number of patients in the treatment rooms. Out of the themes, the result also indicated that the involvement of nurses in health policy development inIndonesia needed supportConclusion: Triage process in Indonesia still needs improvements. Patient’s re-triage and evaluating secondary triage should be given more frameworks in the future. An effective and efficient triage process in Indonesia will best manage the number of patients in the treatment rooms and therefore further observational researches on patterns and trends are needed. Moreover, including the role of nurses as policy makers in the curriculum of nursing undergraduate and post-graduate degrees would give nurses the evidence to seek out policy making positions in the future
Strategies for Successful Transition into Mainstream Schools for Young Children with Autism Spectrum Disorders: A Case Study Mardiyanti, Mardiyanti
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.324 KB) | DOI: 10.14710/nmjn.v6i1.11815

Abstract

Background: Meeting changes can be very problematic for children with Autism Spectrum Disorders (ASDs) whereas other children may take it for granted. As a result,they may cry, get upset, scream, do hand flapping or even self-harming that shows their inability to cope with the changes and their preference of sameness and routine activities. To understand the issue of changes in children with autism, people should know the complexity of the disorders.Purpose: This article will explain further about the strategies for a successful transition into mainstream schools for young children with autism as illustrated in Jack’s case study in the appendices.Methods: A case study was conducted to one respondent. Firstly, the article will explain ASDs and its atypical characteristics of 6-years old Jack. Then it will discuss strategies to help Jack’s transition process, as well as strategies to support his learning process during schooling which finally comes up with a conclusion to support Jack and his family’s transition into mainstream primary education.Results: Strategies for successful transition into mainstream schools for young children with autism include using visual information and activity schedules, managing sensory overload, and building literacy skills.Conclusion: Attractive playing can be effective strategies to build skills for successful transition of young children with autism.
Early Delirium Assessment for Hospitalized Older People in Indonesia: A Systematic Review Saifullah, Azam David; Chen, Ching-Min
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.552 KB) | DOI: 10.14710/jil.%v.%i.1-9

Abstract

Background: Due to the increasing risk of getting co-morbidity and frailty, older people tend to be prone to hospitalization. Hospitalization in older people brings many adverse effects. Moreover, when these elderly get delirium, the mortality and morbidity will increase. The risk of getting deterioration and worsening condition because of delirium would also increase. In fact, delirium assessment is not a high priority in taking care older people during hospitalization because the focus of care is treating the disease.Delirium screening as an early recognition of delirium in the hospitalized elderly inIndonesia remains unreported and even do not well evaluated. Therefore, delirium as a preventable problem or causing problems remains unrecognized.Purpose: This paper aims to review the current evidence of early assessment of delirium in hospitalized older people.Methods: A systematic review was conducted from four databases yielding to 4 articles which met the inclusion and exclusion criteria.Results: There are four focuses on the result, namely delirium screening tools, patient characteristics, identified early delirium assessment, and outcomes affected by early delirium assessment. Confusion Assessment Method (CAM) was used as the delirium screening tool in the hospital. Establishing the care team involving many disciplines will give a better way to improve the integrated care and collaborative care.Conclusion: Performing CAM integrated into comprehensive geriatric assessment can be the most important thing to be undertaken when looking after the hospitalized elderly.

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