Nurse Media Journal of 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
Articles
337 Documents
<![CDATA[Work-Related Fatigue Factors among Hospital Nurses: An Integrative Literature Review ]]>
<![CDATA[Alahmadi, Bader Abdullah]]>;
<![CDATA[Alharbi, Manal Fehade]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 8, No 2 (2018): (DECEMBER 2018) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v8i2.19554
<![CDATA[Background: Due to the demanding nature of nurses’ work and the current shortage of nurses, hospital nurses often find themselves working extra shifts, extended hours, and taking on more responsibilities. However, this added pressure on the body and mind results in fatigue which adversely affects nurses' health status as well as their ability to provide optimal health care procedures. Preventing fatigue and reducing its adverse consequences require comprehensive awareness about its diverse contributing factors.Purpose: This study aimed to examine factors which influence fatigue among nurses employed in a hospital setting.Methods: An integrative review was conducted to assess the quality of the research evidence, to find minor and major gaps in current research and the main issues in the area of the research and finally to bridge the research gaps. This integrative review identified a total of 12 relevant research studies from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, PsycINFO, and a manual search. Data were reviewed in May 2017, using an integrative review, and then interpreted, analyzed and synthesized to identify the key contributing factors that influence fatigue among hospital nurses.Results: The review revealed that significant factors such as organizational factors, nursing work characteristics, psychosocial factors as well as individual characteristics and demand, influenced the nurse fatigue. Work shifts, specifically night shifts and extended work shifts without sufficient inter-shift recovery were linked to higher levels of fatigue.Conclusion: This review identified the significant factors affecting fatigue among nurses in hospital settings in various countries all around the world. Findings from this study may help healthcare organizations and policymaker to introduce strategies that mitigate fatigue among nurses.]]>
<![CDATA[Perceived Ability to Practice in Disaster Management among Public Health Nurses in Aceh, Indonesia ]]>
<![CDATA[Putra, Ardia]]>;
<![CDATA[Petpichetchian, Wongchan]]>;
<![CDATA[Maneewat, Khomapak]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Universitas Diponegoro ]]>
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DOI: 10.14710/nmjn.v1i2.971
<![CDATA[Background: The increasing number of disaster events around the world has challenged every country to develop better disaster-management strategies. As a part of healthcare system, public health nurses (PHNs) should be involved in caring for people in disasters. Currently, there is no known study whether PHNs of Aceh, Indonesia, working with community people who are at high risk of confronting natural disasters, are able to perform their roles and functions regarding disaster management. Methods: 252 PHNs from twenty-seven public health centers in Aceh were studied during November to December 2010 to evaluate their perceived ability to practice regarding disaster management at each disaster phase: preparedness, response, and recovery phase. The perceived ability to practice was assessed by using the 30-statement, five-point Likert-scale (0-4) of Public Health Nurses’ Perceived Ability to Practice Regarding Disaster Management Questionnaire (PHNPP-DMQ). The composite scores of each phase and the total score were calculated and transformed to percentage for ease of presentation across disaster phases.Results: Overall, the PHNs’ perceived ability to practice regarding disaster management in Aceh was at a moderate level (M=74.57%, SD=13.27). The highest mean score was for the recovery phase (M=78%), and the lowest mean score was in the preparedness phase (66.15%).Conclusion: The finding of this study evokes challenges to the local government of Aceh province to further prepare PHNs to increase their ability in disaster management.Keywords: Disaster management, practice, public health nurses]]>
<![CDATA[Nausea, Vomiting and Retching of Patients with Cervical Cancer undergoing Chemotherapy in Bali, Indonesia ]]>
<![CDATA[Prapti, Ni Ketut Guru]]>;
<![CDATA[Petpichetchian, Wongchan]]>;
<![CDATA[Chongchareon, Wimonrat]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 2, No 2 (2012): (DECEMBER 2012) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v2i2.3983
<![CDATA[Background: Nausea, vomiting and retching (NVR) was the frequently reported and troublesome adverse effect for patients receiving chemotherapy. Purpose: This study is a part of a larger study which aims to describe the NVR symptom experience in cervical cancer patients undergoing chemotherapy in Bali, Indonesia, and examine relationships with individual's risk factors. Method: Sixty-six patients with stage II and III cervical cancer receiving Paxus (Paclitaxel)-Cisplatin at the second or the third cycle were enrolled. NVR was measured by the Index of Nausea, Vomiting and Retching (INVR) at the second day of their chemotherapy. This current study included only patients with age ranged between 32 to 65 years (M = 47.15, SD = 9.64, min-max age 35 – 65 years). Result: The result showed that the NVR score was at a moderate level. Younger subjects (age 32-50 years old) reported significantly higher NVR scores than that of older subjects (age 51-65 years old) (t = 2.76, p = .007). The subjects with higher anxiety scores reported significantly higher NVR scores than those with lower anxiety scores (t = -2.41, p = .019). Subjects who had experience in motion sickness had significantly higher NVR scores (M = 12.69, SD = 2.60) than those who did not (M = 9.23, SD = 2.86) and the difference was statistically significant (t = 4.98, p <.01). Meanwhile, no significant difference was found between subjects who reported their expectation to have nausea and those who did not (t = 0.08, p = .94). Conclusion: The findings provide valuable information regarding NVR and the individual risk factors among patients with cervical cancer undergoing chemotherapy. Nurses should assess the anxiety level and a history of motion sickness of patients planned for chemotherapy and offer preventive interventions to prevent and control NVR occurrence and its distress.Keywords: cervical cancer, chemotherapy, nausea, vomiting and retching]]>
<![CDATA[Sensitivity and Specificity of the Comfort Scale to Assess Pain in Ventilated Critically Ill Adult Patients in Intensive Care Unit ]]>
<![CDATA[Wahyuningsih, Indah S]]>;
<![CDATA[Prasetyo, Awal]]>;
<![CDATA[Utami, Reni Sulung]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 7, No 1 (2017): (JUNE 2017) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v7i1.15126
<![CDATA[Background: Pain is a common phenomenon experienced by ventilated and critically ill adult patients. It is urgent to measure the pain among these patients since they are unable to report their pain verbally. Comfort Scale is one of the instruments used to measure pain in adult patients. The scale is used to measure pain among children patients with fairly high sensitivity and specificity.Purpose: This study aimed to examine the sensitivity and specificity of the Comfort Scale to measure pain in the ventilated critically ill adult patients in the ICU.Methods: This study employed a cross-sectional design with 66 ventilated adult patients in the ICUs of two hospitals in Semarang. The pain assessment was administered to the patients in 2 duplo periods by two observers comparing with the Comfort Scale and Critical Care Pain Observational Tool (CPOT) as a gold standard instrument during the pre and post positioning procedures. The data were analyzed using the receiver operating curve (ROC).Result: The results showed that in the pre-positioning procedure, the Comfort Scale had the sensitivity value of 69% and the specificity value of 81%. Meanwhile, in the post-positioning procedure, the values were decreasing (the sensitivity of 45%, the specificity of 67%). This indicated that the sensitivity value of the comfort scale decreased and could be interpreted that the ability of the instrument to detect pain remained low. Meanwhile, the decrease of the specificity value of the instrument between the pre and post administration was not far different, so it could be interpreted that the instrument can correctly identify the patient without pain.Conclusion: The Comfort Scale had a lower value of sensitivity and specificity in the post-positioning than that in the pre-positioning procedure. It is recommended that further studies should focus on the relationship between sedation and pain by using instruments of pain studies for adult patients (CPOT). Additionally, the hospital policy makers, that is Pain Task Force is expected to give education and training through workshops and seminars about the nurse skills in pain management on critical areas as part of the multidisciplinary team.]]>
<![CDATA[Relating Factors of Insomnia among Haemodialysis Patients ]]>
<![CDATA[Kusuma, Henni]]>;
<![CDATA[Ropyanto, Chandra Bagus]]>;
<![CDATA[widyaningsih, susana]]>;
<![CDATA[Sujianto, Untung]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 8, No 1 (2018): (JUNE 2018) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v8i1.15741
<![CDATA[Background: Insomnia is a sleep disturbance which commonly occurs in haemodialysis patients. Some factors contribute to insomnia in dialysis patients such as demographic, biological, psychological, lifestyle, and dialysis factors. However, there are limited studies which investigate the relating factors of insomnia in haemodialysis patients in Indonesia.Purpose: This study aimed to analyze the relating factors of insomnia in haemodialysis patients in Semarang, Central Java, Indonesia.Methods: This study was a cross-sectional study which involved 102 samples recruited by consecutive sampling technique from two dialysis units in Semarang, Central Java. Data were collected by questionnaires and analyzed using Chi-square and multiple logistic regression to know the most relating factors of insomnia.Results: The result showed that insomnia occurred in 63 respondents (61.8%). Further analysis indicated that insomnia was related to anxiety (p=0.034, OR=2.36) and age (p=0.049; OR=1.75). There was no relationship between insomnia and the other factors such as gender, education level, occupation status, marital status, haemoglobin level, smoking and coffee consumption habit, and dialysis factor (period of dialysis). Moreover, anxiety was the most relating factors of insomnia among haemodyalsis patients.Conclusion: This study concluded that anxiety and age were independent factors related to insomnia. This study recommends that anxiety screening should be performed on haemodialysis  patients. Anxiety in haemodialysis  patients needs to be treated properly so that it will not develop into insomnia.]]>
<![CDATA[Review: Self-management Support Program on Dietary Behaviors in Patients with Type 2 Diabetes Mellitus ]]>
<![CDATA[Primanda, Yanuar]]>;
<![CDATA[Kritpracha, Charuwan]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 1, No 1 (2011): (JUNE 2011) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v1i1.747
<![CDATA[Background: Dietary behaviors are the cornerstone in diabetes management. Diabetes self-management support program in which patients play an active role to determine their health care is an important strategy to improve dietary behaviors in type 2 diabetes mellitus (T2DM) patients. Its elements which contribute to the successfulness of the program need to be identified.Purpose: To review and identify the elements of self-management support program to improve dietary behaviors in T2DM patients.Method: An integrative review was conducted. Relevant studies published in English language during last 10-year, measured dietary behaviors in T2DM patients, and retrieved from CINAHL and PubMed were included.Results: 13 experimental studies and 3 meta-analysis studies were reviewed. Goal setting and action planning combined with other strategies (brief counseling and problem solving) seemed more effective to improve dietary behaviors. Either trained lay people or clinicians could lead the program although clinician-led programs were common. Contents and materials of the education vary across the studies. The effects on dietary behaviors could be detected in short term duration of program (<6 months). Continuing follow-up was essential element which face-to-face follow-up as the most common strategy. The utilization of technology such as telephone-call and internet based follow-up might provide more benefits for patients.Conclusion: Diabetes self-management support program is effective to improve dietary behaviors in T2DM patients. Further research is needed to test the effectiveness of goal setting strategy and technology utilization for follow-up strategy such telephone call in Indonesian T2DM population.Keywords: self-management, dietary behaviors, type 2 diabetes mellitus]]>
<![CDATA[Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses' Knowledge and Clinical Performance ]]>
<![CDATA[Damayanti, Roshy]]>;
<![CDATA[Trisyani, Yanny]]>;
<![CDATA[Nuraeni, Aan]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v9i2.24821
<![CDATA[Background: The Early Warning Score (EWS) system has been recommended for early identification tool of deterioration. However, its implementation has not been optimal; one of which is due to the low level of knowledge and understanding of EWS among nurses.Purpose: This study aimed to determine the effects of EWS tutorial simulation on nurses’ knowledge and clinical performance.Methods: This study employed a pretest posttest quasi-experimental design with a control group. Purposive sampling was used to recruit the samples of 42 respondents each in the intervention group and control group. The data were collected using the questionnaires to measure the knowledge and clinical performance, and analyzed using Chi square, Wilcoxon and Mann-Whitney tests.Results: The results showed that there were differences in the pre-test and post-test of knowledge and clinical performance in the intervention group and control group (p<0.001). There was also a significant difference in clinical performance between the intervention group and the control group (p<0.001). However, no significant difference in knowledge was found between.Conclusions: Tutorial simulation of EWS had an effect on increasing nurses’ clinical performance. Although there was no significant difference in knowledge between the intervention group and the control group, but the intervention group showed a better value than the control group. EWS tutorial simulation can be used as one of the training methods to increase nurses' knowledge and clinical performance in EWS.]]>
<![CDATA[Workplace Stressors and Coping Strategies Among Public Hospital Nurses in Medan, Indonesia ]]>
<![CDATA[Fathi, Achmad]]>;
<![CDATA[Nasae, Tasanee]]>;
<![CDATA[Thiangchanya, Pratyanan]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 2, No 1 (2012): (JUNE 2012) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v2i1.3965
<![CDATA[Background: Nursing is considered as a stressful job when compared with other jobs. Prolonged stress without effective coping strategies affects not only nurses’ occupational life but also their nursing competencies. Medan is the biggest city in Sumatera Island of Indonesia. Two tertiary public hospital nurses in this city hold the responsibility in providing excellent care to their patients. Objective: To investigate the relationships between the nurse’s workplace stressors and the coping strategies used. Method: The descriptive correlational study was conducted to examine the relationships between workplace stressors and the coping strategies used in nurses of two public hospitals in Medan. The sample size of 126 nurses was drawn from selected in-patient units. Data were collected by using self-report questionnaires and focus group interview. The majority of subjects experienced low workplace stressors, where death/dying was the most commonly reported workplace stressor followed by workload. Religion was the most commonly used coping strategy. Result: Significant correlations were found between subscales of workplace stressors and coping strategies. Most of subjects used emotion-focused and dysfunctional coping strategies rather than problem-focused coping strategies. Conclusion: The nurse administrators in the hospitals need to advocate their in order to use problem-focused coping strategies more frequent than emotion-focused and dysfunctional coping strategies when dealing with workplace stressors. Keywords: workplace stressor, coping strategy, public hospital nurses]]>
<![CDATA[Pilot Study of Nursing Students’ Knowledge towards Genetic Topics ]]>
<![CDATA[Erawati, Meira]]>;
<![CDATA[Kusumaningrum, Niken S D]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 5, No 1 (2015): (JUNE 2015) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v5i1.10188
<![CDATA[Backgrounds: Nowadays, the science of genetics in Indonesia has not touched the world of nursing education and practice in health care. As the first step in order to introduce genetics topic into nursing education, an assessment is needed to identify student’s knowledge and comfort toward genetics topic.Purpose: The aim of this pilot study was to identify nursing students’ knowledge about genetics.Methods: Research design used in this pilot study was descriptive with cross-sectional approach. The survey was conducted using a questionnaire that adopted and adapted from “The Genetic Needs Assessment Survey†developed by Maradique et.al. This questionnaire was distributed to nursing students at one state school of nursing in Central Java, Indonesia.Result: There were 170 nursing students participated in the pilot study. Descriptive statistic was performed and the results indicated that they were lack of knowledge about genetics topic. Most of students were not familiar to genetic terms, for example locus, missense mutation, nonsense mutation, frameshift mutation, and karyotype. Students were not comfortable to use OMIM and draw pedigree. Respondents argued that more education strategy could be applied to improve student knowledge and understanding of the genetics.Conclusion: Introduction and recognition of genetics topic in nursing education was needed. Integration of genetics topic into nursing education can be applied by the existing subject or by itself subject to students; either individually or classically.]]>
<![CDATA[Exploring Islamic Based Caring Practice in Intensive Care Unit: A Qualitative Study ]]>
<![CDATA[Ismail, Suhartini]]>;
<![CDATA[Hatthakit, Urai]]>;
<![CDATA[Songwathana, Praneed]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 7, No 2 (2017): (DECEMBER 2017) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v7i2.13889
<![CDATA[Background: Even the advanced technology of modalities in intensive care unit (ICU) has been required a lot, it is important to date that nurses understand the Islamic faith-based healing in the holistic nursing care.Purpose: A phenomenological approach was conducted to describe the caring behaviors based on Islam for the patients in ICU from the perspective of nurses and patients’ family.Methods: Fourteen ICU nurses and 10 families participated in the study. In-depth interviews with nurses and families were conducted. The data were analyzed using inductive content analysis.Results: The findings revealed that Islamic-based caring in ICU was connecting to God (Allah), being present with patients and family, and nurses were an instrument to assist the patients and family to be faith in God. In addition, some barriers regarding Islamic based caring practice were presented, such as limited of knowledge and skill to provide Islamic based caring.  Conclusion: Islamic based caring is very important in practicing the balance of body, mind, and spirit. It is suggested that the nurses are applying Islamic based caring improve the quality of care related to cultural care. The next investigation is needed to measure the nurse caring behavior based on Islamic perspective.]]>
