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Contact Name
Nurse Media
Contact Email
media_ners@live.undip.ac.id
Phone
+6224-76480919
Journal Mail Official
media_ners@live.undip.ac.id
Editorial Address
Department of Nursing, Faculty of Medicine, Diponegoro University Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Location
Kota semarang,
Jawa tengah
INDONESIA
Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
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
Arjuna Subject : -
Articles 337 Documents
Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study Aungsuroch, Yupin; Gunawan, Joko; Polsook, Rapin; Anuruang, Sakuntala; Phongphibool, Sitha; Nazliansyah, Nazliansyah
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.42135

Abstract

Background: The Government of Indonesia has provided a Chronic Disease Management Program, better known as PROLANIS, to reduce the incidence of hypertension; however, the prevalence of hypertension remains high in the community, especially in Belitung, Indonesia, which warrants further investigation. One of the strategies to decrease the number of hypertensions is by addressing barriers and challenges in hypertension management according to patients’ points of view, which has become a lack of focus in previous studies.Purpose: This study aimed to explore the barriers and challenges of patients in managing hypertension in Belitung, Indonesia.Methods: This research employed a qualitative descriptive study design with 20 hypertensive patients who had access to the PROLANIS program in public health centers. Focus group discussions were conducted for data collection. The content analysis was used for data analysis.Results: Six themes were developed from the data, including (1) Dietary habits: the role of salt, (2) Nonadherence to medication due to the use of traditional medicine, (3) Shopping habit on nonprescription medication, (4) Confusion of anti-hypertensive drugs, (5) Barriers to physical exercise, and (6) Health monitoring and education.Conclusion: This study serves as an input for nurses and healthcare providers to improve the PROLANIS program, especially in hypertension management, as well as to develop new nursing interventions according to the barriers and challenges.
The SALT and START Triage System for Classifying Patient Acuity Level: A Systematic Review Purwadi, Hendri; Breaden, Katrina; McCloud, Christine; Pranata, Satriya
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.37008

Abstract

Background: Two common triage systems have been widely used in mass casualty incidents (MCIs) and disaster situations, namely START (simple triage algorithm and rapid treatment) and SALT (sort, assess, lifesaving, intervention, and treatment/transport). There is currently controversy regarding the effectiveness of SALT over the START triage system.Purpose: This systematic review aims to compare the accuracy of the SALT and START triage systems in disaster and MCI settings.Methods: The literature was searched using a systematic search strategy for articles published from 2009 to 2020 in the Medline, CINAHL, Web of Science, Scopus, PubMed, ProQuest databases, and the grey literature. This review included simulation-based and medical record-based studies investigating the accuracy and applicability of the SALT and START triage systems in adult and child populations during MCIs and disasters. All types of studies were included. The PRISMA flowchart was used to retain the articles, and the Joanna Briggs Institute critical appraisal tools were used to assess the quality of the reviewed studies.Results: Of 1,450 articles identified in the search, 10 articles were included. It was found that the START triage system had a wide range and inconsistent levels of accuracy (44% to 94.2%) compared to the SALT triage system (70% to 83%). The under-triage error of the START triage system ranged from 2.73% to 20%, which was slightly lower than the SALT triage system (7.6% to 23.3%). The over-triage error of the START triage system (2% to 53%) was slightly higher than the SALT triage system (2% to 22%). However, the time taken to apply START triage system (70 to 72.18 seconds) was faster than for the SALT triage system (78 seconds).Conclusion: The START triage system was simpler and faster than SALT. Conversely, the SALT triage system appeared to be slightly more accurate, more consistent, and had a lower rate of under- and over-triage error than START. It appears that neither the SALT nor the START triage system is superior to the other. Further research is needed to establish the most appropriate disaster and MCI triage system, especially for the Indonesian context. 
Assessment of Interprofessional Education (IPE) in Community Settings: A Systematic Review Asmara, Fatikhu Yatuni; Kristina, Tri Nur; Afifah, Diana Nur; Dewi, Dian Puspita
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.34155

Abstract

Background: An assessment of methods and tools in interprofessional education (IPE) needs to be conducted to guarantee that the set learning objectives (LOs) or competencies are achieved, especially in community settings. This assessment is essential since in community settings, facilitators and students are not in the same frame, while direct observation is preferable in IPE. The implementation of methods and tools for assessment varies. Mostly, the assessment does not cover all competencies of IPE. Further identification of the way the assessment is conducted as well as the IPE competencies assessed is pivotal.Purpose: This study aimed to review the implementation of IPE in community settings, especially the assessment conducted on the methods and tools used along with the assessors involved and the competencies achieved.Methods: A systematic review was employed as a method in this study. Relevant articles from Science Direct, MEDLINE, CINAHL, and Scopus were screened based on the inclusion criteria: publication between 2010–2020, research and review articles, full-text articles, conducted in community settings, and involved assessment in acquiring the competencies. This review included 12 out of 1,273 screened articles. The articles were analyzed qualitatively by identifying the keywords, categories, and themes.Results: The results showed the assessment conducted and the competencies achieved in IPE. The assessment included methods and tools as well as the assessors involved. Most existing studies used students’ perceptions or reflections as the methods and involved less assessors such as supervisors or family members. Meanwhile, the assessment tools focused on certain competencies, such as roles and responsibilities, ethics and values, teamwork, and communication. However, no study assessed all competencies.Conclusion: The analysis resulted in two large topics, i.e., the assessment, which includes the assessment methods and tools as well as assessors involved, and the competencies achieved. It is recommended to conduct further studies to develop objective assessment methods, comprehensive assessment tools, and generic competencies or learning outcomes.
The Fluid Management Experience in Patients with Chronic Kidney Disease Undergoing Hemodialysis in Indonesia: A Qualitative Study Mailani, Fitri; Muthia, Rahmi; Herien, Yelly; Huriani, Emil; Chan, Chong Mei; Abdullah, Khatijah Lim
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.38838

Abstract

Background: Fluid management can reduce mortality, severe comorbidities, and debilitating symptoms in patients on hemodialysis. Therefore, a restricted fluid intake plan is crucial for patients with chronic kidney disease (CKD). Little evidence has been found to date on exploring the experience in fluid management of CKD patients in Indonesia.Purpose: This study aimed to explore the fluid management experience of adults with chronic kidney disease participating in hemodialysis treatment in Indonesia.Methods: A qualitative study with a phenomenological approach was conducted. Purposive sampling was used to recruit 14 adults patients with chronic kidney disease undergoing hemodialysis in a tertiary hospital in Padang between July and September 2020. Manual content analysis using the Colaizzi approach was used to identify themes.Results: Data analysis revealed four themes with 12 sub-themes. The four major themes include the challenge of thirst control, fluid/diet restriction management, inadequate information, and the support system.Conclusions: The result showed the severe suffering and sadness experienced by CKD patients who conform to fluid restrictions. It is important to provide clear information on the fluid prescription or the exact consumable amount per day. Structured education with a personal approach is recommended to ensure detailed information regarding "fluid prescribing". The support obtained from family, friends, and dialysis staff is a significant factor in promoting acceptance and adherence.
Factors Influencing Depression among Indonesians during the COVID-19 Outbreak Sarfika, Rika; Malini, Hema; Putri, Dewi Eka; Buanasari, Andi; Abdullah, Khatijah Lim; Freska, Windy
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.36783

Abstract

Background: The 2019 Coronavirus pneumonia disease (COVID-19) has gained intense attention globally, including in Indonesia. The rapid transmission and clinical effects of the virus can cause depression in Indonesian society. However, information on risk factors for depression during COVID-19 in this country is not known. Purpose: This study aimed to determine the level of depression and identify factors influencing depression in Indonesian society during the COVID-19 outbreak.Methods: An online-based cross-sectional study was conducted among Indonesian society aged ≥12 years old in April 2020. A total of 1,622 participants from 34 provinces in Indonesia were involved in this study and completed the online questionnaires on demographics, social media exposure, self-rated health, and depression levels with the WHO-Five Well-being Index (WHO-5). Ordinal logistic regression analysis was used to identify the factors associated with depression levels.Results: Of the total sample analyzed, the overall prevalence of depression levels was 28.5% mild depression, 18.4% moderate depression, and 24.8% severe depression. Social media exposure (SME), age, gender, occupation, and self-rated health (SRH) were significantly influencing depression (p<0.05). The factor that most influenced the level of depression was self-rated health (p=0.0001; OR=2.72).Conclusion: This study highlights depression in Indonesian society during the COVID-19 pandemic and provides an understanding of the effects of demographics, social media exposure, and self-rated health. The study suggests the importance of implementing a multi-disciplinary approach (e.g., a collaboration between mental health nursing and community nursing) to deal with depression.
Nursing Students’ Experiences on Clinical Competency Assessment in Ghana Anim-Boamah, Oboshie; Christmals, Christmal Dela; Armstrong, Susan Jennifer
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.39079

Abstract

Background: More countries are establishing licensing examination systems for nursing education, including clinical competency assessment. In Ghana, clinical competency assessment forms part of the nursing licensing examination and is perceived as the benchmark for nursing licensing examination in the sub-region. The nationalised assessment system is established with some ad hoc changes over the last decade which requires continual evaluation. It is essential to find out how students experience this assessment system. Purpose: This study aimed to explore nursing students’ experiences of the clinical competency assessment in Ghana. Methods: An exploratory descriptive qualitative design was used in this study. Eight focus group discussions (FGDs) were conducted with 68 final year students purposively selected from eight nursing education programs. The FGDs lasted between 90 to 120 minutes. Content analysis was used to analyze the data.Results: Although the pre-examination conference between students and examiners helped lessen students’ anxiety, limited resources, incongruence in teaching, practice and assessment, inherent biases due to the unstandardised assessment system, and a financial burden compromised the quality of the assessment.Conclusion:Clinical competency assessment is central to nursing licensing examinations; hence the ability of the system to discriminate competent and incompetent nurses otherwise cannot be overemphasised. Standardisation, training of the examiners and continuous evaluation of the assessment system are imperative for quality improvement in clinical competency assessment. 
The Effect of Islamic Spiritual Mindfulness on Self-Efficacy in Anger Management among Schizophrenic Patients Dwidiyanti, Meidiana; Rahmawati, Ashri Maulida; Sawitri, Dian Ratna
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.37401

Abstract

Background: The prevalence of schizophrenia has increased in the last few years. Nevertheless, methods in assisting schizophrenic patients have not improved significantly. Islamic spiritual mindfulness is a spiritual approach that can help schizophrenic patients increase their self-efficacy in anger management. However, the application of this intervention is still not well researched.Purpose: This study aimed to determine the effect of Islamic spiritual mindfulness on self-efficacy in anger management among schizophrenic patients.Methods: This study utilized a pre-post quasi-experimental design with a control group. A total of 54 schizophrenic patients were purposively recruited and divided into two groups: the intervention group (n=27) and the control group (n=27). The intervention group received four sessions of Islamic spiritual mindfulness in two weeks, while the control group received a standard intervention from the hospital. The data were collected using the Regulatory Emotional Self-Efficacy (RESE) scale and analyzed using the t-test.Results: The results showed a significant difference in self-efficacy scores between the control and intervention groups (p=0.000) after the intervention. In the pre-test, the mean score of self-efficacy in the intervention group was lower than the control group (M=28.15 vs. M=30.26) without a significant difference. However, in the post-test, a significant difference in self-efficacy between the intervention and control groups was found (M=46.44 vs. M=46.44; p=0.000).Conclusion: Islamic spiritual mindfulness significantly affects self-efficacy among schizophrenic patients. The Islamic spiritual mindfulness can be applied as a new form of approach to increase self-efficacy in schizophrenic patients.
The Association of Work Environments and Nurse-Nurse Collaboration: A Multicenter Cross-Sectional Study Ghasemi, Roya; Ghafourifard, Mansour; Hassankhani, Hadi; Dehghannezhad, Javad
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.41065

Abstract

Background: Along with the recent healthcare reform, intraprofessional collaboration in nursing is considered an essential factor for managing the challenges related to diverse roles and tasks of nurses in providing high quality care. There is lack of knowledge on how the nursing work environment could influence nurse-nurse collaboration.   Purpose: The study aimed to assess the relationship between nursing work environment and nurses’ intraprofessional collaboration.Methods: A total of 300 nurses working in four teaching hospitals participated in this multicenter cross-sectional study. Data were collected using the Nurse-Nurse Collaboration Scale (NNCS) and the Practice Environment Scale of the Nursing Work Index (PES–NWI). The Pearson correlation test was used to analyze the data.Results: The results showed that the mean score of the PES–NWI was 2.65±0.32 out of 4. The highest and lowest scores belonged to the subscales of the nursing foundations for quality of care (2.86±0.31) and staffing and resource adequacy (2.24±0.49), respectively. The mean total score of nurse-nurse collaboration was 2.94±0.21 out of a score of 4. The results showed a significant positive relationship between nursing work environment and nurses’ intraprofessional collaboration (r=0.49, p<0.05).Conclusion: The nursing practice environment has a positive and significant relationship with nurse-nurse collaboration. Therefore, improving nurses’ practice environment and providing healthy workplaces could improve the intraprofessional nurse’s collaboration. Moreover, nurse managers should improve nurses’ skills in some areas of collaboration such as conflict management.
Workplace Assertiveness of Filipino Hospital Staff Nurses: A Cross-sectional Study Oducado, Ryan Michael F.; Montaño, Hilda Clavel
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.39314

Abstract

Background: Several studies have demonstrated the significance of assertiveness in the nursing profession. However, there is a lacuna in the literature regarding the level of workplace assertiveness of Filipino nurses.Purpose: This study determined the workplace assertiveness towards nursing colleagues, nursing management personnel, medical doctors, and other members of the health team among hospital staff nurses.Methods: The data in this cross-sectional study were collected from randomly selected staff nurses (n=223) involving two tertiary hospitals in the Philippines using the Workplace Assertive Behavior Questionnaire. Descriptive statistics and tests for differences were used to analyze the data.Results: Results showed that staff nurses had moderate workplace assertiveness. They were less assertive towards the nursing management personnel, and were less likely to provide constructive criticisms and say no to requests. Assertiveness significantly varied based on employment status (p=.001), age (p=.046), years of nursing work experience (p=.037), and years in the present organization (p=.022). A sense of responsibility to patients was the main facilitator while reprimand and fear of repercussions from the nursing management personnel were the major barriers to assertive behaviors.Conclusion: Personal and work environmental factors can inhibit or support assertiveness. This study highlighted some gaps in Filipino staff nurses’ assertiveness at work. Nursing management plays a pivotal role in nurses’ assertiveness. Efforts should be made to address the barriers and improve the assertiveness of staff nurses.
Editorial Front Matter Front Matter, Editorial
Nurse Media Journal of Nursing Vol 11, No 3 (2021): (December 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i3.43693

Abstract