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INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Published by STIKES PPNI Bina Sehat Mojokerto
ISSN : 26860538     EISSN : 26862123     DOI : doi.org/10.29082
Core Subject : Health, Education,
Health Professions Nursing Public Health Other
Arjuna Subject : -
Articles 472 Documents
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IMPROVING THE TIME OF DISCHARGE BASED ON LEAN SIX SIGMA: AN ANALYSIS AND RECOMMENDATION Setyastuti, Kinanti; Yuniati, Dyah; Chalidyanto, Djazuly
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/608

Abstract

The patient discharge process at Jemursari Islamic Hospital, Surabaya for the four types of patient insurance, namely BPJS, General, Institution, and Private Insurance, does not currently meet the standard operating procedures of a 2-hour discharge time. This study was observational using a quantitative analysis approach with the Six Sigma methodology. The study measured the time variation and sigma level of each process and sub-process. Qualitative analysis was conducted through a Focus Group Discussion to identify activities. The sample size was 100 respondents, including 70 patients with BPJS insurance, 10 patients with general insurance, 8 patients with institutional insurance, and 12 patients with private insurance. The findings showed that the average total time for the patient discharge process was 166.61 minutes for patients with BPJS insurance, 252.60 minutes for patients with general insurance, 258.16 minutes for patients with institutional insurance, and 229.69 minutes for patients with private insurance. The sigma level of the sub-processes for discharging inpatient patients guaranteed by BPJS was near the standard level in two sub-processes. The sigma level of the sub-processes for discharging inpatient patients with general and institutional insurance in inpatient care was near the standard level. The sigma level of the sub-processes for discharging inpatient patients with private insurance was near the standard level in one sub-process.
ELECTRONIC MEDICAL RECORDS AS DIGITAL TRANSFORMATION IN INDONESIAN HEALTH SERVICES 4.0 Mayasafira, Sarrah Dwiananda; Almansoob, Mohammed
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/609

Abstract

The application of Electronic Medical Record in the era of Digital Transformation Indonesia 4.0 is the main pillar in revolutionizing health services. EMR presents a fundamental shift in medical information management by replacing traditional medical records with integrated electronic forms. Thus, this makes quickly access and share patient data, improve coordination between providers, and inform more accurate clinical decision making. This study aims to systematically review the implementation Digital Transformation in Indonesian as a planning to achieve Health Services 4.0. This study implements systematic reviews using Preferred Reporting Systematic Reviews and Meta-analysis (PRISMA) approach. Research articles published from google scholar, PubMed and sagepub. To take appropriate and relevant article research, relevant keywords or terms are constructed as the following words: Digital transformation OR digital revolution OR digital 4.0; Health services OR health care OR Health facilities; Digital medical records. 30 articles were collected from: Google Scholar, PubMed and Sagepub. The quality of these articles was evaluated, resulting in 7 articles being synthesized in the final literature review report.The results show that EMR analyzes in-depth data, supports the development of evidence-based health policies, and personalizes care according to patient characteristics. The adoption of EMR also presents challenges, including data security and privacy protection where cybersecurity and regulatory compliance are critical.
THE EFFECTIVENESS OF FIVE-FINGER HYPNOSIS THERAPY IN REDUCING ANXIETY IN INTRA UTERINE DEVICE TYPE ACCEPTORS Asmara, Dewi Windy; Primindari, Risya Secha; Amalia, Amirul; Sulistiyowati, Sulistiyowati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/610

Abstract

IUD insertion is associated with high levels of nervousness in most people,and anxiety and fear can cause discomfort during IUD insertion. Relaxationtechniques are non-pharmacological techniques used to reduce anxiety andpain by tensing the muscles. Not many have applied the five-finger hypnosisrelaxation technique to reduce pain in both hospitals and health institutions asa learning medium. The purpose of this study was to determine the effect offive-finger hypnosis therapy on the anxiety of prospective IUD acceptors. Thisstudy's research design is pre-experimental research with a research approachusing one group pre-test and post-test. The sample in this study is 30 new IUDacceptors at the Muhammadiyah Hospital in Gresik, which is the criteria. TheWilcoxon statistical test results showed a p-value of 0.000. These resultsindicate a significant difference in anxiety levels before and after theintervention. The five-finger hypnosis intervention reduces the level of anxietyin new IUD acceptors.
ANALYSIS OF THE INFLUENCE OF OGANIZATIONAL TRUST, WORK ENVIRONMENT, AND SOCIAL CAPITAL ON THE PERFORMANCE OF EXCLUSIVE BREASTFEEDING PROGRAM AT THE SURABAYA CITY HEALTH CENTER Agustyoko, Sugeng; Adianti, Talia Puspita; Rochmah, Thinni Nurul
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/611

Abstract

The Surabaya City Health Center's exclusive breastfeeding program has not met its 72.5% target from 2018-2021. A study analyzing the impact of organizational trust, work environment, and social capital on the program's performance revealed that most factors were unfavorable. The study found that trust, work environment, and social capital significantly impacted the process performance of the breast milk work team. The study concluded that these factors significantly impacted the achievement of the exclusive breastfeeding program. To improve the program's success, the Health Office suggested training breast milk counselors for the team and evaluating the consolidation mechanism. The Community Health Center also distributed tasks evenly, awarded the team, and proposed a budget for funding program activities. The findings highlight the need for improved support for exclusive breastfeeding programs in Surabaya.
The USE OF DIGITAL COMICS IN TORNADO MITIGATION FOR ELEMENTARY SCHOOL STUDENTS: Original Article Hidayati, Nur; Kinasih, Raniah Lintang; Rokhman, Abdul
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/612

Abstract

Children are a vulnerable group in the face of disasters due to their age and limited knowledge. This study aims to analyze the impact of digital comic education on the preparedness of elementary school students in facing tornado disasters. The study was conducted using a quasi-experimental pre-test post-test with control group design on 90 elementary school students (46 in the intervention group and 44 in the control group). The intervention group received digital comics education (PDF), while the control group received education using PowerPoint media. Preparedness was measured using a questionnaire and tested using a paired t-test (α≤0.05). The results showed that 84.8% of elementary school students were in the less prepared category before intervention and increased to nearly prepared at 69.6% and prepared at 28.3% after education using digital comics. There was an impact of both digital comic and PowerPoint media education on increasing the preparedness of elementary school students (p=0.001; p=0.001) with an average mean increase of 11.46 and 7.89, respectively. There was a difference in post-test preparedness between the control and intervention groups (p=0.019). Digital comics proved to be more effective in increasing the preparedness of elementary school students in facing tornado disasters compared to PowerPoint media
THE EFFECT OF RHEUMATIC GYMNASTIC AND SHALAWAT NARIYAH ON THE PAIN LEVEL OF GOUT ARTHRITIS PATIENTS Damayanti, Betty Shinta; Faridah, Virgianti Nur; Lestari, Trijati Puspita
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/613

Abstract

Uric acid levels in the blood exceeding normal limits can cause a buildup in the joints and organs. This buildup causes the joints to feel sore, painful and inflamed. This study aimed to determine the effect of Rheumatic Gymnastics and Shalawat Nariyah on the pain level of patients with gout arthritis. This study used a pre-experimental one-group pre-posttest design. A total of 34 respondents were obtained by total sampling. The instrument was the Numeric Rating Scale. The results showed that before being given the intervention, 23 people (67.6%) experienced moderate pain, while after being given the intervention, 19 people (55.9%) experienced mild pain. The hypothesis was tested using the Wilcoxon test with the results (P = 0.000 ≤ α 0.05), meaning that Rheumatic Gymnastics and Shalawat Nariyah had an effect on pain levels in patients with gout arthritis. Rheumatic Gymnastics and Shalawat Nariyah can stimulate an increase in the release of endorphin hormones and cause a relaxing effect on reducing pain in patients with gout arthritis.
APPLICATION OF LEGO PLAY THERAPY TO REDUCE ANXIETY LEVELS IN PRESCHOOL CHILDREN DUE TO HOSPITALIZATION Budiyati, Budiyati; Firmansyah, Bayu
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/614

Abstract

Anxiety is one of the responses of preschoolers who are undergoing hospitalization. Hospitalization often causes trauma to the child and sometimes makes the child cry, and refuses to cooperate during treatment. To overcome anxiety in preschoolers, the role of nurses in providing interventions must pay attention to the needs of children according to their growth and development. One of the activities to reduce anxiety in preschoolers is to provide lego play therapy. The purpose of proving EBNP by applying lego play therapy to reduce anxiety levels in preschool children in the age range of 3-6 years who are undergoing hospitalization. The design used is a descriptive method involving 3 respondents of preschool children, the instrument used is using the Preschool Anxiety Revised Scale (PASR) questionnaire. The action given is lego play therapy 6 times for 3 days with a duration of 20-30 minutes. The conclusion is that there is an effect of Lego play therapy on anxiety levels in children aged 3 – 6 years during hospitalization.
IMPLEMENTATION OF COMPLEMENTARY MIDWIFERY SERVICES ON MOTHER Kusmindarti, Indah; Prameswari, Veryudha Eka
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/616

Abstract

Background: Complementary therapy is one of the community’s treatment options, especially for pregnant and giving birth women. In various health service settings, quite a few clients ask health workers, such as midwives, about complementary or alternative therapies. This happens because clients want to get services according to their choices, so if their wishes are fulfilled, it will have an impact on client satisfaction. This can be an opportunity for midwives to play a role in providing complementary therapy. Regarding complementary therapy, it is regulated in the Decree of the Minister of Health No. 1109/Menkes/Per/IX/2007 concerning complementary-alternative medicine. Objective: to determine the implementation of complementary midwifery services at the Independent Midwife Practice Place (TPMB) in the Blimbing area, Kesamben District, Jombang. Method: Survey, descriptive type with quantitative and qualitative approaches. The population in this study were all midwives who carry out midwifery practice independently and provide complementary therapy in the Blimbing area, Kesamben subdistrict, Jombang, a total of 5 midwives. The total sample taken was 5 TPMB. The data was analyzed and presented quantitatively in the form of a frequency distribution and qualitatively using an interactive model according to Miles and Huberman in Sugiyono (2013). Results: complementary midwifery services were provided by 5 respondents. Respondents were 30-49 years old, had midwifery education at Diploma III Midwifery and Midwifery Professional level, and had been in independent practice for more than 8 years. The types of services provided are 2-5 types, namely acupressure, baby/toddler massage, oxytocin massase, use of herbal medicine/traditional as a complement to conventional medicine, and yoga.
THE INFLUENCE OF HEALTH EDUCATIO THE INFLUENCE OF HEALTH EDUCATION THROUGH AUDIOVISUALS ON THE IMPLEMENTATION OF EXERCISES TO PREVENT STROKE IN THE ELDERLY: THE IMPLEMENTATION OF EXERCISES TO PREVENT STROKE IN THE ELDERLY Wahyuningsih, Binarti Dwi
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/618

Abstract

ABSTRACT Stroke attacks the productive age and old age which has the potential to cause new problems in national health development. Preventive measures in the form of pre-hospital treatment need to be emphasized, one way to prevent stroke is by increasing physical activity which is recommended because it is associated with reducing the risk of stroke. but still balance it with adequate rest. This activity can be increased by exercising. The design used in this research is a pre-experimental research design using a One-Group Pre-Post test design. The independent variable in this research is Health Education through AudioVisual. The dependent variable in this research is the implementation of exercise to prevent stroke in the elderly in Randegan village, Driyorejo subdistrict, Gresik regency. Data analysis using the Wilxocon Test was carried out using SPSS 24.0. If r-value > α value (0.05). The results of the research showed that there was an influence before and after being given health education through audiovisual media on the implementation of exercise to prevent stroke, proven by the results of statistical tests using the Wilcoxon test using SPSS, the significance was α=0.05 and the result was r Value = 0.000. The use of audiovisual media in providing health education is very influential, because the media used is easily accepted by the elderly in improving skills, knowledge and changing attitudes related to health. Keywords: Exercise to Prevent Stroke, Health Education, Audiovisual Media, Elderly
CONFLICT MANAGEMENT STRATEGY IN AN EFFORT TO INCREASE NURSE JOB SATISFACTION AT MAWADDAH MEDIKA HOSPITAL, MOJOKERTO Basuki, Duwi
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/619

Abstract

Conflict is one part that often occurs in the nurse's work environment. One of the conflicts that often occurs is with clients and colleagues. Prolonged conflict can disrupt a person's physical and mental health and needs immediate treatment. The aim of this research is to determine the relationship between conflict management strategies and nurses' job satisfaction at Mawaddah Medika Hospital, Mojokerto. The research design uses Correlation. The research sample was executive nurses who worked in the inpatient ward of Mawaddah Medika Hospital, totaling 31 respondents. The sampling technique used is proportional random sampling. The research results showed that conflict management strategies used integration strategies (compromise, collaboration and accommodation) were 71%. Statistical tests showed that there was a relationship between conflict management strategies and nurses' job satisfaction with ρ=0.02 with a strong category of relationship. The relationship pattern is positive, meaning that the better the use of integrated management strategies (compromise, collaboration and accommodation), the higher the nurse's job satisfaction. Efforts to improve the ability to handle conflict can be done with conflict management training, conflict handling roleplay with small group discussions.

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