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Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Health Professions Nursing
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
Arjuna Subject : Keperawatan - Critical Care
Articles 123 Documents
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Analysis of Factors Associated with Self-Efficacy in Helping Victims of Drowning in the Kalimas River – Indonesia Prasetiyo, Singgih; Dewi, Yulis Setiya; Wahyuni, Sylvia Dwi; Alfaruq, Muhammad Fikri
Critical Medical and Surgical Nursing Journal Vol. 12 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v12i2.49881

Abstract

Introduction: On the banks of the Kalimas River, Indonesia, drowning cases often occur because many people fish and swim in the river, especially when the munggut phenomenon occurs (fish die due to toxic factory waste being thrown into the river), but when drowning cases occur there are actually many people. feel afraid and confused about providing assistance to drowning victims. Objective of this research is to analyze what factors are related to self-efficacy in helping drowning victims based on Albert Bandura's Theory of Self-Efficacy.   Methods: This study was a correlational descriptive research with a cross-sectional design. The population in this study were all residents of the Kalimas Riverbanks, Gresik Regency. This research involved 146 respondents who live on the river banks in Gading Village, Wates Village, and Cangki Village using a cluster sampling technique. This research variable refers to Theory of Self-Efficacy including enactive mastery, vicariously experience, verbal persuasion, physiological and emotional state and self-efficacy. Data was collected using a structured questionnaire and analyzed using a logistic regression test with a significance level of ≤ 0.05.   Results: The results of statistical tests show a significant correlation between enactive mastery (p=0.001), vicarious experience (p=0.004), and verbal persuasion (p=0.000) with self-efficacy. In contrast, physiological and emotional state did not show a significant correlation with self-efficacy.   Conclusion: The higher the level of enactive mastery, vicarious experience, and verbal persuasion, the better the self-efficacy in helping drowning victims. This provides input for health workers and local government, as well as for further research, in increasing self-efficacy and the ability of residents to help drowning victims.
The Effect of Health Education With Educational Video on Knowledge and Attitude of Community About Basic Life Support Sriyono, Sriyono; Zulkarnain, Hakim; Perkasa, Wendi Genta
Critical Medical and Surgical Nursing Journal Vol. 13 No. 1 (2024): MARCH 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i1.51128

Abstract

Introduction: Quick and appropriate help when met an unconscious person is  important to providing Basic Life Support (BLS). Knowledge and Attitude about BLS are very important in order to provide quick assistance of cardiac arrest. The purpose of this study was to analyze the effect of providing health education with video on people's knowledge and Attitude about BLS. Methods: The study used a quasy-experimental design by intervening in a group and then observed. This research was conducted on the community who became Kader in Perak, Surabaya. Total sample of 64 respondents obtained through total sampling technique. The independent variable is video-based health education. Dependent variable is knowledge and attitude about BLS. Data were collected using a questionnaire and analyzed by the Wilcoxon sign test and Mann whitney u test with a significance of p < 0.05. Results: The results showed an increase in knowledge and Attitude in the intervention group after being given educational videos with (p = 0.001) and Attitude with (p = 0.006). The results of the test with Mann Whitney showed that there was an average difference between the intervention group and the control group with significant results in knowledge (p=0.000), attitude (p=0.000). Conclusion: To improve people's knowledge about basic life support can be obtained from electronic media regarding knowledge about basic life support. It is hoped that it can provide knowledge of basic life support and can apply or assist in life-threatening emergencies in the home environment. It is hoped that the results of this research can be used as a reference for further research by adding other variables and before the research, researchers are expected to prepare research instruments according to the standards of the instruments that will be used, such as: phantom CPR according to standards.
Stress and Burnout Amidst Covid-19 Pandemic and its Influence on Job Satisfaction among Staff Nurses in Jolo, Sulu, Philippines Pangandaman, Hamdoni K.; Isnani-Asak, Nasra U.
Critical Medical and Surgical Nursing Journal Vol. 13 No. 2 (2024): SEPTEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i2.51365

Abstract

Introduction: The global healthcare sector, especially the nursing profession, has experienced heightened demand due to the COVID-19 pandemic, leading to increased job-related stress, elevated burnout rates, and varying levels of job satisfaction that can significantly impact the effectiveness of responses to the pandemic. This study aimed to describe and analyze stress and burnout among nurses in Sulu, and explore how these factors relate to their job satisfaction during the COVID-19 pandemic.Methods: The study employed a descriptive predictive research design to outline the variables and examine their potential impact on job satisfaction. It was conducted at two selected hospitals in Sulu, with nurses as the respondents. The sample comprised 83 staff nurses chosen from a total of 183. Data were collected using a validated and reliable adapted questionnaire. Analysis was carried out with SPSS version 24, including frequency and percentage distribution, mean, standard deviation, and simple linear regression.Results: The study finds that staff nurses' job satisfaction during the COVID-19 pandemic is significantly impacted by age and income, while higher stress levels and moderate burnout negatively affect it. The average mean stress level is 0.929, indicating that stress is rarely experienced, while burnout has an average mean of 1.536, suggesting it is also infrequent. Overall, the average mean job satisfaction score is 0.929, reflecting a general level of satisfaction among the staff nurses.Conclusion: This study concludes that young nurses are essential during pandemics due to their high activity levels but require guidance from experienced professionals to ensure quality healthcare. Administrators should support all nurses and offer reasonable income to manage stress and burnout, impacting job satisfaction. Future research should include a diverse range of healthcare professionals to explore stress and burnout differences among various roles and specializations.
Barriers and Strategies in the Implementation of Virtual Learning Modalities Amid COVID-19 among Students in Nursing Schools at Sulu Province, Philippines Pangandaman, Hamdoni; Mukattil, Nursidar
Critical Medical and Surgical Nursing Journal Vol. 13 No. 1 (2024): MARCH 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i1.51366

Abstract

Introduction: The COVID-19 pandemic prompted a significant shift toward virtual learning modalities in nursing education. However, this transition has been marked by various challenges, including faculty and student unfamiliarity with online platforms and the need to adapt curricula rapidly. The purpose of this study to examine the barriers and strategies in the implementation of virtual learning among students in nursing schools at sulu province, philippines during the COVID-19 pandemic. Methods: Quantitative research study with a focus on descriptive analysis was employed to collect and analyze data from 95 nursing students across three higher education institutions in the Sulu Province. A questionnaire was used to assess sociodemographic factors, technology usage, and barriers experienced during virtual learning. Data were analyzed using frequency, percentage, mean, and standard deviation. Results: The results revealed that most participants were between 19 and 20 years old, with a higher percentage of females. The majority of students reported owning and using various online technologies, including online videos, social media platforms, mobile apps, and email. Key barriers to virtual learning included the absence of face-to-face interaction, poor internet connectivity, limited technical support, restricted access to clinical simulations, and distracting home environments. Language barriers, technical jargon in learning materials, limited access to required software, insufficient opportunities for collaboration, and privacy and security concerns were also identified as barriers. Conclusion: The findings underscore the importance of implementing key strategies to enhance virtual learning modalities in nursing education. These strategies can significantly improve the quality and effectiveness of virtual learning in nursing education, especially in challenging contexts like the Sulu Province.
The Effect of Health Education Using Uric Acid Diary Book (URICAB) on Dietary Compliance and Uric Acid Levels in Gout Arthritis Patients Putri Maulinda Afandi; Wahyudi, Andri Setiya; Dewi, Lingga Curnia
Critical Medical and Surgical Nursing Journal Vol. 13 No. 1 (2024): MARCH 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i1.51425

Abstract

Introduction: Gout arthritis is a non-communicable disease that continues to increase. The prevalence of gout in Indonesia is 7.30% because the adherence to an unbalanced diet. Therefore, innovation is needed to overcome the problems in gout arthritis patients. The Uric Acid Diary Book (URICAB) is a modification of the booklet media in supporting health education. URICAB contains information related to uric acid, diet lists, and diet diary tables. This study aims to analyze the effect of health education on URICAB media on dietary compliance and uric acid levels in gout arthritis patients. Methods: This study used the Quasy Experiment method pretest-posttest control group design with a population of 147 people and sample of 72 people. The independent variable is health education media URICAB, while the dependent variable is dietary adherence and uric acid levels in gout arthritis sufferers. The research instrument used blood samples and dietary compliance questionnaires. The data analysis used the Wilcoxon Signed Ranks Test, Mann Whitney U Test, Paired Sample T Test, and Independent Sample T Test. Results: The results of the Mann-Whitney U Test obtained a value of p = 0.046 indicate that there are increasing dietary adherence. The results of the Independent Sample T Test obtained a value of p = 0.025 indicate that health education in URICAB media affected the reducing uric acid levels. Conclusion: URICAB media health education had significant effect to improve dietary adherence to the recommended diet and limiting high-purin diets and adherence to drinking as recommended by health workers and reduce uric acid levels.
Development Model of Basic ECG Algorithm Interpretation based on Android Application to Increase Ability of Nurses Nursalam, Nursalam; Sila, Nissa Aruming; Yusuf, M; Priyantini, Diah; Ayatulloh, Daviq
Critical Medical and Surgical Nursing Journal Vol. 13 No. 1 (2024): MARCH 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i1.51631

Abstract

Introduction: ECG interpretation ability by nurses is still not appropriate, thus affecting the accuracy and speed of the next action that will be given to patients to reduce mortality. This study aimed to develop the use of an Android system based ECG interpretation algorithm application to improve the ability of nurse.  Methods: Research development design to develop the Android system based ECG interpretation algorithm application. The sampling method used purposive sampling as many as 90 nurses in Universitas Airlangga Hospital, Surabaya, Indonesia. The independent variables were interpretation skills (rhythm, frequency, pacemaker, axis, extrasistole, block, enlargement of heart muscle, coronary heart disease, conclusion). The instruments that are used are ECG recording, ECG interpretation sheet, and focus group disscusion. The analysis used an independent t-test with a significance level of α ≤ 0.05.  Results: The results of developing an ECG interpretation algorithm application based on the Android system have received recommendations from experts and feasibility tests have been carried out. There was a relationship between basic ECG interpretation capabilities with the use of an android system based ECG interpretation algorithm application. Increasing the ability of nurses had p value of 0,000. Conclusion: The application of an ECG interpretation algorithm based on an android system can improve nurses' abilities in interpreting basic ECG. For future researchers, it is necessary to develop and refine the Android system-based ECG interpretation algorithm application and this can be applied on a case-by-case basis.
The Relationship Between Knowledge and Social Support With Disaster Preparedness Behaviors in Surabaya Lutfiyah, Kharisma Nuur; Dewi, Yulis Setiya; Wahyuni, Erna Dwi; Alfaruq, Muhammad Fikri
Critical Medical and Surgical Nursing Journal Vol. 13 No. 1 (2024): MARCH 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i1.51725

Abstract

Introduction: Active faults in Surabaya move at 0.05 millimeters per year, causing earthquakes. Disaster preparedness is crucial for safety, reducing risks, enhance capabilities, and mitigate the impact of disasters. This study analyzes the relationship between knowledge, social support, and earthquake preparedness in Surabaya using the Precede-Proceed model.  Methods: The method used in this study was correlational design with a cross-sectional approach. The total population of the study was 11,062 Ngagel residents, and a sample of 386 respondents from the Ngagel district was selected through purposive sampling. The independent variables in this study were knowledge and social support, while the dependent variable was the disaster preparedness behaviors of the local residents in facing earthquakes. The data were collected through a questionnaire and analyzed with logistic regression tests with a significance level of p≤0.05.  Results: The analysis results showed that there was a significant relationship between knowledge (p=0.000) and social support (p=0.000) with disaster preparedness behaviors. Conclusion: Knowledge and social support have a positive relationship with disaster preparedness behavior, indicating a direct correlation. It is hoped that future researchers can conduct research with a wider range and add other factors that can initiate maladaptive responses.
The Effect Of Autogenic Relaxation And Dhikr On Sleep Quality In Chronic Kidney Disease Patients Undergoing Hemodialysis Therapy At Fatimah Islamic Hospital Setiawati, Estriana Murni; Kusumawati, Dewi Ayu
Critical Medical and Surgical Nursing Journal Vol. 13 No. 2 (2024): SEPTEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i2.51956

Abstract

Introduction: Chronic Kidney Disease (CKD) is a serious disease that can affect all ages, from teenagers to the elderly, which can be caused by various factors. CKD patients undergoing hemodialysis therapy have sleep disturbance problems that affect sleep quality. Poor sleep quality if not handled properly can cause 2 disturbances, namely physiological and psychological balance. The purpose of this research is to investigate the effectiveness of autogenic relaxation and dhikr in improving sleep quality among chronic kidney disease patients undergoing hemodialysis therapy at Fatimah Islamic Hospital. Methods: This study employed a quasi-experimental design using a pre-test and post-test control group approach. A quota sampling technique was used to select 44 participants, who were then divided into two groups. Data analysis was conducted using the Wilcoxon and Mann-Whitney tests, with significance set at p < 0.05. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality before and after the intervention. Results: The study results demonstrate significant findings, with a Wilcoxon test p-value of 0.003 and a Mann-Whitney test p-value of 0.025. Conclusion: There is an effect of autogenic relaxation therapy and dhikr on the sleep quality of chronic kidney disease patients undergoing hemodialysis therapy at Fatimah Cilacap Islamic Hospital. Future research should assess the feasibility and effectiveness of incorporating autogenic relaxation and dhikr into routine hemodialysis care, including the training of healthcare providers and integration into treatment protocols
The Effect of Red Onion Compresses on The Decrease Children's Body Temperature Fever Fatmawati, Lilis; Haritami, Sheilla Aziza; Prameswari, Riski Dwi
Critical Medical and Surgical Nursing Journal Vol. 13 No. 2 (2024): SEPTEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i2.55048

Abstract

Introduction: Children with developing immune systems are particularly vulnerable to various illnesses, including fever. As a result, this study aims to explore the potential benefits of using a red onion compress as an alternative method to reduce body temperature in febrile children. Method: This research adopts a pre-experimental approach, utilizing a one-group pretest-posttest design to assess the effects of the intervention. The study population consisted of 15 individuals, and a non-probability purposive sampling technique was used to select 13 respondents. The research was conducted between October 1st and October 31st, 2023. The independent variable in this study is the application of a red onion compress, while the dependent variable is the reduction in body temperature among children with fever. Standard operating procedures for administering the red onion compress and observation sheets were used as research instruments. Data were analyzed using a paired sample t-test with a significance level of α<0.05. Results: Prior to the application of the red onion compress, respondents were categorized as febrile, with an average body temperature of 38˚C. After the intervention, body temperatures returned to normal levels. The results indicate a statistically significant effect of the red onion compress in reducing body temperature in febrile children, with a p-value of 0.001. Conclusions: The use of a red onion compress may serve as a viable complementary treatment for reducing fever in children, potentially offering an alternative to chemical medications. Future research could explore the effectiveness of red onion compresses in comparison to other natural remedies, such as peppermint oil or aloe vera, in reducing fever in children. This would help establish whether red onion compresses are more or less effective than other traditional treatments
Effect Of Health Education With Audio-Visual Media On Adherence To Medication Of Breast Cancer Patients Syaiful, Yuanita; Fatmawati, Lilis; Retno Ayu, Lely Sandra; Gustomi, Mono Pratiko; Ayatullah, Daviq
Critical Medical and Surgical Nursing Journal Vol. 13 No. 2 (2024): SEPTEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v13i2.55274

Abstract

Introduction. Breast cancer is known as the first killer of cancer. Long-term treatment is more prone to patient compliance problems, lack of understanding of the pain, and saturation of taking medication leads to non-adherence that worsens the patient's condition. This study analyzes the effect of health education with audio-visual media on drug adherence in breast cancer patients Method. This research is a quasi-experiment with a pre-post test control group design. Purposive sampling was carried out for 1 month at the Oncology Polyclinic at Petrokimia Gresik Hospital. Subjects who met the inclusion of 36 patients were evaluated with the MMAS (Morinsky Medication Adherence Scale) questionnaire. The data was then analyzed using the Paired T-test. ResultsThe paired t-test revealed a statistically significant (p = 0.000, α < 0.05) improvement in medication adherence among breast cancer patients following health education with audiovisual media. Conclusion. This suggests that audiovisual media can be an effective tool in enhancing medication adherence in this population. Further research is warranted to explore the optimal content, duration, and frequency of audiovisual interventions. Additionally, studies investigating the cost-effectiveness of this intervention and its impact on other patient outcomes, such as quality of life and treatment efficacy, are needed

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