Jurnal NERS
The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research methods not exception to systematic review papers.
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<![CDATA[A Nursing Management Model to Increase Medication Adherence and Nutritional Status of Patients with Pulmonary TB ]]>
<![CDATA[Eka Mishbahatul Mar’ah Has]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2159
<![CDATA[Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become an obstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be done actively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of community nursing intervention, in which community nurses send short messages to remind patients to take medication and nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI to increased medication adherence and nutritional status of patients with pulmonary TB.Methods: This study was used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people, divided into treatment and control groups. The independent variable was N-SMSI. The dependent variables were medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and Independent t-test with α ≤ 0.05.Results: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p = 0.001. It’s similar with the control group, with p = 0.002. Mann whitney test results had showed no signifi cant difference in nutritional status between treatment and control group, as indicated by the value of p=0.589. While independent t-test had showed difference in compliance between treatment and control group, with p=0.031.Conslusion: N-SMSI can improve medication adherence of patient with Pulmonary TB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which can improve the nutritional status of patient with Pulmonary TB.]]>
<![CDATA[The Factors Associated with The Triage Implementation in Emergency Department ]]>
<![CDATA[Nur Ainiyah]]>;
<![CDATA[Ahsan Ahsan]]>;
<![CDATA[Mukhamad Fathoni]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2107
<![CDATA[Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B). Methods: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR.Results: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017).Conclusion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.]]>
<![CDATA[Breastfeeding Self Effi cacy and Effective Breastfeeding on Postpartum Mother ]]>
<![CDATA[Retnayu Pradanie]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.1854
<![CDATA[Introduction: Breastfeeding has been identifi ed as the optimal source of nutrition for infants. However, many mothers do not breastfeed their infants excusively. The possible modifi able factors to improve breastfeeding rates are breastfeeding self effi cacy and effective breastfeeding behavior. The aim of this study was to analyze the breastfeeding support package to improve breastfeeding self effi cacy and impact on effective breastfeeding behavior.Methods: This study was a quasy experiment pre-post test non equivalent control group design. Samples were 20 respondents recruited using consecutive sampling in Navy Hospital Dr. Ramelan who met the inclusion criteria. Instruments that used in this study were breastfeeding self effi cacy short form and LATCH assessment tool.Results: The score of breastfeeding self effi cacy on experiment group was improve higher than control group. But, the hypothesis test showed that there were no difference score between experiment and control group after intervention (p = 0.104). The correlation between breastfeeding self effi cacy and effective breastfeeding behavior was not signifi cant (p = 0.976). Conclusion: The antecedent of breastfeeding self effi cacy were not only the information resources but also job and education level. Breastfeeding self effi cacy was not an antecedent of effective breastfeeding behavior.]]>
<![CDATA[Utilizing Z-track Air Lock Technique to Reduce Pain in Intramuscular Injections ]]>
<![CDATA[Evelyn Hemme Tambunan]]>;
<![CDATA[Imanuel Sri Wulandari]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2038
<![CDATA[Introduction: Injection is one of most painful and common medical interventions that more than 12 billion of it are administered annually throughout the world. Pain remains as one of the unresolved health problems. The objective of this research was to investigate the pain severity utilizing the z-track air lock technique during intra muscular injection procedure.Methods: This study was conducted as an unblinded cinical trial, where 90 female subjects aged between 18-25 years old were randomly assigned to three groups of 30. Each group received z-track air lock (Group ZTAL), air lock (AL), and z-track (Group ZT) techniques. Neurobion 5000 vitamin used as an injection substance.A Verbal Rating Scale (VRS) on 0–3 was used to evaluate the severity of pain during procedure. Data were analized using the SPSS version 19. Groups’ age, Body Mass Index (BMI) and pain severity were analyzed through descriptive and One Way ANOVA statistics.Results: Results showed that there were no signifi cant differences of pain severity both within and between groups (p > 0.05).Conclusion: Both Z-track and air lock method are less pain compared to traditional method according to previous studies. Noncicepti stimulus inhibited nocicepti stimulus in z-track technique while locking effect inhibit leakeage of substance injection to subcutaneous layer of skin which contain of nerve fi bers. However All techniques are recommended to produce less pain therefore it can be considered as a standard procedure for intra muscular injection.]]>
<![CDATA[GFR and Blood Lead Levels in Gas Station Workers Based on δ-Alad Gene Polymorphisms ]]>
<![CDATA[Lantip Rujito]]>;
<![CDATA[Muhammad Nur Hanief]]>;
<![CDATA[Paulus Gozali]]>;
<![CDATA[Joko Mulyanto]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.1878
<![CDATA[Introduction: Lead is a well-known toxic agent that makes an organ’s failure. Lead serum itself is infl uenced by δ-ALAD gene polymorphisms (Amino Levulinic Acid Dehydratase). δ-ALAD gene encodes an ALAD enzyme used for heme synthesis. The Characteristic of gene polymorphism may result in Glomerulo Filtration Rate (GFR) value as mark of renal failure. The goal of this study was to fi nd correlations between blood lead levels with GFR in terms of δ ALAD gene polymorphisms.Methods: A cross-sectional design was used to perform this research. Thirty-eight gas stations workers in Banyumas were recruited in this study. δ-ALAD gene polymorphisms were characterized using PCR-RFLP method, while lead serum levels were quantifi ed by Atomic Absorption Spectrophotometer (AAS). In addition, Creatinin serum was done with a spectrophotometer and GFR value was formulated by means of the Schwartz method.Result: The study showed that the proportion of ALAD genotype for ALAD 1-1, 1-2 and 2-2 were 94.7%, 5.3%, and 0% respectively. The mean of serum levels in homozygous 1-1 was 15.94 ppb and heterozygote 1-2 was 1.15 ppb. GFR of participants ranged from 71.11 mL/min to 185.20 mL/min with a mean of 117.34mL/min. There was no correlation between serum Pb and GFR (p = 0.19). Study also could not determine the correlation between GFR and ALAD gene Polymorphism.Conclusion: Study then concluded that there was no correlation between blood lead levels in the GFR on each δ-ALAD genotypes.]]>
<![CDATA[Model of Caring Behavior Improvement to Achieve the Competence in Critical Care Nursing ]]>
<![CDATA[Herdina Mariyanti]]>;
<![CDATA[Nursalam Nursalam]]>;
<![CDATA[Ninuk Dian Kurniawati]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2108
<![CDATA[Introduction: Nursing students need to build their capacity to understand and learn the form of caring of a professional nurse from a different point of view and apply the acquired knowledge into nursing practice. The purpose of the present study was to develop a model of caring behavior improvement in students of professional nursing education program in order to achieve students’ nursing care competence.Methods: The present study used the explanatory survey and pre-experimental research design. Samples were students practicing in the ICU. Independent variables were attitude, personality, motivation and job design. Dependent variables were students’ caring behaviors and competence. Instruments used were a questionnaire for the independent variables and an observation sheet for the dependent variables. Data were analyzed using the Partial Least Square method.Results: Results showed that the loading factor of attitudes, personality, motivation, and job design against students’ caring behavior was > 1.96. The loading factor of students’ caring behaviors against the achievement of students’ competence was > 1.96. There were effects of attitude, personality, motivation and job design on students’ caring behaviors. Additionally, there was a signifi cant effect of caring behaviors on the achievement of student competence.Conclusion: students’ attitudes, personality, motivation and job design would affect the shaping of students’ caring behaviors. Students’ caring behaviors would affect the achievement of student competence.]]>
<![CDATA[The Effectiveness of Dhikr Toward Decreasing Anxiety and Labor Pain During Active Phase of First Stage among Primigravida ]]>
<![CDATA[Irma Nurbaeti]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.1855
<![CDATA[Introduction: Childbirth is an event that causes stress to the mother. Anxiety and pain during labor, if not handled properly will disrupt the process of birth. Interventions to do is dhikr to God. The purpose of this study was to determine the effectiveness of dhikr to reduce anxiety and pain during the active phase of labor.Methods: The study used a quasiexperimental design involving control groups were measured pretest and posttest. The samples were 40 moeslem primigravida with 37–42 weeks gestation and cervical dilation > 3 cm were taken by purposive sampling. Data was collected using a questionnaire (Taylor Manifest Anxiety Scale) and observation of labor pain (Visual Analog Scale) per hour. Multivariate data analysis using ANOVA test at α = 0.05.Results: This study showed that dhikr was effective to reduce the level of anxiety during labor in primigravida (59.8%). The average score of maternal anxiety and pain felt by mothers during childbirth have decreased, with a value of p = 0.001.Conclusion: Primigravida who did dhikr tend to experience mild anxiety during delivery process, while primigravida who did not perform dhikr is likely to experience more severe anxiety. Dhikr is also effective in reducing labor pain during the active phase of labor.]]>
<![CDATA[Cognitive Support Increase CD4 Level on Patient with HIV at Kota Kediri ]]>
<![CDATA[Yuly Peristiowati]]>;
<![CDATA[Sandu Siyoto]]>;
<![CDATA[Ratna Wardani]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2057
<![CDATA[Introduction: HIV still becomes health problem that threaten Indonesia and many countries around the world. When HIV enters the body, it looks for CD4 cells and begins to replicate itself. Once replicated and left the dead CD4, the new viral particles will be looking for and infecting new CD4. The purpose of this study was to determine the effects of cognitive supports on CD4 level people living with HIV. Those cognitive supports consist of information, psychological, and spiritual support in order to increase the levels of CD4.Methods: This was quasy experiment research with posttest group design. Population were all people living with HIV at Kota Kediri. Samples were 20 respondents who meet the criteria, divided into two groups, intervention and control. The independent variable was cognitive support, while dependent variable was CD4 level of people living with HIV. Blood samples were collected to examine CD4 level. Data were then analyzed by using Anova test and T-test.Results: Results indicated that the cognitive supports had an effect in increasing the levels of absolute CD4 and CD4 percentage of people living with HIV at a signifi cance value of 0.003. However, there was no signifi cant difference between the control groups taking ARV regularly and irregularly.Conclusion: The provision of cognitive support was capable to stimulate the immune system by increasing T lymphocytes that have CD4 molecular markers. Thus, an increase in the levels of CD4 is expected to improve the quality of life of people living with HIV.]]>
<![CDATA[The Level of Asthma Diagnosing System by using Fuzzy Inference System ]]>
<![CDATA[Kholida Hanum]]>;
<![CDATA[Subiyanto Subiyanto]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.1879
<![CDATA[Introduction: This paper discuss about fuzzy inference system for the diagnosis of asthma’s levels. The process of diagnosis was made from symptoms that occur in patients with asthma. Input process, results, and methodology in making this system was done carefully, so this system is expected valid and fi t for medical diagnosis.Methods: Methodology in the system including the knowledge base, fuzzyfi er, and inference engine. The symptoms used in diagnostic systems, including shortness of breath, wheezing, level of alertness/unique symptoms, respiratory rate, speech rate, pulse per minutes, and PEF after bronchodilator. And the output of asthma’s level diagnosis was mild, moderate, severe, and RAI/respiratory failure. The performance of system has been tested in Cilacap Pertamina Hospital, 20 patients with asthma were involved. Results: The results of system and doctor’s opinion who has been treating patients with asthma were compared. Result: The result showed that the system obtained 90%, according to the doctor’s diagnosis.Conclusion: This system is expected to help the medical expert or doctor in diagnosing the level of asthma. ]]>
<![CDATA[Model of Quality Management System Using Malcolm Baldrige Criteria in Nursing Education in Surabaya ]]>
<![CDATA[A. Aziz Alimul Hidayat]]>;
<![CDATA[Stefanus Supriyanto]]>;
<![CDATA[Nursalam Nursalam]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2110
<![CDATA[Introduction: Most of the quality of Nursing Education in Surabaya is still at the low level. It is due to the fact that the process and job performances which have not been integrated yet, systematic and fl exible which are in line with the capacity of the organization and the needs of graduates. This study aims to develop a model of quality management systems of Nursing bachelor’s degree program based on the Malcolm Baldrige Criteria For Performance Excellence.Methods: The method used is a cross sectional survey design. This research was conducted with a sample of eight institutions and twenty four of respondents. The data was collected by means of interviews, questionnaires and documentation. Analysis of the data used Partial Least Square (PLS).Results: The results showed that 1) leadership affects the study program as well as the profi le that affects job performances; 2) Leadership affects the strategic planning as well as the strategic planning that affects focus of Human Resources. In addition, the focus of human resources affects the focus process and fi nally affects job performances as well; 3) customer focus affects leadership as well as leadership affects strategic planning. As the impact, strategic planning affects focus of human resources and it affects similarly on the focus process and fi nally affects job performances; 4) All variables are affected by measurements, analysis and knowledge management, except in strategic planning.Conclusion: Based on the above results, the model of quality management system can be developed by using the Malcolm Baldrige criteria for the purpose of increasing the quality of Nursing Study Program. On the other hands, this model can be used as a reference of the organization at the level of Nursing Study Program (Strategic Business Unit) to restructure the performance of the college in global competition. ]]>
