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Jurnal NERS

JNERS
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Published by Universitas Airlangga

ISSN : 18583598 EISSN : 25025791 DOI : -

Core Subject : Health,

Nursing

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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Articles 25 Documents

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Search results for , issue "Vol. 11 No. 2 (2016): Oktober 2016" : 25 Documents clear

Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya Rr Dian Tristiana; Kusnanto Kusnanto; Ika Yuni Widyawati; Ah Yusuf; Rizky Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.

Kinerja Bidan dalam Deteksi Dini Penyimpangan Tumbuh Kembang Anak Sri Utami; Nursalam Nursalam; Rachmat Hargono; Rekawati Susilaningrum
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Background: Children are the future of a nation.They should be able to grow and develop optimally. One effort that can be done to help children grow and develop optimally is through an early detection of deviationsin child’s growth. The purpose of this study was to develop a model of midwife performance improvement through the optimization of self leadership strategy. Method: This study was an observational study with cross sectional design. The subjects were 222 midwives working at the health center services in the area of Surabaya Health Department taken by using proportional random sampling technique. Exogenous variables were job design, history of training of early detection of deviationsin child’s growth, self leadership strategy, midwife skill, midwife activity in early detection of deviationsin child’s growth, andendogenous variable was midwife performance in early detection of deviationsin child’s growth. Data were analyzed using Partial Least Square (PLS). Result: The result of inner model analysis showed that the value of T-statistic of the influence of self leadership strategyon midwife performance improvement, the influence of midwife skill on activity performance improvement, the influence of self leadership strategyon activity performance improvement and on midwife performance improvement was higher than T-table (1.96). Whereas, training of early detection of deviationsin child’s growth did not influence midwife skill improvement since the value of T-statistic was lower than T-table (<1.96). In addition, there was also no influence of job design on midwife skill improvement and on midwife activity performance improvement in early detection of deviationsin child’s growth. Discussion: Optimization of midwife self-leadership ability is a factor to be considered as an effort to improve the performance of midwives in early detection of deviationsin child’s growth.

Pornographic Media and Peer’s Influence Towards Sexual Behavior among Teenagers Murdiningsih Murdiningsih; Rosnani Rosnani; Hidayat Arifin
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Background: The problems associated with unsafe sexual behavior in adolescents are caused by premarital sexual intercourse with a partner of their own age. One of the problems caused by premarital sex is a pregnancy outside of marriage. Increased incidence of premarital sex is caused by the development through media depictions of sex scenes in the form of television, magazines, video clips, online media, and films. In Musi Banyuasin there are 7754 high school students, many students have dropped out of school because they get pregnant before marriage so that in adolescence their parents are forced to marry or have abortions. The aim study is determined the factors associated with unsafe sexual behavior in adolescents in high school.Method: Observational research with cross sectional and quantitative approach. The population is high school students. Sampling technique was using multistage random sampling obtained 393 samples. Bivariate analysis, chi-squareResult: the result showed a correlation between the influence of peers with adolescent sexual behavior has p-value (0,000). There was no relationship between media pornography with sexual behavior because the result more than p-value (0,05). Conclusion: Necessary to be given knowledge and assistance to adolescents about positively and creatively thing and supervision of parents to their children in order to have a friends and avoid unsafe sexual behavior.

Model Kompetensi Kepemimpinan Kepala Ruang Meningkatkan Motivasi dan Kinerja Perawat Pelaksana Putu Widhi Sudariani; Budi Utomo; Rizki Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Leadership competencies are unsuitable that given the leadership to employees, can decrease the motivation, performance and ultimately job satisfaction. This research was conducted to develop a leadership competency model as an effort to improve the motivation and performance of nurses so as to improve health services. Methods: This research have two phase, phase one is analytic observational with 140 sample, analysis data with partial least square (PLS), formulation of strategic issues using focus group discussion (FGD), then make a modul with some expertise. Phase two is quasy experimental with 32 sample divided into two group, there are treatment group and control group. Analysis data in phase two with wilcoxon signed rank test and mann whitney. Result: Phase one there is influence of internal factors (knowledge, skills, and values) to the leadership competencies (t = 3.728> 1.96), there is influence of external factors (cultural organizations) to the leadership competencies (t = 2.257> 1.96), competence leadership influence motivation (t = 3,432> 1,96), leadership competencies influence to performance (t = 2.878> 1.96). The second phase, calculation with Wilcoxon signed rank test showed there is difference motivation in treatment group pre-test and post-test, Mann-Whitney test showed there is influence of development leadership competency model to the motivation of nurses. Test Wilcoxon signed rank test for performance of nurses showed there is difference between pre-test and post-test, Mann-Whitney test was obtained there is influence development of leadership competency model to the performance of nurses. Discussion: Development of leadership competency model can increase the motivation and performance of nurses.

Efek Zat Aktif Ekstrak Daun Jambu Biji Merah (Psidium Guajava.L) terhadap Spermatogenesis pada Tikus Putih Jantan (Rattus Norvegicus) Ervi Husni
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Pendahuluan: Jumlah penduduk Indonesia sensus tahun 2010 sebanyak 237,6 juta jiwa dengan laju pertumbuhan penduduk 1,49 % per tahun. Target RPJPMN 2010-2014 sebesar1,14 %, laju pertumbuhan penduduk saat ini 0,53 % masih lebih tinggi. Pengendalian penduduk diperlukan antara lain dengan pemakaian kontrasepsi pada wanita maupun pria. Keterlibatan pria dalam KB masih rendah hanya 6,26 %. Tujuan penelitian untuk membuktikan zat aktif daun jambu biji merah dapat menurunkan kadar FSH dan spermatogenesis pada tikus putih jantan (Rattus norvegikus).Metode: Penelitian ini merupakan penelitian eksperimen dengan rancangan Post test only control group design. Besar sampel menggunakan rumus Federer dengan jumlah sampel 30 ekor tikus putih, terbagi tiga kelompok yaitu Kelompok 1 (K1) kelompok kontrol diberikan larutan CMC 0,5 % 1 ml/ hari, Kelompok Perlakuan 1 (P1) diberikan ekstrak daun jambu biji merah dosis 40 mg/ml/hari dan kelompok Perlakuan 2 (P2) diberikan ekstrak daun jambu biji merah dosis 80 mg/ml/hari dan diberikan selama 30 hari. Variabel penelitian jumlah sel spermatogenik ( Spermatogonium, Spermatosit primer dan Spermatid). Data dianalisis menggunakan uji ANOVA.Hasil: Hasil analisis data dengan uji ANOVA jumlah sel spermatogonium nilai p 0,801 (p < 0,05): tidak ada perbedaan signifikan diantara ketiga kelompok, uji LSD tidak dilakukan. Hasil uji ANOVA untuk jumlah sel spermatosit primer didapatkan nilai p 0,102 ( p < 0,05 ), berarti tidak ada perbedaan signifikan diantara ketiga kelompok, uji LSD tidak dilakukan. Hasil uji ANOVA untuk jumlah sel spermatid nilai p 0,001 (p < 0,05) berarti terdapat perbedaan signifikan diantara ketiga kelompok. Hasil uji LSD kontrol dengan P1 (p 0,036 ): berbeda, Kontrol dengan P2 (p <0,000): berbeda, P1 dengan P2 (p <0,033) : berbeda.Diskusi: Kesimpulan penelitian ini adalah pemberian ekstrak daun jambu biji merah tidak menurunkan jumlah sel spermatogonium dan sel spermatosit primer tetapi menurunkan jumlah spermatid pada tikus putih jantan.

Poverty and Lack of Knowledge Cause Negligence on Female Elders Lived in Extended Familie Setho Hadisuyatmana; Muhammad Rully Maulana; Makhfudli Makhfudli
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Elder neglect remains as unreported case that involved old women in Ampenan West Nusa Tenggara. Despite the paucity of evidence to report the significance, an earlier pilot study showed that elders who lived with their family in Ampenan were found dirty, skin dry, and malnourished. The purpose of this study was to explore the correlating factors to the unreported cases of neglect among these elders. Method: This study was a cross sectional conducted using analytic descriptive approach. Thirty-four extended families lived with female elders in the working area of Puskesmas Ampenan were purposively involved as participants to this study. Family’s awareness of abuse was collected using a questionnaire developed based on Elder Abuse Instrument component checklist and the suspicion to neglect among the elders were collected using the 13-item checklist from Elder Abuse Instrument. The data were then analyzed using Spearman’s rho (α ≤ 0,05). Result: The results show that family’s lack of knowledge has a strong correlation with elder neglect (p= 0,000 with r= 0,643). Discussion: The analysis to this finding suggests that not only were the families lack of knowledge, but they were also being burden by the poor economic situation that trigger the unnecessary neglect to their female elders. These results abridge the paucity of evidence to explain the correlating factors with the incidence of elder abuse in eastern Indonesia. Further research is necessary to explain the size and the impact of neglect toward the elders. It is suggested that local department of health, Puskesmas and health professionals to educate the community as the first step to improve the elders’ quality of life and promote healthy ageing.

Kompetensi Perawat dalam Merawat Pasien Gangguan Jiwa Ah Yusuf; Rizki Fitryasari; Hanik Endang Nihayati; Rr. Dian Tristiana
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies. Methods: This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD).Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi. Result: The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. Discussion: The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction.

Intervensi Keperawatan Truncal Control Exercise terhadap Fungsi Ekstremitas Atas, Keseimbangan, dan Berjalan pada Klien Pascastroke Kusnanto Kusnanto; Ganda Ardiansyah; Harmayetty Harmayetty
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Poststroke clients will have impaired postural body that can have affect to their balance, ability to gait and function of the upper limb. Truncal control exercise can improve and maintain body postural be good. Rehabilitation poststroke still focusing on upper and lower limbs exercise of hemiplegia compared postural body’s repair.Methods: This type of research used experimental with quasy control group pretest – postest design. The number of samples obtained with consecutive sampling techniques that appropriate criteria research consists of 20 respondents (n = 10 treatment-and n-control = 10). The independent variable is the truncal control exercise. The dependent variable is the function of the upper limb, balance, and gait. Data were collected by using observation and checklist sheets. Data were analyzed using independent t-test and paired t-test with α = 0,05.Results: The results of statistical tests performed in the treatment group and the control was obtained p-value of the functional capabilities of the upper limb = 0.270 and p-value of performance of upper limb function = 0.289. The results of statistical tests performed in the treatment group and the control was obtained p-value of balance = 0.017. The results of statistical tests performed in the treatment group and the control was obtained p-value of gait = 0.026.Discussion: Nursing interventions truncal control exercise have less effective results to changes in upper limb function, but it is effective to balance and walk clients pascastroke. Nursing interventions truncal control exercise can be continued as a form of collaborative action for medical-surgical nurse with physiotherapy to optimize rehabilitation programs of posstroke clients with balance and gait problems in clinic or home’s client.

Role Attainmetn Ibu dalam Pemberian MP – Asi dengan Peningkatan Berat Badan Bayi Usia 6-12 Bulan Ririn Probowati; Heri Wibowo; Septi Fitrah Ningtyas; Mamik Ratnawati; Nursalam Nursalam
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Mother’s Role Attainment in giving additional food will affect growth in infants. The study aims to analyze the role of mothers in the attainmet competency in giving additional food with infant growth Age 6-12 months working area Jogoloyo Jombang Health care centre.Methods: Design used in this study was retrospectives, the population was mother of babies aged 6-12 months in Health care centre Jombang Jogoloyo Sumobito on July 2016. Simple random sampling technique was used in this study, with sample were 130 mother. The independent variables were maternal role attainment in the competence of giving complementary feeding. The dependent variable were growth of infants aged 6-12 months. Data was collected using questionnaires and observation KIA book and analyzed using chi square with a significance level of 0.05.Results: Results showed that ρ = 0.005 <0.05, which means that there is a relation role Attainment in giving additional food to the growth of infants aged 6-12 months.Discussion: Mother Role Attainment in giving additional food affect the babies weight. After the age of 6 months babies should receive additional food because breast milk is not sufficient nutrients to the baby's growth.

Peran Ayah dalam Keberhasilan Program Inisiasi Menyusui Dini (IMD) pada Bayi Yang Lahir secara Sectio Cesaria Sestu Retno D. A.; Nursalam Nursalam; Budi Santoso; Rachmat H.
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Delivery through Sectio Caesaria (SC) is one of the obstacles to doing Initiation of Breast Feeding. The readiness of new mothers to give her milk to the newborns in need of psychological preparation, because the mother has a role change. The achievement of the role of the mother can be successful if the mother close to the baby and get the support from the spouse (husband). Husband's role in the implementation of IMD is very important. Husband's involvement in the implementation of IMD include the provision of support and interaction. The husband is the closest person for breastfeeding mothers who are expected to always be on the maternal side, and are always ready to provide assistance. If mothers gain confidence and full support of her husband, the motivation for breastfeeding mothers will increase.The objective of this study was to know the role of husband in accompanied the mother with section caesarean in implementing of IMD.Methods: This study used observational eksplanatif, with cross-sectional design, the aims were collecting the respondent data to answer the strategic issues which were going on, which caused the post SC women do not implemented the IMD. Respondent: as many 282 post SC mothers who covered the inclusion and exclusion criteria. The study was conducted in the operating room (OK) Type B obstetrics hospitals, namely RSUD Jombang and RSUD Sogaten Madiun.Result: The test results Together showed there was an effect from Spouse support variable and spouse’s interaction to the implementation of IMD. Individual test result of spouse support to the effect of implementation of IMD, however variable of spouse’s interaction, there was no effect to the implementation of IMD. The implementation of IMD was effected by spouse support as many as 3,7%.Discussion:The mother that had the support from spouse had a higher motivation in implementation of IMD to the baby.

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Ferry Efendi

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Contact Name Ferry Efendi

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Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location Kota surabaya, Jawa timur INDONESIA

Abstract

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Contact Name
Ferry Efendi

Contact Email
ferry-e@fkp.unair.ac.id

Phone
-

Journal Mail Official
ners@journal.unair.ac.id

Editorial Address
Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location
Kota surabaya,

Jawa timur

INDONESIA