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[Health Care-Seeking Behaviour of Coastal Communities in Banyuwangi, Indonesia: Results of A Cross-Sectional Survey ]]>
<![CDATA[Susy Katikana Sebayang]]>;
<![CDATA[Erni Astutik]]>;
<![CDATA[Desak Made Sintha Kurnia Dewi]]>;
<![CDATA[Ayik Mirayanti Mandagi]]>;
<![CDATA[Septa Indra Puspikawati]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.4439
<![CDATA[Introduction: Improving health care-seeking behavior of the coastal communities is a pathway to improve their health. This analysis aims to explore the health care-seeking behavior of the coastal communities in Banyuwangi District to recommend the room for improvement for health promotion and health service improvement for these communities.Method: Data from a cross-sectional survey of metabolic syndrome and mental health conducted in coastal communities in Banyuwangi was used for analysis. Randomly selected participants from a list of members of Family Welfare Development Group (Pembinaan Kesejahteraan Keluarga /PKK) were asked for an interview at corresponding village office in Ketapang, Bangsring, Bulu Agung, Grajagan and Kampung Mandar village. Distribution of health care-seeking behaviors was analyzed individually and where possible were segregated by gender and age.Results: More than half of the coastal communities in Banyuwangi District went to health care service to seek health and 7 out of 10 turned to health care service to seek health for their family members. Women more than men turned to health care service when they or their family members fell ill. Private doctors rather than Puskesmas were more popular. Private midwives were the most popular service for antenatal care (ANC) and delivery. Although there was not a clear increase in health care service utilization over time, we found that contraceptive utilization increased with time.Conclusion: The utilization of health care service in Banyuwangi needs to be more promoted especially for men’s health. ]]>
<![CDATA[The Effectiveness of Mangosteen Peels Extract Against The Total of T Lymphocytes in HIV Patients ]]>
<![CDATA[Maria Dyah Kurniasari]]>;
<![CDATA[Edi Dharmana]]>;
<![CDATA[Hussein Gasem]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2234
<![CDATA[Introduction: The Province of West Java is one of the highest HIV sufferers in Indonesia that has increased accumulatively in 2013 to 2014. This condition was proven that in 2014 West Java ranked 4th among the provinces with the highest HIV sufferers in Indonesia. HIV has main target to infect a cell that contains of receptor, CD4. CD4 examination routinely is very important to decide HIV replication process. Meanwhile, CD4 test in the laboratory is quite expensive and not always available in every health facilities. Mangosteen peels extract contains of xanthones as an antioxidant, which is needed for body as a prooxidant that can inhibit the replication of HIV and the activity was seen from the total number of lymphocyte.Method: The human experimental research has been done by Randomized Control Group Pretest-Post Test Design. There were 20 patients sample for each group. In group 1, HIV patients with ARV therapy were given mangosteen peels extract and in group 2, they were given placebo capsule. Wilcoxon Smith test and Mann Whitney U test were used to determine the difference between group 1 and group 2.Result: There is no significant difference between lymphocytes (p: 0.102) to HIV patients with ARV in each group examination. Discussion: The ineffectiveness is caused by the phagocytocity and cytoxity of TNF through the increasing of free radicals in HIV patients.]]>
<![CDATA[Jigsaw Puzzle Improve Fine Motor Abilities of Upper Extremities in Post-Stroke Ischemic Clients ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Eska Dwi Prajayanti]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2790
<![CDATA[Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta.Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups.Results: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients.Conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.]]>
<![CDATA[Red Rosella Tea and Avocado As Simvastatin Therapy Support Reduce Total Cholesterol ]]>
<![CDATA[Budi Artini]]>;
<![CDATA[Elyana Asnar]]>;
<![CDATA[Ika Yuni Widyawati]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2316
<![CDATA[Introduction: Hypercholesterolemia is a condition characterized by high levels of total cholesterol in the blood. Many studies have proven that steeping tea rosella and flesh of an avocado can reduce total cholesterol levels. This study was conducted to determine the effectiveness of therapy companion rosella tea and avocado in lowering total cholesterol levels in hypercholesterolemia clients.Methods: This type of research is a quasi-experimental study with pre-post test control group design. The population study was a client with hypercholesterolemia in the working area of menganti health centers. First sample group consisted of nine respondents received the drug Simvastatin 10 mg and rosella tea consumed as much as 2 g 1x / day. The second group consisted of nine respondents received the drug Simvastatin 10 mg and avocado meat weighing 330 grams were consumed 1x / day. The control group consisted of 11 respondents have a drug Simvastatin 10 mg oral 1x daily at night before bed. All groups examined total cholesterol levels before treatment and after treatment on day 15.Results: The results of one-way ANOVA test showed a significant difference between before and after treatment in the first group (p=0,001) and second group (p= 0,005), and there is no significant difference before and after treatment in the control group (p= 0,248). The difference between the three groups showed p= 0.025.Conclusion: The conclusion of this study is giving rosella tea and avocado has the same effectiveness in lowering total cholesterol levels so that health workers can suggest the use of rosella tea and avocado as a companion therapy to reduce total cholesterol level.]]>
<![CDATA[Quality Improvement Model of Nursing Education in Muhammadiyah Universities Toward Competitive Advantage ]]>
<![CDATA[Abdul Aziz Alimul Hidayat]]>;
<![CDATA[Musrifatul Uliyah]]>;
<![CDATA[Sukadiono Sukadiono]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2969
<![CDATA[Introduction: Most of (90,6%) nursing education quality in East Java was still low (BAN-PT, 2012). It was because the quality improvement process in nursing education generally was conducted partially (random performance improvement). The solution which might be done was through identifying proper quality improvement model in Nursing Education toward competitive advantage.Method: This research used survey to gain the data. The research sample was 16 Muhammadiyah Universities chosen using simple random sampling. The data were collected with questionnaires of 174 questions and documentation study. Data analysis used was Partial Least Square (PLS) analysis technique.Result: Nursing education department profile in Muhammadiyah Universities in Indonesia showed of 10 years establishment, accredited B and the competition level in one city/regency was averagely more than three Universities becoming the competitors. Based on the quality improvement model analysis of nursing education toward competitive advantage on Muhammadiyah Universities, it was directly affected by the focus of learning and operasional process through human resources management improvement, on the other hand information system also directly affected on quality improvement, also affected quality process components; leadership, human resources, focus of learning and operational process. In improving human resources would be directly influenced with proper strategic planning. Strategic planning was directly influenced with leadership. Thus, in improving quality of nursing education, the leadership role of department, proper information system, and thehuman resources management improvement must be implemented.Conclusion: Quality improvement model in nursing education was directly determined with learning and operational process through human resources management along with information system, strategic planning factors, and leadership. The research finding could be developed in quality analysis application program.]]>
<![CDATA[Factors Affecting The Compliance Of Myanmar Nurses In Performing Standard Precaution ]]>
<![CDATA[Sa Sa Aung]]>;
<![CDATA[Nursalam Nursalam]]>;
<![CDATA[Yulis Setiya Dewi]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2294
<![CDATA[Introduction: Exposure to pathogens is a serious issue for nurses. The literature explains that standard precaution have not consistently done in nursing. The purpose of this study was to analyze the factors affecting the compliance of nurses in Myanmar in performing standard precautions.Methods: This study used a cross-sectional design. Samples included 34 nurses in Waibagi Specialist Hospital (SHW), Myanmar. The independent variables were the characteristics of nurses, knowledge of standard precaution, and exposure to blood / body fluids and needle puncture wounds. The dependent variable was the performance of standard prevention. Data analyzed using descriptive analysis and logistic regression.Results: The result showed that almost respondents (91.18%) had a good knowledge about prevention standards and 73.5% of respondents had good adherence in performing standard precaution. However, in practice nurses have not been consistent in closing the needles that have been used correctly. The results showed that nurse characteristics did not significantly affect adherence to standard precaution with statistical test results as follows: age (p = 0.97), gender (p = 1.00), religion (p = 0.72), education (p = 0.85), work experience at SHW (p = 0, 84), education training program (p = 0.71), knowledge (p = 0.76), and needle stick injury (p = 0,17). But, there was a significant influence between adherence to standard precaution on the incidence of injury due to puncture needle with p value = 0.01.Discussion: The barriers to applying standard precautions by Myanmar nurses can be reduced by providing basic training, supervision and improvement of operational standard procedures.]]>
<![CDATA[The Adaptation Model Of Care Giver In Treating Family Members With Schizophrenia In Kediri East Java ]]>
<![CDATA[Byba Melda Suhita]]>;
<![CDATA[Chatarina Umbul Wahyuni]]>;
<![CDATA[Hari Basuki Notobroto]]>;
<![CDATA[Ah Yusuf]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.3513
<![CDATA[Introduction: Schizophrenia is a severe mental disorder that is characterized by impaired reality (hallucinations and delusions), inability to communicate, affect unnatural or blunt, cognitive disorders (not capable of abstract thinking) and had difficulty doing daily activities. Normally, the family is most affected by the presence of people with schizophrenia in their families. The purpose of this study was to develop an adaptation model of the caregiver in caring for family members with schizophrenia in Kediri.Methods: This study used cross-sectional design with nature explanatory research. Data were collected using a questionnaire on 135 respondents in nine health centers in the city of Kediri region. The sampling technique used simple random sampling. For data analysis and test, the feasibility used a test model of SEM with AMOS program 19.Results: The results showed self esteem caregiver (-0.25 <0.05), community resources (0.24 <0.05), self-efficacy (0.22> 0.05) , caregiver coping effort (12:17 <0.05), and the perception of caregiver about the family situation at this time (0:19 <0.05), which means that adaptation of caregiver in treating patients with schizophrenia is influenced by the characteristics of the family, namely community resources, self-efficacy, caregiver coping effort, self-esteem and perception of family caregiver to the conditions experienced at this time. Perception of caregiver about the condition of today's families is affected by stress, which appears on a caregiver stress due to stressor for caring for people with schizophrenia, especially the aggressive behavior of schizophrenics.Discussion: Adaptation of caregiver was highly influential in the care of people with schizophrenia because in this case becomes one of the important points to be able to sustain the process of treatment and prevent relapse of schizophrenics.]]>
<![CDATA[Enculturation in The Life Pattern of Breast Cancer Patients: An Ethno-Nursing Study on Sundanese Women ]]>
<![CDATA[Witdiawati Witdiawati]]>;
<![CDATA[Laili Rahayuwati]]>;
<![CDATA[Sheizi Prita Sari]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.4143
<![CDATA[Introduction: Death of breast cancer remains the highest position in the totem of incidents not only in Indonesia but also in the world. Its treatment process, which in fact brings huge impacts to the life quality of breast cancer patients in terms of physique, psychology, and social life, shapes a number of behavioral patterns throughout their life. The aim of this research is thus to explore patterns of breast cancer patients in sustaining their lifespan.Methods: This research is designed using ethno-nursing qualitative approach. The sampling technique is done purposively to 6 informants, all of whom are breast cancer patients in Garut District, West Java, Indonesia. Data collecting is done through interviews and participatory observation. Data transcription is analyzed using ethno-nursing analysis method.Results: The result of the research shows four domains occurring as a pattern of inculturation of breast cancer patients in Sundanese culture, namely 1) dedication as wife and mother of Sundanese breast cancer patients, 2) medicine seeking for the rest of their life, 3) factors affecting to breast cancer patients adaptation for daily routines, and 4) family gathering as a meaning for end of life.Discussion: The result of this research shows an interconnected cultural pattern in the life of these patients. It is thus advised that nurses provide service to breast cancer clients by applying nursing care inherent to their cultural values.]]>
<![CDATA[Development of Performance Assessment Instrument for Nurses Based on Web in Inpatient Unit ]]>
<![CDATA[Aprilia Nuryanti]]>;
<![CDATA[Nursalam Nursalam]]>;
<![CDATA[Mira Triharini]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2253
<![CDATA[Introduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing’s task. The purpose of this study is to develop nurses’ performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital.Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument’s was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses’ performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70.Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server.Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result.]]>
<![CDATA[Consumption of Fruit and Vegetable with Risk of Obesity in School-Age Children ]]>
<![CDATA[Agnes Sevelina Anggraeni]]>;
<![CDATA[Tintin Sukartini]]>;
<![CDATA[Kristiawati Kristiawati]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.3448
<![CDATA[Introduction: The problem of obesity in children aged 5-12 years in Indonesia is still high, East Java is one of the provinces that have a higher prevalence of obesity than the national average (Riskesdas 2013). Consumption of fruit and vegetables affects the level of obesity’s risk, but nowadays fruit and vegetable consumption in school-age children are low. This study was aimed to determine the correlation between consumption patterns of fruits and vegetables with the risk of obesity in school-age children in Ketabang I Surabaya elementary school.Methods: This research uses the descriptive correlation method with cross sectional approach. The population of this research is students in grade 4 and 5. Purposive sampling technique used to select 69 respondents as samples. The independent variable in this study is the consumption pattern of fruit and vegetable, while the dependent variable is the risk of obesity. The data were analyzed with chi-square test.Results: The results of this research showed that most of the respondents consume less fruit and vegetable (52%). The number of respondents who are obese is 20%, while the number of respondents who have high risk is 13%. Statistical analysis showed that the consumption pattern of fruits and vegetables has a correlation with the risk of obesity (p = 0.009).Discussion: There was a significant relationship between the consumption patterns of fruit and vegetables with risk of obesity in school-age children in Ketabang I Surabaya elementary school. Further studies should examine the appropriate interventions to overcome the problem of obesity in school-age children.]]>
