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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The Effectiveness of Interventions to Reduce the Nurses’ Distractions during Medication Administration: A Systematic Review
Chandra Apriadi Panduwal;
E. C. Bilaut
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17048
Introduction: Nurses constitute the largest group of health professionals who work in the hospital setting and most of the medications in the setting are administered by nurses. Errors related to medication conducted by a nurse frequently occur during medication administration. Interruptions or distractions during medication administration have been identified as significant contributory factors to medication administration errors (MAEs).Methods: This systematic review critically reviewed the evidence of the effectiveness of the interventions that aim to reduce nurse interruptions or distractions during medication administration. The search for the relevant literature was conducted in August 2018 using three databases; Medline, Cinahl and Embase.Results: Nineteen full text articles were retrieved and reviewed, and 7 articles were included in this review. Five of these studies showed evidence of a reduction in the interruption or distraction rates in post-intervention measurements, while 4 studies reported a statistically significant reduction in the interruption or distraction rates, with p values between 0.0005 and 0.002.Conclusion: There was limited evidence available to support the effectiveness of the interventions in terms of either reducing the interruptions or distractions of the nurses during the medication administration or in terms of reducing the medication administration error rates.
Factors Related to Sleep Disorders in the Elderly in Tresna Werdha Madago Tentena
Nurmawati S Lataima;
Novrin S Pasaju
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17150
Background: Sleep disorders are common things often experienced by the elderly. This will affect their quality of life. There are many factors that influence sleep needs in the elderly. The aim of this study was to determine the factors related to sleep disorders in the elderly.Method: This study used a cross-sectional design with accidental sampling. The population in this study was the elderly at Tresna Werdha Madago Tentena. The data retrieval for this research was conducted between June - July 2014. The analysis of the data was done using Chi-Square. The results from the 45 respondents showed that 61.3% had sleep disorders caused by their disease and that 65.6% had sleep disorders caused by an unconducive environment.Result: This result showed that disease and an unconducive environment influenced sleep needs.Conclusion: The recommendation for nurses and staff is to increase their attention span and the environmental comfort by dimming the lights when the patient is going to sleep and reducing noise. This means that the patient's sleep needs are fulfilled.
The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang
Alif Wahdatin;
Dyah Wiji Puspita;
Muh. Abdurrouf
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17219
Introduction: Weaknesses in applying therapeutic communication are still a problem for nurses. This affects the quality of nursing services that have an impact on patient satisfaction. The purpose of this study was to identify the relationship between therapeutic communication and postoperative patient satisfaction.Methods: This research method was an analytical survey method used a cross sectional approach. Respondents in this study were postoperative patients who were treated in RSISA inpatient ward with 127 patients. Sampling technique that use was simple random sampling. The data analysis technique in this study used the Spearman test.Results: The results showed that the majority characteristics of respondents had female 61.4%, age 50-64 (33.8%), employment of private employees 24.4%, senior secondary education 37.0%. The results also showed that most therapeutic communication was in the good category (54.3%) and patient satisfaction in the category was very satisfied (52.8%). The results of this research showed that there was significant relationship between therapeutic communication and postoperative patient satisfaction with p-value 0,000 (p-value <0.05).Conclusion: The implications of this research can be a reference in increasing the ability of nurse therapeutic communication so that patient satisfaction with nursing services increases.
Development of Detection Instrument Models for Mobility Impairment in The Older Adults Based on A Mobile Health Nursing Application in A Public Health Center
Riksa Wibawa Resna;
Lutfan Lazuardi;
Sri Werdati;
Wasilah Rochmah
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.16970
Introduction: Mobility impairment is a problem in the older adults who have decreased in mobility as it may affect their daily activity. The development of a detection model to identify the problem of mobility impairment in older adults has become a solution that can increase the health care for older adults. This study aimed to develop a health detection instrument models using a mobile health nursing application to detect mobility impairment in older adults.Methods: This study used action research through a purposive sampling method involving three nurses and twenty-seven cadres to perform the detection process of mobility impairment focused on one hundred and seventy-five older adults in three public health centers in two provinces using an m-health application.Results: Based on direct observation and questionnaires addressed to the user of the m-health nursing application, 80% stated that the information contained in the mobile health nursing application was appropriate. In terms of speed, only 43.33% stated that the application worked fast, but overall, 66.67% of users stated that they were delighted with the application-based of the instrument model and that they were helped in detecting the mobility disorders that occurred in the older adults.Conclusion: These applications can be developed into a model that can help nurses, older adults and their family to detect other older adult problems in addition to mobility problems like cognitive function etc.
Efficacy of Topical Applications on Reducing Uremic Pruritus: A Systematic Review
Gabriel Wanda Sinawang;
Rohmatul Faizah;
Mohamad Roni Alfaqih;
Andrik Hermanto
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17125
Introduction: Uremic pruritus is an unpleasant sensation that has been recognized as a frequent complication in patients with chronic kidney disease. This study was undertaken to determine the effect of topical applications for reducing pruritus.Methods: A systematic review was conducted by searching Science Direct, Scopus and Google Scholar to create an integrative 12 articles review focusing on a 10 year period from 2009 to 2018. The language used was English and the studies focused on pruritus, itching, hydration, chronic kidney disease and where the patient did not undergo a kidney transplant. The articles in this systematic review were experimental studies (pre-experimental, true experimental and quasi-experimental).Results: Most of the findings of the studies showed that a topical application for reducing uremic pruritus (clove oil, almond oil, cromolyn sodium 4%, baby oil, sweet almond oil, vinegar and avenasativa, glycerol and paraffin, sericin cream and chia seed oil) can be used as an adjuvant moisturizing agents for pruritis.Conclusion: Topical applications have a positive effect on itching and decreased pruritus. Topical applications are simple, safe, inexpensive and easily applied, so it can be used on many people.
Effectiveness of Self-Management Education based on Information Technology (IT) in Chronic Kidney Disease Patients
Innani Wildania Husna;
Qolbi Nur Qoidah Yahya;
Masita Widiyani;
Sholihin Sholihin
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17180
Introduction: Chronic Kidney Disease (CKD) has a slow progression in the treatment process. The use of IT (information technology) media as an innovation to support health education in patients with chronic kidney failure to improve their knowledge and self-management nowadays is becoming a trend.Methods: We analyzed the literature to identify the effectiveness of IT using as education media on chronic kidney disease patients. Articles were obtained by PRISMA approach from Scopus, ScienceDirect, CINAHL, PubMed, and Proquest limited to the 5 years; from 2013 to 2018 and obtained 12 articles with RCTs design study. We identified interventions based on IT devices such as smartphones, PDAs (Personal Digital Assistant), computer-based applications, telehealth, film, SMS, and website-based applications.Results: This studies assessed 12 journals. According to the outcomes, there were 38 outcomes in total which are divided into three groups. They were 13 clinical outcomes, 14 caring process outcomes, and 11 usability and feasibility outcomes.Conclusion: Overall, the percentage of intervention which had a positive effect on the outcomes was about 47%. Smartphone and computer-based technologies are the most effective to help the patient find information about aspects related to caring, self and disease management which are recommended by the health care team.
The Impacts of Depression Treatment on Health-Related Quality of Life in Cancer Patients: A Systematic Review
Andrik Hermanto;
Gabriel Wanda Sinawang;
Mohamad Roni Alfaqih;
Rohmatul Faizah
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17060
Introduction: Cancer diagnosis can have a profound negative impact on the health-related quality of life (HRQoL) of cancer patients. Cancer patients also suffer from psychological pressures including sadness, depression, hopelessness, anxiety and worry. The literature review was employed to determine the effects of depression on health-related quality of life (HRQoL) in cancer patients.Methods: A systematic review was conducted by searching the Science Direct, Scopus and Google Scholar databases. The integrative review of the 10 articles was focused on the 10 years period from 2008 to 2018. The language used was English and the search was conducted using predefined keywords.Results: All of the journals discussed the impact of depression treatment on health-related quality of life in cancer patients. Based on all of the journals, depression can be reduced by health education, physical activity and medicine therapyConclusion: Despite the treatment for depression, the patient’s HRQoL did not improve during the measurement timeframe. Quality of life is a priority health outcome in cancer treatment but the clinical approaches to ameliorate depression in cancer patients appear to be suboptimal.
Support Factors of Self Foot Care for Diabetes Mellitus Patients
Rohmatul Faizah;
Gabriel Wanda Sinawang;
Andrik Hermanto;
Mohamad Roni Alfatih
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.17167
Introduction: Diabetes mellitus is a chronic disease of the endocrine system that has numerous complications such as diabetic foot ulcers. Amputation is the last frontier for the treatment of diabetic foot ulcers but they can be prevented through proper self-foot-care behavior. The aim of this study was to explain the support factors of self foot care for diabetes mellitus patients.Methods: The methods used were self-foot-care identification in the literature, with the relevant literature identification based on the topics and titles obtained from Scopus, ScienceDirect and ProQuest. This was as well as analysis of the results from examining the various behaviors that support self-foot-care behavior in the literature. The references included was the research conducted from 2013 - 2019 as follows: 2 descriptive correlation studies, 3 descriptive studies, 2 prospective studies, 1 prospective cohort study, 1 pre-experimental study, 3 quasi-experimental studies, 1 case study and 3 cross-sectional studies.Results: All of the journals included discussed foot care behavior. Education programs regarding foot care are a major factor that supports foot care behavior.Conclusion: All of the journals that were obtained stated that there was a positive influence on the diabetic foot condition where routine foot care behavior was implemented. Self-foot-care behavior also requires other supporting factors to obtain the maximum results.
The Effect of Clinical Supervision on Nurse Performance
Rahayu Tri Nuritasari;
Erfan Rofiqi;
Tan Nina Fibriola;
Rizal Tri Ardiansyah
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.16956
The nursing department often incurs problems about the performance of the nurses in providing nursing care at the hospital. This condition must get the attention of the head of the room as the manager who is directly responsible for the nursing care provided by the implementing nurse. Supervision is a part of the directional function that has the role of maintaining the department so then all programmed activities can be carried out properly and smoothly. This systematic review was conducted to review the effect of clinical supervision on nurse performance. For the systematic review, a literature search of the PubMed, SAGE, Science direct, and Scopus databases using the keywords ‘nursing’, ‘clinical supervision’, ‘clinical performance’ and ‘nurse performance’ was conducted in February 2019. The search identified 15 relevant research articles from the 2.436 original articles and full texts published between 2013 and 2019. The results show that clinical supervision has the potential to improve staff performance, which will ultimately affect the successful attainment of the hospital. Support from the hospital nursing management in providing support and monitoring is critical to the continuity, sustainability and successful implementation of clinical supervision. Clinical supervision activities conducted regularly in a scheduled manner will spur on the nurse’s performance.
Family Burden for the Caregivers of People with Mental Disorders: A Systematic Review
Aplonia Nenobais;
Atika Jatimi;
Muh Jufriyanto
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i3.16971
Introduction: The main caregivers of people with mental disorders are their family members. Families as the caregivers of people with mental disorders is associated with a significant burden. This systematic review aims to identify and summarize the main focus based on the scientific evidence about family burden as the caregivers of people with mental disorders.Methods: The databases used were Scopus, Science Direct and Sage Journal with the keywords ‘burden’, ‘family’, ‘caregiver’, ‘mental’, ‘health’, ‘illness’, ‘disorder’ and they were limited to 2014 – 2018 from within nursing and health science journals. One hundred and four full text articles were reviewed. The 14 articles that fulfilled the inclusion criteria were analyzed using narrative synthesis followed the Joanna Briggs Methodology model for the Qualitative Systematic Review to find the main themes of each article.Results: Seven main themes were found to be related to family burden as the caregivers of a family member with mental disorders. The 7 themes were knowledge, emotional burden, physical burden, medication, financial burden, social burden, health services and government support.Conclusion: The findings suggest that the family burden on the caregivers was diverse and that this has an effect on the ability of the family to care for patients with mental disorders. Family burden has become an important indicator for the provision of mental health services.