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[The Effect of Family Therapy with Spiritual Approach Toward Family’s Health Belief Model in Taking Care of Patient with Schizophrenia ]]>
<![CDATA[Ah. Yusuf]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3897
<![CDATA[Introduction: Schizophrenia is the problem with kognitive, mal-adaptive thought and behavior. Family who have a member with mental disorder can experience serious conflict, become an objective and subjective burden, blame each other, get involved in hostility among family members. Various negative effect faced by family can caused by wrong family’s health belief model about Schizophrenia, hence the failure on choosing the treatment and taking care of patient at home. Someone with severe stress will seek comfort and strength from God. But so far, the most effective spiritual models to improve the health belief model of the family in caring for patients with schizophrenia has not been found.Methods: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, chosen by alocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test.Results: There were significant changes in total of family’s health belief model (p=0,004), there was significantly change in aspects of (1) perceptions about bene fi ts (p=0,009), (2) perception about barriers (p=0,035) and perception about self efficacy (p=0,002). There were no significant changing in perception about susceptibility and severity (p=0,052).Conclusion: Family believes that all events experienced by the patient and the family is God's will, hoping the patient can be more independent, and believe mental disorders can be changed for the better. The conclusion of this study is that family therapy with a spiritual approach can improve the health belief model of the family in caring for patients with mental disorders.]]>
<![CDATA[Family Behavior in Maintenance Status Hb Chronic Renal Failure Patients through Family Centered Care Approach of Diet Fe Management ]]>
<![CDATA[Anggia Fajar Hardianti]]>;
<![CDATA[Ika Yuni Widyawati]]>;
<![CDATA[Herdina Mariyanti]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3887
<![CDATA[Introduction: Erythropoietic agent as standard practice for anemia treatment, which has a function to increase the value of hemoglobin (Hb) to 12 g/dl in patients with chronic renal failure (CRF), who receiving dialysis treatment. The use of erythropoietin has to keep of the iron/Fe amount in the body. Family who have a duty of care should have knowledge, attitude, and behavior to maintain patient’s Hb by giving support to the patient to obey the Fe diet. The aimed of this study was to investigate the effect of family centered care approach in management Fe diet toward family’s behaviour in maintenance Hb level of CRF patients in hemodialysis ward, Gambiran Hospital, Kediri.Method: This study was used a pre experimental design. Total sample were 10 respondents, who met to inclusion criteria. The independent variables were knowledge, attitude, and psychomotor of family in maintenance of Hb level in CRF’s patients. The dependent variable was Fe diet management with family centered care approach. Data was collected by using a structured questionnaire and home visit observation.Result: Data was analyzed by using Wilcoxon Sign Rank Test with significance level α≤0.05. Results showed that Fe diet management with family centered care approach took effect to family’s knowledge (p=0.011), family’s attitude (p=0.005) and family’s psychomotor (p=0.005) in maintenance Hb level of CRF patients.Conclusion: Family’s knowledge, attitude, and psychomotor were effected by experiences during the care of a patient, not affordable to access information and patient’s own decision. The strengths and weaknesses in the family to got a better plan of care can be made by discuss and sharing among researcher, patient and his family. It can be concluded that Fe diet management with family centered care approach took effect to family’s behaviour. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.]]>
<![CDATA[Water Consumption on The Morning to Constipation of Patient with Immobilization ]]>
<![CDATA[Deni Yasmara]]>;
<![CDATA[Dewi Irawaty]]>;
<![CDATA[I Made Kariasa]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3880
<![CDATA[Introduction: Patient with musculoskeletal disorder has been moving limitation and caused decreasing of gut peristaltic. The aimed of this study to find out the influence of drinking plain water 500 ml on the morning to constipation Incident of Immobilize Patient with musculoskeletal system disorder.Methods: The methode of this study were quasi-eksperiment with post test only non equivalent control group design. The number of sample was 24 respondents as intervention group, and 24 respondent as control group. The instrument that be used were Bowel Score that have been observed everyday for three days.Result: The result shows significant influences of drinking plain water on the morning to constipation incident of immobilize patient musculoskeletal system dysorder (p value=0.002; α=0.05.Conclusion: consuming water can avoid constipation on immobilize patient with musculoskeletal disorder. For the next research hopefully measures and analize psychosocial faktor of the patient defecation such as comfortable and privacy.]]>
<![CDATA[Nursing Care Model Development by Cope Approach for Reducing Parent’s Hospitalization Stress with Cancer Children ]]>
<![CDATA[Ilya Krisnana]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3866
<![CDATA[Introduction: Hospitalization stress on child affect on their parents. Parent empowerment is the important aspect to develop in nursing care for reducing hospitalization stress. The objective of this study was to develop the nursing care model of reduction hospitalization stress through the COPE (creating opportunity for parent empowerment) approach on the parent whose child was diagnosed cancer.Methods: This study used explanative research with cross sectional design. The population were parents whose child was diagnosed cancer in pediatric hematological ward RSUD Dr. Soetomo Surabaya, conducted on 3–15th May 2012. Sample were 30 mother who met inclusion criteria: 1) toddler and preschool age, 2) first time admition on Bona 1 or Bona 2, 3)read and write well and 4) noncritical condition. The independent variable were antecedens (attitude, social economic status, motivation), diffusion of innovation, empowerment (knowledge, participation, skill and environment). The dependent variable was parent’s hospitalization stress. Data were collected by using questionnaires and observation. The data were analyzed by PLS (Partial Least Square) with loading factor =0.5 and T-statistic=1.96.Results : The result showed that antecedens factors affected to COPE diffusion of innovation process. Motivation was the strongest factor to influence the diffusion and innovation process (path coeffi cient=0.450;T-stat=5.278). The diffusion of innovation process affected to empowerment variable (path coeffi cient=0.487; T-stat=6.507).Conclusion: It can be concluded that environment was the strongest factor as the compiler component of empowerment. Environment include physical and non-physical component. Empowerment affected to parent’s hospitalization stress with path coefficient=0.360 and T-statistik=4.980.Nursing Care Model Development by Cope Approach for Reducing Parent’s Hospitalization Stress with Cancer Children]]>
<![CDATA[Life Experiences of Patients Suffering end Stage Renal Disease ]]>
<![CDATA[Yulis Setiya Dewi]]>;
<![CDATA[Harmayetti Harmayetti]]>;
<![CDATA[Ninuk Dian Kurniawati]]>;
<![CDATA[Erna Dwi Wahyuni]]>;
<![CDATA[Deni Yasmara]]>;
<![CDATA[Abu Bakar]]>;
<![CDATA[Sukma Randani I]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3888
<![CDATA[Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.]]>
<![CDATA[Model Development of Nursing Student Loyalty in Politeknik of Health ]]>
<![CDATA[Hammad Hammad]]>;
<![CDATA[Nursalam Nursalam]]>;
<![CDATA[Ninuk Dian Kurniawati]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3881
<![CDATA[Introduction: Loyalty of nursing student is an important factor that nursing education should pay attention in order to compete with other nursing educations; involved by perceived value, expectation, and quality assurance in nursing higher education. The purpose of this study was to develop a loyalty model of nursing student in nursing higher education.Methods: This study was an explanatory research with cross sectional approach. Population were nursing student in Poltekkes Banjarmasin, with 112 samples which is selected by proportional random sampling. Data was collected by giving questionnaire and analyzed by partial least square.Result: Result of this study indicates that was an effect of costumer expectation on quality assurance in nursing higher education, there was effect of costumer expectation on perceived value in nursing student, there was an effect of customer expectation on student satisfaction (4) there was effect of quality assurance in nursing higher education, there wasn’t any affect of quality assurance in nursing higher education on student satisfaction, there was effect of perceived value in nursing student on student satisfaction, there was effect of student satisfaction on student loyalty. Conclusion: Overall result of this research were, student loyalty in nursing higher education developed by student satisfaction. Student satisfaction formed by perceived value. Perceived value developed from two aspects quality assurance, and student expectation, quality assurance of higher education wasn’t directly effect to student sasfaction. However, indirectly effect through student perceived value. Student satisfaction in nursing higher education was stronger effect than any other variable in this loyalty model. Loyalty model in this research can be use for improvement student loyalty on health education that focused on improvement student satisfaction without deny the other aspect. Further research is needed to analyze word of mouth effect on student loyalty.]]>
<![CDATA[The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection ]]>
<![CDATA[Dwiyanti Puspitasari]]>;
<![CDATA[Saraswati Dewi]]>;
<![CDATA[Aryati Aryati]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3867
<![CDATA[Introduction: Dengue NS1 Antigen (NS1 Ag) detection or quantification has become a specific diagnostic tool for dengue virus infection, but has variable sensitivity. Previous research reported NS1 Ag level can be detected up to the 7th–10th day of fever, others stated the sensitivity was decreased after four days of fever. We performed this research to analyze the NS1 Ag profile and its relationship with the day of illness.Methods: This study was a prospective cohort study on 39 children hospitalized at Dr. Soetomo Hospital Surabaya since November 2009 to May 2010. Inclusion criteria were acute fever less than 72 hours, bleeding tendency denoted at least by positive tourniquet test, age between 1–14 years, and confirmed by positive dengue IgM/IgG on the 5th day of fever. We performed daily quantitative dengue NS1 Ag tests until defervescence day, and its relationship with the day of illness were analyzed.Results: NS1 Ag was positive in 19/39 samples. Secondary infection occurred in 14/19 of Dengue Fever and 17/20 of Dengue Hemorrhagic Fever cases. Positivity of NS1Ag was higher in primary (6/8 cases) than secondary infection (12/31 cases). Mean level of NS1 Ag was highest on the 2nd day, decreased afterwards and undetected on the 5th day of fever. There was significant relationship between NS1 Ag positivity (P=0.037, rs=-0.9) and level (P<0.001, rs=-1) with the day of illness.Conclusion: Dengue NS1 Ag positivity and level were highest during the acute phase of fever and decreased afterwards.The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection]]>
<![CDATA[Marketing Mix by Bed Occupancy Ratio (BOR) ]]>
<![CDATA[Abdul Muhith]]>;
<![CDATA[M. Himawan Saputra]]>;
<![CDATA[Nursalam Nursalam]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3889
<![CDATA[Introduction: Bed Occupancy Ratio (BOR) in RSI Arafah Mojosari during the last three years are at under ideal rate and the lowest of the three existing hospitals in the area of Mojosari. The purpose of this study was to determine the relationship marketing mix with Bed Occupancy Ratio in RSI Arafah Mojosari.Methods: This research uses analytic methods with crossectional approach. Variables in the study is marketing mix and Bed Occupancy Ratio (BOR). The population in this study were all patients hospitalized in the RSI Arafah Mojosari. Samples amounted 44 respondents taken by the Stratified random sampling technique. Data were collected using the questionnaire and analyzed using Fisher's Exact test.Result: The results obtained more than 50% of respondents (59.1%) rate well against the marketing mix is developed by the hospital management and the majority of respondents (79.5%) are in the treatment room that has a number BOR is not ideal. Fisher Exact test test results obtained probabililty value=0.02<0.05 so that H0 is rejected, which means there is a relationship marketing mix with the Bed Occupancy Ratio in RSI Arafah Mojosari.Conclusion: Hospitals which able to develop the marketing mix very well, can attract consumers to use inpatient services at the hospital, with that BOR value will increase as the increased use of inpatient services. Hospital management must be able to formulate a good marketing mix strategy that hospital marketing objectives can be achieved. Conformity between service quality and service rates must be addressed, otherwise it extent of media promotions can attract patients to inpatient services.]]>
<![CDATA[The Predictors of Caregiver’s Burden and Depression Level in Caring Elderly People with Dementia at Community ]]>
<![CDATA[Yossie Susanti Eka Putri]]>;
<![CDATA[Ni Made Riasmini]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3882
<![CDATA[Introduction: Most older people with dementia in Indonesia stay at home, cared by family members. Family caregivers even experience physical, psychological, social, and fi nancial problems. Care giving demands often lead to caregiver burden and depression. The objective of this study was to determine factors which contribute burden and depression experienced by the caregivers of older people with dementia.Method: Design was descriptive analytic with cross sectional approach. The population were caregivers living with older people with dementia. Sample size were 183 respondents. The independent variables were caregiver’s contextual factors, stressor caregiving, and intervening factor. The dependent variables were the burden of care and level of caregivers’ depression. Data were collected using questionnaire. Data were analyzed using linier regresion.Results: Statistical analyses showed marital status was significantly related to caregivers’ burden. While worked, education, and relationships with older people were significantly related with caregivers’ depression level. Memory and behavior problem, the task of caring and satisfaction of caring were related with caregivers’ burden and depression level. Multivariate analyses show health status was the most factors related to caregivers’ depression level. Memory and behavior problems was main factor related to caregivers’ burden of caring for older people with dementia.Conclusion: The results are expected to provide information about the extent of caregivers’ burden and depression which experienced in care giving, therefore the services can be designed based on the needs of the caregivers of persons with dementia in the community.]]>
