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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.

Arjuna Subject : -

Articles 921 Documents

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Ekspresi HSP 70 dan Ekspresi Reseptor Opioid Mu pada Penurunan Nyeri Terapi Bekam Basah Imam Subadi; Hening Laswati; Harjanto JM
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: Wet cupping therapy widely used to reduce the pain, but the mechanisms of pain reduction on wet cuppig therapy is unclear. Stretching and punctures on wet cupping therapy cause stress on the cell. Cells that are stressed express HSP 70 and mu opioid receptors. This study aims to prove the correlation increased expression of HSP 70 and an increase in post-mu opioid receptor wet cupping therapy.Methods: The study is an experimental research design with randomized control group post-test only design. Twenty-four rats type Wistar (Rattus norvegicus) were randomly divided into three groups, each consisting of eight mice are negative control group (normal mice), group induction of pain with Complete Freund's Adjuvant (CFA) alone (positive control) and group by induction of pain and bekam basah therapy (10 puncture and negative pressure: - 200 mmHg, 5 minutes). Samples were taken from the skin and immunohistochemical examination with the monoclonal antibody anti mu opioid receptors. The reaction time pain threshold measured using a hot-plate. Data were analyzed by oneway ANOVA and Pearson Correlation using SPSS version 17.Results: This study shows that there is an increased expression of HSP 70 (P <0.05) compared to the positive control group (p <0.05) and increased expression of mu opioid receptors ( p <0.05) compared to the positive control group (p <0.05). There is an increased pain threshold reaction time (p <0.05) compared to the positive controls (11.78 ± 3.56). There is a correlation between an increased expression of HSP 70 and an increase in mu opioid receptor (β = 0893; p = 0.000) and there was a correlation between the increase in mu opioid receptor with a reaction time of pain threshold (β = 0713; p = 0.002).Discussion: Wet cupping therapy increase HSP 70 expression, opioid mu receptor, and decrease pain level.

The Incidence of VAP after VAP Bundle Intervention Among Patients with Mechanical Ventilation Diah Susmiarti; Harmayetty Harmayetty; Yulis Setiya Dewi
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Ventilator Associated Pneumonia (VAP) is a nosocomial infection in patients who use ventilator for more than 48 hours. The aimed of the study was to determine VAP incidence after VAP bundle application.Methods: This study used one-shot case study posttest only designed with samples of 6 individuals beginning on December 31, 2013 up to January 31, 2014. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Results: The results showed that the application of VAP bundle has infl uence in preventing VAP incidence. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Conclusion: This study need to be backed up furthermore with a larger sample size and continuous CPIS assessment is needed to identify VAP caused by bacteria, especially the late-onset bacteria, in patients using mechanical ventilation in longer a time.

Nursing Care Model Based on Knowledge Management in Preventing Nosocomial Infection After Caesarean Section in Hospital Ahsan Ahsan
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Nosocomial infection is one indicator of the quality of health services in the community, which also determines the image of health care institutions becauseit was a major cause of morbidityand death rate (mortality) in hospital. Nursing care based on knowledge management is established from identification knowledge which is required, prevention performance of nosocomial infections post section caesarea. Nosocomial infections component consists of wound culture result.Method: This study was an observational study with a quasi experimental design. The population was all of nursing staff who working in obstetrics installation in hospitals A and B as much as 46 people. Sample was the total population. Data was collected through questionnaire, observation sheets and examination of the wound culture. Data was analyzed using t test B 1.274 dan p=0.028Result: The result showed that 1) there was difference in knowledge management implementation before and after training; 2) there was difference in nurse’s performance in preventing nosocomial infection before and after training; 3) there is significant relationship between nurse’s performance in preventing nosocomial infection and infection incidence; 4) there is no significant difference of nursing care impementation on nosocomial incidence.Discussion: In conclusion, the development of nursing care based on knowledge management as a synthesis or induction of findings directed at 1) nurses’ knowledge does not affect the performance of the prevention of nosocomial infections; 2) knowledge management has a positive effect on the performance of the prevention of nosocomial infections; 3) implementation of infection prevention is integrated capabilities between knowledge, skills and attitudes of nurses in implementing performance in care.

Persepsi Ibu Postpartum yang Menyusui dalam Memenuhi Kebutuhan Nutrisi: Suatu Studi Ethnography pada Suku Jawa Ratna Hidayati
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

The perception that establish breastfeeding mothers in fulfilling the nutrition needson Javanese culture is derived from hereditary taught by their family and influential figures in the community. The purpose of this study is to know about the perception of Javanese breastfeeding postpartum mothers fulfilling nutritional needs. This is qualitative research with a principled approach to the study of the naturalistic inquiry. Information was obtained from 8 participants selected according tothe principle of sampling, those are the suitability and sufficiency which describe phenomena and linkages to research topics. Perception research results in fulfilling nutritional needs of breastfeeding mothers by adding the eating portion; forbid eating eggs and chicken. It is because they can cause wound inflammation/infection. Moreover, they try to increase their milk production by “wuwung bathing”, snacking the nuts and drinking “jamu gendongan”. All participants follow their parents’ suggestion, but high educated participants have the ability to negotiate with the parents. Nurses should have good interpersonal communication skills, understand the socio-cultural aspects and the uniqueness of the individual against the perception that is believed in order to avoid conflicts in changing perceptions related to nutrition, to develop and support the group including health personnel, family and clients.

Early Marriage Based on Transcultural Nursing Theory in Kara Village Sampang Esti Yunitasari; Retnayu Pradanie; Ayu Susilawati
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: The early-age marriage is still happened in the world with many reasons. Early marriage has many negative impacts on education, social, economic, psychological, and reproductive health. The purpose of this study is to analyze the factors of early marriage based on Transcultural Nursing theory. Methods: Design used in this research was cross-sectional approach. The sampel was women who got married between January 2015 and February 2016. The 39 sample respondents were chosen by purposive sampling technique. The independent variables in this study were knowledge, culture, family suport, economic, technology and the dependent variable was early marriage. The data were collected by using questionnaire and analyzed by using chi square test. Results: The results showed significant correlation between cultural factor (p=0.013), family support factor (=0,001), economic factor (p=0,040), and technology factor (p=0,002) with early marriage, while knowledge factor have not significant correlation with early marriage. Discussion: By the result of this study, it was expected there will be some actions together with relevant parties to give health education for adolescent who has married yet to prevent early marriage.

The Difference In Breastmilk Production Between Acupresure Point For Lactation And Oxytocin Massage Dwi Rahayu; Budi Santoso; Esti Yunitasari
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Breastfeeding is the adaptation process experienced by postpartum mothers. If she has assisted carlier in breastfeeding, the mothers will succeed to continue breastfeeding. In reality milk ejection very little on the fi rst days after birth is a constraint in early breastfeeding. Acupressure points for lactation can increase milk production, help maximize prolactin and oxytocin receptors and minimize the side effects of delaying in the breastfeeding process. The objective of this study was to prove the difference effect of Acupressure Points for lactation and oxytocin massage to increase milk production and comfort on postpartum mothers. Methods: This study used a quasy-experiment design with pre-post test design with control group. The sample of this study was recruited using consecutive sampling, consist of 27 mother postpartum primiparous, divided into 3 groups. Comfort was measured with GCQ, and milk production measured with Weighing Test. Data measured before and after the intervention, and analyzed by ANOVA with α = 0.05.Results: The results showed there was a signifi cant difference in comfort between the Acupressure Points for Lactation, oxytocin massage and control group (p = 0.035). and there was a a signifi cant difference in milk production between the Acupressure Points for Lactation, oxytocin massage and Control group (p = 0013). Conclusion: Acupressure Points for Lactation effective to increase comfort and milk production in postpartum mothers in Kediri District Hospital. This technique should be used as an alternative intervention in treatment of postpartum mothers. Nurses need to teach these techniques to postpartum mothers to be more independent in reduxing the problem of lactation.

Modification of Breast Pump as a Negative Pressure Wound Therapy for Accelerating Wound Healing of Diabetic Ulcer Yunita Sari; Iwan Purnawan; Hartono Hartono
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Negative Pressure Wound Therapy (NPWT) is considered as the best treatment for accelerating wound healing, including diabetic ulcer. However, this device is still not available in Indonesia. Therefore, the purpose of this study were to make NPWT by using modifi cation of breast pump, and to elucidate the effect of this device on acceleration of wound healing in diabetic ulcer.Methods: NPWT was made by using digital breast pump. Wounds were divided into two groups; wound-treated by NPWT (experimental group) and wound-untreated by NPWT (control). The negative pressure used for this study was 85 mmHg. Rats were sacrifi ced on day 7, and wound samples and surrounding skin were stained with Hematoxylin and Eosyn. Infl ammation, intensity of necrotic tissue, and wound closure were observed.Results: The device could deliver a negative pressure at a range of 85–140 mmHg. Wound size in the experimental group was smaller than in control group. Infl ammation was also less in the experimental group than control group.Conclusion: The modifi cation of breast pump could be used as a negative pressure therapy for wounds, and has effect on reducing infl ammation and necrotic tissue. Further study is needed to elucidate the effect of this device on human subject.

The Use of Web-Based Information System in Adolescents Hery Ernawati; Elsi Dwi Hapsari; Lely Lusmilasari
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Knowledge about reproductive health is very important for adolescents. They can make informed decision on their reproductive health. One of important media that serve as the source of information on reproductive health in adolescents is website. The objective of this study was to find out the relationship between the use of web-based information and knowledge about reproductive health in adolescents.Method: A Cross Sectional was conducted from February 2013 to April 2014, involving the Tenth and Eleventh Grade students of SMA, SMK, MA in Ponorogo Regency. The study was conducted in schools with computer facilities and internet connection, involving 210 adolescents, who were selected using Simple Random Sampling technique. The data was collected by questionnaire. Data analysis was conducted in univariate, bivariate with using Spearman Rank test, and multivariate ways using logistic regression test.Results: The study showed that mean website access frequency and duration for information about reproductive health by adolescents were 1.36 times a week and 1.65 hours; knowledge about reproductive health was 58,1% in low category; and no relationship was found between the use of web-based information system and knowledge about reproductive health in adolescents, even though there was an increasing trend in the frequency and duration of website visits for information related to reproductive health in adolescents.Discussion: The use of web-based information system does not have a significant relationship with knowledge about reproductive health in adolescents. Further research is necessary to explore the same subject with a different method, which is not selecting the respondents in the first meeting and use a closed questionnaire to select the respondents. This way, the adolescents will feel free and open to the researcher.

Analysis of Nurse's Clinical Education Performance based on Work Theory and The Indicator of Competence Srinalesti Mahanani; Yulis Setiya Dewi; Widji Soeratri
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Clinical Learning is a process of transformation of the student to become a professional nurse. Clinical Nurse Educator contributes to improve the quality of clinical learning because of variety of roles ranging from planning, implementing and evaluating learning clinical practice. Improving the quality of clinical practice learning, can be reached by improving the performance of Clinical Nurse Educator. The aim of this study was to know the effect of psychological variables and organizational variables to the competence and performance of Clinical Nurse Educators. Sample was Clinical Nurse Educators who work inpatient wards at Kediri Baptist Hospital inpatient wards.Method: This study was conducted in two stages. Phase I measure the competence and performance of Clinical Nurse Educator by Supervisor and students, as well as psychological variables and organizational variables by using questionnaires. Phase II was done by Focused Group Discussion to discuss about the variables that affect Clinical Nurse Educator performance. Data processed using Partial Least Square with α = 0.05, path coefficient = 0.5 and t table = 1.96.Result: The results of this research is showed that Performance Nurse Educator can be improved by increasing Individual Competence with path coefficient= 0.600 and t = 6.741. The individual competence will be increase by improving pscychological aspect nurse educator such as perception, personal aspect, motivation, learning skill and attitude with path coefficient = 0.518 and t = 2.715. Psycological Aspect can be increasing by improving Organization Variable such as Organization Resource, Salary, Organization Structure and Job Description with path coefficient = 0.825 and t = 19.658.Discussion: The conclusion of this result that increase of nurse educator competence and performance can be effort by improving psycological aspect and organizational variable

Peran Asah (3A) Pengasuh dengan Perkembangan Bahasa Anak Usia Toddler di Taman Penitipan Anak Ilya Krisnana; Praba Diyan Rachmawati; Mar’atus Sholihah
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Role of caregiver in the day care is really important in every aspect of children development, especially language development. This study aimed to analyze the relationship between role of caregiver in giving stimulation and language development toddler in 3 day care in Surabaya. Methods: This study was using cross-sectional study. The population were children and caregivers in day care with purposive sampling. 16 caregivers and 33 children as respondents, taken according to inclusion and exclusion criteria. The dependent variable was role of cargiver in giving stimulation. The independent variable was the toddler language development. Data collection for caregivers stimulation through observation sheets and for language development children through Denver II, and were analyzed by using non-parametric correlation analysis (Spearman rho) with significance value α=0.05. Result: The result showed that caregiver in giving stimulation has correlate with language development toddler (p-value = 0.002, r = 0.0510). Discussion: It can be concluded that correlation between role of cargiver in giving stimulation with language development toddler was significant and has strong enough correlation. Further research need to identify more factors such as genetic factor and the other aspects of environmental factor.

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Home Page

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Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location Kota surabaya, Jawa timur INDONESIA

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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