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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 888 Documents

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The Factors Associated with The Triage Implementation in Emergency Department Nur Ainiyah; Ahsan Ahsan; Mukhamad Fathoni
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B). Methods: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR.Results: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017).Conclusion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.

Holistic Learning Model Increase Asetilkoline Level and Caring Behavior on Student in Caring Patiens with Ischemic Stroke Luluk Widarti; Siti Maimuna; Tanty Wulandari; Moch Bahrudin
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Holistic learning requires attention and potential of students that covers aspects of intellectual, emotional, physical, artistic, spiritual, and creativity.Methods: This study used a pre-experimental design. The samples in this study were 30 students in semester 2 of nursing diploma Sidoarjo. Samples given intervention in the form of holistic learning, and given a pretest and posttest including measurement of acetylcholine levels by quantitative Elisa technique, and caring behavior by using questionnaires and observations. Data were analyzed using levene’s test, t-test, wilcoxon test and correlation.Results: Statistical analysis showed that there was significant difference in the level of asetilkoline before and after the intervention with p = 0.015, whereas significant differences in caring behavior indicates p = 0.001. The result of correlation test showed that there was significant correlation between the levels of acetylcholine and caring behavior after intervention (r = 0.003).Disscussion: It was concluded that the holistic learning model can improve the asetilkoline levels and caring behavior of the students. Lecturers are encouraged to use the model of holistic learning in teaching students.

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.

Breastfeeding Self Effi cacy and Effective Breastfeeding on Postpartum Mother Retnayu Pradanie
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Breastfeeding has been identifi ed as the optimal source of nutrition for infants. However, many mothers do not breastfeed their infants excusively. The possible modifi able factors to improve breastfeeding rates are breastfeeding self effi cacy and effective breastfeeding behavior. The aim of this study was to analyze the breastfeeding support package to improve breastfeeding self effi cacy and impact on effective breastfeeding behavior.Methods: This study was a quasy experiment pre-post test non equivalent control group design. Samples were 20 respondents recruited using consecutive sampling in Navy Hospital Dr. Ramelan who met the inclusion criteria. Instruments that used in this study were breastfeeding self effi cacy short form and LATCH assessment tool.Results: The score of breastfeeding self effi cacy on experiment group was improve higher than control group. But, the hypothesis test showed that there were no difference score between experiment and control group after intervention (p = 0.104). The correlation between breastfeeding self effi cacy and effective breastfeeding behavior was not signifi cant (p = 0.976). Conclusion: The antecedent of breastfeeding self effi cacy were not only the information resources but also job and education level. Breastfeeding self effi cacy was not an antecedent of effective breastfeeding behavior.

Utilizing Z-track Air Lock Technique to Reduce Pain in Intramuscular Injections Evelyn Hemme Tambunan; Imanuel Sri Wulandari
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Injection is one of most painful and common medical interventions that more than 12 billion of it are administered annually throughout the world. Pain remains as one of the unresolved health problems. The objective of this research was to investigate the pain severity utilizing the z-track air lock technique during intra muscular injection procedure.Methods: This study was conducted as an unblinded cinical trial, where 90 female subjects aged between 18-25 years old were randomly assigned to three groups of 30. Each group received z-track air lock (Group ZTAL), air lock (AL), and z-track (Group ZT) techniques. Neurobion 5000 vitamin used as an injection substance.A Verbal Rating Scale (VRS) on 0–3 was used to evaluate the severity of pain during procedure. Data were analized using the SPSS version 19. Groups’ age, Body Mass Index (BMI) and pain severity were analyzed through descriptive and One Way ANOVA statistics.Results: Results showed that there were no signifi cant differences of pain severity both within and between groups (p > 0.05).Conclusion: Both Z-track and air lock method are less pain compared to traditional method according to previous studies. Noncicepti stimulus inhibited nocicepti stimulus in z-track technique while locking effect inhibit leakeage of substance injection to subcutaneous layer of skin which contain of nerve fi bers. However All techniques are recommended to produce less pain therefore it can be considered as a standard procedure for intra muscular injection.

The Application of Rational-Emotive Behavior Therapy to Reduce Stress among Mother with Leukemia Children Yuni Sufyanti Arief; Ilya Krisnana
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: A child who is diagnosed with Leukemia will undergo several procedures are long and painful action. During the process of hospitalization due to leukemia children and parents can experience a variety of events or actions handling according to various studies shown by the experience very traumatic and stressful (Supartini 2004 in Arif, SY, 2007). Some of the methods used to deal with anxiety is psikoprofilaksis, relaxation and imagination (Reeder et al., 2011). Rational-emotive behavior therapy by Albert Ellis in 1990 describes a unique man who is basically have a tendency to think rational and irrational.Methods: aim of this study is to explain the effect of Rational Emotive Behavior Therapy (REBT) for stress levels of mothers with children suffering from Leukemia. The study design used was a pre-experiment Quasy-post control group design. The sample was 10 mothers of children diagnosed with leukemia are treated in a child hematology ward Soetomo hospital. Variable in this study is the level of depression and anxiety mothers with children suffering from leukemia.Result: Based on the results obtained Wilcoxon statistical test p = 0.025 in the treatment group and p = 0.32 in the control group. Mann Whitney test results obtained p = 0.012.Conclution: Rational-emotive behavior therapy can reduce levels of depression and anxiety (stress) mothers with children suffering from leukemia. It is expected that the application of rational -emotive behavior therapy can be done to reduce depression and anxiety in women with chronic disease cases while maintaining the effectiveness the goal of REBT.

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.

Model Kesehatan Keselamatan Kerja Berbasis Agricultural Nursing: Studi Analisis Masalah Kesehatan Petani Tantut Susanto; Retno Purwandari; Emi Wuri Wuryaningsih
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self administered questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and ogistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffe, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of sistolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on join and bone related to age and recess of worked.Discussion: The health problems of farmers was characterized of nutritional problem, anemia, hypertension, and pain that related to sociodemographic environment of biologic, psychologic, and worked. Agricultural nursing model could be develop for assessesment of related factors that formulated diagnoses of health problems on farmers at rural area.

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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