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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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Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment Ninuk Dian Kurniawati; Abu Bakar; Eka MHas; Elida Ulfiana; Laily Hidayati; Hanik Endang; Retnayu Pradanie; Kristiawati Kristiawati; Erna Dwi W
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.Methods: This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.Results: The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.

The Integrated Maternity Management Model Through Promoting and Preventive Encouragement in the Attempts of Lowering the Maternal and Infant Mortality Rates Diyan Indriyani; Asmuji Asmuji
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain the major indicator in assessing the level of certain country’s health quality. Both of Indonesia’s MMR and IMR levels are high enough compared to other ASEAN countries. To address this problem, a synergic cooperation among the cross-linked authorities is of prime important. One possible alternate option is building the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies whose knowledge is relatively lower than the ones in urban areas.Methods: This research is conducted in Mumbulsari and Sukorambi Sub-Districts. The data collection techniques used in this research are survey/observation, interview, FGD, in-depth interview and, PRA conducted both to societies (local figures, people at risk, female teenagers, under-aged pregnant mother and young mothers) and local institutions and authorities.Result: This research has been able to formulate the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies in the attempts of lowering the MMR and IIMR. This model has undergone trial, although the trial is simple in nature, by using the module medias of (1) teenager’s reproductive health which generated the average perception of the teenagers shown by the figure of 58,67 regarding their reproductive health prior to the intervention with minimum score of 30 and maximum score of 85. Meanwhile, upon applying the intervention, the average showed the figure of 81,33 with minimum score of 60 and maximum score of 95. The margin between the pre-test and post-test values reaches the figure of 22,36. This means that the supply of information regarding the module (1) which discusses the health reproductive issue generates better knowledge of those female teenagers concerning the respective issue.Discussion: Therefore, it is suggested that the implementation of the Integrated Maternity Management model through promoting and preventive encouragement put into action by initiating a comprehensive trial in order to generate the most suitable model, respectively.

The Improvement of Low Salt Diet Behavior based on Theory of Planned Behavior on Elderly with Hypertension Lembunai Tat Alberta; Jujuk Proboningsih; Masamah Almahmudah
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Hypertension in elderly is triggered by the thickening and stiffness of arterial wall due to ageing processes. One attempt to prevent the complications of hypertension is by change their lifestyle, such as perform a low-salt diet. The implementation of a low-salt diet on elderly should be adjusted with their behavior and habits. TPB is one of theoretical attempt to identify the relationship between elderly’s attitude and their behavior, and to emphasize the importancy of intention as determinant of behavior, focused on cognitif and rational decission making process. This study was aimed to analyze the improvement of low salt diet behavior based on TPB on elderly with hypertension.Method: This research was used descriptive design with observational analytic method. Population were elderly with hypertension recorded at Puskesmas Pucang, Kota Surabaya. Samples were 32 respondents, taken randomly. Data were collected by using questionnaires and direct interview. Data were then analyzed by using Partial Least Square (PLS).Result: The results had showed that intention to implement a low-salt diet was built by attitudes toward behavior, subjective norms, and perceived behavioral control (PBC) on elderly with hypertension. A low-salt diet behavior was built by intention to implement a low-salt diet on elderly with hypertension.Discussion: These results can be used as a model to improve low salt diet behavior on elderly with hypertension.

Poverty and Lack of Knowledge Cause Negligence on Female Elders Lived in Extended Familie Setho Hadisuyatmana; Muhammad Rully Maulana; Makhfudli Makhfudli
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Elder neglect remains as unreported case that involved old women in Ampenan West Nusa Tenggara. Despite the paucity of evidence to report the significance, an earlier pilot study showed that elders who lived with their family in Ampenan were found dirty, skin dry, and malnourished. The purpose of this study was to explore the correlating factors to the unreported cases of neglect among these elders. Method: This study was a cross sectional conducted using analytic descriptive approach. Thirty-four extended families lived with female elders in the working area of Puskesmas Ampenan were purposively involved as participants to this study. Family’s awareness of abuse was collected using a questionnaire developed based on Elder Abuse Instrument component checklist and the suspicion to neglect among the elders were collected using the 13-item checklist from Elder Abuse Instrument. The data were then analyzed using Spearman’s rho (α ≤ 0,05). Result: The results show that family’s lack of knowledge has a strong correlation with elder neglect (p= 0,000 with r= 0,643). Discussion: The analysis to this finding suggests that not only were the families lack of knowledge, but they were also being burden by the poor economic situation that trigger the unnecessary neglect to their female elders. These results abridge the paucity of evidence to explain the correlating factors with the incidence of elder abuse in eastern Indonesia. Further research is necessary to explain the size and the impact of neglect toward the elders. It is suggested that local department of health, Puskesmas and health professionals to educate the community as the first step to improve the elders’ quality of life and promote healthy ageing.

GFR and Blood Lead Levels in Gas Station Workers Based on δ-Alad Gene Polymorphisms Lantip Rujito; Muhammad Nur Hanief; Paulus Gozali; Joko Mulyanto
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Lead is a well-known toxic agent that makes an organ’s failure. Lead serum itself is infl uenced by δ-ALAD gene polymorphisms (Amino Levulinic Acid Dehydratase). δ-ALAD gene encodes an ALAD enzyme used for heme synthesis. The Characteristic of gene polymorphism may result in Glomerulo Filtration Rate (GFR) value as mark of renal failure. The goal of this study was to fi nd correlations between blood lead levels with GFR in terms of δ ALAD gene polymorphisms.Methods: A cross-sectional design was used to perform this research. Thirty-eight gas stations workers in Banyumas were recruited in this study. δ-ALAD gene polymorphisms were characterized using PCR-RFLP method, while lead serum levels were quantifi ed by Atomic Absorption Spectrophotometer (AAS). In addition, Creatinin serum was done with a spectrophotometer and GFR value was formulated by means of the Schwartz method.Result: The study showed that the proportion of ALAD genotype for ALAD 1-1, 1-2 and 2-2 were 94.7%, 5.3%, and 0% respectively. The mean of serum levels in homozygous 1-1 was 15.94 ppb and heterozygote 1-2 was 1.15 ppb. GFR of participants ranged from 71.11 mL/min to 185.20 mL/min with a mean of 117.34mL/min. There was no correlation between serum Pb and GFR (p = 0.19). Study also could not determine the correlation between GFR and ALAD gene Polymorphism.Conclusion: Study then concluded that there was no correlation between blood lead levels in the GFR on each δ-ALAD genotypes.

Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care Yati Afiyati; Budi Keliat; Ida Ruwaida; Imami Nur Rachmawati; Nur Agustini
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse.Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training.Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices.Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse.

Model of Caring Behavior Improvement to Achieve the Competence in Critical Care Nursing Herdina Mariyanti; Nursalam Nursalam; Ninuk Dian Kurniawati
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Nursing students need to build their capacity to understand and learn the form of caring of a professional nurse from a different point of view and apply the acquired knowledge into nursing practice. The purpose of the present study was to develop a model of caring behavior improvement in students of professional nursing education program in order to achieve students’ nursing care competence.Methods: The present study used the explanatory survey and pre-experimental research design. Samples were students practicing in the ICU. Independent variables were attitude, personality, motivation and job design. Dependent variables were students’ caring behaviors and competence. Instruments used were a questionnaire for the independent variables and an observation sheet for the dependent variables. Data were analyzed using the Partial Least Square method.Results: Results showed that the loading factor of attitudes, personality, motivation, and job design against students’ caring behavior was > 1.96. The loading factor of students’ caring behaviors against the achievement of students’ competence was > 1.96. There were effects of attitude, personality, motivation and job design on students’ caring behaviors. Additionally, there was a signifi cant effect of caring behaviors on the achievement of student competence.Conclusion: students’ attitudes, personality, motivation and job design would affect the shaping of students’ caring behaviors. Students’ caring behaviors would affect the achievement of student competence.

The Improvement of Elderly Acceptance in Cronic Pain, Comfort, and Quality of Life through Acceptance and Commitment Therapy (ACT) Dhina Widayati; Ahmad Yusuf; Rizki Fitryasari P.K.
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Chronic joint pain is a problem for the majority of elderly. Psychosocial factors have a great impact on people with chronic pain. The acceptance of pain in people with chronic pain can increase their activity daily living, comfort, and quality of life. Acceptance And Commitment Therapy (ACT) is a form of psychotherapy which effective in the management of chronic pain. The objective of this study was to analyze the effect of ACT on improvement acceptance of chronic pain, comfort, and quality of life elderly with chronic joint pain.Method: This study was used a quasy experiment pre-post test control group design. Population were elderly who lived at UPT PSLU Jombang di Pare-Kediri. Sample were 32 respondents gotten by purposive sampling, divided into experiment and control group. Independent variable was ACT, and dependent variables were pain acceptance, comfort, and quality of life elderly with chronic joint pain. Data were collected by using questionnaire with CPAQ (pain acceptance), GCQ (comfort) and WHO-QOLBREF (Quality of Life). Data then analyzed by using Wilcoxon Signed Ranks Test, Mann Whitney U Test, Paired t test and Independent Samples t test with significance value of 0.05.Result: The results had showed that there was an influence ACT to improvement acceptance of chronic pain (p=0,003), comfort (p=0,008), and quality of life elderly with chronic joint pain (p=0,002).Discussion: ACT improved pain acceptance, comfort, and quality of life of elderly with joint chronic pain. Geriatric nurses should include psychosocial activities as a routine activities, as an effort to improve the quality of life. Beside that, the quality of nursing care for elderly can be improved.

Kompetensi Perawat dalam Merawat Pasien Gangguan Jiwa Ah Yusuf; Rizki Fitryasari; Hanik Endang Nihayati; Rr. Dian Tristiana
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies. Methods: This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD).Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi. Result: The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. Discussion: The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction.

Intervensi Keperawatan Truncal Control Exercise terhadap Fungsi Ekstremitas Atas, Keseimbangan, dan Berjalan pada Klien Pascastroke Kusnanto Kusnanto; Ganda Ardiansyah; Harmayetty Harmayetty
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Poststroke clients will have impaired postural body that can have affect to their balance, ability to gait and function of the upper limb. Truncal control exercise can improve and maintain body postural be good. Rehabilitation poststroke still focusing on upper and lower limbs exercise of hemiplegia compared postural body’s repair.Methods: This type of research used experimental with quasy control group pretest – postest design. The number of samples obtained with consecutive sampling techniques that appropriate criteria research consists of 20 respondents (n = 10 treatment-and n-control = 10). The independent variable is the truncal control exercise. The dependent variable is the function of the upper limb, balance, and gait. Data were collected by using observation and checklist sheets. Data were analyzed using independent t-test and paired t-test with α = 0,05.Results: The results of statistical tests performed in the treatment group and the control was obtained p-value of the functional capabilities of the upper limb = 0.270 and p-value of performance of upper limb function = 0.289. The results of statistical tests performed in the treatment group and the control was obtained p-value of balance = 0.017. The results of statistical tests performed in the treatment group and the control was obtained p-value of gait = 0.026.Discussion: Nursing interventions truncal control exercise have less effective results to changes in upper limb function, but it is effective to balance and walk clients pascastroke. Nursing interventions truncal control exercise can be continued as a form of collaborative action for medical-surgical nurse with physiotherapy to optimize rehabilitation programs of posstroke clients with balance and gait problems in clinic or home’s client.

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Home Page

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Contact Name Ferry Efendi

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Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location Kota surabaya, Jawa timur INDONESIA

Abstract

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Abstract

Abstract

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