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Jurnal NERS
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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The experience of nurses in providing holistic nursing care for COVID-19 patients at Banyuwangi Hospital Pramesti Wilujeng, Atik; Yanuar Fahmi Pamunhgkas, Akhmad; Rizal Mahardika, Dwiky; Sonontiko, Essy
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.38960

Abstract

Background: COVID-19 is a new virus that was discovered at the end of December 2019 and has marked a global pandemic around the world. Not only has a high-risk infection, nuthe most contact with COVID-19 patients are also at risk of experiencing physical and emotional stress. Anxiety, nurses' fear about the risk of contracting the COVID-19 virus can lead to unprofessional attitudes and behavior of nurses in providing holistic nursing care to the patients. This study aimed to explore the experience of nurses in providing holistic nursing care to COVID-19 patients  Methods: This research used phenomenological qualitative research. Data collection was done by in-depth interview. The participants in this study were 7 nurses who served in the isolation room of Blambangan Hospital, Banyuwangi. Purposive sampling method was used to select participants according to the inclusion criteria. Descriptions of nurses experiences were analyzed using the Colaizzi approach. Results: The study result revealed 6 themes; changes in the emotional status of nurses while caring for COVID-19, social stigma against COVID-19 nurses, support during caring for COVID-19 patients, expectations during caring for COVID-19 challenges during caring for COVID-19 patientsand fulfillment holistic nursing carefor COVID-19 patients. Conclusion: The nurses experience in treating COVID-19 patients showed that when they ware caring for patients, they have to go through ups and downs. This research was expected to improve nursing services, prepare nurses to adapt to the growing pandemic, and as a reference for further research related to the experience of nurses in treating COVID-19 patients.
Resilience after stroke and its correlation with functional independence Heltty, Heltty; Zahalim, Zahalim
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41229

Abstract

Introduction: Resilience involves the ability to adapt to the conditions of disability experienced by post-stroke patients. The purpose of this study was to investigate the resilience of post-stroke patients and determine the relationship with the patient's functional ability. Methods: This research was a cross-sectional study that included 122 post-stroke patient respondents who had undergone a stroke recovery phase for 5 - 8 weeks. Selection of the sample used simple random sampling method. Univariate analysis was used to describe the characteristics of each respondent. Bivariate analysis was carried out to determine the relationship between resilience and functional abilities of respondents, especially functional abilities related to activities of daily living. Results: The results of this study found that there was a significant relationship between resilience and functional ability of the respondents (p = 0.000; 95% CI). Conclusions: Respondents with a high level of resilience can make better use of their abilities so that they can increase their functional independence abilities. Thus, it can achieve a better quality of life improvement.
Wireless stethoscope for auscultation of the heart and lungs in critically ill patients: A systematic review Ismail, Suhartini; Prawira, Ricky; Johan, Andrew; Ismail, Rifky
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41471

Abstract

Background:Examining the heart and lungs is necessary for critically ill patients, as these individuals may have abnormalities with either or both of these organs. This review systematically determined how the auscultation of the heart and lungs using a wireless stethoscope affected the results. Methods: The research design used was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms "auscultation," "critical patients," and "stethoscope wireless” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers. A systematic search was conducted through several databases (Scopus, PubMed, JSTOR, and Springer-link), which were published from July 2012 to July 2022 .After reading the full content of the included studies, key themes and concepts were extracted and synthesized. Results: In total 142 articles were screened. Five articles met the inclusion criteria and were analyzed. The analysis revealed that wireless stethoscopes have increased sensitivity with indicators capable of diagnosing abnormal auscultation results in patients who have abnormal aucultation results on the gold standard. Three out of five studies suggested that the auscultation of the heart and lungs by wireless stethoscopes are more sensitive, while two other studies stated that wireless stethoscopes have the same sensitivity as manual acoustic stethoscopes. Conclusion: Based on this systematic review, a wireless stethoscope may be more sensitive than an acoustic one. Nevertheless, due to limited studies, a more well-controlled human study is warranted to be done.
Effects of the tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes in Indonesia: a randomized controlled trial Pranata, Satriya; Wu, Shu-Fang Vivienne; Wang, Tsae-Jyy Tiffany; Liang, Shu-Yuan; Bistara, Difran Nobel; Chuang, Yeu-Hui; Lu, Kuo-Cheng; Vranada, Aric
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.42714

Abstract

Introduction: Blood glucose levels and diabetes distress are the foremost factors contributing to diabetes treatment outcomes and managements. No tailored intervention program was implemented for patients with diabetes in Indonesia. This study aimed to investigate the effectiveness of a tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes patients in Indonesia. Methods: A randomized controlled trial (RCT) with pre-test and post-tests was applied. A total of 163 people with diabetes were collected for both intervention (n=80) and control (n=83) groups: A diabetes-tailored intervention program was attempted in the intervention group. Descriptive statistics, Analysis of Variant (ANOVA) and inferential statistics were used to analyze the data (significance level <0.05). Results: The mean blood glucose levels and diabetes distress before and after in the intervention group were 255.19 mg/dl, and 245.60 mg/dl (p-value >0.05); 2.46 and 2.01 (p-value <0.01). While the control group's mean of blood glucose levels and diabetes distress before and after the intervention was were 227.81 mg/dl, and 245.94 mg/dl (pvalue <0.05); and 2.37 (p-value >0.05). Conclusions: The diabetes-tailored intervention program is effective on decreasing blood glucose levels and diabetes distress, and showed a significant result to diabetes distress.
Determinant factors of anemia in pregnancy based on health belief model: a correlational study Triharini, Mira; Eka Mishbahatul Mar'ah Has; Gita Nofita
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.43704

Abstract

Introduction: Pregnancy anemia is still a big problem worldwide. Health behavior can be influenced by perceptions of the importance of disease prevention. The theory of the Health Belief Model can study the relationship between prevention efforts and perceptions. The purpose was to analyze the relationship between perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy and cues to action with anemia prevention behaviors. Methods: This study used a correlational design cross-sectional approach. The total samples were 104 pregnant women selected using purposive sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and cues to action. The dependent variable in this study was anemia prevention behaviors. Data were collected at one obstetrical polyclinic in hospital and also home visits were conducted to respondents who did not come to the hospital. The instrument used questionnaires on perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, cues to action and anemia prevention behaviors. Results: Perceived susceptibility (p=0.023 r=0.223), and cues to action (p=0.037 r=0.204) had a significant relationship with anemia prevention behaviors., while there was no relation between perceived severity (p= 0.839), perceived benefit (p= 0.986), perceived barrier (p= 0.585), and self-efficacy (p=0.399) with anemia prevention behaviors. Conclusions: Health workers can increase the susceptibility and cues to action of pregnant women through health education about anemia prevention.
GABRA6 and SLC6A4 genotypes are correlated with the fasting blood glucose and physical fitness in the seemingly healthy young adults Viskasari P Kalanjati; Mariana Wahjudi; Kusuma E. Purwantari; Visuddho; Peppy Nawangsasi; Rury T. Oktariza; Krisnawan A. Pradana; Dzanuar Rahmawan; Bambang E. Suwito
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.43770

Abstract

Introduction: We examined environmental and genetic factors potentially correlated with the blood glucose and physical fitness in Kediri, East Java, Indonesia to elucidate the predominant cardiovascular disease risk. Methods: This was a cross-sectional study on 68 adults aged 18-22 years. Direct interview was conducted to get socio-economy,  daily diets (rice/ R, snacks and sweets/ SS, veggies and fruits/ VF), daily activity (locomotors and non-locomotors) data. Peripheral blood-GABRA6 and SLC6A4 polymorphisms, fasting blood glucose (FBG), blood pressure, 3 fitness parameters (1 min push-up, 3 minutes step up, pulse rate after 3 minutes step-up) were measured by 2 independent and pre-trained medical doctors. Kruskal-Wallis, Chi-Square, and eta-coefficient tests were used to seek differences between genotypes and correlation strength between variables, respectively (significant if p<0.05). Results: Both gene's genotypes showed significant correlations with the FBG (p=0.042, p=0.013, respectively); GABRA6 polymorphism significantly correlated with SU (p=0.033). There was a significant difference in the FBG between 2 VF subgroups (p=0.02). Strongest association was found between FBG and SLC6A4 (η=0.3); PR and GABRA6 (η=0.168), PU and SLC6A4 (η=0.38); SU and Locomotors (η=0.237). Conclusions: In these seemingly healthy young adults, daily diets and the genotypes of both genes have a good association with the FBG and physical fitness levels.
Reshaping the future of nursing education through leadership Chan, Chong Mei
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.44482

Abstract

Insights from leaders on effectively addressing overweight and obesity in the Thai community Piyakong, Duangporn; Apiratanawong, Sangduan; Suasing, Chanikan
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.44167

Abstract

Introduction: Effective management of health care system at the district level through an important health project can improve health and quality of life of people in the district. Key factors to drive a successful project are important. The purpose of this study was to explore perspectives of leaders managing the health care system at a district level on improving health problems of people in a community through a project according to preventing and solving overweight and obesity issues. Methods: The participants of this qualitative study consisted of nine district health board committees, ten members of the district health system startup team and twenty-four village health system managers. Data was collected by using focus group interviews, observation and documents analysis, also analyzing data by summarizing and categorizing the data of main points. Results: The study results indicated that managing successful health problems at the district level needed: 1) creating clear and equal understanding, 2) having precious community capital and 4) integrating effective incentives for people in the community. Conclusion: The findings of the study can be used as a guideline for managing the health care system in a district level through a project for the development of health issues and the quality of life among people in a community. This successful health system management might be able to help develop the sustainability of public health care at the district level.
The effectiveness of modified conventional CPR training among North Borneo University Hospital healthcare providers Ahmad, Nazrin; Wider, Walton; Kadir, Fairrul; Hidrus, Aizuddin; Hassan, Hamidah
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.44667

Abstract

Introduction: Numerous studies reported that healthcare providers are not as effective in rendering high-quality CPR over time, despite receiving basic life support (BLS) or advanced cardiac life support (ACLS) training. Thus, to overcome the issue and develop a more feasible implementation of CPR training model, this study aims to identify the effectiveness of a modified conventional training (MT-CPR) method. Method: This was an experimental study conducted to 72 healthcare providers in a teaching hospital in north Borneo. Subjects underwent MT-CPR and data were collected using a validated questionnaire and skills assessment checklist adopted from AHA (2020). Data then was analysed using Friedman, Wilcoxon and McNemar test aided with IBM's Statistical Package for the Social Science (SPSS) statistic software. Result: This study reported that MT-CPR significantly improved the knowledge and skills on CPR (p-value: <0.001). However, the training module significantly incapable to retain the knowledge and skills as early as 3 months post initial MT-CPR (p-value: <0.001). There was a statistically significant difference between the MCQ test scores (pre-course, post-course, and post 3 months-course) with ê­“2 (2) = 36.2 (2), p-value = <0.001. There is an association between post-course overall results and post 3 month overall results using McNemar test (p-value < 0.002). Conclusion: Overall, this study indicated that modified CPR training (MT-CPR) were able to develop and improve the CPR knowledge and skill. The adaptation of conventional CPR training method seen effective as it has the capability for better engagement between trainer and participants. 
Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a crosssectional study Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Kamaryati, Ni Putu; Nuryanto, I Kadek
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.45700

Abstract

Introduction: Little do we understand about factors associated with functional disability in instrumental activities of daily living among the elderly living at home. This study aimed to explore the prevalence and determinant factors of functional disability in instrumental activities of daily living (IADL) among the elderly living in a rural area in Bali. Method: Using a cross-sectional design, 1,053 elderly aged 60 years and above living in a rural area in Bali were recruited. A structured interview by trained data collectors was conducted. Questionnaires used were the Lawton IADL Scale, the 5-item of Geriatric Depression Scale, and the adoption of questionnaires for vision, hearing, and communication problems from the Washington Group Short Set of Questions on Disability. A logistic regression model was applied to explore determinant factors. Results: Findings indicated that 26.1% of participants aged 75+ and 52.3% were female. Eight percent (8%) experienced functional disability in IADL, 1.9% lived alone, 11.8% indicated depression, 5.1%, 4.7%, and 1.6% of them had vision loss, hearing impairment, and communication problems, respectively. The strongest determinant factor for functional disability in IADL was depression (OR 7.869; 95% CI 4.657-13.296), followed by age (OR 4.602; 95% CI 2.764-7.663), and hearing impairment (OR 2.903; 95% CI 1.190-7.083). Conclusions: Depression is the strongest determinant factor for functional disability in IADL. Health professionals in rural areas should actively screen for depression to increase the ability of the elderly to fulfill their IADLs. Keywords: aged, depression, epidemiology, Indonesia

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