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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.
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Articles 921 Documents
 79   80   81   82   83 
Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study Naviati, Elsa; Afiyanti, Yati; Allenidekania, Allenidekania; Novieastari, Enie
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50681

Abstract

Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized children with leukemia after chemotherapy. Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study employed four phases of Leininger analysis for qualitative data to develop its thematic structures. Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients' conditions, and (5) nurse's challenge to educate patients and their families. Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other healthcare professionals and educate patients, and families to participate in the care interventions for these patients in minimizing the occurrence of infection among leukemia patients.
Understanding perspective on community health literacy for promoting the health of older adults with hypertension: a qualitative descriptive study Saenyabutr, Chanissara; Lagampan, Sunee; Powwattana, Arpaporn; Amnatsatsue, Kwanjai
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51151

Abstract

Introduction: This study aimed to understand the community people's experience of access, understanding, evaluation, and application of health information for self-care of hypertensive older adults, and explore the community's perspective on promoting community health literacy (CHL) on caring for hypertensive older adults. Methods: This was a qualitative descriptive study. Data were collected through focus groups and in-depth interviews in one sub-district municipality in Mahasarakham, Thailand. A total of 37 participants from older adults with hypertension, families of older adults with hypertension, and community committees were recruited based on inclusion criteria using purposive sampling. Data were then analyzed using a five-step thematic analysis. Results: Four main themes of community people's experience  emerged 1) access to health information limited by the healthcare personnel at the primary care unit (PCU), 2) understanding the health information because it is clear and familiar, and can ask the medical personnel directly, 3) do not evaluate the health information received from healthcare personnel because they trust them, and 4) applied health information to practice only taking medicine and doctor's appointments. Three main themes to promote CHL are 1) usual healthcare activities, 2) community action, and 3) nurses at PCU, village health volunteers, and community committees should be involved in playing a key role in promoting CHL. Conclusions: Cooperation with community leaders is important to promote CHL by using active learning education and creating a supportive environment focusing on encouraging older adults to perform self-care to control their health conditions.
Individual and organizational factors associated with disaster preparedness and resilience among Indonesian hospital nurses: a cross-sectional study Winarti, Wiwin; Barbara, Laksita; Simatupang, Ronny Basirun; Hasena, Siti Luthfiana; Dielfanie, VK
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51181

Abstract

Introduction: The significance of nurses' disaster preparedness and resilience in diverse settings has become increasingly apparent due to the rise in global crises. This study aimed to investigate nurses' perspectives on these two factors and to examine their intricate relationships and nuances. Methods: A cross-sectional framework was used to evaluate 390 nurses using the Disaster Preparedness Evaluation Tool (DPET) and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics, Mann-Whitney U-test, Kruskal-Wallis H test, Spearman's correlation analysis, and the generalized linear model were employed to determine the relationships between nurses' characteristics, self-regulation, work culture perception, and their DPET and CD-RISC scores. Results: The results revealed that 79.7% of the participants were female, but male nurses consistently scored higher on both the assessments. The average DPET score was 172.29, and the average CD-RISC score was 27.34. Self-regulation and work culture perception were the most influential factors in raising DPET and CD-RISC scores by 4.032 and 1.454 units (p=0.000), and 1.112 and 0.34 units (p=0.000). Conclusions: This study emphasizes the need for ongoing training of nurses in disaster preparedness and resilience to promote introspective learning and collaborative best practices. It also highlights the role of hospitals in optimizing resources and creating a supportive environment for enhanced disaster preparedness and resilience, given the impact of organizational work culture. The study findings suggest a nuanced understanding of gender dynamics in disaster preparedness and resilience, emphasizing the importance of further exploration of these disparities for effective nursing practices.
Caregiver Burden and Depression Among Caregivers of Patients with Chronic Disease Mohamad, Norfidah; Mulud, Zamzaliza Abdul; Tutienande , Nurfeekah Afzatul; Sazaly, Nur Nadhrah; Ibrahim, Nurul Hazirah
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51301

Abstract

Introduction: Caring for people with chronic diseases is physically and emotionally demanding. It can also have adverse effects on the caretaker, such as depression. Caregiver burden describes the psychological and financial strains of providing care. Depression in caregivers' manifests as concern, indecision, and an inability to feel the future. Chronic disease is a condition that takes a long time to treat and may progressively get worse over time. This study aims to identify the level of caregiver burden and depression and the correlation between burden and depression among caregivers of patients with chronic diseases. Methods: A self-administered questionnaire containing the Caregiver Burden Inventory and Beck Depression Inventory was used to measure caregiver burden and depression among 217 caregivers of patients with chronic diseases in a teaching hospital in the Klang Valley. Results: The findings showed that the majority of caregivers experienced a mild burden (n = 168, 77.4%), a moderate burden (n = 43, 19.8%), and a severe burden (n = 6, 2.8%). Following mild depression (n = 17, 7.8%), moderate depression (n = 15, 6.9%), and severe depression (n = 4, 1.8%), some caregivers experienced minimal depression (n = 181, 83.4%). According to Pearson's analysis, the link between caregiver burden and depression was statistically significant (p<0.000) with a positive correlation (r = 0.408). Conclusion: In this study, caregivers experienced burden and depression due to providing care. Future studies should incorporate support and resources for caregivers, including respite care and counselling that can promote overall well-being.
Early patients' illness perception as a predictor of post-traumatic stress disorder and quality of life one month after mild traumatic brain injury: a prospective study Mulyadi, Mulyadi; Sithichoksakulchai, Siriluk; Gannika, Lenny; Sembiring , Erika Emnina
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.51316

Abstract

Introduction: The illness perception of mild Traumatic Brain Injury (mTBI) patients before discharge from the hospital tends to be inappropriate. Apart from that, post-injury symptoms such as post-traumatic stress disorder (PTSD) are often experienced by patients, which can affect their quality of life. However, research linking patient perceptions with post-traumatic stress and quality of life remains scarce. This study aimed to examine patient's illness perceptions and their relationship with PTSD and HRQOL. Methods: This study employed a prospective survey. Illness perceptions were measured before hospital discharge, and a follow-up of post-traumatic stress and health-related quality of life using an online survey was conducted one month later. The survey was administered from July to October 2023 at two hospitals, with a sample size of 72 mTBI patients. Results: mTBI patients with older age (p=.001), negative emotional perceptions (p=<.001), more consequence (p=.045), more concern about their injury (p=<.001) are significantly related to more symptoms of post-traumatic stress. Patients with mTBI who felt more identity symptoms of IR (p=.001), worsened personal control (p=.041), and worsened treatment control (p=.011) are significantly related to deteriorated quality of life one month after injury. Conclusions: This study produces evidence that mTBI patients' perceptions before leaving the hospital tend to be inappropriate and are related to post-traumatic stress and quality of life one month later. Based on these results, it is crucial for trauma nurses to identify patients' illness perceptions and initiate appropriate interventions to reduce PTSD symptoms and improve patients' quality of life.
Students' perceptions of the relevance of instructors' assessment items in online community-based interprofessional education Hangujiwat, Puspo Palupi Yekti; Kristina, Tri Nur; Dewi, Dian Puspita; Candra, Aryu; Afifah, Diana Nur; Asmara, Fatikhu Yatuni
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51634

Abstract

Introduction: This study aimed to acquire students' perceptions of the assessment items used by instructors implemented in the community-based Interprofessional Education (IPE) program during the COVID-19 pandemic. The study also compared the students' perceptions of the instructors' assessment items regarding student characteristics. Motivation for joining the IPE program and a comparison between motivation and gender and disciplines were also identified in this study. Methods: The research method is observational with a cross-sectional approach. Sixth-semester medical, nursing, and nutrition students who had completed the community-based IPE program were involved. Students' perception was measured using a questionnaire on the instructors' assessment items developed based on the IPE competencies. Motivation was measured using a Motivated Strategies for Learning Questionnaire (MSLQ). Results: A majority of students across the three programs agreed or strongly agreed with the assessment items, and there were no significant differences in student perceptions from the variables of gender (p = 0.23) and disciplines (p = 0.68). The correlation between students' motivation and their perception of the instructors' assessment items was significant (r_s = 0.61 with p < 0.01). However, there was a weak and not significant correlation between students' grade point average (GPA) with the perception of assessment items (r_s= 0.1 with p = 0.07). Conclusions: All instructors' assessment items were still perceived as relevant and can be used to assess the students during IPE online learning. Thus, the result of this study can be considered to be used in another setting with a similar situation.
Factors associated with blood pressure and nutritional status among adolescents: a cross-sectional study Farapti, Farapti; Sari, Afifah Nurma; Sulistyowati, Muji; Aziz, Saidatul Afzan Abdul; Issa, Zuraini Mat; Nor, Norfezah Md
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.51916

Abstract

Introduction: The association between obesity and hypertension in adolescents necessitates the identification of potential predictors at an early stage. This study aimed to examine the association of sex and place of residence with nutritional status and blood pressure in adolescents aged 10-18 years. Methods: A sample of 198 subjects aged 10-18 years was included in this study. Data on demographic characteristics were collected using a structured questionnaire, whereas nutritional status and blood pressure were measured using standardized measures. Statistical analyses, including the independent t-test, Pearson and Spearman correlation test, and linear regression, were conducted to identify potential risk factors, with statistical significance set at p < 0.05. Results: The study revealed a high prevalence of overweight-obesity (24.7%) and hypertension (11.1%) among the subjects. Significant correlations were observed between body weight, height, age, and blood pressure (p < 0.05). Boys exhibited higher mean body height and Systolic Blood Pressure (SBP) than girls. Nutritional status was positively associated with Body Mass Index (BMI) and blood pressure, with nutritional status emerging as the primary predictor in both private houses and boarding schools (p < 0.05). Furthermore, age at menarche was found to be a predictor of blood pressure in boys, whereas age was a predictor in girls. Conclusions: BMI predicts nutritional status and blood pressure, whereas age and menarche age are crucial factors that depend on sex. Based on these findings, it is critical to manage obesity and hypertension by considering characteristics such as nutritional status, sex, and age
Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study Muliantino, Mulyanti Roberto; Qadri, Nindy Zumratul; Afriyanti, Esi; Sarfika , Rika
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.51941

Abstract

Introduction: This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease. Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire  (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression. Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889) and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated with decreased physical activity. Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients. Keywords: coronary heart disease, good health and well-being, physical activity, self-efficacy
Knowledge about cholera and its prevention among household heads in a highly urbanized city in Western Philippines: a cross-sectional study Oscares, Karen Joy S.; Pacubas, Sarah Adelaide S.; Padpad, Felb Audrey Hope G.; Paglomutan, Precious Angel A.; Panelo, Pearl Krystelle R.; Oducado, Ryan Michael Flores
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.52072

Abstract

Introduction: Cholera remains a significant public health threat globally, but its impact can be significantly reduced with the right knowledge and correct preventive practices. Conducting a study to provide baseline data and identify knowledge gaps on cholera will benefit at-risk and vulnerable communities. This research aimed to determine the household heads' knowledge about cholera and its prevention in a barangay in the Western Philippines. Methods: A cross-sectional survey using a questionnaire was conducted in an urban barangay in Iloilo City in Western Philippines among 252 randomly selected household heads in May 2023. Data were described, and t-Test for independent samples and one-way ANOVA were used to test for differences. Results: The majority of household heads were generally knowledgeable about cholera and its prevention, but only 51.2% knew that oral rehydrating solution (ORS) could help manage symptoms of cholera. Furthermore, there was a significant difference in knowledge about cholera and its prevention based on sex (t = 2.92; p = 0.004). Conclusions: Household heads understood well and were informed of cholera and its prevention, although there were still some misconceptions. Continuous health education and knowledge assessment are recommended to raise awareness and ensure correct and timely information dissemination regarding cholera.
Analysis of factors self-harm behaviour among adolescents undergoing drug rehabilitation in Indonesia Wardani, Ice Yulia; Nasution, Riska Amalya; Panjaitan, Ria Utami; Suratmini, Dwi; Rusiana, Elfira
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.52823

Abstract

Introduction:  The study aimed to analyse the factors associated with self-harm behaviour in adolescents in drug rehabilitation. Methods: This study used a descriptive-correlative design with a cross-sectional approach. The sample in this study was 241 adolescents who were in drug rehabilitation using the purposive sampling technique. This research was conducted in the Lido Centre for the Rehabilitation of the National Narcotics Agency, the Lampung Centre for Rehabilitation of the National Narcotics Agency, the Cipinang Besar Utara Narcotics Penitentiary, the Special Prison for Children of Jakarta, Lampung Narcotics Penitentiary, and the Al Islamy Foundation. This study used five questionnaires, namely the Internalized Stigma of Mental Illness, Self-Identity Questionnaire, UCLA Loneliness Scale Version 3, and the Deliberate Self-Harm Inventory. This study was analysed using a logistic regression test. Results: The results of the logistic regression analysis showed that, from several factors related to self-harm, namely loneliness, self-identity, and stigma, two factors that are most related to self-harm behaviour are self-identity and stigma, with a p-value of 0.000 (p<0.05). Conclusions: Self-harm behaviour can occur due to factors such as self-identity and stigma. This research can be a basis for providing nursing interventions to adolescents undergoing drug rehabilitation. Appropriate nursing interventions can help adolescents undergoing drug rehabilitation control the self-harm behaviour they want to engage in. Researchers recommend the importance of interventions aimed at strengthening self-identity and reducing stigma in efforts to prevent and treat self-harm behaviour. Additionally, future research is recommended to consider other variables that may also contribute to this behaviour.

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