bluuebunny/crossref_metadata_2025 huggingface dataset:
Patient Safety Culture in Nurses in Karawang, Indonesia: A Cross-Sectional Study
Authors: Suryani Lilis , Letchmi Santhna , Binti Moch Said Faridah
Published: February 2022

Patient safety is crucial for health care quality and is one of the major parameters monitored by all health care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because they take care of patients for the full 24 hours and engage with families and other health professionals. Thus, this study aimed to identify patient safety culture and its associated factors among nurses in Karawang, Indonesia. This study was conducted using a cross-sectional design. It was estimated that 220 participants would be needed to have confidence in the results at a medium-effect size. A convenience sampling technique was applied to select participants. This study used the Hospital Survey on Patient Safety Culture questionnaire. Linear regression analyses were used to investigate the factors associated with patient safety culture. Most of the nurses (52.79%) had a nursing diploma and 7% had been married. Approximately 70% were nurses at the level 1 to 3 range. The mean score was 3.05 (SD = 1.43). The highest domains score was teamwork (4.03, SD = 1.76), and the lowest score was reporting patients’ safety events (2.21, SD = 1.43). Gender, education level, and working unit contributed significantly to the variance in patient safety culture and the R-squared was 28.8%. This study found that patient safety culture among nurses was moderate. Therefore, in order to improve patient safety, a training program for nurses is needed alongside strategies to improve professional communication.
Keywords: patient safety, culture, nurses, Indonesia
A Qualitative Study of the Experiences of Children With Cancer and How They Perceive Their Problems During Hospitalization in Indonesia
Authors: Urrahman Dhiya , Tri Sulistyowati Endang , Endah Purnamaningsih Sumarti , Margaretha Maria
Published: February 2022

Children with cancer will find it challenging to participate in social activities, especially outdoor ones. This can lead to poor interpersonal skills, loneliness, and low self-esteem. Children who are diagnosed with cancer, particularly a terminal form, have a variety of requirements, including the need to communicate and discuss, as well as the need for social support to aid in coping. Thus, the purpose of this study was to explore the experiences of children with cancer and how they perceive their problems during hospitalization in Indonesia. The research used qualitative exploratory techniques with patients receiving treatment in the Dr. Sardjito Hospital’s Children’s Health Installation in Yogyakarta. Purposive sampling was used for recruitment. The picture codes approach with photovoice was applied for data collection. The data were evaluated conceptually, and emerging themes were substantiated by statements from participant interviews. Three themes emerged: painful medical procedures that traumatize youngsters, indoor facilities that provide comfort for children, and playmates similar to siblings. Developing the necessary support programs for these children involves meticulous planning and preparation, which must begin even before children return to school and involve teachers, health care providers, and family members.
Keywords: cancer, children, problems, hospitalization, qualitative study
Stroke Traditional Therapy in the Community in Indonesia
Authors: Agianto Agianto , Kamilah Ainun , Agustina Rismia
Published: February 2022

Stroke is a major cause of death and disability which must be treated quickly and appropriately. Use of complementary and alternative Medicine is high for stroke patients. The purpose of this study was to explore the use of stroke traditional therapy in the community setting. This study was an ethnographic study, and it aimed to identify social interactions, behaviors, and perceptions. This study involved seven key informants (families of stroke patients), recruited through a purposive sampling technique until data saturation was reached. Participant observation, in-depth interviews, and focus group discussions were employed in this study from December 2018 to February 2019. Data analysis involved content analysis. There were five themes identified in this study: family, traditional healer, neighbors, other people, and friends. The family refers to their spouse, children, nieces/nephews, sons-in-law, siblings, and grandchildren. Other people are also involved such as masseurs, neighbors, parking attendants, pedicab drivers, and friends. People who are involved in stroke traditional therapy should also be able to provide conventional treatments such as medicines, and carry out therapy with physiotherapists.
Keywords: stroke, community, traditional therapy, ethnography
Analysis of Nurses' Knowledge in the Implementation of End of Life Care in Intensive Care Units in Indonesia
Authors: Hafifah Ifa , Isnawati Isnawati , Agustina Rismia
Published: February 2022

End of life care is a form of comprehensive care to help patients with life-threatening conditions and their families, which can be implemented in the intensive care unit (ICU) setting. The aim of this study was to analyze factors associated with nurses’ knowledge in implementing end of life care in the ICU. This study was quantitative research which used an analytic-correlational design with a cross-sectional study approach. The sampling technique used was total sampling, and all nurses working in the ICU of the hospital were recruited (n=40). The research instruments used were a socio-demographic form and a modified RN End of Life Knowledge Assessment survey. This study found that 12.5% of respondents had working experience of at least 72 months; 52.5% had diploma level of education; and 67.5% had poor knowledge. No respondents had obtained training previously. No significant association was found between knowledge and educational level (p = 0.269) or working experience (p = 0.801) using the Spearman test.
Keywords: end of life care, ICU, knowledge factors, nurses
Completeness and Legal Implications of Patient Medical Records at Hajj Regional General Hospital of Makassar
Authors: Thabran Talib Muhammad , . Syamsuddin
Published: February 2022

Information on a patient’s health development can be obtained if the data contained in the medical record are filled out completely, accurately and consistently. This study aimed to analyze the completeness of medical records and the legal aspect of the use of medical records in health services. This research was carried out at Hajj General Hospital of Makassar. The study was conducted retrospectively with a qualitative approach through in-depth interviews, observation of medical record files and document review, as well as with a quantitative approach, from October to December 2020. 258 medical record files were reviewed, and informants included five implementing medical personnel and 10 implementing nurses, who were interviewed to examine opinions about the completeness and legality of ownership of medical record files. The results showed that there were still incomplete medical record files, and most medical record items were not filled out completely and consistently, which has legal implications in terms of the file owner and the contents of the medical record. For this reason, open communication is sought between all health workers.
Keywords: completeness, legality, medical record
The Relationship Between the Family's Knowledge and Hallucination Relapses of Patients
Authors: Napolion Kens , Siatang Weni , Thamrin Nurlaela
Published: February 2022

Mental health problems have become global health issues in every country, including in Indonesia. Mental disorders include broad spectrum ones such as psychotic mental problems or schizophrenia, anxiety, depression and drug abuse (narcotics, psychotropics and addictive substances), which are all categorised as mental health issues. The aim of this research was to determine the correlation between the family’s knowledge and the hallucination relapses of patients. This research involved an analytical survey with a cross-sectional approach, and it took place at the psychiatric polyclinic RSKD in the Dadi Province of South Sulawesi with 16 respondents. The results showed that the better the respondents’ knowledge, the fewer the relapses (p = 0.024). Therefore, we can conclude that there is a correlation between family knowledge and the hallucination relapses of patients. It is recommended that other studies investigate other variables with larger samples.
Keywords: knowledge, relapse, hallucinations
Factors Affecting the Management of Stunting in Banten Province
Authors: Umar Ernawati , Darajat Ahmad
Published: February 2022

Indonesia had the 5th highest prevalence of stunting among toddlers in Asia in 2018 with 30.8%. Banten is a province where handling stunting has been made a priority. Apart from leading to stunted growth, stunting is also associated with less than optimal brain development, which causes poor mental and learning abilities, and poor school performance. The purpose of this study was to determine the factors associated with stunting prevention in Banten province. The questionnaire used in this study was created by the researchers and contained 45 questions. This was a randomized controlled clinical trial. The independent variables were specific interventions (nutrition, environmental sanitation, clean water, family latrines), and the dependent variable was stunting prevention. Respondents in this study included 276 toddlers. Height was obtained by measuring the average height of the children before and after administration of the interventions. Statistical analysis was through the t test. According to the results, there was a significant relationship between sanitation of the home environment and family income with the incidence of stunting in children under five in Banten province. It is therefore recommended that the Government should form a nutrition kitchen in each posyandu.
Keywords: management of stunting countermeasures, height, weight, sensitive nutrition, toddler
The Influence of Foot Massage on Blood Pressure and Anxiety in Hypertensive Patients
Authors: Nina Putri Calisanie Nyayu , Preannisa Sabrina
Published: February 2022

Hypertension is one of the most common conditions in the world, and if it is not treated promptly, it can create not only physical but also psychological issues. Anxiety is a psychological issue that can exacerbate hypertension symptoms. In people with hypertension, foot massage reflexology is a non-pharmacological therapy. The purpose of this study was to see if foot massage reflexology may help patients with hypertension lower their blood pressure and anxiety. The research design used was a quasi-experimental pretest-posttest design with a control group. The sample consisted of 56 respondents, who were separated into two groups, with 28 respondents in the intervention group and 28 respondents in the control group. The HARS questionnaire was used to collect the data on anxiety levels, and a digital sphygmomanometer was used to assess blood pressure. The results of this study indicated that there was a decrease in systolic blood pressure of 24.54 mmHg and diastolic blood pressure of 9.75 mmHg, and a decrease in the anxiety score of 8.94 in the intervention group. The results of the ANCOVA statistical test suggested that there was a significant impact. This study concludes that giving foot massage therapy can significantly reduce systolic blood pressure, diastolic blood pressure and anxiety.
Keywords: anxiety, foot massage, hypertension
The Effect of Bilateral Arm Training on Daily Activity in Stroke Patients
Authors: Ramadhan Sahrul , Antika Rizki Kusuma Putri Tri
Published: February 2022

Stroke patients frequently experience weakness and even paralysis in certain body parts, which can make daily chores more challenging. Therefore, we need interventions that can increase the daily activity of stroke patients so that they can carry out their daily activities successfully. This study aimed to determine the effect of bilateral arm training on daily activity in stroke patients. This study used a quasi-experimental approach with a two-group pretest-posttest design. There were 38 respondents, with 19 in each group. After conducting the pretest, respondents in the intervention group were given bilateral arm training for two weeks, and after the posttest, the control group was given this training as well. The Barthel Index questionnaire was used to assess the activity level of stroke patients in this study. The paired t-test and independent t-test were utilized for statistical analysis. The intervention group’s daily activity levels increased, as measured by the mean score, which increased from 62.89 to 68.16 (p = 0.009). The scores in the control group remained constant from before to after the intervention periods, ranging between 40 and 80 with a mean of 60.00. The independent t-test showed a significant difference in the post-test scores between the two groups (p = 0.040). It can be concluded that bilateral arm training can improve daily activity in stroke patients. Additionally, this intervention can be performed in a hospital setting and nurses can teach the patient, family, and caregiver as part of discharge planning.
Keywords: activity daily living, bilateral arm training, stroke
The Effect of Basic Life Support Training on the Knowledge and Skills of Adolescents
Authors: Juariah Jarniah , Purwaningsih Iswanti
Published: February 2022

Basic life support (LBS) is a set of interventions aimed at restoring and maintaining vital organ functions in victims of cardiac and respiratory arrest. Knowledge and skills in doing LBS can be improved by training. This literature review was carried out to determine the effect of LBS training on increasing the knowledge and skills of adolescents in performing first aid in cases of cardiac or respiratory arrest. Articles published in 2010-2020 were found through Google Scholar and the Garuda portal. The results of the 5 articles that were reviewed showed significant changes in the knowledge and skills of adolescents before and after being given training. This suggests that LBS training can improve the level of knowledge and skills of adolescents in performing first aid in cases of cardiac or respiratory arrest.
Keywords: LBS training, knowledge, skills, cardiac arrest, respiratory arrest
Depressive Symptoms in High-Risk Pregnancies During the COVID-19 Pandemic
Authors: Ilbert Rizal , Marfuah Dewi
Published: February 2022

A high-risk pregnancy is one that has a higher risk than a normal pregnancy, both to the mother and to her baby, which can cause disability, disease or even death before or after delivery. In the city of Bandung, there were 29 cases of maternal mortality in 2019. One of the potential effects of a risky pregnancy is antenatal depression. The results of previous research conducted in Indonesia showed that 50% of pregnant women are at risk of experiencing depressive symptoms. The COVID-19 pandemic can trigger stress, and unresolved stress can cause depression and endanger the mental and physical health of pregnant women and their babies. This study aimed to describe the symptoms of depression in mothers with high-risk pregnancies. A descriptive quantitative approach was used with a cross-sectional design and there were 60 participants. The inclusion criteria were at-risk pregnant women who had been screened using the Poedji Rochjati Score Card, had a smartphone, and were able to communicate well. The instrument used was the Patient Health Questionnaire-9. The findings showed that 90% of women with high-risk pregnancies during the pandemic experienced symptoms of depression and 10% experienced mild depression. The majority of the depressive symptoms that were experienced were somatic-gastrointestinal symptoms. It can be concluded that symptoms of depression in pregnant women increased during the COVID-19 pandemic. So, it is necessary to improve the quality of pregnancy services to overcome the symptoms of depression in pregnant women.
Keywords: depressive symptoms, high-risk pregnancy, COVID-19 pandemic
Impact of Age and Gender on the Incidence of COVID-19 in Children at Pasar Rebo Hospital, Jakarta
Authors: Heny Purwati Nyimas , Noprida Dayana , Agustia Wahyuni , Imroatun Tri , Sarini Sarini , Sahariah Sahariah , Polapa Damayanti
Published: February 2022

SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. COVID-19 can cause respiratory system disorders, ranging from mild symptoms such as flu, to lung infections, such as pneumonia. The average incubation period is 5-6 days with the longest incubation period being 14 days. This virus spread rapidly around the world, including to Indonesia. From March 2, 2020 to July 9, 2020, Indonesia reported 70,736 confirmed COVID-19 cases and 3,417 deaths (CFR 4.8%). Based on data obtained from the Indonesian Pediatrician Association, 416 out of 72,314 cases confirmed positive for COVID-19 (0.9%) were children aged less than 10 years, 549/72,314 or 1% were children aged 10-19 years, and 450 of them had died by March 21, 2020. This study aimed to examine the relationship between age and gender with the incidence of COVID-19 in children at Pasar Rebo Hospital, Jakarta. Data collection used secondary data, the sample included 150 respondents, and the research instrument used was observation sheets at Pasar Rebo Hospital, Jakarta. The design of this study was quantitative cross-sectional. This research used the Chi-square test and t-test for data analysis. A total of 57.3% of respondents were male, and 42% had symptoms. According to the findings, there was a relationship between age and gender with the incidence of COVID-19 in children (p < 0.001). Male children were more at risk of being infected with COVID-19 than females, likely due to differences in the immunological system related to gender as women have a lower susceptibility to viral infections than men. Based on the results, there was also a relationship between age and the incidence of COVID-19 in children at the hospital. These results have implications for differences in the nursing care that is needed for boys vs. girls with COVID-19.
Keywords: COVID-19, children, age, gender
The Effect of Relaxation Techniques in Reducing Dysmenorrhea in Adolescents
Authors: Hidayatunnafiah Findi , Mualifah Laily , Moebari Moebari , Iswantiningsih E.
Published: February 2022

Dysmenorrhea is a lower abdominal pain that occurs before menstruation or during a menstrual period. To overcome dysmenorrhea non-pharmacologically, one technique is deep breathing relaxation. This technique can reduce dysmenorrhea in adolescents because it can relax the body and provide a sense of comfort so that the intensity of the pain felt gradually disappears. This study’s purpose was to analyze the effect of the deep breathing relaxation technique on reducing dysmenorrhea in adolescents. This was a literature review, and articles were found through Google Scholar and Garuda Dikti. The results of the five articles that were identified showed that, before the breathing relaxation technique was carried out, the majority of adolescents experienced moderate pain; then after it was carried out, the majority of adolescents experienced a decrease in pain to mild; there were additional adolescents who did not feel any pain. These changes were significant (shown by p-values < 0.05). It can therefore be concluded that deep breathing relaxation can help to decrease dysmenorrhea in adolescents. Changes can be seen when the technique is practiced for 5-30 minutes.
Keywords: deep breathing relaxation, dysmenorrhea, adolescents
Effect of Health Education Based on the Health Belief Model on Family Knowledge About Covid-19 in Mothers Who Have Children With Stunting
Authors: Mulyana Hilman , Rahmatalia Nurhaliza
Published: February 2022

The high numbers of Covid-19 cases have been due to the lack of knowledge of, public awareness of, and compliance with the health protocols. This has led to various perceptions among the public and resulted in people’s poor behavior. The danger of Covid-19 is certainly very worrying, especially for high-risk groups, such as small children with stunting conditions. The Health Belief Model provides a template for how to identify maternal knowledge about diseases and decision-making processes in finding health services. This study aimed to determine the effect of health education based on the Health Belief Model on family knowledge about Covid-19 in mothers who have children with stunting in the village of Jayaratu, Sariwangi District, Tasikmalaya Regency in 2021. This was a descriptive study with a one group pretest-posttest design. There were 36 participants, who were families with children who have stunting. The data collection instrument was a questionnaire in Google Forms, which had been validated. The paired t-test was used for analysis. The results of the study showed that family knowledge about Covid-19 increased, as did family perceptions, after being given health education (p < 0.001). We can conclude that health education based on the Health Belief Model can influence knowledge about Covid-19 in mothers with a child who has stunting. The results of this study are expected to be a reference in efforts to reduce the prevalence of people infected with Covid- 19.
Keywords: Covid-19 knowledge, health education, Health Belief Model (HBM)
The Effectiveness of Peer Group Facilitators in Changing Teenagers' Attitudes Towards Bullying
Authors: Ibrahim Masdum , Putra Pamungkas Lucky , Purnama Heni
Published: February 2022

Bullying can be terrifying, especially among students and teenagers. Bullying is sometimes carried out by fellow students at school. This study aimed to determine the effectiveness of peer group facilitators in changing teenagers’ attitudes on bullying at SMKN 1 Cidaun. This was quantitative research, which applied a quasi-experimental two-group pretest-posttest design, using convenience sampling to recruit 40 respondents. The data collection was through a questionnaire of attitudes on bullying. Data were analysed using univariate analysis including frequency distribution, and bivariate analysis through ANCOVA. The results showed that most of the respondents were aged 16 (55 respondents, 68.8%), 50 were female (62.5%), and all respondents were Muslim. Based on bivariate analysis, there was a significant influence of peer group facilitators on teenagers’ attitudes towards bullying (p < 0.001). It is recommended that teachers at SMKN 1 Cidaun implement peer group facilitators as an attempt to prevent bullying.
Keywords: peer group, facilitator, attitudes, bullying, teenagers
The Effect of the Puzzle Playing Method on Improving the Cognitive Development of Children Aged 4-6 Years
Authors: Mulyana Asep , Nurcahyani Nida
Published: February 2022

Playing in early childhood is very important; playing facilitates the learning process. Puzzles are an example of an educational learning method. The aim of this study was to determine the effect of a puzzle playing method on improving the cognitive development of children aged 4-6 years in TK Nurul Iman, Sukakarsa Urban Village, Sukarame Subdistrict, Tasikmalaya District. A quantitative pre-experimental pretest-posttest design was used and data were collected through questionnaires. Respondents in this study included 40 students of TK Nurul Iman in Sukakarsa Urban Village. Data analysis involved the Mann-Whitney U-Test. The results of the pretest showed that 32 participants (80%) were in the low category, and the posttest results showed that 26 children (65%) were in the good category; this difference was significant (p < 0.01). This showed that there was an effect of the puzzle playing method on improving the cognitive development of the children aged 4-6 years in TK Nurul Iman, Sukakarsa Urban Village, Sukarame Subdistrict, Tasikmalaya District. This research is expected to be used as a reference for other teachers in helping develop children’s cognitive abilities.
Keywords: puzzle playing method, improving cognitive development
Community First Aid Training for Disaster Preparedness: A Review of Education Content
Authors: Fatoni Fatoni , Letchmi Panduragan Santhna , Sansuwito Tukimin , Stia Pusporini Lenny
Published: February 2022

Disasters pose a substantial risk to people’s health and well-being on a global scale. Community-based training on the initial response to traffic accidents has a considerable impact on reducing morbidity and mortality. There is no information on the most effective type of community-based training for such incidents or on how to integrate this into disaster response. The goal of this study was to characterize the content of first aid training and its effect on providing assistance during a disaster. The MEDLINE, PsycINFO, Scopus, and Web of Science databases were searched. The terms ”basic life support” OR ”bleed control” OR ”cardiopulmonary resuscitation (CPR)” OR ”first aid” AND ”bystander” OR ”layperson” OR ”public” were used. We chose the general public as our sample. We included only publications that were available in English and published between January 2000 and September 2021 due to time and resource constraints. Four of the included studies were conducted in the United States and one in Indonesia. The sample size ranged from 24 to 465 members of the general public or bystanders. Community members gained increased knowledge and abilities regarding disaster preparedness strategies and procedures. The first aid training content focused on prehospital trauma care, including training on the ABCs, dealing with disasters in the community, calling for help, identifying the location of life-threatening bleeding and applying pressure, and packing a wound and applying a tourniquet for bleeding control. A training program emphasizing both first aid methods and inhibitors of behaviors to help in an emergency was found to be significantly associated with increased rates of assistance during emergency situations.
Keywords: community first aid, training, disaster preparedness, review
Religiosity and Positive Thinking in Nursing Students During the Covid-19 Pandemic
Authors: Yosep Iyus , Adi Amani Adibha , Komariah Maria , Lindayani Linlin , Suryani Suryani
Published: February 2022

The Covid-19 pandemic has resulted in many new policies being issued to prevent an increase in the number of transmissions. One of these policies is remote online learning. This is a stressor for students of the Faculty of Nursing, Padjadjaran University because of the adaptation in the learning system. These stressors need to be handled with effective coping strategies, two of which can be religiosity and positive thinking. Both of these are internal factors that are personal to each individual, including students. This study aimed to describe the religiosity and positive thinking of the students of the Faculty of Nursing, Padjadjaran University during the Covid-19 pandemic. Descriptive statistical analyses were used in this study. The research population was active students of the Faculty of Nursing Unpad (n = 856). The sampling technique used was stratified random sampling with a response rate of 56% (n = 481), using an online survey. Data were collected using the Indonesian versions of the Centrality Religiosity Scale and The Positivity Scale questionnaires, whose validity and reliability have been tested. All analyzed data were presented in the form of a frequency distribution table. The results of this study indicated that 281 students (58.4%) had a high level of religiosity. Many students showed a high level of intellectual (51.1%), ideological (86.9%), private practice (62.1%), and religious experience (62%). In addition, 264 students (54.9%) also had a high level of positive thinking. The conclusion from this study is that these students tended to have a high level of religiosity and positive thinking during the Covid-19 pandemic. This needs to be maintained so that these two internal factors can protect and support the lives of respondents, especially during the Covid-19 pandemic.
Keywords: religiosity, positive thinking, Covid-19 pandemic
Impact of Coaching With Videos on Self-Efficacy in Nursing Students During the COVID-19 Pandemic
Authors: Amelia Meilani Dea , Noor Hayati Suci
Published: February 2022

The COVID-19 pandemic has changed many aspects of life, especially in the world of education. This coincides with rapid developments in nursing education, including concerning multimedia-based learning processes in the form of videos. Some nursing students are not confident in carrying out patient safety, so a learning method is needed to increase self confidence – one of these is the coaching learning method using videos. This method can also be used to increase self-efficacy and skills in students. This study was conducted to determine the effect of coaching with videos on the self-efficacy of nursing students in carrying out patient safety. The research was a quasi-experimental study with purposive sampling and 60 respondents divided into a control group (n = 30) and an intervention group (n = 30). Paired sample t-tests and independent sample t-tests were used. According to the results, the coaching method with videos had an effect on self-efficacy in nursing students learning during the COVID-19 pandemic.
Keywords: COVID-19 pandemic, coaching, video, self-efficacy, patient safety, nursing students
Virtual Peer Educator Training Program About Sexually Transmitted Infections in Adolescents
Authors: Nurhayati Nunung , Rahmawati Ani , Mutiar Astri , Lindayani Linlin
Published: February 2022

Sexually transmitted infections (STIs) are caused by fungi, bacteria, parasites or viruses and are transmitted from one person to another through having intercourse. Lack of knowledge will cause teenagers to have sex unsafely. Teenagers need to be taught about reproductive health because STIs are common and there is little knowledge about STIs. This study aimed to find out the effectiveness of a virtual peer educator training program about STIs in teenagers. This was a quantitative quasiexperimental study. There were 38 participants who were aged 15-18 years old and were recruited through convenience sampling. The data were collected by using two questionnaires: one about the awareness of STIs (Cronbach’s alpha = 0.795) and one about the attitudes towards STIs (Cronbach’s alpha = 0.709). The data were analyzed by using paired t-tests. This study showed that the training program was effective in enhancing teenagers’ awareness and attitude about STIs. Educating teenagers about reproductive health is important to make they know about STIs, themselves and their surroundings.
Keywords: virtual, peer educator, training, STI, youth
The Influence of Nurse Competence and Performance on Quality of Service and Patient Satisfaction
Authors: Novita Novita , Prasetyo Reno
Published: February 2022

Nursing care is significant in determining the quality of service in hospitals, and one of the indicators of service quality is patient satisfaction. This study aimed to determine the effect of nurse competence and performance on service quality and patient satisfaction. This was a quantitative cross-sectional study, and data were analyzed using path analysis t-test. There were 100 respondents and data collection was through interviews. This research was conducted at the Pusdikes Hospital in Jakarta. The factors that affected satisfaction were performance (p = 0.042) and service quality (p < 0.001). Competence, performance, and service quality also affected satisfaction in combination (p < 0.001). The variables that affected service quality were competence (p < 0.001) and performance (p = 0.004). Furthermore, competence and performance also had a simultaneous effect on quality (p < 0.001).
Keywords: competence, nurse performance, service quality, patient satisfaction
Counselling of Mothers to Improve Interest in Exclusive Breastfeeding
Authors: Florida Boa Grasiana , Agustine Uly
Published: February 2022

According to the World Health Organization and UNICEF, of all babies born in the world, only 32.6% are exclusively breastfed for the first six months, while in developing countries, only 39% of mothers carry out exclusive breastfeeding. In terms of ASEAN countries, exclusive breastfeeding coverage in India has reached 46%, in the Philippines 34%, in Vietnam 27% and in Myanmar 24%, while in Indonesia it is only 41.9%. One of the reasons mothers do not exclusively breastfeed their babies is a lack of information from health workers (25.6%). The role of health workers in exclusive breastfeeding is necessary, namely by providing information and counselling about the importance of exclusive breastfeeding to mothers. The purpose of this study was to determine the effectiveness of counselling on the interest in exclusive breastfeeding at RSUD Waikabubak in 2021. The research method used was quasi-experimental. The sample in this study consisted of 40 postpartum mothers who were being treated in the postpartum room at RSUD Waikabubak in February 2021 and who were recruited through purposive sampling. The results showed that the average value of interest in exclusive breastfeeding before counselling was 62.25, while after being given counselling, the average value was 63.50. Counselling was shown to have a significant effect on the interest in exclusive breastfeeding at RSUD Waikabubak (p < 0.05). Health workers should be more active in providing counselling about exclusive breastfeeding to pregnant and postpartum women.
Keywords: interest, exclusive breastfeeding
Effects of a Hemodialysis Diet Education Program on Hemodialysis Patients
Authors: Fauzi Achmad , Oktaviani Yuli
Published: February 2022

The burden of chronic disease on health care services worldwide is growing and the increased development of educational interventions which help patients to better manage their conditions is evident internationally. It has been recognized that poor adherence to treatments and guidelines can be a serious risk to the health and wellbeing of patients. Adherence to fluid restrictions, dietary and medication guidelines as well as attendance at prescribed hemodialysis sessions are essential for adequate management of chronic kidney disease. The aim of this study was to identify the effects of a repeated hemodialysis diet education program on the diet of hemodialysis patients. This eight-week quasi-experimental design study involved adult patients who were undergoing chronic hemodialysis treatment for at least three months at the Nephrology Unit of Permata Bekasi Hospital. Adolescent participants were registered in each group, so that a total of 20 participants were registered. The experimental group received diet education four times. Data were analyzed by t-test. There was a statistically significant difference between the groups in dietary knowledge at the time of assessment, and there was also a difference in the mean intradialysis weight gain in the intervention and control groups. Repeated health education had an effect on the fluid diet of hemodialysis patients with a p-value < 0.05. Due to the resulting improvement in dietary knowledge and self-care adherence, the repeated education program implemented in this study could be used to prevent complications in patients undergoing hemodialysis.
Keywords: hemodialysis, diet, knowledge, compliance
Supporting Healthy Lifestyle Behavior Change in Hypertension Patients
Authors: Santoso Windu , Sudarsih Sri
Published: February 2022

Hypertension is one of the most common health conditions and comorbidities, and is considered a silent killer. One of the non-pharmacological efforts to help hypertensive patients control their blood pressure is through changes in lifestyle to become healthier, and it is the role of nurses to promote these changes. This study aimed to determine the impact of the Healthy Lifestyle Change Plan (RPGHS) card on healthy lifestyle behaviors of hypertension sufferers. This research was a pre-experimental study with a one-group pretest-posttest design. The sample consisted of 36 patients recruited through purposive sampling. The data were collected using an observation sheet (RPGHS card) which was used to identify the lifestyle of people with hypertension; lifestyle behaviors measured included maintaining an ideal body weight, salt consumption, stress management, smoking habits, physical activity, and checking blood pressure. Assistance was carried out for two days. Data were analyzed using the Kolmogorov Smirnov test and paired t-test, which showed that there was a significant difference in healthy lifestyle behaviors before and after the mentoring (p < 0.001). The RPGHS card made it easy for patients to plan healthier lifestyle changes to implement in daily life. So, this is recommended as an instrument to help hypertensive patients in the process of behavior change.
Keywords: hypertension, healthy lifestyle, change, RPGHS Card
The Influence of Feet Reflexology and Back Massage on Hemodialysis Patients' Fatigue
Authors: Khamid Abdul , Rakhmawati Arifah
Published: February 2022

End stage renal disease (ESRD) can lead to death and requires replacement therapy. Hemodialysis is a lifelong therapy with a frequency of 2-3 times per week for 4-5 hours per session. Prolonged dialysis can cause stress and various psychological and social problems that can lead to psychological disorders. Fatigue is also a common feeling experienced by 60-97% of patients undergoing hemodialysis. This study used a two-group pretest-posttest design with t-tests for analysing bivariate data and frequency distribution for univariate data. Measurements were taken before and after giving foot reflexology and back massages using the FAS Fatigue Assessment Scale. There were 48 patients who experienced fatigue. After being given the intervention, there was a decrease in the value of the fatigue scale by 1.32 with a p-value < 0.01. It can be concluded that foot reflexology and back massage have an effect on reducing feelings of fatigue in hemodialysis patients.
Keywords: end stage renal disease (ESRD), foot reflexology and back massage, fatigue
How Does Birth Weight Affect the Development of Preschool Children? A Cross-Sectional Study
Authors: Nur Khasanah Nopi , Mufarihah Anisatul , Luthfa Iskim
Published: February 2022

Child development needs to regularly monitored to know that children are developing according to their age stage. A history of low birth weight (LBW) can increase the risk of impaired child development, but it is worth noting that child development is determined by many factors, one of which is the environment. This study aimed to examine the relationship between history of LBW and the development of preschool age children (aged 3-5 years). This was a descriptive correlation study with a cross-sectional design. 80 children of the total 100 population were involved, which consisted of preschool children in a rural village in Indonesia. There were 29 children (36.3%) with a history of LBW who were at an appropriate developmental stage, and nine children (11.3%) were at a doubtful developmental stage. There were 31 children (38.8%) who did not have a history of LBW who were at an appropriate developmental stage and 11 (13.8%) who were at a doubtful developmental stage. The p-value obtained was 0.779. Therefore, there was no relationship between a history of LBW and the development of preschool age children (aged 3-5 years). A higher proportion of children with a history of normal birth were at a doubtful developmental stage than of those with a history of LBW. In addition, we found that the majority of boys aged four years required strong stimulation in gross motor skill development. Developmental optimization through play stimulation should be done in all areas of child development regardless of birth weight history.
Keywords: birth weight history, child development, preschool age
The Effect of Maternal and Child Factors on Stunting in Children Under Five Years in Rural Indonesia
Authors: Abdillah Soffa
Published: February 2022

Indonesia has the fifth largest prevalence of stunting in the world. The results of the 2013 Basic Health Research showed that the prevalence of stunting in toddlers in Indonesia was 37.2%. In Cianjur District, the prevalence of stunting in 2017 reached 35.7%. The purpose of this study was to analyze the effect of maternal and child factors on stunting in children under five years in Cikancana, Cianjur District, in rural Indonesia. The study used an analytical design with a case-control approach. 42 mothers were included who had children under five years with stunting and 42 mothers who had healthy children. Data analysis was through the Chi-square test and multiple logistic regression. The results showed that, of the maternal factors, gestational weight gain and anemia during pregnancy were significantly related to stunting (both p < 0.001), while maternal height (p = 0.068) and maternal nutritional status during pregnancy (p = 0.801) were not significantly related to stunting. None of the child factors were significantly related to stunting, namely birth weight (p = 1.000), birth length (p = 0.156), early breastfeeding initiation (p = 1.000), exclusive breastfeeding (p = 0.175), complete basic immunization (p = 0.713), or history of infectious diseases (p = 1.000). Multiple logistic regression showed that anemia during pregnancy was the most influential factor for stunting in children under five years (OR 18.41; 95% CI 3.43-98.75; p < 0.001). Pregnant women need to be prepared by taking iron supplementation tablets during pregnancy so that anemia can be prevented.
Keywords: stunting, maternal factors, child factors
The Influence of Breastfeeding Initiation on Newborn Body Temperature
Authors: Syswianti Desy , Mardiana Dina , Wahyuni Tri
Published: February 2022

Newborns are not yet stable in adequate temperature control, making them vulnerable to heat loss. Early breastfeeding initiation is a factor that affects the temperature of the baby. The mother’s skin becomes a thermoregulator or thermal synchrony to warm the baby. The purpose of this research was to determine the influence of early breastfeeding initiation on newborn body temperature. The research was a pre-experimental study with a one-group pretest-posttest design. Participants were newborns born in Midwife Dina Mardiana in July 2019. A digital thermometer was used to measure the baby’s temperature. The data analysis technique used was paired sample t tests. The results showed that early breastfeeding initiation had a significant influence on newborn body temperature (p < 0.001). The average body temperature increased by 0.46724 ∘C after early breastfeeding initiation.
Keywords: early breastfeeding initiation, newborn body temperature, newborn
Needs Assessment for an Information System to Support a TB Control Program in Indonesia
Authors: Alis Setiyadi Noor , Setyowati Maryani
Published: February 2022

Tuberculosis (TB) is still a burden in Indonesia, including in Sukoharjo Regency. The wide gap between the estimated TB cases and those found, and the number of fluctuating cases since 2013 are problems for the Sukoharjo Health Office. Various programs have been created and carried out but Sukoharjo is still ranked low in TB case identification. The aim of this study was to map the information requirements to support the the identification of TB cases by the district health office. This research was a needs assessment, based on the system development life cycle (SDLC) approach. Qualitative data were obtained from in-depth interviews, including with the head of the TB program in the Puskesmas public health center, a TB program supervisor, a head of communicable disease control, a head of disease control, and a head of health systems in Sukoharjo, Central Java, Indonesia. Several programs were identified such as knock-on programs, screening of cross-sectorial TB suspects including Aisyiah TB-HIV care, and strengthening of PISPK (Healthy Indonesia Program With a Family Approach). Strengthening of TB health volunteers was still being carried out, but the achievement of TB screening was still low. Informants were still looking for ways to improve screening for suspected TB. The health agency had not yet developed a decision support system that could be used to help plan TB screening programs, but the health office wanted one to be developed. An information system is needed to help make evidence-based programs to find TB cases.
Keywords: needs assessment, system, TB control, Indonesia
Emergency Nurses' Knowledge and Practices Regarding Triage
Authors: Ina Lea Analizza , Febriyanti Erna , Odja Nurhayaty
Published: February 2022

Triage is the most important step in the emergency room. Triage is useful for ensuring that every patient gets rapid, precise, responsive and accurate treatment according to their condition based on ABCDE (airway, breathing, circulation, disability, environment) priorities. For this reason, it is necessary for nurses to be competent in the knowledge and skills related to triage. This study aimed to determine the association between knowledge and the implementation of triage by nurses at the Siloam Hospital in Kupang. This quantitative research used a correlative research design with a cross-sectional approach. 25 emergency nurses were recruited through saturation sampling. The instruments used in this study were a questionnaire, an observation sheet, and a checklist guided by the Service Operational Standards (SOP) for Triage Implementation. Data were analyzed using the Chi-square test. There was a significant relationship found between knowledge and the implementation of triage (p = 0.003). Therefore, it is important to optimize the nursing workforce, make arrangements related to their workload, enhance their motivation, and continue to improve their knowledge, skills and obedience in the emergency room through training programs and supervision.
Keywords: knowledge, implementation, triage
Predictors of Mothers' Behavior in Diarrhea Prevention
Authors: Rumbo Helmi , Wichaikull Susheewa , Sanguanprasit Boosaba
Published: February 2022

Diarrhea causes severe dehydration and depleted nutrients due to the decreased nutritional intake, resulting in malnutrition in children. Diarrhea can also lead to death from dehydration if untreated. Globally, about 1.7 billion cases of childhood diarrhea occurred in 2017. In Indonesia, deaths caused by diarrhea in 2020 accounted for 4.55% of the 250,600 deaths of children under five years old and 9.8% of the 20,266 deaths of newborns. This study aimed to determine the predictors of mothers’ behavior in preventing diarrhea in children under five years old. The sample included mothers with children aged 1 - 5 years, who were recruited using purposive sampling. Roughly 300 mothers were interviewed using a questionnaire. Binary regression was used to measure associations between predictors and mothers’ behaviors. The results showed that the factors that significantly predicted mothers’ behaviors included perceived susceptibility to diarrhea (p < 0.01), perceived severity of diarrhea (p < 0.01), perceived barriers to diarrhea prevention behaviors (p < 0.01) and perceived self-efficacy in diarrhea prevention behaviors (p < 0.01). The model developed could predict 39.2% of the variation in mothers’ behaviors in preventing diarrhea in children. The strongest predictor of mothers’ behaviors was perceived selfefficacy in diarrhea prevention behaviors. The odds of carrying out good prevention behaviors were ten times greater for mothers who had a high level of perceived self-efficacy in preventing diarrhea in children. These results indicated that those who believe in their ability to succeed in performing an action can perform healthy behaviors.
Keywords: perceived, mothers, behavior, diarrhea