bluuebunny/crossref_metadata_2025 huggingface dataset:
Yüzey Malzemelerinden Kaynaklanan Sıcaklık Artışında Kentsel Yeşil Alanların Etkisi ve Geleceğe Yönelik Bir Senaryo
Authors: Bozdoğan Sert Elif
Published: December 2022

In recent years, it has gained importance to develop models to determine the contribution of parks to reducing the temperature together with their surroundings. ENVI-met, which is used for this purpose, allows simulations for different conditions/materials with projections over many years. This study aims to determine the temperature levels arising from the surface materials and the projections of long years in the near areas of Cumhuriyet Park in Çukurova District of Adana. The study consists of 3 stages. In the first stage, information about the subject was gathered together. In the second stage, modeling was carried out using ENVI-Met 4.4.5 climatic simulation software in order to determine the temperature levels caused by different materials in the study area. The scenario for the future has been put forward. The data obtained in the third stage of the study were evaluated and suggestions were presented. As a result of the study, it was determined that Cumhuriyet Park, which is one of the important green areas of Çukurova district, contributed significantly to the decrease in the temperature level around it. This contribution is felt more intensely especially in the immediate vicinity of the park. It has been shown that the effect decreases with distance from the park. In the scenario put forward at the end of the 28-year period, it is predicted that the temperature level of the parking area will increase by approximately 2.4°C. This study reveals the importance of the selection of soil materials in preventing the warming of cities because of climate change experienced all over the world. In this context, local administrations attach importance to efforts to increase the quality of urban life; developing strategies in this regard is important for achieving results.
Bitkisel, Hayvansal ve Mikrobiyal Enzim Kullanılarak Elde Edilen Beyaz Peynirlerin Fiziko-Kimyasal ve Mikrobiyal İçeriklerinin Belirlenmesi
Authors: Ertürkmen Pelin , Akbal Sinan , Arısoy Zerrin
Published: December 2022

It is required to increase the amount of coagulant enzyme substitutes obtained from various sources that are equivalent to animal rennet in order to meet the rising demand for cheese. This study looked into the availability of plant-based enzymes as an alternative to rennet made from animals and microorganisms, which are frequently employed in the manufacturing of white cheese. Using animal (100% chymosin), microbial (obtained from Muchor miehei), and plant-based (Safflower seed, 80% chymosin-20 percent pepsin, purified from Cartamus tinctorius L.) enzymes, 6 varieties of raw and pasteurized milk cheese were made for this purpose. The values of SH, ripening index, water-soluble nitrogen (WSN), nitrogen dissolved in trichloroacetic acid (TCA), and yeast-mold increased after storage in cheeses made with various coagulant enzymes. During storage, the values for dry matter, pH, protein, Total Aerobic Mesophilic Bacteria (TAMB), lactobacilli, lactococci and coliforms all reduced. In terms of L*, a* and b* values, different rennet usage was discovered to be significant among cheese samples. The casein protein began to hydrolyze and the strength of the bands decreased in SDS-PAGE with the breakdown of the αs-casein and β-casein fractions on the 90th day of maturation in P1 and P4 numbered cheeses, which used plant-based enzyme made from raw and pasteurized milk. These changes in casein fractions resulted in a bitter taste in cheese made with plant-based enzymes. The use of plant-based enzymes in the manufacturing of white cheese was shown to produce results that were comparable to those of animal and microbial enzymes and did not have any negative effects on the cheese's physicochemical and microbiological quality parameters. When making fresh white cheese, the plant-based enzyme extracted from Carthamus tinctorius L. can be employed as a promising source of plant coagulants.
Üreticilerin Sulama Bilinç Düzeyi ve Bilinç Düzeyini Etki Eden Faktörler: Tokat İli Merkez İlçe Örneği
Authors: Yüzbaşıoğlu Rüveyda
Published: December 2022

Agriculture must be necessary and sustainable for the continuity of human beings. For sustainable agriculture, productive crops can be made with good irrigation in productive crops and conscious irrigation in good irrigation. A survey was conducted with 111 producers in the central district of Tokat province to determine the factors affecting conscious irrigation and conscious irrigation. In the research, first of all, the socio-demographic structure of the producers was determined: it was determined that the producers with an active working population had a low level of education. In the second part of the research, irrigation information was tried to be determined and it was observed that most of the producers were doing salman irrigation. In the third part of the research, irrigation awareness was tried to be determined by using the scoring method of the producers and it was determined that 24% of the producers were in the category with a high level of awareness. In the last part, the factors affecting irrigation awareness were determined with the help of the ordered probit model. As a result, it has been determined that there is a linear relationship between the level of awareness of the producers, their educational status and membership in the irrigation union.
Coping with HIV Stigma among People Living with HIV in Yogyakarta, Indonesia: A Mixed-Methods Approach
Authors: Puspitasari Reni , Cleofas Jerome V.
Published: December 2022

Introduction: People living with HIV are related to experience stigma and discrimination. Stigma can disrupt mental health and PLHIV have coping strategies to overcome internalize stigma. This study aimed to describe how PLHIV cope with HIV stigma.Methods: This study used explanatory design. The quantitative data were collected to describe the internalized HIV stigma with 100 participants using a questionnaire and analyzed using multiple regressions. The qualitative data from the second phase were used to build on or explain the qualitative data with 14 participants using purposive sampling method and analyzed using thematic analysis.Results: The participants reported to have low extent of internalized HIV stigma (mean=1.80) and the highest item was feeling guilty (mean=2.2) using quantitative analysis. The demographic profile were not significant predictors of internalized HIV stigma. The result from qualitative analysis was the coping internalized HIV stigma among PLHIV divided by negative and positive coping stigma, such as emotional and cognitive coping, behavior coping, social coping.Conclusion: PLHIV have low extent of internalized stigma. The coping internalized HIV stigma among PLHIV was divided by negative and positive coping stigma.
Knowledge, Attitude and Practice Towards Chronic Kidney Disease (CKD) in Patients with Hypertension
Authors: Calisanie Nyayu Nina Putri , Isyaturodhiyah Dini , Lindayani Linlin
Published: December 2022

Introduction: It is important for patients with hypertension to know chronic kidney disease (CKD); this  will help in addressing and implementing healthy practices to reduce the risk of CKD. This study aims to describe the knowledge, attitudes and practices regarding the CKD in patients with hypertension. Methods: This study used quantitative descriptive method with a cross sectional approach. The study was conducted in June 2019, with involved 135 hypertension patients at the Intern Medicine Polyclinic room, selected by consecutive sampling technique. Data collection was gained through a questionnaire that contains 3 sub-scales of measurements, namely knowledge scale, attitude scale and practice. Data analysis used frequency distribution. Results: This study showed most respondents had knowledge about CKD 15.08 (range 5-22), it was showed positive attitude 36.50 (range 28-45) and it had healthy practices to prevention of CKD 23.11 (range 16-34). However, half of the respondents (65.2%) had incorrect information about the symptoms of CKD and  did not show good practices related to a healthy lifestyle and conducting routine checks. Conclusion: Health workers need to provide better health education to improve the knowledge of patients with hypertension towards chronic kidney disease.
Factors Predicting Adolescents’ Compliance on Covid-19 Prevention Protocols
Authors: Ningsih Oliva Suyen , Eka Angelina Roida , Danal Paskaliana H.
Published: December 2022

Introduction: Coronavirus disease (Covid-19) is an infectious disease that has become a global pandemic with 27 cases in Manggarai Regency. The adolescent as an age group with more asymptomatic hosts of the disease would be the super spreader of covid-19 to the other higher-risk age groups. The objective of this study is to identify the factors predicting adolescents’ compliance behavior toward Covid-19 prevention protocols. Methods: This study used quantitative descriptive method with a cross-sectional approach. This study was conducted in April-June 2020, involved 246 Junior High School and Senior High School students, selected by purposive sampling based on inclusion criteria, namely adolescents aged 13-18 years. The dependent variables in this study were knowledge, information monitoring, Covid-19 severity perception, and personal and social responsibility value. The data were analyzed using chi-square test and binary logistic regression. Results: There was a significant relationship between gender (AOR: 1.941, CI: 0.898-4.195) and the value of personal and social responsibility (AOR: 2.330, CI: 1.041-5.214) with adolescent adherence behavior in preventing the spread of Covid-19. Conclusion: To improve adolescent compliance behavior in preventing the spread of Covid-19, the Indonesian government and the Covid-19 task force need to consider factors such as gender and the value of personal and social responsibility in adolescents. Adolescents who have higher personal and social responsibility are more compliant in carrying out health protocols during the Covid-19 pandemic compared to adolescents who have low personal and social responsibility.
Study of Knowledge, Attitude, Anxiety, and Perception of Mental Health Needs Among Nursing Students in Indonesia During COVID-19 Pandemic
Authors: Mundakir Mundakir , Efendi Ferry , Susanti Ika Adelia
Published: December 2022

Introduction: College students are a vulnerable population who are more likely to experience anxiety and depressive symptoms during pandemic COVID-19. This study aimed to evaluate the knowledge, attitudes, anxiety, and perceptions of mental health needs among nursing students in Indonesia during the COVID-19 pandemic.Methods: The study used a cross-sectional design, and the population was nursing students in Indonesia in various levels of education and age ≥ 18 years old. The sampling technique used purposive sampling with a total of 619 respondents. An online survey was conducted using questionnaire. The data analysis used descriptive statistics, Mann-Whitney, and Kruskal-Wallis test.Results: The results showed that only a few respondents had an adequate level of knowledge regarding the signs and symptoms (0.2%) and transmission of COVID-19 (13.6%). However, students had moderate knowledge about protecting against COVID-19 (60.3%). As many as 22.8% of students had a positive attitude toward COVID-19 and 94% of respondents did not experience anxiety. The majority of students had a perception that COVID-19 has an impact on their lives. The results also showed that there were significant differences in several demographic variables (gender, education, place of residence, institution) with the knowledge, attitudes, anxiety, and perceptions of students.Conclusion: The level of knowledge, attitudes, and perceptions among nursing students regarding COVID-19 were less or negative tendencies. At the same time, the nursing students did not experience clinically significant fear and anxiety. This requires government support in providing policies to educational institutions for improving students' knowledge, attitudes, and perceptions of COVID-19.
The Feasibility Test of “COVID” Learning Strategy: An Alternative Approach to Cope Learning Process during Pandemic of COVID-19
Authors: Sugiharto Sh , Setyanto Benny Arief
Published: December 2022

Introduction: The COVID-19 outbreak requires spread prevention strategies that affects the education system at all levels. Consequently, appropriate and relevant learning strategies are required. The study aimed to examine the feasibility of “COVID” learning strategy as an alternative online learning system during pandemic COVID-19. Methods: The study applied a pre-experimental design with a one-group pretest-posttest approach. The sample size (34 participants) was determined using G*Power 3.1.9.7 software. The open recruitment of the participants was announced through WhatsApp. Students who were willing to be the participants were asked to fulfill the enrollment link. As the intervention, nursing students were taught using the "COVID (Creative, Outcomes-oriented, Valuable, Innovative, and Desire)" learning strategy. Two variables i.e. critical thinking and learning environment satisfaction were measured using the Diagnostic Thinking Inventory (DTI) and the Dundee Ready Education Environment Measure (DREEM), respectively. The paired t-test was used to analyze the DTI and DREEM data before and after the intervention. Results: The results show that the Flexibility Thinking dimension of DTI was significant with t-value of (30) = 7.025, p = .000. Likewise, with the assessment of the learning atmosphere using DREEM, a significant result was obtained with t (33) = -457,263, p = .000. The respondents' satisfaction with the "COVID" learning strategy was 8.5 on average. Conclusion: The "COVID" learning strategy can improve flexible thinking and student satisfaction with the online learning process. The "COVID" learning strategy can be an alternative learning strategy that is effective in the online learning process.
Psychosocial Problems Faced by Nurses in Caring for Patients with COVID 19: A Phenomenology Study
Authors: Purba Jenny Marlindawani , Wahyuni Sri Eka , Nasution Mahnum Lailan , Daulay Wardiyah
Published: December 2022

Introduction: The high prevalence of exposure to corona virus among health workers has a psychosocial impact on nurses in charge of isolation wards specifically for COVID-19 patients. Therefore, this study aims to explore the psychosocial problems faced by nurses in the isolation wards of COVID-19 patients at the referral hospital in Medan.Methods: A qualitative study design with a phenomenological approach was used, and participants were selected using a purposive sampling technique. Data was obtained from 10 of these participants working in isolation wards and providing direct care to patients infected with corona virus. This was carried out through an in-depth face-to-face interview using internet facilities and the data was analyzed using colaizzi method.Results: The result showed that caring for patients confirmed with COVID-19 is a new challenge for nurses and the increase in the number of patients and health workers exposed to the virus had a psychosocial impact on them. Therefore, three themes were produced in this study, namely: (1) feeling of anxiety (2) feeling uncomfortable (3) boredom and fatigue.Conclusion: It was discovered that treating patients confirmed with COVID-19 has a psychosocial impact on nurses in isolation rooms. Therefore, this impact in nurses should be a major concern to help them cope with psychosocial problems, which will enable them provide professional nursing care to patients with COVID-19.
Learning’s habits during COVID-19 Pandemic
Authors: Thojampa Somsak , Klankhajhon .Sirikanok
Published: December 2022

Learning’s habits during COVID-19 Pandemic
Phenomenological Study: Experience of Voluntary Nurses in Providing Health Services During The COVID-19 Pandemic
Authors: Siregar Hotma Royani , Simamora Febrina Angraini
Published: December 2022

Introduction: The COVID-19 pandemic has certainly caused a significant crisis in various groups and populations in the world, especially nurses. The roles and responsibilities that nurses have to play become a dilemma when they not only have to protect themselves, but also their colleagues and their families from this deadly virus infection. This study was to identify the experiences of nurses in providing nursing care to patients during COVID-19 pandemic. Methods: The study used a phenomenological design. Ten participants were selected by purposive sampling. The data were gathered by conducting in-depth interviews and analyzed by Colllaizi’s method. The data were collected in hospitals of the South Tapanuli  area. Results: The data were gathered by conducting in-depth interviews and analyzed by Collaizi’s method. The result emerged five themes, namely: 1) Motivation of voluntary nurses to provide health services in the COVID-19 pandemic; 2) voluntary nurse psychological response; 3) problems faced by voluntary nurses; 4) the benefits of being a voluntary nurse during the COVID-19 pandemic; 5) the expectations of voluntary nurses. Conclusion: Voluntary nurses continue to carry out their duties in providing health services in the Covid-19 pandemic even though without any compensation received. The result of this research is recommended to the hospital and government giving the needs of voluntary nurses while providing health services during COVID-19 pandemic.
Meeting Spiritual Needs to Improve The Quality of Life of Patients in Supervision COVID-19 in Medan
Authors: Gulo Adventy Riang Bevy , Simanjuntak Edriyani Yonlafado , Hutajulu Johansen
Published: December 2022

Introduction: Covid-19, a new disease, has been becoming a pandemic. One of the terms in patients exposed to this virus is Patient Under Surveillance. Currently,Covid-19  are under psychological pressure which is one of the factors that affect the patients’ immunity so they need adequate spiritual support from nurses. The purpose of this study is to identify the fulfillment of spiritual needs in improving the quality of life of Covid-19 patients under supervision in Medan. Methods: This type of research is a quantitative study with a correlative approach and a cross sectional study design to determine the fulfillment of the spiritual needs of patients in improving the quality of life of Covid-19 patients under supervision in Medan. Probability random sampling method is used as sampling with simple random sampling technique. There are 40 patients as respondents. A questionnaire contains 14 statements to fulfill the patients’ spiritual needs and 25 statements for the patients’ quality of life using a Likert scale as the instruments. Data analysis with bivariate analysis to identify the fulfillment of spiritual needs in improving the quality of life of Covid-19 patients under supervision in Medan. Chi Square is analyzed using a computer program and used as statistical test. Results: The results of the analysis showed the results of the bivariate test in this study show 19 patients with enough needs, 11 (57.9%) patients who have a good quality of life and 8 (42.1%) patients have a very good quality of life. Among 21 patients with good fulfillment of needs, there are 3 (14.3%) patients have a good quality of life and 18 (85.7%) patients have a very good quality of life. The results of the Chi Square test showed that there is a relationship between patients’ fulfillment and quality of life (p = 0.011). Conclusion: Fulfilling spiritual needs can improve the quality of life of Covid-19 patients under supervision.
The Effect of Academic Self-Efficacy Training Toward The Nursing Students’ Academic Burnout Participating In Block-System Learning
Authors: Meo Maria Lupita Nena , Pramitharesthi I Gusti Ayu , M. Adriani Natalia
Published: December 2022

Introduction: Dense block system and online learning during the covid-19 pandemic has led to complaints of boredom, tiredness and fatigue causing academic fatigue syndrome (academic burnout). Unresolved academic burnout will lead to a decline in academic achievement and decrease of interest in education. This also affects the performance of educational institutions. Therefore, it is necessary to take action to address academic burnout in students.  This research aims to determine the effect of academic self-efficacy training on academic burnout experienced by nursing students. Methods: The method used was quantitativequasy-experimental with Pre-test Post-test Design with control group. The research was conducted at two nursing education institutions in Indonseia during July-August 2020. A total of 90 research respondents were selected with simple random sampling technique.  The instrument used in this study was the Maslach Burnout Inventory-Student Survey (MBI-SS).  Research data was then analyzed using paired t test and Independet test. Results: Paired t test in the treatment group obtained p value = 0.000. This means that there is a difference in academic burnout before and after intervention in this group, while the test results in the control group obtained p value = 0.170 meaning that there is no difference before and after intervention. Independent t test result showed the value of p = 0.000, indicating differences in academic fatigue in these two groups. Conclusion: Academic efficacy training is effective in reducing academic burnout in nursing students who participated in lectures with the block system.
Application Model of Nurse Electronic Rostering Software (NERS) In Hospital Ward
Authors: Zunaedi Rosly , Ahsan Soenarnatalina M.
Published: December 2022

Introduction: Good scheduling arrangements are needed so that there is no physical, emotional and psychological fatigue to nurses, which will have a negative impact on the performance of nurses in providing services to patients. This study aims to develop an application model for the electronic rostering of nurses in the ward. Methods: The design in this study was Research and Development (R&D). The population of this study was all nurses who worked in the inpatient room. The sampling technique used was simple random sampling. Data for the assessment of scheduling characteristics were collected using questionnaire based on formulation of the problem and Focus Group Discussion (FGD). Data analysis is in descriptive form. Results: Most of the respondents considered that ward scheduling characteristics were sufficient (80.2%). The development of electronic rostering model emphasizes on optimizing the needs and distribution of nurses, equalizing shift and off, and reducing time for preparing schedules. The development of an electronic rostering model was also adjusted to the policies of the hospital regarding the nurses’ work scheduling method so that it can be implemented appropriately in the ward. Conclusion: The development of an electronic work scheduling model for nurses in the inpatient room includes: division based on the level of patient dependence, scheduling flexibility by proposing early holidays and leave, and reducing the duration of nurses' rostering preparation.
Husbands' Feelings Toward Their Wives’ Breastfeeding in Public Places in Yogyakarta
Authors: Febrianti Santahana , Bustamante Maria Irma C.
Published: December 2022

Introduction: Breastfeeding has so many benefits for both mother and child. In Indonesia, there are only 42% of children who were exclusively breastfed. There were still many husbands who do not know about the importance and barriers of breastfeeding, especially in public spheres and how they took part in it. The study aimed to explore the husbands’ feeling towards their wives’ breastfeeding in public places in Yogyakarta. Methods: The study conducted the qualitative exploratory design. The terms of exploratory was related with investigation husband’s feeling through in-depth interview. There were 7 participants who were interviewed selected through purposive sampling and analyzed using thematic analysis. Results: This study collated 4 major themes based on the responses. These were Feelings based on religion, Feelings based on socio-cultural influence, Feelings based on personal views and Feelings related to health reason. A brochure was created by providing guidelines for husband on his role to support wives’ breastfeeding in public places. Conclusion: Increasing public awareness needs to build breastfeeding-friendly facilities in public places in accordance the laws and regulations. The role of nurse as an educator needs to promote exclusive breastfeeding and contributes to provide accurate information to the family.
Determinants of Stunting among Children Aged 12-60 months in South Central Timor Regency of Indonesia: A Cross-Sectional Study
Authors: Djogo Herliana Monika Azi , Betan Yasinta , Dion Yohanes
Published: December 2022

Introduction: Stunting is currently one of the world's nutritional problems suffered by toddlers. This study aimed to determine the factors and incidence of stunting among children aged 12-60 months old in Indonesia. Methods: The design was a cross-sectional approach. This research was conducted in the South Central Timor Regency from February to August 2020. The respondents of this study were as many as 286 mothers and children. The sampling technique used in this study was purposive sampling. The questionnaire was used to identify demographic factors, infectious diseases, maternal care practice factors and stunting was identified by using the anthropometric measurement by WHO age-based height index (Z score <-2 SD). Chi-square and logistic regression were used to determine the factors associated with the incidence and the dominant factors of stunting. Results: The results showed a significant relationship between the number of children with  p= 0.000; mother's knowledge with  p= 0.000; and practice of complementary feeding with the incidence of stunting with  p=0.000, while the main factor causing the incidence of stunting in toddlers is the number of children, which is more than two people in the family (p= 0.000, Exp (B) = 0.137). Conclusion: The number of children is the primary factor causing stunting in South Central Timor. Therefore, health workers should increase health promotion and education about stunting and raise family awareness in running family planning programs to meet children's needs, including nutrition and control of childbirth.
Relationship Between Managerial Support and Hospital Atmosphere With Burnout Among Nurses at COVID-19 unit
Authors: Qotimah Nurul Khosnul , Triharini Mira , Wahyudi Andri Setiya
Published: December 2022

Introduction: Hospital atmosphere and managerial support during the COVID-19 pandemic are important factors in determining the quality of nursing care, however, support that is not provided properly can cause work stress, causing burnout syndrome which results in low quality of work. The purpose of this study was to explain the relationship between managerial support and hospital atmosphere with burnout syndrome of nurses at COVID-19 unit. Methods: The research design was correlational descriptive with a cross-sectional approach. A total of 64 nurses at COVID-19 unit at the referral hospital for COVID-19 patients in Surabaya who handle COVID-19 patients directly for at least 2 months and treat COVID-19 patients at least 1-2 patients every day in the isolation room were selected through a simple random sampling method. The variables in this study were managerial support, hospital atmosphere, and burnout syndrome. Perceived managerial support was measured by the Managerial Support Questionnaire, the Hospital Atmosphere Questionnaire for perceived hospital atmosphere, and the Maslach Burnout Inventory to measure burnout syndrome. The results were analyzed by descriptive analysis and logistic regression test with a significance value of p≤ 0.05. Results: The results showed that there was a significant relationship between managerial support (p = 0.027) and hospital atmosphere (p = 0.026) with burnout syndrome. The relationship between managerial support and hospital atmosphere is negative. The higher the managerial support and hospital atmosphere, the lower the burnout syndrome level. Conclusion: High managerial support and a good hospital atmosphere can reduce burnout syndrome among nurses at COVID-19 unit. The results of this study are expected to be a reference for hospitals in preventing nurse burnout syndrome so that the quality of service increases.
The Effectiveness of the Implementation of the Hospital Clinical Practice Based Simulation Model on the Practice Learning Outcomes of Nurse Profession Students During the Covid-19
Authors: Anggraini Sapariah , Chrisnawati Chrisnawati , Warjiman Warjiman
Published: December 2022

Introduction: In connection with preventing the spread of Covid-19, all forms of education, including nursing education, are carried out by videoconference or e-learning (online). This also has an impact on nursing professional students where the application of skills for practice in hospitals is limited so that it greatly affects learning achievement. The application of the model is Hospital Clinical Practice Based Simulation an alternative for nurse students to practice during the Covid-19 pandemic so that learning outcomes can still be achieved. The purpose of this study is to analyze the effectiveness of the application of the HCPBS Model on the practical learning outcomes of Nursing Profession students at STIKES Suaka Insan Banjarmasin during the Covid-19 pandemic. Methods: This study uses a quasi-experimental design with posttest control group design approach. The research sample was students who underwent the nursing profession stage at STIKES Suaka Insan Banjarmasin Force X as many as 30 students. Sampling was carried out using the technique of Exhaustive Sampling. The statistical test used an independent sample t-test with a significance level of <0.05. The research measuring tools are in the form of guidebooks and SOPs for the HCPBS model as well as learning outcomes by looking at assessments from cognitive, psychomotor, and affective aspects. Results: Based on the results of the study, it was found that the significance value of the p-value was 0.001 with a 95% confidence interval of 4.971-9.042. The difference in the mean value between the intervention group and the control group was 7.007. Where the average value for the intervention group is greater than the control group, namely 89.57 for the intervention group and 82.57 for the control group. Conclusion: So, it can be concluded that the Hospital Clinical Practice Based Simulation model is effective in increasing the practical learning achievement of the Nursing Professional Nurse STIKES Suaka Insan Banjarmasin during the Covid-19 pandemic, especially in the intervention group.
E-Module: Dengue Hemorrhagic Fever toward Knowledge and Learning Motivation among Nursing Students
Authors: Darmawulan Nurul , Komariah Maria , Arifin Hidayat
Published: December 2022

Introduction: Innovation media to support the learning process among nursing students should be concerned. The aim of the study was to evaluate the effectiveness of the e-module dengue hemorrhagic fever toward knowledge and motivation among nursing students. Methods: A pre-experimental study design was undertaken from September to October 2021. We recruited 45 bachelor nursing students in the third year at Universitas Padjadjaran, Bandung, Indonesia. Data were collected using a knowledge questionnaire that was developed by researchers and  motivation using Students Motivation towards Science Learning questionnaire. E-Module: Dengue Hemorrhagic Fever was implemented for seven days. Finally, the data were analyzed using Wilcoxon signed rank test and dependent paired t-test with level of significance p<0.05. Results: We found that e-module was a promising intervention as learning media to increase the knowledge (p=0.02) and motivation (p=0.002). Conclusion: E-Module as learning media can be a promising intervention to increase the knowledge and learning motivation among nursing students. It can be suggested to universities to consider E-Module to support the learning process.
Editorial: Empowerment COVID-19 Prevention during Practicum Courses among Undergraduate Nursing Students
Authors: Rithpho Partuma , Klankhajhon Sirikanok
Published: December 2022

Editorial: Empowerment COVID-19 Prevention during Practicum Courses among Undergraduate Nursing Students
The Relationship between the Degree of Stressors and the Coping Strategies of Older Adult Living in Nursing Home
Authors: Istianti Daning Widi
Published: December 2022

Introduction: Stress is potentially overwhelming, especially for older adults. Different types of stressors require different coping strategies. This study aimed to find the relationship between the stressors and the coping strategies among the older adults at a nursing home in Yogyakarta, and to develop a stress debriefing program.Methods: This study utilized a quantitative research method with a descriptive correlational-comparative design. To develop the stress debriefing program, the questionnaires about stressors and coping strategies were used as the research instruments. The respondents recruited using purposive sampling with total of 100 older adults. Simple descriptive through to complex analyses and multivariate regression were carried out using SPSS.Results: The results showed that the p-value of the difference between the demographics and the degree of stressors was 0.70; while the p-value of the relationship between the degree of stressors and coping strategies was 0.07. It means that there was no significant relationship between the degree of stressors and the coping strategies of older adults living in nursing home.Conclusions: The results found that there was no significant relationship between the degree of stressors and the coping strategies employed by the respondents. Nurses should be aware of  the stressors and help the residents to develop  appropriate coping strategies.
Examining Academic Stress and Its Source Among Nursing Professional Students (Ners) Using the Modified Perception of Academic Stress Scale (PAS)
Authors: Murdhiono Wahyu Rochdiat , Vidayanti Venny
Published: December 2022

ABSTRACTIntroduction: Nurse professional students experienced academic stress due to the changing mode of learning to online learning. Academic stress also have a negative impact on the achievement of nursing profession students' competencies. There is an urgent need study to measure academic stress experienced by nursing professional students using a tailored and valid instrument.Method: This study is a quantitative study used survey design to measure academic stress in nursing students at the professional stage using a modified questionnaire from the Perceived Academic Stress Scale (PAS). There were 339 nursing students in profession phase from private college in Yogyakarta. Respondents were obtained by consecutive sampling technique. The psychometric testing of the modified PAS academic stress scale attempts to determine the instrument's internal, external, and reliability for use with nursing professional students. Internal validity was determined in two methods in this study: by examining corrected item-total correlation and by doing exploratory factor analysis (EFA) on each produced item. The instrument's external validity is determined by administering it to two specialists in mental nursing and nursing education.Results: The developed instrument has internal consistency reliability of 0.818 (Cronbach’s alpha), there was evidence for content validity, and factor analysis resulted in five correlated and theoretically meaningful factors. Based in this instrument, most students experience moderate academic stress during their learning at the professional program phase.Conclusions: The modified PAS instrument used in this study is a tailored, valid and trustworthy for measuring academic stress of nursing professional students during pandemic Covid-19.
The Effect of Discovery Learning Method on Students’ Self-Motivation Through Online Learning During The Covid-19 Pandemic
Authors: Simak Valen Fridolin , Islam Meivi Sesanelvira A. D. , Nurmansyah Muhammad
Published: December 2022

Introduction: The learning process at the university level, especially in nursing, has changed since the number of cases of COVID-19 has continued to increase. Various problems after one year of the pandemic include students complained of boredom and lack of focus on learning compared to conventional learning in the classroom. The aim of this study was to analyze the effect of discovery learning method on students’ self-motivation through online learning in the COVID-19 pandemic.Method: This study used a quasi-experimental with pre-post control group design and conducted in two areas, PSIK Sam Ratulangi University as an Intervention group and PSIK Stikes Jendral Achmad Yani Cimahi as control group. We recruited a total sample of 82 respondents in total. This study lasted for four weeks with six stages described as two t meetings a week. To measure students' self-motivation, the Motivated Strategies for Learning Questionnaire (MSLQ) instrument totaling 32 items was used. Data were analyzed using Wilcoxon test and Mann Whitney test.Results: The results of this study indicate that there is a significant effect of discovery learning methods with self-motivation in online learning in community nursing course [p=0.00; Z = -2.28] and emergency nursing course [p=0.00; Z = -3.43].Conclusions: The results of the study are promising as the course can have a direct effect on the nursing education system, especially in improving the quality of learning methods. This method may be used as a way to improve student skill in the nursing courses especially community nursing and emergency nursing.
Effect of Positive Self-Talk on Anxiety Among Patients with Covid-19
Authors: Saragih Ice Septriani , Ginting Friska Sri Handayani BR , Sirait Rumbun
Published: December 2022

Introduction: Coronavirus (COVID-19) is a problem that is being widely recognized and occurs in more than 200 countries in the world. The increase in cases has a negative impact on aspects of human life, which can cause anxiety. The purpose of this study was to analyze the effect of positive self-talk on the anxiety of COVID-19 patients.Methods: The population in this study were all COVID-19 patients at Adam Malik Hospital Medan with a total sample of 70 people. The sampling technique is non-probability sampling with a purposive sampling with the inclusion criteria in this study of patients with COVID-19 who were hospitalized with moderate degrees, patients who were cooperative and able to follow the instructions of the researcher. The research design was quasi-experimental and the data analysis used was paired t-test and independent t-test with the p-value <0.05.Result: The results showed that there was anxiety before and after the action was taken between the control group and the intervention group (p=0.000, <0.005). Based on the independent t-test, it showed that there was a positive effect of self-talk on the anxiety of COVID-19 patients before and before the action was taken (p = 0.000, <0.005).Conclusion: Therefore, these results indicate that positive self-talk is effective in reducing anxiety levels in COVID-19 patients. This intervention can be used as an alternative in nursing services to help reduce anxiety levels
Correlation between Psychological Distress and Coping Mechanism Strategy among Health Workers with Confirmed COVID-19
Authors: Astari Ruri Yuni , Hijriani Hera , Natalia Lia
Published: December 2022

Introduction: The COVID-19 pandemic has become a serious problem in the world of health that attacks the wider community or globally and has an impact in the form of psychological disorders among health workers as the forefront in the management of COVID-19; it is necessary for health workers with confirmed COVID-19 to have a coping mechanism strategy to overcome the problem of psychological distress. This study aims to determine the correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Methods: The quantitative descriptive method with a cross sectional approach was applied in this study which was conducted on June 3–July 2, 2021 and involved 129 health workers with confirmed COVID-19 in Majalengka District who were selected by incidental sampling technique. Data were collected through DASS-21 and BRIEF COPE questionnaires. Data analysis used frequency distribution, pearson correlation and multiple regression.Results: Based on this study, the highest score was obtained for the category of psychological distress (anxiety) is 43%, the coping mechanism strategy among health workers with confirmed COVID-19 was problem-focused coping by 2.95 and there was a significant correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Conclusions: Research result there was a significant correlation between psychological distress and coping mechanism strategys among health workers with confirmed COVID-19. Multidisciplinary interventions to deal with psychological problems in health workers are required to minimize the level of anxiety and stress they face.
Web-Based Triage Game Application Development as A Disaster Triage Learning Tools During The Covid-19 Pandemic for Nursing Students
Authors: Astuti Zulmah , Milkhatun Milkhatun , Latipah Asslia Johar
Published: December 2022

The current Covid-19 pandemic has an impact on every aspect of people's lives, including the education. Restrictions on activities at the outside cause the current learning process to be carried out at home using the online method. This method is also applied in higher education in Nursing, especially in disaster nursing courses. In order for the learning process to be well absorbed by students, creative and effective learning tools are needed. Based on this, researchers will conduct research on the development of a Web-based Triage Games application as a learning tools for disaster triage during the COVID-19 pandemic for nursing students. Research and development methods apply the ADDIE model, that consist of Analysis, Design, Development, Implementation, Evaluation. The application that has been developed is then tested on 90 undergraduate Nursing students who are taking the seventh semester. The purpose of the research is to develop a Web-based Triage Game application, determine the effectiveness of its use as a learning medium and determine student assessments of the Web-based Triage Game application learning media. The results of the research on web-based triage game applications were well developed, the applications proved effective (N Gain Score >75%) in improving student learning outcomes and more than 50% of students stated that triage game applications were creative and innovative and could increase learning motivation. Conclusion: triage game application is effective as a learning media for disaster triage during a pandemic
Self-Stigma as The Trigger of Depression Factor in Multidrug - Resistant Tuberculosis (MDR-TB) Patients at a Public Hospital in Gresik
Authors: Fitrianur Widya Lita , Widiyawati Wiwik , Suminar Ervi
Published: December 2022

Introduction: Multidrug-Resistant Tuberculosis (MDR-TB) is a chronic infectious disease that can affect the patient's physical appearance so that it has an impact on the patient's psychosocial condition, including the emergence of anxiety and depression. Anxiety and depression in MDR-TB patients have an impact on the patient's rejection of the diagnosis and they choose to stop the treatment process. The incidence of anxiety and depression in MDR-TB patients is influenced by several factors, one of which is self-stigma. The purpose of this study was to determine the impact of the factor of self-stigma on the incidence of depression in MDR-TB patients.Method: The study design used a cross-sectional approach with a sample of 71 MDR-TB patients undergoing treatment. The study used a questionnaire that was filled out directly by the patient during the treatment process. The sampling technique used purposive sampling by setting inclusion criteria. The bivariate statistical test used in the study was chi-square.Results: The results of the self-stigma study obtained a p-value = 0.000 <0.05 with an OR value of 54.643, meaning that there was a significant relationship between self-stigma and depression in MDR-TB patients.Conclusions: MDR-TB patients with high self-stigma have a higher chance of experiencing depression than patients with low self-stigma. Suggestions in this study are that it is hoped that the family, health workers, community, and government can help reduce the stigma against patients with MDR-TB. Promotive efforts by providing support and education to the community can help to eliminate the stigma so that the incidence of depression in MDR-TB patients can be minimized.
The Importance of The Community Skill Building Program (CSBP) Toward The Trend of Early Marriage of Adolescent Girls in Tasikmalaya City
Authors: Rosuliana Novi Enis , Nurhayati Tetik , Aryanti Dewi , Biswas Happy Bandana
Published: December 2022

Introduction: Early marriage occurs in many countries worldwide, especially in Indonesia, one of the ten countries with the highest number of child marriages under 18. Lack of knowledge about the impact of early marriage, poor socioeconomic level, culture, and family history of early marriage are influencing factors, so there is a need for an intensive program involving policymakers and empowering youth to reduce the incidence of early marriage. Therefore, the study aimed to determine the effect of the community skills building program (CSBP) on the tendency to early marriage in adolescent girls in Tasikmalaya.Methods: Research was quasi-experimental pre-post-test with a control group. The population is all adolescent girls in one of the public junior high schools in the city of Tasikmalaya, with a sample of 60 respondents who were selected using consecutive sampling. The inclusion criteria are adolescent girls aged 10-18 years, healthy and unmarried, for the exclusion criteria are adolescent girls who have moved domicile. Data retrieval using questionnaires on the tendency of early marriage contained 47 valid and reliable data. Data analysis used univariate and bivariate analysis with the Wilcoxon signed ranks test and Mann Whitney u test.Results: The results of data analysis showed that p-value 0.000 < p-value 0.05, which indicates a significant influence of the community skills building program (CSBP) on the tendency to early marriage in adolescent girls.Conclusions: It can be concluded that the application of the community skill-building program (CSBP) can reduce the tendency of early marriage in adolescent girls.
Editorial: Time to Invest In Community Setting: Preparing for The Future Pandemics
Authors: Efendi Ferry
Published: December 2022

Editorial: Time to Invest in Community Setting: Preparing for the Future Pandemics
Challenges and Benefits of Cloud Computing: Comparison Study
Authors: Luqman Abdulnabi Nisreen , Rajab Asaad Renas
Published: December 2022

Cloud computing technology is the most widely used current application. Due to the strength of the infrastructure, the ease of providing services, and its speed, it is scalable and expandable, and it has many characteristics. Despite all that has been mentioned about cloud computing, it faces many problems. Like flexibility and security which is it makes an individual distrust computing when using it, and increases the concerns of individuals or companies over their data. In addition to cloud problems. However, there are significant challenges to solving cloud problems, the most important which is the challenge of flexibility, security, cost…etc. All the problems and challenges faced by cloud computing, have many benefits. Such as scalability, collaboration, speed, automatic update...etc. This paper discusses the most important problems and challenges that you face when using cloud computing. This paper also reviews the most important advantages of cloud computing.