Nurse and Health: Jurnal Keperawatan

NURSING STRUCTURAL EMPOWERMENT: A CONCEPT ANALYSIS

Latifah Alenazi — Thu, 21 Dec 2023 10:01:06 +0700

Background: The concept of empowerment originated from the social sciences in the twentieth century. The concept was adopted in nursing to increase the professional progress of nursing sciences. The concept of empowerment is used in nursing as two constructs: structural and psychological.

Objectives: The purpose of this paper is to perform a concept analysis of structural empowerment from a nursing perspective.

Methods: Walker and Avant’s method of concept analysis was used

Results: Autonomy and influence are considered major attributes of the structural empowerment concept in nursing. The method used for concept analysis provided purposeful clarification of the concept and confirmed the findings of the analysis.

Conclusion: Structural empowerment in nursing has contributed positively to nurses, patient care, and organizations. It is linked to better quality effects, patient safety, and work effectiveness. Among leadership, it is associated with enhanced role satisfaction. Both inside and outside of organizational contexts, educational programs should play a part in developing empowerment since empowered nurses are more inclined to exercise skills like decision-making, problem-solving, and caregiving. Entail instructional programs to foster critical thinking, leadership, and better comprehension of nursing.

EFFECTIVENESS OF ASTHMA SELF-MANAGEMENT EDUCATION (ASME) ON IMPROVING THE QUALITY OF LIFE: A LITERATURE REVIEW

Fri, 17 Nov 2023 00:00:00 +0700

Background: Asthma is a common chronic respiratory disease that affects around 300 million people of all ages worldwide so that it has an impact on patients both physically, activity restrictions, and psychosocially, in terms of quality of life.

Objective: This study aims to assess the effectiveness of Asthma Self Management Education (ASME) to improve the quality of life of people with asthma.

Design: The design of this study uses a literature review.

Data Sources: Initial searches of journal articles were performed on the Pubmed, Science Direct, and Google Schollar search databases from 2017-2021 with the keyword Asthma self management education. The ASME study found 807 articles but only 7 journal articles that met the search inclusion criteria.

Review Methods: A literature review procedures were used to collect library data, reading and taking notes, as well as critical assessment of managing research materials

Results: According to the results of the literature review, ASME has several variants with an average duration of ASME being carried out for 6 months to 15 months. Asthma control is measured to assess lung function and behavioral changes in individuals with asthma. The ASME technique is effective as an educational method in improving lung function, asthma control, quality of life, and behavior change which are important components of asthma sufferers.

Conclusion: The application of ASME technical interventions to asthma sufferers can be used as an educational program to improve behavior changes that can control asthma symptoms non-pharmacologically

DIGITALIZATION OF LEADERSHIP COMMUNICATION, WORK MOTIVATION, AND NURSE PERFORMANCE: A LITERATURE REVIEW

Mon, 20 Nov 2023 00:00:00 +0700

Background: Digitalization is a process of transformation from a traditional era to a digital era influenced by technological developments. Digitization affects various aspects of life, including the health sector, especially leadership communication which influences work motivation and nurse performance which is visible during the Covid-19 pandemic. The purpose of this literature review is to identify digitalization in leadership communication, work motivation, and performance of nurses or employees.

Design: This research design is a literature review.

Data Sources: Search for articles using four journal databases, namely OWL (Online Wiley Library), Google Scholar, Pubmed, and Science Direct.

Review Methods: Used PRISMA Flow Diagram to find a total of 11 articles that met the inclusion criteria were reviewed.

Results and conclusion: The results of the review of the article entitled "Digitalization of Leadership Communication, Work Motivation, and Nurse Performance" found that the digitalization process in leadership communication is fairly difficult. Leaders must be able to use various types of digital communication media in communicating with staff or nurses. When leading transformational digital change, leaders strive for constant communication and coaching-oriented actions. Leaders who can be able to transform well in digitalization will be able to provide good work motivation for staff or nurses. Effective work motivation in the digitalization of leader communication will impact good nurse performance as shown by nurses coming on time, providing fast service, adhering to standards, and making a solid team

HEALTHCARE UTILIZATION FOR ACUTE RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS: A CROSS- SECTIONAL STUDY IN SOUTH DENPASAR, INDONESIA

Mon, 13 Nov 2023 00:00:00 +0700

Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI

healthcare utilization has been a challenge.

Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years.

Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI.

Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother’s age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare.

Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits.

COMPARISON OF AUTHENTICITY AND TRANSFORMATIONAL TRAITS BETWEEN NURSING STUDENTS LEVEL 1 TO 4

Idauli Simbolon, Albinur Limbong, Mori Agustina Br Perangin-angin — Fri, 17 Nov 2023 00:00:00 +0700

Background: Today nursing students are the future leader. Based on behavioral theory, leaders are made. So, nursing college is one of the institutions that produce nursing leaders. There are 25 traits of successful leaders that can be learned and practiced in nursing schools. So, it is necessary for nursing schools to evaluate these leadership traits among the students. The study benefits the schools whether to maintain or revise the curriculum related to leadership and management courses.

Objectives: This study aimed to describe and to compare nursing students’ Authenticity and transformational leadership traits between level 1 to 4.

Methods: Comparative design was used in this study with the participation of 144 nursing students from level 1-4. Data are collected by using self-authentic and transformation questionnaire. Data are analyzed using SPSS descriptive and comparative analysis.

Results: There are three Authenticity &Transformational traits that have been practiced as always by level 4 students who have working experience with the highest mean value of 4.0. They are fair, self-directed, and clear in communication & collaboration. There are different mean values of Authenticity &Transformational traits at each level of students. There are significant differences found in several levels.

Conclusion: Based on the result, there is a big room for improvement in terms of practicing Authenticity &Transformational traits among nursing students. It is necessary for nursing schools to review and revise the leadership and management class instruction and activities in developing Authenticity &Transformational traits to a maximum level.

EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY

Fakrul Ardiansyah, Revani Hardika, Tika Desvicasari Hustra — Sat, 18 Nov 2023 00:00:00 +0700

Background: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration

Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit.

Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age > 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi

Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department

Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.

THE RELATIONSHIP BETWEEN THE WORK ENVIRONMENT AND JOB SATISFACTION OF NURSE ANESTHETISTS IN HOSPITALS, CENTRAL JAVA-BALI

Thu, 16 Nov 2023 00:00:00 +0700

Background:

Nurse anesthetists as medical personnel have an important role in the continuity of work in the operating room. Although they have considerable responsibility and role, no research has focused on the job satisfaction of nurse anesthetists. In addition, no literature review has shown low job satisfaction among nurse anesthetists.

Objectives:

This research aimed to determine the relationship between the work environment and job satisfaction of nurse anesthetists in hospitals.

Methods:

This research used a quantitative method with a cross-sectional design through an online survey. The population of this research covered all nurse anesthetists working in hospitals in Central Java and Bali, of which 108 respondents were selected as the sample using a simple random sampling. The data were collected using questionnaires and analyzed using inferential statistics, namely chi-square, to determine the relationship between the work environment and job satisfaction of nurse anesthetists.

Results:

This research showed that a total of 60 respondents (55.6%) had a high category of job satisfaction. In addition, the work environment factor (p=<0.001) significantly affected the job satisfaction of nurse anesthetists.

Conclusion:

Hospital management must strengthen the commitment related to the sense of belonging to employees by considering the work environment factor that can affect the job satisfaction of nurse anesthetists in hospitals.

THE CORRELATION BETWEEN NURSES KNOWLEDGE AND PHLEBITIS PREVENTION EFFORTS AT IDAMAN HOSPITAL, BANJARBARU CITY

Mon, 20 Nov 2023 00:00:00 +0700

Background: A hospital is a type of healthcare facility that provides a variety of services. During the course of the treatment, patients may experience an increase in severity due to infectious diseases, one of which is Healthcare Associated Infections (HAIs). Another common type of HAIs is phlebitis. Phlebitis is a common infection associated with healthcare. Phlebitis prevention initiatives are primarily dependent on the expertise of nurses, this knowledge is directly tied to the nurses' performance of their duties and the success or failure of those duties in preventing patients from contracting phlebitis.

Objectives: The purpose of this study was to determine the correlation between nurse’s knowledge and phlebitis prevention efforts at Idaman Hospital, Banjarbaru City

Methods: A cross-sectional, correlational design was adopted for this research. Probability sampling using stratified random sampling is used for the sampling. In all, 129 nurses made up the study's sample. Data was gathered using questionnaires on basic demographics of the nurse, nursing knowledge, and phlebitis prevention efforts by nurse.

Results: The results of the study found that there is a correlation between knowledge and efforts to prevent phlebitis at Idaman Hospital, Banjarbaru City (p value=0.001; OR=3.77). Nurses who have good knowledge have the opportunity to make efforts to prevent phlebitis events optimally by 3.77 times compared to nurses who have poor knowledge.

Conclusion: The better the nurse's understanding of the incidence of phlebitis, the more effective will be the nurses' efforts to avoid phlebitis at Idaman Hospital in Banjarbaru City

PROBLEM-BASED LEARNING MODEL IN ACHIEVEMENT OF COMPETENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC

Zainal Abidin, Rizeki Dwi Fibriansari, Anggia Astuti — Mon, 20 Nov 2023 00:00:00 +0700

Background: A new policy has occurred in the world of education due to the impact of the COVID-19 pandemic, which has changed learning that must come to a class or a building or campus, to become independent learning, including nursing students. In this case, they are still required to have abilities by existing competency standards, including cognitive, affective, and psychomotor abilities that can be achieved by applying case-based learning and project-based learning models.

Objectives: Find out the problem-based learning model in the competency achievement of nursing students during the COVID-19 pandemic.

Methods: The research method used is analytic observational with a case-control approach. The variables in this research are teaching methodology as an independent variable and competency achievement as a dependent variable. The research was conducted for 5 months at the Diploma Nursing Study Program, Faculty of Nursing, Universitas Jember. The data collection technique in this study was by using an instrument in the form of Nursing Clinical Exercise (NCEx). The research respondents were Diploma Nursing Study Program Students with a total of 101 treatment groups with the criteria of having passed in 2022.

Results: The research results show that learning models based on Case case-based learning and project-based learning are very important to develop in the classroom, laboratory, and clinical learning where students need real conditions about real cases that require direct identification and recognition. The use of PjBL may lead to improved competency achievement among nursing students. This could be reflected in higher scores on competency assessments, better clinical performance, and a deeper understanding of nursing concepts. Students also really need to be in real contact with nursing cases, especially the conditions of the COVID-19 pandemic which is a challenge for educators and students in the world of health.

Conclusion: The problem-based learning method is very helpful for students in meeting the competency targets for graduates of the third diploma in nursing.

IMPROVEMENT OF FEEDING PRACTICES FOR STUNTING CHILDREN UNDER TWO YEARS THROUGH AN COMPLEMENTARY FEEDING EDUCATION

Erna Julianti, Elni, Restu Amalia Azmy — Wed, 29 Nov 2023 00:00:00 +0700

Background: Feeding practice is one of the factors determining the stunting prevalence. It happens because the children’s food intake strongly depends on the feeding practice done by their parents. The role of parents would determine children's nutritional intake, in which inappropriate nutritional intake lead to stunting.

Objectives: The aim of the study was to identify differences in the feeding practices of mothers to stunting children under two years before and after being given a complementary feeding intervention

Methods: This is a quantitative study with a quasi-experimental one group design. The samples in this study were 31 respondents selected using the consecutive sampling technique. The inclusion criteria were mothers who have children aged 6-24 months with stunting (z score PB/U is less than -2SD). Exclusion criteria were that the mother or child was sick and did not receive complete intervention. Instrument used was a standard Comprehensive Feeding Practice Questionnaire (CFPQ) instrument. The intervention provided was in the form of education using audiovisual media and a demonstration of the practice of making complementary feeding. The analysis in this research is paired T test.

Results: The average score on feeding practice for stunting Children Under Two Years after the nutrition intervention is higher, namely 112.32 compared to the average score on feeding practice for stunting Children Under Two Years before the nutrition intervention, namely 87.06. The results of the analysis found that there is a significant difference between the average score on feeding practice for stunting Children Under Two Years before and after the complementary feeding with p-value of 0.0001.

Conclusion: The complementary feeding intervention can encourage the feeding practice of stunted under-two-year-old children.

CONTRIBUTING FACTORS AFFECTING SPIRITUAL INTELLIGENCE OF NURSES AT BANDUNG HOSPITAL IN INDONESIA

Wed, 29 Nov 2023 00:00:00 +0700

Background: Nurses are required to conduct themselves professionally at all times, without compromising procedure or the patient's pleasure. Each day, they confront a variety of workplace stresses that might jeopardize their health and possibly result in a reduction or lack of enthusiasm to work.

Objectives: The study aimed to determine contribute factors of nurses' spiritual intelligence at Bandung City Hospital based on their characteristics.

Methods: This research used a descriptive quantitative method and Spiritual Intelligence of Self Report Inventory (SISRI-24) to collect the data. The respondents were 239 nurses selected using the total population technique. The univariate analysis was used to explain the various levels of spiritual intelligence based on the nurse's characteristics

Results: The results show that the nurses' spiritual intelligence in Bandung City Regional General Hospital is 49% high and 51% low. It was also discovered that a high level of spiritual intelligence was based on the following characteristics: aged 41-60 years old, male, and on more- than-10-year tenure, Nursing School graduates, head nurses and nurses assigned at a hemodialysis unit.

Conclusion: The research concludes that more than half of the respondents have a low level of spiritual intelligence. Therefore, holding Emotional Spiritual Quotient training is recommended, especially for nurses relatively new to the job. The study has implication because spiritual intelligence is vital in nursing, significantly impacting care quality, well-being of all involved, and leading to better patient outcomes and job satisfaction.

ATTITUDES TOWARDS MENTAL ILLNESS TO DECREASE THE FAMILY CAREGIVERS’ BURDEN

Faida Annisa, Agus Sulistyowati, Dini Prastyo Wijayanti — Thu, 30 Nov 2023 00:00:00 +0700

Background: Community-based mental health services should be aware of the role of family and society. With the stigma issues in mental illness that still remain, the impact would be greater on the family caregivers. Their behavior toward patients creates a burden on care.

Objectives: Assess the relationship between attitude toward mental illness and burden of family caregivers.

Methods: Descriptive with a cross sectional approach. There were 120 family caregivers of patients with Schizophrenia in the hospital in Surabaya, Indonesia participated on this study by using purposive sampling technique. The instruments on this study were Attitudes towards Schizophrenia Questionnaire (ATSQ) and Burden Assessment Schedule (BAS).

Results: The higher burden correlates with the negative attitude toward mental illness (r(118)= .54, p= .000).

Conclusion: Realistic attitude would relieve the burden for family caregiver. Therefore, need more knowledge for family and society to shape their behavior toward patients with mental illness.

THE EFFECT OF BAY LEAF GARLIC DECOCTIONON ON LOW CHOLINESTERASE LEVELS DUE TO PESTICIDE EXPOSURE IN FARMERS IN PASURUAN

Mukhammad Toha, Ida Zuhroidah, Mokh Sujarwadi — Thu, 30 Nov 2023 00:00:00 +0700

Background: Pesticides are chemicals used by farmers to control and kill pests and diseases. Pesticides can poison humans, although their main use is to control and kill agricultural pests. Pesticide poisoning is still a problem that often occurs in society.

Objectives: The aim of this study was to determine the effectiveness of garlic and bay leaf decoction in increasing cholinesterase levels of farmers exposed to pesticides in Pasuruan Raya.

Methods: The design of this study was a pre-experimental, one-group pretest-posttest with a population of rice processing farmers in Pasuruan Raya. The sample size used was 20 farmers taken by purposive sampling. The independent variable was the administration of a decoction of garlic and bay leaf for fifteen days, the dependent variable was the level of cholinesterase in the blood. Data were analyzed using paired sample t test.

Conclusion: The use of garlic and bay leaf decoction in this study is a complementary therapy given to farmers as a regulator of reducing cholinesterase levels which is an indicator of the accumulation of pesticides in the body. It is expected to be an effective and efficient solution. it is hoped that farmers will be able to independently maintain their health through smart techniques in utilizing local wisdom resources by cultivating materials, managing, preparing and processing natural materials into medicines that can be done independently, not only able to improve health status but also provide opportunities for development into business ventures creative economy that can increase income and economic welfare.

THE EFFECT OF BENEFITS, BARRIERS, AND SELF-EFFICACY ON PUBLIC HEALTH PROMOTION BEHAVIOR DURING THE COVID-19 PANDEMIC

Dheni Koerniawan — Thu, 30 Nov 2023 00:00:00 +0700

Background: Pandemic of Covid-19 situation made people to adapt wiht new normal habitually. Health promotion behavior may determine by perceived benefit, barrier, and self-efficacy.

Objectives: This research aimed to know the effect of perceived benefit, barrier, and self-efficacy to health promotion behavior in Palembang during pandemic Covid-19.

Methods: This study done with cross-sectional design to 183 respondents who lived in Palembang taken by randomized with online questionnaire. The instrument of this study conducted from Pender’s HPM model developed by author. Study result analyzed by SEM-PLS approach to test direct and indirect effects.

Results: The results showed that there was not significant effect of self-efficacy to barrier (β= -0.137; p= 0.067) and health promotion behavior (β= -0.026; p= 0.711), but the findings also showed significant effect of self-efficacy to benefit (β= 0.212; p= 0.017), benefit to barrier (β= -0.152; p= 0.046), barrier to health promotion behavior (β= -0.141; p= 0.039), and benefit to health promotion behavior (β= 0.331; p< 0.001). Otherwise, there was also found significant indirect effect of self-efficacy to health promotion behavior by benefit as mediator (β= 0.07; p= 0.026). Overall model give 14.2% to HBP.

Conclusion: Perceived benefits and perceived barriers are significant predictors of individual health promotion behavior. Meanwhile, self-efficacy does not have a significant effect. In addition, self-efficacy has a significant influence on perceived benefits and perceived benefits on perceived barriers. Self-efficacy also has an indirect influence on health promotion behavior through perceived benefits as mediators

THE EFFECT OF THERAPEUTIC GROUP THERAPY (TGT) FOR MIDDLE AGED ADULTS ON THE RESILIENCE OF COASTAL RESIDENTS AFTER THE COVID-19 PANDEMIC

Nurul Huda, Bagus Dwi Cahyono, Evy Aristawati, Dody Wijaya — Thu, 30 Nov 2023 00:00:00 +0700

Background: Almost everyone has been directly or indirectly affected by the COVID-19 virus pandemic. Many people are not ready to adapt to sudden lifestyle changes. This causes some people to experience fear and anxiety.

Objectives: The study aimed to analyze group therapy effect on coastal resident’s resilience after the Covid-19 pandemic.

Methods: This study uses Quasy Experimental Pre-Posttest design, with 2 groups. The location of this research is in the northern coastal area of Pasuruan City and Regency. The sampling technique of this study used purposive sampling, a total of 20 respondents were divided into two group, namely the control grouop and the treatment group. To mesuare the level of resiliensi all the responden were given The pretest and post test carried out using instruments to determine community resilience after the Covid-19 pandemic using the Resilience,however only the treatment group was given the TKT interventio. Processing and testing of data using SPSS software, with the Wilcoxon statistical test with α = 0.05.

Results: The results of the study with the Wilcoxon statistical test in the treatment group obtained a value of p = 0.001 (p <0.05) and in the control group obtained a value of p = 0.083 (p > 0.05)this means there is a significant difference between the control group and the treatment group.

Conclusion: This study concludes that there is a significant difference in the resilience of the community during the pretest and posttest in the treatment group receiving therapeutic group therapy, and there is no significant difference in the strength of the coastal community during the pretest and posttest in the control group. For this reason researchers suggest regularly holding this TKT for residents to increase the resiliensi of coastal residents.

UTERINE INVOLUTION IN DAWANESSE POSTPARTUM MOTHERS WITH TATOBI PRACTICES

Kristiani Desimina Tauho, Rifatolistia Tampubolon, Maya Miranthi Oematan — Thu, 30 Nov 2023 00:00:00 +0700

Background: The Dawan tribe is a tribe on the mainland of Timor Island that owns a tradition of caring for postpartum mothers called Tatobi. Tatobi is a tradition done by compressing the vagina, perineum, abdomen, and mother's breast using a traditional cloth dipped in hot water. Heat stimulation can cause vasodilation, possibly affecting the process of returning the uterus to its original state, known as uterine involution.

Objectives: This study aims to determine differences of uterine involution in postpartum mothers who did and did not practice tatobi.

Methods: This quantitative study uses a comparative descriptive study design involving 15 exposed groups and 15 control group people. Determination of respondents using the quota in Binaus Health Center, Kapan Health Center, and Fatumnasi Health Center. Technique data collection using direct lochia observation, measurement of uterine fundus height, and interviews to find out the practice of Tatobi. The data were then analyzed using the paired t-test.

Results: The study showed no significant difference in FH of exposed and control groups on the first and third days of postpartum, which showed a p-value of 0.325 and 0.261, respectively. In contrast, there was a significant difference in FH on the seventh day, with a p-value of 0.000 at a 95% confidence level. The results also showed no significant difference in lochia’s volume on the 1st and the third day of postpartum (p-values 0.764 and 0.426, respectively). However, the lochia’s volume differed in the exposed and control groups with a p-value of 0.048). The results of this study could be due to the lax practice of tatobi, which is supported by factors of early mobilization, fulfilment of nutria

ents, age, and parity.

Conclusion: This research concludes that there is a difference of the process of uterine involution in the exposed group and the control group on the seventh day.

DETERMINANTS OF MYOCARDIAL INFARCTION OUTCOMES IN A NON-PERCUTANEOUS CORONARY INTERVENTION HOSPITAL IN JAKARTA

Talitha Syifa Laili, Wiwin Winarti — Thu, 30 Nov 2023 00:00:00 +0700

Background: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings.

Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia.

Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status.

Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality.

Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.

EFFECTIVENESS ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) ON CONSCIOUS RECOVERY TIME IN SECTIO CAESAREA PATIENTS IN THE RECOVERY ROOM OF RSAD TK. II UDAYANA

Tue, 19 Dec 2023 12:41:18 +0700

Background: Enhanced recovery after Caesarean surgery (ERACS) is a method of perioperative care in the form of a multimodal approach. ERACS is a good method of pain management by reducing opioid use by 30-50 percent and using intravenous fluid therapy and a good combination of anti-nausea drugs. The ERACS technique was carried out starting from pre-intra and post-surgery. In its implementation, ERACS has various benefits, namely reducing postoperative complications, accelerating conscious recovery, saving costs and reducing morbidity. Urgency of this research is to find out effective surgical methods to speed up early postpartum mobilization without pain.

Objective: To determine the effectiveness of the ERACS technique for conscious recovery in sectio caesarea patients with spinal anesthesia in the recovery room.

Method: This study used a quasi-experimental with a cross-sectional approach using 2 groups, namely the control group and the treatment group. This research was carried out in June-August 2022 at TK II Udayana Hospital with 60 respondents for the control group and 60 for the treatment group. The research instrument uses a standard bromage score observation sheet. The research process was carried out by giving informed consent to the 2 groups and then post-surgery an assessment of conscious recovery was carried out in both groups.

Results: The results of the study in the treatment group showed that the ERACS method had a faster recovery time of 15-30 minutes. The control group, namely the conventional method, has a longer conscious recovery time of 30-60 minutes. The statistical test Mann-Whitney test is sig <0.05 that can be concluded that ERACS is effective in decreasing the time to recover consciousness in the recovery room in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana.

Conclusion: The ERACS method is effective in accelerating the time to recover from consciousness in the recovery room and accelerating recovery in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Therefore, the application of ERACS can be an effective choice to accelerate postoperative recovery with caesarean section.

NEONATAL PAIN MANAGEMENT PRACTICES AMONG NURSES WORKING IN NEWBORN UNITS IN NYANZA AND WESTERN KENYA

Teresa Kerubo Okiri, Mary Kipmerewo, Beatrice Mukabana — Thu, 21 Dec 2023 10:06:55 +0700

Background: Newborn babies in the Neonatal Intensive Care Units (NICU) and Newborn Units (NBUs) undergo several procedures that cause a significant amount of pain. Nurses play an essential role in the implementation of pain assessment and management measures in neonates. However, while it remains widely known that nurses play an important role in neonatal pain management, nurses’ practices on the management of pain in neonates admitted in Newborn care units have not been widely published within the nursing science.

Objectives: To evaluate neonatal pain management practices among nurses working in newborn units in Nyanza and Western Kenya.

Methods: A descriptive cross-sectional study using qualitative and quantitative approaches was used targeting 89 nurses. The collection of data was done through semi-structured, self-administered questionnaires with both closed and open –ended questions. Qualitative data was collected through in-depth interviews. Data obtained was analyzed using the statistical package for social science (SPSS) version 22.0 software. The study assumed a confidence level of 95% and a (p) value equal to or less than 0.05 was considered significant. Qualitative data was analyzed through logic checks to understand the emerging themes. Descriptive statistical analysis was done using frequencies, percentage and means.

Results: The study established that a small percentage of the nurses practiced pain management in neonates through use of non-pharmacologic (34.8%) and pharmacologic (28.1%) strategies. The commonly used non-pharmacologic strategies include changing of nappies (71.9%) and repositioning (68.5). Pain assessment was however seldom done.

Conclusion: Following the results, the study concluded that nurses practice pain management in neonates by implementing non-pharmacological and pharmacological strategies. The commonly used pain management strategy in neonates is utilization of non-pharmacological strategies such as change of nappies repositioning and kangaroo mother care. However, gaps exist in knowledge and competency on neonatal pain management aspects and practice. The study therefore recommended enhancement of awareness on aspects of neonatal pain among nurses to facilitate improved pain management practices in neonates. Further strengthening of nurses’ knowledge and skills on pain management in neonates through attending scheduled short courses, workshops and on job training is recommended.

FAMILY SUPPORT WITH THE HEALTH BEHAVIOR OF PULMONARY TUBERCULOSIS PATIENTS AT THE X SIDOARJO HEALTH CENTER

Meli Diana, Agus Sulistyowati, Mira Febrianti — Mon, 25 Dec 2023 05:45:16 +0700

Background: Tuberculosis is a very dangerous disease and can cause death. Many efforts have been made by the government to overcome this disease and have saved around 66 million lives since 2000. However, efforts to overcome this disease have been in vain due to the pandemic of COVID-19.

Objectives: The aim of this research is to identify the relationship between family support and the health behavior of pulmonary tuberculosis sufferers.

Methods: This research uses a cross-sectional approach using incidental sampling techniques. The sample in this study was 51 pulmonary tuberculosis patients at Community Health Center X who had undergone treatment for two to six months.

Results: Based on the data obtained in this study, the majority of respondents with good family support had good health behavior, namely 56%. The analytical test used to determine the relationship in this research is the Spearman rank analysis test. The results of the Spearman analysis obtained a p-value of 0.001

Conclusion: it can be concluded that there is a significant relationship between family support and self-care for pulmonary TB clients (p-value <0.05), with a correlation coefficient showing a positive value of 0.442. This shows that the higher the family support for pulmonary tuberculosis sufferers, the better the implementation of health behavior by sufferers.