Jurnal Ners

Journal Information
ISSN / EISSN : 1858-3598 / 2502-5791
Current Publisher: Universitas Airlangga (10.20473)
Total articles ≅ 315
Current Coverage
DOAJ
Archived in
SHERPA/ROMEO
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Latest articles in this journal

Rendi Editya Darmawan, Untung Sujianto, Nana Rochana
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 13-16; doi:10.20473/jn.v16i1.17508

Abstract:
Introduction: The highest cause of death is cardiac arrest. Proper manual chest compression will increase survival of cardiac arrest. The aim of this study was to know the implementation of chest compressions for cardiac arrest patient in Indonesia.Methods: This study used a descriptive quantitative design. The samples were nurse and code blue team when performing manual chest compression to 74 patients experiencing cardiac arrest. The sample have body mass index (BMI) > 20. Research was conducted in two hospitals in Java, Indonesia. Implementation of chest compression is measured based on depth accuracy. Depth accuracy of chest compressions was assessed based on the comparison of the number of R waves with a height >10 mV on the bedside monitor with the number of chest compressions performed. The data were analyzed descriptively (mean, median, mode, standard deviation, and variances).Results: Result of this study is the mean of accuracy of compression depth is 75.97%. The result shows accuracy of compression depth on manual chest compression still under the American Heart Association (AHA) recommendation of 80%, because chest compression rate are not standardized. Chest compression rates are between 100-160 rates/minute, while AHA’s recommendations are 100-120 rates/minute. High compression speed causes a decrease in accuracy of chest compressions depth.Conclusion: In conclusion, the implementation of chest compressions in Indonesia if measured based on accuracy of compression depth is not effective. Nurses and the code blue team have to practice considering the use of cardiac resuscitation aids.
I Gede Nova Ariawan, Kadek Eka Swedarma, Ni Putu Emy Darma Yanti
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 26-34; doi:10.20473/jn.v16i1.21443

Abstract:
Introduction: Travelers may transmit diseases due to their behavior of travel, consequently travelers should consider preventive measurement through pre-travel health consultation seeking behavior. Pre-travel health consultation is a particular preparation ideally conducted by international travelers to obtain risk assessment and management to prevent the transmission of diseases. This study investigates the relationship of socio-demographic characteristics and itinerary on pre-travel health consultation behavior among international travelers in Badung, Bali.Methods: A descriptive-correlative design using a cross-sectional approach employed 125 participants determined by a purposive sampling technique performed in the ten tourist destinations of Badung Regency. Data collection was conducted on February 15th until March 5th, 2020. Data demography, travel plan, and anonymous questionnaires regarding pre-travel health consultation behavior are used in this research. The Gamma coefficient correlation and Kruskal-Wallis statistic tests were performed in the study for bivariate analysis.Results: The results showed that age (p0.05).Conclusion: The age and past-travel history to Bali seem to be predictors for travelers to uptake pre-travel health consultation, thus nurses should be able to promote the implementation of pre-travel health consultation by utilizing the media promotion appropriately adjusted to the age of travelers and travel experience.
Hanik Endang Nihayati, Laeli Nurhanifah, Ilya Krisnana
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 96-100; doi:10.20473/jn.v16i1.22560

Abstract:
Introduction: Besides being a physiological problem, breast cancer is also a psychological problem. Breast cancer patients are prone to anxiety, depression, stress, fear, and other psychological problems. Prolonged psychological problems that are not resolved lead to impaired self-confidence and motivation to undergo treatment, which has a negative impact on health. Psychoeducation as a psychological therapy as well as providing education is used as a therapy that aims to overcome the psychological problems of breast cancer patients.Methods: This study used a quasi-experimental research design. The population in this study was breast cancer patients (ca mammae) at Prof. Dr. Margono Soekardjo Purwokerto. The sample of this study was 50 respondents obtained with purposive sampling technique. The independent variable of this study is psychoeducation and the dependent variables are self-efficacy and motivation. Data were collected using a general self-efficacy questionnaire and intrinsic motivation inventory as well as an observation sheet. Data were analyzed using the Paired T-Test and Independent Test statistical tests with a level of significance 𝛼≤0.05.Results: There was an effect of psychoeducation to self-efficacy and motivation (p= 0.000; p=0.000.Conclusion: This study shows that psychoeducation affects self-efficacy and motivation to undergo treatment in breast cancer patients (ca mammae). Psychoeducation provides information related to breast cancer and stress management methods so that it can increase self-efficacy and motivation to undergo treatment for breast cancer patients.
Azniah Syam, Musni Musni, Andi Nurzakiah Amin, Imelda Iskandar
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 74-80; doi:10.20473/jn.v16i1.23285

Abstract:
Introduction: The conceptual relationship between economics and breastfeeding is still mathematically invaluable, while the family's economic burden increases along with babies born. Indicating potential loss when a family chooses other than breastmilk is a progressive way to manage campaign messages about exclusive breastmilk and prolonged breastfeeding. Descriptive studies are needed to magnify all of these indicators and transform them into measuring instruments generalized to assess family expenditures related to infant feeding.Methods: This study uses a quantitative descriptive design, questionnaire draft upon qualitative open questions containing all micro indicators impacted financially during the baby’s first year. Data collection was carried out in Makassar based on telephone surveys with 330 preliminary samples. After structural analysis and data reduction, the expenditure indicators were divided into medical and non-medical expenses.Results: The study show there is a difference in the average amount of family expenses of those who provide formula milk compared to breastmilk. This outcome is 21.1 times higher in non-medical components and 2.5 times higher in the medical component. One of the highest contributions in medical expenses is the cost of a recurrent visit to a pediatrician due to a history of illness such as allergies, respiratory infections, and diarrhea.Conclusion: This empirical fact stated the strong affirmation of how families should consider wisely to choose the best feeding pattern for babies aged 0-12 months.
Pearl Irish V. De Paz
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 1-5; doi:10.20473/jn.v16i1.22502

Abstract:
Introduction: Undergoing chemotherapy has adverse effects to the physical, emotional and mental health of the chemotherapy patient that may cause depression and disturb the quality of the chemotherapy patient’s life. Hence, the study aimed to determine the level of depression and the quality of the Filipino chemotherapy patient’s life.Methods: The study applied a quantitative descriptive-correlational research design. Purposive sampling was done to identify the 102 respondents, who were Filipino chemotherapy patients admitted in a tertiary hospital in Eastern Visayas from December 2018 to March 2019. The study used standardized questionnaires and these were distributed among the respondents. To analyze the data, descriptive statistics and total scores were used. Likewise, Pearson-Product Moment Coefficient analysis was also used to determine the correlation between the two variables.Results: 102 patients participated in the study. Findings indicated that most of the respondents (52.38%) experienced mild depression and that their quality of life is good (97.05%). However, there were four respondents who experienced moderate depression. Moreover, results also show that there is a strong relationship between the two variables (R=-0.053; P-value=0.000).Conclusion: The study’s result highlights the crafting of a home-based care plan that will guide the chemotherapy patients and their families in the prevention of depression. Likewise, it is also aimed in achieving a favorable quality of the chemotherapy patient’s life.
Masunatul Ubudiyah, Nursalam Nursalam, Tintin Sukartini
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 6-12; doi:10.20473/jn.v16i1.23399

Abstract:
Introduction: Bullying at school is an old phenomenon in the adolescent group. Despite massive prevention programs, it has not yet resolved by teachers and schools, and this also can affect school climate aspects. The aim of this study was to explore students’ perceptions who are being bullying victims about health promoting schools to prevent bullying at school.Methods: This study used a qualitative case study design. The research sample was 18 middle school students in grades 8 and 9 in East and West Surabaya. A sample was recruited through snowball sampling. Interview guidelines were used to collect the data through in-depth interviews. The data were subjected to thematic analysis.Results: Middle school students identified three main requirements related to prevent bullying were health education, health services, and healthy school environment. These themes were found among the participants with a bullying victim’s history.Conclusion: Health education, health services, and healthy school environment are the theme for preventing bullying cases at school. To prevent bullying requires collaboration from various parties, such as students, teachers and school policy makers to be able to apply the rules while in school.
Indriati Indriati, Wien Soelistyo Adi, Tuti Anggarawati, Yuni Astuti, Delisa Alfriani
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 35-40; doi:10.20473/jn.v16i1.24130

Abstract:
Introduction: Due to the Covid-19 pandemic, families are facing problems caring for and implementing Covid-19 health protocols when caring for schizophrenia patients. A lack of knowledge and behavior changes make it difficult for the families to care for the schizophrenia patients. This study aims to explore the familial experiences of caring schizophrenia patients during the Covid-19 pandemic.Methods: A phenomenological qualitative design was undertaken as of November 2020. A total of 10 participants via the purposive sampling technique were recruited. The study was conducted in Semarang, Indonesia. We used semi-structured interviews to obtain the data and we used thematic content analysis to examine it.Results: From the 10 participants, we got 3 themes, namely family fears, financial problems, and health treatment access. The themes were obtained from the families of the patients who care for them on a daily basis. During the Covid-19 pandemic, caring for schizophrenia patients has become more difficult and the cause of a lot of worry.Conclusion: The families experienced several problems when caring for schizophrenia patients. The families experienced fear of the schizophrenia patients being infected by Covid-19, the families worried about whether or not the schizophrenia patients would experience a relapse and they felt stressed due to the news circulating. The families also had to spend more money to cover the cost of the patient’s care and transportation, and the schizophrenia patients were rarely controlled because of the family’s fears. This problem can be an issue for nurses who should strive to provide proper education and plan interventions for schizophrenia patients at the family level.
Sugeng Mashudi,
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 67-73; doi:10.20473/jn.v16i1.24527

Abstract:
Introduction: Schizophrenia is a serious mental illness that affects the thinking, emotions, relationships, and decision-making. One of the positive effects of treating schizophrenia in patients is family health. The family welfare management strategies provide help for coping, care preparation, organizing meetings, and mentoring. This study focuses on family coping strategies for improving the health of members living with schizophrenia.Methods: A cross-sectional design was used by choosing 160 respondents randomly. The inclusion criteria were family members accompanying control schizophrenia patients to the Public Health Center, with a minimum age of 18. The independent variable was family coping, which consist of two sub-variables (problem-focused coping mechanism and emotion-focused coping mechanism), while the dependent variable was family health, which consists of three sub-variables (efficient, satisfaction, and happiness). The SMART PLS (2.0 Version) was used to prove the impact of the variables.Results: The results indicated that family coping had a significant impact on the health of the family. The hypothesis was taken from the value of the T-test on the structural model analysis, which shows T- statistics (13.966) > T-critical (1.96). The impact of family coping on the health is equal to 0.682 (OR). This means that if family coping is given one-unit value, it will increase the family health by 0.682 times.Conclusion: The implementation of the family coping strategy will improve the capacity of the family to clarify health issues encountered, resolve family behaviors effectively and minimize risk factors. Furthermore, the coping mechanisms chosen by families in facing stress will have an impact on the reduction of illness symptoms in the members with schizophrenia.
Amaraporn Puraya, Duangporn Piyakong, Sugritta Wongwiggan, Roongtiva Boonpracom
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 89-95; doi:10.20473/jn.v16i1.24918

Abstract:
Introduction: Thai society is becoming an aging society due to the increase of the population aged 60 years or above. Developing the elderly care system in the community is important and needs cooperation from many sectors in order to provide care for the elderly effectively. The objective of this research was to explore the meanings of the elderly care system in community in Thailand, using a qualitative research approach.Methods: This descriptive qualitative research design was conducted with 40 informants at a community in a province located at the lower northern region of Thailand. The informants were divided into two groups. 1) The main informants were the Chief Executive of the Local Administrative Organization (LAO). 2) The secondary informants were those who had been guided to help the elderly in the community and family. The data were collected by observation, in-depth interviews, focus group discussions and document study. The reliability of the data was verified by triangulation. The data were analyzed by content analysis.Results: The results of the meanings of the elderly care system in community was defined as five themes: providing help and support, having networks, volunteerism, having knowledge and knowledge management, and community solidarity.Conclusion: The elderly care system in the community is in line with the participation process of all parties, both inside and outside the area, to jointly conduct activities to deal with problems and develop various operations in the area to support the elderly care system in the community.
Setiawan Setiawan, Dewi Elizadiani Suza, Farida Linda Sari Siregar
Published: 5 January 2021
Jurnal Ners, Volume 16, pp 81-88; doi:10.20473/jn.v16i1.26032

Abstract:
Introduction: Nurse managers in carrying out their duties must have a variety of competencies, one of which is managerial competencies. A model of competency for nurse managers will assist them in shaping their roles as managers in a teaching hospital. This study aims to develop the managerial competency model for nurse managers at the teaching hospital.Methods: The research design used in this study was action research. This research was conducted with 20 nurse managers who work at inpatient wards of the teaching hospital. Participants were selected by purposive sampling approach and have accepted to participate in the research. The data were obtained by using interview through focus groups discussions. The content analysis method was employed for analyzing the data. Results: This study found six domains of managerial competencies of nurse managers: 1) provision of patient care (assignment methods, clinical excellence, collaborators, patient safety, evidence-based practice), 2) resource management (personnel management, information and technology management, equipment management, supplies management), 3) leadership (commitment, conflict resolution, negotiator, role model, professional mentor, initiator, motivator), 4) self and staff development (effective communication skills, interpersonal relationship skills, tridharma function of nurses), 5) customer and service orientation (team builder, customer service, quality improvement), and 6) function of preceptorships (basic teaching skills, clinical skills). These 24 fundamental competencies are rooted in caring foundation.Conclusion: Nurse managers in teaching hospitals should possess a set of managerial competencies to perform their optimal roles in order to achieve the unit goals. This model will provide comprehensive and solid ways for nurse managers to improve their performance. Therefore, the set of nurse manager competencies needs to be standardized across the setting.
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