Somsak Thojampa, Sirikanok Klankhajhon, Kittisak Kumpeera, Chuthathip Mongkholkham, Barbara Ellen Mawn
Introduction: Thailand has not had a comprehensive effort to collaborate on a wellness tourism regional program for foreign travelers. The purpose of the study was exploring the key components necessary for a wellness tourism program in the lower northern region in Thailand. Methods: This is a qualitative, community-based, participatory action research guided by the empowerment theory. A descriptive qualitative approach to data collection and analysis was used to explore stakeholders’ perspectives on the development of a wellness tourism program. A total of 40 key stakeholders from nine provinces in the lower north region of Thailand participated in two phases of the study’s data collection. Individual and focus groups interviews were conducted and analyzed thematically. The purposive sample included semi-structured questionnaires among community leaders, village health volunteers, and workers from various occupations who lived in the communities. Results: Four themes emerged from the qualitative interviews and focus groups: 1) honoring local wisdom as the heart of a regional wellness tourism program; 2) the integration of historical traditions and regional lifestyles into a wellness tourism program; 3) the need for government supportive policies that help to fund community wellness initiatives to boost the local economy and tourism ;and 4) attention needed to improve the quality of life for the local communities while promoting wellness tourism in the region. Conclusion: This community-based participatory action research approach created a synergy among stakeholders from multiple provinces in the lower north region of Thailand.
{"title":"The development of a wellness tourism program in Thailand: a community-based participatory action research approach with an empowerment theoretical framework","authors":"Somsak Thojampa, Sirikanok Klankhajhon, Kittisak Kumpeera, Chuthathip Mongkholkham, Barbara Ellen Mawn","doi":"10.20473/jn.v18i3.46271","DOIUrl":"https://doi.org/10.20473/jn.v18i3.46271","url":null,"abstract":"Introduction: Thailand has not had a comprehensive effort to collaborate on a wellness tourism regional program for foreign travelers. The purpose of the study was exploring the key components necessary for a wellness tourism program in the lower northern region in Thailand. Methods: This is a qualitative, community-based, participatory action research guided by the empowerment theory. A descriptive qualitative approach to data collection and analysis was used to explore stakeholders’ perspectives on the development of a wellness tourism program. A total of 40 key stakeholders from nine provinces in the lower north region of Thailand participated in two phases of the study’s data collection. Individual and focus groups interviews were conducted and analyzed thematically. The purposive sample included semi-structured questionnaires among community leaders, village health volunteers, and workers from various occupations who lived in the communities. Results: Four themes emerged from the qualitative interviews and focus groups: 1) honoring local wisdom as the heart of a regional wellness tourism program; 2) the integration of historical traditions and regional lifestyles into a wellness tourism program; 3) the need for government supportive policies that help to fund community wellness initiatives to boost the local economy and tourism ;and 4) attention needed to improve the quality of life for the local communities while promoting wellness tourism in the region. Conclusion: This community-based participatory action research approach created a synergy among stakeholders from multiple provinces in the lower north region of Thailand.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
None Esti Yunitasari, Awatiful Azza, None Mira Triharini, Cipto Susilo
Introduction: The behavior of pregnant women in caring for pregnancy is influenced by the environment, culture, and lifestyle of the community. This study aimed to analyze the behavior of pregnant women and their nutritional status during pregnancy contributes to the incidence of pre-eclampsia in rural areas. Methods: This study used a cross-sectional approach to 210 pregnant women who visited a community health center in East Java, Indonesia, in the period June 2020-February 2022. Potential risk factors, including maternal behavior in care during pregnancy, and obesity were evaluated as determinants of pre-eclampsia and its subtypes. The assessment instrument uses a structured questionnaire and has been tested for validity and reliability. Logistic regression analysis was used to determine potential risk factors. Odds ratios with 95% confidence intervals (CI) were calculated to estimate the effects of individual factors. All statistical analyses were performed with SPSS version 22.0 with a p-value < 0.05 considered significant. Results: There were 65 (31%) pregnant women experiencing pre-eclampsia from 210 samples. Maternal behavior during pregnancy could predict the incidence of pre-eclampsia (p = 0.001; 95% CI 0.121-0.583; OR = 0.266) while obesity was able to predict pre-eclampsia (p = 0.00; 95% CI 1.705-5.209; OR = 3.00). the age of pregnant women p = 0.014; 95% CI 1.143-3,355; OR = 1.959), and history of hypertension p = 0.036; 95% CI 1.053 – 4.550; OR = 2.189). Conclusions: The behavior and nutritional status of pregnant women have been proven to influence the incidence of pre-eclampsia.
孕妇的孕期护理行为受到社区环境、文化和生活方式的影响。本研究旨在分析农村孕妇孕期行为及营养状况对子痫前期发病的影响。方法:本研究采用横断面方法，对2020年6月至2022年2月期间访问印度尼西亚东爪哇社区卫生中心的210名孕妇进行了研究。潜在的危险因素，包括孕妇在怀孕期间的护理行为和肥胖被评估为子痫前期及其亚型的决定因素。该评估工具采用结构化问卷，并进行了效度和信度测试。采用Logistic回归分析确定潜在危险因素。计算95%置信区间(CI)的优势比来估计个体因素的影响。所有统计分析均使用SPSS 22.0版本进行，p值为<0.05认为显著。结果:210例样本中有65例(31%)孕妇出现先兆子痫。孕妇孕期行为可预测子痫前期的发生率(p = 0.001;95% ci 0.121-0.583;OR = 0.266)，而肥胖能够预测子痫前期(p = 0.00;95% ci 1.705-5.209;或= 3.00)。孕妇年龄p = 0.014;95% ci 1.143- 3355;OR = 1.959)，高血压病史p = 0.036;95% ci 1.053 - 4.550;Or = 2.189)。结论:已证实孕妇的行为和营养状况会影响子痫前期的发生。
{"title":"Behavioral risk factors and maternal nutrition as predictors of pre-eclampsia among pregnant women in rural areas: cross-sectional study","authors":"None Esti Yunitasari, Awatiful Azza, None Mira Triharini, Cipto Susilo","doi":"10.20473/jn.v18i3.47248","DOIUrl":"https://doi.org/10.20473/jn.v18i3.47248","url":null,"abstract":"Introduction: The behavior of pregnant women in caring for pregnancy is influenced by the environment, culture, and lifestyle of the community. This study aimed to analyze the behavior of pregnant women and their nutritional status during pregnancy contributes to the incidence of pre-eclampsia in rural areas. Methods: This study used a cross-sectional approach to 210 pregnant women who visited a community health center in East Java, Indonesia, in the period June 2020-February 2022. Potential risk factors, including maternal behavior in care during pregnancy, and obesity were evaluated as determinants of pre-eclampsia and its subtypes. The assessment instrument uses a structured questionnaire and has been tested for validity and reliability. Logistic regression analysis was used to determine potential risk factors. Odds ratios with 95% confidence intervals (CI) were calculated to estimate the effects of individual factors. All statistical analyses were performed with SPSS version 22.0 with a p-value < 0.05 considered significant. Results: There were 65 (31%) pregnant women experiencing pre-eclampsia from 210 samples. Maternal behavior during pregnancy could predict the incidence of pre-eclampsia (p = 0.001; 95% CI 0.121-0.583; OR = 0.266) while obesity was able to predict pre-eclampsia (p = 0.00; 95% CI 1.705-5.209; OR = 3.00). the age of pregnant women p = 0.014; 95% CI 1.143-3,355; OR = 1.959), and history of hypertension p = 0.036; 95% CI 1.053 – 4.550; OR = 2.189). Conclusions: The behavior and nutritional status of pregnant women have been proven to influence the incidence of pre-eclampsia.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hinin Wasilah, Dhea Natashia, Chen-Hui Huang, Hsing Mei Chen, Miaofen Yen
Introduction: Chronic Kidney Disease Symptom Burden Index (CKD-SBI) is an instrument measuring symptom burden developed by Almutary and colleagues in 2015 to refine the identification of symptom burden in chronic kidney disease population. This instrument has not been tested for Indonesian language, thus, the aim of study was to translate and psychometrically testing the Indonesian version of CKD-SBI. Methods: This study design was cross-sectional study. The study methods were divided into translation and psychometric testing. The translation was conducted by adapting Guillemin and Beaton's guidelines. The psychometric properties determined 320 hemodialysis patients with several inclusion criteria such as above 18 years old, regularly receiving hemodialysis for more than 3 months. Patients with cognitive impairment, psychiatric patients, and in critical condition were excluded. Results: The item content validity index of the Indonesian version was 0.92, and the subscale content validity was 0.78. The instrument demonstrated convergent validity with the Kidney Disease Quality of Life. Excellent internal consistency was demonstrated based on a Cronbach’s alpha coefficient of .91 and a subscale ranging from 0.86 to 0.92. The confirmatory factor analysis showed that the five factors of English Version did not fit the Indonesian version. Conclusions: Translated Indonesian versions of CKD-SBI can be used as instruments to assess symptom burden among patients with hemodialysis. By assessing symptom burden, we hope nurses in the hospital are able to decide effective symptom management to increase the health-related quality of life among these populations.
{"title":"Translation and psychometric testing of Indonesian Version of Chronic Kidney Disease– Symptom Burden Index","authors":"Hinin Wasilah, Dhea Natashia, Chen-Hui Huang, Hsing Mei Chen, Miaofen Yen","doi":"10.20473/jn.v18i3.47539","DOIUrl":"https://doi.org/10.20473/jn.v18i3.47539","url":null,"abstract":"Introduction: Chronic Kidney Disease Symptom Burden Index (CKD-SBI) is an instrument measuring symptom burden developed by Almutary and colleagues in 2015 to refine the identification of symptom burden in chronic kidney disease population. This instrument has not been tested for Indonesian language, thus, the aim of study was to translate and psychometrically testing the Indonesian version of CKD-SBI. Methods: This study design was cross-sectional study. The study methods were divided into translation and psychometric testing. The translation was conducted by adapting Guillemin and Beaton's guidelines. The psychometric properties determined 320 hemodialysis patients with several inclusion criteria such as above 18 years old, regularly receiving hemodialysis for more than 3 months. Patients with cognitive impairment, psychiatric patients, and in critical condition were excluded. Results: The item content validity index of the Indonesian version was 0.92, and the subscale content validity was 0.78. The instrument demonstrated convergent validity with the Kidney Disease Quality of Life. Excellent internal consistency was demonstrated based on a Cronbach’s alpha coefficient of .91 and a subscale ranging from 0.86 to 0.92. The confirmatory factor analysis showed that the five factors of English Version did not fit the Indonesian version. Conclusions: Translated Indonesian versions of CKD-SBI can be used as instruments to assess symptom burden among patients with hemodialysis. By assessing symptom burden, we hope nurses in the hospital are able to decide effective symptom management to increase the health-related quality of life among these populations.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Chronic kidney disease patients will suffer a variety of health issues throughout their lifetimes, particularly with regard to their quality of life, whether they are receiving treatment or undergoing hemodialysis (HD). This study aimed to determine factors associated with QOL among patients undergoing HD in Indonesia. Methods: A cross-sectional study was conducted in Malang, Indonesia during August to December of 2020. The inclusion criteria were patients undergoing HD two times a week and aged over 18 years old. QOL was measured using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF). Linear regression was used to determine factors associated with QOL. Results: About 150 participants agreed to join in this study (response rate: 84.4%) with their mean age 52.76 (SD=13.45). The total mean of the QOL in patients undergoing HD was 74.4 ± 27.7 with a range from 10 to 100. The highest mean score was reported for physical health (78.3 ± 24.8) and the lowest score was reported for environmental (72.6 ± 24.3). Linear regression showed that long duration of HD, hemoglobin concentration and blood urea with R2 was 34.6%. Conclusions: Longer duration of HD, low hemoglobin concentration and high blood urea were factors associated with lower QOL in patients undergoing HD. The results of the above study recommend to nurses and health workers to improve critical thinking skills, including measuring levels of urea and hemoglobin, which have an impact on the QOL of patients undergoing HD
{"title":"Factors associated with quality of life among patients undergoing hemodialysis in Indonesia","authors":"None Wiwit Dwi Nurbadriyah, None Nursalam, None Ika Yuni Widyawati, None Ardhiles Wahyu Kurniawan","doi":"10.20473/jn.v18i3.46280","DOIUrl":"https://doi.org/10.20473/jn.v18i3.46280","url":null,"abstract":"Introduction: Chronic kidney disease patients will suffer a variety of health issues throughout their lifetimes, particularly with regard to their quality of life, whether they are receiving treatment or undergoing hemodialysis (HD). This study aimed to determine factors associated with QOL among patients undergoing HD in Indonesia. Methods: A cross-sectional study was conducted in Malang, Indonesia during August to December of 2020. The inclusion criteria were patients undergoing HD two times a week and aged over 18 years old. QOL was measured using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF). Linear regression was used to determine factors associated with QOL. Results: About 150 participants agreed to join in this study (response rate: 84.4%) with their mean age 52.76 (SD=13.45). The total mean of the QOL in patients undergoing HD was 74.4 ± 27.7 with a range from 10 to 100. The highest mean score was reported for physical health (78.3 ± 24.8) and the lowest score was reported for environmental (72.6 ± 24.3). Linear regression showed that long duration of HD, hemoglobin concentration and blood urea with R2 was 34.6%. Conclusions: Longer duration of HD, low hemoglobin concentration and high blood urea were factors associated with lower QOL in patients undergoing HD. The results of the above study recommend to nurses and health workers to improve critical thinking skills, including measuring levels of urea and hemoglobin, which have an impact on the QOL of patients undergoing HD","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursalam Nursalam, None Elsi Dwi Hapsari, None Setiawan Setiawan, None Ni Luh Putu Inca Buntari Agustini, None Diah Priyantini, None Khatijah Lim Lim Abdullah
Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.
{"title":"Analysis of factors affecting fear and mental health awareness of coronavirus disease infection","authors":"Nursalam Nursalam, None Elsi Dwi Hapsari, None Setiawan Setiawan, None Ni Luh Putu Inca Buntari Agustini, None Diah Priyantini, None Khatijah Lim Lim Abdullah","doi":"10.20473/jn.v18i3.48168","DOIUrl":"https://doi.org/10.20473/jn.v18i3.48168","url":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Spiritual care for children is important in the care provided by nurses so that children do not feel guilty when being treated in the hospital. It is important for nurses to understand that the process of providing nursing care is bio-psycho-social and spiritual based. This study aimed to find out the relationship between knowledge, self-efficacy, and nurse behavior in the provision of spiritual care for school-age children in hospitals. Methods: This study used a cross-sectional approach with a purposive sampling technique followed by 102 nurses who cared for school-age children in a pediatric nursing room. Knowledge was measured using the Spiritual Care-Giving Scale, Self-Efficacy was measured by Burkhart Spiritual Care Inventory (BCI), and Nurse Spiritual Care Therapeutic Scale (NSCTS) to measure behavior. The data were analyzed using the Kolmogorov-Smirnov test, and Spearman correlation test. Results: There was no significant correlation between knowledge and behavior (p = 0.181; r = 0.133); however, there was a significant correlation of nurse behavior with self-efficacy (p = 0.027; r = 0.219), age (p = 0.015; r = 0.240), length of work (p = 0.021; r = 0.228), and spiritual care training (p = 0.001). Conclusion: Knowledge does not have a significant relationship with behavior. However self-efficacy, age, length of work, and spiritual care training significantly affects the nurse's behavior in providing spiritual care to school-age children in the hospital.
{"title":"The relationship between knowledge, self-efficacy and nursing spiritual care behaviors in school-age children in pediatric room","authors":"Yunita Gabriela Madu, None Lely Lusmilasari, None Sri Hartini, None Mery Solon, Wirmando Wirmando, Asrijal Bakri, Matilda Martha Paseno, Elmiana Bongga Linggi","doi":"10.20473/jn.v18i3.46546","DOIUrl":"https://doi.org/10.20473/jn.v18i3.46546","url":null,"abstract":"Introduction: Spiritual care for children is important in the care provided by nurses so that children do not feel guilty when being treated in the hospital. It is important for nurses to understand that the process of providing nursing care is bio-psycho-social and spiritual based. This study aimed to find out the relationship between knowledge, self-efficacy, and nurse behavior in the provision of spiritual care for school-age children in hospitals. Methods: This study used a cross-sectional approach with a purposive sampling technique followed by 102 nurses who cared for school-age children in a pediatric nursing room. Knowledge was measured using the Spiritual Care-Giving Scale, Self-Efficacy was measured by Burkhart Spiritual Care Inventory (BCI), and Nurse Spiritual Care Therapeutic Scale (NSCTS) to measure behavior. The data were analyzed using the Kolmogorov-Smirnov test, and Spearman correlation test. Results: There was no significant correlation between knowledge and behavior (p = 0.181; r = 0.133); however, there was a significant correlation of nurse behavior with self-efficacy (p = 0.027; r = 0.219), age (p = 0.015; r = 0.240), length of work (p = 0.021; r = 0.228), and spiritual care training (p = 0.001). Conclusion: Knowledge does not have a significant relationship with behavior. However self-efficacy, age, length of work, and spiritual care training significantly affects the nurse's behavior in providing spiritual care to school-age children in the hospital.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135039988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Shortage of resources in hospitals is a global problem with South Africa not being excluded. These leads to a situation where most health care workers especially professional nurses (PNs) leave the health institutions to private hospitals or abroad for better opportunities. The study explored and described professional nurses’ experiences regarding shortage of resources at a tertiary hospital in Gauteng Province. Methods: Qualitative, explorative, descriptive design was used on a sample of 16 professional nurses (PNs), who have worked for two or more years in selected units. Unstructured individual conversations with a grand tour question were used. Tesch’s method was employed to analyze data. Results: The study revealed both negative and positive experiences regarding the deficiency of resources. PNs experienced the following: The study revealed four themes: 1) Experiences pertaining to lack of material resources; 2)Negative impact of a shortage of resources on patients; 3) Experiences on inadequate number of nurses and support staff; 4) Dealing with a shortage of resources Conclusions: Appropriate measures should be put in place to ensure that resources are adequate at this tertiary hospital. Medical machinery should be audited monthly and a daily checklist used to document available stock. Appropriate recruitment and retention policies must be implemented by the Human Resource Department to ensure that vacant posts are filled timeously and reduce high staff turnover. Perceptions of patients could be explored related to the unavailability of medicine in healthcare facilities
{"title":"Experiences of professional nurses regarding shortage of resources at a tertiary hospital in Gauteng Province, South Africa: qualitative study","authors":"Makoasha Philistus Jiyane, S. Khunou","doi":"10.20473/jn.v18i2.44792","DOIUrl":"https://doi.org/10.20473/jn.v18i2.44792","url":null,"abstract":"Background: Shortage of resources in hospitals is a global problem with South Africa not being excluded. These leads to a situation where most health care workers especially professional nurses (PNs) leave the health institutions to private hospitals or abroad for better opportunities. The study explored and described professional nurses’ experiences regarding shortage of resources at a tertiary hospital in Gauteng Province. \u0000Methods: Qualitative, explorative, descriptive design was used on a sample of 16 professional nurses (PNs), who have worked for two or more years in selected units. Unstructured individual conversations with a grand tour question were used. Tesch’s method was employed to analyze data.\u0000Results: The study revealed both negative and positive experiences regarding the deficiency of resources. PNs experienced the following: The study revealed four themes: 1) Experiences pertaining to lack of material resources; 2)Negative impact of a shortage of resources on patients; 3) Experiences on inadequate number of nurses and support staff; 4) Dealing with a shortage of resources\u0000Conclusions: Appropriate measures should be put in place to ensure that resources are adequate at this tertiary hospital. Medical machinery should be audited monthly and a daily checklist used to document available stock. Appropriate recruitment and retention policies must be implemented by the Human Resource Department to ensure that vacant posts are filled timeously and reduce high staff turnover. Perceptions of patients could be explored related to the unavailability of medicine in healthcare facilities","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81203045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Dewi, Anggriyana Tri Widianti, Ariani Fatmawati, Silfia Wulandari, Tita Indah Sarirudi
Background. Some women with breast cancer tend to have psycho-social stress, embarrassment from the disease’s treatment, and difficulty asking for help. Furthermore, several studies indicate limited use of complementary online intervention in mental and spiritual health care, particularly when using mobile-based technologies. Purpose. This study identifies the key factors that affect the need for mobile-app complementary interventions and the variables affecting them among Indonesian breast cancer patients. Methods. A cross-sectional survey study with a simple random sampling technique included 112 patients between May and July 2022. The research instrument used is The Quality of Life-Breast Cancer questionnaire, Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp), Palliative Performa Scale Version 2, and The Need for Complementary Interventions using mobile-app technology (NCIM) to measure Predictors of The Need for Complementary Interventions. Meanwhile, multiple linear stepwise regression was used, and the potential multicollinearity effects among NCIM predictive variables were assessed through the collinearity analysis of variable inflation factors. Results. The mean score of NCIM was 25.17 and ranged from 10 to 40, and multiple regression analysis showed that the psychological and social dimensions of quality of life, as well as Facit-Sp, significantly affected the NCIM. This explains 8.5% of the total variance in the need for Mobile-app Complementary Intervention. Conclusion. Women with breast cancer have a high need for complementary interventions based on mobile technology. This study can provide the development of complementary intervention using mobile application technology.
{"title":"predictors need for complementary interventions using mobile application technology in women with breast cancer","authors":"I. Dewi, Anggriyana Tri Widianti, Ariani Fatmawati, Silfia Wulandari, Tita Indah Sarirudi","doi":"10.20473/jn.v18i2.45799","DOIUrl":"https://doi.org/10.20473/jn.v18i2.45799","url":null,"abstract":"Background. Some women with breast cancer tend to have psycho-social stress, embarrassment from the disease’s treatment, and difficulty asking for help. Furthermore, several studies indicate limited use of complementary online intervention in mental and spiritual health care, particularly when using mobile-based technologies. \u0000Purpose. This study identifies the key factors that affect the need for mobile-app complementary interventions and the variables affecting them among Indonesian breast cancer patients. \u0000Methods. A cross-sectional survey study with a simple random sampling technique included 112 patients between May and July 2022. The research instrument used is The Quality of Life-Breast Cancer questionnaire, Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp), Palliative Performa Scale Version 2, and The Need for Complementary Interventions using mobile-app technology (NCIM) to measure Predictors of The Need for Complementary Interventions. Meanwhile, multiple linear stepwise regression was used, and the potential multicollinearity effects among NCIM predictive variables were assessed through the collinearity analysis of variable inflation factors. \u0000Results. The mean score of NCIM was 25.17 and ranged from 10 to 40, and multiple regression analysis showed that the psychological and social dimensions of quality of life, as well as Facit-Sp, significantly affected the NCIM. This explains 8.5% of the total variance in the need for Mobile-app Complementary Intervention. \u0000Conclusion. Women with breast cancer have a high need for complementary interventions based on mobile technology. This study can provide the development of complementary intervention using mobile application technology. \u0000 \u0000 ","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78664415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Machin, D. Suprapto, Anny Hanifah, I. Suharjanti, Jakfar Shodiq, M. F. Fatihuddin, B. Kim, A. Firdha
Introduction: In ischemic stroke, the cerebral cortex suffers from hypoxia-ischemia, leading to inflammation and oxidative stress. Green tea extract has an anti-inflammation effect and antioxidant. This study aimed to determine the efficacy of green tea extract for adjuvant treatment of acute ischemic stroke in non-thrombolysis patients. Methods: A double-blind randomised controlled trial was conducted in November 2020-November 2021. The subjects were all acute ischemic stroke patients who presented to the Emergency Room during recruitment, randomised into control (n=13) and intervention groups (n=18); the intervention groups were given green tea extract 350 mg. Treatment was for 30 days. National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Montreal Cognitive Assessment - Indonesia (MoCAIna), IL-10 and S100ß were analysed. Results: Data were compared with a significance level of p<0.05. The differences in NIHSS from day 0 to 7, day 0 to 14 and day 0 to 30 were statistically significant in the intervention group (p=0.019, p=0.002 and p=0.000, respectively). The mRS score was statistically significant in the intervention group on day 30 (p=0.46). The differences in mRS score from day 0 to 14 and day 0 to 30 were statistically significant (p=0.042 and p=0.001, respectively) The S100ß were statistically significant in day 7 (p=0.006). The difference in S100ß from day 0 to 7 was statistically significant (p=0.001).Conclusions: The green tea extract, through up-regulation S100ß, can improve the clinical outcomes of acute ischemic stroke.
{"title":"Potential effect of green tea extract for adjuvant treatment of acute ischemic stroke by s100ß upregulation in non-thrombolysis patient","authors":"A. Machin, D. Suprapto, Anny Hanifah, I. Suharjanti, Jakfar Shodiq, M. F. Fatihuddin, B. Kim, A. Firdha","doi":"10.20473/jn.v18i2.45537","DOIUrl":"https://doi.org/10.20473/jn.v18i2.45537","url":null,"abstract":"Introduction: In ischemic stroke, the cerebral cortex suffers from hypoxia-ischemia, leading to inflammation and oxidative stress. Green tea extract has an anti-inflammation effect and antioxidant. This study aimed to determine the efficacy of green tea extract for adjuvant treatment of acute ischemic stroke in non-thrombolysis patients.\u0000Methods: A double-blind randomised controlled trial was conducted in November 2020-November 2021. The subjects were all acute ischemic stroke patients who presented to the Emergency Room during recruitment, randomised into control (n=13) and intervention groups (n=18); the intervention groups were given green tea extract 350 mg. Treatment was for 30 days. National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Montreal Cognitive Assessment - Indonesia (MoCAIna), IL-10 and S100ß were analysed.\u0000Results: Data were compared with a significance level of p<0.05. The differences in NIHSS from day 0 to 7, day 0 to 14 and day 0 to 30 were statistically significant in the intervention group (p=0.019, p=0.002 and p=0.000, respectively). The mRS score was statistically significant in the intervention group on day 30 (p=0.46). The differences in mRS score from day 0 to 14 and day 0 to 30 were statistically significant (p=0.042 and p=0.001, respectively) The S100ß were statistically significant in day 7 (p=0.006). The difference in S100ß from day 0 to 7 was statistically significant (p=0.001).Conclusions: The green tea extract, through up-regulation S100ß, can improve the clinical outcomes of acute ischemic stroke.","PeriodicalId":17781,"journal":{"name":"Jurnal Ners","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78810679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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