Pub Date : 2023-03-08DOI: 10.20884/1.jks.2023.18.1.6464
Yusniarita Yusniarita, Wenny Indah Purnama Eka Sari
Pregnant women can benefit from exclusive breastfeeding. Therefore, to raise awareness of exclusive breastfeeding and hone their breastfeeding skills, mothers can participate in pregnancy classes. This study aimed to determine the effect of pregnant women’s participation in pregnancy classes on their breastfeeding skills. This is a quasi-experimental study with a control group and a double post-test design. The samples were selected by using random permuted block sampling. The sample size that met the inclusion criteria was 80 pregnant women in their third trimester domiciled in the work area of the Perumnas and Curup Public Health Center. The intervention group was given pregnant women classes with the Breastfeeding Preparation Module. This study used checklists to assess the respondent’s breastfeeding skills. The data obtained were analyzed using the dependent T-test. The results showed that pregnant women's participation in pregnancy classes affected their breastfeeding skills (p-value < 0.05). Pregnancy classes regarding exclusive breastfeeding are recommended for pregnant women to succeed at breastfeeding, especially exclusive breastfeeding
{"title":"The The Effect of Pregnant Women’s Participation in Pregnancy Classes about Breastfeeding Skills: A Quasi-Experimental Study","authors":"Yusniarita Yusniarita, Wenny Indah Purnama Eka Sari","doi":"10.20884/1.jks.2023.18.1.6464","DOIUrl":"https://doi.org/10.20884/1.jks.2023.18.1.6464","url":null,"abstract":"Pregnant women can benefit from exclusive breastfeeding. Therefore, to raise awareness of exclusive breastfeeding and hone their breastfeeding skills, mothers can participate in pregnancy classes. This study aimed to determine the effect of pregnant women’s participation in pregnancy classes on their breastfeeding skills. This is a quasi-experimental study with a control group and a double post-test design. The samples were selected by using random permuted block sampling. The sample size that met the inclusion criteria was 80 pregnant women in their third trimester domiciled in the work area of the Perumnas and Curup Public Health Center. The intervention group was given pregnant women classes with the Breastfeeding Preparation Module. This study used checklists to assess the respondent’s breastfeeding skills. The data obtained were analyzed using the dependent T-test. The results showed that pregnant women's participation in pregnancy classes affected their breastfeeding skills (p-value < 0.05). Pregnancy classes regarding exclusive breastfeeding are recommended for pregnant women to succeed at breastfeeding, especially exclusive breastfeeding","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124846893","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}
Pub Date : 2023-03-08DOI: 10.20884/1.jks.2023.18.1.6593
Chilyatiz Zahroh, N. Ainiyah, Umdatus Soleha, I. Sudiana, A. Yusuf
Indonesia has the second-highest number of tuberculosis (TB) cases in the world. Many TB patients did not take their medicine at health care centers causing an increase in taking medication. This study aimed to develop a simple model for describing non-adherence to medication in TB patients. This study used an analytical with a cross-sectional approach. The following criteria were used in selecting the respondent: adolescent, able to read and write, and willingness to be a respondent. A total of 93 participants were recruited randomly. Data were collected through questionnaires and analyzed using logistic regression. The predisposing factors were knowledge, attitude, belief (p = 0.000), trust (p = 0.013), and values (p = 0.001). Family support (p = 0.034) and healthcare personnel support (p = 0.022) were reinforcing factors. The enabling factor was the healthcare facility (p = 0.000). This study found that the most dominant factor is knowledge (B = 56.4). The model was Logit (Pi) = 22.363 + 56.4 knowledge (1) + 22.56 belief (1) + 2.9 family support (1) + 0.577 healthcare support (1) + 0.061 healthcare facility (1). This study suggests that TB patients’ knowledge must be increased to improve their TB treatment and management.
{"title":"A Simple Model for Describing Non-Adherence to Medication in Tuberculosis Patients in a Tropical Area, Indonesia","authors":"Chilyatiz Zahroh, N. Ainiyah, Umdatus Soleha, I. Sudiana, A. Yusuf","doi":"10.20884/1.jks.2023.18.1.6593","DOIUrl":"https://doi.org/10.20884/1.jks.2023.18.1.6593","url":null,"abstract":"Indonesia has the second-highest number of tuberculosis (TB) cases in the world. Many TB patients did not take their medicine at health care centers causing an increase in taking medication. This study aimed to develop a simple model for describing non-adherence to medication in TB patients. This study used an analytical with a cross-sectional approach. The following criteria were used in selecting the respondent: adolescent, able to read and write, and willingness to be a respondent. A total of 93 participants were recruited randomly. Data were collected through questionnaires and analyzed using logistic regression. The predisposing factors were knowledge, attitude, belief (p = 0.000), trust (p = 0.013), and values (p = 0.001). Family support (p = 0.034) and healthcare personnel support (p = 0.022) were reinforcing factors. The enabling factor was the healthcare facility (p = 0.000). This study found that the most dominant factor is knowledge (B = 56.4). The model was Logit (Pi) = 22.363 + 56.4 knowledge (1) + 22.56 belief (1) + 2.9 family support (1) + 0.577 healthcare support (1) + 0.061 healthcare facility (1). This study suggests that TB patients’ knowledge must be increased to improve their TB treatment and management.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124554050","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}
Pub Date : 2023-03-05DOI: 10.20884/1.jks.2023.18.1.6609
Yanuar Fahrizal, Ani Risma Wati, Puji Sutarjo, Neil M Martin
Self-quarantining is one of the coping mechanisms used during the pandemic. However, it can negatively affect the sufferer. Self-quarantine causes many students to play online games excessively. Understanding students' online game behavior during self-quarantine can help to prevent online game addiction and encourage positive self-quarantine activities. This study aims to investigate the online gaming experience during self-quarantine for university students who tested positive for COVID-19 during the pandemic. Phenomenological qualitative research was used. The study’s sample consists of ten university students from Yogyakarta who tested positive for COVID-19 and played online games during self-quarantine. Purposeful sampling was utilized, and data were collected through semi-structured in-depth interviews. The Colaizi method was then used to analyze the data. The results indicated four themes: (1) the changes in online gaming behaviors before and after being tested positive for COVID-19; (2) the influencing factors on online gaming behavior before and during self-quarantine, (3) the impacts of parenting styles on online gaming behaviors, and (4) the impacts/consequences of online gaming behaviors. Overall, during self-quarantine, the students changed their behavior during online gaming, which was influenced by internal and external factors. They also became aware of the consequences of excessive online gaming
{"title":"The Online Gaming Behaviour of University Students Undergoing Self-Quarantine","authors":"Yanuar Fahrizal, Ani Risma Wati, Puji Sutarjo, Neil M Martin","doi":"10.20884/1.jks.2023.18.1.6609","DOIUrl":"https://doi.org/10.20884/1.jks.2023.18.1.6609","url":null,"abstract":"Self-quarantining is one of the coping mechanisms used during the pandemic. However, it can negatively affect the sufferer. Self-quarantine causes many students to play online games excessively. Understanding students' online game behavior during self-quarantine can help to prevent online game addiction and encourage positive self-quarantine activities. This study aims to investigate the online gaming experience during self-quarantine for university students who tested positive for COVID-19 during the pandemic. Phenomenological qualitative research was used. The study’s sample consists of ten university students from Yogyakarta who tested positive for COVID-19 and played online games during self-quarantine. Purposeful sampling was utilized, and data were collected through semi-structured in-depth interviews. The Colaizi method was then used to analyze the data. The results indicated four themes: (1) the changes in online gaming behaviors before and after being tested positive for COVID-19; (2) the influencing factors on online gaming behavior before and during self-quarantine, (3) the impacts of parenting styles on online gaming behaviors, and (4) the impacts/consequences of online gaming behaviors. Overall, during self-quarantine, the students changed their behavior during online gaming, which was influenced by internal and external factors. They also became aware of the consequences of excessive online gaming","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127216654","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}
Pub Date : 2023-03-05DOI: 10.20884/1.jks.2023.18.1.6618
Nisachol Sangsuk, Thiranun Thipchart
Parent’s positive discipline strategies are very important to promote child development. However, the use of corporal punishment, psychological, physical, and sexual violence to child in the Southern Thailand is quite high. This study aimed to explore phenomenon of interest in the contextual relationship between parents’ discipline strategies and early childhood development and behaviors. This study employed a qualitative hermeneutic phenomenological approach. Sampling method using a purposive sampling strategy, potential participants who met the initial criteria were the primary caregivers, closely live with the children, and regarded to have had adequate experience with child rearing. The principle of data saturation was used to recruit 8 study informants. Thematic statements were identified from narrative data. Pattern of themes were interpreted by using a qualitative hermeneutic phenomenological approach. Trustworthiness of data was established following Lincoln and Guba’s criteria. This study found 4 themes included: 1) Parents’ positive discipline strategies, 2) Ineffective methods in disciplined the child, 3) Low self-discipline children lacked of self-control and poor emotional regulation, and 4) Disciplined children were full of self-regulation. Strengthen self-control and self-regulation should be done for training children to become disciplined. Parents should be trained positive discipline techniques for improving children’s behaviors
{"title":"Discipline Strategies: Parent’s Experiences for Early Childhood Development in North Eastern, Thailand","authors":"Nisachol Sangsuk, Thiranun Thipchart","doi":"10.20884/1.jks.2023.18.1.6618","DOIUrl":"https://doi.org/10.20884/1.jks.2023.18.1.6618","url":null,"abstract":"Parent’s positive discipline strategies are very important to promote child development. However, the use of corporal punishment, psychological, physical, and sexual violence to child in the Southern Thailand is quite high. This study aimed to explore phenomenon of interest in the contextual relationship between parents’ discipline strategies and early childhood development and behaviors. This study employed a qualitative hermeneutic phenomenological approach. Sampling method using a purposive sampling strategy, potential participants who met the initial criteria were the primary caregivers, closely live with the children, and regarded to have had adequate experience with child rearing. The principle of data saturation was used to recruit 8 study informants. Thematic statements were identified from narrative data. Pattern of themes were interpreted by using a qualitative hermeneutic phenomenological approach. Trustworthiness of data was established following Lincoln and Guba’s criteria. This study found 4 themes included: 1) Parents’ positive discipline strategies, 2) Ineffective methods in disciplined the child, 3) Low self-discipline children lacked of self-control and poor emotional regulation, and 4) Disciplined children were full of self-regulation. Strengthen self-control and self-regulation should be done for training children to become disciplined. Parents should be trained positive discipline techniques for improving children’s behaviors","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114216101","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}
Pub Date : 2022-11-29DOI: 10.20884/1.jks.2022.17.3.6313
Anung Puji Hastuti, Dwi Ari Murti Widigdo, B. Sarwono, Heru Supriyatno
Cardiovascular disease (CVD) is one of the non-communicable diseases which is the mayor leading cause of death in the world. One of the modifiable factors of cardiovascular disease is central obesity. Assessment of central obesity status was carried out by measuring waist circumference (WC) and waist-to-hip ratio (WHR). This study aimed to determine the relationship between WC and WHR with the risk of cardiovascular disease. This was an observational study with a cross-sectional design. There were 106 respondents selected using a convenience sampling technique. In this study, the risk of cardiovascular disease was calculated using the Jakarta Cardiovascular Score. The Spearman Rho’s was used as bivariate analysis for this study. The findings showed that WC and the risk of cardiovascular disease indicates a significant relationship with a moderate correlation (p <0.001 and r =0.467). Meanwhile, there was a significant relationship between WHR and the risk of cardiovascular disease (p<0.001 and r =0.385). Nurse may use this study result as an evidence to develop a preventive central obesity program.
心血管疾病(CVD)是一种非传染性疾病，是世界上主要的死亡原因。中心性肥胖是心血管疾病可改变的因素之一。通过测量腰围(WC)和腰臀比(WHR)来评估中心性肥胖状态。本研究旨在确定腰围和腰宽比与心血管疾病风险的关系。这是一项横断面设计的观察性研究。采用方便抽样的方法，选出了106名受访者。在这项研究中，使用雅加达心血管评分来计算心血管疾病的风险。本研究采用Spearman Rho 's作为双变量分析。研究结果显示，腰围与心血管疾病风险呈显著相关性(p <0.001, r =0.467)。同时，腰宽比与心血管疾病风险有显著相关(p<0.001, r =0.385)。护士可将此研究结果作为制定预防中心肥胖计划的依据。
{"title":"The Relationship of Waist Circumference and Waist-to-Hip Ratio with Risk of Cardiovascular Disease in Indonesia","authors":"Anung Puji Hastuti, Dwi Ari Murti Widigdo, B. Sarwono, Heru Supriyatno","doi":"10.20884/1.jks.2022.17.3.6313","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.6313","url":null,"abstract":"Cardiovascular disease (CVD) is one of the non-communicable diseases which is the mayor leading cause of death in the world. One of the modifiable factors of cardiovascular disease is central obesity. Assessment of central obesity status was carried out by measuring waist circumference (WC) and waist-to-hip ratio (WHR). This study aimed to determine the relationship between WC and WHR with the risk of cardiovascular disease. This was an observational study with a cross-sectional design. There were 106 respondents selected using a convenience sampling technique. In this study, the risk of cardiovascular disease was calculated using the Jakarta Cardiovascular Score. The Spearman Rho’s was used as bivariate analysis for this study. The findings showed that WC and the risk of cardiovascular disease indicates a significant relationship with a moderate correlation (p <0.001 and r =0.467). Meanwhile, there was a significant relationship between WHR and the risk of cardiovascular disease (p<0.001 and r =0.385). Nurse may use this study result as an evidence to develop a preventive central obesity program.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129500110","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}
Pub Date : 2022-11-21DOI: 10.20884/1.jks.2022.17.3.6596
๋Jaruwan Kownaklai, M. Hayter
Many women living with HIV intend to become pregnant. This is especially true for women who have received ARV treatment for a certain period. The purpose of this study was to explore the perspectives of nurses and Thai pregnant women living with HIV on pregnancy decision-making processes. This is a descriptive and qualitative study. Small group discussions were conducted with five nurses working with HIV-positive women and in-depth interviews were conducted with five Thai HIV-positive pregnant women. A model of the pregnancy decision-making process was provided to participants for the discussion. The nurses’ and women's perspectives on the model can be divided into two themes: 1) The perspective of the selected model and its five sub-themes, namely: 1.1) How the substantive model reflects the pregnancy decision-making process; 1.2) Complexity; 1.3) Usability; 1.4) Strength; 1.5) Weaknesses, in addition to the perspectives of women and nurses on the application of the model. The model reflects the real-life experiences and decision-making processes of Thai women with HIV, where each category shows the trail of the women's decision-making process. However, the model is complex and requires substantial explanation. From the participant's point of view, the model reflects the barriers to the practices and services provided.
{"title":"The Perspectives of Nurses and HIV-Positive Women on a Selected Model of Pregnancy Decision-Making Processes in Northeast Thailand","authors":"๋Jaruwan Kownaklai, M. Hayter","doi":"10.20884/1.jks.2022.17.3.6596","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.6596","url":null,"abstract":"Many women living with HIV intend to become pregnant. This is especially true for women who have received ARV treatment for a certain period. The purpose of this study was to explore the perspectives of nurses and Thai pregnant women living with HIV on pregnancy decision-making processes. This is a descriptive and qualitative study. Small group discussions were conducted with five nurses working with HIV-positive women and in-depth interviews were conducted with five Thai HIV-positive pregnant women. A model of the pregnancy decision-making process was provided to participants for the discussion. The nurses’ and women's perspectives on the model can be divided into two themes: 1) The perspective of the selected model and its five sub-themes, namely: 1.1) How the substantive model reflects the pregnancy decision-making process; 1.2) Complexity; 1.3) Usability; 1.4) Strength; 1.5) Weaknesses, in addition to the perspectives of women and nurses on the application of the model. The model reflects the real-life experiences and decision-making processes of Thai women with HIV, where each category shows the trail of the women's decision-making process. However, the model is complex and requires substantial explanation. From the participant's point of view, the model reflects the barriers to the practices and services provided.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"245 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131347238","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}
Pub Date : 2022-11-19DOI: 10.20884/1.jks.2022.17.3.6292
Wahyu Rochdiat Murdhiono, G. Y. Okinarum
Breastfeeding mothers have limited access to healthcare facilities during the pandemic, thus raising their risk of psychological stress. This study aimed to analyze the correlation between psychological stress with breastfeeding frequency and breastmilk volume. A cross-sectional survey was conducted with 120 exclusively breastfeeding mothers. The Perceived Stress Scale (PSS) was employed as a stress assessment indicator measuring tool. The measurement of breastmilk volume was performed using a manual breast pump two hours before or after the baby suckles to restore milk production. The frequency of breastfeeding was calculated by adding up the number of times the baby is breastfed in a day. The chi-square test was used in this study. It was found that 68 respondents (56.7%) reported experiencing mild to moderate stress. Stress levels were found to have a significant connection with breastfeeding frequency and breastmilk volume (p < 0.05). The respondents who experienced severe stress have a 2.63-times higher risk for breastfeeding <8 times/day and 33.2 times higher risk of producing breast milk <100cc than respondents who experienced mild-moderate stress. Concerns about the psychological stress of breastfeeding mothers highlight the critical need for good mental health and broader help from families during the pandemic.
{"title":"The Relationship between Psychological Stress with Breastfeeding Frequency and Breastmilk Volume during the COVID-19 Pandemic","authors":"Wahyu Rochdiat Murdhiono, G. Y. Okinarum","doi":"10.20884/1.jks.2022.17.3.6292","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.6292","url":null,"abstract":"Breastfeeding mothers have limited access to healthcare facilities during the pandemic, thus raising their risk of psychological stress. This study aimed to analyze the correlation between psychological stress with breastfeeding frequency and breastmilk volume. A cross-sectional survey was conducted with 120 exclusively breastfeeding mothers. The Perceived Stress Scale (PSS) was employed as a stress assessment indicator measuring tool. The measurement of breastmilk volume was performed using a manual breast pump two hours before or after the baby suckles to restore milk production. The frequency of breastfeeding was calculated by adding up the number of times the baby is breastfed in a day. The chi-square test was used in this study. It was found that 68 respondents (56.7%) reported experiencing mild to moderate stress. Stress levels were found to have a significant connection with breastfeeding frequency and breastmilk volume (p < 0.05). The respondents who experienced severe stress have a 2.63-times higher risk for breastfeeding <8 times/day and 33.2 times higher risk of producing breast milk <100cc than respondents who experienced mild-moderate stress. Concerns about the psychological stress of breastfeeding mothers highlight the critical need for good mental health and broader help from families during the pandemic.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"25 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132062024","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}
Pub Date : 2022-11-18DOI: 10.20884/1.jks.2022.17.3.5698
Albertus Budi Arianto, Yanny Trisyani, E. Emaliyawati
One of the aims of the care service in the Intensive Care Unit (ICU) is to prepare patients in end-of-life conditions to die in a dignified manner. This can be challenging due to decision-making problems and result in a dilemma. Therefore, this study explores the ethical dilemmas experienced by nurses that provide end-of-life care in the ICU. The qualitative phenomenological methodology was used to describe the ethical dilemmas nurses face during these conditions. The data were collected through in-depth interviews and were analyzed using Colaizzi. Purposive sampling was used to select a total of eight participants, i.e., ICU nurses, who have treated end-of-life patients. Four themes were obtained from this study, namely, “the dilemma between the family’s decisions and continuing care”, “patient’s life expectancy and the family’s hope”, “DNR decisions and the nurse’s confidence”, and “the family’s understanding of the information provided”. This study recommends that the assessment of end-of-life status in critical care areas, especially the ICU, should be conducted as soon as possible to have a clearer purpose for the care provided.
{"title":"Nurses’ Experience of Ethical Dilemma at the End-Of-Life Care in the Intensive Care Unit","authors":"Albertus Budi Arianto, Yanny Trisyani, E. Emaliyawati","doi":"10.20884/1.jks.2022.17.3.5698","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.5698","url":null,"abstract":"One of the aims of the care service in the Intensive Care Unit (ICU) is to prepare patients in end-of-life conditions to die in a dignified manner. This can be challenging due to decision-making problems and result in a dilemma. Therefore, this study explores the ethical dilemmas experienced by nurses that provide end-of-life care in the ICU. The qualitative phenomenological methodology was used to describe the ethical dilemmas nurses face during these conditions. The data were collected through in-depth interviews and were analyzed using Colaizzi. Purposive sampling was used to select a total of eight participants, i.e., ICU nurses, who have treated end-of-life patients. Four themes were obtained from this study, namely, “the dilemma between the family’s decisions and continuing care”, “patient’s life expectancy and the family’s hope”, “DNR decisions and the nurse’s confidence”, and “the family’s understanding of the information provided”. This study recommends that the assessment of end-of-life status in critical care areas, especially the ICU, should be conducted as soon as possible to have a clearer purpose for the care provided.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130642605","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}
Pub Date : 2022-11-18DOI: 10.20884/1.jks.2022.17.3.6570
Ratna Agustin, Aries Candra Ananditha, Yohanes Andy Rias, Jutharat Thongsalab
Perceived workload and organizational justice are significantly correlated with nurses’ intention to leave. However, limited studies have used a large sample to investigate this association. Therefore, this study aims to identify the association between perceived workload and organizational justice on nurses’ intention to leave. A cross-sectional online survey was conducted among 278 nurses by the simplified snowball sampling technique method from five hospitals in Surabaya, East Java Province, Indonesia. Adjusted odds ratios (AORs) and multiple linear regression were employed for data analysis. Perceived workload had increased intention to leave by 0.251-fold (95% CI = 0.20 to 0.31; p = <0.001). In addition, individuals with a high score of organizational justice are negatively associated with intention to leave -0.144 (95% CI = -0.19 to -0.10; p = <0.001) after the covariate variable has been adjusted. This study found a significant independent correlation between perceived workload and organizational justice toward nurses’ intention to leave. This suggests that nurses are more likely to consider leaving their jobs when they perceive a more significant workload and receive less organizational justice through policies and practices that intend to replenish resources.
感知工作量和组织公平感与护士离职意愿显著相关。然而，有限的研究使用了大样本来调查这种联系。因此，本研究旨在探讨感知工作量与组织公平感对护士离职意愿的影响。采用简化滚雪球抽样技术对印度尼西亚东爪哇省泗水市5家医院的278名护士进行了横断面在线调查。采用校正优势比(AORs)和多元线性回归进行数据分析。感知到的工作量增加了0.251倍的离职意愿(95% CI = 0.20至0.31;P = <0.001)。此外，组织公正得分高的个体与离职意愿呈负相关(95% CI = -0.19 ~ -0.10;P = <0.001)。本研究发现，感知工作量与组织公平感对护士离职意愿有显著的独立相关性。这表明，当护士认为工作量更大，并且通过旨在补充资源的政策和实践获得的组织正义更少时，他们更有可能考虑离职。
{"title":"The Relationship between Perceived Workload and Organizational Justice Toward Nurses’ Intention to Leave their Profession","authors":"Ratna Agustin, Aries Candra Ananditha, Yohanes Andy Rias, Jutharat Thongsalab","doi":"10.20884/1.jks.2022.17.3.6570","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.6570","url":null,"abstract":"Perceived workload and organizational justice are significantly correlated with nurses’ intention to leave. However, limited studies have used a large sample to investigate this association. Therefore, this study aims to identify the association between perceived workload and organizational justice on nurses’ intention to leave. A cross-sectional online survey was conducted among 278 nurses by the simplified snowball sampling technique method from five hospitals in Surabaya, East Java Province, Indonesia. Adjusted odds ratios (AORs) and multiple linear regression were employed for data analysis. Perceived workload had increased intention to leave by 0.251-fold (95% CI = 0.20 to 0.31; p = <0.001). In addition, individuals with a high score of organizational justice are negatively associated with intention to leave -0.144 (95% CI = -0.19 to -0.10; p = <0.001) after the covariate variable has been adjusted. This study found a significant independent correlation between perceived workload and organizational justice toward nurses’ intention to leave. This suggests that nurses are more likely to consider leaving their jobs when they perceive a more significant workload and receive less organizational justice through policies and practices that intend to replenish resources.","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"57 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133649473","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}
Pub Date : 2022-11-15DOI: 10.20884/1.jks.2022.17.3.6572
V. Kalanjati, Nurina Hasanatuludhhiyah, Annette d'Arqom, D. H. Arsyi, Putu Bagus, Dharma Permana, O. Pratiwi, Moh. Reza Farabi, Made Dwi, Yudiartana Putra Susila, Anggit Satriyo Yudhono, Natasya Nurvita Brillianti
The rapid spread of information and infodemic might result in public confusion and hinder the handling of the COVID-19 pandemic. Public comprehension of COVID-19 as part of health literacy is an important determinant to filter hoaxes from facts. Therefore, a scoring card called the Karlivid (the COVID-19 literacy and public vaccination scorecard) was developed to evaluate the individual’s comprehension level of COVID-19. A pilot study was conducted with this scoring card. The participants were recruited via consecutive random sampling by using emails from the researcher’s contact list (n=92). A total of 78.3% of the respondents were considered to have an adequate comprehension level. Approximately 77% of all respondents agreed that this card could help them know their comprehension level, 81.5% agreed that this card could improve their comprehension, 81.5% agreed that the items in this card could help them screen facts from hoaxes, and 81.5% agreed that the language used was easily understood by the laypersons. Therefore, the Karlivid is a valid and reliable scorecard that can be used to evaluate public comprehension of COVID-19. Most of the respondents also had a good level of comprehension of this assigned topic
{"title":"The use of a Scorecard to Evaluate the Public’s Comprehension of COVID-19: A Pilot Study","authors":"V. Kalanjati, Nurina Hasanatuludhhiyah, Annette d'Arqom, D. H. Arsyi, Putu Bagus, Dharma Permana, O. Pratiwi, Moh. Reza Farabi, Made Dwi, Yudiartana Putra Susila, Anggit Satriyo Yudhono, Natasya Nurvita Brillianti","doi":"10.20884/1.jks.2022.17.3.6572","DOIUrl":"https://doi.org/10.20884/1.jks.2022.17.3.6572","url":null,"abstract":"The rapid spread of information and infodemic might result in public confusion and hinder the handling of the COVID-19 pandemic. Public comprehension of COVID-19 as part of health literacy is an important determinant to filter hoaxes from facts. Therefore, a scoring card called the Karlivid (the COVID-19 literacy and public vaccination scorecard) was developed to evaluate the individual’s comprehension level of COVID-19. A pilot study was conducted with this scoring card. The participants were recruited via consecutive random sampling by using emails from the researcher’s contact list (n=92). A total of 78.3% of the respondents were considered to have an adequate comprehension level. Approximately 77% of all respondents agreed that this card could help them know their comprehension level, 81.5% agreed that this card could improve their comprehension, 81.5% agreed that the items in this card could help them screen facts from hoaxes, and 81.5% agreed that the language used was easily understood by the laypersons. Therefore, the Karlivid is a valid and reliable scorecard that can be used to evaluate public comprehension of COVID-19. Most of the respondents also had a good level of comprehension of this assigned topic","PeriodicalId":337731,"journal":{"name":"Jurnal Keperawatan Soedirman","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131041280","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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