Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)

Implementation of Disaster Preparedness in Hospitals by Emergency Department Nurses

Nyayu Nina Putri Calisanie — 2024-10-31

Aims: The purpose of this study is to determine the preparedness of emergency room nurses in handling disasters in hospitals.

Method: This study employs a qualitative research design, utilizing a single case study that focuses on the implementation of disaster preparedness by emergency room nurses in hospitals. The subjects of this case study are two nurses who meet the inclusion criteria: they have attended disaster preparedness training, work as emergency room nurses, have been part of the hospital disaster team for at least five years, and are considered reliable and competent sources of data related to the research objective. Purposive sampling was used to select the participants, and data was collected through in-depth interviews guided by an interview protocol.

Results: Four themes were identified: disaster preparedness, the organizational structure of disaster management functions and tasks, patient grouping, and the communication of clear, effective information along with coordination among medical personnel.

Conclusion: The study found that implementing preparedness among emergency room nurses in disaster management is crucial to ensure a prompt and effective response in emergency situations.

The Effect of Animation Video-Based Education Toward Stunting Knowledge and Attitude Among Female Adolescents in Jakarta

Yurongki Donana — 2024-10-31

Aims: The prevalence of stunting in Indonesia is one of the crucial problems that will have an impact on the next generation, so it needs to be prevented. Increasing stunting prevention knowledge and attitudes in adolescents related to health investment in the first 8000 days of life is important in reducing stunting rates. The aims of the study to identify the effect of investment education for the first 8000 days of life with animated videos as an effort to break the stunting cycle.

Methods: This study used the Quasi Experiment method with a two-group pre-posttest design with 214 respondents divided into an intervention group and a control group with 107 people in each group. The research analysis used Wilcoxon Rank and Manova.

Results: This study after being given the intervention showed that there were significant differences in the knowledge and attitude scores between the control group and the intervention group with a p-value of 0.000 (p <α 0.05).

Conclusion: This study shows that providing education on health investment in the first 8000 days of life with animated videos affects increasing knowledge and attitudes of young women in preventing stunting.

Managing Hypothermia in Emergency Exploratory Laparatomy: A Case Report

Putu Aditya Ika Wulandari — 2024-10-31

Aims: The writing of this case report aims to analyze the management of hypothermia in patients undergoing emergency laparotomy in the operating room.

Methods: This research method is a case report study with a retrospective approach by monitoring, interviewing, and using medical data of patients undergoing emergency exploratory laparotomy surgery in the Emergency Operating Room of Prof. Dr. I.G.N.G. Ngoerah Hospital. The data collected were the patient's disease course, diagnosis, actions, and nursing interventions.

Results: In both cases, the temperature was maintained between 35.5°C to 36°C using a combination of warm blankets, mattresses, and warmed NaCl.

Conclusion: This case report concludes that providing warm blankets, warm mattresses, and warm NaCl to wash the abdomen is beneficial in preventing perioperative hypothermia in patients undergoing emergency exploratory laparotomy. The operating room nurse is expected always to monitor the patient's temperature so as not to experience hypothermia.

Impact of Haemodialysis: Analysis of Haemoglobin Levels and Blood Pressure Control in Patients with End-Stage Renal Disease

Argi Virgona Bangun — 2024-10-31

Aims: To analyze the effect of hemodialysis on hemoglobin levels and blood pressure in patients with End Stage Renal Disease (ESRD).

Method: The study used a one-group pretest-posttest design with 17 respondents. Data were collected using EDTA tubes, sphygmomanometers, and stethoscopes. A paired t-test and Wilcoxon signed-rank test were applied to analyze the significance of changes between pretest and posttest results

Results: The mean hemoglobin level before hemodialysis was 7.92 g/dL and increased to 8.50 g/dL after hemodialysis (p = 0.001). The mean systolic blood pressure decreased from 136.6 mmHg before to 124.0 mmHg after hemodialysis (p = 0.003). However, there was no significant difference in diastolic blood pressure, with an average of 80.6 mmHg before and 78.6 mmHg after hemodialysis (p = 0.180).

Conclusion: It can be concluded that hemodialysis significantly increases hemoglobin levels and reduces systolic blood pressure in ESRD patients, while diastolic blood pressure remains unchanged. Regular monitoring of hemoglobin and systolic blood pressure is crucial for managing patient health. Hemodialysis effectively raises hemoglobin levels and reduces systolic blood pressure in ESRD patients. Regular monitoring of both parameters is essential for effective patient management. While the findings highlight the benefits of hemodialysis, the limited sample size may restrict the generalizability of the results. Further studies with larger sample sizes are needed to confirm these findings and explore the long-term implications.

The Correlation of Coping Strategies, Perceived Social Support, and Self-Reported Anxiety among Nursing Students during the COVID-19 Outbreak

Ferdy Lainsamputty — 2024-10-31

Aims: This study aims to investigate the correlation between coping strategies, perceived social support, and anxiety among nursing students during the COVID-19 pandemic.

Methods: A descriptive, correlational, cross-sectional study. Total sampling technique was used to recruit 106 nursing students. Data were collected using the Coping Strategies Inventory Short-Form (CSI-SF), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Generalized Anxiety Disorder-7 (GAD-7). Pearson correlation was employed to examine the relationships between key variables.

Results: Anxiety was significantly correlated with engagement (r = 0.192, p = 0.049), disengagement (r = 0.264, p = 0.006), emotion-focused engagement (r = 0.222, p = 0.022), and emotion-focused disengagement (r = 0.325, p = 0.001). However, social support and its subscales were not significantly correlated with anxiety (r = -0.007 to 0.147, p > 0.05).

Conclusions: The study suggests that students with higher anxiety tend to adopt more coping strategies, suggesting that targeted training, social support networks, and personalized interventions can improve their mental health.

Overview of Nurse Motivation in Adult Inpatient Room

Wiwiek Liestyaningrum — 2024-10-31

Aims: to determine the description of the level of nurse motivation in the inpatient ward of Dabo Regional Hospital.

Method: This study used a descriptive design with a total sampling of 44 nurses in the adult inpatient ward of Dabo Regional Hospital. Data were collected through a nurse motivation questionnaire consisting of 13 statements and analyzed using a frequency distribution.

Results: The results showed that 59.09% of nurses experienced low motivation, while 40.91% had high motivation. Demographic characteristics, such as age, gender, education, and length of service, influenced the level of motivation.

Discussion: Factors that influence nurse motivation include the work environment, management support, and reward systems. An unsupportive work environment and lack of appreciation from management contributed to this problem.

Conclusion: This study concludes that there is an urgent need to improve nurses' motivation at Dabo Regional Hospital through effective managerial strategies. Recommendations for further research are to determine the factors that influence nurses' work stress in adult inpatient wards.

The Effect of Application-Based Exergames on Cognitive Function in Hemodialysis Patients

Achmad Fauzi — 2024-10-31

Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues.

Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally.

Results: Inlcusion criteria was performing HD at least twice a week, age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups. The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size. The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group.

Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints.

Factors Affecting the Quality of Life of Patients with Chronic Renal Failure Undergoing Hemodialysis at RSUD Sekarwangi Sukabumi District

Johan Budhiana — 2024-10-31

Aims: Chronic renal failure is an increasingly prevalent global health issue, with hemodialysis as the most common treatment method. Factors affecting patients' quality of life include age, gender, education, occupation, and treatment duration. This study aimed to identify and examine these factors.

Methods: This cross-sectional study involved 80 hemodialysis patients at RSUD Sekarwangi Kabupaten Sukabumi, using total sampling and questionnaires for data collection. Logistic regression was used for data analysis, and the study received ethical approval.

Results: The Chi-square test results indicate that age, gender, education, occupation, duration of chronic kidney failure, and length of hemodialysis significantly influence the quality of life in chronic kidney failure patients (p < 0.005). Logistic regression analysis identified education as the dominant factor impacting quality of life (OR = 39.316).

Conclusion: The study reveals that age, gender, education, occupation, duration of chronic renal failure, and length of hemodialysis treatment significantly impact the quality of life of patients with chronic renal failure.

The Effect of Digital Problem Solving Therapy on Quality of Life in Pregnant Women Who Are Victims of Domestic Violence

Dian Priharja Putri — 2024-10-31

Aim: This study aims to determine the effect of digital problem-solving therapy (DPST) on the quality of life (QOL) of pregnant women who are victims of domestic violence.

Methods: The research was conducted using a quasi-experimental design with two groups: an intervention group receiving digital problem-solving therapy and a control group receiving standard care. The study took place over three months at the National Commission on Violence Against Women service centers and referral hospitals in Bekasi City, West Java. The intervention involved four sessions per month focusing on psychological well-being and QOL. A total of 100 pregnant women participated, meeting the criteria of being over three months pregnant, having experienced domestic violence, owning a smartphone, and living with their husbands.

Results: The results showed a statistically significant increase in QOL scores within the intervention group after the therapy, with a t-score of 13.76 and a p-value of 0.001. Additionally, the intervention group exhibited a larger improvement in QOL at post-test compared to the control group (ß = 8.20, p < 0.001).

Conclusion: Digital problem-solving therapy significantly improves the quality of life of pregnant women experiencing domestic violence. Future studies should explore the effectiveness of this intervention among more diverse research groups, focusing on participants with varied mental health and psychological characteristics.

The Effect of Combined Foot Massage and Nature Music on the Sleep Quality of Critically Ill Patients

Nunung Nurhayati — 2024-10-31

Aims: Critical patients in ICU and HCU often experience poor sleep due to excessive stress and various symptoms like environmental factors, pain, noise, anxiety, and physical discomfort. Foot massage and natural music interventions can help meet their sleep needs, providing a relaxing effect and improving physical and psychological conditions. The purpose of this study is to determine the effect of providing combination therapy of foot massage and natural music therapy in Dr. Hospital's peacock room Salamun 2023.

Methods: This type of research is pre-experimental with a pre-post test of one group and uses the Richard Champbell Sleep Questionnaire (RCSQ). Then the data was processed using a paired sample T-test. The sample in this study is 16 respondents.

Results: The results of the statistical test obtained a p-value of 0.01, meaning that there was an effect between the pretest and posttest of the combination of foot massage and natural music therapy on the quality of sleep in critical patients in the peacock room at Dr. Salamun Hospital, Bandung City, 2023.

Conclusions : the conclusion of this study is that there is an effect of foot massage therapy and natural music on the sleep quality of critical patients as shown by the results of measuring the quality of critical patients before and after consecutive interventions with massage of both feet combined with natural music. For 10 minutes it has been proven to be able to improve sleep quality in critically ill patients so that this intervention can be applied as a therapy to improve sleep quality.

The Effect of Leadership Style and Work Discipline on The Performance of Executive Nurses at Bhayangkara Setukpa Lemdikpol Hospital, Sukabumi City

Abdul Rahman La Ede — 2024-10-31

Aims: Nursing services require high performance, which can be influenced by factors such as work discipline and leadership style. The aim of this study was to analyze the effects of leadership style and work discipline on the performance of nurses at Bhayangkara Setukpa Lemdikpol Hospital in Sukabumi City.

Methods: This study employed a correlational design with a cross-sectional approach. The population comprised executive nurses at Bhayangkara Setukpa Lemdikpol Hospital in Sukabumi City, with a sample size of 68 individuals selected through total sampling. Data collection was conducted using questionnaires, and the statistical analysis was performed using simple linear regression and multiple linear regression tests.

Results: The results showed that there was a significant influence of leadership style (p=0.000) and work discipline (p=0.000) on the performance of executive nurses. And there is a simultaneous influence of leadership style and work discipline on the performance of executive nurses (p<0.05).

Conclusion: The findings of this study indicate a simultaneous influence of leadership style and work discipline on the performance of executive nurses. To enhance performance, it is recommended that the hospital provide guidance and support in developing leadership skills and promoting work discipline among the nursing staff. Such initiatives could lead to improved outcomes in nursing services and overall hospital effectiveness.

Empowering Post-Stroke Patients to Improve Self-Care and Prevent Recurrent Stroke Using Stroke Empowerment Education

Christina Dewi Prasetyowati — 2024-10-31

Aims: Stroke can lead to varying outcomes, ranging from recovery with disability, death, to surviving with recurrent strokes. Post-stroke patients require special attention to improve self-care behaviors. Stroke empowerment education is an educational approach given to stroke patients with an empowerment-focused approach centered on the patient. This study aimed to determine the effect of stroke empowerment education on the self-care of post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri.

Methods: The research design used was a Quasi-Experiment with a pre-post test design with a control group. Sampling was done using accidental sampling technique, resulting in 98 respondents. Data collection on self-care was conducted using the modified version of The Subjective Self-Care Performance Scale questionnaire.

Results: The results of the Wilcoxon Signed Ranks Test showed significant improvement (p = 0.000) in self-care among post-stroke patients after Stroke Empowerment Education.

Conclusion: This study concluded that there was an effect of stroke empowerment education on improving self-care among post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. As a recommendation, the results of this study can be continued as an intervention in hospitals to enhance services for post-stroke patients to improve self-care as an effort to prevent recurrent strokes.

Nursing Care for Septic Shock Patients Using Indonesian Nursing Standards: A Case Reports

Firman Sugiharto — 2024-10-31

Aims: This case report aimed to identify gaps in applying the Nursing Standard Guidelines of the Indonesian Association in critical care, specifically focusing on patients with septic shock.

Methods: This study used a case report with a nursing care approach that includes an assessment to evaluation. Nursing care was provided to a patient who was experiencing septic shock, was on a ventilator, and had experienced organ failure.

Results: A 63-year-old man on mechanical ventilator was diagnosed with septic shock caused by community-acquired pneumonia. The nursing diagnoses for this case included impaired spontaneous ventilation related to respiratory muscle weakness, ineffective airway clearance related to the accumulation of secretions, peripheral tissue perfusion disorders related to changes in fluid regulation, and risk of infection. The study identified inappropriate nursing diagnoses, such as 'impaired spontaneous ventilation for patients on mechanical ventilation.

Conclusion: This study concludes that there are still several gaps in diagnosing and managing clinical conditions in critical cases. The nursing problem of impaired spontaneous ventilation should not have been identified as the patient was already on a ventilator. Additionally, there was no actual diagnosis for impaired organ perfusion or infection. This case report recommends further developing the Nursing Standard Guidelines of the Indonesian Nursing Association to optimize coverage of critical care. Recommendations include revising the Indonesian Nursing Diagnosis Standards to align with critical care needs. This enhancement will help nurses and clinicians in critical care not experience confusion when applying the current guidelines.

Evaluating the Impact of Semi-Immersive Virtual Reality on Urinary Catheterization Skills, Motivation, and Satisfaction in Nursing Students

Bagus Sholeh Apriyanto — 2024-10-31

Aims: The basic core skill and competency nursing students need is urinary catheterization. Semi-immersive virtual reality (SIVR) based research innovations based on situational learning theory have not been widely used to improve student proficiency. This study aimed to analyze the skills, motivation, and satisfaction of nursing students with urinary catheterization learning before and after the implementation of SIVR.

Methods: The study was designed as a pre-test and post-test randomized controlled trial (RCT). The study population was undergraduate nursing students at the Bhakti Wiyata Health Sciences Institute, Kediri. The SIVR group (n=52) received catheterization skill practice through SIVR, whereas the control group (n=52) was given 2-dimensional video learning. The results obtained were catheterization skills, motivation, and satisfaction, which were evaluated before and after the intervention. In this study's statistical test analysis, the chi-square test and the independent t-test were used.

Results: Post-test results showed a significant improvement in catheterization skills in the SIVR group (M = 92.74, SD = 1.05, p = 0.032) compared to the control group (M = 79.95, SD = 1.51), a significant improvement in motivation in the SIVR group (M = 6.48, SD = 0.54, p = 0.010) compared to the control group (M = 5.23, SD = 0.49), and a significant improvement in satisfaction in the SIVR group (M = 3.49, SD = 0.83, p = 0.024) compared to the control group (M = 2.88, SD = 0.52).

Conclusion: SIVR simulation and video learning can improve nursing students' skills, motivation, and satisfaction. SIVR program learning can be recommended as an intervention for the effectiveness of the quality of practical learning following current technological advances and in the long term it is expected to improve graduates' practical skills.

Patient Safety Culture Among Nurses: Comparison Between Public and Private Hospital in Indonesia

Lilis Suryani — 2024-10-31

Aims: This study aimed to describe the patient safety culture among nurses working in both public and private hospitals in Karawang, Indonesia. By examining the perceptions and practices of nurses regarding patient safety, the research sought to identify strengths and areas for improvement within the healthcare system. The findings are intended to inform strategies for enhancing patient safety practices, thereby contributing to better healthcare outcomes for patients in the region.

Methods This study employed a cross-sectional methodology to investigate the patient safety culture in the intensive care units of two private and two public hospitals in Karawang, Indonesia. The researchers utilized the Hospital Survey on Patient Safety Culture (HSPSC) to gather data on nurses' perceptions and practices regarding patient safety. To analyze the data and identify any significant differences in patient safety cultural practices between the various hospital groups, both chi-square tests and independent t-tests were conducted. This approach allowed for a comprehensive assessment of the patient safety culture within the selected hospitals, facilitating comparisons between public and private healthcare settings.

Results The study included a total of 118 nurses, with 52 working in a public hospital and 66 in a private hospital. The average age of nurses in the public hospital was 36.11 years (SD: 4.78), while those in the private hospital had a lower average age of 32.45 years (SD: 3.67). The results indicated a significant difference in the scores related to patient safety culture between the two groups of nurses. Specifically, nurses in the private hospital reported a higher patient safety culture compared to their counterparts in the public hospital, highlighting the disparities in perceptions and practices regarding patient safety in these different healthcare settings.

Conclusion Nurses employed in private hospitals reported a higher level of patient safety culture compared to those working in public hospitals. This finding underscores the importance of creating a comfortable work environment in healthcare settings, as it is essential for minimizing the risk of patient safety incidents. By fostering a supportive and safe atmosphere, healthcare facilities can enhance the overall quality of care provided to patients and promote better outcomes in both private and public hospitals.

Overview of Resilience in High School Students

Iyus Yosep — 2024-10-31

Aim: This study aims to determine the description of resilience in students at Bandung High School.

Method: This study used a descriptive design with purposive sampling technique, involving 100 respondents consisting of students from grades X to XII aged 12 to 19 years. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC), which consists of 25 statements with a score range of 0-100. The results of the validity and reliability tests showed that the instruments used were valid and reliable.

Results: The results showed that 30% of respondents had a high level of resilience (30 students), 42% were at a moderate level of resilience (42 students), and 28% had low resilience (28 students). The average resilience score was 60.94, with a score range between 35 and 100. These findings indicate the need for special attention to students with low resilience, who are at risk for psychological problems such as anxiety and depression. Social support, coping skills, and specially designed intervention programs can help improve resilience among students.

Conclusion: This study underscores the importance of understanding high school students’ resilience levels to support their mental and academic well-being. More effective support programs for students with low resilience are needed, as well as further research to explore factors that influence resilience.

The Relationship Between Blood Pressure Increase and Sleep Quality of Hypertension Sufferer in Lebaksitu Village

Friska Friska — 2024-10-31

Aims: to determine the relationship between increased blood pressure and changes in sleep quality in hypertension sufferers.

Method: The study design used a correlational approach with a cross-sectional method. The number of samples was 66 respondents using a purposive sampling technique. Data collection techniques used a sleep quality questionnaire and standardized manual blood pressure measuring instrument. Data processing included editing, coding, entry and cleaning with the SPSS application to analyze univariate and bivariate.

Results: this study showed that the majority of blood pressure in hypertension sufferers was in the grade I category of 45.6% with poor sleep quality of 81.8%. The results of this study also showed a significant relationship between increased blood pressure and sleep quality in hypertension sufferers with a significance value of 0.028 (<0.05).

Conclusion: Increased blood pressure causes headache symptoms in hypertension sufferers which disrupts the sleep cycle and worsens the quality of sleep in hypertension sufferers.

Factors Influencing The Incidence of Stunting in Toddlers in The Work Area of Kadudampit Health Center, Sukabumi District

Rima Novianti Utami — 2024-10-31

Aims: The purpose of this study was to identify the factors that influence the incidence of stunting in toddlers within the working area of Kadudampit Health Center, Sukabumi District.

Methods: This research employed a correlational design with a cross-sectional approach. The population consisted of all mothers with toddlers in Sukamaju Village, within the Kadudampit Health Center working area of Sukabumi District, totaling 362 respondents. A simple random sampling technique was used to select participants. Data analysis was conducted using the chi-square test and logistic regression analysis.

Results: There is a significant influence of maternal knowledge, parenting patterns, economic status, maternal education, and exclusive breastfeeding on the incidence of stunting (p < 0.05). Additionally, these factors collectively influence the incidence of stunting. Among these variables, economic status is the most dominant factor affecting stunting, with an odds ratio (OR) value of 13.207.

Conclusion: There is a simultaneous influence of maternal knowledge, parenting, economic status, maternal education, and exclusive breastfeeding on the incidence of stunting, with economic status being the most dominant variable affecting stunting.

Exploring the Impact of Social Support on Tuberculosis Treatment: A Thematic Review

Syamikar Baridwan Syamsir — 2024-10-31

Aims: Tuberculosis (TB) remains a critical global health issue, characterized by significant morbidity and mortality rates. Recent research highlights the potential of social support interventions to enhance TB treatment outcomes and improve patient quality of life. This study examines the positive effects of social support interventions on TB patients throughout their treatment process.

Method: Utilizing a traditional review approach, this study applies thematic analysis to synthesize findings from the literature. The review encompasses 17 articles selected from reputable databases, including PubMed, Wiley Online Library, ProQuest, and Google Scholar, based on predefined inclusion criteria. These articles underwent quality assessment using the Critical Appraisal Skills Programme (CASP) tool. The PRISMA flowchart provided transparency in the selection process.

Results: Key themes identified through the analysis include treatment adherence, psychological well-being, motivation to recover, health-related quality of life, prevention of TB transmission, successful TB treatment, and self-efficacy to recover.

Conclusion: The findings suggest that social support interventions can play a crucial role in addressing the persistent challenges of TB management globally.