Ristina Mirwanti
Faculty of Nursing Universitas Padjadjaran

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Journal : Journal of Nursing Care

Emergency Nurses’ Perceptions of Supportive Behaviors and Burdens in Providing End-Of-Life Care Santi Ariyanti; Etika Emaliyawati; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (865.377 KB) | DOI: 10.24198/jnc.v2i1.19023

Abstract

The high mortality rate in the Emergency Department (ED) is consistent with the high demand for the end of life (EOL) care. However, ED work system required to live-saving quickly and precisely. It affects the quality of EOL care. The purpose of this study was to determine nurses’ perceptions in ED related to supportive behaviors (SB) and burdens in providing EOL care to dying patients. The descriptive-quantitative method was used with a cross-sectional approach in 50 nurses Emergency Department at one of the tertiary hospitals in Indonesia. The samples were chosen using the total sampling technique. Data collection used emergency nurse perceptions of end of life care questionnaire. Data were analyzed using univariate analysis in the form of distribution, frequency, and mean. The result of the study showed that the three largest obstacles in EOL care were:  ED nurses’ work loads (mean=10.626), intra-family disagreements (mean=9.802), and deal with angry of family members (mean=9.472). The three largest supportive behaviors were teaching families how to act (mean=11.962), allowing family members adequate time with the patient after a patient died (mean=11.09), and good collaboration from health professionals (mean=10.886). According to this research, further studies are needed to minimize obstacles and improve supportive behaviors related to the nurse’s workload, the provision of spiritual teams, special training for the nurse and the provision of special rooms for EOL patients and their families. 
Knowledge And Self-Efficacy On “First Responder” In Giving First Aid Nadiya Miftah Karima; Aan Nuraeni; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (893.986 KB) | DOI: 10.24198/jnc.v2i1.18644

Abstract

Introduction: “First responder” is a lay person who get trained to do first aid. Doing first aid is influenced by knowledgeand self-efficacy of the helper. However, the study of knowledge and self-efficacy of first aid providers is limited. Thisstudy aimed to asses the knowledge and self-efficacy of first responders in doing first aid. Method: This research usedquantitative description method with cross sectional approach towards 65 first responder in a University in Bandung.The samples were selected using total sampling technique. The data were gathered using questionnaire of FirstAid Knowledge and Wilderness First Self-efficacy Scale. The data were analyzed through quantitative descriptionanalysis, including mean and frequency distribution. Result : The research found that 57 respondents (87,7%) hadlimited knowledge of first aid, in particular about health problems related to environment aspects. Meanwhile 62respondents (95,5%) %) had high self-efficacy especially on the ability to assess vital signs, yet they had low selfefficacy on conduct a spinal assessment (4.5%). Conclusion: There is needs for increasing knowledge about healthproblem related to the environment and self-efficacy about spinal assessment by providing materials and other kindsof learning methods aside from lectures, educational practice as well as experimental learning and simulations.In addition, first responders also need to improve their ability related environment aspects and spinal assessment.