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Validity and Reliability of Indonesian Public Health Nursing Competencies in Achieving Indonesian Healthy Program with a Family Approach: A Pilot Study Susanto, Tantut; Susumaningrum, Latifa Aini; Rasni, Hanny; Yunanto, Rismawan Adi
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.29748

Abstract

Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesia play a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal. Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA. Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) program from 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHN core competencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’ α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safe birth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesiaplay a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal.Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA. Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) programfrom 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHNcorecompetencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safebirth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.
PELATIHAN MITIGASI BENCANA PADA SANTRI USIA SEKOLAH DI YAYASAN SUBULUS SALAM KABUPATEN JEMBER Zetti Finali; Rismawan Adi Yunanto; Muhamad Zulfatul A’la
Jurnal Pengabdian Masyarakat Ilmu Keguruan dan Pendidikan (JPM-IKP) Vol 3, No 2 (2020): Jurnal Pengabdian Masyarakat (JPM-IKP)
Publisher : FKIP Universitas Trilogi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31326/jmp-ikp.v3i2.700

Abstract

Pendidikan atau pelatihan mitigasi bencana dapat dilakukan sejak dini. Pelatihan mitigasi bencana pada sekelompok anak sekolah dasar merupakan solusi konkrit untuk meningkatkan kewaspadaan terhadap bencana banjir di Desa Sidomulyo. Permasalahan mitra yang dihadapi adalah Kurikulum atau mata pelajaran yang spesifik membahas mitigasi bencana atau kesiapsiagaan bencana di pondok pesantren Subulus Salam masih belum diberlakukan. Metode pelaksanaan pada pengabdian ini adalah: tahap wawancara dengan pengelola pondok dan guru/ustadz; Tahap Penyusunan modul; dan Tahap pelatihan. Hasil pengabdian didapatkan bahwa pengurus ponpes mendukung penuh terhadap program ini dan hasil pelatihan menggambarkan terdapat peningkatan kesiapan santri ponpes Subulus Salam dari 16.3% ke 100%.  Kedepannya, perlu adanya pelatihan
EFFECT OF INSTRUCTIONAL VIDEO OF SPLINTING PROCEDURE TO NURSING STUDENTS SPLINTING SKILL (PREHOSPITAL SETTING) Rismawan Adi Yunanto; Yuana Dwi Agustin
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Musculoskeletal injuries (MSI) is one kind ofinjury that is often experienced by people who havean accident (Chalya et al. 2012). Fracture is one ofthe symptom caused by some types of accidentssuch as traffic accidents (45.3%), falls (42.6%),workplace accidents (8.9%), sport accidents (2.2%),or as a result of gun shots (0.89%). The effect ofmusculoskeletal injuries is the emergence ofextreme pain, mobilizing problem, and severebleeding that may also occur depending on thelocation and type of the fracture (Vyas et al. 2014).Research conducted by Mishra and Mishra (2015)showed that in 30% of patients who had an accident,18% had a single fracture, while some patients hadmultiple fractures. The complications due tofractures can be a serious problem such as malunion,nonunion, pain, loss of function, muscle atrophy,cartilage degeneration, stiff / swollen joint, deepvein thrombosis (DVT), pulmonary embolism (PE),and died due to massive bleeding (Mehta et al.2014).Prehospital care and transportation for patientswho had fracture must done immediately in order toprevent the injured bone getting worse and canreduce the extreme pain which emerged as a resultof fracture (El-Dakhakhny, 2010). Splinting is one ofthe procedure that is given with the purpose to givean immobilization in a patient (Irajpour et al. 2012).As a simple technique, splinting procedure is veryeasy to do as an effective option that highly effectivein the treatment of patient with fracture on theemergency situation (Alton et al. 2014). Splintingprocedure is quite simple, but it require a form ofunderstanding and set of skills to do correctly.Nursing students have a very important role inassisting the process of handling victims who issuffering from fracture. They also need to have aspecial skill in doing a splinting procedure. Aninnovative teaching method using technology is veryimportant for nursing student to master the splintingprocedure effectively (Parasuram et al. 2014).One of the strategies of innovative learningmodel based on modern technology is an audiovisualinstructional video that gives a real applicationconcept of nursing procedure or other nursingexperience in a video form (Jenson & Forsyth, 2012).The use of this model will provide an understandingof the concept for nursing students independently togain the knowledge and also the set of skills (Cant &Cooper, 2010). Smith and Hamilton (2015) in theirresearch on the effects of instructional video as oneof strategies of learning in nursing student showedthat the model of learning with instructional videoprovided convenience for nursing students toenhance clinical skills for the basic competencies innursing.The purpose of this study is to determine theeffect of instructional video of splinting procedure tonursing students splinting skill.
Effectiveness of Yoga, Fast of Dawood, Green Tea and Apple Juice as Suppressors of PPAR-γ, C/EBP-α, and SREBP-c for Management of Obesity on Adolescents Lutfian Lutfian; Aris Munandar; Rismawan Adi Yunanto; Ahmad Rizki Nur Hakiki
Nursing and Health Sciences Journal (NHSJ) Vol. 1 No. 3 (2021): December 2021
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v1i3.79

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Obesity is a condition that can increase the risk of some diseases such as reduced brain capacity, dyspnea, skin irritation, hypertension, and diabetes. Proper treatment is needed to overcome the problems of obesity. The objective of this study was to investigate the effectiveness of Yoga, fast of Dawood, Green Tea, and Apple juice to suppressor PPAR-γ gene activity, C / EBPα, and SREBP-c to manage obesity in adolescents. The method used in this study was a literature review from journal publications through the database ScienceDirect, PUBMED, and google scholar, and the criteria were Indonesian and English with a range of publication years 2014-2019. Nine main articles were used as references in this study. These articles proved that yoga therapy could maintain the balance and health of the physical, emotional, and spiritual dimensions, and Fast of Dawood can limit the amount of calorie intake at a particular time. Moreover, by consuming green tea as a source of polyphenol derivatives and apples with high of flavanol, anthocyanidin, dihydrochalcones, and hydroxycinnamic acid could decrease adolescents' body weight. Yoga and Fast of Dawood exercise can reduce adipogenesis and induce reverse cholesterol transport, cellular cholesterol released, reduced pro-inflammatory cytokines dan decreased the incidence of obesity.
COMPARISON OF CPR TRAINING WITH MOBILE APPLICATION AND SIMULATION TO KNOWLEDGE AND SKILL OF CPR Rismawan Adi Yunanto; Titin Andri Wihastuti; Septi Dewi Rachmawati
NurseLine Journal Vol 2 No 2 (2017): November 2017
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v2i2.5943

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Out-of-Hospital Cardiac Arrest (OHCA) is the focus of global health problems with high mortality rate. The delay of reporting and giving a quick CPR are the common causes of the problem. The solution that can be done is to provide CPR training in the community to form a CPR bystander who can provide CPR to the victim. This study aimed to analyze the comparison of CPR training based on mobile application and simulation to the knowledge and skill of CPR. This research was quasi experimental with pretest-posttest design. Fifty respondents were divided into two groups: mobile application and simulation. Respondents were determined by purposive sampling technique. Data were collected using questionnaires and observation sheets. Data were analyzed using dependent t test and independent t test. The result of dependent t test showed that mobile application group had a significant influence on increasing the knowledge (p = 0.000) and the skill (p = 0.000) of CPR. The simulation group also showed the same result. Independent t test showed that there was a significant difference of knowledge between mobile application and simulation. Mobile application had greater score than simulation group (p=0.021). There were also significant differences between mobile application group and simulation group in skill of CPR. The simulation group had greater score of CPR’s skill than mobile application group (p=0.044). The result shows that CPR training using mobile application can give bigger influence on increasing the knowledge, while simulation method can give bigger influence on increasing the skill in doing CPR.
Prevalence of Hypertension and Related Factors Among Older People In Nursing Home of Jember, East Java, Indonesia Rismawan Adi Yunanto; Tantut Susanto; Hanny Rasni; Latifa Aini Susumaningrum; Kholid Rosyidi Muhammad Nur
NurseLine Journal Vol 4 No 2 (2019): November 2019
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v4i2.14931

Abstract

Older people (OP) have high risk for hypertension related with changing during older process in particularly system of cardiovascular. The purpose of this study is to identify prevalence of hypertension and related factors among OP in nursing home of Jember, East Java, Indonesia. A cross-sectional study was conducted among 42 of OP in nursing home. A self-administered questionnaire was used to identify characteristic of participants. Data of activity daily living, cognitive function, emotional status, depression status, and spiritual activity was measured using Katz Index of Independence in Activities of Daily Living (ADL), Short Portable Mental Status Questionnaire (SPMSQ), The Mini Mental State Examination (MMSE), Depression Anxiety Stress Scale 14 (DASS-14), and Daily Spiritual Experience Scale (DSES), respectively. Blood pressure was measured using a standard protocol employing a stethoscope and sphygmomanometer. A logistic regression analysis was used to determine factors related to hypertension among OP. Blood pressure of systolic and diastolic among OP were 131.90 ± 16.56 mmHg and 82.02 ± 10.18 mmHg, respectively. The prevalence of systolic and diastolic hypertension among OP in nursing home were 38.1% and 21.4%, respectively. The factors of systolic hypertension were age (p= 0.038), activity daily living (p= 0.043), depression status (p= 0.012), and spiritual activity (p= 0.015). Meanwhile, factors of diastolic hypertension were age (p= 0.041) and education (p= 0.049). Increasing age of OP related a risk factor of hypertension by supported by there are psychological problems like depression, although could be reduced by existence of spiritual activity of OP. Provision of health education on changes in the cardiovascular system and adaptation of lifestyle changes in the OP will be able to reduce hypertension factors in the OP.
TEENAGER CADERIZATION TO RESPOND TO CARDIAC ARREST USING SMARTPHONE APPLICATION "BE ABYSTANDER" Septi Dewi Rachmawati; Shila Wisnasari; Titin Andri Wihastuti; Rismawan Adi Yunanto; Dudella Desnani Firman Yasin
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 2 (2021): CARING Jurnal Pengabdian Masyarakat (Agustus 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.43 KB) | DOI: 10.21776/ub.caringjpm.2021.001.02.5

Abstract

Out-of-Hospital Cardiac Arrest (OHCA) is considered as a global health problem because of its high incidence and low survival rates. Cardiopulmonary Resuscitation (CPR) performed immediately by a bystander for OHCA patients increases the patients’ survival rate. However, the rate of CPR for OHCA patients remains very low due to the lack of willingness to become a bystander. One way to increase the number of CPR bystanders is by providing training on how to perform CPR. Students is considered to be the best bystander candidate because of their high curiosity and ability to memorize complex objects. This community service aims to increase the survival rates of OHCA patients through the youth cadreization responding to cardiac arrest using the Smartphone Application "Be A Bystander". This community service activity includes providing education about cardiac arrest and CPR, training on CPR with the simulation method (roleplay), and training on CPR using the “Be a Bystander” application. The indicators of the success of this community service are an increase in the knowledge, skills, and willingness of participants to become a bystander. Evaluation showed a significant increase in knowledge (p = 0.000), skills (p = 0.000), and willingness (p = 0.000) of participants before and after programs were carried out. After this community services activity, we hope more students are willing to become a competent bystander.
Covid 19: Public Knowledge and Preventive Behaviors Wantiyah Wantiyah; Fahmi Essa Syafriansyah; Rismawan Adi Yunanto
The Indonesian Journal of Health Science Vol 13, No 2 (2021): The Indonesian Journal of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v13i2.5659

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Background and Aim: Coronavirus disease 2019 (COVID-19), an infectious disease caused by severe acute respiratory syndrome coronavirus is being the world serious problem with the total case that has elevating dramatically. The people knowledge about Covid-19 is prominent aspect in deal with the behavior to prevent the transmission of covid-19. The aim of this research is to identify the relationship between the level of knowledge and covid-19 prevention behavior within population.Methods: This research used cross sectional approach. The survey was conducted using questionnaires that was requested and then collected online used Google Forms among 289 respondents on March-April 2021. The questionnaires examined the demographic of respondents’, covid-19 knowledge and preventive behaviors.  This research was conducted in a district at Lumajang, East Java, Indonesia.Results: The Majority (79,6 %) of respondents were at good level of knowledge about Covid-19, 18,3 % have enough knowledge, and the rest  (2,1 %) were at poor level. Meanwhile, for the preventive behavior, Most respondents (84,8%) have implemented good behaviors in preventing the transmission such as doing hand washing, wearing mask, and maintaining physical or social distancing.Conclusion: There is a correlation between the level of knowledge about covid-19 and preventive behaviors (p: 0,001; r: 0,568; α: 0,005). Hence, the higher the knowledge, the better the behavior to prevent the transmission of Covid-19. Therefore, public awareness to access the right information about covid-19 is essential to enhance people in performing preventive behaviors during pandemic era.
PENGARUH PENDIDIKAN KESEHATAN PERTOLONGAN PERTAMA TERSEDAK PADA BALITA DENGAN MEDIA AUDIO VISUAL TERHADAP SELF EFFICACY IBU BALITA RIZKIANA RASMAN; BASKORO SETIOPUTRO; RISMAWAN ADI YUNANTO
Jurnal Ners Vol. 6 No. 1 (2022): APRIL 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v6i1.3794

Abstract

Tersedak merupakan salah satu penyebab morbiditas dan mortalitas pada anak-anak terutama pada usia 3 tahun kebawah. Self efficacy adalah keyakinan seseorang akan kemampuannya untuk dapat melakukan atau menyelesaikan suatu persoalan yang dapat menjadi pendukung keberhasilan tindakan pertolongan pertama tersedak dan dapat mengurangi kematian pada anak akibat tersedak. Media audio visual di asumsikan dapat menjadi media yang efektif dalam pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan pertolongan pertama tersedak pada balita dengan media audio visual terhadap self efficacy. Metode yang digunakan adalah penelitian quasi experimental dengan desain nonequivalent control group. Sampel sebanyak 44 Ibu balita yang diambil secara purposive sampling dan dibagi menjadi 2 kelompok. Instrumen penelitian menggunakan kuesioner self efficacy dan media audio visual. Data dianalisis dengan uji Wilcoxon sign test dan Mann Whitney. Hasil uji menunjukkan nilai p uji wilcoxon, kelompok eksperimen adalah 0,001 dan pada kelompok kontrol 0,317, sedangkan menurut uji mann Whitney diperoleh nilai p 0,001 (a=0,05) dapat disimpulkan bahwa terdapat pengaruh pendidikan kesehatan pertolongan pertama tersedak dengan media audio visual terhadap self efficacy Ibu balita. Kata Kunci: Tersedak, Media audio visual, Self efficacy Abstract Choking is one of the causes of morbidity and mortality in children, especially those aged 3 years and under. Self-efficacy is someone’s belief in their ability to be able to do or solve a problem. It can support the success of choking first aid and reduce deaths in children due to choking. Audio-visual media is assumed to be an effective media on providing health education. This study aimed to analyze the effect of health education about choking first aid for underfive toddlers using audio-visual media on self-efficacy. The method used quasi experimental reseach design with nonequivalent control group design. The samples were 44 underfive toddler’s mother picked by purposive sampling and devided into two groups. The research instruments used Self Efficacy Quesioner and audio-visual media. The Data were analyzed by Wilcoxon sign rank test and Mann Whitney test. The result showed p value of Wilcoxon sign rank test in experimental group was 0,001 and 0,317 in control group, while by Mann Whitney obtained p value of 0,001 (a=0,05). It can be concluded that there was an influence of health education about choking first aid using audio-visual media on the self-efficacy of underfive toddler’s mother. Keywords: Choking, audio-visual media, self-efficacy
The Comparing of Problem-Based Learning and Lecture-Based Learning on Students’ Learning Outcomes and Satisfaction for a Family Health Nursing Course Tantut Susanto; Hanny Rasni; Latifa Aini Susumaningrum; Rismawan Adi Yunanto
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Problem - Based Learning (PBL) is a method of student-centered learning. In PBL, students become centered to the learning process, whereas the teacher is the center of learning in lecture-based learning (LBL). Purpose: This study aimed to compare the effects of PBL and LBL on students’ learning outcomes and satisfaction on an undergraduate nursing course.  Methods: Quasi-experimental study. Participants included 161 students from two different classes of the course; in 2013, as a control group (n = 88) and in 2014 as an intervention group (n = 73). Both groups received LBL, which is practice in the lab and clinic, but the intervention group also received PBL. Secondary data analysis of students’ learning outcomes was measured using students’ learning progress in tests from lecture (theory, paper, laboratory, and clinical), while students’ satisfaction was measured using teaching method evaluation from students.  Results: Students’ learning outcomes (theory, laboratory, and clinical) in the PBL group were significantly more than in the control group (p<0.001), whereas paper lesson outcomes were higher in control group compared to the intervention group (t=6.43; p<0.001; 95% CI=1.46-2.76). There was more satisfaction with the PBL method. There was no relationship between students’ satisfaction and learning outcomes (p>0.05). However, students considered greater satisfaction in PBL compared to LBL.  Conclusions: In problem-based learning, students contributed a lot to solving the problem and getting the skills and knowledge they needed. Students are also expected to be motivated.