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Joko Gunawan
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INDONESIA
Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
Arjuna Subject : -
Articles 404 Documents
PRACTICES FOR PREVENTION NEEDLESTICK AND SHARPS INJURIES AMONG NURSING STUDENTS Anh Tran Thi Quynh; Katrina Einhellig
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.282 KB) | DOI: 10.33546/bnj.63

Abstract

Background: Needlestick and sharp injuries are a serious hazard in any health care setting for health care workers and students during clinical practice. Thus, the efforts to prevent the needlestick and sharps injuries are needed and considered a part of the routine practice.Objective: This study aimed to investigate the frequency of nursing students in doing the correct practice in prevention needlestick and sharps injuries.Methods: This cross- sectional study was conducted between 2013 and 2014 in nursing students of Tien Giang Medical College who participated in clinical practice. There were 360 students participated in the study using simple random sampling. Data were collected using the practical assessment checklist and demographic characteristics questionnaire. Data were processed using STATA 12.0, and analyzed using Chi-square and Fisher test.Results: The students who did general practice correctly accounted for 52.50%, and those who did practice incorrectly was 47.5%. The students who used gauze or wool wrap in inhaler were 59.7%, wearing gloves in practice (39.2%), do not disassemble needles from syringes after injection 50%, and removing needles into barrel after injection (65.6%). There was statistically significant relationship between time of participation in clinical practice and correct practice with p-value 0.04 (<0.05)Conclusion: The correct practice of nursing students related to the prevention of needlestick and sharps injuries remains low. There was a significant relationship between time of participation in clinical practice and correct nursing practice. It is suggested that students must be taught about the risk of infection at the beginning of clinical practice, and constantly reminded throughout the learning process, especially for injection safety awareness, knowledge and techniques about the risk of transmission of HBV, HCV and HIV by sharp objects in the healthcare facility.
FACULTY OF HEALTH SCIENCES: AN OPPORTUNITY FOR THE IMPLEMENTATION OF INTERPROFESSIONAL EDUCATION Saldi Yusuf
Belitung Nursing Journal Vol. 3 No. 1 (2017): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.025 KB) | DOI: 10.33546/bnj.33

Abstract

N/A
EFFECT OF BRAIN EXERCISE AND BENSON RELAXATION THERAPY ON DEPRESSION LEVEL IN THE ELDERLY IN THE ELDERLY SOCIAL SERVICE UNIT Wulansari Wulansari; Ani Margawati; Rita Hadi W
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.752 KB) | DOI: 10.33546/bnj.361

Abstract

Background: Depression is one of the most common psychosocial problems in the elderly. The incidence of depression in the elderly is greater in the elderly living in the social service unit than the elderly in the community. Management of depression in the elderly should be more emphasized on interventions that focus on the individual needs of the biopsychosocial and spiritual aspects. Brain gym therapy and Benson relaxation are considered appropriate in decreasing depression. Objective: This study was to determine the effect of brain exercise and Benson relaxation on the level of depression in elderly in the elderly social service unit. Methods: This was a quasi-experimental study with pretest posttest control group design. Fifty-six elderly included in this study, which 28 assigned in the experiment and control group. The depression level was assessed using Geriatric Depression Scale (GDS). Wilcoxon and Mann-Whitney test were used for data analyses. Results: The study showed that the mean GDS score in the experiment group before the intervention was 7.21, while the mean value of GDS in the control group was 6.64. The mean value of GDS in the experiment group after the intervention was 5.04 and the mean in control group was 6.18. There was a significant difference of GDS score between experiment and control group with p-value of 0.021 (<0.05). Conclusion: There was a significant effect of brain gymnastics and Benson relaxation therapy in reducing depression in elderly. brain gymnastic therapy and Benson relaxation can be one of independent nursing interventions as an effort to improve care for elderly groups.
EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS Kadek Yuli Hesti; Noor Pramono; Sri Wahyuni; Melyana Nurul Widyawati; Bedjo Santoso
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.815 KB) | DOI: 10.33546/bnj.293

Abstract

Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding. Lack of milk production is one reason why mothers decide to give formula milk to their babies. In fact, 60% of mothers were unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers. Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers. Methods: This was a quasi-experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara Indonesia from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test. Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk secretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05) Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers.
THE EFFECTIVENESS OF COMBINATION OF OXYTOCIN AND ENDORPHIN MASSAGE ON UTERINE INVOLUTION IN PRIMIPAROUS MOTHERS Nurmala Sari; Ariawan Soejoenoes; Sri Wahyuni; Onny Setiani; Choiroel Anwar
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.205 KB) | DOI: 10.33546/bnj.193

Abstract

Background: One of the puerperal complications is uterine subinvolution that can cause bleeding to maternal death. Oxytocin massage can stimulate oxytocin hormone that plays a role in the process of uterine involution. Endorphin massage can increase the release of oxytocin and endorphin hormone that give a sense of calm and comfort. It also increases production of oxytocin hormone that can improve the process of uterine involution. Objective: To prove the effectiveness of a combination of oxytocin massage and endorphin massage to uterine involution in primiparous mothers during postpartum period. Methods: This was a quasi-experimental study with pretest-posttest with control group design. Total samples were 44 normal postpartum mothers selected using purposive sampling technique, which were randomly assigned in four groups, namely: 1) oxytocin massage group, 2) endorphin massage group, 3) combined oxytocin-endorphin massage group, and 4) control group. Data were analyzed using univariate, bivariate and One-Way ANOVA to test the effectiveness of the intervention. Results: There were statistically significant differences of fundal height before and after intervention among the four groups (p=<0.05). Conclusion: The combination of oxytocin massage and endorphin massage proved most effective in accelerating uterine involution in normal postpartum mothers.
EFFECT OF INVOCATION (DO’A) ON PAIN-COPING BEHAVIORS OF PRIMIPAROUS MUSLIM WOMEN DURING THE FIRST THREE HOURS OF THE ACTIVE PHASE OF LABOR Desmawati Desmawati
Belitung Nursing Journal Vol. 2 No. 5 (2016): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.784 KB) | DOI: 10.33546/bnj.28

Abstract

Background: Pain-coping behavior of primiparous women may have adverse effects on the mother and fetus. In Tangerang, the majority of pregnant women have negative experiences of pain and pain-coping behaviors during labor. Objective: The purpose of this study was to examine the effect of the invocation (do’a) on pain-coping behaviors of primiparous Muslim women during the first 3 hours of the active phase of labor. Methods: It was an experimental study with pre-posttest design. Ten primiparous women were randomly selected and assigned to the control and intervention group. Each group consisted of 5 participants. Pain-coping behavior was measured by the Pain Behavior Observation Scale (POBS). Results: Findings revealed that pain-coping behaviors were increased for those who received the invocation (do’a) with p-value < .05 than those who received the routine care. The effectiveness of do'a could be seen from the average difference of scores of pain-coping behaviors before and after intervention. The intervention group significantly had higher pain-coping behaviors than the control group during three hours of posttest, while controlling for the pretest measure, F (3.24) = 15.68, p< .001. Conclusions: The invocation (do’a) program for primiparous women during labor is feasible to be conducted, and effective to increase pain-coping behaviors. Therefore, it is suggested to provide this program for primiparous women during the first 3 hours of active phase of labor.
INFLUENCE OF LOW-SODIUM DIET MANAGEMENT ON THIRST RESPONSE IN END STAGE RENAL DISEASE PATIENTS WITH HEMODIALYSIS Lisbet Gurning; Jenny Marlindawani Purba; Cholina Trisa Siregar
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (39.417 KB) | DOI: 10.33546/bnj.319

Abstract

Background: Patients with hemodialysis often have difficulty in controlling their fluid intake although the obedience to follow fluid and dietary restriction is the key of hemodialysis success management. Objective: The aim of this study was to examine the effect of low-sodium diet management on thirst response in end stage renal disease patients with hemodialysis. Methods: This was a quasi-experimental study with pre-posttest with control group design. Using consecutive sampling 88 respondents were selected, which 44 assigned in each group. Thirst distress scale and visual analog scale questionnaire were used for data collection. Wilcoxon and Mann Whitney test were used for statistical analysis. Results: Of the total of respondents, thirty-seven respondents experienced a decrease in thirst distress scale with p= 0.000 (p <0.05); and 30 respondents experienced a decrease in visual analog scale with p=0.000 after given low sodium diet management. There was difference of thirst distress scale score (p=0.008) and visual analog scale of thirst score (p=0.048) between intervention and control group. The importance of continuous of diet education with counseling and home visit can increase self-management behaviors. Conclusion. Low sodium diet management could reduce the thirst response in end stage renal disease patients with hemodialysis.
THE ASSOCIATION OF ISLAMIC BASED CARING MODEL AND COMMITMENT TO ORGANIZATION IN STAFF NURSES Yuda Ayu Timorita; Tri Hartiti; Bambang Edi Warsito; Suhartini Ismail
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.097 KB) | DOI: 10.33546/bnj.302

Abstract

Background: Strong organizational commitment is needed by hospitals to attract and retain nursing staffs in order to consistently deliver good quality of nursing services. The decrease in organizational commitment among nurses can cause many losses to the organization, including increased organizational spending, breakdown in patient care, and cause performance trends that appear not for the benefit of the organization or unit, but more for personal self-interest. Objective: To analyze the relationship of the application of Islamic Based Caring (IBC) model with organizational commitment among nurses. Methods: This was a correlation analytic research with cross sectional design. There were 108 nurses selected using a proportionate stratified random sampling. Islamic Based Caring was measured using a questionnaire developed based on the theory of Suhartini Ismail (2016), and organizational commitment was measured using a questionnaire developed based on the concept of Caldwell, O’Reilly & Chatmann (1990) and Mowday, Porter dan Steers (1982) in Asmaningrum (2009). Logistic regression and forward stepwise (conditional) method were used for data analysis. Results: There was a statistically significant correlation of a healing presence (p=0.000), caring relationship (p=0.010), caring environment (p=0.045) and belief in God (p=0.000). Belief in God (Allah SWT) has the highest correlation (OR=6.660) with organizational commitment among nurses. Conclusion: There is a positive and significant relationship between the implementation of Islamic Based Caring with the organization's commitment among nurses.
EFFECT OF ACUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION Eko Rustamaji Wiyatno; Rr. Sri Endang Pujiastuti; Titin Suheri; Djenta Saha
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.125 KB) | DOI: 10.33546/bnj.162

Abstract

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes. Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction. Methods: This study employed a quasi-experiment study with non-randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Acupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test. Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05). Conclusion: Acupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that acupressure could be one of the nursing interventions for AMI patients to increase sleep quality and decrease of pulse rate.
EFFECT OF PRENATAL YOGA ON ANXIETY, BLOOD PRESSURE, AND FETAL HEART RATE IN PRIMIGRAVIDA MOTHERS Hamdiah Hamdiah; Ari Suwondo; Triana Sri Hardjanti; Ariawan Soejoenoes; M Choiroel Anwar
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.391 KB) | DOI: 10.33546/bnj.99

Abstract

Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate. Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers. Methods: There were 39 primigravida mothers selected using purposive sampling, which divided into three groups - an experiment group with four-times prenatal yoga, an experiment group with eight-times prenatal yoga, and a control group. The Hamilton Rating Scale for Anxiety (HRSA) was used. Data were analyzed using One-way ANOVA and MANOVA. Results: There was a statistically significant difference of prenatal yoga on anxiety (p=0.005), systolic blood pressure (p=0.045), and fetal heart rate (p=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05). Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy and an input for the class program of pregnant women to improve the quality of maternal and fetal health.

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