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Rina Setiana
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Jurnal Keperawatan Indonesia
Published by Universitas Indonesia
ISSN : 14104490     EISSN : 23549203     DOI : https://doi.org/10.7454/jki
Core Subject : Health,
Focus and Scope Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) contributes to the dissemination of information related to nursing research and evidence-based study on urban nursing issues in low-middle income countries. The scope of this journal is broadly multi-perspective in nursing areas such as Nursing Education, Clinical Practice, Community Health Care, Management and Health System, Health Informatics, and Transcultural Nursing, with a focus on urban nursing issues in low-middle income countries. JKI is committed to communicating and being open to the discussion of ideas, facts, and issues related to health across a wide range of disciplines. The journal accepts original research articles, synthesized literature, and best practice reports or case reports that use the quantitative, qualitative, or mixed-method approach. JKI adheres to journalistic standards that require transparency of real and potential conflicts of interest that authors and editors may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE), the World Association of Medical Editors (WAME), and the Committee on Publication Ethics (COPE). Letters and commentaries about our published articles are welcome. All submitted contributions will undergo a blind peer-review process according to appropriate criteria.
Articles 10 Documents
Search results for , issue "Vol 12, No 3 (2008): November" : 10 Documents clear
Penurunan Nyeri Pascabedah Pasien TUR Prostat Melalui Relaksasi Benson Gad Datak; Krisna Yetti; Rr. Tutik Sri Hariyati
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.218

Abstract

AbstrakRelaksasi Benson merupakan pengembangan metode respons relaksasi dengan melibatkan faktor keyakinan pasien yang dapat mengurangi nyeri pascabedah. Penelitian ini bertujuan mengetahui efektifitas relaksasi Benson dalam menurunkan nyeri pascabedah pasien TUR Prostat. Metode penelitian quasi-eksperimental dengan pre test and post test design with control group. Pengambilan sampel dengan consecutive sampling. Jumlah sampel 14 orang, masing-masing 7 orang pada kelompok intervensi yang diberikan kombinasi relaksasi Benson dan terapi analgesik serta kelompok kontrol yang hanya diberikan terapi analgesik. Relaksasi Benson dilakukan setelah pemberian analgesik dengan durasi 15 menit selama dua hari. Hasil penelitian menunjukkan kombinasi Relaksasi Benson dan terapi analgesik efektif menurunkan rasa nyeri pascabedah pada pasien TUR Prostat (p = 0,019, α = 0,05). Penelitian ini menyarankan Relaksasi Benson digunakan untuk mengurangi nyeri pasca bedah TUR Prostat elektif. AbstractBenson Relaxation is the development of relaxation response method by involving patient is belief factor to relieve postoperative pain. This research was aimed to explore the effectiveness of Benson Relaxation in relieving post-operative pain of TUR prostate. The method used in this study was quasi experimental with pre test and post test design with control group. A total of 14 consecutive samples were participated in this study by divided into the intervention and control group, 7 participants respectively. Those in intervention group received Benson Relaxation combined with analgesic therapy where as in control group took analgesic therapy alone. Benson Relaxation intervention given after analgesic was taken, for 15 minutes each day for two days. The results revealed that combination between Benson Relaxation and analgesic therapy was more effective than analgesic therapy alone (p = 0,019, α = 0,05). The Implication of this research was Benson Relaxation can be applied to relieve post-operative pain of elective TUR Prostate.
Kejadian Kaki Diabetik Pasien Diabetes Melitus Berdasarkan Faktor yang Berkontribusi Septi Kurniasari; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.213

Abstract

AbstrakKaki diabetik merupakan komplikasi yang sangat menakutkan bagi pasien DM karena risiko amputasi yang sangat tinggi. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berkontribusi terhadap kejadian kaki diabetik pada pasien DM. Penelitian ini merupakan penelitian deskriptif analitik dengan pengumpulan data secara cross sectional. Sampel sebanyak 136 pasien DM yang mempunyai kelainan bentuk kaki dan luka kaki. Hasil analisis bivariat menunjukkan bahwa ada hubungan senam kaki, perawatan kaki, kepatuhan dalam pencegahan luka, kontrol gula darah, pengetahuan, dan diet dengan kejadian kaki diabetik. Analisis multivariat menunjukkan hanya ada 3 variabel yang merupakan faktor paling berkontribusi yaitu senam kaki, kepatuhan dalam pencegahan luka, dan pengetahuan. Rekomendasi hasil penelitian ini adalah melakukan konseling dan senam diabetes secara rutin. AbstractFoot problems in diabetes is one the most frightening complications for diabetic patients because of the possibility of amputation. The purpose of this study was to analyze the factors which contribute to foot problems. This research was an analytic descriptive research with cross sectional method design. The sample used for this study was 136 diabetic patients who suffered from foot problems or deformities. The result from bivariate analysis showed that there was a relationship between foot exercise, foot care, compliance in preventing foot injury, control of blood glucose level, patient’s knowledge, and diet with the incidence of foot problems. Whilst the multivariate analysis showed there were only 3 variables which contributed to this incidence. They were foot exercise, compliance in preventing foot injury and patient’s knowledge. This study recommended to have a routine counseling and diabetic exercise regulary.
Kritik Pada Penelitian Kualitatif Junaiti Sahar
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.222

Abstract

AbstrakPenelitian merupakan proses menjawab keingintahuan dengan menjawab pertanyaan atau menyelesaikan masalah. Artikel ini ditujukan untuk memberikan wawasan kepada pembaca bagaimana melakukan telaahan hasil penelitian melalui kritik penelitian. Penelitian dilakukan melalui tahapan sistematis dan dilaporkan secara jelas dan terinci. Laporan dan atau artikel suatu penelitian dianggap layak untuk diimplementasikan apabila hasilnya telah melalui proses pengujian yang teliti dan mendalam, yang disebut kritik penelitian. Kritik penelitian dapat dilakukan dengan menggunakan sepuluh elemen dan kriteria yang telah dirumuskan para ahli penelitian kualitatif. Kesepuluh elemen tersebut mencakup: topik, tujuan, disain atau pendekatan, deskripsi informan/ partisipan, metode pengumpulan data, metode analisis data, hasil penelitian, simpulan, dan rekomendasi. Setiap elemen memiliki kriteria sebagai indikator. Kebenaran laporan penelitian atau artikel perlu ditelaah dengan teliti dan kritis untuk mendapatkan pemahaman yang luas, menetapkan fakta yang dapat digunakan dalam praktik, dan sebagai dasar penelitian berikutnya. AbstractResearch is a method to answer questions or to solve problems. This article addresses to enrich the readers how ro review a research report through critique research. Research is conducted by a systematic set of procedures and steps and to be clearly and detail reported. Report and/ or article resulted from a research will be considerably feasible implemented whenever the result of study has been reviewed through an accurate and deepen process of assessment or examination which is called critique research. Critique research can be taken by using ten elements and criteria formulated by qualitative research experts. The ten elements include: topic, purpose, design or approach, informant/ participant description, method of data collection, data analysis, findings, conclusion and recommendation. Each element has criteria as an indicator. Therefore, the authenticity of the research report and or articles need to be assessed by careful critical analysis as to broaden the understanding, determine evidence for use in practice and provide a background for conducting further research study.
Penurunan Beban dan Peningkatan Kemampuan Merawat Keluarga dengan Klien Halusinasi Melalui Family Psychoeducation Shanti Wardaningsih; Budi Anna Keliat; Herni Susanti
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.217

Abstract

AbstrakPenelitian ini bertujuan untuk mengetahui pengaruh Family Psychoeducation terhadap beban dan kemampuan keluarga dalam merawat klien dengan halusinasi. Penelitian menggunakan metode kuantitatif dengan pendekatan kuasi eksperimen. Tempat penelitian dilakukan di 4 Puskesmas di Kabupaten Bantul yaitu Puskesmas Kasihan 1, Kasihan 2, Sewon 1 dan Imogiri 1. Pengambilan sampel menggunakan simple random sampling dengan sampel sebanyak 28 untuk masing-masing kelompok kontrol dan intervensi. Data dikumpulkan dengan kuesioner dan modul intervensi yaitu Family Psychoeducation. Hasil penelitian ini menunjukkan adanya pengaruh Family Psychoeducation yaitu penurunan beban dan peningkatan kemampuan keluarga dalam merawat klien dengan halusinasi. Rekomendasi penelitian ini terutama ditujukan kepada pelayanan kesehatan di puskesmas agar menfasilitasi untuk penerapan family psychoeducation bagi keluarga yang memiliki anggota keluarga yang mengalami gangguan jiwa. AbstractThis research aimed to find out the effect of family psychoeducation toward the family burden and ability in taking care of the patient with hallucination. The research was used the quantitative method and quasi experiment approach. This study was carried out in 4 puskesmas in Kabupaten Bantul, which were puskesmas Kasihan 1, Kasihan 2, Sewon 1, and Imogiri 1. The sampling method used the simple random sampling with the total sample of 28 for each control and intervention group. The data was then collected using questionnaire and intervention module which was family psychoeducation. The result of research showed that there was the effect of family psychoeducation, shown by the decrease in family burden and the increase in the family ability in taking care of the patient with hallucination. This study recommended, especially for the health service in puskesmas, to facilitate the implementation of family psychoeducation to the family whose family member was suffered from mental disturbance.
Komitmen Perawat Dalam Percepatan Peningkatan Kesehatan Ibu dan Anak Yeni Rustina
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.221

Abstract

AbstrakMasalah kesehatan ibu dan anak yang merupakan komponen 4 dan 5 Millennium Development Goals (MDGs), adalah masalah yang kompleks, sehingga perlu keterlibatan seluruh anggota profesi termasuk perawat dalam mempercepat pencapaian tujuan tersebut. Makalah ini ditujukan untuk mensosialisasikan komitmen perawat Indonesia melalui Persatuan Perawat Nasional Indonesia (PPNI) dalam meningkatkan kesehatan ibu dan anak dalam upaya meningkatkan pemahaman dan peran aktif perawat dalam meningkakan kesehatan ibu dan anak di Indonesia. AbstractMaternal and child health problems as the 4th and the 5th components of Millennium Development Goals (MDGs) are complex problems. Therefore, every profession including nurses need to be involved in accelerating the achievement of these goals. The purpose of this article is to socialize nurses’ commitment through the Indonesian National Nurses Association (INNA) in order to increase nurses’ understanding and active participation in increasing maternal and child health in Indonesia.
Peningkatan Pelaksanaan Supervisi Oleh Supervisor Melalui Pengawasan Bidang Keperawatan Sri Arini Winarti R.; Krisna Yetti; Besral Besral
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.216

Abstract

AbstrakPengawasan dalam manajemen berperan untuk mempertahankan kegiatan yang telah terprogram dapat dilaksanakan dengan baik. Penelitian ini bertujuan mengetahui hubungan fungsi pengawasan oleh bidang perawatan dengan pelaksanaan supervisi oleh seluruh supervisor di sebuah RS di Yogyakarta dengan desain potong lintang. Hasil penelitian menunjukkan bahwa 48,2% supervisor berusia 40-50 tahun, berjenis kelamin perempuan (80,4%), berpendidikan DIII Keperawatan (60,7%), telah bekerja 20 30 tahun (57,1%), 51,8% belum pernah pelatihan manajemen keperawatan, dan 46,4% shift dinas sore. Hasil analisis korelasi menunjukkan fungsi pengawasan bidang keperawatan memiliki hubungan bermakna dengan pelaksanaan supervisi oleh supervisor (r = 0,393; p = 0,003). Penelitian ini menyimpulkan bahwa kombinasi fungsi pengawasan bidang keperawatan dan pelatihan yang diikuti oleh supervisor memiliki hubungan yang bermakna terhadap pelaksanaan supervise oleh supervisor. Pengawasan secara periodik serta dengan teknik supervisi efektif meningkatkan kinerja perawat dalam pelayanan keperawatan. AbstractControlling in management has specific role in maintaining the quality of implementation as programmed by manager. This cross-sectional study was aimed to identify the correlation between controlling function of nursing directorate with the supervision carried out by all supervisors in a hospital in Jogjakarta. The supervisors were predominantly 40-50 years old (48.2%), women (80.4%), Diploma Nurse (60.7%), having 20-30 years of working experience (57.1%), never get in-service training (51.8%) and in evening duty shift (46.4%). The correlation analysis showed that controlling from nursing directorate had significant correlation with the implementation of supervision by the supervisor (r = 0,393; p = 0,003). This study concluded that the combination of controlling from nursing directorate and in-service training which is monitored by supervisor has significant correlation with the supervision implemented by the supervisor. Finding from the study suggested that good controlling and scheduled supervision using effective communication could increase the nursing performance in giving nursing care.
Supervisi Kepala Ruangan Berdasarkan Kelengkapan Pendokumentasian Asuhan Keperawatan Rostiani Dewi; Krisna Yetti; Dian Ayubi
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.220

Abstract

AbstrakDokumentasi asuhan keperawatan merupakan hal penting karena pendekatan proses keperawatan menjadi kerangka akuntabilitas perawat profesional. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional bertujuan untuk mengetahui hubungan komunikasi dan supervisi kepala ruangan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana di ruang rawat inap RS X Cianjur. Populasi dari penelitian ini adalah seluruh perawat yang bekerja di 11 ruang rawat inap. Sampel 106 perawat pelaksana yang merupakan total populasi. Pengumpulan data menggunakan kuesioner dan daftar tilik. Analisis statistik yang digunakan adalah regresi logistik model faktor risiko. Hasil analisis univariat menunjukkan bahwa perawat pelaksana rata-rata mempunyai persepsi kurang baik terhadap pelaksanaan komunikasi dan supervisi kepala ruangan dan didapatkan juga kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana belum baik dengan cut of point 80%. Analisis bivariat menunjukkan bahwa variabel komunikasi dan supervisi kepala ruangan berhubungan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana (p< 0,05). Hasil analisis multivariat menunjukkan bahwa variabel yang paling berpengaruh terhadap kelengkapan pendokumentasian asuhan keperawatan adalah supervisi. Penelitian ini kiranya dapat dimanfaatkan oleh pimpinan dan bidang keperawatan RS X Cianjur untuk dapat meningkatkan kinerja kepala ruangan maupun perawat pelaksana dengan pengoptimalan kegiatan supervisi keperawatan di ruangan melalui upaya pendidikan dan pelatihan baik secara formal maupun non formal. AbstractNursing care documentation holds the accountability aspect of professional nursing practice. This quantitative-descriptive research attempted to recognize the relationship between head of nurse’s communication and supervision with the completeness of nursing care documentation by staff nurse at Hospital X, Cianjur. The data was collected by using questionnaire and visitation list from 106 staff nurse that represented total population. The data was analyzed with the logistic regression of risk factor model. Univariate analysis result showed that staff nurse averagely had less positive perception toward the head of nurse’s communication and supervision. It was also revealed the nursing care documentation which was lack of comprehensiveness with cut of point 80%. The result of bivariate analysis indicated the significance correlation of head of nurse’s communication and supervision with the completion of nursing care documentation by staff nurse (p< 0,05). It was ultimately found that the completeness of nursing care documentation was mostly influenced by the head of nurse’s supervision. Thus, it is recommended to strengthen the supervision process and ability of the head of nurse to enhance the nursing care documentation quality by both formal and non-formal continuing education.
Peningkatan Kepuasan Kerja Perawat Melalui Kebijakan dan Motivasi Endang Purwaningsih; Krisna Yetti; Dian Ayubi
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.215

Abstract

AbstrakKebijakan, supervisi dan motivasi adalah sebagian dari faktor yang mempengaruhi kepuasan kerja perawat. Penelitian ini menggunakan desain cross sectional untuk mengetahui hubungan kebijakan, supervisi, dan motivasi dengan kepuasan kerja perawat pelaksana di salah satu rumah sakit di Jawa Timur. Penentuan sampel yaitu total populasi sejumlah 146 perawat. Berdasarkan hasil uji univariat didapatkan sebagian besar perawat mempunyai persepsi tidak baik tentang kebijakan, supervisi, dan mempunyai persepsi baik tentang motivasi, dan puas dalam pekerjaannya. Hasil regresi logistik didapatkan motivasi merupakan variabel yang paling berhubungan dengan kepuasan kerja perawat (OR 11,688; p= 0,000). Hal ini menunjukkan bahwa perawat yang mendapat motivasi akan puas 12 kali dibandingkan perawat yang tidak mendapatkan motivasi oleh manajer keperawatan, sedangkan kebijakan merupakan variabel kedua yang berhungan dengan kepuasan kerja (OR 2,436;p=0,017). Peneliti menyimpulkan bahwa motivasi dan kebijakan merupakan variabel yang dapat menjelaskan kepuasan kerja. Berdasarkan hasil penelitian disarankan untuk melakukan evaluasi terhadap kebijakan yang telah ditetapkan secara periodik dan ada sosialisasi apabila ada kebijakan baru. AbstractRegulation, supervision system, and motivation are several factors which affected nurse’s satisfaction. This study used cross sectional design to identify the relationship between regulation, supervision system, and motivation with the work satisfaction of the associate nurse at one of the hospitals in East Java. The sample taken was the total population of was 146 nurses. Based on univariate analysis, it was known that most of the nurses had positive perception toward the regulation, supervision system, and motivation; more over they were also satisfied with their work. The regression logistic result showed that motivation was the most related variable with the work satisfaction of the nurses (OR 11.688; p= 0.000). This condition showed that the nurse who got motivation to work would gain 12 times of satisfaction level compared with the nurse who was not motivated by the nurse manager. Meanwhile, regulation was the second highlyrelated variable with the work satisfaction (OR 2.436; p= 0.017). The researcher concluded that motivation and regulation were the variables which could explain the work satisfaction. Based on this research, it was recommended to conduct the evaluation toward the current regulation periodically and socialize for the new regulation.
Perilaku Hidup Bersih dan Sehat Berdasarkan Faktor Pencetus, Penguat dan Pemungkin Pada Anak Jalanan Binaan Rumah Singgah Yuli Isnaeni; Junaiti Sahar; Sigit Mulyono
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.219

Abstract

AbstrakPenelitian ini bertujuan untuk mengidentifikasi hubungan antara faktor pencetus (karakteristik), faktor penguat, factor pemungkin dengan perilaku hidup bersih dan sehat pada anak jalanan. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional, yang dilakukan pada 79 anak jalanan binaan rumah singgah di Yogyakarta. Teknik analisis yang digunakan adalah chi-square. Penelitian ini menunjukkan bahwa pengetahuan tentang perilaku hidup bersih dan sehat sudah cukup baik, tetapi sikap dan praktek PHBS menunjukkan proporsi yang hampir sama (p= 0,002, α= 0,05) antara baik dan kurang baik. Penelitian ini juga menyimpulkan bahwa ada hubungan yang bermakna antara perilaku panutan teman sebaya dengan perilaku hidup bersih dan sehat pada anak jalanan binaan rumah singgah di Yogyakarta. Pimpinan rumah singgah atau panti sosial disarankan untuk membentuk peer group dan melakukan pembinaan dengan cara mengadakan pertemuan secara berkala dengan peer group tersebut. AbstractThis research aimed to identify the relationship between the predisposing factors (characteristics), reinforcing factors and enabling factors with healthy and cleanliness life style among streets children, this descriptive co-relational research was conducted toward 79 streets children accommodated and directed in Yogyakarta. The result, using bivariate analysis with chi-square statistical test, indicated that whether the knowledge about healthy life style was fairly good, but the attitude and the implementation of healthy and cleanliness life style was of equal proportion between the well-behaved and the poor (p= 0.002, α= 0,05). This research denoted that there was a significant relationship between the attitudes of role model and healthy life style among streets children. It is suggested that the chairperson of social house for streets children proposed a number of peer group, furthermore those peer group should receive regular mentoring by having a regular meeting with them.
Kinerja Perawat CMHN Berdasarkan Faktor Pengorganisasian Program CMHN Sulastri Sulastri; Budi Anna Keliat; Tris Eryando
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.214

Abstract

AbstrakPenelitian dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui kinerja 55 perawat CMHN, faktor-faktor yang berhubungan dengan kinerja, dan persepsi perawat terhadap hubungan antara pelatihan dengan kinerja perawat CMHN di Pidie, NAD. Hasil analisis bivariat dengan uji chi-square menunjukkan bahwa jenis kelamin (p= 0,047, α= 0,05), pendidikan (p= 0,001, α= 0,05), proses rekrutmen (p= 0,006, α= 0,05), proses pelatihan (p= 0,0001, α= 0,05), supervisi (p= 0,022, α= 0,05), dan dukungan organisasi (p= 0,006, α= 0,05) berhubungan dengan kinerja perawat CMHN. Hasil analisis kualitatif dengan teknik content analysis terhadap lima partisipan diketahui bahwa perawat CMHN memperoleh pengetahuan, keterampilan, pengalaman, dan peningkatan produktivitas melalui pelatihan sehingga dapat menampilkan kinerja yang baik sebagai perawat CMHN. Program CMHN disarankan dapat diterapkan baik pada tingkat provinsi maupun kabupaten/ kota untuk meningkatkan kualitas pelayanan kesehatan jiwa masyarakat. AbstractThis quantitative and qualitative research was aimed to identify the performance of 55 CMHN nurses, the influencing factors of their work performance, and nurse’s perception toward dominant factors of the performance. The chi-square identified that gender (p= 0,047, α= 0,05), education (p= 0,001, α= 0,05), recruitment process (p= 0,006, α= 0,05), training (p= 0,0001, α= 0,05), supervision (p= 0,022, α= 0,05), management support factor (p= 0,006, α= 0,05) were significantly related to the CMHN nurse’s work performance. For the approach of qualitative analysis conducted with the technique of content analysis. The qualitative content analysis from the in-depth interview result showed CMHN nurses gained knowledge, skill, experience, and productivity improvement through CMHN training. CMHN program was suggested to be applied at level of province, district/ town to increase the quality of community mental health nursing service.

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