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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.
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Aplikasi Mobile–Health sebagai Upaya Peningkatan Kualitas Pelayanan Keperawatan Anak dengan Penyakit Kronis pada Setting Home Hospital Defi Efendi; Dian Sari
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.447

Abstract

Dominasi penyakit pada anak di Indonesia mulai bergeser dari penyakit akut menjadi penyakit kronis. Perawatan jarak jauh (home hospital) merupakan tren pada anak dengan penyakit kronis yang membutuhkan perawatan kontinu dalam waktu yang lama. Artikel ini bertujuan untuk menggali potensi penerapan sistem mobile–health di Indonesia. Telaah literatur dari artikel ini didapatkan dari PubMed, CINAHL, dan Medline sejak tahun 2004-2014. Mobile–health merupakan aplikasi yang menawarkan integrasi berbagai fungsi perawatan melalui penggunaan telepon pintar. Beberapa negara percontohan seperti Amerika Serikat, Swedia, dan Jepang telah membuktikan kontribusi mobile – health dalam meningkatkan kualitas pelayanan. Indonesia sejauh ini belum melakukan pengembangan mobile – health di berbagai layanan kesehatan. Penggunaan telepon pintar di Indonesia telah meluas untuk berbagai tujuan, sehingga aplikasi mobile – health untuk pelayanan keperawatan anak sangat mungkin dan  mudah diterapkan. Perawat anak di Indonesia hendaknya mulai mengambil inisiatif untuk mengenali aplikasi program, melakukan riset, dan kolaborasi dengan beberapa profesi terkait agar dapat berkontribusi terhadap perbaikan pelayanan kesehatan di masa yang akan datang.  Abstract Mobile-Health Application as The Efforts to Improve of Nursing Service Quality in Children with Chronic Disease at Home Hospital Set: Literature Review. The dominance of the disease in children in Indonesia began to shift from the acute disease into a chronic disease. Care distance (home hospital) is a trend in children with chronic diseases who require continuous treatment for a long time. This article aimed to explore the potential application of mobile-health system in Indonesia. Literature reviews in this study were obtained from PubMed, CINAHL and Medline since 2004-2014. Mobile-health is an application that offers the integration of various functions of the above treatments through the use of smartphones. Some pilot countries such as the USA, Sweden, and Japan has proved mobile contribution - health in improving the quality of service. Up to now, Indonesia has not yet conducted any mobile-health development at various health service. In fact, the use of smartphone in Indonesia has been extended for numerous purposes, therefore mobile-health application is possibly and easily implemented in pediatric nursing area. The pediatric nurse in Indonesia should commence an initiative to identify kind of applications, conduct research, and collaborate with some associated disciplines to contribute to the improvement of future health services.  Keywords: mobile-health, child with chronic illness, home hospitals
Menurunkan Derajat Flebitis Akibat Terapi Intravena pada Anak dengan Kompres Aloe vera: Studi Pilot Oswati Hasanah; Riri Novayelinda; Maifera Maifera; Isdelni Isdelni
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.502

Abstract

Terapi intravena merupakan jenis terapi yang banyak diberikan pada pasien anak yang dirawat. Pemasangan intravena dalam waktu yang lama dapat menimbulkan komplikasi pada anak, seperti flebitis. Salah satu tindakan mengatasi flebitis adalah dengan mengompres Aloe vera yang bermanfaat karena memiliki elektrolit dalam konsentrasi rendah sehingga tidak menimbulkan ekstravasasi. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pemberian Aloe vera terhadap derajat flebitis pada anak. Penelitian kuasi eksperimen ini melibatkan 15 anak yang dipilih dengan consecutive sampling. Semua sampel diberikan kompres Aloe vera murni. Derajat flebitis diukur dengan menggunakan skala flebitis Infusion Nurses Society (INS) sebelum dan sesudah dilakukan intervensi. Hasil penelitian ini menemukan bahwa rerata derajat flebitis sebelum perlakuan sebesar 2,60 dengan skor minimum-maksimum 1–5, rerata derajat flebitis sesudah perlakuan menjadi 1,07 dengan skor minimum-maksimum 0–3. Aloe vera efektif menurunkan derajat flebitis pada anak (p= 0,000). Penelitian selanjutnya perlu dilakukan untuk membandingkan efektifitas kompres Aloe vera dengan terapi non farmakologis lainnya.  Abstract Reducing the Grade of Phlebitis due to Intravenous Therapy in Children with Aloe Vera Compress. Intravenous therapy is a type of treatment that is widely provided to hospitalized children. Intravenous application in a long time causes complications in children, such as phlebitis. One of the interventions in handling phlebitis is compressing Aloe vera which is useful because it has electrolyte in low concentration so as not to cause extravasation. This study aims to identify the effect of Aloe vera on the degree of phlebitis in hospitalized children. This quasi-experimental study involved 15 children selected by consecutive sampling. All samples received a pure Aloe vera compress. The grade of phlebitis was measured using the INS phlebitis scale before and after the intervention. This study found that the mean degree of phlebitis before treatment was 2.60 with a minimum-maximum score 1–5, and after treatment, the average grade of phlebitis was 1.07 with a minimum-maximum score 0–3. Aloe vera effectively decreased the degree of phlebitis in children (p= 0.000). Further research needs to compare the effectiveness of Aloe vera compresses with other non-pharmacological measurements. Keywords: Aloe vera, intravenous therapy, pediatric, phlebitis
Pengalaman Perawat IGD Merawat Pasien Do Not Resuscitate pada Fase Perawatan Menjelang Ajal Maria Imaculata Ose
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.378

Abstract

Do Not Resuscitate (DNR) menjadi keputusan yang tidak mudah diambil oleh dokter dan membutuhkan pertimbangan dan rekomendasi dari perawat. Keterbatasan pengalaman, pengetahuan dan informasi DNR, kriteria IGD yang lebih berfokus pada perawatan gawat darurat menyebabkan tidak dapat maksimalnya peran perawat dalam perawatan menjelang ajal. Tujuan penelitian ini adalah mengeksplorasi pengalaman perawat di IGD dalam merawat pasien DNR di ruang IGD. Desain Penelitian dengan metode Kualitatif pendekatan Fenomenologi interpretif, partisipan empat perawat IGD. Data dikumpulkan melalui Indepth interview, menggunakan analisis tematik Braun dan Clark. Hasil Penelitian empat tema yaitu 1. Memahami kegagalan resusitasi merupakan pasien DNR, 2. Melakukan resusitasi sebagai Protap Penanganan awal, 3. Berkolaborasi mengambil keputusan DNR, 4. Menyiapkan kematian pasien dengan baik. Kesimpulannya yaitu pengambilan keputusan DNR (Do Not Resuscitate) membutuhkan pertimbangan dan pemahaman pada kriteria DNR, selain itu perawat harus terlibat dalam kolaborasi dengan tim yang merawat pasien, sehingga keputusan DNR tepat. Perawatan DNR di IGD memberikan resusitasi sebagai tindakan awal dan mempersiapkan kematian pasien dengan baik dengan melibatkan keluarga pasien. Abstract Experience of ER Nurse in Treating Do Not Resuscitate Patients in End of Life Care Phase. Do Not Resuscitate (DNR) is a difficult decision for doctors to make. In making the decision, the doctors need to consider nurses’ recommendation. Due to limited knowledge, experiences, and information of DNR, plus the criteria of emergency department which are only focused on emergency treatments, the nurses cannot maximize their roles in the end of life care. This study, thus, aimed to explore the nurses’ experiences in the emergency rooms especially in taking care of DNR patients. This research employed a qualitative method that was interpretive phenomenology approach involving four nurses who were working in the emergency department. Data was collected through in depth interview, using thematic analysis suggested by Braun & Clark. The results of the study cover four themes; they are to 1. Understand the failure of resuscitation during the treatment, 2. Perform resuscitation as an early standard operating procedure to treat patients 3. Collaborate in making decision on DNR, 4. Prepare patients for a good death. The conclusion is before deciding to perform DNR (Do Not Resuscitate), doctors need to understand the criteria of DNR and get nurses involved in it. DNR treatment in the emergency rooms is an early standard operating procedure to treat patients at the end of life phase and to prepare them for a good death by also engaging their family members.   Keywords: DNR, end of life care, emergency of nursing
Penyimpangan Tumbuh Kembang Anak dengan Orang Tua Bekerja Dewi Sri Handayani; Anisa Sulastri; Tri Mariha; Nani Nurhaeni
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.439

Abstract

Anak merupakan aset berharga suatu bangsa karena merupakan generasi penerus. Perhatian yang kurang akibat kesibukan orang tua yang bekerja menyebabkan anak berisiko mengalami penyimpangan tumbuh kembang. Tujuan penelitian ini adalah mengidentifikasi hubungan antara jenis pola asuh, status bekerja, dan waktu bekerja orang tua bekerja dengan penyimpangan pertumbuhan dan perkembangan pada anak. Penelitian potong lintang ini melibatkan sampel 73 responden yang berada di wilayah Kecamatan Kramat Jati, Jakarta Timur. Sampel dipilih menggunakan stratified random sampling. Didapatkan 77% anak pertumbuhannya baik dan 56,2% perkembangannya sesuai. Sebanyak 23% anak ditemukan memiliki minimal satu hasil pengukuran indikator pertumbuhan yang tidak normal dan sebanyak 4,1% anak dicurigai kemungkinan ada penyimpangan perkembangan. Selain itu, hasil analisis data menunjukkan tidak ada hubungan yang signifikan antara pola asuh dengan pertumbuhan (p= 1,000, α= 0,05), pola asuh dan perkembangan (p= 1,000, α= 0,05), status orang tua bekerja dan pertumbuhan (p= 0,362, α= 0,05 ), status orang tua bekerja dan perkembangan (p= 0,901, α= 0,05), waktu orang tua bekerja dan pertumbuhan (p= 0,497, α= 0,05), waktu orang tua bekerja dan perkembangan (p= 1,000, α= 0,05). Orangtua yang bekerja bukanlah faktor penghambat dalam tumbuh kembang anak. Abstract Growth and Development Deviation in Children with Working Parents. Children is the nation precious asset. As the future generation, high quality children is needed to achieve bright future of the nation. Less attention to the growth and development supported factor due to the working parent causes growth and development deviation in children.The aim of this study was to identify the relationship between parenting style of working parent with growth and development deviation in children. The study cross sectional study involved in 73 respondents in Kramat Jati district, Jakarta Timur, using stratified random sampling. The results were 77% children had good growth and 56.2% children had appropriate development. 23% children had minimun one abnormal growth indicator and 4.1% children was suspected to had development deviation. Data analyzes showed that there was no significant relationship between parenting style and growth (p= 1.000, α= 0.05), parenting style and development (p= 1.000, α= 0.05), parent working status and growth (p= 0.497, α= 0.05), parent working status and development (p= 0.901, α= 0.05), time of working and growth (p= 0.497, α= 0.05), time of working and development (p= 1.000, α= 0.05). This study implies that working parent is not  burden factor for children to grow up and develop optimally. Keywords: child aged 0-72 months, children growth & development, parenting style
Aplikasi Teori Belajar Berkaitan dengan Kemandirian Belajar Mahasiswa Umi Farida Hidayati; Mora Claramita; Yayi Suryo Prabandari
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.322

Abstract

Teori belajar terdiri dari teori belajar behaviourism, sosial kognitif, dan konstruktivisme. Sistem asrama merupakan pendidikan informal yang mendukung pembelajaran formal. Dengan sistem asrama, mahasiswa diharapkan dapat mandiri dalam hal belajar. Tujuan penelitian ini adalah untuk mengetahui aplikasi teori belajar di asrama berkaitan dengan kemandirian belajar mahasiswa. Penelitian ini menggunakan metode kualitatif dengan pendekatan etnografi. Subjek penelitian berjumlah 14 orang. Pengambilan data menggunakan teknik observasi dan wawancara. Hasil penelitian ini adalah aplikasi teori behaviorisme dengan adanya peraturan terkait kehidupan asrama serta adanya pelanggaran terhadap peraturan di asrama, tetapi punishment kurang tegas. Aplikasi teori sosial kognitif terlihat dominan dengan adanya pengasuh asrama yang menjadi role model, mahasiswa belajar dengan mengamati dan mencontoh, interaksi antar mahasiswa dalam belajar, pengaturan belajar sendiri oleh mahasiswa. Aplikasi teori konstruktivisme adalah pengasuh asrama memfasilitasi mahasiswa, adanya interaksi dan kolaborasi antara pengasuh asrama dan mahasiswa maupun antar mahasiswa, dan adanya pembelajaran sesuai konteks keperawatan.  Abstract Application of Learning Theory related to Independent Learning of the Students. Learning theory consists of behaviorism, social cognitive and constructivism. Boarding school is an informal educational supports formal learning. With a dormitory system, students are expected to be independent in their learning process. The purpose of this study was to determine the application of learning theory related to the student learning independence. This study used a qualitative method with an ethnographic approach. There were 14 subjects. The data was collected by observation and interview techniques. The result of this research was application of the theory of behaviorism with the relevant regulations of dormitory life and a violation of the rules in the dorm, but the punishment was less firm. Application of social cognitive theory was dominant in the presence of dormitory staff as a role model, students learn by observing and imitating, the interaction between students in learning, self regulatory in learning. Application of the theory of constructivism was shown by dormitory staff facilitating to students, the interaction and collaboration between dormitory staff and student and among students and the learning context related to nursing. Keywords: dormitory, independent learning, learning theory
Makna Melahirkan di Rumah bagi Seorang Perempuan Wiwit Kurniawati; Imami Nur Rachmawati; Yati Afiyanti
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.446

Abstract

Peristiwa persalinan  adalah peristiwa normal dalam kehidupan suatu keluarga, sehingga melahirkan di rumah dengan ditolong tenaga kesehatan merupakan pilihan yang bisa dilakukan oleh perempuan. Studi kualitatif fenomenologi untuk menggali makna melahirkan di rumah bagi perempuan yang melahirkan ditolong oleh tenaga kesehatan belum banyak dilakukan. Studi ini merupakan bagian dari studi yang lebih besar tentang Pengalaman Perempuan selama Proses Persalinan di rumah di tolong tenaga kesehatan. Tujuh partisipan yaitu perempuan yang telah melewati proses persalinan di rumah dengan ditolong oleh tenaga kesehatan di wilayah kerja sebuah puskesmas di Kabupaten Malang berpartisipasi pada penelitian ini. Data dikumpulkan melalui wawancara mendalam sebanyak dua kali yang dilengkapi dengan catatan lapangan. Wawancara direkam kemudian dibuat  transkrip wawancara. Hasil penelitian menemukan tiga tema tentang makna melahirkan di rumah yang dirasakan oleh partisipan, meliputi melahirkan sebagai kodrat perempuan, kebahagiaan bagi seorang perempuan yang melahirkan di rumah dan  makna pembelajaran bagi keluarga ketika ibu melahirkan dirumah. Hasil penelitian ini memberikan  informasi yang bermanfaat dalam penentuan kebijakan  untuk membuat desain program maupun  intervensi keperawatan guna membantu memenuhi berbagai kebutuhan kesehatan ibu bersalin di rumah. Abstract The Meaning of Home Birth for a Woman.  Pregnancy and childbirth are a normal and healthy moments in life of the family. Home birth experience assisted by the health professionals can be a woman’s choice. A study of qualitative phenomenology about the meaning of home birth for women assisted by health provider is still rare. This study is a part of a research about women’s experience during labor with home birth assisted by the health providers. Seven women experienced child birth processes at home with the assisting of health providers in a public health center in Malang municipal, East Java. Data was collected by conducting two interviews along with the field notes. The interview was recorded, than, transcribed. The research finding discussed about the women experiences of home birth processes assisted by the health providers. Furthermore, this research discussed about the deep meaning of home birth for a women, including the nature of birthing and childbirth as women, the happiness for a woman who experienced child birth processes at home and the meaning the family life learning when the mother experiencing child birth processes at home. The result of this research is considered for giving information in determine policy in designing program of nursing intervention design for assisting and providing the women health needs in home birth processes. Keywords: meaning, home birth, women, health provider
Supervisi Kepala Ruang Model Proctor untuk Meningkatkan Pelaksanaan Keselamatan Pasien Sri Hananto Ponco Nugroho; Untung Sujianto
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.348

Abstract

Insiden terkait keselamatan pasien semakin meningkat, sehingga diperlukan penanganan akurat. Penelitian ini bertujuan mengetahui pengaruh supervisi kepala ruang model Proctor terhadap pelaksanaan keselamatan pasien. Rancangan penelitian quasi eksperimen dengan pendekatan pre and post test control group. Teknik pengambilan sampel menggunakan proportional sampling, dengan sampel 88 perawat pelaksana. Sebelum dan sesudah penerapan supervisi kepala ruang model Proctor, perawat pelaksana diobservasi pelaksanaan keselamatan pasien. Analisa data meng-gunakan Mann-Whitney menunjukkan ada pengaruh supervisi kepala ruang model Proctor terhadap pelaksanaan keselamatan pasien (p= 0,000). Fungsi normatif, formatif dan restoratif dalam supervisi model Proctor, berfokus pada monitoring evaluasi kualitas pelayanan. Supervisi kepala ruang model Proctor dapat diaplikasikan sebagai salah satu solusi untuk meningkatkan pelaksanaan keselamatan pasien.Abstract Headroom Supervision Proctor Model to Improve the Implementation of Patient Safety. Incident related to patient safety has increased and it is needed an accurate handling. This study aimed to determine the influence of headroom supervision proctor model to the implementation of patient safety. The design was quasi experimental using pre and post test control group. Proportional sampling was used as the sampling technique and the sample obtained was 88 nurses. Before and after the application of headroom supervision proctor model, all nurses were observed about the implementation of patient safety. The data was analyzed using the Mann-Whitney test and showed that there is influence of headroom supervision proctor model to the implementation of patient safety (p= 0.000). Normative, formative and restorative function in supervision proctor model focused on monitoring service quality. Headroom supervision proctor model can be applied as a solution to improve the implementation of patient safety. Keywords: patient safety, proctor supervision
Pengembangan Profesional Keperawatan Berhubungan dengan Kemampuan Perawat dalam Mengatasi Nyeri Pasien Tri Mulia Herawati; Rr Tutik Sri Hariyati; Efy Afifah
Jurnal Keperawatan Indonesia Vol 20, No 1 (2017): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v20i1.501

Abstract

Pengembangan Profesional Berkelanjutan (PPB) merupakan komponen sistem jenjang karir dimana perencanaan dan implementasi perencanaan karir dapat memengaruhi proses kehidupan perawat. Jenjang karir di beberapa RS telah dilaksanakan namun kadangkala belum selaras dengan pelaksanaan rekrutmen, rotasi, pengembangan professional berkelanjutan dan promosi yang menjadi komponen tidak terpisah dari jenjang karir. Penelitian ini bertujuan mengidentifikasi pengaruh PPB dengan implementasi manajemen nyeri di rumah sakit. Disain penelitian menggunakan deskriptif korelasi dengan pendekatan cross sectional. Data dikumpulkan melalui data primer sebanyak 121 perawat pelaksana serta data sekunder dokumen rekam medis pasien berisi catatan keperawatan terkait manajemen nyeri yang terdiri dari pengkajian, intervensi dan re-evaluasi. Teknik pengambilan sampel adalah simple random sampling. Analisis menggunakan regresi linier berganda. Hasil penelitian didapatkan bahwa variabel implementasi sistem jenjang karir yang paling berpengaruh terhadap implementasi manajemen nyeri oleh perawat klinik adalah pengembangan profesional berkelanjutan (PPB) (p= 0,027) . Peneliti merekomendasikan perlunya perencanaan terstruktur melalui analisis kebutuhan training bagi masing-masing perawat Kata kunci: sistem jenjang karir, perawat, pengembangan profesional berkelanjutan, manajemen nyeri Abstract The effect of continuous professional development to the implementation of pain managment by nurses in hospital. Continuing Professional Development (CPD) is a component of a career ladder system which its planning and implementation can affect in a nurse's life process. In some hospitals, the nursing career ladder system were not associated with recruitment, rotation, continuous professional development and promotion process. This study aimed to identify the effect of CPD to the implementation of pain management in a hospital. The design research was descriptive correlative with cross sectional approach. Data were collected through primary data as much as 121 nurses and also secondary data from patient medical records related to pain management nursing documentation included assessment, intervention, and re-evaluation. The sampling technique was simple random sampling. Data were analyzed by multiple linear regression. The result showed that the variables of the career ladder system implementation that most affected on the pain management implementation by clinical nurses is continuing professional development (CPD)(p= 0.027). It is recommended to make structured planning through training needs analysis for each nurse.

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