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International Journal of Nursing and Health Services (IJNHS)
Published by IJNHS Publisher
ISSN : 26546310     EISSN : -     DOI : -
Core Subject : Health, Social,
Health Professions Nursing Public Health Social Sciences
International Journal of Nursing and Health Service is a refereed international publication that provided a venue for nursing scholar and others related health to publish the updating information. We aim to highlight research on nursing science, public health, public health nursing, and other health sciences to a wide international audience.
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Articles 387 Documents
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FACTORS AFFECTING ON ANXIETY AMONG HYPERTENSION PATIENTS AT M.Th.Djaman GENERAL HOSPITAL SANGGAU DISTRICT, WEST BORNEO 2018: DOI: https://doi.org/10.35654/ijnhs.v1i2.30 Stepanus Maman Hermawan; Aurelia Citra Silalahi; Lydia Moji Lautan
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.351 KB) | DOI: 10.35654/ijnhs.v1i2.30

Abstract

Hipertensi adalah suatu kondisi di mana seseorang mengalami peningkatan tekanan darah di atas normal pada pemeriksaan tekanan darah. Berdasarkan kriteria JNC-VII yang diterapkan di Indonesia Hipertensi dinyatakan sebagai tekanan darah sama dengan atau lebih dari 140/90 mmHg. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor itukebanyakanmempengaruhi pasien kecemasan hipertensi di Rumah Sakit Umum M.Th. Djaman Sanggau. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analisis denganCpendekatan. This study using purposive sampling involved 45 samples of hypertensive patients undergoing treatment at the hospital M.Th.Djaman Sanggau. Data analysis using Chi-Square. The result is there was no relationship between age and anxiety levels of hypertension patients p = 0.246 (p> 0.05), there was no relationship between sex with anxiety levels of hypertension patients p = 0.495 (p> 0.05), there was a relationship between the level of education and the level of anxiety of patients hypertension p = 0.011 (p <0.05). There is a relationship between work with the anxiety level of hypertension patients p = 0,000 (p <0,05). There is a significant relationship between the level of knowledge with the level of anxiety of patients with hypertension p = 0.001 (p <0.05). Anxiety is directly related to an increase in blood pressure so that someone needs to do counseling related to his condition to reduce anxiety, and need changes from individuals to change the risk factors for hypertension with healthy lifestyles such as fruit, vegetables, exercise regularly and reduce excessive consumption of calories and fat.
FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL: DOI: https://doi.org/10.35654/ijnhs.v1i2.40 Deny Gunawan; Rr Tutik Sri Hariyati; Desnita Fitri
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.057 KB) | DOI: 10.35654/ijnhs.v1i2.40

Abstract

Background: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals. Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method. Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts
IMPROVEMENT OF KNOWLEDGE AND CARING BEHAVIOR THROUGH E-LEARNING: DOI: https://doi.org/10.35654/ijnhs.v1i2.44 Putri Nilasari; Rr. Tutik Sri Hariyati
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.533 KB) | DOI: 10.35654/ijnhs.v1i2.44

Abstract

Background: 4.0 industrial revolution raises new challenges for nurses to stay up to date on science knowledge by utilizing information technology advances. This is because science is the basis of nurses in making the best nursing care for patients. Methods: Literature review of 25 journals from Science Direct, PROQUEST, Scopus, and Scholar Article in 2014 to 2018. Results: Some results of the study show that the use of e-learning in providing education of nurses can increase knowledge to nurses' caring behavior in providing nursing care, and one of the e-learning devices in the hospital is a webinar. Conclusion: E-learning provides opportunities for nurses to gain knowledge through the use of electronic systems. One of the e-learning devices in the hospital that can be used as a reference when nurses want to study is webinar. Not only nurses who work at the hospital who can get benefits from webinar, but so do nurses in other health services. Although facilities and infrastructure are inadequate in an HR hospital, but nurses can intelligently use webinar as a source to gain knowledge.
IMPROVEMENT LEGAL ASPECTS AND COMPLETENESS OF DOCUMENTATION USING RECORD: A REPORT OF STUDY: DOI: https://doi.org/10.35654/ijnhs.v1i2.46 Rr.Tutik Sri Hariyati; Krisna Yetti Malawat; Retno Purwandari; Effy Afifah
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.684 KB) | DOI: 10.35654/ijnhs.v1i2.46

Abstract

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation. Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39% (43,00 to 49,00) after used of a system. Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care. Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.
RETENTION STRATEGY TO MINIMIZE NURSE TURNOVER: A SYSTEMATIC REVIEW: DOI: https://doi.org/10.35654/ijnhs.v1i2.47 Rr.Tutik Sri Hariyati; Nurdiana Nurdiana
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.662 KB) | DOI: 10.35654/ijnhs.v1i2.47

Abstract

Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication. Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse. Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.
FACTORS PREDISPOSING IMPLEMENTATION OF EFFECTIVE NURSE COMMUNICATION: A SYSTEMATIC REVIEW: DOI: https://doi.org/10.35654/ijnhs.v1i2.48 Rr.Tutik Sri Hariyati; Andi Nur Indah Sari; Tuti Afriani
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.77 KB) | DOI: 10.35654/ijnhs.v1i2.48

Abstract

Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication. Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse. Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture. Conclusion: Effective communication will be executed best of it has become the work culture. Nurses Leaders has an imperative role as role models in doing effective communication. Effective communication will imply to the increase of nurses service quality
THE EFFECTIVENESS OF PURSED LIPS BREATHING THERAPY TOWARDS KINDS' OXYGENATION STATUS WITH PNEUMONIA: DOI: https://doi.org/10.35654/ijnhs.v1i2.49 Yunita Muliasari; Iin Indrawati
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.184 KB) | DOI: 10.35654/ijnhs.v1i2.49

Abstract

Background Pneumonia is the second most common disease that brings about death in children under five years of age in the world. It seems, Symptoms that appear in the case of Pneumonia are acute respiratory problems that need to be overcome appropriately. Objectives the aim of this research is to identify the effect of pursed lips breathing therapy through tongue blowing activity on the oxygenation status of preschoolers with Pneumonia. Method this research used quasi experimental with pre-post test group design. The sampling technique is purposive random sampling with 36 people consisting of 18 intervention groups and 18 control groups. Data were analyzed using univariate and bivariate tests (t-test) Result The results showed a significant difference between oxygenation status before and after intervention with tongue blowing therapy (PLB), namely p value= 0.045 on respiratory frequency (RR), p value = 0.037 to saturation oxygen (Sa02) and p value=0.036 on heart rate (HR). Recommendation The results of this study can add alternatives to independent nurse interventions in dealing with pediatric patients who have pneumonia or with oxygenation disorders.
CASE STUDY: THE INFLUENCE OF DEEP BREATHING RELAXATION TECHNIQUES IN REDUCING BLOOD PRESSURE AND PAIN CAUSED BY HYPERTENSION: DOI: https://doi.org/10.35654/ijnhs.v1i2.50 Gusrina Komara Putri; Sri Lestari
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.426 KB) | DOI: 10.35654/ijnhs.v1i2.50

Abstract

Pain is a body signal to inform pathological condition. In hypertension patients, pain occurred as one of the symptoms of the disease. Hypertension is an increase if systolic and diastolic blood pressure out of normal range. In Indonesia, especially in Kebayoran Lama public health center district, the prevalence of hypertension in the elderly still consider public health issue. Aim of this study is to measure the effect of deep breath relaxation technique in reducing pain and blood pressure for hypertension patients. This research used a case study design. In this study, a researcher in five days measured participants blood pressures and their pain scales. After that, the researcher guided the participant to do deep breathing relaxation technique five times consecutively, around fifteen minutes. Results pain scale of Mrs. M and Mrs. A that within five days there were slight reducing of pain level. Another finding, that there was a trend of decreasing blood pressure of those patients within the normal range. It can be concluded that in these two patients deep breathing relaxation techniques could reduce their pain scale and maintaining normal blood pressure level of hypertension patients. It is recommended to this research with a bigger sample and using other research variables.
THE MODEL THEORY APPROACH "CARE, CORE, CURU” FOR PATIENTS WITH CARDIOVASCULAR DISEASES Annisaa Fitrah Umara
International Journal of Nursing and Health Services (IJNHS) Vol. 1 No. 2 (2018): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.486 KB) | DOI: 10.35654/ijnhs.v1i2.53

Abstract

The impact of cardiovascular disease was felt by individuals and global. By individual approach, prevention and supervision are needed to reduce the burden. Nurses have an essential role in giving holistic standards of nursing practice. The purpose of this study is to provide an overview of the case management of patients with cardiovascular disease by using the theoretical approach "care, core, and cure" model theory. The method used is a case study of 30 patients with Cardiovascular Diseases in Harapan Kita Jakarta National Heart Center. Inform consent was obtained, the initial name and code were assigned to all participant. The results are nine acute coronary syndrome patient, four heart failure patient, ten heart surgery patient, and seven arrhythmia patient. The majority of patients were male, an average age more than 41 years old. Most risk factors are caused by hypertension and smoking. In the acute phase, the "care" and "cure" aspects were more prominent than the "core" aspect. In the non-acute phase, patients need rehabilitation and health education, so the more prominent aspects are "care" and "core" than "cure." The aspect "care" provides an overview of risk factors that result in cardiovascular disease. The "core" aspect shows the needed of education and the "cure" aspects indicating the necessity for medical therapy in patients with cardiovascular disease. In the "Care" aspect, independence nursing intervention can be identified and easily evaluated. In the “Core” aspect, the nurse can recognize the patient's needs during the treatment and provided nursing care plans as needed. In the “Cure” aspect, can be increased coordination among health care providers. Nurse need to develop the model of nursing theory approach in providing nursing care for patients with Cardiovascular Diseases, especially patients who have the opportunity to undergo rehabilitation.
THE APPLICATION OF CLINICAL JUDGMENT AND DECISION MAKING OF CRITICAL CARE NURSES IN INTENSIVE CARE UNITS (ICUs): DOI: https://doi.org/10.35654/ijnhs.v2i1.20 Indah Mei Rahajeng; Faridatul Muslimah
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 1 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1080.204 KB) | DOI: 10.35654/ijnhs.v2i1.20

Abstract

Background Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses. Aim The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU) Method A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim. Result The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU. Conclusions Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities. Keywords: clicinal decision making, critical care nurse, ICU

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