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Critical Medical and Surgical Nursing Journal

CMSNJ
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Published by Universitas Airlangga

ISSN : 23551992 EISSN : 2656470X DOI : 10.20473/cmsnj

Core Subject : Health,

Health Professions Nursing

Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.

Arjuna Subject : Keperawatan - Critical Care

Articles 101 Documents

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Factors Related to Nurses' Moral Distress in the Era of the COVID-19 Pandemic: A Literature Review Siti Zulaihah; Harmayetty Harmayetty; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: The global COVID-19 pandemic posed challenges to healthcare systems and professionals with the potential moral distress. The purpose of this review was to describe the risk factors associated with the moral distress of nurses in the era of the COVID-19 pandemic. Methods: The search for literature review articles was carried out in three databases (Scopus, Science Direct, and PubMed) with a publication span of 2019-2020. The PRISMA checklist was used to guide this review. Analysis and data tabulation were carried out in the article. Title, abstract, full-text and methodology were assessed to determine study eligibility. Result: A total of eight studies that fit the inclusion criteria were discussed based on internal and external factors of the risk of moral distress by nurses. Internal factors for the risk of nurses' moral distress include experience, decision making, perceptions of job dissatisfaction, patient care, coping with maladaptive strategies, failure to successfully care for patients, and limitations in take action. External factors for the risk of moral distress for nurses include lack of teamwork, unfavorable work environment and situations, conflicts of interest, excessive work demands, lack of resources, and loss of control over work situations. Conclusion: The risk factors for nurses' moral distress can be explained based on internal and external factors. The experience of nurses is important in dealing with the COVID-19 pandemic because this pandemic is a new disease and no treatment has yet been found, so other factors are associated with experience.

Self Confidence and Anxiety of Health Volunteers while Doing First Aid for Accident Victims in Surabaya Merina Widyastuti; Nur Wulan Adhani Lakato; Nur Muji Astuti; Ninik Ambarsari; Christina Yuliastuti; Imroatul Farida; Sri Anik Rustini
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: Health volunteers are first aid actors in the field when an accident occurs, health volunteers face various situations and conditions from victims and the environment, so they experience anxiety, the anxiety experienced can be an obstacle to first aid handling. This study aims to identify factors related to the anxiety of health volunteers when performing first aid on accident Methods: This study used an analytic observational design with a cross-sectional approach, the population of this study was the health volunteers of the city of Surabaya, amounting to 220 people. The sampling technique used probability sampling with a simple random sampling approach and obtained 103 respondents according to the inclusion and exclusion criteria. The research instrument was a questionnaire in the form of a google questionnaire consisting of questionnaires for demographic data, anxiety (DASS 42), motivation (VFI), and self-confidence (Lauster). Data analysis using Spearman Rho statistical test with p = 0.05. Result: The results of the study showed that the majority of respondents experienced a very severe level of anxiety (36.9%) and a weak majority level of self-confidence (96.1%). The results of the analysis of the relationship between self-confidence and anxiety levels obtained p = 0.003 (p <0.05). Conclusion: There is a relationship between self-confidence and the level of anxiety of health volunteers.

Self-Cancer Care Management in Adults During COVID-19 Pandemic: A Literature Review Rischar Beny Riswanto; Nikma Alfi Rosida; Angga Miftakhul Nizar
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: The coronavirus disease of 2019 (COVID-19) is a particularly hazardous virus due to its rapid transmission. The spread of COVID-19 is so rapid that the WHO has labeled it a pandemic, and Indonesia has declared it a national catastrophe. The purpose of this essay was to summarize the management of cancer patient care during the COVID-19 epidemic. Methods: In this review, we used the PRISMA method and article sources from databases, including Scopus, Science Direct, SAGE, and CINAHL/EBSCO, from the years 2019 to 2020.. Inclusion criteria include research conducted in human, using nursing management strategies in cancer patients, and article written inEnglish and have been published in 2020. Exclusion criteria include research on non-human, articles that did not mention cancer care management during the COVID-19 epidemic, review and survey studies. Result: This review looked at 14 articles from different nations. Two studies used phone massage as an intervention, three studies used a combination of phone massage and phone call with smartphone technology, five studies used a video call to monitor cancer care management, one study used email or social media to monitor cancer care management, and three studies used web applications that are connected to the internet. Conclusion: In conclusion, our findings suggest that continuing anticancer treatment during the COVID-19 pandemic is safe and possible if appropriate and stringent infection control measures are implemented. In the future, more extensive research of COVID-19 infection in cancer patients may aid in the care of oncology patients

Effectiveness of Physical Exercise and Diet in Heart Failure Patients: A Literature Review Berna Detha Meilyana; Nikma Alfi Rosida; Ekwantoro Ekwantoro; Sutiyo Dani Saputro; Ratih Ayu Puspasari
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: Heart failure is a pathological condition in which the heart's organs no longer have the ability to pump blood to the ventricles and throughout the body. One of the leading causes of morbidity and mortality is heart failure. Functional capacity and patient quality of life are correlated in patients with heart failure. Exercise and diet can be used to increase functional capacity. This study aimed to identify the effectiveness of exercise and diet as treatment modalities to improve patient well-being and quality of life outcomes. Methods: This article employs the evidence-based practice of physical exercise (exercise) and a comprehensive diet for heart failure as part of a literature review methodology. Journal articles that meet the requirement of 12 were included in this article. While articles that are inappropriate or only abstract did not include in this study. Result: Twelve articles were included in the study. The suggested physical activity, such as walking, can be completed in 6 minutes or 30 minutes over a week, three times. And a 30-minute riding session is possible. The DASH diet is advised, and patients should receive the recommended amount of sodium (1500 mg/day). Conclusion: Physical exercise and a comprehensive diet that can be done well in heart failure patients can help patients reduce the risk of developing symptoms that can trigger the severity of heart failure. Moreover, patients can carry out daily activities and do their jobs well, and improve their quality of life.

The Factors Associated with Choking Prevention Behavior in Mothers of Toddlers Yonia Rafika Nanda; Erna Dwi Wahyuni; Praba Diyan Rachmawati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: Choking is a common health problem in children, especially those under the age of three and younger. Also, one of the most common case in emergency medical service. The purpose of this study was to analyze factors that correlated with choking prevention behaviour in mothers who have toddlers. Methods: This study used a descriptive correlational design with a cross-sectional approach that conducted at an integrated service post, Purworejo Village. The population in this study were 154 mothers who had toddlers. Inclusion criteria include could access google forms, were domiciled in Purworejo Village, and lived with their families and toddlers. Exclusion criteria were mothers with special needs and toddlers with special conditions, and when the research was conducted, the mother was outside the Purworejo village. Sample selection used the cluster sampling technique with the sample size was 111 mothers. Result: There was a relationship between knowledge (p=0.007 r=0.253), attitudes (p=0.018 r=0.224), and family support (p=0.011 r=0.242) with choking prevention behaviour, and there was no relationship between the availability of health facilities (p=0.827 r=0.021) with choking prevention behaviour. Conclusion : Better knowledge, attitudes and family support will represent better choking prevention behaviour. Therefore, support from various parties, such as nurses, is needed to carry out health promotion related to preventing choking in families. Further research is needed regarding other factors influencing mothers' choking prevention behaviour.

Predictor Prognosis of Pediatric Septic Shock : Literature review Nikma Alfi Rosida; Suhendra Suhendra; Berna Detha Meilyana; Rischar Beny Riswanto
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Introduction: The unpredictability of body response to organ dysfunction needs an effective tool to predict the prognosis of shock septic. Early recognition and treatment of septic shock improved prognosis and reduced mortality, especially in pediatrics. This review aimed to identify the predictor of mortality in pediatric septic shock. Methods: We performed a literature review of the predictor of mortality in pediatric septic shock conducted between 2015 and 2020 in ProQuest, Google Scholar, PubMed, and Science Direct. We used keywords (predictor or predictive) and (septic shock or septic), and (prognostic or prognosis) and (pediatric or children). The study selection was using the Preferred Reporting Items for Systematic Review and Meta-Analysis PRISMA framework. Results: 944 articles identified in ProQuest, 720 articles in Science Direct, 339 articles in Google Scholar, and 67 in Pubmed. Equally, the total articles were 2,070 articles, and there were 414 duplicates. After review of the complete texts was performed for 35 potential studies. In the full-text review, we excluded review articles (n = 3), different populations (n=8), and of poor quality (n = 20). Eventually, four papers were reviewed in this study. We found PELOD, PELOD-2, PIM, PIM 2, PIM 3, PMODS, PRISM, PRISM-III, PRISM-IV, and pSOFA as a predictor of sepsis in pediatrics. Conclusion: In conclusion, pSOFA is a more accurate screening result for estimating the risk of death by being 10 times more sensitive and specific. However, adding biomarkers to pSOFA will improve the accuracy of the predictor prognosis of pediatric sepsis.

The Influence of Aerobic and Ergonomic Combination Gymnastics in Blood Pressure in Adult Age Patients Fadli Maulana Agitiyo; Abu Bakar; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.32211

Introduction: Hypertension is a disease characterized by increased blood pressure in the body. One of the non-pharmacological management of hypertension is to do a combination of aerobic and ergonomic exercises to optimize the heart and blood vessels. This study describes the effect of a combination of aerobic and ergonomic gymnastics on blood pressure in adult sufferers in Kepuh Village, Palimanan District, Cirebon. Methods: The research design used in this study was a pre-experimental design with a pretest–posttest one-group design and using a probability sampling technique with a purposive sampling type of 25 respondents which included patients aged 25-45 years who suffered from hypertension. This study used observation sheets and blood pressure measurements using a sphygmomanometer, and data analysis using the Wilcoxon test with a significance value of 5% (0.05). Results: Research results in the Wilcoxon test for the pre and post-systolic blood pressure showed a value of p = 0.000, while for pre and post-diastolic blood pressure the value was p = 0.001 which indicates that there is an effect of combined aerobic and ergonomic exercise on blood pressure in adult patients in Kepuh Village, Palimanan District, Cirebon Regency. Conclusion: The combination of aerobic and ergonomic exercise has an effect on systolic and diastolic blood pressure in adult hypertensive patients in Kepuh Village, Cirebon. Therefore, a combination of aerobic and ergonomic exercise can be an alternative to regulating blood pressure in adult hypertensive patients.

Correlation of Physical Activity During The COVID-19 Pandemic to Blood Pressure of Nursing Students of STIKes Widyagama Husada Malang Shintya Oftaviana; Ari Damayanti Wahyuningrum; Wira Daramatasia
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.38965

Introduction: The COVID-19 pandemic is limited to activities outside the home, focusing on online activities with academic and practical learning, which can cause changes in blood pressure, reducing physical activity for students. Lifestyle changes are a trigger for non-communicable diseases (PTM), one of the factors that trigger changes in blood pressure. Methods: Observational analytic research design with a cross-sectional approach. The sampling technique used Stratified Random Sampling with 66 nursing students in semesters 2, 4, 6, and 8. Physical activity was measured using the International Physical Activity Questionnaire (IPAQ), and blood pressure measurement using an aneroid sphygmomanometer. Data analysis used the Kruskall-Wallis test. Results: The majority were female, 68.2%, and had an average age of 20.97. 66.7% had no family history of the disease, and as many as 77.3% had no previous medical history. 56.1% had a normal Body Mass Index (BMI), and the majority, 81.8%, had no smoking behaviour. The majority, 54.5%, had moderate physical activity and normal blood pressure, with a mean of 111.08/79.89. The result of data analysis between physical activity and systolic blood pressure is p= 0.804, and for diastolic blood pressure, p= 0.961. Conclusion: There is no significant correlation between physical activity during the COVID-19 pandemic and blood pressure in STIKES Widyagama HusadaMalang nursing students.

Effect of Diabetic Exercise on Reducing Cholesterol Levels in Type 2 Diabetes Mellitus Patients in the Prolanis Exercise Group Argasunya Tifanny Gita Sesaria
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.44881

Introduction: Diabetes Mellitus (DM) or diabetes is a condition of disturbed metabolism in the body caused by the body's inability to produce and distribute the hormone insulin, causing instability in blood glucose levels. DM patients besides experiencing an increase in blood sugar levels also increase cholesterol levels caused by the body's inability to synthesize glucose into energy so that energy is formed from fat synthesis which can cause lipid deposits in the form of cholesterol. Management of diabetes mellitus (DM) which consists of diet, education, pharmacology and physical exercise. One of the physical exercise efforts is diabetes exercise, if done regularly it can burn 150 calories per day and is important in lowering plasma cholesterol through regulatory mechanisms.Method: This study aims to determine the effect of physical exercise on reducing cholesterol levels in patients with type 2 diabetes mellitus in the Prolanis Benowo Sukoharjo gymnastics group. This research is a quantitative study using a quasi-experimental design approachone group pretest-posttest. The sample in this study was patients with type 2 DMas many as 30 people, with statistical analysis using (paired sample t-test) withp-value (0.05).Results:The mean difference in cholesterol levels betweenpre andpost exercise in respondents who did gymnastics once a week for 4 weeks with a duration of 30 minutes per session was 35.8 with an SD of 34.7. While valuep (value) 0.000, meaning that there is a significant decrease in cholesterol levels betweenpre andpost physical exercise in respondents with type 2 diabetes mellitus. Conclusion:There is an effect of diabetes exercise on reducing cholesterol levels in patients with type 2 diabetes mellitus after being controlled with cholesterol medication in the prolanis exercise group.

Nurses' Experiences of Critical Care in the COVID-19 Intensive Care Unit Alirez Mirjalili; Samaneh Mirzaei; Khadijeh Nasiriani
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v11i2.30548

Background: The intensive care unit is one of the essential and vital departments of hospitals that accommodate patients in critical condition. Intensive care nurses play an important role in the evaluation, treatment, and management of these patients. The outbreak of the COVID-19 (Coronavirus disease ) pandemic, followed by severe respiratory involvement, highlighted the importance of nurses' performance in the intensive care unit. The aim of this study was to explain the nurses' experiences of nursing care in the COVID-19 intensive care unit.Methods: This study was qualitative content analysis. Participants were 12 nurses who were selected based on purposive sampling. Data collected by semi and unstructured interview. Data analysis was performed based on Graneheim and Lundman (2004) at three-phase. Research trustworthiness was confirmed by four criteria of credibility, transferability, dependability, and conformability.Results: In this study, a total of 1311 meaning units were extracted; after condensation and abstraction, 257 codes were obtained, which were extracted into 32 primary subcategories, eight secondary subcategories, and two themes. The first theme was nursing care inhibitors in the COVID-19 (Coronavirus disease) Intensive Care Unit included five categories: "Problems with personal protective equipment, lack of care supplies, Insufficient preparation of intensive care nurses, burnout of nurses, and care burden." The second theme was the strengths of nursing care in the intensive care unit in the COVID-19 included three categories: "Acquiring new knowledge and experience of intensive care, upgrading and developing the intensive care system and improving the image of nursing in the community."Conclusion: The COVID-19 pandemic was associated with challenges and problems for nursing and nursing care, the identification of which can help prepare for future crises. Also, due to its positive achievements for nursing, it can be used to improve the position of nursing and its care.

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Rifky Octavia Pradipta

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+6231-5913257

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cmsnj@journal.unair.ac.id

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Kampus C UNAIR, Jalan Mulyorejo, Surabaya, Indonesia, 60115

Location
Kota surabaya,

Jawa timur

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Rifky Octavia Pradipta

Contact Email rifky-op@fkp.unair.ac.id

Phone +6231-5913257

Journal Mail Official cmsnj@journal.unair.ac.id

Editorial Address Kampus C UNAIR, Jalan Mulyorejo, Surabaya, Indonesia, 60115

Location Kota surabaya, Jawa timur INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Rifky Octavia Pradipta

Contact Email
rifky-op@fkp.unair.ac.id

Phone
+6231-5913257

Journal Mail Official
cmsnj@journal.unair.ac.id

Editorial Address
Kampus C UNAIR, Jalan Mulyorejo, Surabaya, Indonesia, 60115

Location
Kota surabaya,

Jawa timur

INDONESIA