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Journal of Nursing Science Update

jik
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Published by Universitas Brawijaya

ISSN : 28297075 EISSN : 28290003 DOI : https://doi.org/10.21776/ub.jik

Core Subject : Health,

Health Professions Nursing

Journal of Nursing Science Update (JNSU) [formerly known as Jurnal Ilmu Keperawatan: Journal of Nursing Science] is a media to share scientific studies about nursing published by the Department of Nursing, Faculty of Health Science, Universitas Brawijaya. This journal covered basic nursing sciences, pediatric nursing, medical surgical nursing, maternity nursing, emergency nursing, mental health nursing, community nursing, family nursing, gerontic nursing, and nursing, and health policy. This journal is delimited into topics related to original research, reviews, case studies, and letter to the editor, which contribute to the development of the nursing scientific field. We aim to promote the development of nursing research into clinical evidence in practice. Our audience is the national and international nursing community, educators, health professionals, policymakers, and interested public members worldwide.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

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Search results for , issue "Vol. 6 No. 1 (2018)" : 14 Documents clear

NURSES EXPERIENCE IN IMPLEMENTING A TRIAGE ON MASS VISITATION IN THE EMERGENCY DEPARTMENT OF NGANJUK DISTRICT HOSPITAL TYPE B Agus Khoirul Fuadi; Retty Ratnawati; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Nganjuk district hospital is the referral hospital in Nganjuk, so the consequences that must be accepted is the potential of a patient mass visitation. Mass visitation is a condition where there are lot of patients arrived at the same time, it can be caused by various causes or diseases that came from a single factor or more. These factors include the increase number of referral patientâ€™s arrival, the increase number of patient's arrival at its own initiative, some disaster/accident/plague victims, where they came to the emergency department with different criticalness. There is one question that is very important, which is how one nurse in that is placed in an emergency department of a hospital could perform a triage to handle a number of patients that are coming together. Of course, these conditions will bring an interesting experience to be explored by researchers. This study is a qualitative research that used an interpretative phenomenological approach. A deep interview was involving 4 triage nurses. The data were collected and analyzed by using a thematic analysis approach. The transcript of the interview results was analyzed by using a qualitative analysis, such initial codes were made in each participant's statement and it was interpreted in the form of a theme. The study resulted in four themes, namely Changed Triage Mechanism, Triage System Inadequate-yet, The Expectation of Emergency Room Policy Changing, KIE Advance Strategies. Where finally, these themes are narrowed down to one major theme namely The Spirit of Change in the Middle of Inadequate Triage System in Mass visitation. These description indicates the dynamics of triage nurses in the emergency department of Nganjuk district hospital in the form of a spirit of change in the middle of inadequate triage system that is used to handle a mass visitation.The researchers recommend further research that is directed to influence a triage system on a mass visitation towards the waiting time and mortality number in the emergency department of Nganjuk district hospital. The researchers also suggest that Nganjuk district hospital should create a Standard Operating Procedure (SOP) for the triage system to handle a mass visitation.Â Keyword : Triage, mass visitation

THE EFFECT OF HEALTH EDUCATION WITH AUDIO-VISUAL MEDIA TOWARD EXTERNAL GENITAL HYGIENE BEHAVIORS TO PREGNANT WOMEN IN PRIMARY HEALTH CARE OF MALANG WORKING AREA Ulfa Fauziyah Hayati; Fransiska Imavike Fevriasanty; Muladefi Choiriyah
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

External genital hygiene is an important part to prevent pregnancy infection. In Indonesia, 75% of genital infection occurance is caused by poor hygiene behaviour. Genital infections causes premature labor, PROM, and neonatal death. Although health education has been given based on visual approaches, 60,9% of pregnant women still have a poor genital hygiene behaviour. The usage of audio-visual media is expectable to improve genital hygiene behaviour of pregnant women. This research is aimed to determine the effect of audio-visual media usagetoward genital hygiene behaviour to pregnant women. Quasy experimental studies using nonrandomizedpretest-posttest control group design and divided into intervention group with audio-visual media and leaflet (n=10) and control group with leaflet (n=10). Samples were selected by accidental-sampling method. Data were collected by questionnaires. The results showed that the increase score of intervention group afterbeing given the education is 4.0(Paired t-Test, p-value=0.000). On the control group, the increase score afterbeing given the education is 1.6(Paired t-Test, p-value=0.005). The result of Unpaired t-Test on the intervention and control group showed that the p-value is 1.000 (p value>0.05). The conclusion is there is not behaviour difference of external genital hygiene on the intervention and control group. The audio-visual media and leaflet usage has a significant effect in improving genital hygiene behavior of pregnant women. It is suggested for researchers to add the usage of education media as aids equipment to measure hygiene behaviour of pregnant women more objective.

THE EXPERIENCE OF TEMS NURSES IN HANDLING TRAFFIC ACCIDENT VICTIMS IN RSUD DR. ISKAK TULUNGAGUNG Maria Wisnu Kanita; Retty Ratnawati; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Emergency Medical Services (EMS) in Indonesia has not been developed comprehensively. EMS service that has been running is in RSUD dr. Iskak Tulungagung named Tulungagung Emergency Medical Services (TEMS) with the most incident call are traffic accidents. Nurses experienced some obstacles when handling the traffic accident victims which made it cannot be done optimally. This study aims to explore the experience of nurses in conducting EMS on the handling of traffic accident victims in RSUD dr. Iskak Tulungagung. The research was using qualitative method with interpretive phenomenology approach by using data analysis process based on Interpretative Phenomenological Analysis (IPA). Nine themes were obtained from 9 participants: 1) Assuming the importance of providing the best treatment, 2) Encourage team cohesiveness to facilitate handling, 3) Feel the contradictions in the self when dealing with victims, 4) Feeling the emergence of spirit in self, 5) Serving with wholeheartedly embodied with the priority of the victim, 6) Experiencing poor acceptance from the community, 7) Experiencing the limited, 8) Craving accurate service by a competent team, and 9) Feeling increasing public trust who knowing TEMS. Establishing EMS from the beginning to the current process, based on the awareness of the nurse and the relevant parties regarding the appropriate and best handling of traffic accident victims to achieve patient safety. Regular evaluation is needed from all related parties and education for community for handling of traffic accident victims in EMS service so it can be given maximally by the nurse.

PHENOMENOLOGY STUDY: CAREGIVER EXPERIENCE IN NURSING ELDERLY WITH SELF-CARE DEFICIT AT PANTI WERDHA PANTI PANGESTI LAWANG Ellia Ariesti; Retty Ratnawati; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Elderly is the last stage of human growth development and often related to body function derivation which cause helplessness. Self-care deficit was one of the elderly problem and lead to inferiority, high dependecy to caregiver, and critical point during elderly life period. Elderly whom stayedÂ at nursing home, would depends their self-care to the caregiver because their family could not have abillity to nursing them. This research aim was to explore the caregiver experienced in nursing elderly with self-care deficit at Panti Werdha Panti Pangesti Lawang. Qualitative research design were used, with intepretive phenomenology aprroachment. Data collection technique was depth interview method and semistructured interview guidelines were used. This researh generated ten themes: still fulfilled elderly self-care who were unable to met their necessity, gratefull feeling and not burdened when nursing the elderly, pity and learnt to be patient, tried to aprreciate elderly by didnâ€™t show displeasing expression and show responsibility, became angry and force the elderly during nursing period, tried to fulfill all elderly necessities, a lot of energy were needed and teamwork, elder people had their own behavior, willingness to nurse the elderly better and more passionate, were called to nurse the elderly similar to their parents. This condition would lead to frustation, burdened feeling, exhaustion, and stress in caregiver. Conditions above need further prevention from health care provider.

THE EXPERIENCE OF SHADOW TEACHERS IN HELPING CHILDREN WTH SPECIAL NEEDS IN TELOGO PATUT ELEMENTARY SCHOOL I GRESIK Abd Nasir; Indah Winarni; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Shadow teacher in their profession are always dealing with special needs children who have intellectual impairment, behavioral and emotional disorders and learning disorders. This is an exhausting job because shadow teachers should be able to ensure that the child is always adaptive during the lesson. Shadow teacher also must know how to adapt to the childâ€™s character, and this task also spends a lot of time. However, the existence of children in the class is not supported by good learning guidelines. The purpose of this study was to explore the experience of shadow teachers with the child with special needed. This qualitative research used Interpretative phenomenology research design and data analysis used interpretative phenomenology analysis approach. Data collection process used in-depth interviews and observations, and this research involved six participants. This research produced 9 themes: (1) believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others (3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strict rules, (7) believe that visualization is the way to make childrenâ€™s focus increased, (8) feel that togetherness must be build together with the children, and (9) feel that government and societyâ€™s concern to these children with special needs is still lacking. Guiding and leading children with special needs is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effort and can make the children with special needs can live peacefully in the middle of society.Shadow teacher in their profession are always dealing with special needs children who have intellectualimpairment, behavioral and emotional disorders and learning disorders. This is an exhausting jobbecause shadow teachers should be able to ensure that the child is always adaptive during the lesson.Shadow teacher also must know how to adapt to the childâ€™s character, and this task also spends a lotof time. However, the existence of children in the class is not supported by good learning guidelines.The purpose of this study was to explore the experience of shadow teachers with the child with specialneeded. This qualitative research used Interpretative phenomenology research design and data analysisused interpretative phenomenology analysis approach. Data collection process used in-depth interviewsand observations, and this research involved six participants. This research produced 9 themes: (1)believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others(3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strictrules, (7) believe that visualization is the way to make childrenâ€™s focus increased, (8) feel thattogetherness must be build together with the children, and (9) feel that government and societyâ€™sconcern to these children with special needs is still lacking. Guiding and leading children with specialneeds is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effortand can make the children with special needs can live peacefully in the middle of society.

ANALYSIS OF FACTORS AFFECTING THE APPLICATION OF AUSTRALASIAN TRIAGE SCALE (ATS) IN EMERGENCY DEPARTEMENT NGUDI WALUYO WLINGI HOSPITAL Mohammad Nur Firdaus; Setyowati Soeharto; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Indonesia doesnâ€™t have a national standard for triage system which means implementation in each hospital can be different. Nurses have an important role in the application of triage. The Australasian Triage Scale method (ATS) is one of the triage system in the world used in some countries including Indonesia but it is very difficult to implementation in overcrowded emergency departement. Nurses ratio and unstandard triage room make the ATS standart times is difficult to achieve. The aim of this study was to analyze the various factors affecting Australasian Triage Scale (ATS) in emergency departement NgudiWaluyo Wlingi Hospital. We used quantitative research with cross sectional approach and the respondent are 28 nurses in Emergency Departement Ngudi Waluyo Wlingi Hospital. Univariate analysis is used toknow the description of each variable. Fisher test to determine the relationship between variables. Logistic regression analysis to determine the most dominant factor affecting the application of Australasian Triage Scale. Fisher test result show p-Value as follows: performance factor (leadership), p =0.028 < Î± = 0,05, client factor (waiting time) p = 0.011 < Î± = 0,05, equipment factor (triage documentation) p = 0,036 < Î± = 0,05, staff requirements factor (education) ) p = 0.013 <Î± = 0,05, staff requirements factor (training) p = 0.036 <Î± = 0,05 The result of logistic regression shows staff requirements factor (education) p = 0.019 < Î± = 0.05 with OR 0.059. In conclusion there is a significant affecting between performance leadership factor, waiting time factor, triage documentation factor,education factor, training factor on the application of ATS and education is a dominant factor to predict the accuracy of the application of ATS.

FACTORIAL ANALYSIS RELATED TO FAMILY PREPAREDNESS FACING DISASTER IMPACT IN TERNATE CITY OF MALUKU UTARA PROVINCE Syafrudin Lukman Ahmad; Ahsan Ahsan; Mukhamad Fathoni
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Disasters occur when vulnerable people are faced with threats that they are unable to cope with or have low capacity to overcome them. Preparedness is the most critical phase in the range of disaster management, the inadequacy of disaster preparedness planning has created the suffering of survivors and loss of life. The purpose of this study was to analyze factors related to family preparedness in Ternate city. This research use descriptive analytic design with Cross sectional study approach. Respondents in this study were 113 Head of Family (KK) by using systematic random sampling. Chi-square test shows the related relationship (p = 0,005), attitude (p = 0.000) and social capital (p = 0.000) to risky family preparedness in Ternate city. The result of logistic regression test shows that social capital has the strongest strength of relationship (p = 0,022, OR = 2,725) compared to attitude (p = 0,025, OR = 2,680) and knowledge (p = 0,041, OR = 2,520). His result shows that good knowledge, attitude and social capital will increase the family preparedness in the face of disaster impact in Ternate City.

PATIENT'S CHEST DISCOMFORT ASSOCIATED WITH DELAY IN REPERFUSION THERAPY ACUTE CORONARY SYNDROME Elizabeth Yun Yun Vinsur; Djanggan Sargowo; Tony Suharsono
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Â Acute Coronary Syndrome (ACS) is a group of symptoms that are classify as unstable angina (ATS), ST-Segment Elevation Myocardial Infarction (STEMI) and non ST-Segment Elevation Myocardial Infarction (NSTEMI). Main objective to provide timely reperfusion therapy is essential to improve survival. Initial and rapid intervention after the occurrence of coronary artery disease is associated with better clinical outcomes, but it is hampered by the nature of the patient's seeking decisions Patients expect the type of heart attack they often see in medical movies and television: like chest pain that grips and causes it to fall to the floor. This study aims to analyze the chest discomfort experienced by patients associated with delay in reperfusion therapy of Acute Coronary Syndrome. The method used is observational analytic with cross sectional approach. Nonprobability sampling with time quota technique obtained sample of 60 respondents. The results obtained as many as 55% of patients come more than 120 minutes after the onset of discomfort in the chest. The patient's delay in coming to the associated hospital is an accompanying symptom factor at onset with p = 0.048, and OR = 4.596 (1.014-20.828). There were no significant differences in the scores of knowledge, behavior, and beliefs based on the ACS response index between patients who came <120 minutes and> 120 minutes. The conclusions of this study present the accompanying symptom presentations at onset with the time interval between the appearances of the SKA symptoms until arriving at the IGD door. Seeing the results of this study suggests the need for efforts from medical staff to optimize the interpretation of "chest pain characteristics" to patients and families or who are susceptible about specific and non-specific cardiac signs.Â Keywords: acute coronary syndrome, prehospital delay, onset to door, reperfusion

THE DIFFERENCES OF CORRELATION OF THE TIMI, GRACE, AND KILLIP RISK SCORES AS PREDICTOR PROGNOSIS PATIENTS WITH NON ST-ELEVATION MYOCARD INFARCTION ACUTE CORONARY SYNDROME IN ICCU RSUD DR.ISKAK TULUNGAGUNG Rina Anggraini; Titin Andri Wihastuti; Dewi Kartikawatiningsih
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Acute Coronary Syndromes is the leading cause of short-term and long â€“term mortality. An aggressive treatment approach has the potential to change the prognosis of patients with ACS, although its depends on risk factors. There are several risk scoresÂ such as Thrombholysis in Myocardial Infarction (TIMI), Global Registry of Acute Coronary Events (GRACE), and Killip. The aim of this study is to analyse the differences of correlation of TIMI, GRACE, and Killip risk scores as predictor Length Of Stay patients with Non St-Elevation Myocard Infarction ACS. The method of this study utilized an analytic observational design with the cohort retrospective. The research was conducted at RSUD Dr.Iskak Tulungagung used 98 samples of medical records patient with NSTEMI ACS in the past 8 months (January-August 2017). The data collection techniques was completing risk score of TIMI, GRACE, and Killip and Length of Stay patient in ICCU ward. The results and analyse of Spearman Rank showed that TIMI has p = 0,000 r = 0.466,Â GRACE p = 0,000 r = 0.598, and Killip p = 0,000 r = 0.441 (p < 0,05), so that it can be said that there wasÂ significant differences between the risk score of TIMI, GRACE and Killip as predictor prognosis patient with NSTEMI ACS. It can be concluded that the TIMI, GRACE and Killip risk scores have correlation as predictor prognosis patient with NSTEMI ACS, which is GRACE risk score has superior to TIMI and Killip.

DIFFERENCES EFFECT OF PROGRESSIVE MUSCLE RELAXATION THERAPY AND SUPPORTIVE THERAPY ON PARENTS ANXIETY WITH CHILDREN HOSPITALIZATION AT RSUD.DR.R.SOEDJONO SELONG EAST LOMBOK Farida Maemunah Martiningsih; Retty Ratnawati; Asti Melani Astari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Hospitalization is an issue that is not expected by everyone, especially children, because they have to undergo some procedure of action and examination. This problem causes anxiety and stress for parents, one of which is marked by muscle tension. This problem can be overcome by nursing actions using Progressive Muscle Relaxation Therapy and Supportive Therapy. The study aims to distinguish the influence of Progressive Muscle Relaxation Therapy and Supportive Therapy in reducing the anxietyÂ parents with children undergoing hospitalization. The research applied quantitative approach with Quasi experimental pre post test, the number of respondents 25 pairs of parent each group, using purposive sampling technique. The research location at RSUD.Dr.R.Soedjono Selong, East Lombok regency on August to October 2017. Based on the result of the study showed decrease of anxiety score the Progressive Muscle Relaxation Therapy was lower than Supportive Therapy, which was 6.30 < 10.44, and t value was 0.000. The used of Progressive Muscle Relaxation Therapy was significant which p value was 0.000. The conclusion of the study results There was a difference in effect between Progressive Muscle Relaxation Therapy and Supportive Therapy in lowering parental anxiety levels, with the results of Progressive Muscle Relaxation Therapy is better to lower parental anxiety than Suportive Therapy. Further research needs to be developed modification of Progressive Muscle Relaxation Therapy versus Supportive Therapy in other groups.Â

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Jawa timur

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Contact Name Nurona Azizah

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Phone +6281216566802

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Editorial Address Gedung Keperawatan, Jl. Puncak Dieng, Kunci, Kalisongo, Kec. Dau, Malang, Jawa Timur 65151

Location Kota malang, Jawa timur INDONESIA

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Contact Name
Nurona Azizah

Contact Email
nurona.azizah@ub.ac.id

Phone
+6281216566802

Journal Mail Official
jkn@ub.ac.id

Editorial Address
Gedung Keperawatan, Jl. Puncak Dieng, Kunci, Kalisongo, Kec. Dau, Malang, Jawa Timur 65151

Location
Kota malang,

Jawa timur

INDONESIA