Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Indonesian Nursing Journal of Education and Clinic (INJEC) is the official peer-reviewed research journal of the Association of Indonesian Nurses Education Center (AINEC). This journal aims to promote advancement in nursing and healthcare through the dissemination of the latest research findings. INJEC covers a wide range of nursing topics such as nursing education, clinical practice, advanced nursing issue and policy related to the nursing profession. This journal publishes two issues per year in June and December. INJEC intended readership includes a nurse educator, researcher, manager, and nurse practitioner at all levels.
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<![CDATA[FRONT MATTER VOL 7 NO 1, 2022 ]]>
<![CDATA[Front Metter]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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<![CDATA[Effectiveness of Supportive Therapy and Economic Token Therapy in Reducing The Symptoms of Self-Care Deficit, Based on The Peplau Nursing Model ]]>
<![CDATA[Nofrida Saswati Nofi]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.461
<![CDATA[Introduction: Self-care deficit is a nursing diagnosis in which the client experiences an inability to independently perform personal hygiene, dress, eat and defecate. Therefore, interventions are needed to address clients with self-care deficits. One of the interventions carried out is supportive therapy and token economy using the Peplau interpersonal nursing model approach. The purpose of this study was to analyse the effectiveness of supportive therapy and token economy in reducing signs and symptoms of self-care deficits based on the Peplau interpersonal nursing model. Methods: The research design was a quasi-experimental study using a two group pre-post design. The sample in this study amounted to 40 respondents, 20 intervention groups, and 20 control groups according to the research criteria. This research was conducted in July-August 2021. The sampling technique was carried out by purposive sampling. The data was analysed by univariate and bivariate with a t-dependent test. Results: The results of the study showed that there was an increase in self-care before and after being given supportive therapy and economic tokens in the intervention group with a value before 133.60 to 140.05. A statistical test obtained p-value = 0.000 which means that there is an effect of supportive therapy and economic tokens in reducing signs of symptoms Of self-care deficit. The results obtained in the control group after being given supportive therapy with values before 128.85 to 138.55 and statistical tests obtained p-value = 0.041, meaning that there is an effect of supportive therapy in reducing symptoms of self-care deficits. Conclusion: There is an effect of supportive therapy and token economy on improving self-care in self-care deficit clients. Supportive therapy and token economy are recommended for self-care deficit clients to improve self-care abilities.@font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;}@font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-536858881 -1073732485 9 0 511 0;}@font-face {font-family:"Gill Sans MT"; panose-1:2 11 5 2 2 1 4 2 2 3; mso-font-charset:77; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:3 0 0 0 3 0;}p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-priority:1; mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0cm; mso-pagination:none; text-autospace:none; font-size:11.0pt; font-family:"Arial",sans-serif; mso-fareast-font-family:Arial; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:EN-US;}p.Default, li.Default, div.Default {mso-style-name:Default; mso-style-unhide:no; mso-style-parent:""; margin:0cm; mso-pagination:widow-orphan; mso-layout-grid-align:none; text-autospace:none; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:Calibri; color:black; mso-ansi-language:EN-US; mso-fareast-language:EN-US;}span.jlqj4b {mso-style-name:jlqj4b; mso-style-unhide:no;}.MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:11.0pt; mso-ansi-font-size:11.0pt; mso-bidi-font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:EN-US; mso-fareast-language:EN-US;}.MsoPapDefault {mso-style-type:export-only; margin-bottom:10.0pt; line-height:115%;}div.WordSection1 {page:WordSection1;}]]>
<![CDATA[The Effect of Progressive Muscle Relaxation (PMR) on The Mother's Anxiety Level Before Sectio Caesarea at Dinda’s Hospital at Tangerang City ]]>
<![CDATA[Lastri Mei Winarni]]>;
<![CDATA[Siti Nurjannah]]>;
<![CDATA[Yati Afiyanti]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.506
<![CDATA[Introduction: The process of delivery through sectio caesarea is a complex event and causes anxiety. Anxiety that occurs can have a negative impact on mothers and babies born. This study aims to determine the effect of progressive muscle relaxation (PMR) on the level of anxiety of mothers before sectio caesarea at Dinda’s Hospital, Tangerang City.Methods: The research method uses a quantitative approach with a quasi-experimental non-equivalent control group conducted on 36 respondents with a simple random sampling technique. Intrument of this study used Zung Self-Report Anxiety Scale (ZSAS) to measure mothers anxiety levels. Intervention delivered to the respondent by researcher a day before enter the operating room. Data processing using editing, coding, cleaning and analysis, to test the effect of PMR to mothers anxiety level, data analysis used independent paired T-test.Results: Result of the analysis show that the provision of PMR techniques can reduce score anxiety levels by 8.2, from 58.3 before intervention to 50.1. The results show that independent paired t-test obtained p-value of 0.001 which means that there is a significant effect between the level of anxiety of the mothers before SC surgery compare with control group.Conclusions: Nurses need to implement and educated mothers about PMR intervention to help reduce the level of anxiety before sectio Caesarea.]]>
<![CDATA[The Relationship between the Degree of Stressors and the Coping Strategies of Older Adult Living in Nursing Home ]]>
<![CDATA[Daning Widi Istianti]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.418
<![CDATA[Introduction: Stress is potentially overwhelming, especially for older adults. Different types of stressors require different coping strategies. This study aimed to find the relationship between the stressors and the coping strategies among the older adults at a nursing home in Yogyakarta, and to develop a stress debriefing program.Methods: This study utilized a quantitative research method with a descriptive correlational-comparative design. To develop the stress debriefing program, the questionnaires about stressors and coping strategies were used as the research instruments. The respondents recruited using purposive sampling with total of 100 older adults. Simple descriptive through to complex analyses and multivariate regression were carried out using SPSS.Results: The results showed that the p-value of the difference between the demographics and the degree of stressors was 0.70; while the p-value of the relationship between the degree of stressors and coping strategies was 0.07. It means that there was no significant relationship between the degree of stressors and the coping strategies of older adults living in nursing home.Conclusions: The results found that there was no significant relationship between the degree of stressors and the coping strategies employed by the respondents. Nurses should be aware of the stressors and help the residents to develop appropriate coping strategies.]]>
<![CDATA[Self-Stigma as The Trigger of Depression Factor in Multidrug - Resistant Tuberculosis (MDR-TB) Patients at a Public Hospital in Gresik ]]>
<![CDATA[Widya Lita Fitrianur]]>;
<![CDATA[Wiwik Widiyawati]]>;
<![CDATA[Ervi Suminar]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.495
<![CDATA[Introduction: Multidrug-Resistant Tuberculosis (MDR-TB) is a chronic infectious disease that can affect the patient's physical appearance so that it has an impact on the patient's psychosocial condition, including the emergence of anxiety and depression. Anxiety and depression in MDR-TB patients have an impact on the patient's rejection of the diagnosis and they choose to stop the treatment process. The incidence of anxiety and depression in MDR-TB patients is influenced by several factors, one of which is self-stigma. The purpose of this study was to determine the impact of the factor of self-stigma on the incidence of depression in MDR-TB patients.Method: The study design used a cross-sectional approach with a sample of 71 MDR-TB patients undergoing treatment. The study used a questionnaire that was filled out directly by the patient during the treatment process. The sampling technique used purposive sampling by setting inclusion criteria. The bivariate statistical test used in the study was chi-square.Results: The results of the self-stigma study obtained a p-value = 0.000 <0.05 with an OR value of 54.643, meaning that there was a significant relationship between self-stigma and depression in MDR-TB patients.Conclusions: MDR-TB patients with high self-stigma have a higher chance of experiencing depression than patients with low self-stigma. Suggestions in this study are that it is hoped that the family, health workers, community, and government can help reduce the stigma against patients with MDR-TB. Promotive efforts by providing support and education to the community can help to eliminate the stigma so that the incidence of depression in MDR-TB patients can be minimized.]]>
<![CDATA[Effect of Sea Cucumber on Reducing Periwound Maceration and Inflammation-Related Indicators in Patients with Diabetic Foot Ulcers Indonesia ]]>
<![CDATA[Haryanto Haryanto]]>;
<![CDATA[Defa Arisandi]]>;
<![CDATA[Makoto Oe]]>;
<![CDATA[Kazuhiro Ogai]]>;
<![CDATA[Suriadi Suriadi]]>;
<![CDATA[Mayumi Okuwa]]>;
<![CDATA[Junko Sugama]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.504
<![CDATA[Introduction: Maceration is one of the problems affecting the healing process of diabetic foot ulcers (DFUs). In complementary therapies, sea cucumber is known to have higher absorbency. However, there are few studies on the reducing of periwound maceration and inflammation-related indicators in DFU.Methods: This was an observational study at a wound care clinic in Indonesia. Thirty-one DFU patients received treatment with sea cucumber were enrolled in the study. As control samples, 35 DFU patients treated with honey were also included. All were new occurrence DFU and had maceration at the baseline. The maceration area and inflammation-relate indicators including TNF-, MMP-2, and MMP were measured on baseline and week 4.Results: There were no significant differences between two groups at the baseline. In the multiple linear regression model, sea cucumber significantly associated with the proportion of maceration reduction than honey at week 4 (β＝0.520, p=0.001). There were no significant differences between two groups in levels on TNF-α, MMP-2, and MMP at week 4.Conclusions: Our results demonstrated that sea cucumber might be appropriate for reducing DFU periwound maceration.]]>
<![CDATA[Correlation between Psychological Distress and Coping Mechanism Strategy among Health Workers with Confirmed COVID-19 ]]>
<![CDATA[Ruri Yuni Astari]]>;
<![CDATA[Hera Hijriani]]>;
<![CDATA[Lia Natalia]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.448
<![CDATA[Introduction: The COVID-19 pandemic has become a serious problem in the world of health that attacks the wider community or globally and has an impact in the form of psychological disorders among health workers as the forefront in the management of COVID-19; it is necessary for health workers with confirmed COVID-19 to have a coping mechanism strategy to overcome the problem of psychological distress. This study aims to determine the correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Methods: The quantitative descriptive method with a cross sectional approach was applied in this study which was conducted on June 3–July 2, 2021 and involved 129 health workers with confirmed COVID-19 in Majalengka District who were selected by incidental sampling technique. Data were collected through DASS-21 and BRIEF COPE questionnaires. Data analysis used frequency distribution, pearson correlation and multiple regression.Results: Based on this study, the highest score was obtained for the category of psychological distress (anxiety) is 43%, the coping mechanism strategy among health workers with confirmed COVID-19 was problem-focused coping by 2.95 and there was a significant correlation between psychological distress and coping mechanism strategy among health workers with confirmed COVID-19.Conclusions: Research result there was a significant correlation between psychological distress and coping mechanism strategys among health workers with confirmed COVID-19. Multidisciplinary interventions to deal with psychological problems in health workers are required to minimize the level of anxiety and stress they face.]]>
<![CDATA[BACK MATTER VOL 7 NO 1, 2022 ]]>
<![CDATA[Back Matter]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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<![CDATA[Survey of Knowledge Transformation Among Nursing Students During The Online Learning Methods ]]>
<![CDATA[Suhartini Ismail]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.470
<![CDATA[ABSTRACT Introduction: Learning from conventional methods is transformed into online methods. These changes encourage new adaptations of technology to support the continuity of the learning process. The online learning process in Indonesia has not been implemented optimally, due to the unpreparedness of teachers and learners. The adaptation process that there are obstacles has an impact on the transformation of student knowledge with online learning methods. Aim: The purpose of this research to describe the knowledge transformation among nursing students during the online learning methods.Methods: Research method was descriptive survey. The total sample of Sampling with total 128 bachelor students at nursing program, Faculty of Medicine, Universitas Diponegoro. The data was taken using the Constructivist Online Learning Environment Survey (COLLES) questionnaire, includes relevance, reflective thinking, inter-activeness, tutor support, peer support, and interpretation. Data analysis used distribution frequency, boxplot, and quartile.Results: The highest components were in the relevance component (16.90 ± 1.915) and the lowest reflective thinking component (14.55 ± 2.255) and inter-activeness (14.55 ± 2,559). Overall, the transformation of nursing students' knowledge with the majority of online learning methods in the category of less than 70 respondents (54.7%). Conclusion: The nursing students can increase their knowledge transformation by being more active in giving and responding to opinions, improving critical thinking skills and praising each other's contributions between friends during learning. Lecturers can enhance the ability to create a creativity, innovative, and interactive learning process.]]>
<![CDATA[The Effect of Discovery Learning Method on Students’ Self-Motivation Through Online Learning During The Covid-19 Pandemic ]]>
<![CDATA[Valen Fridolin Simak]]>;
<![CDATA[Meivi Sesanelvira A. D. Islam]]>;
<![CDATA[Muhammad Nurmansyah]]>
<![CDATA[ INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC ]]>
Publisher : <![CDATA[Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI) ]]>
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DOI: 10.24990/injec.v7i1.442
<![CDATA[Introduction: The learning process at the university level, especially in nursing, has changed since the number of cases of COVID-19 has continued to increase. Various problems after one year of the pandemic include students complained of boredom and lack of focus on learning compared to conventional learning in the classroom. The aim of this study was to analyze the effect of discovery learning method on students’ self-motivation through online learning in the COVID-19 pandemic.Method: This study used a quasi-experimental with pre-post control group design and conducted in two areas, PSIK Sam Ratulangi University as an Intervention group and PSIK Stikes Jendral Achmad Yani Cimahi as control group. We recruited a total sample of 82 respondents in total. This study lasted for four weeks with six stages described as two t meetings a week. To measure students' self-motivation, the Motivated Strategies for Learning Questionnaire (MSLQ) instrument totaling 32 items was used. Data were analyzed using Wilcoxon test and Mann Whitney test.Results: The results of this study indicate that there is a significant effect of discovery learning methods with self-motivation in online learning in community nursing course [p=0.00; Z = -2.28] and emergency nursing course [p=0.00; Z = -3.43].Conclusions: The results of the study are promising as the course can have a direct effect on the nursing education system, especially in improving the quality of learning methods. This method may be used as a way to improve student skill in the nursing courses especially community nursing and emergency nursing. ]]>
