Fundamental and Management Nursing Journal

The Differences In Quality of Sleep Among Babies Aged 3-12 Months Before and After A Baby Massage’s Class

Riska Swandari, Ervi Suminar — Mon, 07 Oct 2024 00:00:00 +0700

Introduction: The toddler years are a golden period for growth and development. One effort that parents can make to help improve the quality of their baby's sleep is by doing massage. Babies who get a massage will be able to sleep soundly, so that when they wake up their concentration is full. This study aims to prove whether there is a difference in quality of sleep among babies aged 3-12 months before and after a baby massage’s at Muhammadiyah Gresik Hospital, Indonesia

Methods: This research used a Pre-Experimental Design One Group Pre-Post Test Design using a sample of 34 subjects selected using a purposive sampling technique. The data instrument is in the form of an observation sheet before and after the massage. The variable measured in this study was improving the quality of the baby's sleep. Wilcoxon sign rank test analysis obtained a p value = 0.000.

Results: In babies aged 3-12 months before the baby massage was carried out, the results showed that the majority of babies experienced good quality sleep, 18 (53%) babies, and after the massage, the majority of babies experienced good quality sleep, 25 (74%) babies.

Conclusions: There are differences in quality of sleep among babies aged 3-12 months before and after baby massage in the baby massage class at Muhammadiyah Gresik Hospital, Indonesia. The importance of the influence of sleep on infant development because sleep is a physiological process that alternates with longer periods of wakefulness. Sleep has enormous benefits for their growth and development and optimizes their brain development, because sleep activity is one of the stimuli for the process of brain growth and development. Further research involves a larger number of samples is highly suggested.

The Workload and Stress Levels Among Staff Nurses in the Inpatient Ward of a Secondary Health Care Service in Indonesia

Vina Febrianti, Arie J. Pitono, Ahmad Arifin, Egi Komara Yudha — Mon, 07 Oct 2024 00:00:00 +0700

Introduction: The workload is a discrepancy between a worker's capacity or capability and the demands of the job that must be performed. An evenly distributed workload should be able to minimize the level of job-related stress among staff nurses in the hospital. This study aimed to analyze the relationship between workload and stress levels among nurses in the Inpatient Ward of secondary health service in Indonesia.

Methods: This research employs a cross-sectional approach. The sampling technique used in this study is probability sampling with a simple random sampling technique, where samples were selected randomly without considering strata within the population, which consists of 64 staff nurses working in the Inpatient Wards of Class II and Class III. Collecting data was took place in a secondary health service; Oto Iskandar Di Nata District Hospital Soreang, Bandung, Indonesia. The NASA-TLX (Task Load Index) questionnaire is utilized to measure workload, while the DASS-21 (Depression Anxiety Stress Scale 21) questionnaire is used to assess the stress levels among nurses. The statistical test in this study used the Chi Square test to determine the correlation between variables.

Results: A total of 21 nurses (32.8%) experienced severe stress and 18 nurses (28.1%) had a heavy workload. The data analysis using the Chi-Square statistical test yielded a p-value of 0.001, which is less than the alpha level (α = 0.05) that indicate a relationship between workload and stress levels among staff nurses in the Inpatient Wards of Oto Iskandar Di Nata District Hospital Soreang Bandung, Indonesia.

Conclusions: The workload has a strong correlation with stress levels among staff nurses in the Inpatient Wards of Oto Iskandar Di Nata District Hospital Soreang, Bandung, Indonesia. Further study for analyze other factors which has more influence to stress levels among nurses in the Inpatient settings is needed.

Spiritual Support In Chronic Renal Failure Patients With Hemodialysis : A Systematic Literature Review

Mon, 07 Oct 2024 00:00:00 +0700

Introduction: Chronic renal failure (CRF) is a terminal condition. For decades, hemodialysis has become a chosen treatment for CRF patients to keep alive. Nevertheless. anxiety associated with the disease remains a major concern among this particular population. Therefore, spiritual therapy is given reduce the level of anxiety. This literature review aims to explore the benefits of spiritual therapies: reading and listening to prayers, supportive education, and counseling.

Methods: In this study the authors used the Literature Review method. Data collection methods with electronic databases are carried out through Spinger Link, PubMed, and ProQuest. Data were obtained from January 2022 to May 2022, included articles were full-text primary research, focused on spirituality support in CRF patients with Hemodialysis, within the publication period of 2017-2024. Exclusion criteria details are available in the full manuscript. To address the potential limitations introduced by language bias, only English and Indonesian-language publications were included. Instruments to assess the success of spiritual support in chronic renal failure patients with hemodialysis consist of the Daily Spiritual Experiences Questionnaire (DSES), HADS, CES-D: Epidemiologist Study Center Depression Scale, SWBS (Spirituality Well Being Scale) DUREL, Interview, RSC-brief, Questionnaire and Physical Symptom Distress Scale, PSQI Chinese version, Geriatric Depression Scale and Spiritual Well-Being Scale.

Results: Ten (n= 10) articles were retrieved. Those described the benefits of spiritual therapies: reading and listening to prayers, supportive education and counseling. The level of anxiety among hemodialysis patients decrease after the treatments were given. The single and whole treatment can be applied daily, and no negatives of treatments were reported.

Conclusions: Spiritual support positively reduce anxiety in patients with CRF with hemodialysis. Nurse is highly recommended to include spiritual education, counseling, listening to prayers, and reading prayers in anxiety associated with hemodialysis management in to nursing care plan. Further research examining the effect of spiritual treatment for patients in their early living with hemodialysis and those with long life span is necessary.

Risk and Protective Factors of Self-Harm and Suicide in Adolescents in The Era of Society 5.0: A Systematic Review

Trihaningsih Puji Astuti, Nurul Hidayati, Fauzi Tsanifiandi, Rr Dian Tristiana — Mon, 07 Oct 2024 00:00:00 +0700

Introduction: Suicide and self-harm have been ranked as the fourth leading causes of mortality among adolescent population. Preventive interventions are necessary due to the rising prevalence. The aimed of this study was to identify the risk and protective factors of self-harm and suicidal behavior among adolescents in the era of society 5.0.

Methods: This study was a literature review. Published, English articled were retrieved from Scopus, Web of Science, PubMed, and CINAHL databases, limited to the last five years from 2018 to 2023. The specific keywords used to search for articles were ("Self-harm" OR "Self-injurious behavior" OR "Self-destructive behavior") AND suicid* AND (adolescent OR youth OR teenager).

Results: Eleven (n=11) articles were synthesized and resulted based on thematic analysis of eleven articles, five risk factors and three protective factors for self-harm and suicidal behavior in adolescents were found. Five risk factors consist of family dysfunction, experience of being a victim of bullying, history of self-harm, maladaptive coping and having a history of mental disorders. Meanwhile, three protective factors for prevention are family support and attachment, school support and positive activities.

Conclusions: The rapid influence of technology in the era of society 5.0 which was triggering self-harm and suicide behaviors can be suppressed with a strong support system in adolescents. Family, education, and peers play crucial roles in fostering adolescents' emotional well-being. Considering both risk and protective factors, Further examination to deeply understand adolescents engage in self-harm and suicide is warranty.

The Determinants Factors of Personal Mastery Among Clinical Nurse Practitioners in Indonesia

Mon, 07 Oct 2024 00:00:00 +0700

Introduction: Human resources of nursing who have low personal mastery have an impact on the quality and productivity of nursing services. Several factors have been studied to be associated with the low personal mastery of nurses. The purpose of this study was to analyze the factors that’s influencing personal mastery improvement of clinical nurse practitioners in a hospital.

Methods: This study applied cross sectional design with 120 respondents through cluster sampling technique in one of Surabaya Hospital. Data were collected using the personal mastery factors questionnaire that has been tested for validity and reliability. The variable included training and development, leadership, attitudes, competencies, motivation, personal values, job design and personal mastery of nurses. Data were analyzed using multiple linear regression.

Results: The result showed that competence, personal values and job design factors partially influenced the personal mastery (p = 0.006), (p = 0.001), (p = 0.005). Training and development, leadership, attitude and motivation have not influenced on personal mastery (p = 0.871), (p = 0.352), (p = 0.900), (p = 0.312). Simultaneously development and training, leadership, attitudes, competencies, motivation, personal values and job design factors was influenced the personal mastery of nurses' (p = 0.000). The influenced independent’s variable on personal mastery of clinical nurse practitioners is 58.1%.

Conclusions: Personal mastery of clinical nurse practitioners was increased by improving the competence, strengthening of the personal values and design a good job. Further studies are warrant to examine other factors that can improve nurses' personal mastery such as organizational culture, reward systems that affect the performance of clinical nurse practitioners.

Adaptation and Validation of the Indonesian Version of the Instrument to Measure Nursing Students' Attitudes Toward Clinical Duties

Suis Galischa Wati, Vania Dewintaputri — Thu, 10 Oct 2024 00:00:00 +0700

Introduction: Nursing students' attitudes toward clinical rotation education, play an important role in increasing their motivation to achieve goals, alertness, and ability to capture complex information. A positive attitude tends to encourage students to improve the quality and effectiveness of learning. While negative attitudes tend to decrease motivation, student interaction, attendance, and respect for staff in the clinic. The attitude toward clinical duties is a widely used instrument to identify nursing students' attitudes during clinical rotation learning which is available in English. Therefore, this study aims to adapt this instrument into an Indonesian version, so that a valid and reliable instrument is obtained.

Method: This was a descriptive quantitative study carried out in February-March 2023, through the stages of forward translation, synthesis, backward translation, expert review, and instrument testing based on Beaton's cross-cultural adaptation framework. This study involved 33 nursing clinical rotation students, using a Consecutive sampling technique. The Correlation validity was tested using Pearson Product Moment with 95% CI (p=0.05) and Cronbach alpha was used to identify the internal consistency.

Results: The mean I-CVI and S-CVI/Ave of the instrument was 1.00. The results showed that 19 of the 25 question items tested had an r-count larger than the r-table (>0.344). The internal consistency test using Cronbach alpha showed a value of α = 0.916.

Conclusions: The Indonesian version of the attitude towards clinical duties instrument with 19 questions has good content validity with excellent internal consistency value.

Nurses’ Knowledge, Attitude, and Practice of Implementing Heart Failure Management Guidelines

Racheal C. Jideofor, Jefferson S. Galanza — Thu, 10 Oct 2024 00:00:00 +0700

Introduction: Heart failure presents a global concern with significant morbidity and mortality rates. In Nigeria, Heart failure has become prevalent, with patients exhibiting inadequate self-care due to nurses' limited knowledge of management guidelines, lack of motivation to utilize clinical practice guidelines, and difficulties implementing management guidelines that incorporate patient education. The study analyzed the nurses' level of knowledge, degree of attitude, and extent of practicing education on heart failure management guidelines. Also, the relationship between nurses' knowledge and practice in implementing heart failure management guidelines.

Methods: This quantitative study employed a descriptive-correlational survey design. Purposive sampling was employed to select two government-owned hospitals in northeast Nigeria. A stratified random sampling technique was utilized to recruit two hundred twenty (220) nurse respondents. A self-made survey questionnaire was utilized to gain more extensive information from respondents. Data were analyzed using descriptive statistics and Spearman's correlation.

Results: The results showed nurses' insufficient knowledge (Mean 14.5 ± 2.91) of heart failure management guidelines, favorable attitude (mean 4.37 ± 0.43), and high extent of practice (mean 4.16 ± 0.66). Furthermore, a very weak, no significant negative correlation was discovered between knowledge and practice of Heart Failure management guidelines.

Conclusions: Nurses showed positive attitudes toward heart failure patient care, yet inconsistently engaged in patient education despite recognizing its benefits. The absence of a relationship between nurses' knowledge and practice of patient education underscores the need to address factors impeding patient education.