Jurnal Ners

BACK MATTER VOL 19 ISSUE 2

Admin Jurnal Ners — 2024-05-31

Nursing innovation and patents: a pathway to advancing healthcare and nursing

Kai-Li Chen — 2024-05-31

FRONT MATTER VOL 19 ISSUE 2

Admin Jurnal Ners — 2024-05-31

The predictor of non-suicidal self-injury behavior among adolescents: a cross-sectional study

Dwi Indah Iswanti — 2024-05-31

Introduction: Non-Suicidal Self-Injury (NSSI) among adolescents is a prevalent issue in Indonesia. Comprehensive understanding of NSSI is essential for uncovering the factors that trigger and predispose adolescents to such behavior. This knowledge serves as a foundation for crafting targeted nursing interventions to address and mitigate NSSI among this vulnerable population. This study aimed to identify determinant factors contributing to the occurrence of Non-Suicidal Self-Injury behavior in adolescents.

Methods: The study employed a cross-sectional approach conducted between October and December 2023, with 570 respondents selected through simple random sampling. Socio-demographic, precipitating, and predisposing factors were measured using a checklist sheet. The Self-Harm Inventory (SHI) instrument was utilized to assess NSSI. Data analysis involved Pearson correlation and multiple regression to examine the relationships between variables.

Results: The study revealed significant relationships among five variables. Gender (p-value = 0.004), bullying (p-value = 0.002), disappointment (p-value = 0.001), sharing place (p-value = 0.002), and communication pattern (p-value = 0.010) were identified as factors associated with Non-Suicidal Self-Injury behavior in adolescents. On the other hand, personality (p-value = 0.174), environment (p-value = 0.260), coping mechanism (p-value = 0.458), and parenting style (p-value = 0.054) showed no association with Non-Suicidal Self-Injury behavior.

Conclusions: The findings underscore the significance of disappointment and the absence of a supportive environment in influencing NSSI. This highlights important considerations for healthcare professionals, educators, and policymakers. Strategies should encompass comprehensive approaches, early detection, and targeted interventions to foster supportive environments and address the complex nature of NSSI among adolescents.

Factors associated with blood pressure and nutritional status among adolescents: a cross-sectional study

Farapti Farapti — 2024-05-31

Introduction: The association between obesity and hypertension in adolescents necessitates the identification of potential predictors at an early stage. This study aimed to examine the association of sex and place of residence with nutritional status and blood pressure in adolescents aged 10-18 years.

Methods: A sample of 198 subjects aged 10-18 years was included in this study. Data on demographic characteristics were collected using a structured questionnaire, whereas nutritional status and blood pressure were measured using standardized measures. Statistical analyses, including the independent t-test, Pearson and Spearman correlation test, and linear regression, were conducted to identify potential risk factors, with statistical significance set at p < 0.05.

Results: The study revealed a high prevalence of overweight-obesity (24.7%) and hypertension (11.1%) among the subjects. Significant correlations were observed between body weight, height, age, and blood pressure (p < 0.05). Boys exhibited higher mean body height and Systolic Blood Pressure (SBP) than girls. Nutritional status was positively associated with Body Mass Index (BMI) and blood pressure, with nutritional status emerging as the primary predictor in both private houses and boarding schools (p < 0.05). Furthermore, age at menarche was found to be a predictor of blood pressure in boys, whereas age was a predictor in girls.

Conclusions: BMI predicts nutritional status and blood pressure, whereas age and menarche age are crucial factors that depend on sex. Based on these findings, it is critical to manage obesity and hypertension by considering characteristics such as nutritional status, sex, and age

Understanding perspective on community health literacy for promoting the health of older adults with hypertension: a qualitative descriptive study

Chanissara Saenyabutr — 2024-05-31

Introduction: This study aimed to understand the community people's experience of access, understanding, evaluation, and application of health information for self-care of hypertensive older adults, and explore the community's perspective on promoting community health literacy (CHL) on caring for hypertensive older adults.

Methods: This was a qualitative descriptive study. Data were collected through focus groups and in-depth interviews in one sub-district municipality in Mahasarakham, Thailand. A total of 37 participants from older adults with hypertension, families of older adults with hypertension, and community committees were recruited based on inclusion criteria using purposive sampling. Data were then analyzed using a five-step thematic analysis.

Results: Four main themes of community people's experience emerged 1) access to health information limited by the healthcare personnel at the primary care unit (PCU), 2) understanding the health information because it is clear and familiar, and can ask the medical personnel directly, 3) do not evaluate the health information received from healthcare personnel because they trust them, and 4) applied health information to practice only taking medicine and doctor's appointments. Three main themes to promote CHL are 1) usual healthcare activities, 2) community action, and 3) nurses at PCU, village health volunteers, and community committees should be involved in playing a key role in promoting CHL.

Conclusions: Cooperation with community leaders is important to promote CHL by using active learning education and creating a supportive environment focusing on encouraging older adults to perform self-care to control their health conditions.

Caregiver Burden and Depression Among Caregivers of Patients with Chronic Disease

Norfidah Mohamad — 2024-05-31

Introduction: Caring for people with chronic diseases is physically and emotionally demanding. It can also have adverse effects on the caretaker, such as depression. Caregiver burden describes the psychological and financial strains of providing care. Depression in caregivers' manifests as concern, indecision, and an inability to feel the future. Chronic disease is a condition that takes a long time to treat and may progressively get worse over time. This study aims to identify the level of caregiver burden and depression and the correlation between burden and depression among caregivers of patients with chronic diseases.

Methods: A self-administered questionnaire containing the Caregiver Burden Inventory and Beck Depression Inventory was used to measure caregiver burden and depression among 217 caregivers of patients with chronic diseases in a teaching hospital in the Klang Valley.

Results: The findings showed that the majority of caregivers experienced a mild burden (n = 168, 77.4%), a moderate burden (n = 43, 19.8%), and a severe burden (n = 6, 2.8%). Following mild depression (n = 17, 7.8%), moderate depression (n = 15, 6.9%), and severe depression (n = 4, 1.8%), some caregivers experienced minimal depression (n = 181, 83.4%). According to Pearson's analysis, the link between caregiver burden and depression was statistically significant (p<0.000) with a positive correlation (r = 0.408).

Conclusion: In this study, caregivers experienced burden and depression due to providing care. Future studies should incorporate support and resources for caregivers, including respite care and counselling that can promote overall well-being.

Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia

Siti Rahayu Nadhiroh — 2024-05-31

Introduction: COVID-19 emerged as a novel global health crisis. While it has since been downgraded from its status as a public health emergency of international concern, the virus persists as a global health challenge. This study was aimed to analyze the predictors of LoS in COVID-19 patients based on nutritional status and patient characteristics data.

Methods: Participants of this study were the COVID-19 patients with mild to moderate symptoms who registered in COVID-19 Emergency Hospital, East Java, Indonesia. This study involved 2850 patients extracted from medical records for further analysis. Body mass index (BMI) was generated following the standard formula measured on the first day of hospitalization. LoS was determined by the number of days of hospitalization. The Chi-square automatic interaction detection (CHAID) algorithm was employed for model building.

Results: Most participants were overweight (34.6%) and obese (17.2%). Only a few participants were hospitalized with comorbidities such as hypertension (11.6%) and diabetes mellitus (4.1%). The predictive model of LoS indicated that BMI was the main predictor of COVID-19 LoS, with higher BMI showed to prolong the LoS of mild to moderate symptoms patients. Other than BMI, gender and symptoms were also indicated as COVID-19 LoS predictors.

Conclusions: Nutritional status is one of the predictors of LoS in COVID-19 patients. Having higher BMI tends to prolong the LoS, especially in male and having fever. LOS was also seen among those with lower BMI less than 18.5, in patients who had cold and flu.

Knowledge about cholera and its prevention among household heads in a highly urbanized city in Western Philippines: a cross-sectional study

Karen Joy S. Oscares — 2024-05-31

Introduction: Cholera remains a significant public health threat globally, but its impact can be significantly reduced with the right knowledge and correct preventive practices. Conducting a study to provide baseline data and identify knowledge gaps on cholera will benefit at-risk and vulnerable communities. This research aimed to determine the household heads' knowledge about cholera and its prevention in a barangay in the Western Philippines.

Methods: A cross-sectional survey using a questionnaire was conducted in an urban barangay in Iloilo City in Western Philippines among 252 randomly selected household heads in May 2023. Data were described, and t-Test for independent samples and one-way ANOVA were used to test for differences.

Results: The majority of household heads were generally knowledgeable about cholera and its prevention, but only 51.2% knew that oral rehydrating solution (ORS) could help manage symptoms of cholera. Furthermore, there was a significant difference in knowledge about cholera and its prevention based on sex (t = 2.92; p = 0.004).

Conclusions: Household heads understood well and were informed of cholera and its prevention, although there were still some misconceptions. Continuous health education and knowledge assessment are recommended to raise awareness and ensure correct and timely information dissemination regarding cholera.

Students' perceptions of the relevance of instructors' assessment items in online community-based interprofessional education

Puspo Palupi Yekti Hangujiwat — 2024-05-31

Introduction: This study aimed to acquire students' perceptions of the assessment items used by instructors implemented in the community-based Interprofessional Education (IPE) program during the COVID-19 pandemic. The study also compared the students' perceptions of the instructors' assessment items regarding student characteristics. Motivation for joining the IPE program and a comparison between motivation and gender and disciplines were also identified in this study.

Methods: The research method is observational with a cross-sectional approach. Sixth-semester medical, nursing, and nutrition students who had completed the community-based IPE program were involved. Students' perception was measured using a questionnaire on the instructors' assessment items developed based on the IPE competencies. Motivation was measured using a Motivated Strategies for Learning Questionnaire (MSLQ).

Results: A majority of students across the three programs agreed or strongly agreed with the assessment items, and there were no significant differences in student perceptions from the variables of gender (p = 0.23) and disciplines (p = 0.68). The correlation between students' motivation and their perception of the instructors' assessment items was significant (r_s = 0.61 with p < 0.01). However, there was a weak and not significant correlation between students' grade point average (GPA) with the perception of assessment items (r_s= 0.1 with p = 0.07).

Conclusions: All instructors' assessment items were still perceived as relevant and can be used to assess the students during IPE online learning. Thus, the result of this study can be considered to be used in another setting with a similar situation.

Developing a parental empowerment model to prevent health risk behaviors among adolescents in East Java, Indonesia

Dr. Ilya Krisnana — 2024-05-31

Introduction: Parental empowerment in monitoring adolescents plays a crucial role in preventing health-risk behaviors. This research aimed to develop a model of parental empowerment against the prevention of health risk behavior (PE-HRB) in adolescents based on the theory of health promotion model.

Methods: The research design used was an explanative survey method. The research population was parents who have adolescent children in East Java and able to access online questionnaires. Consecutive sampling obtained a large sample of 704 respondents from July - September 2020. Questionnaires were distributed online using the online Zoho platform and distributed to parents. The data analysis used a smart PLS (Partial Least Squares) statistical test with significance level T>1.96.

Results: Personal factors positively and significantly influenced cognition and affect (T=2.82;p=0.005). Cognition and affection variables influence on parental empowerment (T=5.19; p=<.001). Cognition and affection have no effect on preventive behavior (T=1.49; p=.135). Parental empowerment is an important point in shaping preventive behavior.

Conclusions: Empowerment is a factor that significantly affects the formation of parental behavior without going through commitment variables. Parental involvement in adolescents' academic and personal lives is an important aspect to prevent health-risk behavior in adolescents. Cognition and affection variables cannot directly form preventive behavior but must go through parental empowerment pathways to form preventive behavior. Parental empowerment has no effect on commitment, but commitment affects prevention behavior. Empowering parents is a topic that can be used as material in health education in primary health services.

Self-efficacy, intention, and attitude toward human papillomavirus vaccination among urban females in indonesia: a cross-sectional study

Dora Samaria — 2024-05-31

Introduction: Women's choice to undergo vaccination against the Human Papillomavirus (HPV) is shaped by a multitude of factors. This study seeks to investigate the differences of intentions and attitudes toward the HPV vaccine and its effect size among women categorized into three groups based on their level of self-efficacy.

Methods: As many as 441 respondents were selected using the consecutive sampling method. The samples were divided into three groups based on their level of self-efficacy (low, medium, and high). The research employed a cross-sectional design from 13 May to 15 June 2023 in the working area of Public Health Centers located in Jakarta by implementing individual home visits. The research instruments comprised the Self-Efficacy Scale for HPV vaccination, the Intentions to Receive the HPV Vaccine Questionnaire, and the Attitude of HPV, Cervical Cancer, and Vaccine HPV Questionnaire; all were declared valid and reliable. The Kruskal-Wallis Test, the Tukey HSD Post Hoc Test, and the Epsilon Squared Test were performed to examine intention and attitude based on the type of self-efficacy and the effect size found.

Results: Significant differences were observed in intention (p<0.001) and attitude (p<0.001) among the three self-efficacy groups, demonstrating relatively robust effect sizes (attitude: Îµ2=0.109, p<0.001; intention: Îµ2=0.159, p<0.001).

Conclusions:The research demonstrated discernible discrepancies in intention and attitude across the three sample groups distinguished by their self-efficacy levels. It is advisable to design interventions focusing on health promotion that highlight the diverse needs and characteristics of different groups of women.

Individual and organizational factors associated with disaster preparedness and resilience among Indonesian hospital nurses: a cross-sectional study

Wiwin Winarti — 2024-05-31

Introduction: The significance of nurses' disaster preparedness and resilience in diverse settings has become increasingly apparent due to the rise in global crises. This study aimed to investigate nurses' perspectives on these two factors and to examine their intricate relationships and nuances.

Methods: A cross-sectional framework was used to evaluate 390 nurses using the Disaster Preparedness Evaluation Tool (DPET) and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics, Mann-Whitney U-test, Kruskal-Wallis H test, Spearman's correlation analysis, and the generalized linear model were employed to determine the relationships between nurses' characteristics, self-regulation, work culture perception, and their DPET and CD-RISC scores.

Results: The results revealed that 79.7% of the participants were female, but male nurses consistently scored higher on both the assessments. The average DPET score was 172.29, and the average CD-RISC score was 27.34. Self-regulation and work culture perception were the most influential factors in raising DPET and CD-RISC scores by 4.032 and 1.454 units (p=0.000), and 1.112 and 0.34 units (p=0.000).

Conclusions: This study emphasizes the need for ongoing training of nurses in disaster preparedness and resilience to promote introspective learning and collaborative best practices. It also highlights the role of hospitals in optimizing resources and creating a supportive environment for enhanced disaster preparedness and resilience, given the impact of organizational work culture. The study findings suggest a nuanced understanding of gender dynamics in disaster preparedness and resilience, emphasizing the importance of further exploration of these disparities for effective nursing practices.

Analysis of factors self-harm behaviour among adolescents undergoing drug rehabilitation in Indonesia

Ice Yulia Wardani — 2024-05-31

Introduction: The study aimed to analyse the factors associated with self-harm behaviour in adolescents in drug rehabilitation.

Methods: This study used a descriptive-correlative design with a cross-sectional approach. The sample in this study was 241 adolescents who were in drug rehabilitation using the purposive sampling technique. This research was conducted in the Lido Centre for the Rehabilitation of the National Narcotics Agency, the Lampung Centre for Rehabilitation of the National Narcotics Agency, the Cipinang Besar Utara Narcotics Penitentiary, the Special Prison for Children of Jakarta, Lampung Narcotics Penitentiary, and the Al Islamy Foundation. This study used five questionnaires, namely the Internalized Stigma of Mental Illness, Self-Identity Questionnaire, UCLA Loneliness Scale Version 3, and the Deliberate Self-Harm Inventory. This study was analysed using a logistic regression test.

Results: The results of the logistic regression analysis showed that, from several factors related to self-harm, namely loneliness, self-identity, and stigma, two factors that are most related to self-harm behaviour are self-identity and stigma, with a p-value of 0.000 (p<0.05).

Conclusions: Self-harm behaviour can occur due to factors such as self-identity and stigma. This research can be a basis for providing nursing interventions to adolescents undergoing drug rehabilitation. Appropriate nursing interventions can help adolescents undergoing drug rehabilitation control the self-harm behaviour they want to engage in. Researchers recommend the importance of interventions aimed at strengthening self-identity and reducing stigma in efforts to prevent and treat self-harm behaviour. Additionally, future research is recommended to consider other variables that may also contribute to this behaviour.

Initiation of self-care practices in heart failure patients: a phenomenological study

Tony Suharsono — 2024-05-31

Introduction: The incidence of heart failure continues to rise with advancing age, unabated by advancements in healthcare technology. Patients with heart failure are required to manage their care independently at home for the remainder of their lives. This study aimed to delve into the experiences of heart failure patients regarding self-care management at home.

Methods: Nineteen patients with heart failure were chosen through purposive sampling and thorough interviews were conducted to collect their self-care treatment experiences. Content analysis was carried out to scrutinize the acquired data.

Results: The analysis revealed four themes: patients' perception of heart failure diagnosis, efforts in self-care, readiness for self-care, and adoption of new healthy behaviors in heart failure. Eight categories were formulated within these themes, including "transitioning into a heart failure patient;” "recognizing the need for self-care;” "seeking information and heart failure therapy;” "facilitators and barriers in seeking information regarding self-care;” "social support and belief in engaging in self-care at home;” "self-confidence in engaging in self-care at home;” "efforts to develop self-care strategies;” and "engaging in new healthy behaviors as heart failure patients independently.”

Conclusions: Patients become aware of the necessity for self-care upon experiencing discomfort due to symptoms resulting from their heart failure. Family support and the patient's belief system play pivotal roles in initiating self-care practices at home. Nurses should provide support to patients in fostering self-care practices within their homes.

Perceived implementation of patient safety compliance among nursing supervisors in military hospitals: a descriptive qualitative study

Deni Setiawati — 2024-05-31

Introduction: Patient safety incidents remain high in Indonesia and are a significant responsibility of nursing supervisors working in military hospitals. The purpose of this study was to explore the understanding and perception of nursing supervisors in implementing patient safety compliance in military hospitals.

Methods: A descriptive qualitative approach was conducted with nursing supervisors at a military hospital through in-depth interviews. A total of 25 nursing supervisors from military hospitals participated in the interviews. The content analysis was employed to analyze the interview data.

Results: Five themes were identified in this study: patient safety as our responsibility, implementation in practice, support in safety initiatives, barriers to safety goals, and tech-driven safety efficiency.

Conclusions: The findings underscore that an in-depth understanding by nursing supervisors is critical to fostering appropriate behavior, particularly in achieving patient safety goals. Nursing supervisors articulated expectations for improvements in healthcare quality. As healthcare professionals, nursing supervisors must grasp the significance of a patient safety approach and be adept at executing it to enhance the quality of care, which will, in turn, lead to better healthcare outcomes.

Meta-analysis of the prevalence of restless leg syndrome and associated risk factors in chronic kidney disease patients

Nur Aini — 2024-05-31

Introduction: Restless legs syndrome (RLS) presents as a sleep-related issue in individuals with chronic kidney disease (CKD), contributing to heightened sleep disturbances and diminished quality of life. Consequently, this meta-analysis was conducted to assess the prevalence of RLS among CKD patients.

Methods: A comprehensive search for articles published between inception and September 2023 was conducted across CINAHL, Cochrane, Embase, Ovid-MEDLINE, PubMed, Scopus, and Web of Science databases. A Comprehensive Meta-Analysis (CMA) software version 3.0 with random effects models was used for pooled prevalence and prediction interval analysis. Heterogeneity was assessed using the I2 test and Cochran's Q-statistic. The quality of the studies was evaluated using Hoy's risk of bias. Additionally, moderator analyses were performed to investigate variations in the prevalence estimates among the included studies.

Results: A total of 97 studies were included in this meta-analysis with 315,875 participants. The pooled prevalence of RLS among CKD patients was 25% (95%CI: 20% to 32%). In terms of the demographic breakdown, the prevalence of RLS was nearly comparable in adults and children/adolescents at 25% and 21%, respectively. The prediction interval indicated a potential future RLS prevalence ranging from 1% to 88%. Notably, iron and phosphorus levels emerged as significant moderating factors influencing the prevalence of RLS.

Conclusions: Roughly 25% of individuals with chronic kidney disease (CKD) encounter restless legs syndrome (RLS). It is imperative to foster collaboration among healthcare professionals to facilitate proactive management and early assessment of RLS, thereby enhancing the overall quality of life for CKD patients.