Population Health Commons^™

Relationship Of Nursing Management Functions With Missed Nursing Care: A Cross-Sectional Study, Putri Nilasari, Rr Tutik Sri Hariyati, La Ode Abdul Rahman

Jurnal Keperawatan Indonesia

A crucial role of the nurse is to provide safe nursing care without missing anything. Unsafe care is a key contributor to morbidity and mortality in the world. This study aimed to identify the relationship between management functions and nursing care that were missed at three inpatient installations at regional general hospitals. The research used a quantitative approach with an analytic research and cross-sectional design. The sample consisted of 238 nursing staff comprising team leaders and implementing nurses who worked at Regional Hospitals A, B, and C. The management function (p = 0.001) and all its components of planning, organizing, …

Factors Related To Father’S Behavior In Preventing Childhood Stunting Based On Health Belief Model, Eka Mishbahatul Mar'ah Has, Candra Panji Asmoro, Wilhelmus Petrus Gua

Jurnal Keperawatan Indonesia

Childhood stunting is still a significant public health burden in Indonesia. Fathers' engagement in childcare could improve a child's health and help to prevent stunting. This study aimed to analyse factors related to the father's behaviour in preventing childhood stunting based on Health Belief Model. This study was used a correlational study design with a cross-sectional approach. This study involved 199 fathers who had children under five years old, recorded at Puskesmas (Public Health Center) Maronggela, East Nusa Tenggara, Indonesia. Samples were taken using the cluster random sampling technique. The independent variables were the father's perceived susceptibility, perceived severity, perceived …

Mental Health Problems Among Adolescent Students, Windu Astutuk, Ni Luh Made Asri Dewi

Jurnal Keperawatan Indonesia

Concern for adolescents usually focuses on physical problems, such as reproductive health and nutrition, including anemia and obesity. Nowadays, adolescent mental health has been recognized as essential, particularly in low- and middle-income countries. Mental health problems that often occur in adolescents include anxiety, depression, and the risk of suicide. This study aimed to determine the prevalence of mental health problems and the risk of suicide among adolescent students in Bali Province, Indonesia. The sample consisted of 435 students from four junior high schools (Grades 7, 8, and 9) aged 12–15 years who were selected with a multistage sampling technique. This …

Determinants Of Nurses’ Safety Attitudes In A Hospital Setting, Frima Ulfa Agustina, Hanny Handiyani, Tuti Afriani

Jurnal Keperawatan Indonesia

Hospital patient safety socialization is a routine part of nursing care. Although nurses’ knowledge of patient safety affects nurses’ safety attitudes, such knowledge may not be optimal. This study explored potential factors determining nurses’ safety attitudes in a hospital setting. This was a quantitative study with a cross-sectional design. The study population comprised 376 nurses who were recruited using the purposive sampling method. The instruments were valid and reliable. The test results were as follows: job satisfaction: 0.356 – 0.575 (Cronbach’s alpha: 0.724); workload: 0.338 – 0.613 (Cronbach alpha: 0.736), job stress: 0.542 – 0.719 (Cronbach’s alpha: 0.756); head nurse’s …

Describing And Assessing A New Method Of Approximating Categorical Individual-Level Income Using Community-Level Income From The Census (Weighting By Income Probabilities), Uriel Kim, Siran M. Koroukian, Kurt C. Stange, James C. Spilsbury, Weichuan Dong, Johnie Rose

Faculty Scholarship

Objective: To assess a new approach (weighting by “income probabilities [IP]”) that uses US Census data from the patients' communities to approximate individual-level income, an important but often missing variable in health services research. Data Sources: Community (census tract level) income data came from the 2017 5-year American Community Survey (ACS). The patient data included those diagnosed with cancer in 2017 in Ohio (n = 65,759). The reference population was the 2017 5-year ACS Public Use Microdata Sample (n = 564,357 generalizing to 11,288,350 Ohioans). Study Design/Methods: We applied the traditional approach of income approximation using median census tract income …

Association Between Self-Reported Body Mass Index And Active Life Expectancy In A Large Community-Dwelling Sample Of Older U.S. Adults, Haomiao Jia, Erica I. Lubetkin

Publications and Research

Background: Obesity may have a protective effect (greater survival) in older adults, a finding known as the "obesity paradox." This study examined the association between self-reported body mass index (BMI) and active life expectancy (ALE) among older U.S. adults.

Methods: Using the Medicare Health Outcomes Survey Cohort 15 (2012 baseline, 2014 follow-up), we estimated life expectancy and ALE by participants' baseline BMI and age using multi-state models. A participant was classified as in an active state if this person reported having no difficulty for any of these six activities of daily living (ADLs).

Results: Small differences in life expectancy were …

Future Anxiety And Immune Status In Nursing Students During The Coronavirus Disease-2019 Pandemic, Agus Purnama, Isti Anindya

Jurnal Keperawatan Indonesia

Coronavirus Disease-2019 (COVID-19) is a frightening global disease, especially because of its high contagiousness. This study aimed to identify the future anxiety regarding immunity status in nursing students who work in hospitals, especially those caring for patients with COVID-19. This study design was cross-sectional with standard translated instruments of the Future Anxiety Scale and Immune Status Questionnaire administered using a Google Form to 102 respondents. Results revealed that among the respondents, 87 experienced severe psychological anxiety (85.3%), 46 experienced moderate social anxiety (45.1%), 42 experienced moderate economic anxiety (41.2%), 38 experienced mild media anxiety (37.3%), 53 experienced mild religious anxiety …

Nursing Documentation In Accredited Hospital, Retno Purwandari, Dicky Edrian Kurniawan, Siti Kusnul Kotimah

Jurnal Keperawatan Indonesia

Nursing documentation is assessed in hospital accreditation because it includes the actions taken and the quality of provided care. Hospital accreditation undergoes three phases consist of preparation, implementation, and post-accreditation. In the post-accreditation phase, there is reduced compliance of workers and nurses. This study determines the quality of nursing documentation at the fully accredited hospital by using descriptive and quantitative research with a retrospective approach. A simple random sampling method is used to attain 292 documents. Data are collected using the Evaluation of Nursing Care Instrument by the Ministry of Health Republic of Indonesia. Results show that nursing documentation has …

Voices Of Indonesian Manufacturing Workers In Rotating Shift Systems, Henny Permatasari, Junaiti Sahar, Muchtarrudin Mansyur, Astrid Widayati Hardjono

Jurnal Keperawatan Indonesia

The factors associated with changes in work patterns and working hours due to rotating shifts have an effect on the increased risk of health problems in workers. Manufacturing industry workers, specifically those on rotating shift sched- ules, are at a high risk of various health problems, such as cardiovascular diseases, circadian rhythm problems, social life problems, and stress. These health problems may be worsened by poor lifestyle habits, such as smoking, unhealthy diet, and infrequent physical activity. This research aimed to explore the experience of 12 manufacturing workers on rotating shift schedules in Greater Jakarta, Indonesia. Through a phenomenological approach, …

Determinant Factors Of Quality And Life Satisfaction Of The Older People, Etty Rekawati, Junaiti Sahar, Dwi Nuviyandari Kusumawati, Arief Andriyanto

Jurnal Keperawatan Indonesia

Older people’s health care is carried out by involving the family as a support group. If done optimally, the support pro- vided will help maintain the health of older people. The purpose of the study was to analyze the determinant factors (family support and burden) on the quality and satisfaction of life the older people. This descriptive correlational research was the second stage of previous research related to the identification of caregivers' burden when caring for older people. A sample of 104 respondents was taken through simple random sampling. The results showed that the family support and family burden affected …

Heart Failure In Lebanon: A Review Of The Literature, Hiba Deek, Angela Massouh, Patricia M. Davidson

Jurnal Keperawatan Indonesia

This research aimed to provide a comprehensive overview of the current literature on heart failure (HF) management in Lebanon and identify the implications for policy, practice, education, and research. The design of this research was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms “heart failure” and “Lebanon” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers; the sample characteristics, HF indices, and results of the included studies were extracted. Key findings and trends were synthesized. Eleven papers were reviewed with …

Implementation Of Home Care Services By Community Health Centers (Puskesmas) In Makassar City, Indonesia, Kusrini Semarwati Kadar, Fitrah Ardillah, Arnis Puspitha, Erfina Erfina

Jurnal Keperawatan Indonesia

Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of …

Life Satisfaction Among Filipino Older Adults Living In The Coastal Area, Rhona Marie Caingles Noquiao

Jurnal Keperawatan Indonesia

Perhaps an all-encompassing aspiration of everyone who has ever walked the earth is to have lived his/her life to the fullest. However, the life experiences of each individual are the products of the decisions they make. This study aimed to investigate the relationship of older adults in Cabulijan, Tubigon, Bohol, Philippines’ self-esteem, social provisions received from other people, and relationships with other people to the level of their life satisfaction. Specifically, it sought to address the following queries: Is there a significant relationship between self-esteem, social provisions received from other people, and relationships with other people, and relationships with other …

Brain Gym Effectively Reduces Anxiety In School-And Preschool-Aged Children In Hospitals, Arbianingsih Arbianingsih, Huriati Huriati, Syarifah Musnayni, Nuravia Afiifah, A. Adriana Amal

Jurnal Keperawatan Indonesia

Hospitalization-induced anxiety in children can impede healing and lengthen hospitalization. As such, appropriate interventions are needed to reduce their anxiety during hospitalization. For example, brain exercise has been shown to reduce anxiety in children in diverse settings and developmental stages. This study was performed to compare the effect of brain exercise on anxiety in hospitalized school-and preschool-aged children. A pre-experimental pre/ posttest design was used, and 32 children were selected by consecutive sampling. Brain gym was given twice a day for 2 consecutive days. Data were collected from school-aged children by using a modified Zung Sel-Rating Anxiety Scale and Tailor …

Chronic Liver Disease Lowering Physical And Mental Health Dimensions, Apriliani Siburian, Cheng Fen Chang

Jurnal Keperawatan Indonesia

The most prevalent diseases within the world related to major illness and mortality are chronic liver diseases. The developing pervasiveness of chronic liver disease has resulted in increased interest in health-related quality of life, which incorporates the physical well-being of a patient and his emotional and social well-being. This study aimed to define the quality of life of patients with chronic liver disease. This study used the Quality-of-Life Short Form 36 Indonesian version to examine 102 patients with chronic liver disease from two hospitals with a descriptive design. The quality of life of the patients was comparatively low (M ± …

Post-Stroke Quality Of Life Perceived By Patients And Caregivers, Gitalia Putri Medea, Elly Nurachmah, Muhamad Adam

Jurnal Keperawatan Indonesia

The quality of life (QOL) of post-stroke patients can be assessed from the reports of patients themselves obtained through a structured interview or a questionnaire. However, some individuals are unable to comprehensively describe their QOL because of language disorders, cognitive effects caused by stroke, or pre-existing conditions. This study aims to identify differences in post-stroke QOL perception between patients and caregivers. A cross-sectional design involving 115 stroke patients and 115 caregivers was adopted, and Mann–Whitney test was used for statistical analysis. Results showed no significant difference in QOL perception (p = 0.166; α < 0.05), particularly in the physical (p = 0.278; α < 0.05), psychological (p = 0.068; α < 0.05), social relationship (p = 0.976; α < 0.05), and environmental (p = 0.157; α < 0.05) domains between patients and caregivers. Therefore, information from caregivers can be used to assess QOL when patients are incapable of reporting their condition.

20-Degree Elevation To Reduce Swelling And Pain After Lower Extremity Open Reduction And Internal Fixation Surgery, Eni Purwanty, Riri Maria, Masfuri Masfuri

Jurnal Keperawatan Indonesia

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experimental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference …

Songs Of A Caged Bird: A Glimpse Into The Being Of Youth Inside The Prison System, John Emmanuel Mendoza, Edward Daniel Mortalla, Laurence Lascuna Gracia

Jurnal Keperawatan Indonesia

Understanding young inmates’ experiences are essential since their lives have been shaped by the impact of social exclusion. This study aimed to explore the meaning of the lived experiences of young adults inside the prison system. The phenomenological inquiry was utilized, which is grounded in Martin Heidegger’s philosophy. Semi-structured interviews were conducted with 18 to 29-year-old inmates incarcerated for at least one year. Through interpretative phenomenological analysis, four themes emerged: An Unfamiliar Melody (with two subthemes: Humming with Frustrations and Tunes of Solitude); The Eyes Outside the Cage; Turning Over a New Feather; and If My Wings Unclipped. The “songs” …

Health Inequality Analysis In Europe: Exploring The Potential Of The Eq-5d As Outcome, Inge Spronk, Juanita A. Haagsma, Erica I. Lubetkin, Suzanne Polinder, M F. Janssen, G J. Bonsel

Publications and Research

Objective: This study explored the additive value of the multi-item EuroQol 5-Dimension 5-Level (EQ-5D-5L) as an outcome measure in health inequality analyses, relative to the single-item EuroQol visual analog scale (EQ VAS).

Methods: A sample comprising the general population from Italy, the Netherlands, and United Kingdom (UK) completed the EQ-5D-5L and the EQ VAS. The level of education was selected as a proxy for socio-economic status (SES). EQ-5D-5L level sum scores (LSS) were compared against EQ VAS scores. Stratified and multivariable analyses were used to study the associations between SES and the LSS/EQ VAS relative to the presence of chronic …

Health-Related Quality Of Life And Mental Well-Being Of Healthy And Diseased Persons In 8 Countries: Does Stringency Of Government Response Against Early Covid-19 Matter?, Di Long, Juanita A. Haagsma, Mathieu F. Janssen, John N. Yfantopoulos, Erica I. Lubetkin, Gouke J. Bonsel

Publications and Research

Objectives

Our study aimed to (1) assess health-related quality of life (HRQoL) and mental well-being of healthy and diseased persons in the general population during the early stage of the COVID-19 pandemic and (2) examine the relationship between HRQoL and mental well-being and individual characteristics and government response against COVID-19, as measured by the stringency index.

Methods

A web-based survey was administered to a cohort of persons from the general population of eight countries: Greece, Italy, the Netherlands, Russia, South Africa, Sweden, the United Kingdom (UK) and the United States of America (US) from April 22 to May 5 and …

Child-Rearing By Imprisoned Women: Sadness, Anxiety, And Feelings Of Guilt, Umi Hani, Agus Setiawan, Poppy Fitriyani

Jurnal Keperawatan Indonesia

The number of imprisoned women continues to increase. Imprisonment of women affects them as perpetrators of crime and those who have relationships with and ties to them, such as children. This phenomenological study aims to explore the experience of imprisoned women in Jakarta in playing the role of mother. In-depth interviews were conducted to explore the experiences of seven imprisoned women. Through a thematic content analysis, we identified specific key- words, the results revealing the sadness, anxiety, and feelings of guilt experienced by imprisoned mothers in relation to their child-rearing. Imprisoned mothers also experience difficulties in meeting their children's needs, …

Maternal Factors In Stunting Among Vulnerable Children, Stefanus Mendes Kiik, Muhammad Saleh Nuwa

Jurnal Keperawatan Indonesia

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits, and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was con- ducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education …

The Effectiveness Of Spiritual Intervention In Overcoming Anxiety And Depression Problems In Gynecological Cancer Patients, Lina Anisa Nasution, Yati Afiyanti, Wiwit Kurniawati

Jurnal Keperawatan Indonesia

Anxiety and depression are psychological distress that often occurs in gynecological cancer patients. However, there are few studies related to interventions to overcome these problems. The purpose of this study was to determine the effect of a spiritual intervention on anxiety and depression in such cancer patients. The research design was quasi-experimental, employing pretest and posttest on the intervention and the control groups. The total number of respondents was 108 patients, consisting of 54 in each group. The instrument used in the study was the Hospital Anxiety and Depression Scale (HADS). The spiritual intervention consisted of four sessions, namely an …

The Smoking Behavior Of Health Workers In Asia: A Literature Review, Arif Rahman, Titih Huriah

Jurnal Keperawatan Indonesia

Health workers are role models in preventing smoking behavior, yet many are smokers themselves. This study reviews and analyzes the smoking behavior of health workers in Asian countries, based on databases such as PubMed, EBSCO, and Google Scholar in 2013–2018. It is shown that the prevalence of smoking amongst health workers was 4.6–44%, with the nursing profession showing a higher level than other health professions and with a higher ratio of male to female smokers. Health workers are aware of the dangers of smoking, including the effects of cardiovascular disease, respiratory disease, oral cancer, atherosclerosis, hypertension, fetal disorders, and infertility. …

Spiritual Behavior And Stress In Adolescents: An Initial Study, Sumiyati Tarniyah, Laili Nur Hidayati

Jurnal Keperawatan Indonesia

Spirituality is often associated with mental health, including stress. Older people tend to have high rates of involvement in spirituality rather than young people. This study aimed to identify the relationship between spiritual behavior and the stress levels of 152 high school students, using a descriptive correlation research design. The data collection techniques involved a spiritual dimension scale questionnaire and the Depression Anxiety Stress Scale 42 (DASS 42). The data were analyzed using Spearman's rho correlation test. The results show that the spiritual behavior distribution was mostly in the moderate category (53.3%), and stress level distribution was primarily in the …

The Healthcare Needs Of Families Caring For Patients With Pulmonary Tuberculosis, Astuti Yuni Nursasi, Nadya Tiara Sabila, Muhamad Jauhar

Jurnal Keperawatan Indonesia

Tuberculosis (TB) is a global public health problem. Families need to meet healthcare needs during the treatment of TB sufferers. This study aims to identify healthcare needs of families caring for patients with the disease. The cross-sectional study involved 83 families caring for TB patients. The research was conducted at a Primary Healthcare Center in an urban area in West Java. The results revealed that 60.2% of caregivers were 18–40 years old, 60.2% were female, 51.8% were senior high school educated, 43.4% were housewives, 86.7% had an income under the regional minimum wage, and 55.4% had cared for the TB …

Hypertension Self-Care Management During Covid-19 Pandemic Crisis In The Meranao Tribe: A Phenomenological Inquiry, Jonaid M. Sadang, Sittie Inshirah P. Macaronsing, Narima M. Alawi, Normala M. Taib, Hamdoni K. Pangandaman

Jurnal Keperawatan Indonesia

The COVID-19 crisis has been a challenging and stressful event for individuals with known underlying health problems, not to mention their higher risk of contracting the disease. This phenomenological inquiry was conducted to explore the common self-care practices of the Meranao tribe in the Province of Lanao del Sur, Philippines, concerning their management of hypertension amidst the ongoing pandemic health crisis. This study employed a descriptive-phenomenological approach. Ten known hypertensive adults participated in the study selected using purposive sampling. Data collection employed focus group discussion (FGD) and then analyzed using Colaizzi's approach. Four themes were derived which explained the common …

Mothers’ Breastfeeding Practices And Self-Efficacy, Agrina Agrina, Febriana Sabrian, Oswati Hasanah, Erika Erika, Yesi Hasneli

Jurnal Keperawatan Indonesia

This study examined breastfeeding practices and self-efficacy among mothers residing in rural areas. A cross-sectional study was conducted for 104 mothers via purposeful sampling in a Posyandu (maternal and child health service) in Kampar district, one of the rural areas in Riau, Indonesia. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) was used in the questionnaires to collect data. Chi-square test was used for bivariate analysis. Majority of the respondents (71.2%) were 20–35 years old; 69.3% of the respondents’ level of education were low (such as junior and senior high school levels). Approximately 91.3% of them were housewives. Exclusive breastfeeding prevalence …

Phenomenological Study On The Experience Of Male Nurses In Caring For Female Patients, Anik Maryunani, Rr. Tutik Sri Hariyati, Enie Novieastari

Jurnal Keperawatan Indonesia

Nurses provide care equally and do not discriminate between men and women. However, male nurses face challenges and obstacles, especially when they take care of female patients. This study aimed to explore the experiences of male nurses who look after female patients by using a descriptive qualitative design with a phenomenological approach. Ten male nurse participants aged 26–43 years and having an experience of caring for female patients for at least 2 years were included in this study. Seven themes were identified: the discomfort of female patients and male nurses; patient’s trust and privacy; the identification of factors affected by …

Pursuing The Need For Physical Activity In Recurrent Cva Patients During Hospitalization: A Case Report, Stepanus Maman Hermawan, Hany Wihardja

Jurnal Keperawatan Indonesia

Cerebrovascular accident (CVA) is a neurological deficit condition caused by an acute focal injury of the central nervous system by cerebral infarction or intracerebral hemorrhage. CVA patients who do not reduce risk factors after the first attack have an 8.7 times higher risk of CVA recurrence. The effect of a recurrent CVA is six times greater than the risk of a first CVA in the general population of the same age and sex, and nearly half of them remain alive but are physically disabled. This case report illustrates the process of recurrent CVA and disability experienced by a 69-year-old Malay …