The relationship between nurses' knowledge and self-confidence in implementing palliative care in an intensive care unit

2020 ◽  
Vol 26 (4) ◽  
pp. 183-190
Author(s):  
Theresia Avila Kurnia ◽  
Yanny Trisyani ◽  
Ayu Prawesti

Background: This quantitative study aimed to analyse the relationship between knowledge and nurses' self-confidence (or self-efficacy) in applying palliative care (PC) in the intensive care unit (ICU). This study was a correlational study with a cross-sectional approach. The sampling technique used was total sampling, and the sample included all nurses who were actively working at the general hospital in Bandung, West Java, Indonesia, during the study. There were 127 people in total. Data were collected using questionnaires. The Pearson correlation test was used for bivariate analysis. The results of univariate analysis showed that the majority of respondents had high self-confidence but had less knowledge related to PC in the ICU. Based on the results of the bivariate analysis, there was a significant relationship between knowledge and self-confidence variables. The results showed that a high number of respondents had less knowledge in implementing PC in the ICU. Therefore, familiarisation sessions and training related to this are needed, focusing on nurses' beliefs in their abilities.

2018 ◽  
Author(s):  
Theresia Avila Kurnia ◽  
Yanny Trisyani ◽  
Ayu Prawesti

Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families.Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU.Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis.Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000).Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses' beliefs in their abilities.


Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 219 ◽  
Author(s):  
Theresia Avila Kurnia ◽  
Yanny Trisyani ◽  
Ayu Prawesti

Introduction: The increasing need for palliative care (PC) in the intensive care unit (ICU) is characterised by an increasing number of patients with critical and terminals conditions. It requires comprehensive treatment of nurses, through PC. Self-efficacy is a major predictor that affects the application of PC in ICU. Therefore, nurses need to have high self-efficacy to provide quality PC for patients and their families. This study aimed to analyse the factors that dominant relates to nurses' self-efficacy in implementing of providing PC in ICU.Methods: This research was correlational research with cross-sectional survey design. The sampling technique used was total sampling, which involved 127 critical nurses who were actively working at a general hospital in Bandung, Indonesia. Data were collected using questionnaires. Bivariate analysis using Pearson correlation and Rank-Spearman test and multivariate analysis using linear regression.Results: The results showed that the majority of respondents had high self-efficacy, working experience >15 years, enough interest to the nursing profession had less knowledge and negative perception related to the PC in ICU. There was a significant relationship between self-efficacy with work experience, nurses' interest in the nursing profession, knowledge and perception variables. The most dominant factors related to self-efficacy, namely knowledge and perceptions of nurses related to PC.Conclusion: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.


2021 ◽  
Vol 21 (3) ◽  
pp. 983
Author(s):  
Bettywati E Tumanggor

Early mobilization is a prominent factor in accelerating post-section cesarean recovery and can prevent post-section cesarean complications. The principle of early mobilization in post section Caesarea is carried out gradually and regularly followed by rest and adjusted to the client's physical condition. The purpose of this study was to determine the relationship between knowledge and attitudes with early mobilization behavior in post-section Caesarea mothers in the combined obstetrics ward at H. Abdul Manap Hospital Jambi City in 2018. The research method used descriptive research with a quantitative approach. The research design used cross-sectional. The sample in the study amounted to 40 people from the entire population of post-section Caesarea mothers who were treated in the combined obstetrics ward of RSUD H. Abdul Manap Jambi City in 2018. The sampling technique was accidental sampling. The univariate analysis aims to obtain an overview of the frequency distribution of each variable studied and bivariate analysis to analyze the relationship between knowledge and attitudes with early mobilization behavior post section Caesarea. Test analysis using chi-square statistical test. The results showed that from 23 respondents with good knowledge, 18 respondents (78.2%) with good early mobilization behavior, and five respondents (21.8%) with poor early mobilization behavior. Statistical test of the relationship of knowledge with early mobilization behavior obtained p-Value = 0.006 and OR = 7.00, meaning that there is a relationship between knowledge and early mobilization behavior in post-Sectio Caesarea. The results showed 31 respondents had good attitudes, 26 respondents (83.87%) with good early mobilization behavior, and five respondents (16.12%) with poor early mobilization behavior. The results of the statistical test of the relationship between attitudes and early mobilization behavior obtained p-value = 0.000 and OR = 22,235, meaning that there was a relationship between attitudes and early mobilization behavior in post-section Caesarea mothers.


PALAPA ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 10-18
Author(s):  
Ayatullah Ayatullah

Smoking behavior is a related issue public health because it can cause various diseases even can cause death for both smokers and people nearby (passive smokers). The purpose of this study was to determine the relationship of smoking behavior to decreased appetite (anorexia). This research is a type of Descriptive Analytical research with Cross Sectional method, the population in this study is the student of S1 undergraduate of Nursing STIKES Yahya Bima in 2017. Sampling using Total Sampling Technique, obtained 50 respondents. The data were collected by using Questionnaire. Data that has been collected and then processed and analyzed using computer program Microsoft Exeldan Statistic program (SPSS) version 16.0. Data analysis included univariate analysis by finding frequency distribution, bivariate analysis with Chi-Square test (p <0,05) to know relation between variable and person test to know correlation strength. The result of bivariate analysis showed the correlation between smoking behavior and decreased appetite (p = 0.125 <0,05). The conclusion in this research is there is no correlation between smoking behavior with decreasing appetite in student of S1 Nursing STIKES Yahya Bima. It is recommended for male students STIKES Yahya Bima to change smoking behavior because it will affect health especially on respiratory system, rubalah healthy lifestyle with exercise and achievement. For nursing profession is expected to always promote healthy lifestyle without cigarette smoke.


2020 ◽  
Vol 1 (2) ◽  
pp. 67-75
Author(s):  
Erwin Kurniasih

Breakfast is important and has an impact on physical health conditions, especially for school age children. Students in Grade 4 and 5 of SD Negeri 02 Balerejo had a habit of restless class time because of hunger. This study aimed to determine the relationship between breakfast and the learning concentration of grade 4 and 5 students at SD Negeri 02 Balerejo, Madiun Regency in 2019. This study used Cross sectional research design. The population in this study were 40 students of grade 4 and 5 SD Negeri 02 Balerejo. Sampling in this study used simple random sampling technique in order to obtain a sample of 36 children. Collecting data in this study used interviews and observation sheets. Analysis of research data included univariate analysis and bivariate analysis using the chi square test. The results showed that most of the 52.8% of respondents did not eat breakfast and most of the 66.7% of respondents with poor concentration levels of learning. Based on the results of statistical analysis, the value of p = 0.024 and PR = 3.75 means that there was a significant relationship between breakfast and the concentration level of student learning. For this reason, it is hoped that all parties, both schools and parents, can make efforts to get the kids breakfast used to before leaving for school.


2020 ◽  
Vol 8 (3) ◽  
pp. 232
Author(s):  
Iin Nilawati ◽  
Nur Elly ◽  
Erli Zainal

<p>Hypertension in pregnancy often progresses to pre-eclampsia as one of the biggest contributors to maternal mortality. Mineral and nutritional factors have an important role in the etiology of hypertension in pregnancy, especially pre-eclampsia. Mineral factors associated with hypertension are calcium. The purpose of this study was to analyze the relationship of calcium levels with the incidence of hypertension in pregnancy. This study uses a cross-sectional study design that measures / observes independent variables (calcium levels) with dependent variables (hypertension in pregnancy). The number of samples was 43 trimester II pregnant women taken by consecutive sampling technique. This study uses primary data by examining blood pressure and calcium levels in the blood serum of pregnant women. Univariate analysis results showed 30% of pregnant women experience hypertension in pregnancy, and 44% of pregnant women have insufficient calcium levels. The results of calcium levels and the incidence of hypertension in second trimester pregnant women (p value 0,000).the bivariate analysis prove that there is a significant correlation between maternal blood</p>


2021 ◽  
Vol 10 (1) ◽  
pp. 88
Author(s):  
Akrom Akrom ◽  
Tri Julia Purnamasari ◽  
Zaky Nurfaiz ◽  
Adnan Adnan ◽  
Endang Darmawan ◽  
...  

The intensity of cigarette exposure is associated with the severity of the inflammatory reaction. Treg cell plays a role in suppressing the inflammatory response. There has been no clear evidence on the relationship between smoker behavior with the nicotine level and Treg number. We will investigate the relationship between smoking behavior with the nicotine level and Treg number. We conducted a cross-sectional study of 106 healthy volunteers in Yogyakarta. We interviewed the subjects and took their blood samples for hemogram, Treg number, nicotine level, and blood chemistry examination. The inclusion criteria were fit, male or female, aged 18 years or older, and willing to volunteer proven by completing and signing the informed consent. We collected the data on smoking habits through interviews guided by a questionnaire. We examined hemogram and blood chemistry using a spectrophotometer, while the levels of nicotine were measured using The enzyme-linked immunosorbent assay (ELISA). We described the characteristics of the subjects by univariate analysis. The bivariate analysis was to determine the relationship between cigarette smoking length with nicotine level and Treg number. The results show a connection between the range of tobacco and cigarette number with nicotine levels in the blood with a value of <em>r</em>=0.63 in the Pearson correlation test p&lt;0.00. It can be concluded that there is a relationship between behavior smoking with nicotine levels and Treg counts.


2020 ◽  
Vol 3 (1) ◽  
pp. 289-294
Author(s):  
Masri Saragih ◽  
Rosetty Sipayung ◽  
Eva Kartika Hasibuan

The problem that often arises in the implementation of nursing care is that many nurses have not done a complete documentation of nursing care. The provision of incentives is one of the factors that influence the performance of nurses in documentation. This study aimed to identify the relationship between incentives and nurses' performance in documenting nursing care at Sari Mutiara Lubuk Pakam Hospital. The research design used a description of the correlation with the cross sectional approach. The population in the study were 56 nurses in the inpatient room. There were 56 respondents as total sampling for the sampling technique. Data collection tools used questionnaire sheets and observation sheets. The statistical test used the chi square test. The results of the univariate analysis for the incentive variable the majority of incentives were classified as high as 69,6% and the performance of nurses in the complete documentation was 67.8%. From the results of the bivariate analysis showed that there was a relationship between the provision of incentives and the performance of nurses in documenting nursing care (p = 0.017; p <0.05). It is hoped that nurses will be able to complete documentation not only because of a high incentive, but it is a nurse's responsibility that must be carried out.     Abstrak Masalah yang sering muncul dalam pelaksanaan asuhan keperawatan adalah banyak perawat yang belum melakukan pendokumentasian asuhan keperawatan secara lengkap. Pemberian insentif merupakan  salah satu faktor yang mempengaruhi kinerja perawat dalam pendokumentasian. Penelitian ini bertujuan untuk mengidentifikasi hubungan pemberian insentif dengan kinerja perawat  dalam pendokumentasian asuhan keperawatan di Rumah Sakit Umum Sari Mutiara Lubuk Pakam. Desain penelitian yang digunakan adalah deskripsi korelasi dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh perawat di ruang rawat inap sebanyak 56 orang. Teknik pengambilan sampel total sampling sehingga  sampel sebanyak 56 responden. Alat pengumpulan data menggunakan lembar kuesioner dan lembar observasi. Uji statistik yang digunakan uji chi square.  Hasil dari analisa univariat untuk variabel pemberian insentif mayoritas pemberian insentif tergolong tinggi sebanyak 69,6% dan kinerja perawat dalam pendokumentasian lengkap 67,8%. Dari hasil analisa bivariat yang digunakan menunjukkan bahwa ada hubungan pemberian insentif dengan kinerja perawat dalam pendokumentasian asuhan keperawatan (p=0,017 ; p<0,05). Diharapkan agar perawat mampu melakukan pendokumentasian yang lengkap bukan hanya karena adanya suatu insentif yang tinggi, tetapi menjadi  suatu tanggung jawab perawat yang harus dilaksanakan.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Nuniek Tri Wahyuni ◽  
Selly Oktaviany Prasetya

Imunisasi dasar yang terdiri atas BCG, DPT, Hepatitis B, polio, dan campak sangat penting diberikan pada bayi berusia 0-12 bulan untuk memberikan kekebalan dari penyakit yang dapat dicegah dengan imunisasi (PD3I) antara lain Tuberkulosis, Difteri, Pertusis, Tetanus, Polio, Hepatitis B dan Campak.Tujuan penelitian ini adalah untuk mengalisis hubungan pemberian imunisasi dasar dengan tumbuh kembang pada bayi (0-1 Tahun). Jenis penelitian yang digunakan dalam penelitian ini adalah deskriptif analitik dengan menggunakan pendekatan cross sectional. Instrumen yang digunakan dalam penelitian ini adalah Kartu Menuju Sehat (KMS), antropometri status gizi dan Denver II. Jumlah sampel yang digunakan 58 responden dengan teknik pengambilan sampel yaitu accidental sampling.Analisis yang digunakan pada penelitian ini adalah analisis univariat dan analisis bivariat.Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang bermakna antara pemberian imunisasi dasar dengan pertumbuhan dan pemberian imunisasi dasar dengan perkembangan bayi. Analisis penelitian ini menunjukkan hasil pertumbuhan p value = 0,034 dan perkembangan p value = 0,046 (α ≤ 0,05).Artinya pada penelitian ini terdapat hubungan pemberian imunisasi dasar dengan pertumbuhan dan terdapat hubungan pemberian imunisasi dasar dengan perkembangan bayi.Kata Kunci : Imunisasi Dasar, Tumbuh Kembang   ABSTRACTBasic immunization consisting of BCG, DPT, Hepatitis B, polio, and measles is very important given to infants aged 0-12 months to provide immunity from diseases that can be prevented by immunization (PD3I) including Tuberculosis, Diphtheria, Pertussis, Tetanus, Polio , Hepatitis B and measles. The purpose of this study was to analyze the relationship between basic immunization and growth and development in infants (0-1 years). This type of research used in this research is analytic descriptive using a cross sectional approach. The instruments used in this study were the Card to Health (KMS), anthropometry of nutritional status and Denver II. The number of samples used 58 respondents with a sampling technique that is accidental sampling. The analysis used in this study is univariate analysis and bivariate analysis. The results of this study indicate that there is a significant relationship between basic immunization with growth and basic immunization with infant development. The analysis of this study shows the results of the growth of p value = 0.034 and the development of p value = 0.046 (α ≤ 0.05). This means that in this study there is a relationship between basic immunization and growth and there is a relationship between basic immunization and infant development.Keywords: Basic Immunization, Growth and Development


2019 ◽  
Vol 1 (1) ◽  
pp. 25-34
Author(s):  
Padila Padila ◽  
Henni Febriawati ◽  
Juli Andri ◽  
Rujung Ali Dori

This study aims to determine the relationship between knowledge and mother's attitudes with the care of acute respiratory infections (ARI) in infants in area of ​Kembang Seri health center in Talang Empat sub-districts in central bengkulu 2018.. Analytic survey research design with cross sectional approach with simple random sampling technique, with a sample of 51 mother as respondents who have toddlers suffering from ISPA. Primary data was obtained by using a modified questionnaire from previous researchers about ISPA care while secondary data was obtained from medical record data in the working area of ​​the Kembang Seri health center. The results of the univariate analysis study found that of 51 respondents most of the respondents lacked knowledge as many as 21 people (41.2%). Whereas the majority of respondents lacked 27 people (52.9%). While the results of bivariate analysis of the relationship between knowledge and attitudes of mothers with ISPA care in infants with Pearson chi square test showed p_value for knowledge and attitudes of mothers with ARI care 0,000 < α 0,005, meaning there is a significant relationship between knowledge and attitudes of mothers with ISPA care in infants in the working area of ​​the health center. Conclusion of the role and activity of parents, especially mothers, in participating in health promotion activities at the health center must be scheduled.  Keywords: Knowledge, Attitude and Treatment of ISPA.


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