scholarly journals The Experiences of Mothers with Intrauterine Fetal Death/Demise (IUFD) in Indonesia

2020 ◽  
Vol 10 (1) ◽  
pp. 86-95
Author(s):  
Alma Dormian Sinaga ◽  
Justina Purwarini ◽  
Lina Dewi Anggraeni

Background: Intrauterine Fetal Death/Demise (IUFD) is a traumatic event for mothers. Mothers with IUFD have the risk of experiencing depression, anxiety, sadness, and sorrow in their lives. Research focusing on how mothers deal with such a traumatic experience is therefore necessary.Purpose: This study aimed to explore the experiences of mothers with Intrauterine Fetal Death/Demise (IUFD) in Indonesia.Methods: A descriptive qualitative study with a phenomenological approach was carried out to seven informants who were recruited using a purposive sampling technique. Data were collected through in-depth interviews and analyzed using Colaizzi's method.Result: The results showed four major themes, including the mothers’ response to a loss such as painful and traumatic experience; moral support received by mother; negative behavior from others such as stigma and lack of support; and physical and psychological changes that interfere with the role as wife and mother.Conclusion: The history of IUFD is a very traumatic experience and has a quite high emotional burden for mothers. Hence, it is necessary to integrate support and therapeutic communication into practice.

2021 ◽  
Vol 6 (1) ◽  
pp. 13-19
Author(s):  
Luh Gede Pradnyawati ◽  
Ni Made Hegard Sukmawati

HIV / AIDS cases among MSM (male sex men) in Indonesia from year to year have increased significantly. Meanwhile, Bali is a province with many HIV / AIDS cases, where Denpasar is the city with the highest number of MSM. There has never been a report on sexual behavior and HIV / AIDS prevention among MSM in Denpasar. Therefore, the researchers wanted to explore the problems of sexual behavior and its prevention in MSM in Denpasar. Purpose: This study aims to obtain a vision of sexual behavior and HIV / AIDS prevention among MSM groups in Denpasar City. This study used a qualitative design with a phenomenological approach to digging deeper into sexual behavior and HIV / AIDS prevention among MSM in Denpasar City. The selection of informants in this study was taken using convenience sampling technique and conducted in-depth interviews with 10 MSM who were productive and communicative in Denpasar. After collecting data in the field, the data will be analyzed thematically. In sexual intercourse behavior, most of the MSM prioritized variations and sensations during sexual intercourse to get sexual satisfaction, such as having group sex, using arousal-enhancing drugs, and violence engaging during sexual intercourse. Some of the informants only had one permanent sexual partner. However, there are still MSM who have more than one sexual partner and receive payment for sexual intercourse. Informants use condoms in sexual intercourse and with the PrEP method to avoid HIV / AIDS. It is necessary to conduct education and counseling on sexual orientation for the community, especially for adolescents looking for identity, educating MSM to reduce high-risk behavior during sexual intercourse. Keywords: Sexual behavior, MSM, prevention, HIV / AIDS, Denpasar


2015 ◽  
Vol 42 (1) ◽  
pp. 61
Author(s):  
Dwi Nur Rachmah

This study aimed at identifying and understanding more deeply the self-regulated learning of students with high GPA, who had multiple roles (as housewife and worker also). The approach employed in this study was qualitative-phenomenological approach. The subjects of the study were selected by purposive sampling technique and the data were collected using techniques of observations and in-depth interviews. The results indicated that the four subjects conducted self-regulation in learning through regulating the cognition, motivation, behavior and emotion. Moreover, the subjects performed context regulation in order to achieve certain learning objectives. Self-regulated learning performed by the subjects was influenced by specific precipitating situations and the characteristics of each related individual. It was also strengthened by social support given to them. Keywords: self-regulated learning, student, many roles Penelitian ini bertujuan untuk mengetahui dan memahami lebih mendalam bagaimana regulasi diri dalam belajar (self regulated learning) mahasiswa yang memiliki banyak peran (sebagai ibu rumah tangga dan bekerja) dengan indeks prestasi tinggi. Pendekatan yang digunakan adalah dengan pendekatan kualitatif-fenomenologi. Subjek penelitian dipilih dengan teknik purposive sampling dan teknik pengumpulan data yang dilakukan adalah meng¬gunakan observasi dan wawancara mendalam. Hasil penelitian menemukan bahwa empat orang subjek menggunakan regulasi diri dalam belajar berupa regulasi kognitif, regulasi motivasi, regulasi perilaku dan regulasi emosi. Selain itu subjek juga melakukan regulasi konteks agar tujuan pembelajaran dapat dicapai. Regulasi diri dalam belajar yang dilakukan oleh para subjek dipengaruhi oleh situasi pencetus dan karakteristik tiap individu bersangkutan. Regulasi diri dalam belajar yang dilakukan juga tidak terlepas dari dukungan sosial yang diberikan kepada mereka. Kata kunci: regulasi diri dalam belajar, mahasiswa, peran banyak


2019 ◽  
Vol 1 (1) ◽  
pp. 31-38
Author(s):  
Bambang Wiseno

Abstrak Mempelajari ilmu asuhan keperawatan harus dilakukan secara menyeluruh, yaitu; bio, psiko, sosio, spiritual dan budaya sehingga didapatkan hasil yang optimal. Banyak model dan metode yang digunakan untuk proses pembalajaran. Metode role play dalam pembelajaran laboratorium mata kuliah asuhan keperawatan jiwa Diploma III dilakukan untuk mengaplikasikan teori keperawatan jiwa yang lebih membutuhkan kemampuan komunikasi terapeutik sebagai perawat pelaksana. Mahasiswa ketika praktik bermain peran pada pembelajaran laboratorium asuhan mempunyai berbagai pengalaman yang bermakna dan permasalahan yang tidak didapatkan ketika praktik laboratrium mata kuliah lain. Tujuan dari penelitian ini adalah untuk menemukan makna dari pengalaman mereka ketika selesai mengikuti kegiatan. Penelitian kualitatif dengan pendekatan fenomenology diskriptive dilakukan wawancara secara mendalam (indepth interview) dengan pertanyaan semistruktur terhadap enam mahasiswa secara purposive sampling setelah pembelajaran roleplay pada bulan Juni 2019 di laboratrium kampus. Interpretative Phenomenology Analysis (IPA) digunakan untuk menganalisa data dan ditemukan 7 tema, yaitu; merasa perlu tambahan praktik komunikasi terapeutik, merasa susah mempelajari keperawatan jiwa, tidak yakin akan kemampuan, merasakan seperti berhadapan langsung dengan klien, merasakan takut bila berhadapan langsung dengan klien jiwa, tidak bisa konsentrasi dalam proses role play dan merasa perlu untuk sering melakukan role play. Dari semua tema yang dihasilkan dapat disimpulkan bahwa mahasiswa ada yang merasa kesulitan mempelajari keperawatan jiwa karena persepsi yang salah tentang keperawatan jiwa sehingga merasa perlu meningkatkan pemaham teoritis materi dan sering melakukan latihan bermain peran.   Kata Kunci: Praktik Klinik, Diskriptif, Fenomenology, Keperawatan Jiwa, Komunikasi Terapeutik.   Abstract Studying nursing care must be done thoroughly, that is; bio, psycho, socio, spiritual and culture so that optimal results are obtained. Many models and methods are used for the learning process. The role play method in learning laboratory nursing Diploma III mental nursing care is carried out to apply mental nursing theory that requires therapeutic communication skills as a practical nurse. Students when practicing role playing in mental health laboratory have a variety of meaningful experiences and problems that are not obtained when practicing laboratory in other subjects. The purpose of this research is to find the meaning of their experience when they finish participating in the activity. Qualitative research with a descriptive phenomenological approach was carried out in-depth interviews (in-depth interviews) with semi structured questions to six students by purposive sampling after role play learning in June 2019 at the campus laboratory. Interpretative Phenomenology Analysis (IPA) was used to analyze data and found 7 themes, namely; feel the need for additional therapeutic communication practices, find it difficult to study mental nursing, are unsure of ability, feel like dealing directly with clients, feel afraid when dealing directly with mental clients, cannot concentrate on the role play process and feel the need to frequently do role play. From all the themes produced it can be concluded that there are students who find it difficult to study mental nursing because of wrong perceptions about mental nursing so they feel the need to improve theoretical understanding of the material and often do role playing exercises.   Keywords: Clinical Practice, Descriptive, Phenomenology, Psychiatric Nursing, Therapeutic Communication


2021 ◽  
Vol 15 (1) ◽  
pp. 39
Author(s):  
Daevi Khairunisa ◽  
Yanti Yanti ◽  
Ismarwati Ismarwati

Babies born with Low Birth Weight (LBW) are more prone to experiencing malnutrition problems. Efforts to prevent malnutrition in infants and toddlers can be done through the Positive Deviance approach. Positive Deviance is an individual or group (family) based approach by identifying positive behaviors that allow them to find better solutions to their problems. The purpose of this study was to determine the experience of fulfilling the nutritional needs of infants with a history of LBW in Positive Deviance families. The research design employed in this study was qualitative with a phenomenological approach. The main informants were Positive Deviance mothers, and the supporting informants consisted of Positive Deviance families, non-Positive Deviance mothers, and village midwives. The sampling technique used was purposive sampling. Data collection was carried out through in-depth interviews and documentation studies. The results of this study reveal the experiences of families in fulfilling the nutritional needs of infants with a history of LBW including positive maternal behaviors. For example, Early Initiation of Breastfeeding (IMD), breastfeeding after childbirth, application of breastfeeding correct way to LBW babies, exclusive breastfeeding, complementary breastfeeding, and other efforts if the baby does not have an appetite. Thus, this study implies that positive habits of mothers and families can meet the nutritional needs of infants, especially in increasing the weight of LBW babies to achieve ideal body weight. Therefore, it is necessary to make efforts to make mothers and their Positive Deviance family role models in order to transmit positive habits to other families with babies in preventing malnutrition in infants with LBW history.


Author(s):  
Atika Jatimi ◽  
Ah Yusuf ◽  
Sestu Retno Dwi Andayani

Introduction: Leprosy is an infectious disease that still causes complex problems. The problem in question is not only in medical and physical terms, such as disability, but extends to social, economic, and cultural problems. This study aims to explore the experience of leprosy sufferers with disabilities to achieve resilience. Methods: A descriptive qualitative research design with a phenomenological approach was used. The number of participants was eleven people affected by leprosy with grade 1 and 2 disabilities in Sumenep Regency obtained by a purposive sampling technique. Data collection used in-depth interviews with interview guides and field notes; the results of data collection were analyzed with theme analysis. Results: This study produced five main themes about the experience of leprosy patients in the process of achieving resilience, namely: 1) self-stigma as a stressor experienced by lepers, 2) psychosocial problems that arise in response to stressors, 3) active coping as a method of resolving stress, 4) positive adaptation as a form of self-adjustment, 5) characteristics of strong individuals. Conclusion: Lepers with disabilities identify self-stigma as a stressor that triggers the emergence of psychosocial problems. Individuals can form tough characteristics, such as responding positively to unexpected conditions, becoming more productive, and showing helping others behavior after overcoming stressors through the stages of active coping and positive adaptation.


2020 ◽  
Author(s):  
Jui-Chiung Sun ◽  
Wenmay Rei ◽  
Min-Yu Chang ◽  
Shuh-Jen Sheu

Abstract Background Each year, 2.6 million of pregnancies end as stillbirth. Recent literature began to understand parents’ traumatic experience in stillbirth and its profound impact on parents’ mental health and psychosocial effect. But there is little understanding on the actual care and disposal of the stillborn baby, nor is there an agreement on how hospitals should care for the stillborn baby to mitigate parents’ profound loss. The purpose of this study is to understand parents’ perspective on hospital’s care for their stillborn babies, hoping to make suggestions on how can hospitals improve their care to mitigate parents’ grieves. Methods A descriptive phenomenological approach was adopted and twenty couples (40 individuals) who had to decide how to care for the remains of their stillborn babies participated in the study. The data were collected through in-depth interviews, which involved semi-structured and open-ended questions. The phenomenological methods of Giorgi were applied to analyze the data. Results Parents felt unprepared and lack of support when they had to handle their stillborn babies’ remains. The research results revealed two major themes: 1) Handling stillborn babies remain ignorantly; 2) Pacifying the disturbed soul on both sides. Given stillbirth’s profound implication for parents’ identity and psychosocial role, hospitals need to be more sensitive and proactive to parents’ cultural and religious needs when they care for stillborn baby and handle its body. Conclusions It was found in the study that reflection and identification were the emerging themes, which can enable healthcare professionals to understand parents’ concerns in a meaningful way, as they deal with the remains of stillborn babies. Moreover, it is hoped that hospital administration and health care personnel should consider stillborn parents’ concerns and incorporate their needs into nursing assessment and treatment practices.


2020 ◽  
Vol 12 (01) ◽  
pp. 20
Author(s):  
Yanti .

ABSTRAKPendahuluan: Preeklampsia merupakan salah satu penyebab tingginya angka kematian ibu (AKI) di Indonesia. Angka kejadian preeklampsia di Jawa Tengah pada tahun 2018 sebesar 8%, Boyolali merupakan salah satu dari sepuluh wilayah penyumbang AKI teringgi di Jawa Tengah, dengan kejadian preeklampsia sebanyak 33,4% (5 kasus), hal ini menyebabkan preeklampsi menempati urutan pertama penyebab kematian ibu. Faktor yang dapat mempengaruhi kejadian preeklampsia adalah usia, paritas, riwayat preeklampsia, riwayat hipertensi, pengetahuan, dan persepsi Ibu, kebiasaan dan dukungan dari keluarga. Penelitian ini untuk mengetahui fenomena faktor-faktor yang berhubungan dengan kejadian preeklampsia di wilayah kerja Puskesmas Ampel Boyolali Jawa tengah. Metode Penelitian: Penelitian ini adalah penelitian kualitatif dengan pendekatan deskriptif fenomenologi. Informan penelitian terdiri dari informan utama yaitu ibu yang mengalami preeklampsia selama kehamilannya sebanyak 5 orang dan informan pendukung yang terdiri dari 5 tenaga kesehatan, 2 kader kesehatan dan 8 anggota keluarga dari informan utama. Teknik pengumpulan data dilakukan dengan cara wawancara mendalam dan studi dokumentasi. Analisis penelitian ini menggunakan teknik Miles dan Hubberman (1992) dengan analisis tematik. Hasil dan pembahasan: Ada 4 tema sebagai hasil dari penelitian ini yaitu faktor-faktor yang mempengaruhi kejadian preeklampsia, terdiri dari usia ibu, paritas, Riwayat Kesehatan dan kebiasaan ibu. Simpulan: Ibu yang mengalami preeklampsia mayoritas memiliki karakteristik (usia, paritas), riwayat kesehatan dan kebiasaan yang beresiko. Dengan melakukan pendampingan selama masa kehamilan kepada ibu hamil yang beresiko diharapkan dapat menghindari komplikasi yang dapat terjadi akibat keterlambatan penanganan serta mengoptimalkan pemberian edukasi tentang preeklampsia untuk meningkatkan pengetahuan ibu. Kata kunci: Preeklamsia, Fenomenologi. PHENOMENOLOGY STUDY OF THE RISK FACTOR THAT RELATED WITH PREECLAMPSIA ABSTRACTIntroduction : Preeclampsia is one of the causes of the highly maternal mortality (MMR) in Indonesia. The incidence of preeclampsia in the Central java in 2018 was 8%. Boyolali which was one of the ten highest contributor to MMR in Central Java, the incidence of preeclampsia was 33,4% (5 cases), this led to preeclampsia being the first cause of maternal death. Factors that can influence the incidence of preeclampsia are age, parity, history of preeclampsia, history of hypertension, knowledge, and mother's perception, habits and support from the family. This research was to describe the phenomenon of the risk factor related with preeclampsia in the work area of Ampel Public Health Center, Boyoali, Central Java. Research method: This is a qualitative research with a descriptive phenomenological approach. The informants of the study consisted of the main informants, namely mothers who had preeclampsia during their pregnancy as many as 5 people and supporting informants consisting of 5 health workers, 2 health cadres and 8 family members from the main informants. Data collection techniques were carried out by in-depth interviews and documentation studies. The analysis of this study uses the techniques of Miles and Hubberman (1992) with thematic analysis.Result and discussion: The results of the study were identified 4 themes namely factors that influence the incidence of preeclampsia, women’s age, parity, history of health, and women,s daily activity. Conclusion: Mothers who experience preeclampsia have the majority characteristics (women age, parity), history of health and risky habits. By providing assistance during pregnancy for pregnant women who are at risk wish to avoid complications that can occur due to delays in handling and optimizing the provision of education about preeclampsia to improve maternal knowledge. Keywords: Preeclampsia, Phenomenology


Author(s):  
Lingsi Alpon ◽  
Ramli ◽  
Marselina Sattu ◽  
Derthan E.F. Polunggu ◽  
Muhammad Syahrir ◽  
...  

Imunisasi merupakan pencegahan primer yang sangat efektif untuk menghindari terjangkitnya penyakit infeksi. Oleh sebab itu, angka kejadian penyakit infeksi akan menurun, kecacatan serta kematian yang ditimbulkannya pun akan berkurang. Sampai saat ini kasus yang ditemukan dilapangan ternyata masih ada ibu-ibu balita yang tidak mau membawa anaknya untuk diberikan imunisasi. Desa Kalumbatan merupakan satu-satunya Desa di Kecamatan Totikum Selatan yang belum mencapai target Universal Child Immunization (UCI). Penelitian ini bertujuan untuk memperoleh informasi penyebab ibu balita tidak memberikan imunisasi dasar pada balitanya di Desa Kalumbatan Kecamatan Totikum Selatan. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi, metode pengumpulan data dengan observasi dan wawancara mendalam (indepht interview). Informan dalam penelitian ini berjumlah 20 orang yakni ibu yang memiliki balita 0-59 bulan yang tidak lengkap imunisasi dasar balitanya, kader Posyandu dan petugas kesehatan yang didapatkan menggunakan metode pengambilan informan dengan teknik sampling menggunakan Snow Ball Sampling. Analisis data melalui tiga prosedur yaitu reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian ini menunjukkan bahwa penyebab ibu balita tidak memberikan imunisasi dasar lengkap pada balitanya di Desa Kalumbatan ditemukan 5 informasi yakni : Takut dan trauma balitanya demam setelah diimunisasi, jarak rumah ke Posyandu yang jauh, sibuk dengan pekerjaan, tidak ada dukungan keluarga dan tidak mengetahui informasi jadwal imunisasi. Perlu adanya atau ditingkatkan promosi kesehatan kepada orang tua maupun peserta posyandu terkait peningkatan pemahaman atau pengetahuan tentang manfaat pentingnya imunisasi. Sehingga mampu meningkatkan cakupan imunisasi dasar di kabupaten Banggai Kepulauan khususnya Desa Kalumbatan Kecamatan Totikum Selatan. Immunization is a very effective primary prevention to avoid contracting infectious diseases. Therefore, the incidence of infectious diseases will decrease, the resulting disability and death will also decrease. Until now, the cases found in the field are still mothers of toddlers who do not want to bring their children to be given immunizations. Kalumbatan Village is the only village in South Totikum District that has not yet reached the Universal Child Immunization (UCI) target. This study aims to obtain information on the reasons why mothers of toddlers do not provide basic immunizations for their toddlers in Kalumbatan Village, South Totikum District. This research is a qualitative research with a phenomenological approach, data collection methods with observation and in-depth interviews (indepht interviews). The informants in this study were 20 people, namely mothers who had toddlers 0-59 months whose basic immunizations were incomplete, Posyandu cadres and health workers who were obtained using the informant retrieval method with a sampling technique using Snow Ball Sampling. Data analysis through three procedures, namely data reduction, data presentation and drawing conclusions. The results of this study indicate that the causes of mothers under five who do not provide complete basic immunization to their toddlers in Kalumbatan Village found 5 information, namely: Fear and trauma of toddlers having fever after being immunized, far from home to Posyandu, busy with work, no family support and not knowing information immunization schedule. It is necessary to have or improve health promotion to parents and posyandu participants related to increasing understanding or knowledge about the benefits of the importance of immunization. So as to increase the coverage of basic immunization in Banggai Islands district, especially Kalumbatan Village, South Totikum District. 


2021 ◽  
Vol 2 (1) ◽  
pp. 13-23
Author(s):  
Munsifah

Tegalsari is the name of a village located in the southeast of the center of Ponorogo City. This area is famous for the religious tourism complex of the Jami 'Tegalsari Mosque and the tomb of a prominent Muslim propagator in Ponorogo named Kiai Ageng Muhammad Besari (Rohmatulloh, 2015). Since the beginning of his move to Tegalsari, many religious and teaching activities have been carried out. Several activities, both daily, weekly, monthly and yearly, are still routinely carried out at the Tegalsari Mosque until now (Pramono, 2020). Among the weekly activities routinely carried out at the Tegalsari Mosque are the Friday night sunnah prayer activities. In the sunnah prayer activity on this Friday night, of course, there are messages of both implied and explicit preaching. This preaching activity at Tegalsari Mosque is a type of preaching bil-hal. With activities like this, it is hoped that the people who carry out the sunnah prayer will not only carry it out ceremonially but also be able to understand, appreciate, and carry out the da'wah messages contained in it so that it can add to the value of faith and devotion to Allah SWT and to increase syiarity. Islam in Tegalsari in particular and other areas as widely as possible. This study uses a qualitative method with a phenomenological approach. The informants in this study were determined using purposive sampling technique with data collection techniques in the form of in-depth interviews and document search activities. The results of this study indicate that the Friday night sunnah prayer activities at the Tegalsari Mosque contain a message that the implementation of worship will be more special and provide peace of mind if the congregation as the performer of worship feels a solid heart when performing it. The background that supports the implementation of the Friday night sunnah prayer activities at Tegalsari Mosque is the location of the mosque which is in the religious tourism area of the Kiai Ageng Muhammad Besari Tomb. Meanwhile, the obstacle is the Covid-19 pandemic, which has limited social activities, including Friday night sunnah prayers at the Tegalsari Mosque. Key words: Phenomenology Studies, Rituals, Meaning, Religious Tourism.


2015 ◽  
Vol 40 (3) ◽  
pp. 167-179 ◽  
Author(s):  
Rebecca E. Reay ◽  
Beverley Raphael ◽  
Velissa Aplin ◽  
Virginia McAndrew ◽  
Jeffery C. Cubis ◽  
...  

Although childhood trauma and family adversity can increase vulnerability to serious mental health problems, uncertainty exists about the nature and prevalence in a clinical population. This embedded research aims to establish the prevalence of trauma and adversity in young people seeking help from Child and Adolescent Mental Health Services (CAMHS). All children, adolescents, and their parents/guardian attending their initial assessment at a CAMHS service were invited to participate in the ‘Stressful Life and Family Difficulties study’ and a clinical interview. 162 families participated in the study. It was more common for young people to experience multiple adversities (three or more) in the last 12 months than single events. Mothers self-reported a greater number of family adversities than fathers. According to clinicians, the most frequent adversities experienced by young people were having a parent with a mental illness (66%), being bullied (63%) and parental divorce or separation (43%). Overall, clinicians reported that 69% of CAMHS clients had experienced a potentially traumatic experience (any physical, emotional or sexual abuse, child neglect or traumatic event). Moreover, young people with trauma histories were significantly more likely to have a parent with a history of trauma.


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