scholarly journals STUDI KUALITATIF: PERSEPSI REMAJA PENDERITA KANKER TERHADAP PELAYANAN KEPERAWATAN

2020 ◽  
Vol 6 (1) ◽  
pp. 45-49
Author(s):  
Dirayati Sharfina ◽  
Indria L. Gamayanti ◽  
Fitri Haryanti ◽  
Yulis Hati
Keyword(s):  
Health Care Providers ◽  
Nursing Care ◽  
Health Workers ◽  
Treatment Protocol ◽  
Sampling Technique ◽  
Complex Problem ◽  
Developmental Phase ◽  
Care Providers ◽  
Research Subjects ◽  
Structured Interviews

Adolescent with cancer have a complex problem. Adolescents with cancer at risk for developmental phase delay caused limitations in carrying out its role as adolescents, because of the side effects of medication and intensive relationships with health care providers. Nurses are health workers who have a frequency of more interaction to the teenagers who suffer from cancer. Form of nursing care provided by nurse will shape perceptions of teenagers. Adolescent perception of cancer patients with the care received does not match the hope will establish a nursing care desired by adolescents. This study to explore perception and hope of adolescents toward quality of nursing care in Adam Malik Hospital Medan. Qualitative research methods through a phenomenological approach. Adolescent with cancer as research subjects, aged 13-19 years who had been diagnosed with cancer and was undergoing treatment protocol. The sampling technique used the maximum variance. Data were collected through semi-structured interviews with tools interview, observation, field notes, and tools as well as the record will be analyzed by the method Colaizzi The themes that reflect the perceptions and hope of adolescents to nursing care include 1) an overview of nurses’ profile, 2) the ability and skills of nurses, 3) nurses’ attitude, 4) preparedness nurses, 5) the provision of social support. Adolescents also hope hospital’s management add room facilities in order to easy to access the health service especially service care for adolescents. Adolescents with cancer have a different impression at the beginning of the meeting and after getting care by nurses. Further researcher can choose suitable location to interview and research about hope of adolescent’s cancer and nurse’s role in adolescent’s cancer.

scholarly journals SURVEI IMPLEMENTASI PELAYANAN KEBIDANAN KOMPLEMENTER DALAM MENGURANGI INTERVENSI MEDIS

2021 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
SIfa Altika ◽  
Uswatun Kasanah
Keyword(s):  
Health Care Providers ◽  
Research Method ◽  
Complementary Therapies ◽  
Health Workers ◽  
Sampling Technique ◽  
Complementary Therapy ◽  
Care Providers ◽  
Research Subjects ◽  
Consecutive Sampling ◽  
Predetermined Time

The existing complementary therapy of the community's medical options, especially for pregnant and childbirth women. In various health care providers, many clients ask questions about complementary or alternative therapies to health workers such as midwives. This happens because the client wants to get the service according to his choice, so that if the wish is fulfilled it will have an impact on client satisfaction. This can be an opportunity for midwives to play a role in providing complementary therapies. The research method used is a survey. where the research was carried out without intervening on the research subjects. Collecting data by survey at the work unit providing complementary midwifery services. The population in this study were all midwives who provide complementary midwifery services independently and / or who work in complementary midwifery service units. With the sample used in total sampling taken using consecutive sampling technique based on a predetermined time. The use of complementary therapies by midwives mostly carried out by midwives is massage / massage therapy, which is as many as 43 midwives (61.4%), among which massages performed by midwives include: baby massage, postpartum massage, oxytocin massage, breast massage and massage. perenium. Other complementary therapies run by midwives are hypnotherapy (15.8%), acupressure (12.8%), then yoga services (5.7%) and herbal medicine (4.3%).

scholarly journals Pengalaman Penerapan Kemampuan Berpikir Kritis Perawat Saat Memberikan Asuhan Keperawatan Pada Bayi Berat Lahir Rendah Di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin

2020 ◽  
Vol 10 (1) ◽  
pp. 25-34
Author(s):  
Achmad Rif'at ◽  
Elly Nurachmah ◽  
Yustan Azidin
Keyword(s):  
At Risk ◽  
Critical Thinking ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Health Workers ◽  
Sampling Technique ◽  
Thinking Skills ◽  
Care Providers ◽  
Purposive Sampling

Latar Belakang: Rumah Sakit sebagai pemberi layanan kesehatan bertanggung-jawab untuk memberikan pelayanan yang bermutu dan aman. Permasalahan yang kompleks pada Bayi Berat Lahir Rendah (BBLR) menjadi alasan untuk diteliti. Bayi BBLR berisiko mengalami ketidaksempurnaan fungsi organ, sistem imun bayi atau pertahanan tubuh yang belum sempurna sehingga berisiko infeksi, tumbuh kembang bayi yang mungkin terlambat pasca perawatan. Perawat sebagai salah satu profesional pemberi asuhan bertanggung-jawab memberikan asuhan yang bermutu dan aman.  Oleh karena itu kemampuan perawat dalam memberikan asuhan, pengetahuan yang di miliki, pengalaman selama merawat, hubungan dengan petugas kesehatan lain, kesiapan orang tua untuk merawat  di rumah pasca perawatan menjadi sangat penting untuk di teliti.Tujuan: Penelitian  ini mengeksplorasi  pengalaman penerapan kemampuan berpikir kritis perawat saat memberikan asuhan keperawatan  pada bayi berat lahir rendah.Metode: Penelitian  ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data di lakukan dengan wawancara mendalam pada tujuh partisipan yang diambil dengan teknik purposive sampling. Partisipan adalah perawat yang bekerja di Ruang Mutiara Lantai 2  RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Hasil: Hasil analisis didapatkan empat tema : kemampuan perawat mengenali BBLR, kemampuan perawat memberikan asuhan BBLR, kebutuhan dokumentasi pada BBLR, dan keterlibatan keluarga, petugas kesehatan dan unit kerja dalam asuhan BBLR. Rekomendasi hasil penelitian ini adalah pendidikan. Pendidikan berkelanjutan dapat meningkatkan pengetahuan dan kompetensi perawat. Pengetahuan dan kompetensi  memberikan dampak pada sikap perawat untuk berpikir kritis pada asuhan yang diberikan. Abstract Background:Hospitals as health care providers are responsible for providing quality and safe services. Complex problems in Low Birth Weight (LBW) clients are reasons to be investigated. Low Birth Weight babies are at risk of developing imperfections in organ function, the baby's immune system or body defenses, so they are at risk of infection, delay growth and development post hospitalization. Nurses as one of the professionals care providers are responsible for providing  a quality and safe care.. Therefore the ability of nurses to provide care, possessed knowledge, experience during caring, relationships with other health workers, and the readiness of parents to care for their babies at home after hospitalization are very important to be examined. Aim: The aim of the study was to explore the perceived experience of nurses' critical thinking skills when providing nursing care to low-birth- baby clients. Method: This study used a qualitative method with a phenomenological approach. Data collection was conducted through in-depth interviews with seven participants taken by a purposive sampling technique. Participants were nurses who worked and care for neonatal babies in Mutiara Room 2nd floor of RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Result: The results of the analysis found four themes: the ability of nurses to recognize LBW, the ability of nurses to provide care to LBW, requirements of documentation on LBW, and the involvement of families, health workers and work units in providing care. The recommendation of this research is education. Continuing education can improve nurses' knowledge and competence. Knowledge and competence have an impact on nurses' attitudes to think critically on care providing Keywords: critical thinking, Low Birth Weight 

scholarly journals Women’s perspective of facility-based childbirth services in Ghana: A qualitative study

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Gertrude S. Avortri ◽  
Lebitsi M. Modiba
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Health Workers ◽  
Care Providers ◽  
Structured Interviews ◽  
Open Communication ◽  
Services Delivery ◽  
District Hospitals ◽  
High Workload

Background: Many policy makers at country level in both medium and low to middle-income countries still have great difficulty deciding which quality intervention would have the greatest impact on the health outcomes delivered by their health systems. Aim: To investigate women’s perceptions about the factors that hinders or facilitates the provision of quality childbirth services in Ghana’s health care services to guide improvement efforts. Setting: The study was conducted in the greater Accra region of Ghana in two primary level hospitals (district hospitals). Methods: A qualitative study design, which is exploratory, descriptive and contextual in nature, was used. Semi-structured interviews were used to examine the perspectives of 15 women on the factors that influence the quality of childbirth services and how services could be improved in Ghana. Data were analysed through data reduction, data display and generation of themes. Results: The findings in this study revealed two major themes, firstly, barriers to quality childbirth with five subthemes: high workload, shortage of health workers, non-availability of some services, as well as poor coordination, unacceptable staff behaviour and lack of cooperation from some clients, were identified by the participants as the major causes of poor quality. Secondly, ways to improve care reported, were encouraging health workers to be patient with clients, promoting open communication, friendliness and attentiveness. The need to reorganise service provision to make it more client centred, was also highlighted. Conclusion: The study findings highlight the importance of paying attention to factors such as service organisation and coordination, high workload, inadequate number of staff, as well as limitations in infrastructure and logistics for quality services delivery. Equally important are institutionalisation of systems to continuously assess and improve staff competence and attitudes and the creation of an environment that can foster good interpersonal relationship between health care providers and patients.

scholarly journals Reversing the Stop Signs to Proactive Nursing Care in DNR Patients

2015 ◽  
Author(s):  
Natalie Volpe
Keyword(s):  
Critical Care ◽  
Interpersonal Relationships ◽  
Health Care Providers ◽  
Nursing Care ◽  
Vital Signs ◽  
Care Providers ◽  
Do Not Resuscitate ◽  
Structured Interviews ◽  
Code Status ◽  
Vital Signs Monitoring

<p>Research has supported that patients with a do-not-resuscitate (DNR) code status receive less aggressive treatment and have higher mortality rates compared to those without DNR orders, after adjusting for confounding factors (Cohn, Fritz, Frankau, Laroche, & Fuld, 2012). Health care providers erroneously understand DNR status to imply that a patient is dying and should not undergo other life-saving interventions (Hewitt & Marco, 2004). Surveyed critical care nurses revealed that they believed that interventions such as complete history and physicals, checking vital signs, monitoring neuro status, and ICU admission should not be performed as regular interventions on patients with a DNR status (Sherman & Branum, 1995). The purpose of this paper was to explore the factors that contribute to less aggressive nursing care in DNR patients that are not actively dying from a terminal illness. This study employed a<strong> </strong>qualitative approach using semi-structured interviews. The sample consisted of five critical care registered nurses. Three common themes were revealed: the definition of DNR code status; interpersonal relationships between nurse/patient; and personal views and feelings directing nursing care. Recommendations and implications for practice are discussed.</p>

scholarly journals Behavior of Adolescent Users Contact Lens (Soft Lens) In the Eye Health Care in SMKN 3 Blitar City

2017 ◽  
Vol 4 (3) ◽  
pp. 218-223
Author(s):  
Sunarti Sunarti ◽  
Wahyu Setianingsih
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Contact Lens ◽  
Contact Lenses ◽  
Health Workers ◽  
Sampling Technique ◽  
Care Providers ◽  
Eye Health ◽  
Eye Disorders ◽  
The Right

The use of contact lenses an alternative to eyeglasses. Lensa tools contacts could be supporting the appeal and appearance of a person to be more stylish and different. In the opinion of one ophthalmologist in dr Soetomo there are 50% of patients with eye disorders contact lens contaminated by amoebas and 1% of patients experienced a severe disorder that causes permanent blindness. The use of contact lenses require secure the right under the guidelines. The aim of research to study the behavior of adolescent users of contact lenses (soft contact lens) in the eye health care in SMK N 3 of Blitar. The study population were students of class XI and the sample studied class XI students who wear contact lenses, using purposive sampling technique. The collection of data by means of a checklist and interview. The results showed as much as 37.1% to behave according to the SOP by 45.7% in the use of contact lenses, but 62.9% showed no behavior according to SOP in the cleaning of contact lenses. This is due to adolescents do not get used to the consultation eye health workers. Recommendations of this study are expected to educational institutions in collaboration with health care providers in improving the UKS program for health promotion in particular about the behavior in the use and cleaning of contact lenses in accordance with the SOP.

scholarly journals COVID-19 Vaccine Knowledge and Acceptability among Healthcare Providers in Nigeria

2021 ◽  
pp. 51-60
Author(s):  
Onyeka Chukwudalu Ekwebene ◽  
Valentine Chidi Obidile ◽  
Precious Chidozie Azubuike ◽  
Chioma Phyllis Nnamani ◽  
Nehemiah Emono Dankano ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Care Providers ◽  
Snowball Sampling ◽  
Economic Activities ◽  
Vaccine Acceptance ◽  
Key Factor

Background: The Covid-19 pandemic has posed enormous challenges and has become a burden of morbidity and mortality while severely disrupting economic activities around the world. Vaccines for the disease has been discovered; however, there exists misconceptions and mistrusts among health workers which may constitute barriers to Covid-19 uptake. Aim: The study aimed to determine the knowledge and acceptability of the Covid-19 vaccine among health care provider and to determine the association between the socio-demographic variables and Covid-19 acceptability. Study Design: A snowball sampling technique was relied upon in the distribution of the questionnaires. Place and Duration: Online questionnaires sent in the form of a link through social media outlets such as Whatsapp, Facebook and emails within four weeks interval. Methodology: Health care providers in Nigeria aged 18 years and above participated in this study.The analysis was performed using the Statistical Software Package SPSS version 22.0.Four hundred and forty-five respondents filled the questionnaire from the six geopolitical zones of the country. Results: There was a good knowledge of the Covid-19 vaccination as 411(92.4%) knew about the vaccine. However, only 53.5% of respondents were willing to get vaccinated against the disease. The most identified perceived barrier to covid-19 vaccine acceptance was fear of side effects 309 (69.4%) and there was no association between socio-demographic characteristics and covid-19 vaccine acceptability. Conclusion: Healthcare providers recommendation and confidence in a vaccine plays an influential role in their patients’ vaccination behaviour. They serve as an important source of information for the general populace and their consultation can also be a key factor in patients’ decision to get vaccinated or not.

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Thematic Analysis ◽  
Hpv Vaccine ◽  
Female Adolescents ◽  
Future Research ◽  
Care Providers ◽  
Foreign Born ◽  
Structured Interviews ◽  
Direct Benefits ◽  
Multiethnic Sample

This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.

scholarly journals Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context

2020 ◽  
Vol 6 ◽  
pp. 237796082098178
Author(s):  
Sumana Lama ◽  
Jintana Damkliang ◽  
Luppana Kitrungrote
Keyword(s):  
Social Support ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Care Providers ◽  
Physical Environment ◽  
Community Integration ◽  
Sampling Technique ◽  
Care Providers ◽  
Related Factors ◽  
High Level

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

scholarly journals Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Maria Jennings ◽  
Joanna Morrison ◽  
Kohenour Akter ◽  
Hassan Haghparast-Bidgoli ◽  
Carina King ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Low Income ◽  
Diabetes Management ◽  
Local Health ◽  
Care Seeking ◽  
Care Providers ◽  
Structured Interviews ◽  
Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

Breastfeeding Experiences of Baccalaureate Nursing Students: A Qualitative Study

2020 ◽  
pp. 089033442097998
Author(s):  
Cheryl Langford ◽  
Marcella Gowan ◽  
Monica Haj
Keyword(s):  
Nursing Students ◽  
Health Care Providers ◽  
Baccalaureate Nursing ◽  
Community Support ◽  
Baccalaureate Nursing Students ◽  
Care Providers ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional

Background Students returning to school who are breastfeeding face unique challenges. There is limited literature on breastfeeding university students. Several researchers have studied breastfeeding employees in the workplace. Institutions of higher education closely mimic the employment environment. Breastfeeding college students who express their milk while at school share similar challenges to employed mothers. A baccalaureate nursing program is rigorous and little is known about the challenges facing breastfeeding student nurses returning to classes. Research aim To explore the breastfeeding experience of baccalaureate nursing students. Methods Our study was a cross-sectional descriptive qualitative design. Purposive sampling was used to enroll participants ( N = 12). In depth, semi-structured interviews were conducted. Qualitative thematic analysis was used to analyze the data both manually and using Dedoose QDA software. Results An overarching theme of pervasive conflict between the role of the breastfeeding mother and the role of the student nurse surfaced. Three interrelated organizing themes also emerged; challenging, vulnerability, and resilience. Time constraints, self-care versus role demands, and structural accommodations contributed to the challenges. Only one participant indicated a knowledge of her breastfeeding rights. All of the participants expressed gratitude for faculty and community support, regardless of conflicts. Conclusion Breastfeeding participants were both vulnerable and resilient. Faculty may improve experiences through providing specific areas of support. A breastfeeding support policy outlining student rights and faculty responsibilities is needed to educate, guide, and enforce protections. Health care providers may enhance breastfeeding students’ experiences through anticipatory guidance, education, and continued support.

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