Gambaran Implementasi Pengembangan Keprofesian Berkelanjutan oleh Perawat di RSUD R.A. Kartini Kabupaten Jepara

Introduction: Continuing Professional Development (CPD) implementation is not optimal. There is no evaluation regarding CPD implementation by nurses in RSUD R.A. Kartini, Jepara Regency. The purpose of this study was to describe the implementation of PKB by nurses in RSUD R.A. Kartini, Jepara Regency.Methods: This study used quantitative research design using descriptive studies. The sampling technique used simple random sampling with 169 respondents. Data collection used a questionnaire containing 55 question items from Indonesian National Nurses Association.Results: Description of CPD by nurses at R.A. Kartini Hospital in Jepara Regency are as follows: professional practice activities (100%), scientific activities (94.67%), scientific development activities (26.62%), and community service activities (71%). Conclusion: Based on the research results, nurses should optimize themselves in various aspects of the form of CPD activities so that it can fulfill the achievement of 25 credits in five years while increasing the self-development of nurses.

Resiliensi Tahanan: Studi Literatur

Introduction: Prevalence of mental health problems including detainees in prison are very high. Handling mental health problems is closely related to the ability of resilience in a person. Limited study review resilience, factors influencing it and instruments used in detainee. This study aims to describe the resilience of detainees, instruments to measure it, and factors influencing the resilience of detainees.Methods: The research method used was literature review. Literature search was carried out using search keywords resilience, detainee, prison. The database used is SCOPUS, EBSCOHost, Garuda, Science Direct, ProQuest. Articles inclusion criteria are full-text articles from 2010-2020, published in English and Indonesian, and discussing resilience to detainees. Articles were identified using flow diagrams. Data were analysed using synthesis matrices.Results: The results of search that has been conducted stating that the instruments used to identify resilience levels consisted of the Connor and Davidson Resilience Scale (CD-RISC), the resilience quotient compiled by Reivich and Shatte, the Resilience Measurement Scale (RMS-25), the Adolescent Resilience Attitudes Scale (ARAS), and the Norwegian adaptation of Dispositional Resilience scale (DRS-15-R). The average level of resilience of detainees is in the medium category. Resilience is influenced by age, ethnicity, family relationships, social relationships, self-acceptance, protective factors (pro-social) and (pro-future). Detainees are prone to mental health problems, because they have moderate levels of resilience.Suggestion: Nursing services need to pay attention to the level of resilience of detainees.

Kajian Pustaka: Gambaran Pengetahuan dan Perilaku Masyarakat untuk Mencari Fasilitas Kesehatan dalam Penanganan Penyakit Tuberkulosis

Introduction: The knowledge and behavior of the community in seeking health facilities for the treatment of tuberculosis were studied separately by previous researchers, so it is necessary to do a literature review to get a complete picture of this phenomenon. This study aims to obtain an overview of knowledge about tuberculosis and the behavior of people seeking health facilities in the treatment of tuberculosis in various previous studies.Methods: The study was a literature review. The sample of this study was eight articles, with inclusion criteria i.e. published in journals in the last 10 years, descriptive research, and full text. The articles were obtained through the search engines Science Direct, Scopus and Ebsco Host. The literature analysis was carried out by means of a narrative review and presented in a table.Results: The level of public knowledge about the causes of tuberculosis, signs and symptoms of the disease, modes of transmission, ways to prevent transmission, as well as knowledge that tuberculosis can be cured varied from low to high levels of knowledge. People take advantage of government and private health services, buy drugs at pharmacies, and go to traditional healers/traditional healers to get treatment for tuberculosis.Conclusion: There are still public misunderstandings about tuberculosis and obstacles in utilizing health facilities for the treatment of tuberculosis. Therefore, health education and counseling need to be improved so that public knowledge related to tuberculosis is getting better and has a positive impact on the behavior of seeking health facilities in the treatment of tuberculosis. It is necessary to conduct further studies on the factors that underlie people's behavior in seeking health facilities in the treatment of tuberculosis.

Kajian Literatur: Intervensi Religius Islam dan Dampaknya pada Pasien Stroke

Introduction: Stroke becomes the main factor of longterm disability. Changes in physical condition increase the risk of psychological disorders. Indonesian citizen has Islam religion mostly. The study of Islamic religious intervention was few. Religious interventions had been conducted however no review described the Islamic religious interventions and the impacts. This study aimed to describe the intervention of Islamic religious and its impacts among stroke patients. Methods: The research method used scoping review using databases such as Sciendirect, CINAHL, Medline, Taylor & Francis, JSTOR, PubMed, and search engine Google Advance. The criteria for the articles reviewed were articles in English or Indonesian with the SINTA index 1-2, articles published on 2010-2020, articles accessed in full text, method was quasi experiment or randomized control trial, articles were original research. The key words were Islamic spiritual or religious and stroke. Search results obtained five articles that required the inclusion criteria. Results: Review found that memorizing of Al Qur’an, listening Al Qur’an, motivation and prayer, salah prayer and Quranic teaching. Impacts of Islamic spiritual and religious intervention have positive impact in patient’s physiological and psychological such as increased functional communication, independence, improvement of neurological clinical outcome, motoric function, balance, motivation, quality of life, and decreased the anxiety and depression. Conclusion: Islamic spiritual or religious intervention in stroke survivor was the part nursing care that promising improved clinical outcome.

Gambaran Tingkat Kecemasan dan Stres Kerja Tenaga Kesehatan Puskesmas Saat Pandemi Covid-19

Introduction: The rapid growth of number of COVID-19 cases every day has made the condition of health workers increasingly depressed. These conditions can affect the level of anxiety and work stress. A study involving health workers caring for Covid-19 patient showed anxiety symptoms and work stress experience. The existence of anxiety and work stress can have an impact on increasing work errors, deteriorating physical and mental conditions, reducing productivity and decreasing service’s quality. This study aims to describe the anxiety level and work stress of health workers during Covid-19 pandemic at the Public Health Center (Puskesmas). Methods: This research was a descriptive survey study with 156 respondents from nine Puskesmas obtained through cluster and quota sampling calculation. Data was taken using Depression Anxiety Stress Scale (DASS-42) and workplace Stress Scale (WSS) questionnaires which distributed via google form. Results: The results of this study obtained 16.7% of Puskesmas health workers experience anxiety consisting of 5.8% mild, 7.7% moderate, 2.6% severe and 0.6% very severe anxiety. Meanwhile, the work stress study obtained as many as 68.7% experience work stress, consisting of low 35.3%, moderate 27.6%, and heavy work stress 5.8%. Conclusion: Failure to manage anxiety and work stress can have a negative impact on mental health and can even endanger the lives of health workers. The findings in this study indicate risk for mental health disorders for health workers due to the Covid-19 pandemic. So it is necessary for relevant agencies and also individual itself, to manage anxiety and work stress.

Implementasi Keperawatan Tuberkulosis Paru dengan Bersihan Jalan Napas Tidak Efektif dan Nutrisi Tidak Seimbang: Kurang dari Kebutuhan Tubuh

Introduction: Several nursing implementations do not match with nursing intervention classification. This situation requires further study to prove it. This study aims to describe nursing implementations on tuberculosis patients with airway clearance ineffective and imbalance nutrition: less than body requirement. Methods: This study was a quantitative observational descriptive study. Data were collected by observing nursing implementation documentations during two months. The research variable was nursing implementation in pulmonary tuberculosis patients. The sampling technique was purposive sampling.Results: Most of the implementation carried out by nurses in the diagnosis of ineffective airway clearance was providing oxygen (58.1%) and the second order was recommending sputum in the pot (10,5%). Most nursing implementation in diagnosis imbalance nutrition: less than body required was to educate the diet (85.7%), and the smallest is to recommend eating that is not spicy (1.2%). Conclusion: The most implementation that nurses do to overcome the diagnosis of ineffective airway clearance was giving oxygen to the patient. While the most implementation that nurses do in diagnosis imbalance nutrition: less than body required was educate the patient's diet. Interventions carried out by nurses are activities of the intervention, not nursing interventions. Further studies are required to improve nurses’ skills to implement according to standards.

Kajian Literatur: Faktor-Faktor yang Mempengaruhi Partisipasi Pasien dalam Keselamatan Pasien

Introduction: Patient participation is globally recognized as one of the main factors for promoting quality and safety of health services. Active patient participation is a patient safety priority for health care. Yet, patients and their preferences are less understood. Literature review related to determinants of patient participation last five years is limited. The aim of this study was to determine the factors that influence patients to participate in patient safety. Methods: This study used a literature review method by searching online data. Literature was searched through electronic database such as EBSCOhost, Science Direct, and Scopus. The inclusion criteria of article were respondent to the article found are inpatient and nurse, full text articles and publication years from 2015 to 2019.Results: Search results found four articles were eligible to be reviewed. This review indicates that there are two factors that influence patient participation in patient safety, including factors from the patient's side and factors from the nurse's side.Conclusion: These results reinforce that creating patient safety requires the collaboration of all parties, not only from the nurse but also from the patient. Patient involvement needs to be further investigated regarding the extent of patient participation in patient safety.

Hubungan antara Konsep Diri dengan Depresi pada Transgender: Kajian Literatur

Introduction: Transgenders have a high risk of depression caused by self-concept. the complex aspect of self-concept has led to different results among researchers in examining the relationship between self-concept and depression experienced by transgender. The purpose of this study was to strengthen evidence on the relationship between self-concept and depression in transgender.Method: This study uses a literature review method. Articles searched through Google Scholar, Cambridge, Clinical Key, NCBI, MDPI, and Science Direct. Articles were selected based on several criteria including: research with a minimum sample of 15 transgender, publication year 2011-2020, written in Indonesian or English, and full text articles. Quality assessment as a method to assess the relevance of the journals. Results: Eleven articles were selected based on the sample criteria, but only 7 articles were relevant to be reviewed. The results of the synthesis show that there is a relationship between self-concept and depression in transgender people. The level of depression in transgender is influenced by several factors, including: lack of social support, low self-esteem, body image dissatisfaction, lack of coping skills, social and emotional loneliness, and low sexual satisfaction.Conclusion: There is a significant relationship between self-concept and depression in transgender people, but there is no strong evidence that proves the influence of organizational involvement on self-concept in transgender.

Pemaknaan Hidup Survivor Kanker Serviks selama Terapi Pengobatan: Literature Review

Introduction: Cervical cancer treatment process proves to make women experiencing emotional distress that brings new problems in life. Women with cervical cancer who undergo treatment suffer affecting all aspects of life that impact on the meaning of life. There is limited literature review regarding life meaning resources and technique used by women with cervical cancer who undergo treatment. The aim of this study is to find out description about the meaningfulness in life of cervical cancer survivor during treatment period based on sources and technique of finding meaning. Methods: This study used literature review method. The literature search engines used are SCOPUS, SINTA and Google Scholar. The inclusion criteria of article were articles in Indonesian or English, containing sources and techniques for finding meaning in abstract, respondents cervical cancer survivor and published from 2011 to 2020. Results: Eleven articles show the existence of meaning in life build upon sources of meaning in life including creative, experimental, attitudinal, and hopeful values. Moreover, there are techniques in seeking meaning involving self-understanding, positive action, familiarity with relationships, deepening the values of the meaning of life and worship. Conclusion: The beginning of treatment process results feelings of meaningless, but efforts to make sense of life remain. Family support and spirituality were found to be the things that give the most meaning for cervical cancer survivors to survive.

Pengaruh Kegel Exercise terhadap Inkontinensia Urine pada Ibu Postpartum Multipara

Introduction: One of problems experienced post-partum mothers is urine incontinence. Kegel exercise effects on urine incontinence post-partum mothers and elderly. However, limited study search for its effect on multiparous post-partum mothers. This study aims to determine the effect of Kegel exercise on urinary incontinence in multiparous post-partum mothers.Methods: The research design used was a quasi-experiment with a post-test with control group design which was divided into an experimental group and a control group. The research was conducted in the work area of Rejosari Public Health Center with a sample size of 34 respondents with the criteria of multiparous postpartum mothers who experienced urinary incontinence in normal labor with a purposive sampling technique. The measuring instrument used was the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). Data analysis used dependent and independent t-test.Results: The results of the dependent t-test statistic with α 0.05 showed that Kegel exercise was effective against urinary incontinence in the experimental group p value (0.000) and the control group p value (0.033) and the results of the independent t-test showed that there was an effect of Kegel exercise on urinary incontinence in the experimental group and the control group p value (0.004). The results of this study can be used as a reference for using Kegel exercises as a way to deal with complaints of urinary incontinence in multiparous post-partum mothers.