The warm compress of clove water (syzygium aromaticum) therapy during bouts of acute gouty arthritis

Background: Non-communicable diseases keep increase numbers in both developed and developing countries such as gout arthritis. Gouty arthritis is an inflammation of the joints caused by high levels of uric acid in the blood (hyperuricemia). Most people with gout arthritis complain of pain in the joints.Purpose: To determine the effect of cloves water warm compress (syzygium aromaticum) on reducing pain among elderly with gouty arthritisMethod: This study used a quasi-experimental pre and post test without control (self-control) with 11 participants. The data analysis used was the Dependent T test. As for preparing the ingredients, using 5 grams of cloves boiled with 300 cc to boil, let stand for about 1-3 minutes until a warm temperature (45 - 50 0C), then observe / measure the patient's pain level.After measuring the pain scale, then apply a compress using a clean cloth on the affected joint for 20 minutes, then measure the pain scale again. This action performs every evening (once) at bedtime repeatedly for 5 consecutive days.Results: Showed that the intensity of pain before intervention was 6.73 and the average pain intensity after intervention was 3.00. The result of the t-test is 14,907 with a p-value of 0,000 <α (0.05).Conclusion: The effect had a significantly greater reduction in pain by clove water warm compresses among elderly with gouty arthritis.

Satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information system

Background: The Indonesian National Nurses Association (INNA) has a method and tool for staffing calculation-performance-oriented calculation based on information systemPurpose: To identify of satisfaction among hospital staff nurses on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information systemMethod: The technique of determining the sample using the Cohen effect size (d) formula, the total sample is 30 nurses, divided by two groups, each group comprise 15 nurses the as control group and intervention group 15. The pre-post test done for both groups. The training given to participants for two days and following by measured to identify of satisfaction among hospital staff nurses twice to control and intervention groups using a questionnaire.Results: The Kolmogorov Smirnov normality test and finding the data had abnormally distributed (p <0.05), and following by the Mann Whitney test. The results showed that all the participants showed an increase in nurse satisfaction on nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA)Conclusion: There is a difference in the level of satisfaction between a control group and an intervention with a range of 4.66 points. Using nurse staffing calculation-performance-oriented calculation based on Indonesian National Nurses Association (INNA) on information system, it applicable and reasonable to nurses to calculate nurse staffing in the hospital.

Work environment on job satisfaction of hospital staff nurses related self-efficacy

Background: Based on data in the public health centre (Puskesmas). The ratio between the number of nurses and the number of population is irrational, so that the human resources need to be managed properly.Purpose: To analyze of work environment on job satisfaction of public health centre (Puskesmas) staff nurses related self-efficacyMethods: This research was conducted from March 2020 to June 2020. The data used are primary data, the data collection method uses the survey method, uses a saturate sample, where the sample is totally the number of 15 nurses as respondents. The method of analysis uses multiple linear regressionResults: Showing that the self-efficacy and work environment variables have a positive and significant effect on job satisfaction either partially or simultaneously.Conclusion: Management of public health centres (Puskesmas) must be able to maintain and improve nurses' self-efficacy and working conditions so that nurses will feel satisfied at work. Job satisfaction taken by nurses will result in professional and optimal service.

Cultural competency and nursing care among sundanese nurses ethnic group in Indonesia

Background: Nurses as one of the health professionals who are expecting to have competence in providing nursing care to patients based on cultural background.Purpose: To describe the cultural competency and nursing care among sundanese nurses' ethnic group in Indonesia..Method: A descriptive design with a quantitative approach. The sampling technique in this study used Cluster Random Sampling with the sample of 63 respondents. The instrument used the NCCS (Nurse Cultural Competence Scale). This research conducted on April 2019 at dr. Slamet Hospital, Garut - IndonesiaResults: Shows that the nurses' cultural competencies in dr. Slamet hospital was in a low category of 37 respondents (58.7%). While in a component, cultural awareness was in the low category (60.3%), the cultural knowledge component was in the high category (52.4%), the cultural sensitivity component was in the low category (58.7%) and the cultural skills component in the high category (58.7%).Conclusion: The most nurses' cultural competencies was in a low category such as cultural awareness was in the low category (60.3%), the cultural sensitivity component was in the low category. Sundanese nurses' ethnic group need to develop training in culturally competent as a local wisdom.

Post-caesarean section pain and quality of sleep among mothers who delivered by caesarean section under spinal anesthesia

Background: Post caesarean section mothers commonly feel pain in the post-operative area during the wound healing process. Most post-operative mothers feel the pain sensation as a disturbance and lowering their quality of sleep.Purpose: To determine pain level and identify the relationship of pain level and sleep quality among mothers who delivered by caesarean section under spinal anaesthesia.Method: The descriptive non-experimental correlative study design identified 50 mothers from Inpatient Ward Wava Husada Hospital of Kepanjen, Malang, East Java, Indonesia at April 2020. The Post-caesarean section pain level identified by using the Numeric Rating Scale (NRS) and the sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results: 38 mothers (76%) had severe pain level and most of them (43 mothers) had poor sleep quality. The Spearman correlation test showed that there was a relationship between the Post-caesarean section pain level and sleep quality, p value = 0.000 (p <0.05) and r = 0.314.Conclusion: The post-caesarean section pain levels among mothers who delivered by caesarean section under spinal anaesthesia should be identified earlier as we would like to encourage the nursing staff to give further intervention to maintain their sleep quality.

A predictor of outcome following head injury: A retrospective study

Background: Head injuries are a major cause of death and disability because of trauma, it happed in many countries of the world. The case of head injuries in the Emergency department, need immediate managing to victim to prevent further complications. The Nurses required to assess and recognize abnormality as soon as possible and further management of the victim to save their life. Through the physiological status. The patient's physiological status is the best way to recognize the prognosis, such as GCS, systolic blood pressure, respiratory rate, body temperature, and blood glucose levels while admitted to emergency ward.Purpose: To analyze and determine (simultaneously) a predicting factor the most dominant influencing significantly of outcome following head injuryMethods: A retrospective approach by analyze patient's medical records on January-December period in 2018 at H. Adam Malik General Hospital Medan. The study sample comprised 166 medical records which taken by purposive sampling technique with the following criteria: new admission (not referral), there were available data such GCS data, systolic blood pressure, respiratory rate, body temperature, blood glucose levels within 7 days under treatment.Results: Logistic regression test found that GSC (p 0.000; OR 2.583), systolic blood pressure (p 0.024; OR 0.947), and blood sugar levels (0.038; OR 0.982) had a significant effect on the mortality. The nurse must pay attention in handling patient head injuries who have a lower GCS scores and systolic blood pressure, following by high blood sugar levels.Conclusion: By evaluation of GCS, systolic blood pressure and blood sugar levels can predict the patient's current condition. The lower the GCS score, the higher the risk of death by 2.583 times and the lower the systolic blood pressure, the greater the risk of mortality by 0.947 times. The higher the blood sugar level, the risk of death increased by 0.982 times.

Midwifery continuity of care: Potentiality of midwives adherence to the new model of care

Background: The midwifery continuity of care is gaining more attention, and the WHO recommends the use of its models to provide antenatal, intrapartum and postnatal care in a setting where effective midwifery programme exists. However, in many countries, implementation of continuity of care model has been challenging for midwives.Purpose: The purpose of the study was to assess the potentiality of midwives adherence to midwifery continuity of care as a new model of care.Method: The research is descriptive that adopted cross-sectional design. The population of the study was the midwives serving in antenatal clinic (ANC), maternity and labour units. The instrument for data collection was researcher made, self-administered questionnaire. Census sampling was used in taking the entire midwives of the units as the subjects of the study. The results of the study were presented in frequencies and percentages, with Chi-square as a statistical tool for inferential analysis.Results: Generally, 46.3% of the respondents were having good potentiality, 44.8% were having poor potentiality, and only 9.0% were having very good potentiality. 56.7% of the respondents with 0-5 years of experience were having poor potentiality, in contrast with 27.3% in respondents with >15 years of experience. 34.6% and 53.7% of the respondents that were midwives and those that were nurse-midwives in specialty respectively were having good potentiality to MCC adherence. There is no significant association between respondents’ years of experience and their potentiality to MCC adherence, P > 0.05. There is no significant association between respondents’ specialty and their potentiality to MCC adherence, P > 0.05.Conclusion: The respondents of this study had a moderate potentiality to MCC adherence. The possibility of midwives adherence to MCC can be improved if it is introduced into the system with some modifications and flexibilities; and when the midwives realise its positive impact on maternal and new-born health.

The effectiveness of a nurse-delivered breast health promotion program on breast cancer early detection behaviors

Background: Reported in Lampung Province, the prevalence of breast cancer cases has increased from 0.02% in 2010 to 0.7% in 2013. There were 1.030 cases. Two, Districts with the largest cases of breast cancer are west Lampung (10%) and Pringsewu (9.8%).Purpose: To knowing the effectiveness of a nurse-delivered breast health promotion models on breast cancer early detection behaviors among women of childbearing period age.Methods: A quantitative study, the population were women of childbearing period age, and samples comprise 120 participant divided in four groups in each group consist 30 participant. 90 participant as intervention group and 30 participant as control group. Independent t test was used in data analysis.Results: Shows there was no effect of education face to face with the booklet media and education face to face with the detection media cards, but there is a different result with education face to face with the combination of booklet and detection cards (p=0.004 mean difference= 0.767) on the behavior of early detection of breast cancer.Conclusion: The health practitioners should provide booklets together with the provision detection card to carry out routinely in preventive efforts. The study also recommends further research on active networking efforts and the efforts of palliative care for those diagnosed with breast cancer.

Telenursing and self-management among patient with hypertension

Background: Hypertension is still a risk factor for the leading cause of death in the world. Hypertension is a blood pressure condition of more than 140/90 mmHg. Patient with hypertension who are an uncontrolled their blood pressure and the number continues to increase, one of which is through services nursing. Nurses are one of the health professions involved in achieving health development goals both in the world and in Indonesia. Health information technology is increasingly developing which must be of concern, especially in the world of nursing to help answer health problems public through telenursing which was developed by providing telecommunications assistance via WhatsApp. Purpose: To determine the effect of telenursing and self-management among patient with hypertensionMethod: This study was conducted in June - August 2020 with a method quasi experimental pre and post test with control group (giving treatment telenursing via WhatsApp to the intervention group and control group using the media short message service (SMS). The sample in this study were all patients with hypertension in accordance with the inclusion criteria (hypertensive patients who undergo treatment, have android, and are able to read and write) The media used in this study were cell phones Results: Through the Paired Sample Test it is known that the p value in thegroup is controlled SMS based on systolic blood pressure was 0.008 (<0.05), while in the intervention group the WA p value was 0.001 (<0.05). This shows a significant result, but the researchers considered that the intervention group had a more significant value when compared to the control. Likewise, the diastolic blood pressure in which the control group was obtained p-value 0.051 (> 0.05) while the intervention group obtained p value of 0.000 (<0.05). Conclusion: There was no significant difference in blood pressure in the group, control use media short message service (SMS). While the intervention group showed a very significant difference between before and after telenursing used media WhatsApp

Effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-Indonesia

Background: Republic of Indonesia's Health Survey in 2009, finding that the therapy through surgery was the 11th, because of surgery conduct in Indonesia in 2012 reached 1.2 million. The problem that often arises after surgery is a sleep disorder, pain and uncomfortable.Purpose: To identify effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-IndonesiaMethods: The design of this research is quasy experiment with pretest design with posttest with control group design. This type of quantitative research using consecutive sampling techniques. The population in the study were 64 participants. The analysis used is the dependent and independent t test.Results: Indicating the average score of sleep quality in the control group post intervention 9.12. Whereas sleep quality in the intervention group was obtained at 4.78 post intervention. A p-valeu 0.000 was obtained which showed differences in sleep quality scores both groups and interventions.Conclusion: There is effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-Indonesia. It is recommended that hospitals can include foot massage therapy as an alternative therapy in overcoming sleep disorders in postoperative clients.