Determinant Factors of Supervisor Model 4S (Structure, Skill, Support, Sustainability) Against the Implementation of Islamic Spiritual Care

Introduction: The supervision model commonly applied in nursing is the 4S model, namely the Structure, Skill, Support and Sustainability (4S) stages. This supervision model can be applied by the head of the room and the head of the shift as a supervisor in overseeing the implementation of Islamic spiritual nursing care in adult inpatient rooms. Purpose: to analyze the relationship between the role of the 4S supervisor model and the implementation of Islamic spiritual nursing care in adult inpatient rooms. Methods: the study used a cross sectional method. The sampling technique with a proportionate stratified random sampling was 62 nurses. Data analysis used univariate, bivariate analysis with Spearman test, and multivariate with logistic regression. Results: showed the role of the 4S supervisor model was good (88.7%), the implementation of Islamic nursing care was good category (52%), there was a relationship between the role of model supervision 4S with the implementation of Islamic spiritual care, with a significance value of <0.0001 and the strongest relationship between the 4S model and the implementation of Islamic spiritual care is the variable skill and sustainability, seen from the significance value for skills of 0.05 (Pvalue ≤0.05), and sustainability of 0.01 (Pvalue ≤0.05). The strength of the relationship is seen based on the OR [EXP {B}] value, respectively, skill (0.194) and sustainability (0.109). Discussion: The probability of nurses implementing Islamic nursing care well is 90% if they provide Islamic spiritual nursing care skills and continuous supervision by the hospital supervisor.

Participation Level of Continuing Professional Development (CPD) Program Nurses RSI Surabaya

Introduction : Nurses are an integral part of patient care and play an important role in improving the quality of care in the hospital. Nurses have a responsibility to ensure patient safety with reliable and guaranteed competence. Nurse competence must be maintained through continuous professional development. Objective : The purpose of this study was to map the level of participation, driving and inhibiting factors for the implementation of the Continuing Professional Development (CPD) program. Method : This study used a cross-sectional study design with a quantitative descriptive approach. The study population was all RSI nurses with a total sample of 104 survey participants with purposive sampling technique. Data were collected using an online questionnaire through the google form application from June to September 2020. Results : The results of the study were the level of participation of nurses at the Surabaya Islamic Hospital in carrying out CPD activities which were divided into 3 categories, namely high, medium and low participation. A total of (17.3%) belonged to the low level of participation, (69.2%) the level of participation was medium and (13.5%) was classified as high. Conclusion : Short-term development plans are a priority for nurses' thinking in improving (CPD), namely the continuous fulfillment of complete nursing care practices and increasing the clinical career level. The long-term development plan for nurses is that some want to continue educational programs at a higher level such as specialized education and master's degree in nursing <w:LsdExcept

Family Support Related to Information, Comfort, Economy and Spiritual in Preeclamptic Pregnancy Care: Qualitative Exploration

Introduction: Preeclampsia is emergencies in obstetrics, where pregnant women experience health conditions that can be life-threatening and can occur during pregnancy, natal and post-natal. If this obstetric emergency is not treated immediately, it can result in death the mother and also the fetus. Understanding care needs of pregnant with preeclampsia is very important for families because most pregnant women and their families lack understanding and information about high-risk pregnancy care for this disease. Objectives: This research aims to explore the needs of families in the care of preeclampsia. Methods: This research used qualitative descriptive to obtain answers related to individual opinions, responses and perceptions with exploring family needs for care pregnant with preeclampsia. Results: The results of this research there are seven themes related to family needs in pregnancy care with preeclampsia, namely: 1) Description of family knowledge about pregnant with preeclampsia, 2) Information needs, 3) Comfort needs, 4) Economic / financial needs, 5) Spiritual needs, 6) Needs for support from other family members, 7) Need for support from health workers. Conclusions: The importance of involvement of the family and surrounding environment, as a source of strength for pregnant with preeclampsia allows better care for mothers, their babies and reduces the consequences of advanced preeclampsia. Health workers are expected to be able to involve families in the care of pregnant women with preeclampsia as a promotional, preventive and curative effort. 1) Description of family knowledge about pregnant with preeclampsia, 2) Information needs, 3) Comfort needs, 4) Economic / financial needs, 5) Spiritual needs, 6) Needs for support from other family members, 7) Need for support from health workers. Conclusions: The importance of involvement of the family and surrounding environment, as a source of strength for pregnant with preeclampsia allows better care for mothers, their babies and reduces the consequences of advanced preeclampsia. Health workers are expected to be able to involve families in the care of pregnant women with preeclampsia as a promotional, preventive and curative effort. 1) Description of family knowledge about pregnant with preeclampsia, 2) Information needs, 3) Comfort needs, 4) Economic / financial needs, 5) Spiritual needs, 6) Needs for support from other family members, 7) Need for support from health workers. Conclusions: The importance of involvement of the family and surrounding environment, as a source of strength for pregnant with preeclampsia allows better care for mothers, their babies and reduces the consequences of advanced preeclampsia. Health workers are expected to be able to involve families in the care of pregnant women with preeclampsia as a promotional, preventive and curative effort.

Analysis of Self-Efficacy and Characteristics of Patients with Chronic Kidney Disease Underwent Hemodialysis

Introduction: Increased awareness and understanding of the overall burden of CKD is required in managing disease independently. Self-efficacy can support self-management behavior. Objectives: This study aims to determine the self-efficacy of patients with chronic kidney disease undergoing hemodialysis based on patient characteristics. Method: This study used an analytic survey method with a cross-sectional study approach. Sampling with purposive sampling with a sample size of 80 people. Data were analyzed with Mann Whitney, Kruskall-Wallis, Spearman Correlation depending on the type of data available with a confidence level of 95%. Results: The results of self-efficacy analysis based on the characteristics of patients with chronic kidney disease undergoing hemodialysis found that there was a correlation between the length of HD and the patient's self-efficacy (p: 0.008) where the patient's self-efficacy would increase along with the addition of the patient's HD duration (r: 0.293). As for age, number of comorbidities, gender, education, marriage status, employment, financing, religious activities, social activities, blood pressure, and body weight were not related to patient self-efficacy (p> 0.05). Conclusion: Patient self-efficacy related to blood pressure. As for age, a number of comorbidities, gender, education, marriage status, employment, financing, religious activities, social activities, length of HD, and body weight were not related to patient self-efficacy.

The Effect of Therapeutic Group Therapy on Parents’ Ability to Stimulate the Initiative Development for Preschool Children during Covid-19 Pandemic

Introduction: The Covid-19 pandemic causes learning activities to be carried out at home. Parents encounter obstacles in stimulating their child's development because they do not understand how to stimulate and tend to leave it to school. Preschoolers are in the initiative development stage that focus on exploring creativity. Initiative development is preparation for children to cope larger stressors at school age. Objectives: This study aimed to analyze the effect of therapeutic group therapy on the parents’ ability to stimulate initiative development. Methods: This study used one group pre-postest design method. The sample was 32 parents of kindergarten and early childhood education students in Malang City. The independent variable was online therapeutic group therapy. The dependent variable was the parents’ ability to stimulate initiatives development. Results: The results indicated that the average score of the parents' ability to perform stimulation before therapeutic group therapy implementation was 44.19. After therapy, the average score increased to 55.84. Statistical test used Paired T-test showed that the p-value is 0.000 (p-value <0.05), so it can be concluded that therapeutic group therapy had a significant effect on the ability of parents to stimulate initiative development. Conclusions: This study recommends the importance of increasing the parents’ ability to stimulate the pre-school children's initiative development. The school can work together with health workers, especially mental nurses, in therapeutic group therapy activities to increase the parents’ active role in stimulating children's development, thereby optimizing children's psychosocial development.

The Effect of Giving A Warm Blanket to Changes in The Central Temperature of Postoperative Patients with Subarachnoid Block Anesthesia in RSSA Malang

Introduction: Shivering after anesthesia subarachnoid block is a common complication seen with an incidence of 40-60% after anesthesia. One of the post pharmacological shivering management is given a warm blanket. Experimental research was carried out in the Conscious Installation Room of the Central Surgical Installation of RSSA Malang. Aims: The purpose of this study was to determine the effect of providing warm blankets on changes in the central temperature of postoperative patients with subarachnoid block anesthesia. The benefits of this study are to improve the quality of care for patients with surgery, accompanied by shivering events. Methods: The research design was Quasy-Experiment with Random Sampling technique, and the sample size was 20 respondents, two groups: control and treatment. The two groups of respondents' temperature were evaluated and noted before treatment and after giving blankets every 15 minutes to 60 minutes. Result: The test results of the average temperature difference before treatment and the second 60 minutes of the two groups p = 0.0142 with α = 0.05 showed significant differences concluded that temperature changes in post-anesthesia patients subarachnoid block. Conclusions: Non-pharmacological hypothermia treatment after anesthesia subarachnoid block using an electric blanket warmer is more effective because the blanket's temperature can be maintained stable so that the heat transfer process does not decrease the temperature the blanket due to the temperature of the cold environment.

Emotional Freedom Technique (EFT) Therapy on Chronic Kidney Disease (CKD) Patients to Reduce Fatigue

Introduction: Fatigue is one of the most common symptoms felt by patients who experience Chronic Kidney Disease, the level of fatigue experienced from low to severe. Some management to deal with fatigue has been done a lot, but the results have not been maximized. Emotional Freedom Technique (EFT) is a psychological therapy that can treat many diseases, both physical illness and psychological illness. Aims: This study aims to determine the effect of EFT therapy on fatigue in CKD patients.Methods: This type of research is a quasi-experimental design with a control group pre-post-test Sample divided into 2 groups, consisted of 19 people, selected through purposive sampling.Results: The results showed that the p-value in the treatment group = 0,000 means that there is an effect of therapy EFT on health in CKD patients, whereas, in the control group, there is no difference with the p-value = 1,000. Discussion: The change in CKD patients' fatigue level after EFT therapy is due to a combination of techniques that support the effectiveness of EFT therapy.Conclusion: With this study, it is expected that hospitals can carry out EFT therapy to reduce fatigue in CKD patients to help cure patients.

Social Physique Anxiety in Female Adolescents at Bandung Middle School

Adolescence is a transition from childhood to adulthood along with physical and emotional changes. One significant difference is physical appearance. Adolescent tend to be afraid of negative evaluations from others for their physical appearance, or generally known as social physique anxiety. The purpose of this study was to determine the social physique anxiety in female adolescents at Bandung Middle School. The method of this study was a descriptive quantitative method using a total population technique with a sample of 331 female high school students in Bandung Middle School. The measurement instrument that was used in this study was SPAS-C (Social Physique Anxiety for Children). Analysis of the data was conducted using the average score of social physique anxiety and was presented as a percentage. The result of this study showed that the majority of respondents had a lower score than social physique anxiety average score with a several 176 respondents (53.2%), in comparison 155 respondents (46.8%) had a higher score than social physique anxiety average score. Based on the result of the study, the comparison of the number of respondents who had a lower score than social physique anxiety average score with the number of respondents who had a higher score than social physique anxiety average score did not have a significant difference. Therefore, preventive solutions for social physique prevention are very important. Schools can make a consultation schedule or use an online consultation system and work with community health center to provide health education and knowledge about social physique anxiety along with the influencing factors and its prevention.

The Relationship Between Smartphones Used Before Sleep and Excessive Daytime Sleepiness Among Nursing Students: A Cross-Sectional Study

Introduction: Smartphone is a communication device can connecting all distances with many features and always update along time. Smartphone use can’t regardless from all of the student’s activities without knows of the time. Objectives: The aim of the study to explore the relationship between smarthphone used before sleep and excessive daytime sleepiness among nursing students. Methods: We used correlational descriptive with cross sectional approach. Sample of this research was nursing students of the class of 2019th in Faculty of Health Sciences, University of Muhammadiyah Malang. We included 108 respondents, taken by the selection of sample used Convenience Sampling (Accidental Sampling) technique. The data collection used questionnaire with Online Form methods. Spearman Correlation test was used to analyze the data. Results: The result of this research shows that 50.9% the students are excessive smartphone use before sleep’s category and 82.4% had EDS value of normal category. The results of Spearman Correlation test analysis obtained of ρ value = 0.508 higher than the significance level of 0,05, so H1 was rejected.Conclusions: There is no relationship between relationship of smartphone use before sleep and excessive daytime sleepiness in nursing student on University of Muhammadiyah Malang.

Structural Model of Work-Life Balance Effect on Nurse Work Engagement

Introduction: High job demands can cause problems for nurses, increased stress levels, burnout, and even turnover which results in decreased performance. Conditions of work-life balance that are not aligned may reduce work attachments. Objectives: to examine the structural model of the effect of work-life balance on work engagement. Methods: The research participants were 120 nurses, diploma graduates or nurses who were actively working in the field of nursing and living with their families. Data were obtained by using the UWES-9 questionnaire and the Industrial Society's Work-Life. Data processing used the Structural Equation Modelling (SEM) method, namely testing the measurement model with Confirmatory Factor Analysis (CFA) and testing the structural model with SEM methods with the LISREL 8.8.0 program. Results: The structural model produces a work-life balance of 8 valid items, 3 valid items to the vigor dimension, 3 valid items dedication dimension and 2 valid items absorption dimensions. Work-life balance as a predictor has an effect on work attachment but is still weak (γ = 0.29; sig; R2 = 8%). The work-life of nurses is not yet balanced and it is proven that nurses find it difficult to find time to relax, and maintain relationships with friends and relatives. Nurses perceive their work as very meaningful and it is proven by their strong dedication. Conclusions: The structural model has a fit model, that work-life balance is still weak and has not been able to influence work engagement. Nurses work because of their strong dedication to their work.