Analysis of the Competency-Based Clinical Nurse Career Path Development System Implementation

Nurses are one of important human resources in a hospital and are one of the keys to the successful implementation of services in the hospital. Providing opportunities in the form of career development is very important for the hospital to organize. The purpose of this study was to analyze the gap between the level of importance and implementation of career development at the UKI hospital in terms of the management and nurse executives perceptions. This research is a quantitative and qualitative research. The results of the study found that the negative average gap (-0.09) between the level of importance and implementation in terms of management and nurse perceptions was low. Based on the results of the study, it was concluded that the gap between the level of importance and implementation at the UKI Hospital judging from the management and nurses perception was still in the fair category. The research result can be used as material for reference and the study in the field of nursing science, particularly in the field of nursing management related to perceptions of career development with the quality of hospital services.

A Review the Development of Infection Prevention and Control Program in Nursing Care During Covid-19 Pandemic

The hospital is the health service structure that plays the most prominent role with the Covid-19 pandemic.The nursing profession is still required to provide quality nursing care to Covid-19 patients, as well as to other patients so that the provision of nursing care must be in accordance with the procedures and management of patients with infectious diseases accurately and correctly and use Personal Protection Equipment in accordance with standard. Infection prevention and control during the pandemic is very important for patients and health workers to minimize the occurrence of nosocomial infections during hospital care. This review aims to determine the development of infection prevention and control program in the provision of nursing care during the Covid-19 pandemic. The research method with a review was carried out by searching for articles related to patient safety in providing Covid-19 nursing care. Literatures search were carried out in December 2020 - January 2021 through PubMed, Sciencedirec, google scholar, government policy then entered the online database list by entering keywords, namely patient safety, nursing care, Covid-19. Selected journals were based on inclusion and exclusion criteria through a critical assessment process with CASP to assess the quality of articles. The results of the critical appraisal obtained six articles that match the inclusion criteria with a minimum appraisal score of 85 in good categories which are then carried out by analysts. The results of the research by reviewing 6 articles show that prevention and control of patients safety in providing nursing care during a pandemic can be developed through nursing care management by using summarized checklists, patient safety-based nursing care service system, infection prevention and control during the pandemic and inclusive leadership. Nursing care management, patient safety, infection prevention and control and an inclusive leadership style are the development methods that can be used for the prevention and control of Covid-19.

Factors Affecting the Family Burden of the Palliative Family

The process of palliative patient care indirectly causes a burden on the family. This study aims to determine the description of the family burden in caring for palliative patients. This study is a qualitative research with a phenomenological study design. Participant criteria are families who care for patients for at least 6 months. The number of respondents in this study were 4 respondents as care givers of palliative patients. The research method using the analysis method used includes categorizing themes, compiling sub-categorization of themes and the last is the coding process. The results of the study showed that there was a description of the family burden of palliative patients and a description of the factors that influenced palliative patients including economic status, patient complaints, family support, family perception, availability of treatment support tools, and the ability of families to manage family burdens. The burden on the family can be reduced by training the family to manage the existing factors.

The Related Factors to the Behaviour of Pregnant Women in Maternity Planning and Complication Prevention Program

One of the breakthrough efforts that can reduce the maternal mortality rate as is Maternity Planning and Complication Prevention is expected to motivate the behavior of pregnant women in an effort to accelerate the reduction of maternal mortality. The high maternal mortality rate in Pringsewu regency is caused by a lack of screening for pregnant woman because it is suspected that there are still many high – risk pregnant woman who have not been found or have not come to health facilities. The aim of the research is knowledge of factors associated with behavior of pregnant women in childbirth planning and complication prevention programs. This research is a quantitative study with a cross sectional design. The data was collected by questionnaire tool. The population in this study were pregnant women who had an antenatal care in January 2021 at 3 public health centers that representing Pringsewu Regency, namely the community health center which had the highest moderate, and lowest coverage of Pregnancy visits 1 and 4 visits as many as 122 pregnant women. While the sample in this study was 96 pregnant women. Before the data collection, a questionnaire was tested on 30 respondents. The data analysis in this study is univariate test, bivariate test, and multivariate test. Based on the results of the study, it is known that some of pregnant women in Pringsewu regency have good behaviour, namely 62,5%. The results showed that there were 5 variables that had a significant relationship with the behavior of pragnant women in complication preventif program including knowledge (p value 0,030),attitudes (p value 0,000), availability of infrastructure (p value 0,033), distance to health facilities (p value 0,030) and husband’s support (p value 0,017). The most dominant variable related to the behaviour of pregnant women in complication prevention program is attitude where has the highest OR value of 5,881. In order to inprove the behavior of the community,especially pregnant women in complication prevention program, the Departement of Health needs to empower the community such as implementing the standby village, so that the community is able to independently fulfill the health facilities or infrastructure that are not yet available, namely village ambulances and village blood banks to support the implementation of complication prevention program so as to reduce maternal mortality rate (MMR) and infant mortality rate (IMR).

Management of Free Health Services in Hospital

The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.

Factors Related to the Incidence of Hypertension

Hypertension is dubbed the silent killer because this disease has no specific symptoms, hypertension can attack anyone, and at any time, and can cause degenerative diseases, to death. According to several studies, people with hypertension are 12 times more likely to have a stroke and 6 times more likely to have a heart attack. Hypertension is usually not realized by the public because the symptoms are not clear and resemble health complaints in general. Patients only find out that they have hypertension after checking their blood pressure, or after the onset of other diseases. Type of research is quantitative, analytical survey research design with Cross Sectional approach. The research population of all residents aged over 45 years who live in Bandar Lampung City based on data from the population and civil registration office of Bandar Lampung city in 2020 as many as 424,183 people, with the Proportional Random Sampling technique as many as 216 people. In this study, researchers used interview techniques using questionnaires. Data analysis used Chi Square statistical test and Logistics Regression. The research was carried out on March 2021. Research result there was a correlation between caffeinee (p-value = 0.022, and OR = 1.951), smoking habits (p-value = 0.017, and OR = 2.006) obesity (p-value = 0.000, and OR = 3.580), physical activity (exercise) (p-value = 0.012, and OR = 2.078) with the incidence of hypertension in Bandar Lampung City in 2021. Obesity variable is the dominant factor that is most related to the incidence of hypertension in Bandar Lampung City in 2021 (p-value = 0.000, and OR = 32,891). This can be done by holding regular counseling at the Posyandu for the elderly and holding regular exercise programs at the Public Health Center, namely doing morning exercises with the community every Friday. Furthermore, leaflets can be distributed about hypertension when exercising at the Public Health Center, as well as posting posters about the importance of maintaining a healthy diet, maintaining an ideal body weight and exercising regularly in places that are easily accessible by the community, such as at the market, at the village hall. or at the community meeting hall.

Application of Economy Token to Self-Care of Mental Illness Patients

Self-care deficit is most of problem in psychiatric nursing diagnoses that characterized by decreased ability to perform activities consisting of bathing, dressing, decorating, eating, toileting or personal hygiene independently. One of the efforts that can be done to reduce this problem is behavioral therapy: Token Economy. The purpose of this study was to identify the effect of behavioral therapy: Token Economy on self-care of mental patients with self-care deficits at the Tampan Mental Hospital, Riau Province. This type of research is quantitative with a quasi-experimental design. The sample in this study was 25 people who were patients with self-care deficits that diagnosed by data from Sebayang Ward Tampan Mental Hospital, Riau Province . The sampling technique is accidental sampling. Data was proceeded by computerized univariate and bivariate analysis. Statistical test using Wilcoxon test after the previous normality test. The results showed that there was a decrease in the level of dependence on self-care. The Z value shows the effect of behavioral therapy: token economy after and before the intervention of -4,414. From the results of the statistical test, it was found that the alpha value (p < 0.05), means that there is a significant effect before and after behavioral therapy: the token economy.

Factors Related to Participation of BPJS Mandiri

Based on the data obtained from BPJS of Lampung Province in 2020, Tulang Bawang Barat Regency is the regency with the lowest number of BPJS participation in Lampung Province compared to 12 other regencies. The total number of BPJS Mandiri participants in 2020 was 45,738 people, which is still below the set target of 117,000 people. The purpose of this research is to determine the factors related to the participation of BPJS Mandiri in Tulang Bawang Barat Regency in 2021. The research is a quantitative descriptive type, with the research design in this research is analytic with a cross sectional approach. The population is 9,848 people, the sample size is 117, the sampling technique is stratified random sampling. The technique of collecting data on research variables about products, prices, distribution channels, promotions and membership of BPJS Mandiri in this study is filling out a questionnaire directly by respondents who are assisted by 5 enumerators, then after filling in the data directly collected on the same day. Univariate data analysis using percentage measures, bivariate analysis using chi square test and multivariate analysis using multiple logistic regression statistical tests. The results showed that the distribution of BPJS product frequency was higher in the poor category by 82 people (70.1%), BPJS prices were higher in the poor category by 84 people (71.8%), distribution channels were higher in the poor category by 68 people (58.1%), BPJS Mandiri promotion was higher in the poor category by 71 people (60.7%), BPJS Mandiri participation was higher in the category of non BPJS Mandiri participants by 60 people (51.3%). The results of the chi square test showed that there was a product relationship (p value = 0.009 < 0.05), there was a price relationship (p value = 0.001 < 0.05), there was no distribution channel relationship (p value = 0.542 > 0.05) and there is a promotion relationship (p value = 0.007 < 0.05) with BPJS Mandiri participation. Price variable is the most dominant variable related to BPJS Mandiri participation (p value = 0.019 < 0.05).

Depression and Fatigue of Breast Cancer Patients Receiving Chemotherapy during the Covid-19

Depression in breast cancer patients includes mental shock, inability to accept reality, hopelessness, fear of death, and fear of the future. Depression creates long periods of sadness and worry, usually accompanied by feelings of worthlessness. Fatigue is a symptom that often appears in cancer patients undergoing chemotherapy. Associated with the conditions of the COVID-19 pandemic, cancer patients have an increased risk of transmitting COVID-19 because they have decreased endurance. This study aims to determine the relationship between depression and fatigue in breast cancer patients undergoing chemotherapy at Hospital Sultan Agung Semarang Indonesia. The instruments used in this study were questionnaire of the hospitals anxiety and Depression Scale (HADS) and questionnaire of fatigue, 30 female respondents who suffer from breast cancer and have undergone chemotherapy. Rank Spearman data analysis. P value = 0.000 and correlation coefficient value r = 0.671. There is a relationship between depression and fatigue in breast cancer patients undergoing chemotherapy which has an impact on adherence to chemotherapy for breast cancer patients. The higher the level of depression is, the more severe the level of fatigue in cancer patients.

Spiritual-Based Psychoeducation Increase of the Level Resilience of Youth Victims of Bullying

In general, bullying has negative effects on victims, including increased anxiety, decreased self-esteem, self-distrust and depression. These things will affect to the concentration of student learning which ultimately leads to decrease learning achievement and more risk of suicide in adolescents. Therefore, developing the resilience of youth victims of bullying is needed to provide therapeutic coping to avoid these adverse effects. This study aims to determine the effectiveness of Spiritual-based psychoeducation therapy on the Level of Resilience of Youth Victims of Bullying. This is quasy experimental pre-post test research with total sampling. The sample is high school students who have experienced bullying in the past month, are physically healthy, and have no disabilities. The sample of this study was 50 and has been divided into two groups, namely the intervention group and the control group. This research used questionnaire’s ability of resilience in adolescents by Gail M wagnild and Heather M. Young. The results showed a significant effect of psychoeducation spiritual therapy on the level of adolescent resilience (p-value is 0.000 by Kolmogorov Smirnov). Schools need to consider this therapy as a choice to be applied to student victims of bullying.