Background: Pediatric nurses are susceptive with stress related to their work. It happens because they take care children who experience the disease and emotional and psychological pressure, so it can make the risk of negative symptoms related with compassion satisfaction, burnout, secondary traumatic stress. Compassion satisfaction, burnout, secondary traumatic stress has an impact not only for them, but also for the quality of treatment.Objective: Identify related factors to nurse’s compassion satisfaction, burnout, secondary traumatic stress in pediatric care unit.Method: This study was a descriptive analytic study with cross sectional design. The sample of this study was 107 pediatric nurses of RSUP Dr. Sardjito Yogyakarta. The sampling techniques used proportional random sampling. The data were collected from February-March 2017 using the professional quality of life questionnaire fifth version. The data analyzes used were chi-square, mann-whitney, and ordinal regression.Outcome: 44.9% nurses have moderate compassion satisfaction, 52,3% nurses have moderate burnout, 43% have moderate secondary traumatic stress. The work unit has p <0.05 and β value is 0,945 so it means work unit has significant correlated to the secondary traumatic stress. Age, work position, sex, marital status, interpersonal relationships with colleagues and supervisor, pay satisfaction, and average working hours have p > 0,05 on compassion satisfaction, burnout, secondary traumatic stress, so that factors don’t have correlated to compassion satisfaction, burnout, secondary traumatic stress Conclusion: The work unit is a related factor to the nurse’s secondary traumatic stress in the pediatric care unit and there are no factors related to compassion satisfaction and burnout.

Background: Children with intellectual disability has adaptation function problem, namely self-care skill dressing. Inability to dressing could affect social relationship and dependency with others. The effort to improve self-care skill could be done through self-development program and training using video modeling.Objective: This study was to investigate the effect of self-development program and training using video modeling on dressing skills in intellectual disability children.Methods: This was a quasy-experimental study with pretest posttest control group design. Sixty-two children aged between 6-12 years with intellectual disability were recruited using purposive sampling. Participants were divided into two groups (experimental group=31, control group=31). The experimental group was given training using video modeling in 4 sessions, with each for 50 minutes; and self-development program in 4 sessions, in 50 minutes per each, while control group was given self-development program for 8 sessions, with each for 50 minutes. Observation checklist of dressing skill before and after intervention was adopted from Nursing Outcome Classification in Indonesian version. Data were analyzed using Mann-Whitney to compare posttest score between experimental and control group.Results: The result showed there was a significant difference after intervention between experimental and control group (p=0.041). Eight dressing skills items increased including gets clothing from closet, gets clothing from drawer, puts clothing on upper body, buttons clothing, puts clothing on lower body, uses zipper, uses fastener, and removes clothes from upper body.Conclusion: Self-development program and training using video modeling could increase dressing skills in intellectual disability children aged 6-12 years.

ABSTRAKTujuan Penelitian: Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian ruam popok pada bayi baru lahir di ruang perinatal sebuah rumah sakit rujukan di Jakarta, Indonesia. Metode: Penelitian ini menggunakan desain cross-sectional dengan metode survey. Sampel (n=95) dipilih menggunakan teknik consecutive sampling. Kejadian ruam popok diobservasi menggunakan instrumen DDSIS (Diaper Dermatitis Severity Index Score). Instrumen dijamin validitas isinya dengan konsultasi ahli. Uji validitas konstruk dengan statistik korelasi Pearson Product Moment. Nilai korelasi antar item tiap sub skala DDSIS yaitu eritema/kemerahan (r=0,767), papula/pustula (r=0,733) dan erosi (r=0,711) lebih besar dari r tabel (r=0,2017). Uji reliabilitas didapatkan nilai Cronbach’s Alpha sebesar 0,77. Nilai Kappa untuk uji inter-rater reliability oleh dua orang observer yaitu 0,95. Analisis multivariat yang digunakan adalah regresi logistik ganda. Hasil: Ada dua faktor yang berhubungan dengan kejadian ruam popok yaitu infeksi mikroorganisme (p-value=0,015; OR=7,6) dan lama hari rawat (p-value=0,012; OR=3,9). Faktor yang paling dominan adalah infeksi mikroorganisme. Diskusi: Bayi baru lahir dengan diagnosis penyakit infeksi dan dirawat delapan hari atau lebih memiliki risiko yang lebih tinggi terhadap kejadian ruam popok. Kesimpulan: Hasil penelitian ini mengindikasikan perlunya evaluasi kembali pelaksanaan Universal Standard Precaution di rumah sakit.Kata kunci: ruam popok, DDSIS (Diaper Dermatitis Severity Index Score), bayi baru lahir, rumah sakit, faktor risikoFACTORS ASSOCIATED WITH NEWBORNS’ DIAPER RASH ABSTRACTObjective: The purpose of this study was to determine factors associated with newborns ’ diaper rash in a referral hospital in Jakarta, Indonesia. Method: This study used a cross-sectional design survey. The samples (n=95) were selected using consecutive sampling technique. The prevalence of diaper rash was observed using a DDSIS (Diaper Dermatitis Severity Index Score). The content validity of the instrument was tested using expert judgment. The construct validity values of DDSIS subscales were: erythema/redness (r=0.767), papules/pustules (r=0.733) and erosion (r=0.7ll). All the values were greater than r table (r=0.20l7). The reliability was showed by Cronbach’s Alpha value (a=0.77). Kappa value for inter-rater reliability test by two observers was 0.95. The multivariate analysis was conducted using multiple logistic regression. Results: There are two factors related to newborns ’ diaper rash. These factors are microorganism infection (p-value=0.0l5; OR=7.6) and length of stay (p-value=0.0l2; OR=3.9). The most dominant factor is microorganism infection. Discussion: Newborns diagnosed with an infectious disease and hospitalized eight days or more have a higher riskfor diaper rash. Conclusion: The results of this study indicate the need to re-evaluate the implementation of Universal Standard Precaution in hospital.Keywords: diaper rash, DDSIS (Diaper Dermatitis Severity Index Score), newborns, hospitals, risk factors.

Background: The existing standard of nursing language consists of NANDA-I for diagnostic language standard, Nursing Intervention Classification (NIC) for nursing intervention, and Nursing Outcome Classification (NOC) for nursing outcomes. One way to improve the quality of nursing care documentation is to provide training in the documentation system.Objectives: To determine the effect of providing NANDA-I, NIC, and NOC (NNN) nursing care documentation systems training on the quality of nursing documentation.Methods: This was a pre-experimental study with pretest posttest design without a control group.  Twenty-one nurses and eighty-six Medical Records (MR) of patients who were treated in the perinatal ward of Yogyakarta Regional Public Hospital were used as samples selected using purposive sampling. Those nurses were trained in the nursing care documentation system. The quality of nursing care documentation was measured using modified Quality of Diagnoses, Interventions and Outcomes (Q-DIO) instrument. Data were analyzed using Independent samples t-test with a confidence level of 95%.Results: The average of the scores of the quality of nursing documentation before training was lower (1.91) than the average after training (2.78). There was a significant difference in the quality of nursing documentation before and after training (p < 0.001).Conclusion: Training of NNN nursing documentation system could improve the quality of nursing documentation in the perinatal ward of Yogyakarta Regional Public Hospital.

Maternal death rate is one of the important health development indicators. Indonesian maternal mortality is still high due to both direct and indirect causes that occur during pregnancy and childbirth. High-risk pregnancy can present complications for both the mother and fetus, and demands early detection. Early detection requires involvement of the community, health cadre, medical officers, and government. There is a need to increase the community health cadre competency in the detection of pregnancy complications, especially high-risk pregnancy knowledge. This study used a quasi-experimental design without control group to determine the effect of training regarding pregnancy complications on community health worker’s knowledge in Wijimulyo, Nanggulan, Kulon Progo, Yogyakarta in October 2018. The research subjects were community health cadre workers chosen by purposive random sampling. There were 43 research subjects who were given pretests, training about complications of pregnancy, and posttests. The instrument used was a knowledge questionnaire about complications during pregnancy that consisted of 23 items with reliability of 0.865. There was significant difference between community health cadre’s knowledge about complications of pregnancy at pretest and posttest. These results indicate that training about pregnancy complications increases the knowledge of community health cadre workers concerning complications of pregnancy. Further research is needed to assess community health cadre’s skills in making early detection of pregnancy complications.

Background: Maternal self-efficacy is a mother's ability to manage her role. This ability has a positive impact towards children’s safety and development. Knowledge to take care of newborn will increase maternal self-efficacy, especially for primiparous (a woman who is pregnant or gives birth for the first time). Health education may be one effective way, among others, to deliver this knowledge.Objective: To examine the effect of a health education module called Paket Cerdas Ibu Menyusui/PCIM (translated as breastfeeding smart package) toward self-efficacy of primiparous in caring newborns. The second objective is to examine the corelation between social support and maternal self-efficacy.Method: This research used a quasi-experimental with pre-test and post-test for comparing intervention, and a control grup. There were 60 primiparous who became participants which were selected by consecutive sampling techniques. Research instruments were PSES scale for primiparous self-efficacy and PSSP for social support measurement. Data analysis were using paired t-test, independent t-test and Spearman test with significance level or p value <0,05.Results: PCIM health education module affected maternal self-efficacy score. Respondents received scores of 3,51 before intervention and increased into 5,49 after intervention (p=0,001). The increasement in intervention group was higher than control group (p=0,001). On the other hand, there was not any significant correlation between social supprot and self-efficacy for both groups (p>0,05).Conclusion: PCIM health education module increases the self-efficacy of primiparous in caring for newborns. But, there is not any correlation between social support and the self-efficacy of primiparous in caring for newborns.Keywords: Breastfeeding Smart Package, maternal self-efficacy, social support ABSTRAKLatar Belakang: Efikasi diri ibu merupakan keyakinan seorang ibu akan kemampuannya dalam menjalankan peran yang dapat memberi pengaruh positif terhadap keselamatan dan perkembangan anaknya. Untuk meningkatkan keyakinan ibu, khususnya pada ibu primipara (perempuan yang pertama kali hamil atau melahirkan bayi) diperlukan pengetahuan dalam merawat bayi baru lahir yang dapat dilakukan melalui edukasi kesehatan.Tujuan: Untuk mengetahui pengaruh edukasi kesehatan paket cerdas ibu menyusui terhadap efikasi diri ibu primipara dalam merawat bayi baru lahir, dan hubungan dukungan sosial dengan efikasi diri ibu primipara.Metode: Penelitian ini menggunakan rancangan quasi experiment pre-test and post-test dengan kelompok kontrol. Subjek penelitian berjumlah 60 ibu primipara yang dipilih menggunakan teknik consecutive sampling. Penelitian ini menggunakan instrumen PSES untuk mengukur efikasi diri ibu primipara dalam merawat bayi baru lahir dan PSSP untuk melihat hubungan dukungan sosial dengan efikasi diri ibu. Analisis data menggunakan uji paired t-test, independent t-test dan Spearman dengan tingkat kemaknaan p<0,05.Hasil: Edukasi kesehatan paket cerdas ibu menyusui berpengaruh terhadap efikasi diri ibu primipara dalam merawat bayi baru lahir dengan nilai 3,51 sebelum intervensi, menjadi 5,49 setelah intervensi dengan nilai (p=0,001). Peningkatan efikasi diri pada kelompok intervensi lebih tinggi dari kelompok kontrol (p=0,001). Tidak terdapat hubungan yang signifikan antara dukungan sosial dengan efikasi diri pada kedua kelompok (p>0,05).Kesimpulan: Edukasi kesehatan paket cerdas ibu menyusui memengaruhi peningkatan efikasi diri ibu primipara dalam merawat bayi baru lahir. Dukungan sosial tidak berhubungan dengan peningkatan efikasi diri ibu primipara.Kata kunci: dukungan sosial, edukasi kesehatan, efikasi diri ibu, Paket Cerdas Ibu Menyusui

Background: Traumatic event can affect victim’s psychological condition, such as adolescent which categorized as vulnerable population, in the form of depression. This hypothetically occurred as the impact of Mount Merapi eruption in 2010. Independent variables for such traumatic condition include gender, age, loss of nearest person, and social support.Objective: To identify the correlation between social support and depression tendency among adolescent after 2010 Merapi Eruption.Method: This quantitative study was conducted using descriptive analytic with cross sectional design. Respondents in this study were 50 adolescents who experienced Mount Merapi Eruption in 2010 and living in huntap (Wukirsari permanent residence village). The questionnaires were used in this research, i.e.: socio-demographic questionnaire, Child Depression Inventory (CDI), and Multidimensional Scale of Perceived Social Support (MSPSS). Independent t test  was applied to analyze the data.Results: The prevalence of depression tendency was 24%. There were 54% of respondents who received high social support, while 46% received low social support. The depression tendency had a significant relationship with social support (p= 0,01; p <0,05). Gender, age, and loss of the closest person due to eruption did not have a significant relationship with the tendency of depression, respectively with p= 0,57, p= 0,80, p= 0,07 (p> 0,05).Conclusion: Social support was the only variable that had a significant relationship with the tendency of depression in adolescents in huntap (Wukirsari permanent residence village). ABSTRAKLatar Belakang: Kondisi traumatis dapat memengaruhi kondisi psikologis dalam bentuk depresi pada populasi yang rentan seperti anak usia sekolah. Hal ini yang diasumsikan terjadi sebagai dampak letusan Gunung Merapi tahun 2010. Variabel yang memengaruhi kondisi traumatis ini adalah jenis kelamin, umur, kehilangan orang terdekat, cedera fisik dan dukungan sosial.Tujuan: Untuk mengetahui hubungan dukungan sosial dengan kecenderungan depresi pasca-erupsi Merapi tahun 2010.Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan rancangan cross sectional dengan pendekatan kuantitatif. Responden dalam penelitian ini adalah remaja berjumlah 50 orang, yang mengalami erupsi Merapi tahun 2010, dan tinggal di salah satu hunian tetap (huntap). Penelitian ini menggunakan kuesioner karakteristik responden, kuesioner Child Depression Inventory (CDI) dan kuesioner Multidimensional Scale of Perceived Social Support (MSPSS). Analisis data menggunakan uji Independent Sample T Test.Hasil: Prevalensi kecenderungan depresi pada remaja di huntap adalah 24%. Berdasarkan jenis kelamin, responden lebih banyak perempuan daripada laki-laki yaitu 33 orang (66%) untuk perempuan dan 17 orang (34%) untuk laki-laki. Dukungan sosial yang diterima oleh remaja di huntap yaitu 54% untuk dukungan sosial tinggi dan 46% untuk dukungan sosial rendah. Kecenderungan depresi memiliki hubungan yang bermakna terhadap dukungan sosial (p= 0,01; p<0,05). Jenis kelamin, umur, kehilangan orang terdekat akibat erupsi tidak memiliki hubungan yang bermakna dengan kecenderungan depresi yaitu dengan nilai p berturut-turut p= 0,57, p= 0,80, p= 0,07 (p> 0,05).Kesimpulan: Dukungan sosial merupakan satu-satunya variabel yang memiliki hubungan bermakna dengan kecenderungan depresi pada remaja di huntap.