BACKGROUND: In March 2020, nursing schools in Indonesia were forced to abruptly shift from face-to-face learning to fully online learning due to the COVID-19 pandemic. Before the pandemic, fully online learning was still not widely used in Indonesian nursing education. AIM: This study aimed to identify barriers in online learning among Indonesian nursing students during the COVID-19 pandemic. METHODS: This study used a cross-sectional design and involved 530 undergraduate nursing students from five universities in Indonesia participated in this study. The authors sent an online self-administered questionnaire to nursing students from October to December 2020. The questionnaire consisted of four sections to obtain the following data: (1) Sociodemographic characteristic, (2) information about online learning, (3) platform used for online learning, and (4) perceived barriers in online learning. Descriptive statistics were used to analyze data with frequency distribution, percentages, means, and standard deviations. RESULTS: Nursing students in Indonesia were confronted by various barriers during the implementation of abrupt online learning in the current pandemic situation. Most frequently barriers encountered by nursing students during online learning were high costs for online learning, poor internet connection, lack of motivation toward online learning, lack of skill in using the online learning platforms, and lack of training and assistance to use the platforms. CONCLUSION: High cost for online learning, poor internet connection, low learning motivation, lack of skill in using the online learning platforms, and lack of training and assistance to use the platforms were identified as the most frequent barriers encountered by nursing students.

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

BACKGROUND: The coronavirus disease 2019 (COVID-19) contagion which has resulted in millions of casualties worldwide has been bringing pressure and challenges to nursing students undergoing clinical rotation programs. In Indonesia, several schools of nursing have issued policies to keep facilitating clinical rotation education in the hospital. This policy identified several challenges that the students should face. AIM: This study aimed to explore nursing students’ challenges and experiences undergoing clinical rotation programs during the COVID-19 pandemic. METHODS: A qualitative descriptive approach to content analysis was employed. The study participants were 31 nursing students who undergo clinical rotation. These participants were purposefully chosen to use criteria. Participants’ age ranged from 23 to 25 years and has passed both the intensive care unit and intensive cardiovascular care unit stage. Data were collected through focus group discussion which was carried out 4 times and each FGD lasted for 90–120 min then analyzed using content analysis method that includes five major segments: Introduction, coding, theme creation, thematic classification, and reporting. RESULTS: The themes from the study included negative emotion in the initial stage, positive emotions, a competency that difficult to achieve, and strategies for coping and self-care. CONCLUSION: Constructive emotion coping strategy is believed to assist students in dealing with challenges amid the clinical rotation program. Implementation of clinical rotation learning for nursing students requires preparation from various aspects, such as student readiness, clinical supervisors, and support from academic institutions.

BACKGROUND: Patients’ illness perceptions are thought to be associated with anxiety undergoing percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). AIM: This study aimed to determine the association between illness perception and anxiety undergoing PCI in patients with ACS. METHODS: This study used a cross-sectional design and enrolled 50 hospitalized patients with ACS who underwent elective PCI between December 2019 and March 2020. The study instruments were the Brief-Illness Perception Questionnaire to evaluate illness perception and the Zung Self-Rating Anxiety Scale to evaluate patients’ anxiety. Statistical analysis was performed using the Pearson correlation test with significance set as p < 0.05. RESULTS: This study showed that 56% of respondents had positive perceptions toward their disease. The majority of respondents (94%) also indicated a low level of anxiety undergoing PCI. The Pearson correlation test results revealed a significant association between illness perception and the level of anxiety undergoing PCI in patients with ACS (p = 0.043; r = 0.287). CONCLUSION: There is a significant association between illness perception and anxiety undergoing PCI in patients with ACS. The positive perceptions led to lower patients’ anxiety, and vice versa.

Introduction: Nursing students are a vulnerable population during the COVID-19 pandemic because they experience a higher level of stress and mental health problems than the non-healthcare student population, putting them at a higher risk for suicidal behaviour. Aim: To explore suicidality among nursing students and assess the association between independent variables and suicidality. Methods: This cross-sectional study involved 670 nursing students from 5 Indonesian universities who were recruited using consecutive sampling. Self-administered validated instruments consisted of 8 sections: sociodemographic questionnaire, RSES to assess self-esteem, BHS to assess hopelessness, UCLA-3 to assess loneliness, GSES to assess self-efficacy, PHQ-9 to assess depression, CD-RISC-10 to assess resilience, and SBQ-R to assess suicidality. Binary logistic regression was employed to identify significant predictors of suicidality. Results: Suicidality prevalence among nursing students was 22.8%. The following factors were significantly associated with suicidality (p < 0.05

Background: The cardiovascular disease was the main cause of death throughout the world. The first aid that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for common people to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. Schools became the appropriate place to organize the first-aid training because the students were more conditioned in emotional, social and cultural terms.Methods: This study utilized the quasi-experiment method. The total number of subjects was 124 students who studied in Kalibawang 1st State Senior High School, and in Samigaluh 1st State Senior High School, both of them school is located in Kulon Progo district, Indonesia. The subjects were divided into three groups using three different methods, namely lecturing-discussion, poster demonstration, and audio-visual media.Results: The pre-test and post-test results showed that there was a knowledge improvement after the training using the lecturing (p=0.000), poster (p=0.000) and audio-visual methods (p=0.000). The cardiopulmonary resuscitation skills in the lecturing (p=0.000), poster (p=0.000) and audio-visual methods (p=0.000) groups showed the improvement after the first-aid training in school.Conclusions: This study proved that the first-aid training in the school gave effect on the improvement of the knowledge and skill in handling the emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation.

BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia to implement online learning. The association between online learning variables and psychological distress among nursing students is not fully understood. AIM: This study aimed to assess psychological distress among nursing students and the association between online learning variables and psychological distress. MATERIALS AND METHODS: A cross-sectional study was conducted from November 2020 to February 2021. Six hundred and thirty-five nursing students from four universities in Indonesia participated in this study and were recruited through a consecutive sampling method. The measurement of psychological distress used the 10-item Kessler Psychological Distress Scale. Ordinal logistic regression was used to analyze the association between online learning predictors and psychological distress. RESULTS: Most of the respondents had severe psychological distress (n = 194; 30.6%). Older age was found to act as a protective factor against psychological distress (adjusted odds ratio [aOR] = –0.159, p = 0.035; 95% confidence interval [CI]: (–0.307)–(–0.011)). Contrarily, not living at their own home during lockdown (aOR = 1.019, p = 0.001; 95% CI: 0.657–1.382), always feeling that online learning is expensive (aOR = 1.387, p = 0.001; 95% CI: 0.645–2.130), always experienced poor Internet connection during online learning (aOR = 3.380, p = 0.001; 95% CI: 1.935–4.826), and having no motivation toward online learning (aOR = 3.154, p = 0.001; 95% CI: 2.372–3.936) acted as risk factors for having psychological distress. CONCLUSION: Cost and Internet access barriers as well as low motivation during the abrupt shift to implementation of online learning in the current pandemic situation acted as risk factors for psychological distress among nursing students.

ABSTRAKPemakaian earphone berlebihan dalam kurun waktu yang lama dapat menimbulkan ketulian permanen. Pada telinga yang terpapar bising dalam waktu yang lama dapat terjadi kerusakan sel-sel rambut di koklea saraf pendengaran yang memperburuk proses degenerasi saraf pendengaran. Remaja merupakan salah satu tingkat penggunaan earphone yang cukup tinggi. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan siswa kelas X dan XI tentang penggunaan earphone di SMA Pasundan 8 Kota Bandung. Penelitian ini merupakan deskriptif kuantitatif dan rancangan penelitian cross sectional dengan instrumen kuesioner. Sampel yang diteliti adalah siswa kelas X dan XI pada usia 15-18 tahun dengan melibatkan 72 orang siswa kelas X dan 111 orang siswa kelas XI yang diambil dengan menggunakan teknik stratified random sampling dan dianalisis secara deskriptif dengan perhitungan distribusi frekuensi. Temuan penelitian ini menunjukkan yang berpengetahuan cukup sebanyak 41,5%, berpengetahuan baik sebanyak 38,8%, dan berpengetahuan kurang sebanyak 19,7%. Dapat disimpulkan, sebagian besar responden memiliki pengetahuan yang cukup mengenai penggunaan earphone. Adapun rekomendasi dari penelitian ini adalah melakukan kegiatan penyuluhan oleh petugas kesehatan mengenai dampak dari alatalat elektronik atau audiovisual khusunya earphone yang di dalamnya mempelajari kesehatan pendengaran. Kata Kunci: Earphone, Gangguan pendengaran, Pengetahuan dan Remaja ABSTRACT Excessively using earphone in a long