Introduction: Professional nurses should have adequate competency in order to apply Evidence Based Practice (EBP) in their nursing care. However, many nurses provide nursing care based on traditions, habits and personal experience. Less confidence in the feeling of nurses about their competency when employing EBP could inhibit successful EBP implementation in nursing care. Therefore, introducing and applying EBP during clinical placements in the Ners program is essential to form a professional attitude and to provide a basic level of experience when applying EBP in patient care. However, the self-efficacy and competence of the students when applying EBP has not yet been evaluated properly and there is little known about the nursing students’ competences and self-efficacy toward EBP implementation during clinical practice. Thus, the study aims to describe the self-efficacy and competency of nursing students toward the implementation of EBP, while also investigating the relationship between self-efficacy and the competency of nursing students in the implementation of EBP.Methods: This descriptive correlational study involved 120 nursing students who were actively registered on the Ners program 2016/2017. The data was collected by using the self-reporting Evidence-Based Practice Questionnaire (EBPQ), which was then analysed descriptively and inferentially using statistics.Results: The results of this study revealed that more than half (55%) of the participants had a high score of self-efficacy and almost half (49%) were categorised as having a high competence when implementing EBP. The self-efficacy score was significantly correlated to the score of competency (r = 0.607, p < 0.01).Conclusion: This study recommends that the development of the students’ competence in implementing EBP is essential to promote self-efficacy when applying EBP, and vice versa.
There is a concerning increase in human immunodeficiency virus (HIV) incidence in eastern Indonesia. HIV testing rates in this area are the lowest in the country. This study aimed to analyze the determinants of HIV testing in the Public Health Centers (PHCs) in eastern Indonesia. A cross-sectional study design was utilized using secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). We focused the survey on eastern Indonesia (Sulawesi, Maluku, and Papua) with PHC settings. After we weighted and removed missing data, we obtained 2118 surveys (425 males and 1693 females aged 14–54 years). Chi-square and binary logistic regression were used to analyze the determinants of HIV testing optimization in eastern Indonesia with a significance level of p < 0.05. The HIV testing coverage at the PHCs in eastern Indonesia was found to be 28.28%. From the survey, we found that respondents from the province of Papua (AOR: 1.45; 95% CI: 1.09–1.91), those who were female (AOR: 2.37; 95% CI: 1.75–3.12), and those with more information on HIV (AOR: 1.88; 95% CI: 1.41–2.51) were more likely to undergo HIV testing at the PHCs. Meanwhile, the wealthiest respondents (AOR: 0.61; 95% CI: 0.42–0.89) and the respondents who engaged in the perpetuation of stigmatization (AOR: 0.65; 95% CI: 0.42–1.02) were less likely to undergo HIV testing at the PHCs. The coverage of HIV testing in eastern Indonesia needs special attention from the Indonesian government. Increasing equity, distributing information regarding HIV and acquired immunodeficiency syndrome (AIDS) through social media, and creating accessible HIV testing in rural areas are vital for developing appropriate interventions.
Quality of life of patients CAD after PCI needs to be seen as an evaluation of the interventions carried out, which need to be studied continuously by looking at health status, socioeconomic, and differences in the measurement tools used can be found differences from each item measured. This study aims to look at the quality of life of patients with CAD after PCI at the cardiac center of RSUP Dr. Hasan Sadikin Bandung. This study uses a quantitative descriptive method with a cross-sectional approach. The samples in this study were all patients CAD after PCI who were outpatient at RSHS Bandung. Samples were taken using purposive sampling technique and obtained 100 respondents. Data is collected using Macnew instruments by analyzing data using frequency distribution.The results showed that 95 respondents (95%) had a high quality of life. The quality of life results based on subvariables from highest to lowest are obtained as follows; emotional subvariable (94%) with a mean of 5.90, social subvariable (94%) with a mean of 5.84 and physical subvariable (93%) with a mean of 5.60.In conclusion, almost all respondents have a high quality of life which is reinforced by the results of high social and emotional aspects, but the physical aspects still need to be improved by providing adequate information regarding the patient's disease and the benefits of attending cardiac rehabilitation to improve the quality of life. In addition, physical, emotional and social management plays an important role in improving the quality of life of patients.Keywords: After Percutaneous Coronary Intervention, Coronary Heart Disease, Quality of Life
Kebutuhan perawat profesional dapat dicapai melalui program profesi ners yang merupakan bagian dari program pendidikan keperawatan, dimana didalamnya terjadi proses pembelajaran klinik untuk menciptakan perawat profesional yang kompeten. Salah satu peran perawat professional adalah terus mengupdate keilmuan dengan cara menelaah jurnal terbaru untuk mengekplorasi intervensi keperawatan terbaik bagi pasien sehingga mendapat hasil yang optimal. Mahasiswa program profesi ners pada saat jenjang pendidikan perkuliahan telah terlatih untuk menelaah kasus dengan menggunakan metode EBP, namun belum terdapat evaluasi terkait pemahaman mahasiswa terhadap metode tersebut serta penerapannya pada tatanan praktik klinik. Dengan demikian, penelitian ini bertujuan untuk mengidentifikasi bagaimana pengetahuan, sikap dan kesiapan mahasiswa dalam penerapan evidence based practice (EBP) pada pasien kelolaan di stase keperawatan medikal bedah.Penelitian ini adalah penelitian kuantitatif. Sampel pada penelitian ini adalah mahasiswa program profesi ners yang sedang menjalankan praktik klinik dengan menggunakan teknik pengambilan sampel total sampling, yaitu sebanyak 120 responden. Instrumen yang digunakan adalah kuesioner Evidence Based Practice Questionnaire (EBPQ) dengan menggunakan analisis deskriptif (frekuensi, persentase, rata-rata, dll)Hasil penelitian menunjukan bahwa pengetahuan mahasiswa pada konsep Evidence based practice adalah baik sebanyak (68%), sebagian besar responden memiliki sikap yang positif (85%) dan lebih dari setengah responden mempunyai kesiapan yang cukup sebanyak (59%). Temuan hasil penelitian ini adalah penting untuk rekomendasi masukan terkait mengembangkan bahan ajar pada lingkup pendidikan keperawatan terkait praktik keperawatan dalam memberikan pelayanan terbaik untuk pasien
Latar belakang: Asupan gizi yang tidak adekuat pada masa kehamilan akan mempengaruhi tumbuh kembang dan dapat menyebabkan stunting pada anak. Tujuan penelitian ini untuk mengetahui intervensi yang dapat diberikan untuk mencegah kurang gizi pada ibu hamil sehingga dapat mencegah stunting pada anak yang dilahirkan. Metode: Metode yang digunakan scoping review dengan menelaah beberapa literatur yang terkait dengan intervensi gizi ibu hamil untuk mencegah ibu hamil kurang gizi sebagai salah satu faktor resiko stunting. Database yang digunakan untuk pencarian literatur adalah Google Scholar, Pubmed, EBSCOhost dan Proquest. Kata kunci yang digunakan yaitu intervensi, gizi, ibu hamil dan stunting. Jumlah literatur yang digunakan 18 artikel penelitian yang relevan yang dinilai dengan critical appraisal cheklis dari JBI. Hasil: Artikel tersebut terdiri dari 4 jenis intervensi yaitu pemberian makanan tambahan (PMT), suplemen zat gizi, konseling atau edukasi gizi dan kombinasi. Keempat intervensi berpengaruh terhadap ibu hamil dan anak yang dilahirkan. Kesimpulan: Intervensi ini dapat diaplikasikan pada ibu hamil untuk menurunkan resiko stunting pada anak yang dilahirkan dan diharapkan dapat dilakukan penelitian lebih lanjut terkait intervensi-intervensi tersebut agar angka kejadian stunting di Indonesia dapat menurun.
The needs of nursing care for Myocardial Infarction (MI) patients who performing Cardiac Rehabilitation (CR) Program have been investigated previously. Despite, nutritional counseling and risk factors management were reported as the most needs of MI patients who performed CR Program, information related to the MI patients’ needs on nutritional counseling and risk factor management are very limited. Moreover, the relationship between patients’ needs on nutritional counseling and risk factor management are not clear yet. To investigate patients’ needs on nutritional counseling and risk factor management among MI patients and its relationships those factors. This was quantitative approach with descriptive correlational and convenience sampling was used for this study. The participants included 38 MI patients admitted to the Cardiac Rehabilitation Unit. Data collection employed from questionnaires that were filled in by the respondents using a retrospective technique at the end of cardiac rehabilitation program. Data were analyzed using descriptive and correlational statistics. The study signified that MI patients required cardiac rehabilitation towards risk factors management and nutritional counseling from nurses (92.1%).The finding also indicated that there is a statistically positive relationship between nutritional counseling needs and risk factor management (r = 0.503, p <0.01). Patients’ needs on nutritional counseling and risk factor management among MI patients are correlated positively. Therefore, the information regarding nutrition and risk factor management for MI patients should be provided simultaneously to complement each other.
Introduction: Preeclampsia is a severe life event that has the potential to alter a woman's quality of life. This study sought to determine the quality of life among women with preeclampsia. Method: This study uses a descriptive study. Using total sampling methods, participants diagnosed and hospitalized with preeclampsia were invited to complete a survey about their demographics and the Quality of Life Instrument for Chronic Disease - Hypertension (QLICD-HY) Questionnaire. Results: 35 eligible participants with mean age of 33.2±5.83 were included in the present study. In Indonesia, most women with pre-eclampsia have a high quality of life. The sub-analysis found that many women with pre-eclampsia have a high quality of life in all domains (physical, psychological, and social). Age, education, occupation, family income, pregnancy stage, gravida, and medication adherence had a significant relationship with quality of life (p< 0.05). Conclusion: Women with preeclampsia generally describe a high quality of life. Nonetheless, there is still improvement to be made in preventing and treating preeclampsia patients to optimize quality of life. Keyword: Preeclampsia; pregnancy; quality of life
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