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.
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
Introduction This study aims to explore nursing students’ perception and experience of end-of-life care (EoLC) in Indonesia, particularly in the family environment. Methods This study used a qualitative research design to explore the experiences and perceptions of nursing students who have witnessed the dying of their family members. The study recruited 15 nursing students using a purposive sampling method, who were then invited to reflect and write their experiences in witnessing death of their families, and perceptions towards EoLC. The written reflections were analyzed using thematic analysis. Results Thematic analysis showed that the experience of witnessing dying of a family member shaped nursing students’ perceptions and attitudes towards EoLC. Some themes that emerged in this study included the importance of effective communication with patients and their families, symptom management, spiritual, emotional, and social support, as well as the need to improve nursing education and training. Conclusion This present study shows that the experience of witnessing the death of a family member shapes nursing students’ perceptions of EoLC in Indonesia. This present study provides recommendations that the students must be prepared emotionally and psychologically in caring EoL or dying patients. How attitude and readiness to care EoL patients are shaped by the experience in witnessing the dying family or loved one. As such, palliative and EoL curriculum should be included methods that allow desensitization and naturalization of dying for the students in order to make them ready to provide better EoLC for patients and their families. The results of this study can contribute to improving the quality of EoLC in Indonesia.
Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation related students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.
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.
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.
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
ABSTRAK Dalam proses penyembuhan luka diperlukan Kebutuhan nutrisi yang adekuat agar masa penyembuhan singkat dan tidak terjadi perburukan. Kadar nutrisi yang kurang baik akan menyebabkan proses penyembuhan luka yang lebih lama dengan adanya proses inflamasi yang berkepanjangan, penurunan daya tahan tubuh, peningkatan angka kejadian infeksi luka. Oleh sebab itu tujuan dari kegiatan pengabdian kepada masyarakat ini adalah untuk melakukan pendidikan kesehatan mengenai Diet tinggi kalori dan tinggi protein pada pasca operasi. Adapun metode yang digunakan dalam kegiatan ini adalah pemberian edukasi mengenai diet tinggi kalori dan tinggi protein pada pasien pasca operasi. Jumlah peserta yang hadir sebanyak 13 orang yang terdiri dari pasien pasca operasi dan keluarga. Hasil yang didapatkan dari nilai pretest penyuluhan yaitu nilai tertinggi 80, nilai terendah 50, nilai rata-rata 65,8. Hasil yang didapatkan nilai posttest penyuluhan yaitu nilai tertinggi 100, nilai terendah 60 dengan nilai rata-rata 77. 15. Berdasarkan hasil posttest kegiatan pengabdian masyarakat, pengetahuan responden tentang Diet Tinggi Kalori dan Tinggi Protein meningkat, maka dapat disimpulkan bahwa responden dapat memahami dari apa yang sudah dijelaskan pada saat pendidikan Kesehatan. Pendidikan kesehatan terkait Nutrisi yang tepat untuk mempercepat penyembuhan luka pasca operasi sangat bermanfaat untuk pasien dan keluarga pasien yang merawat sehingga dapat mencegah timbulnya beberapa masalah seperti perburukan luka, penyembuhan luka yang lebih lama dengan adanya proses inflamasi yang berkepanjangan, penurunan daya tahan tubuh, peningkatan angka kejadian infeksi luka Kata kunci: Pasca Operasi, TKTP, Tinggi Kalori Tinggi Protein ABSTRACT In the process of wound healing, adequate nutritional needs are needed so that the healing period is short and no worsening occurs. Poor nutritional levels will lead to a longer wound healing process with a prolonged inflammatory process, decreased body resistance, increased incidence of wound infections. Therefore the purpose of this community service activity is to conduct health education regarding a high-calorie and high-protein diet post-surgery. The method used in this activity is the provision of education regarding a high-calorie and high-protein diet in postoperative patients. The number of participants who attended were 13 people consisting of postoperative patients and their families. The results obtained from the counseling pretest score are the highest score 80, the lowest score 50, the average value is 65.8. The results obtained for the counseling posttest score are the highest score 100, the lowest score 60 with an average value of 77. 15. Based on the posttest results of community service activities, the respondent's knowledge about the High Calorie and High Protein Diet increased, it means that the respondent can understand what which has been explained in health education. Health education related to proper nutrition to accelerate wound healing after surgery is very beneficial for patients and their families so that they can prevent the emergence of several problems such as worsening of wounds, longer wound healing in the presence of a prolonged inflammatory process, decreased immune system, increased mortality. wound infection Keywords: Postoperative, TKTP, High Calorie, High Protein
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