Caring is an important part of nursing process that difficult to be apart. Emergency nursing is a profession that required health care providers with fast performance, accurate, and quality of complicated and holistic problems. A lot of patients with critical condition at emergency department, they ask a quality of nursing services and it is affected by the quality of a nurse caring. Without caring passion, a nurse vulnerable to act that violate ethical of nursing, no exception nursing profession at emergency installations of RSSA Malang. The purpose of this study is to explore the experience of nurse caring for clients with critical condition at emergency installations of RSSA Malang. This study used a qualitative approach, with interpretive phenomenological method. Purposive sampling is a method used in this study, the criteria of experience as nurse in the emergency installations of RSSA Malang at least 5 years, still working in the emergency installations of RSSA Malang, and willing as participant. Using semi-structure interviews technique, and analyzed by Miles and Huberman model approach. The results led to three themes, namely: the resque of critically ill patients, improve patient and family confidence, desire to do the best for crical patients. Based on the results of the study are expected to follow up with the theme of the next study of emergency nurses caring of the perpective of patient and families, and needs to be improved further for the training of emergency skill of nurses in the emergency department, so thet skills and knowledge of nurses in handling critical patients better.; Key words: caring, nursing experience, critical patient.
Penelitian ini bertujuan untuk mengetahui kemampuan penyesuaian diri mahasiswa semester Iterhadap pembelajaran daring di tengah pandemi covid-19. Jenis penelitian yang digunakan adalah kuantiatif dengan metode survey kepada 80 responden, instrumen yang digunakan adalah kuesioner penyesuaian diri Scheneider yang berbentuk skala likert dan terdiri dari 36 pernyataan. Hasil analisis data menggunakan chi-square menunjukkan p-value <0,001, hal ini menunjukkan terdapat hubungan antara penyesuaian diri dengan efektifitas pembelajaran daring. Sebagian besar responden memiliki tingkat penyesuaian tinggi terhadap pembelajaran daring, dan beberapa diantaranya sudah terbiasa dengan pembelajaran tersebut. Hasil penelitian ini mengindikasikan dengan adanya kemampuan penyesuaian diri yang bervariasi diantara mahasiswa, maka perlunya inovasi dan variasi terhadap pembelajaran daring kedepannya, supaya mahasiswa tidak cepat bosan, adaptable terhadap metode pembelajaran daring, sehingga materi yang diberikan dosen sebagai fasilitator dapat tersampaikan dengan lebih baik sesuai dengan capaian pembelajaran lulusan.
Introduction: The COVID-19 pandemic has a major effect on nursing education in Indonesia, it needs for adaptation of the curriculum to achieve competent nursing graduates meet national and international standards. The aim of this study is to explore the barriers and strategies of nursing education of private institutions, in curriculum planning in the new normal era during the COVID-19 pandemic.Methods: This qualitative study was conducted in five nursing study programs in East Java. Data collection was carried out by in-depth interviews, observations, documentation studies of 25 participants, with the criteria of lecturers being actively involved in curriculum planning based on Indonesian national standards. The data used purposive sampling and snowball sampling. The data validity is carried out with four criteria: credibility, dependability, confirmability, and transferability. Data analysis was carried out using the model approach of Miles, Huberman & Saldana. Data records from interviews, observations and documentation then carried out data selection, reducing, focusing on data findings (data condensation). Results: The study found five themes: (1) barriers from human resources, (2) barriers during the curriculum planning process, (3) barriers for Nursing Study Program lecturers in obtaining information sources related to Indonesian Qualification framework-based curriculum planning, (4) strengthen the pro-active leadership of study programs; (5) foster dynamic communication between curriculum teams.Conclusion: The results showed, in pandemic crisis COVID-19, the need for a curriculum planning workshop with clear technical guidelines in producing an effective, efficient, adaptable nursing curriculum, the effective one of planning has high potential in producing high quality nursing graduates.
Penentuan jenis media promosi kesehatan merupakan bagian penting dari upaya merubah perilaku kesehatan di rumah sakit, tidak terkecuali pengetahuan dan perilaku seluruh pengunjung rumah sakit untuk cuci tangan dengan benar, termasuk keluarga pasien. Tujuan: mengetahui perbedaan efektifitas media audio-visual dengan media leaflet terhadap perilaku cuci tangan keluarga pasien di rumah sakit. Metode: Penelitian berdesain quasi experimental dengan rancangan pre-test post-test with control group. Teknik sampling dengan consecutive sampling, besar sampel 122 keluarga pasien dibagi dalam dua kelompok, dengan memperlihatkan video tentang cuci tangan pada kelompok perlakuan dan kelompok kontrol membaca leaflet, masing-masing dengan durasi 30 menit. Instrumen yang digunakan adalah kuesioner pengetahuan dan lembar observasi perilaku cuci tangan. Analisis data menggunakan uji Mann Whitney. Hasil: Setelah dilakukan intervensi, terdapat peningkatan skor secara bermakna pada pengetahuan dan perilaku cuci tangan dibanding sebelum dilakukan intervensi, baik pada kelompok audio visual (AV) maupun kelompok leaflet (LF). Kedua media pendidikan kesehatan, baik AV maupun LF, efektif terhadap perubahan skor pengetahuan dan perilaku cuci tangan. Diskusi: Media audio visual lebih efektif sebagai media promosi kesehatan cuci tangan, dimana media audio visual meningkatkan pengetahuan melalui suara dan gambar yang ditampilkan pada layar monitor, sedangkan media leaflet dengan pendekatan narasi yang ditampilkan dalam bentuk tulisan dan gambar pada lembaran kertas terkesan membosankan dan kurang menarik. Kesimpulan: Rumah sakit sebaiknya melakukan kajian tentang karakteristik pasien dan keluarganya untuk memberikan promosi kesehatan dengan media pendidikan kesehatan yang tepat untuk meningkatkan kualitas perilaku cuci tangan untuk menghindari penyebaran infeksi.Kata kunci: audio-visual, health promotion, keluarga pasien, leaflet, perilaku cuci tangan. Health Promotion Through ‘Audio Visual Vs Leaflet’: Investigation of Knowledge and Hand Washing Behavior of Patient’s FamilyABSTRACTDetermining the type of health promotion media is an essential part of efforts to change health behavior in hospitals, including knowledge and behavior of all hospital visitors to wash their hands properly, including patient's family. Objective: to reveal the difference between the effectiveness of audiovisual media and leaflet media on the handwashing behavior of patient's family in the hospital. Methods: This research employed a quasi-experimental design using a pretest-posttest design with a control group. Samples were taken using a consecutive sampling technique. The sample size of 122 patients' families was divided into two groups: the treatment group watched a video about handwashing in and the control group read leaflets, each given 30 minutes. The instruments used were a knowledge questionnaire and handwashing behavior observation sheets. Data were analyzed using the Mann-Whitney test. Results: After the intervention, there was a significant increase in the score on knowledge and handwashing behavior compared to before the intervention, both in the audiovisual (AV) and leaflet (LF) groups. Both health education media, both AV and LF, were effective in changing handwashing knowledge and behavior scores. Discussion: Audiovisual media is more effective as a media for promoting handwashing health because audiovisual media increases knowledge through sound and images displayed on the monitor screen, while leaflet media with a narrative approach displayed in the form of writing and pictures on sheets of paper seem boring and not interesting. Conclusion: Hospitals should conduct studies on the characteristics of patients and their families to provide health promotion with appropriate health education media to improve handwashing behavior to avoid the spread of infection.Keywords: audiovisual, health promotion, patient's family, leaflet, handwashing behavior.
Background: Out-of-hospital cardiac arrest can occur anywhere, including in rural areas. Nurses are demanded to have skills for critical care to save lives.Objective: This study aimed to explore lived experience of nurses in caring for persons with out-of-hospital cardiac arrest in the rural areas of East Java, Indonesia.Methods: This study employed a phenomenological research design. Five nurses were selected from five village health posts using a purposive sampling. A semi-structure interview was used to collect data. Colaizzi’s method was used for data analysis.Results: Four themes emerged, including (1) being fast and responsive, (2) needing a family trust, (3) feeling worried, and (4) lacking personnel and infrastructure.Conclusion: The role of nurses in saving lives of persons with out-of-hospital cardiac arrest is very important. It is suggested for the nurses to always improve the quality of knowledge management of persons with critical conditions, provide understanding of basic life support in community, increase the trust of family in nurses, and improve the collaboration between nurses and community. The government also need to provide better emergency equipment and add health personnel in community.
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