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.
Pemerintah Indonesia saat ini sedang mengupayakan pemberantasan stunting. Stunting merupakan masalah kekurangan gizi kronis yang disebabkan oleh asupan gizi yang tidak adekuat dalam waktu yang relatif lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. United Nations International Children's Emergency Fund (UNICEF) memperkirakan jumlah anak yang mengalami stunting di bawah usia lima tahun sebesar 149,2 juta pada tahun 2020. Hasil kajian dari kepala desa menunjukkan kasus stunting masih banyak terjadi di Desa Kertawangi, Bandung Barat. Hasil wawancara dengan ibu yang memiliki anak stunting didapatkan bahwa ibu yang memiliki anak stunting masih belum dapat memberikan makanan pendamping ASI (MP-ASI) dan PMT sesuai dengan kebutuhan gizi anak dan balita. Berdasarkan permasalahan yang telah dipaparkan, maka dalam kegiatan pengabdian masyarakat (PKM) ini solusi yang ditawarkan adalah pelatihan pengolahan makanan pendamping ASI (MP-ASI) dan PMT (Makanan Tambahan) berbudaya local sesuai gizi seimbang yang dibutuhkan untuk meningkatkan status gizi bayi dan balita. Hasil pelatihan menunjukkan bahwa kemampuan ibu meningkat dalam membuat produk MP-ASI dan PMT. The Indonesian government is currently working on the eradication of stunting. Stunting is a chronic malnutrition problem caused by inadequate nutritional intake for a relatively long time due to feeding that is not following nutritional needs. The United Nations International Children's Emergency Fund (UNICEF) estimates that the number of stunted children under the age of five was 149.2 million in 2020. The study results from the village head show that stunting cases are still common in Kertawangi Village in West Bandung Regency. The results of interviews with mothers who have stunted children found that mothers who have stunted children are still unable to provide complementary food (MP-ASI and PMT) in accordance with the nutritional needs of children and toddlers. Based on the problems that have been described, then in this community outreach (PKM) activity, the solution offered is training processing of complementary foods (MP-ASI and PMT) according to the balanced nutrition needed to improve the nutritional status of the local culture that is suitable for infants and toddlers. The results of the training showed that mothers' abilities increased in making MP-ASI and PMT products.
Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam tentang makna perawatan Diabetes Melitus (DM) tipe 2 untuk klien lansia di wilayah kerja puskesmas Cimahi Selatan dan bagaimana mereka memaknai pengalaman tersebut. Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi deskriptif dengan metode wawancara mendalam. Partisipan dalam penelitian ini adalah klien lansia dengan DM tipe 2. Data yang dikumpulkan berupa hasil rekaman wawancara dan catatan lapangan yang dianalisis dengan teknik Collaizi. Hasil penelitian ini mengidentifikasi enam tema, diantaranya yaitu; 1) respon fisik yang dialami penderita DM; 2) respon psikologis yang dialami penderita DM; 3) kepatuhan terhadap pengobatan; 4) kepatuhan terhadap diet; 5) upaya untuk mencapai kesembuhan; 6) harapan penyandang DM. Simpulan, dari enam informan yang mengalami DM, mereka mengalami beberapa masalah fisik dan psikologis, ada yang tidak patuh dengan diet dan cara parisipan mengatasi masalah ada yang menggunakan obat farmakologis dan juga non farmakologis. Selain itu, walaupun sudah lama menderita DM, hampir semua partisipan berharap untuk sembuh dari penyakitnya. Kata Kunci: Diabetes Mellitus Tipe 2, Kualitiatif, Merawat
The COVID-19 pandemic is still a significant problem in the world, including in Indonesia. Its spread has not been stopped, and its incidence is increasing. The COVID-19 pandemic has impacted all aspects of life, not just health. This study aimed to explore the perceptions of people in West Java, Indonesia regarding the COVID-19 pandemic and its health protocols. This was descriptive research and data were collected through focus group discussions. The participants were adults from communities in Cianjur City, Sukabumi, Purwakarta, Karawang, Cimahi, West Bandung Regency, and Bandung City in West Java, recruited through purposive sampling. There were four groups, each consisting of 8-12 participants. The focus groups were conducted online using Zoom in May-June 2020. Data analysis was carried out in six steps according to Colaizzi, which included the stages of transcription, reading the transcript repeatedly, finding keywords, creating categories, determining themes, and then describing the findings. Six themes were found, namely the community’s response to the COVID-19 pandemic, changes in behavior during the pandemic, changes in daily activities, the impact experienced during the COVID-19 pandemic, community responses to government programs related to COVID-19, and people’s wishes during the pandemic. Health promotion regarding health protocols must be continuously improved. Keywords: Indonesia, COVID-19 pandemic, public perception, health protocol
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