<p>Coronavirus disease (COVID-19) infection has been a major public health-related issue worldwide, including Indonesia. The COVID-19 cases still escalating until this study finished in June 2020 due to the disease positively spreading from person to person. To reduce the spreading of the disease, investigating Indonesian’s knowledge, attitudes, and practice on COVID prevention and mitigation during the outbreak period was crucial. A survey cross-sectional was conducted and using social networking apps to recruit participants. All Indonesian residents who have 18 years old and over and living in Indonesia during the COVID-19 outbreak were voluntarily invited to participate in this study. There are 3464 participants involved in this study. The mean age was 27.63 years, and mostly were women, domicile in Java, held bachelor degrees, students, Muslims, and single/never married. The lowest mean practices score was found among residents who live in Maluku, Papua, and Papua Barat, senior high qualification, unemployed, indigenous religions, and single/never married. The majority of Indonesian residents have good knowledge, positive attitudes, and good practice to promote COVID-19 prevention and mitigation to reduce the pandemic spreading within the country. However, there is a lack of knowledge, attitudes, and practice among a particular group of participants.</p>
Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings. Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020. Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models. Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.
Latar Belakang: Hipertensi sebagai penyakit tidak menular saat ini sangat meningkat dan merupakan penyakit pembuluh darah yang dapat menyebabkan terjadinya kematian mendadak sehingga penyakit ini dikenal sebagai silent killer. Meningkatnya persentase ketidakpatuhan meminum obat hipertensi disebabkan berbagai alasan dan hal ini membuat banyaknya pengobatan non-farmakologi yang bersifat alternatif dan komplementer yang bermunculan, salah satunya adalah terapi bekam.Tujuan: Untuk mengetahui pengaruh terapi bekam basah pada penderita hipertensi dalam menurunkan tekanan darah.Metode: Desain penelitian yang digunakan dalam penelitian ini adalah quasy eksperimen dengan pendekatan Control Group Design pre-post test. Populasi dalam penelitian ini adalah penderita hipertensi yang berada di wilayah kerja Puskesmas Kolaka yang memenuhi kriteria inklusi. Teknik pengambilan sampel dengan purposive sampling dengan jumlah sampel sebanyak 40 responden. Instrumen dilakukan dengan pengukuran tekanan darah dengan menggunakan alat pengukuran tekanan darah dan data dianalisis dengan menggunakan uji friedman test.Hasil: Setelah dilakukan pembekaman basah selama tiga bulan berturut-turut, tekanan darah sistole dan diastole mengalami penurunan secara signifikan pada kelompok intervensi sebesar 0,000 (p< 0,05) dan kelompok kontrol (p>0,05) sehingga disimpulkan bahwa ada perbedaan rata-rata tekanan darah pada ketiga interval waktu pengukuran pada kelompok intervensi.Kesimpulan: Terapi bekam memiliki pengaruh dalam menurunkan tekanan darah pada penderita hipertensi.
Kanker termasuk salah satu penyakit yang berkontribusi terhadap kematian di seluruh dunia. Kanker payudara adalah jenis kanker yang sering diterjadi pada wanita, terutama pada wanita yang usianya menjelang 50 tahun. Di Indonesia, angka kejadian kanker semakin meningkat dari tahun ke tahun, dimana salah satu pemicu adalah adanya perubahan gaya hidup. Upaya yang dapat dilakukan untuk menurunkan insiden kanker payudara stadium lanjut yaitu dengan melakukan pemeriksaan payudara secara rutin. Dengan pemeriksaan tersebut yang dilakukan teratur maka penemuan atau skrining dan pendeteksian secara dini dapat mengurangi angka kejadian kanker payudara stadium lanjut. Kegiatan ini dilakukan berupa penyuluhan dengan metode ceramah tanya jawab serta demonstrasi mengenai Breast Self Examination (BSE). Tujuan kegiatan ini diharapkan dapat meningkat pengetahuan dan skill para kader kesehatan sehingga mereka dapat menjadi tenaga yang mahir dalam melakukan pemeriksaan BSE tersebut. Lebih lanjut, kader juga diharapkan dapat mengajarkan kepada para wanita usia subur lainnnya di wilayah tempat tingggalnya. Setelah kegiatan ini laksanakan, pengetahuan dan keterampilan kader kesehatan terkait pencegahan dan deteksi dini kanker payudara dan pemeriksaan payudara sendiri mengalami peningkatan. Kesimpulan pelatihan dapat meningkatkan pengetahuan dan keterampilan kader kesehatan terkait pencegahan dan deteksi dini kanker payudara dan pemeriksaan payudara sendiri secara mandiri.
Currently, cancer includes breast cancer is a predominant disease treated in palliative care services. Breast cancer incidence increased significantly during the last decade and can progress to a late or advanced stage. At this advanced stage, the incidence of the fungating wound occurs in 5-10% of breast cancer patients. The study aims to identify assessment and symptoms management of fungating breast cancer in the palliative care setting. This study applied a literature review method. Searching for articles using 4 journal databases including DOAJ, Google Scholar, Proquest, and Science Direct. 17 articles that met the inclusion criteria of the study. The literature review identifies that the assessment tools are holistic assessment methods, wound assessment charts, and time framework assessments. The major symptoms are mal-odor, pain, exudation, peri-wound maceration and bleeding, psychological and spiritual issues. The studies, which focus on assessment and symptoms management of fungating breast cancer was limited. This affects the comprehensiveness of the review study. Investigation on quality of life among fungating breast cancer patients shortly is needed.
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