Background: Nurses have the authority to open an independent practice of nursing as one of the health services. But in reality, not all nurses can implement management strategies independently of nursing practice well to support the progress of practice. The purpose of this study was to conduct an in-depth analysis of nurses' experiences in conducting management strategies in opening independent nursing practices in Badung Regency, Bali Province.Methods: The study used a qualitative method with a phenomenological approach. The main informants consisted of nine nurses who owned independent nursing practices. The triangulation informant was from the chairperson of the Indonesian national nurse’s association of Badung regency and three patients. Data analysis uses the fixed comparison method according to Glaser and Strauss.Results: Research shows strategies in managing independent nursing practice management include planning for strategic place selection, organizing structured services, planning for providing facilities and managing personnel. At the implementation stage of the service strategy formulation includes promotive, preventive and complementary treatment activities. The most effective service introduction through word of mouth marketing. At the quality control stage through increased competence and service improvement. The development of practices is planned to be a joint practice, hospitalization, an independent practice training center and a clinical practice place for nursing students.Conclusions: The independent nursing practice management strategy was carried out at the preparation, implementation and control stages of the independent nursing practice management formulation.
Background:World Health Organization(WHO) in 2012 showed that 26.4% of people suffer from hypertension. One of the things that affects blood pressure is stress. Blood pressure can be lowered by reducing stress levels. Nonpharmacological efforts to reduce stress are relaxation techniques, including meditation and murotal hearing. The purpose of this study was to determine the effect of a combination of meditation and murotal hearing on stress levels and blood pressure of hypertension sufferers.Methods: This study used a quasi-experimental design in the form of pretest - posttest intervention with control group. A sample of 30 respondents was divided into 15 intervention groups and 15 control groups. The intervention group received meditation and murotal hearing and antihypertensive therapy for 3 consecutive days while the control group only received antihypertensive therapy. The analysis uses paired t-test to determine the effect of the intervention on the intervention group and the independent t-test to see differences between influences between groups.Results: Meditation and murotal hearing significantly reduced stress scores by p=0, also significant in decreasing systolic blood pressure with p=0.008 and not significant in decreasing diastolic blood pressure with p=0.206. In the different test between intervention and control groups showed that a significant difference was found in the reduction in stress levels with a value of p=0.002.Conclusions:The combination of meditation and murotal hearing significantly reduces stress and systolic blood pressure. As for diastolic blood pressure, this combination therapy can decrease but not statistically significant.
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