Jurnal Keperawatan Padjadjaran

The correlation between islamic mindfulness with nursing student professional attitude and caring behavior

2023-11-15T05:01:25+00:00

Background. Various stressors during the clinical practices may affect the psychological status of students which potentially impact on their professional attitudes and caring behavior. Prospective nursing students practices on clinical setting is necessary as the basis for strategy development in building students’ caring behavior. The role as care giver that believed can impact to professional attitude and caring behavior is Islamic mindfulness. The aim of the study was to identify the correlation between Islamic Mindfulness with professional attitude and caring behavior among nursing students.

Methods. Cross-sectional design was carried out in this study. A total of 97 Moeslim students of nursing clinical Practices program were recruited from Islamic State University of Jakarta and Makassar Indonesia during November to December 2022 by total sampling. Instruments of Islamic Mindfulness questionnaire, Caring Asessment Tool and Professional attitude for Nurses students were used. Data collected by online. Bivariate analysis was performed to test the correlation between Islamic mindfulness with professional attitude and caring behavior among nursing students.

Results. The mean score of Islamic mindfulness was 38.27 (SD=5.60), Professional attitude was 67.09 (SD=9.56) and Caring behavior was 84.96 (SD=15.14). Islamic mindfulness had very week-positive correlation with professional attitudes but not significant (r=0.148; p-value= 0.073). Islamic mindfulness had a weak-positive and significant correlation with caring behavior (r=0.363; p-value= 0.0001).

Conclusion. Islamic mindfulness had a significant correlation to caring behavior. It is important to Nursing students features Islamic mindfulness to strengthen the caring behavior.

Relationship between eHealth Literacy and Health Promoting behaviors among nursing students

2024-01-12T05:01:41+00:00

Background: Utilizing health literacy is important in establishing knowledgeable health advancements and practices, which can become deterrents to promoting a healthy lifestyle. Technological advancements improve health information availability and accessibility that potentially affect the users’ proficiency and their capability in applying the accessed health information. However, accessing health information via IT for health promotion requires e-health literacy.

Purpose: The objective of the study is to determine the relationship between eHealth literacy and health-promoting lifestyle behaviors among nursing students.

Methods: Descriptive-correlational study was applied to 131 nursing students recruited through a purposive sampling method from a nursing school in Philippines. The researchers adopted original English version of the e-Health Literacy Scale and Health-Promoting Lifestyle Profile II (HPLP) to collect the data. The gathered data were analyzed using descriptive analysis; frequency, percentage, mean, standard deviation, and test the correlation using Pearson's r correlation.

Results: A total of 131 nursing students were employed in the study with a mean age of 20.14 (±1.22). Participants were female (71.8%) and are Level 1 students (44.3%) The mean of the total sum score for eHealth literacy was 31.24 (±4.30) while the over-all item mean was 3.92 (±0.54). On the other hand, the health-promoting behavior has a mean score of 2.43 (±0.43) while its subscales have a mean score of 2.46 (±0.45) for nutrition, 2.45 (±0.62) for physical activity, and 2.39 (±0.47) for health responsibility. It was found that eHealth literacy had a significant relationship with the students’ health-promoting behavior (r=0.245, p=0.005). Hence, students who have a high level of eHealth literacy are more inclined to perform healthy behaviors.

Conclusion: The results of this study showed that the development of strategies to improve the e-health literacy of nursing students may contribute to the maintenance of their health-promoting behaviors. Identified intervention strategies based on eHealth literacy are needed to encourage healthy practices, which may reduce risks of illnesses due to unhealthy lifestyle behaviors among nursing students.

Peer-Group support based on the chronic care model for improving HIV patients' caring ability

2023-12-11T03:59:36+00:00

Background: The ability of caring of HIV patients toward a condition is still relatively low, especially during a pandemic, which makes the patient's immune condition more susceptible to decline. This study aims to develop peer-group support based on a chronic care model (CCM) to improve the ability of HIV patients in caring during the COVID-19 pandemic.

Methods: An explanatory study with cross-sectional was conducted. A total of 375 respondents were recruited with convenience sampling. The exposure were individual characteristic factors, health system factors, support system factors, environmental factors and peer group support based on chronic care model. Meanwhile the outcome was improvement of patient’s ability in caring. Statistical analyses were conducted using SPSS version 21 and SEM-PLS.

Mindfulness-Based Asmaul Husna and changes in general adaptive function response among schizophrenia: A Quasi-experimental study

2024-07-30T08:03:52+00:00

Background. Poor functional capacity is one of the factors that increase the risk of recurrence of positive and negative symptoms in schizophrenia. Mindfulness is a treatment potentially help patients become fully accepting of their conditions and conscious of it, allowing them to regulate unpleasant emotions and increase awareness of positive emotions.

Methods. This study aimed to investigate effect of mindfulness-based Asmaul Husna on the overall adaptive functioning of individuals with schizophrenia. This quasi-experiment times series study involved 36 participants selected with simple random sampling. The inclusion criteria of participants were adult Muslim with schizophrenia who had a PANSS-EC score <10, mild symptoms, risk of violent behavior. Participants with severe symptoms and complications from other diseases were excluded. Mindfulness-based Asmaul Husna consisted of Musyahadah-witnessing, tassawur-imagination, tafakkur-contemplation, tadabbur-reflection, and muhasabah-self-introspection was given to each participant over five days. A modified-Global Assessment Functioning (m-GAF) scale used to measure participants' general adaptive functional responses before and after intervention including follow-up at the first and second month after the intervention.

Results. There was a significant increase of the m-GAF score (p < 0.001) and a chi-square value of 177.2 after the implementation of mindfulness-based Asmaul Husna intervention. The highest mean score difference was observed at the first and second follow-ups, conducted one and two months after the interventions. The effect size calculated using Kendall’s W^a indicates a significant effect (0.821).

Conclusion. The study suggests there is a positive effect of the mindfulness-based Asmaul Husna intervention on adaptive functioning of people with schizophrenia.

Perceived benefit is the strongest determinant factor of medication adherence in the elderly with hypertension

2023-11-13T05:43:08+00:00

Background: The level of medication adherence among the elderly with hypertension is decreasing globally, including in Indonesia. Medication adherence is a major factor in treatment effectiveness for hypertensive patients. The Health Belief Model is one of the theories illustrating factors influencing patients’ medication adherence.

Purpose: This study aimed to analyze determinant factors of medication adherence among the elderly with hypertension based on the application of the health belief model.

Methods: This is a descriptive-analytic study with a cross-sectional approach. Sampling used a proportional stratified random sampling technique involving 193 patients with hypertension recruited from one of the Regional General Hospitals in Denpasar City Center. Data were obtained using three questionnaires, namely demographic characteristics, the health belief model (HBM), and the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using binary logistic regression.

Results: The research results showed the majority of respondents (62.7%) were compliant in taking medication. Multivariate test results showed that perceived susceptibility (p <0.001; AOR: 5.163), perceived benefits (p <0.001; AOR: 12.061), self-efficacy (p <0.001; AOR: 3.213), perceived barriers (p <0.001; AOR: 0.133) and cues to action (p <0.001; AOR: 3.480) is related to medication adherence in the elderly with hypertension.

Conclusions: Perceived benefit is the strongest determining factor of medication adherence among the elderly with hypertension. Respondents with high belief in perceived benefits tend to adhere to medication 12.061 times compared to respondents with low belief in perceived benefits. Health workers are advised to increase the elderly's belief in the perceived benefits and perceived susceptibility to increase their medication adherence.

Correlation between Neutrophil/Lymphocyte Ratio (NLR), lipid profile, lesion location and vascular cognitive impairment in acute ischemic stroke patients

2024-07-31T03:19:55+00:00

Background: Stroke is the leading cause of long-term disability with significant clinical and socioeconomic impact worldwide. Hyperlipidemia and inflammation play major roles in ischemic stroke. This research focuses on the correlation of three factors, namely Neutrophil-Lymphocyte Ratio (NLR), lipid profile, and lesion location, with Vascular Cognitive Impairment (VCI). These factors may serve as potential predictors for VCI.

Purpose: This research aims to study the correlation between NLR, lipid profile, and lesion location with vascular cognitive impairment. Besides, this research aims to explore those potential biomarkers as predictors of vascular cognitive impairment.

Methods: This was a cross-sectional study which included 107 patients diagnosed with ischemic stroke from February 2022 to January 2023 with a history of admission to the hospital within 72 hours. After signed an informed consent form, every patient had history taking, physical exam, lipid profile, routine blood test, Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment Indonesian Version (MoCA-Ina) on the first hospital day. Statistical tests were done with Spearman correlation method.

Results: The data distribution was not normal for INR and MoCA-INA values (p<0.05). Total cholesterol was insignificantly (p=0.092) correlated with MoCA-INA score with low correlation value (r=-0.293). HDL was significantly (p=0.035) correlated with MoCA-INA score with moderate correlation value (r=0.461). LDL was significantly (p=0.028) correlated with MoCA-INA score with low correlation value (r=-0.387). Triglycerides was insignificantly (p=0.440) correlated with MoCA-INA score with very weak correlation value (r=-0.137). NLR was significantly (p=0.015) correlated with MoCA-INA score with moderate correlation value (r=-0.412).

Conclusions: Lipid profile is correlated with cognitive impairment in post stroke patients, with HDL being a protective factor, and LDL as risk factor. NLR was associated with worse cognitive function and LDL was directly proportional to NLR. Lesion location reporting was highly heterogeneous and more uniformed reporting is recommended for future research.

The psychometric properties of Indonesian version of WHO quality of life 100 in tuberculosis patients

2024-02-23T06:41:37+00:00

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How hemodialysis patients manage dietary and fluid intake? A descriptive qualitative study

2023-11-13T05:47:05+00:00

Background: Managing dietary and fluid intake for hemodialysis patients is crucial, but it is also challenging. Non-compliance to diet and fluid intake restriction may increase a patient’s morbidity and mortality. Exploring the experiences of hemodialysis patients who successfully manage those regimens may provide new insight to develop more effective strategies.

Purpose: The study aimed to explore the experiences of hemodialysis patients who successfully manage the dietary and fluid intake restrictions.

Methods: A descriptive qualitative study was applied. Semi–structured interviews were conducted with 15 hemodialysis patients purposively recruited from a hemodialysis unit of a public hospital in West Sumatera, Indonesia. Interviews were transcribed verbatim and thematically analyzed to describe the phenomenon of hemodialysis patients. The study was reported following the COREQ guidelines.

Results: Most participants in this study are female, aged between 38 – 63 years and length of hemodialysis 4 months – 6 years. The finding of this study was that the essential themes that explained how hemodialysis patients adhere to fluid and dietary restrictions are 1) strategies for restricting fluid and dietary intake, 2) motivation to restrict fluid and dietary intake, 3) fear of the effects of non-adherence to fluid and dietary restrictions and 4) social support.

The unsung heroes in the fight to end HIV: The role of nurses in Indonesia

2024-08-15T06:20:05+00:00

HIV new cases are continuing to be reported in Indonesia. Although progress in HIV prevention and control has been made, Indonesia continues to face significant challenges in its fight against HIV. Continued efforts to expand treatment, reduce stigma, and strengthen prevention initiatives by involving health care workers and all stakeholders are essential to controlling the epidemic and improving the lives of those affected by HIV in the country. As a healthcare worker, nurses are central to the country's efforts to control and eventually end the HIV epidemic. Their roles are diverse and impactful, ranging from direct patient care to community outreach, education, and policy advocacy. As Indonesia continues to face challenges in its HIV response, the contributions of nurses will remain essential in overcoming these barriers and improving the lives of those affected by HIV.

Self-care among breast cancer survivors: A concept analysis

2024-05-31T02:17:30+00:00

Background: Breast cancer survivors have an excellent prognosis and a high survival rate, thus each survivor requires self-care abilities throughout their complex therapy. The concept of self-care is not a new concept in the nursing field, but it is necessary to analyze it as there are still inconsistencies in its use and unclear definitions, especially in the context of breast cancer survivors.

Purpose: The purpose of this study was to describe the concept of self-care among breast cancer survivors by employing the Walker and Avant’s analysis method.

Methods: The Walker and Avant’s concept analysis method comprises of eight systematic steps. The literature search was conducted through electronic databases, such as ScienceDirect, MEDLINE, EBSCO, ProQuest and SAGE, with the search constraints ranging from 2003 to 2023.

Results: The literature search identified 115 articles in the fields of medicine, nursing, sociology, psychology, economics, anthropology, pharmacy, computer science and midwifery. Following the analysis, 30 articles were selected for this study. The concept of self-care was defined as: 1) survivor activity; 2) survivor awareness; 3) self-management; 4) prevention of morbidity and recurrence; 5) improved health. Meanwhile, the concept’s antecedents included self-efficacy, self-care agency and social support, and the consequences included symptom control, improved coping, improved well-being, and improved quality of life.

Conclusions: Understanding the attributes of self-care among breast cancer survivors along with their antecedents and consequences could facilitate its development in nursing practices. The self-care concept is utilized for self-care assessment and implementation of appropriate interventions in the context of breast cancer survivors who have completed the therapy.

Measurement tools used to assess interprofessional education and collaborative practice in health professional students: A COSMIN systematic and psychometric review

2024-08-15T04:12:13+00:00

Background: Interprofessional education and collaborative practice (IPE/IPC) are essential for preparing students to work together and respect the unique qualities and abilities of professionals. However, IPE/IPC and its related concepts are highly abstract phenomena and complicated to assess and measure. In consequence, a critical appraisal is needed to evaluate the quality of the instruments.

Purpose: This study aimed to critically appraise, compare and summarize the quality of measurement properties of all self-report collaboration questionnaires for health professional students and to provide evidence concerning the psychometric properties of the measurement.

Methods: A psychometric review was employed, and the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) approach was applied to assess the methodological quality of the nature of the measurements. Data search using keywords: health professional students, interprofessional, collaboration, teamwork, collaborative, through MEDLINE, EMBASE, and EBSCO-hosted Education Resource Information Centre databases.

Results: Seven instruments from 10 reviewed studies were identified. Among them, four instruments targeted attitudes toward collaboration. One instrument focused on students' collaborative learning readiness and had been tested in Hong Kong using English, in Iran using Persian, and in Indonesia using Bahasa Indonesia. One instrument measured perception about IPE, and two studies measured IPE/IPC competencies related to patient-centered, team-based, and collaborative care. The methodological quality assessment indicated that several instruments were less rigorously developed and validated than COSMIN and Quality Criteria of Measurement Properties recommend.

Conclusions: The findings of this psychometric review are that the Interprofessional Attitudes Scale is an instrument with adequate content validation and very good structural validity, internal consistency, cross-cultural validity, reliability, measurement error, and criterion validity. It is recommended that the Interprofessional Attitudes Scale be used to measure the interprofessional attitudes of health professional students.