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Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse’s attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.

Introduction: Globally, antiretroviral therapy (ART) has been successful in reducing the death rate due to human immunodeficiency virus (HIV). Different conditions in Indonesia mean the death rate due to HIV/AIDS is still high. The problem lies in the low compliance with ART. This study aimed to analyze the correlation between ART adherence with number of CD4, the opportunistic infection (OI) and viral load in PLHIV. Methods: A quantitative survey with cross-sectional approach was conducted between August – September 2022. As many as 375 PLHIV were recruited and agreed to give consent as research respondents. All respondents completed a questionnaire about ART adherence, OI and had blood taken to check CD4 count and viral load. Analyses were performed using Chi-squared test SPSS version 21 with significance level p

Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.

Introduction: Coronavirus disease 2019 (COVID-19) can attack anyone, including those who have human immunodeficiency virus (HIV) due to low immune systems. This study aimed to evaluate the final condition of people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) (PLWHA) who received treatment at the hospital. Methods: A literature investigation of the last three years (2020-2022) were inquired. Electronic databases (Science Direct, Scopus, ProQuest) with case series or case report designs were examined. The titles, abstracts, and full texts were screened to obtain relevant studies. Data tabulation and narrative analysis were conducted, resulting in 14 studies that met the inclusion criteria. Most of them were case series and case report methods. Each study had different numbers of patients and criteria discussing COVID-19 infection in HIV patients. Results: A total of 14 reviewed studies revealed that HIV patients with COVID-19 could recover from the infection if proper treatments were performed. Some articles also stated that self-isolation at home can manage HIV-infected patients who are not yet severe. In the case of patients with severe infections, intensive care is performed using supplemental oxygen or a ventilator to prevent respiratory failure or acute respiratory distress. Conclusion: COVID-19 can worsen the condition of patients with HIV if not appropriately treated. Otherwise, if the proper treatment is properly performed, it can cure the infection.

Introduction: Corona virus disease 2019 (COVID-19) is a health problem that is still a health emergency in the world and causes mental health crisis. The purpose of this study was to analyze the factors that influence the mental health crisis of COVID-19 infection on the island of Java. Methods: A cross sectional study between June-July 2020 in Java Island, Indonesia with 1.218 respondents selected using convenience sampling. The independent variable were demographic, individual internal, psychological factors and the dependent was mental health crisis. Data was measured by demographic information, knowledge and attitude questionnaires, depression anxiety stress score, the brief 28-item COPE Inventory, questionnaire on problem faces and crisis mental health emergencies. Analysis data is conducted by chi square and multivariate logistic regression. Results: The relation of demographic, individual internal and psychological factors were significant to crisis mental health and P

Introduction: Bullying at school is an old phenomenon in the adolescent group. Despite massive prevention programs, it has not yet resolved by teachers and schools, and this also can affect school climate aspects. The aim of this study was to explore students’ perceptions who are being bullying victims about health promoting schools to prevent bullying at school. Methods: This study used a qualitative case study design. The research sample was 18 middle school students in grades 8 and 9 in East and West Surabaya. A sample was recruited through snowball sampling. Interview guidelines were used to collect the data through in-depth interviews. The data were subjected to thematic analysis. Results: Middle school students identified three main requirements related to prevent bullying were health education, health services, and healthy school environment. These themes were found among the participants with a bullying victim’s history. Conclusion: Health education, health services, and healthy school environment are the theme for preventing bullying cases at school. To prevent bullying requires collaboration from various parties, such as students, teachers and school policy makers to be able to apply the rules while in school.

Introduction: The purpose of this study was to investigate the effect of combination therapy and supportive group therapy on the self-efficacy and deviant behavior among adolescents. Methods: The design of this study was quasi-experimental (pre-post test with a control group design). The population was based on the inclusion criteria of young men aged 15-19 years old in high school in Surabaya and the exclusion criteria was adolescents with physical disabilities, mental disorders and illness. A sample of 62 respondents (31/31) was collected using purposive sampling. The independent variable was a combination of group therapy and supportive therapy. The dependent variable was self-efficacy and deviant behavior. The intervention was given 4 times over 4 weeks and the control group was given a standard intervention. The data was collected using a self-efficacy questionnaire. The analysis was conducted using MANOVA. Results: In the intervention and control groups, there was a significant difference between self efficacy and deviant behavior in the adolescents before and after the intervention with a value of 0,000 (p

Introduction: Implementation of the nursing care process is still a problem in nursing services. The problem found in the nursing process is the accuracy of nurses in applying the nursing care process. The aim of this study to analyze the accuracy of the implementation of the nursing care process. Methods: This study was as a descriptive analytics design with 100 respondents. Samples were selected using cluster sampling. Data were collected using a questionnaire that has been tested for validity and reliability. The variables included assessment, nursing diagnosis, nursing plan, nursing implementation, evaluation, and nursing documentation. Data were analyzed in a descriptive form consisting of good, sufficient and fewer categories. The standard for implementing the accuracy of the nursing process is 100%. Results: The result showed the accuracy of implementation nursing care, namely 64% assessments are sufficient, 69% of nursing diagnosis is sufficient, 59% of nursing plans are sufficient, 66% of nursing implementation is sufficient (), along with 60% of nursing care evaluation and 62% of nursing care documentation. Conclusion: The accuracy of the nursing care process describes the quality and patient safety and is useful for patients, nurses, and the health team. Further studies must be conducted to analyze factors related to accuracy of the implementation of the nursing care process.

Introduction: Discharge planning starts at admission and begins by determining the educational needs. The objective of this study was to explore the implementation of discharge planning held by multidisciplinary professionals for STEMI (ST elevation myocardial infarction) patients. Methods: The design of this study was descriptive and the data was collected through in-depth interviews with the participants. Results: The results of the interview were transcribed verbatim, and then a FGD (Focus Group Discussion) was conducted. The participants consisted of11 nurses, 1 nutritionist and 1 pharmacist with a minimum working period of 2-10 years. Sampling started with the purposive sampling method. Several things influence the implementation of discharge planning viewed from the perspective of multidisciplinary professionals according to productivity theory in the organization of a cooperative, namely the motivation of the health workers, the abilities and knowledge of the health workers, the job design and the work schedule involved. Conclussion: . For the future, it is necessary to have digital guideline/tools available that can be easily accessed by multidisciplinary professionals to make the work schedule for health workers optimal to improve the health services.

Introduction: Discharge Planning is one of various nursing duty agendas, starting from when patients are admitted to hospital up to being allowed to go home. The phenomenon of implementation discharge planning for patients today is not optimal whereby nurses just do limited implementation of routine activities in the form of information on re-control. Based on those facts, the author wishes to study the analysis of impedance and enhancement factors in discharge planning implementation at hospitals. Methods: The researcher conducted investigation in February 2020 and involved exploration of some scientific papers journal from ScienceDirect, ProQuest, Scopus, and, PubMed as references with keywords nursing discharge planning, enhancement and impedance factors, implementation, and, hospital. This paper identified15 relevant research articles from 500 original full texts between 2010 and 2018 and analyzed inclusion criterion of enhancement and impedance factors in discharge planning implementation. It involves three RCTs, eight descriptive, and four qualitative research papers Results: As a result, there are found eight enhancement and five impedance factors influencing in discharge planning implementation. Meanwhile, from 3250 research respondents, 2125 persons reports enhanced factors contrary 1.125 samples imply impedance factors. Conclusion: The implementation discharge planning is influenced by some factors that should be given attention by nurses to do discharge planning properly.

Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.

Introduction: Perioperative nursing care has been widely applied in either various hospitals or other healthcare facilities. The purpose of this study was to analyze the implementation of a perioperative care instrument based on the Indonesian Nursing Diagnosis Standards (SDKI, the Indonesian Nursing Intervention Standards (SIKI), and the Indonesian Nursing Outcome Standards (SLKI) in the operating room in a Teaching hospital, East Java. Methods: This research design was a descriptive study. The study population was the perioperative nursing care instrument in the medical records of patients with fracture cases. The research sample consisted of 106 medical records with total sampling. The dependent variable of this study was the implementation of the perioperative nursing care instrument based on SDKI, SLKI, and SIKI. Data were collected using observation sheets and analyzed using descriptive analysis. Results: Applying the diagnosis of nursing care according to the standard the risk of infection is (27.36%), acute pain (20.75%), and the risk of injury (2.83%). The application of nursing outcomes according to standards is the infection rate (27.36%), pain level (20.75%) and fluid balance (2.83%). Conclusion: The nursing interventions, implementation, and evaluation of nursing are not according to the Indonesian Nursing Intervention standards (SIKI). The application of perioperative nursing care instruments, which includes titles, diagnoses, and outcomes, is partly following SDKI and SLKI standards. Nursing interventions, implementation, and evaluation of nursing are not according to standards.

Introduction: Antiretroviral therapy is an important factor in improving the quality of life of HIV sufferers, but a complex problem in HIV sufferers is a trigger factor for non-compliance in undergoing ARV therapy. The purpose of this study was to explore the experience of people living with HIV/AIDS (PLWHA) undergoing antiretroviral treatment. Methods: This study was a qualitative phenomenological study, with a sample of 13 HIV patients (10 men and 3 women) who were taking antiretroviral therapy for more than one year; they were recruited using purposive sampling techniques, and data were collected through in-depth semi-structured interviews, field notes and document reviews. Data were analyzed using the Colaizzi method which consists of nine stages. Results: There were six themes that emerged from the experience of PLWHA undergoing antiretroviral therapy and these became the subject of this study, namely knowledge of HIV disease and antiretroviral drugs, self-motivation, social support, and skills in undergoing treatment (self-management), adherence, and quality of life. Conclusion: Of the six themes that emerged, poor knowledge (understanding of the disease and its treatment), social support and self-management were the main factors that were obstacles to and causes of treatment failure; this was due to the unpreparedness for receiving information at the beginning of treatment, lack of motivation, and ignorance in behavior when people had problems with medication.

Introduction: Errors when filling in or interpreting the results of the EWS assessment causes delays and inaccuracies for the nurses when providing a clinical response. The aim of this study was to explain the relationship between the nurse’s knowledge and skill with the speed and accuracy of the nurse when assessing via EWS. Methods: This study used a correlation design with a cross-sectional approach. The sample consisted of 104 nurses working in the inpatient ward of internal medicine according to the inclusion criteria. The sample was obtained through purposive sampling. The independent variable was the nurses’ knowledge and skill while the dependent variable was the nurse’s speed and accuracy when assessing using the EWS. The instruments used were questionnaires and observation sheets. The data was analyzed using Spearman Rho. Results: The results of the study showed that there was a very strong correlation between the knowledge-accuracy of the nurses when assessing using the EWS (r = 0.805; p = 0.000) and the nurse's skill-accuracy when assessing using the EWS (r = 0.823; p = 0.000). There was a strong correlation between the knowledge-speed of nurses assessing using the EWS (r = 0.269; p = 0.006) and the nurse's skill and speed when assessing using the EWS (r = 0.262; p = 0.007). Conclusion: The nurse’s knowledge and skill has a stronger relationship with accuracy when assessing using the EWS when compared to the nurses' speed.

Introduction: Stroke is the leading cause of disability at a productive age. Hemiparesis upper limb is an example of a disability that is found post-stroke, which limits self-care such as eating, bathing, toileting and dressing. The purpose of this study was to determine the effect of a combination of mirror therapy and cylindrical grip on improving self-care of post-stroke patients. Methods: The design of this study was quasi-experimental (pre-post test with control group design). The population was post-stroke patients who experience upper limb hemiparesis in the Medical Rehabilitation Poly. A sample of 66 respondents (33/33) was chosen using purposive sampling. The independent variable was a combination of mirror therapy and cylindrical grip, and the dependent variable was self-care. Data were collected using a self-care questionnaire with strong validity and reliability. Analysis was undertaken using Kolmogorov Smirnov and Wilcoxon Sign Rank Test. Interventions were given three times a week for a month. Results: In the intervention and control groups there were significant differences between self-care before and after the intervention with a value of 0.000 (p

Introduction: Breast self-examination (BSE) is the most sensitive and cost-effective method to diagnose breast cancer at an early stage in healthcare resources’ limited setting. However, the practice of BSE is low in Myanmar. Although various international studies were conducted to clarify the influencing factors in irregular BSE practice, there is a range of different factors and the answer is not yet clear. Hence, this study is aimed to explore the influencing factors on the practice of breast self-examination among Myanmar women. Methods: A qualitative exploratory-descriptive study was conducted on eight women through in-depth semi-structured interviews between February 2020 and March 2020. The samples were women who lived in the rural area of Myanmar and purposive sampling technique was used. Data were analyzed using Colaizzi’s method, which consisted of seven stages. Results: Four themes emerged as the results of the in-depth interview, namely knowledge of breast cancer, knowledge regarding breast self-examination, barriers to performing regular BSE and ways to improve BSE practice. Conclusion: This study showed that the women were inadequate in knowledge and practice regarding BSE and breast cancer. Some barriers of BSE practice are rooted in the inadequate skill of BSE and the women’s attitude. Greater understanding about breast cancer and improving the confidence of women in BSE will lead to better prognosis. Hence, healthcare authorities and providers should encourage a formal health education program and the results from this study hope to be useful in future rural health education programs of BSE practice.

Background: Self-management and support in managing therapeutic regimens is very important for patients with CKD. Information technology-based interventions are increasingly being used to support the self-management of patients with CKD. This study aimed to conduct a systematic review to evaluate information technology-based interventions in relation to the support of the health management of patients with CKD. Method: We conducted a systematic review using electronic databases (Scopus, Science Direct, ProQuest) limited to the last 8 years from 2010 to 2018 with the relevant keywords. The studies included used RCT, pilot and case-control methods focusing on patients with CKD stage 1-5 and that reported on at least one outcome from the health management of patients with CKD. Result: Out of the 7.852 studies taken, 13 studies fulfilled the inclusion criteria. The interventions in this systematic review are multifaceted, including smartphone/PDA (6/13), telematics devices (2/13), internet/web (3/13) and a combination of several interventions (2 studies). In total, 12 (92%) out of the 13 studies showed a positive outcome from the intervention, 7 studies showed improved outcomes in the clinical points, 3 studies had improved adherence and 2 studies improved knowledge. Conclusion: This evidence indicates the potential of IT-based interventions (i.e. smartphone/PDA, computer, internet/web, telematic device) to support the health management of patients with CKD. The variety of interventions in this systematic review requires further research on which interventions are best applied.

Introduction: Family resilience is the process of adaptation and coping in the family as a functional unit. A lack of family involvement in the care programs for TB sufferers is one of the factors of concern. The purpose of this study was to analyze the indicators of the family resilience of patients with pulmonary TB. Methods: This study used an observational analytical method with a cross-sectional approach. The study population was the families of new pulmonary TB sufferers in the Surabaya area, taken using the rule of the thumb guideline with a sample of 130 respondents. The sampling technique using was systematic random sampling. The variables in this study were the stages of family resilience: survival, adaptation, acceptance, growing stronger and helping others, which were measured using a questionnaire. The data was analyzed using second CFA. Results: The results showed that the family resilience model is also the fit model. This refers to the results of the goodness of fit test. Family Resilience = 0.724 Survival, Family Resilience = 0.762 Adaptation, Family Resilience = 0.945 Acceptance, Family Resilience = 0.783 Growing Stronger and Family Resilience = 0.879 Helping Others. Conclusion: The results of this study provide information on the stages of family resilience and the ability of each stage so then it can be used as a reference when developing family nursing care plans for patients with pulmonary TB.

Background: The ability of families to care for avoidant restrictive food intake disorder children is still low. There is only few studies that examined relationship between family factor to ability to care children with avoidant restrictive food intake disorder. The purpose of this study was to identify the influence of socio-demographic factors on the ability of families to represent children with avoidant restrictive food intake disorder. Method: The study design was cross-sectional, and the majority of samples were gathered using the rule of the thumb, totaling 245 participants. The sampling technique used a type of multistage sampling. Data were collected by questionnaire. We then conducted an analysis of the univariate data using frequency distribution, while for the bivariate data, we used the chi-square technique. All of the data was processed using IBM SPSS 23.0 statistics. Results: The results showed that the ability of care from the families (health promotion behavior) of children with avoidant restrictive food intake disorder was influenced by the socio-demographic factors, namely maternal age (p= 0.010), the number of children (p= 0.047) and education (p= 0.036). Conclusion: Young mothers need appropriate guidance and direction through good health education. Good health education in young mothers can reduce the pressure faced by the mothers when caring for their children with avoidant restrictive food intake disorder. Health promotion behavior is influenced by maternal education and maternal age. Through good mother's education, the mother will be able to provide a good pattern of care to children who experience avoidant restrictive food intake disorder.

Introduction: Low birth weight (LBW) infants are very susceptible to illness. LBW treatment with the principle of preventing infection is very important at home. The purpose of this study was to determine the relationship between maternal knowledge and family support with the prevention of infection at home. Methods: This study used a correlation design. The samples were 160 mothers who had low birth weight infants with inclusion criteria mothers give birth to babies weighing less than 2,500 grams with ages 0-2 months. The samples were obtained through purposive sampling. The dependent variable was the mother's ability to prevent infection while the independent variable was the mother's knowledge and family support. The instruments used were questionnaires. This research analyzed using Spearman Rho. Results: The results showed that there was a strong correlation between knowledge and the ability to prevent infection in treating low birth weight (r = 0.696; p = 0.00) and that there was a moderate correlation between family support and infection prevention ability when treating a low birth weight (r = 0.54. p = 0.000). Conclusion: Factors of maternal knowledge about infection prevention and family support need to be considered in increasing the ability of mothers to care for babies with LBW. The factor of maternal knowledge about prevention of infection has a strong correlation value when compared to family support factors. Further research is needed on the model of increasing maternal knowledge about LBW infants during home care.

Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia. Methods: This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025). Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.

Introduction: Patients with coronary heart disease (CHD) may experience various physical, psychological or spiritual issues. A holistic mind-body spiritual nursing care (MBS) model is needed to help patients' cope with the issues. This study aimed to develop an MBS nursing care model for CHD patients. Method: The study employed a crossectional design with 110 CHD patients participated in the study. Respondents were asked to fill out questionnaires to gather the required data. Criteria for respondent selection were Moslem, aged 40-75 year, medical diagnosis of CHD, and haemodynamically stable. The independent variables were focal, contextual and residual stimuli, while the dependent variables were coping and spirituality. Data were analyzed using partial least square. Results: The results show that the mind-body-spiritual nursing care formed focal stimuli. Spirituality is formed by focal, contextual, residual stimuli and coping style. Nursing care significantly affects spirituality, shown by T-statistics of 6.795. Spirituality can be explained by patience, endeavour toward wellness, and offer the results only to God by 72%, while the rest is explained by other factors. Conclusion: MBS nursing care model has a strong relationship with spirituality. This model needs to be applied in a further research to see its effectiveness in improving spirituality and expression of cardiovascular risk inflammatory markers.

Introduction: Taking care of schizophrenia patients is challenging and causes stress for the family involved. The study was conducted to identify the predictors of family stress present when taking care of a patient with schizophrenia. The ABCX Stress Theory of Hill was used as the theoretical framework. Methods: This study used a correlational design. The sample was 137 families who were caring for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The data was collected by a questionnaire and analysed by multiple regression to determine the relationship of the family’s structure, family knowledge, the burden of care, stigma, social support, the patient's illness duration, the patient’s frequency of relapse and the patient's severity level with family stress. Results: The results showed that the family’s stress was predicted by the family’s structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the patient’s frequency of relapse (p=0.005). The burden of care was the strongest predictor of family stress (Beta= 0.619). Conclusion: The patient's frequency of relapse and stigma were other kinds of family stressor. The stressors stimulated a negative perception, called the care burden. Limited adequacy of the family structure-function will inhibit the family in using other resources, creating family stress. Nurses may develop an assessment format that consists of the family stress predictors in order to create a nursing care plan specific to reframing the techniques of family stress management.

Introduction: Children with leukemia desperately need serious attention, commitment and it is a hard struggle for family members. Powerlessness experienced by the family will affect the ability of the families to provide care for their children. Many factors can affect the empowerment of families in providing care to their families. Methods: The purpose of this study was to develop a family-centered empowerment model related to the family's ability to care for their child suffering from leukemia. The research design used was an explanation survey. The sample consisted of 140 families with children suffering from leukemia in the pediatric ward of Dr. Soetomo Hospital. Results: The family-centered empowerment model was formed from the family factor, patient factor and nurse factor. The greatest effect was on the nurse factor, with the T statistic value = 6.590. Conclusion: Family factors and nurse factors need to be taken into account in family-centered empowerment. The patient factor has little influence on family empowerment in relation to caring for children. More research is needed on family-centered empowerment models in relation to their ability to care for children with leukemia. For example, a nurse providing a nursing intervention, especially a pediatric nurse, in relation to empowering a parent at the time of caring for their child with leukemia.

Introduction: The quality of the nurse-patient interaction is one factor that affects the patient adherence, but a study that provides an overview of factors in the nurse-patient interaction in improving or maintaining dialysis patient adherence has not been found. The aim of this study was to provide an overview of the various factors involved in the interaction process between nurses and patients undergoing dialysis in relation to their adherence to fluid and dietary restrictions. Methods: A qualitative research design with an interpretive phenomenology approach was used in this study. The researcher intends to interpret the findings of the research, in this case the activity of the dialysis patients, in order to get a picture of the various factors involved in the process of interaction between nurse and dialysis patient. The unit of analysis used in this study was the disclosure or exposure of the internal factors of the nurse-patient interaction process, especially in relation to fluid and dietary restrictions. There were 15 participants who were selected based on the inclusion criteria. In-depth interviews, with field notes, were used in this study as the data collection method. Results: The analysis of the theme based on the goal of the research includes grieving, needs and values/morals, but in this article, the researchers only describe one theme - grieving. Conclusion: This result provides an overview of the findings on nurse-patient interaction factors that can serve as baseline data for the development of nursing care, both in nursing assessments and interventions aimed at improving dietary adherence and the fluid restriction of dialysis patients.

Introduction: The performance of nurses in a hospital is influenced by the mental and emotional state of the nurse; the higher the workload, the greater the work stress of the nurse. It is a necessity to conduct research to explain a quality of nursing work life model based on the context of Indonesian nurses. Methods: The research process consisted of two stages: observational analytic and model trial. The first phase used cross-sectional design with cluster random sampling technique and obtained 102 samples. The second stage used a quasi-experiment design with pre-post test with control group design and obtained 33 samples. The data was analysed by Partial Least Squares and paired t-test analysis. Results: It was found that the number of the nurses with Burnout Syndrome in the hospital was 67.6%. The depersonalisation indicator in the low category was 73.5%, and the high category of self-achievement indicators had 89.2%. Conclusion: It can be concluded that improving the performance of care services is more effective through improving the quality of nursing work life. This study found that the nurses’ quality of life affected the increased nursing work service because their working scope involves interacting with other professions and the environment.

Background: The improvement of nursing student competency currently is still being an issue for the majority of nursing education institutions in Indonesia. This is due to partnership with hospitals has not been supported by adequate policies and other factors. Objectives: The purpose of this study was to identify the appropriate model in improving student competency in a clinical study. Design used in this study was observational study with cross-sectional approach. Methods: The research design used cross-sectional approach with involving five hospitals (Fatmawati Jakarta Hospital, Hasan Sadikin Bandung Hospital, Kariadi Semarang Hospital, Sardjito Yogyakarta Hospital, Soetomo Surabaya Hospital) and five universities namely Muhammadiyah Jakarta University, Padjajaran Bandung University, Gadjah Mada Jogjakarta University, Diponegoro Semarang University, Airlangga Surabaya University. Three hundred and eighty-four participants were recruited from these sites. Data were analyzed using multiple logistic regression. Results: The result showed that partnership contributed 3,36 times, the patient variations 2,96 times, job description of clinical educator 2,30 times, a role model 2,28 times, expertise of faculty educator 2,08 times, toward the achievement of student competency in clinical study. Conclusions: It can be concluded that partnership aspect, the patient variation, job description of clinical educator, role model, expertise of faculty educator, and level of education have significant role to improve the achievement of student competency in clinical study. The results of this study can be used by nursing educational institutions, hospitals and government to organize nursing education model that has been present for more optimal achievement of student competencies.

Introduction: The achievement of the geriatric health programme is still under a number of government targets and the research about the satisfaction of elderly in contributing to this program still limited. This study aims to identify the correlation between the service quality of a geriatric health programme in the community with the satisfaction of older adults. Methods: The research design was cross-sectional and involved 277 elderly people as the respondents. The service quality was measured using a service quality (SERVQUAL) questionnaire with three different sub-variables of input, process and outcome. The elderly people’s satisfaction was examined using several parameters including reliability, assurance, tangibles, empathy and responsiveness (RATER). The data obtained from the questionnaires was analysed using the Spearman Rho test with a significance level of

Introduction: Patient safety is one of the demand of people who need health services. The hospital is required to fulfill the patient's safety goals. Nurses as health care providers have a risk of making mistakes and it can result in harm to the patient. The purpose of this research was to develop model of supervision based on experiential learning in the implementation of patient safety goals. Method: This research used explanatory survey. The samples were some of nurses who assigned to the ward of UNAIR hospital. The samples were selected by using stratified random sampling technique with total of 100 respondents. The variables in this research are supervision based on experiential learning and the implementation of patient safety goals. The data collection used questionnaires. The data were analyzed by using Partial Least Square (PLS). Result: The results of this study indicate that organizational characteristics and individual characteristics influence supervision based on experiential learning. Characteristics of the organization contruct by two indicators namely rewards and leadership systems. For individual characteristics, there are also two indicators that contribute on it, they are the ability and motivation. Supervision based on experiential learning affects the implementation of patient safety goals. Discussion: Supervision based on experiential learning uses four stages: concrete experience, reflective observation, abstract conceptualization and active experimentation. Supervision affects the implementation of patient safety goals by nurses in the hospital.

Introduction: The main problem of inpartu mother was a labour pain and anxiety. The etiology of labour pain has been determained by dilatation and cervic’s tickness. The objective of this study was to examine the effect of hypnobirthing relaxation on the pain tolerance and anxiety responses in labor. Method: A pre experimental static group comparison purposive sampling design was used in this study. Population were all pregnant women in age of pregnancies between 38 until 39 weeks at RSUD Wangaya Denpasar. There were 12 respondents who met to the inclusion criteria divided into 6 respondents were given hypnobirthing relaxation intervention and 6 respondents as the control group. The independent variable was hypnobirthing relaxation and dependent variables were tolerance of pain and anxiety responses. Data were collected by using observation and questionnaire, then data were analyzed by using Mann Whitney U Test with significance level p=0.05. Result: The result showed that hypnobirthing relaxation had an effect on the pain tolerance and anxiety responses (p=0.015. Discussion: It can be concluded that the hypnobirthing relaxation has an effect to increase the pain tolerance and to decrease anxiety responses in active phase of labour. It is recommended to the hospital that have an ante natal care to hypnobirthing relaxation technique. Further studies should measure the effect of hynobirthing relaxation on increasing of β-endorfin in active phase labour.

Introduction : Leprosy is one of contagious illness which generates complex situation. The main problem of this study was faced by family in taking care of leprosy. Purpose of this research was to analyze the effect of applied family nursing care to knowledge and prevent dissability patient of leprosy. Method : Design used in this reseach was pre experiment. The population of this study was all family and patient of leprosy in Puskesmas Taliwang-Nusa Tenggara Barat, whom deal directly with the client. Data were analyzed using wilcoxon signed rank test and fisher exact probability test with level of significance α ≤ 0,05. Result : Results showed that applied family nursing care is an early preventing and continued care is one of the methods to increase family knowledge and prevent the dissability of leprosy reaction to the patient.Discussion : It is recomended that the involvement of the family in caring is important.

Introduction : The succeeded of the tuberculosis treatment depends on the obedience of the patient in taking the tuberculosis’s medication assisted by the direct observed treatment shortcourse (DOTS) to refrain resistancy and dropping out of the program. The aimed of this study was to analyze the correlation between DOTS’s role with the successfullness of lung’s tuberculosis treatment program at Bajawa city. Method : A cross sectional simple random sampling design was used in this study. Population were all the Direct Observed Treatment Supervisors and patients who have had finished their treatment of tuberculosis. Sample were 43 respondents. The independent variables in this study were the role of the DOTSs, education level, family support, motivation and the DOTSs attitude. The dependent variables were the patient’s obedience in taking medication and the evaluation of the acid fast bacterias in their sputum. Data were collected by using questionnaire and observation sputum the to evaluate acid fast bacteria. Data were analyzed by using Spearman Rho with significance level with α

Introduction :Retirement is separation process of individual from their work that is being paid from their position or occupation. Retirement may change psychological responses. The aimed of this study was to analyze the influence of peer group support in psychological responses changes from public servant in retirement preparation phase. Method : This study was used an quasy experimental pre-post test purposive sampling design. Population were 18 respondents who will retire on 2009 and 2010 in Mardiwaluyo General Hospital Blitar. Sample were 16 respondents divided into 8 respondents each for treatment and control group. The independent variable was peer group support and dependent variable was psychological responses. Data were collected by using questionnaire before and after peer group support intervention. Data then analyzed by using Mann Whitney U Test and Wilcoxon Signed Rank Test with significance level α≤0.05. Result: The result showed that peer group support didn’t have an influenced in denial respons (p=0.301), anger respons (p=0.317), bargaining respons (p=0.079) and depression respons (p=0.300). Otherwise peer group support have an influenced in acceptance respons (p=0.049). Discussion: The result of this study has enlightened the important of retirement preparation phase to provide positive psychological responses. Further studies are recommended to extend this recearch with considering biological and spiritual responses.

Introduction:Parental awareness of the earliest milestones considerably lower than of the later milestones. To raise parental awareness, Pathways Awareness’ brochure (PAB) can be used by the parents. The objective of this study was to examine the effect of health education of Pathways Awareness’ brochure to the behavior of parental early identification in child (3-15 months) early development. Method: This study used Quasy-Experimental design. Population had taken from parents who have a child from 3 until 15 months. Sample was comprised in to 30 individuals who fit with the inclusion criteria. Sample was divided by two groups, one group as intervention group, and another one as control group. The independent variable in this study were health education of Pathways Awareness’ brochure. The dependent variable was the behavior of parental early identification in child (3-15 months) early development. Data was collected by questionnaire of family knowledge, family attitude, and family action. They were analyzed by Wilcoxon Signed Rank Test with significance level α

Introduction: Oral mucositis could affect children’s health status. The purpose of this study was to identify the difference of effectiveness between gargling with povidone iodine 1% and normal saline solutions in 5-15 years old children who received chemotherapy. Method: This study used pre-experiment static group comparison design. There were 18 respondents who divided into 2 treatment groups and 1 control group. The independent variable was gargling use solutions of povidone iodine 1% and normal saline and the dependent variable was oral mucositis.The level of mucositis measured using multiple variable mucositis rating scales then analyzed by means of statistical test mann whitney u test with significance level of α≤0.05. Result: The result showed that there were no difference between gargling use solutions of povidone iodine 1% and normal saline (p=0.930). Analysis: Thus normal saline as good as povidone iodine 1% to prevent oral mucositis. It can be concluded that there was no difference between the use of povidone iodine 1% and normal saline as mouthwash to prevent oral mucositis. Discussion: It is recommended that patient with chemotherapy should be gorgled with povidone iodine and normal saline.

Introduction: Aging process represent the natural process which cannot obtivated. It caused by biological factor that goes naturaly and continuously that influence the anatomical, biochemical and physiological change. The natural change in this aspect giving contribution of falling on elderly. The objective of this study was to compare falls prediction on elderly using Berg Balance Test and Time Up and Go Test. Method: Design used in this study was comparative study design. The population was 28 elderly. Total sample was 20 elderly enrolled by means of purposive sampling, taken according to inclusion criteria. The independent variabels were Berg Balance Test and Time Up and Go Test The dependent variabels were falls prediction, falls, and falls influence factors. Data were colected using Berg Balance Test, Time Up and Go Test and questionnaire that modify from Minnesota Safety Council Fall Prevention Checklist. Data were then analyzed using kruskall-wallis test and mann-withney test with level of significance α≤0.05. Result: The result showed that Berg Balance Test (BBT) and Time Up and Go test (TUGT) had differences falls prediction with significance level of p=0.014. Analyze :The dominant factors that caused of falls was gait. Time Up and Go Test (TUGT) has valid prediction than Berg Balance Test (BBT) it showed by difference smaller score from comparator test score. Discussion: It can be concluded that TUGT more appropriate than BBT to predict the falls insident in elderly. Further studies should be consider to used carioca activity model as falls prevention in elderly.

Introduction : Asthma’s symptoms are commonly persistent in each asthmatic client, but they could be controlled. This control directly refers to asthma level of control. It could be affected by asthma risk factors and preventive behavior to exposures, but the correlation between them is still unclear because the development of asthma is not fully understood and very complex. The objective of this study was to explain the correlation between asthma risk factors and preventive behavior to exposures to asthma level of control. Method : This study used cross-sectional design and involved 41 respondents which are taken by simple random sampling. Data were collected using questionnaires and then analyzed by using Spearman Rho correlation with level of significance ≤0.05. Result : Result showed that asthma risk factors had correlation with asthma level of control (p=0,032), but preventive behavior to exposures had no correlation with asthma level of control (p=0,095). Analysis : It can be concluded that asthma level of control has correlation with asthma risk factors. Preventive behavior has no correlation with asthma level of control could be caused by the differences between the respondents preventive behavior and the recommended one. Discussion : It indicates possible errors or unsuitability in preventive behavior to asthma risk factor exposures. However, preventive behavior to asthma risk factors exposures is still necessary in order to decrease asthma symptoms.

Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses. Method : This study used cross-sectional design involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05. Result : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139. Analysis : It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.

Introduction: Shift work, primarily night shift may worsen some health disturbances because it changes especially circadian rhythm. Therefore, it may lead to sleep disturbance, increased vital signs (heart rate, respiration rate and blood pressure), bowel disturbance, reaction times, conscious stage and increased work stress. The objective of this study was to analyze the correlation between shift work and Nurse’s circadian rhythm. Method: These study was cross sectional with nurses in Flamboyant Intermediate Surgical Ward Dr. Soetomo Hospital Surabaya as subjects. Samples were recruited by using total sampling and there were 15 samples as on inclusion criteria. Data were analyzed using Paired t-Test, Krusskall-Wallis, Wilcoxon, Mann-Whitney, Anova and Chi-Square with significance level α≤0.05. Result: The result showed that shift work had no correlation with nurses’ work stress (p=0.221). Nurses stress stage had no differences in three of shift (p=0.757). While shift work had correlation with nurse’s circadian rhythm disturbance (p=0.038) and night shift had differences circadian rhythm disturbance (p=0.038). Discussion: It can be concluded that there was correlation between shift work and circadian rhythm disturbance, however there is no correlation between shift work and work stress. Further studies are recommended to identify the dominant factor which cause work stress for nurses.

Introduction: Justicial proceeding is able to make any stress or anxiety for everyone that through on it, especially if the process happens on teenagers. The stressor which can make stress in justicial proceeding are the justicial proceeding that doesn’t go along with UU RI No. 3 tahun 1997, i. e. children justicial process, fearness of parents and friend lost, worried about his future, and new neighborhood that is not appropriate with the child’s psychology development. The presence of family is very important to give a social support to the arrested teenagers.The objective of this study was to know the correlation between family social support and post judegement stress in teenagers and the factors of stress in teenagers. Method: This study use Cross Sectional design. Population had taken from teenagers from 13 until 17 years old. Sample was comprised in to 12 individuals who fit with the inclusion criteria. The independent variable in this study was family social support and factors of stress in teenagers, and the dependent variable was post judgement stress in teenagers. Data was collected by measurement using Mood and Feeling Questionnaire (MFQ) for stress, questionnaire of family social support, and interviewed. They were analyzed by Spearman’s test with significance level α

Introduction: Quality and quantity of sleep dissorder are the commonest problems that faced by elderly. These problems can increase activity of sympathetic nerve and muscle stress. Javanese traditional music is one of the method to increase the fulfillment of the need of sleep. The objective of this study was to analyze the effect of Javanese traditional music on the fulfillment of the need of sleep in elderly. Method: Design of this study was a pre experimental design. The population was elderly with sleep disorders in Panti Sosial Tresna Werdha Blitar. There were 12 respondents which recruited by using purposive sampling who met to the inclusion criteria. The independent variable of this study was the Javanese traditional music and the dependent variable was the fulfillment of sleep in elderly. Data were collected by using structured questionnaire and biophysiological measurement and then analyzed by using Wilcoxon Signed Rank Test and Paired t-Test with level of significance α≤0.05. Result: The result showed that there was an effect of Javanese traditional music on quality of sleep (p=0.001), had an effect to increase the duration of sleep (p=0.00001), beside that it could reduce heart rate (p=0.001) and respiratory rate (p=0.00001). However, Javanese traditional music did not had significant effect to reduce sistolic blood pressure (p=0,104) and diastolic blood pressure (p=0339). Discussion: Conclution: Javanese traditional music had significant effect on the fulfillment of the need of sleep in elderly. Further research should measure the effect of Javanese traditional music on the fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Graphy).

Introduction: Discharge planning is a nurses learning process of patients hospitalized in the hospital. Discharge planning includes all treatments given to the patients from the time of admission, during hospitalization, until the time of discharge. The aimed of this study was to evaluate the patient’s compliance for therapy (oral and injection medicine, nutrition and activities). Method: A quasy experimental purposive sampling design was used in this study. There were 14 respondents with DHF and GE who met to the inclusion criteria. The independent variable was Discharge planning and the dependent variable was patient’s compliance for therapy. Data were collected by using questionaire of medicine, nutrition and activity then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05. Result: The result showed that discharge planning had significance influence to patient’s compliance for therapy (p= 0.028). Discussion: It can be concluded that discharge planning has an effect to increase patient’s compliance for therapy (oral and injection medicine, nutrition and activities).

Introduction: Patients with HIV/AIDS may have various types of psychological responses. It was very difficult situation for them. Difficulty can measured by using Adversity Quotient. As a nurse, we can give extrinsic motivation to bring back the patient HIV/AIDS’s quality of life. The objective of this study was to identify the presence effect of extrinsic motivation on Adversity Quotient in patients with HIV/AIDS in Infectious Disease Intermediateatery Treatment Unit, Dr. Soetomo Hospital, Surabaya. Method: This study was used a quasy experimental purposive sampling design. The population was taken from ambulatory patients. There were 16 respondents who met to the inclusion criteria. The independent variable was extrinsic motivation and dependent variable was Adversity Quotient. Data were collected by using questionnaire and interview, then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level p=0.05. Result: The result revealed that there was an effect of extrinsic motivation on Adversity Quotient of patients with HIV/AIDS (p=0.017). The extrinsic motivation was found to have an effect on control response (p=0.027) and origin response (p=0.028), there was no influence of extrinsic motivation on ownership response (p=0.334), reach (p=0.129) and endurance (p=0.161). Discussion: It can be concluded that the extrinsic motivation with intervention of social support has a positive effect on the improvement of Adversity Quotient in patients with HIV/AIDS. Further studies should measure the effectiveness of Adversity Quotient training on acceptance response in patients with HIV/AIDS.

Introduction: Exposure to pathogens is a serious issue for nurses. The literature explains that standard precaution have not consistently done in nursing. The purpose of this study was to analyze the factors affecting the compliance of nurses in Myanmar in performing standard precautions. Methods: This study used a cross-sectional design. Samples included 34 nurses in Waibagi Specialist Hospital (SHW), Myanmar. The independent variables were the characteristics of nurses, knowledge of standard precaution, and exposure to blood / body fluids and needle puncture wounds. The dependent variable was the performance of standard prevention. Data analyzed using descriptive analysis and logistic regression. Results: The result showed that almost respondents (91.18%) had a good knowledge about prevention standards and 73.5% of respondents had good adherence in performing standard precaution. However, in practice nurses have not been consistent in closing the needles that have been used correctly. The results showed that nurse characteristics did not significantly affect adherence to standard precaution with statistical test results as follows: age (p = 0.97), gender (p = 1.00), religion (p = 0.72), education (p = 0.85), work experience at SHW (p = 0, 84), education training program (p = 0.71), knowledge (p = 0.76), and needle stick injury (p = 0,17). But, there was a significant influence between adherence to standard precaution on the incidence of injury due to puncture needle with p value = 0.01. Discussion: The barriers to applying standard precautions by Myanmar nurses can be reduced by providing basic training, supervision and improvement of operational standard procedures.

Introduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing’s task. The purpose of this study is to develop nurses’ performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital. Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument’s was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses’ performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70. Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server. Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result.

Introductions: Medication error is one of many types of errors that could decrease the quality and safety of healthcare. Increasing number of adverse events (AE) reflects the number of medication errors. This study aimed to develop a model of medication error prevention based on knowledge management. This model is expected to improve knowledge and skill of nurses to prevent medication error which is characterized by the decrease of adverse events (AE). Methods: This study consisted of two stages. The first stage of research was an explanative survey using cross-sectional approach involving 15 respondents selected by purposive sampling. The second stage was a pre-test experiment involving 29 respondents selected with cluster sampling. Partial Leas square (PLS) was used to examine the factors affecting medication error prevention model while the Wilcoxon Signed Rank Test was used to test the effect of medication error prevention model against adverse events (AE). Results: Individual factors (path coefficient 12:56, t = 4,761) play an important role in nurse behavioral changes about medication error prevention based in knowledge management, organizational factor (path coefficient = 0276, t = 2.504) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. Work characteristic factor (path coefficient = 0309, t = 1.98) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. The medication error prevention model based on knowledge management was also significantly decreased adverse event (p = 0.000, α