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Belitung Nursing Journal
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
Articles
206
Articles
UTILIZING POETRY TO ENHANCE STUDENT NURSES’ REFLECTIVE SKILLS: A LITERATURE REVIEW

Uligraff, Deby Kristiani

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

The notion of reflective practice has been considered important in healthcare professionals’ practice. In nursing, particularly in developed countries such as the United Kingdom, Canada, Australia, it has been set as a required competence for registration. Some action has been taken to support the achievement of competent and reflective practitioners, including embedding reflection in the nursing pre-registration education curriculum. In the past twenty years, there has been focus on using art-based initiatives to help student nurses to reflect on their clinical experience. Amongst the art forms, poetry has been used as a reflective tool. Many studies found that poetry could be helpful for developing students’ reflective skills. This literature review was conducted to identify the feasibility and promising benefit of using poetry to increase student nurses’ reflective skills. A comprehensive search of the literature and integrative review were undertaken for reviewing and discussing the evidence-based literature that supports the using of poetry as a reflective tool. A critical and narrative approach was undertaken for 16 relevant literature related to the importance of reflection in practice, the promising potential to enhance students’ reflective skills during academic education, and how poetry might promote students’ reflective skills. The literature review showed that using poetry in education have been carried out, and have yielded positive results. It is promising to note that the development of reflective practice, as required to be an attribute of a registered nurse, could be stimulated and achieved by the employment of poetry as a reflective tool in clinical education. The literature review also demostrated that using poetry as a reflective tool in nursing education is both feasible and worthwhile. Therefore, it is proven that using poetry as a means of reflection in an education setting is beneficial and valuable. 

A LITERATURE REVIEW IN TRIAGE DECISION MAKING: SUPPORTING NOVICE NURSES IN DEVELOPING THEIR EXPERTISE

Yuliandari, Kurnia Putri

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Emergency nurses often find themselves doing triage under time pressure and with only limited information, while the accuracy and rapidity of triage assessment may well determine a patient’s safety. A question may emerge as to whether novice nurses, who may have lack of experience and knowledge, could deal with such a demanding practice. Equipping novice nurses with important aspects in triage decision-making processes is pivotal. The aim of this literature review is to identify potential elements that could be utilised as supports for novice nurses in developing their expertise of making decision in triage. This study employed CINAHL, ScienceDirect, and PsycINFO to find relevant articles, using search terms “triage”, “decision-making”, “clinical decision-making”, combined with “expert”, and “novice”. The publication dates of those articles ranged from 1990 to 2015. 1487 articles was found and sorted based on inclusion and exclusion criteria, resulting in seventeen articles that had been used in this study. Literature review suggests four important elements for developing novices’ expertise in triage decision making: understanding the difference of novices’ and experts’ performance, critical analysis on theoretical approaches of clinical decision-making processes, defining factors that may influence nurses’ triage decision making, understanding errors that might be made by novices, and using appropriate learning strategies.

THE RELATIONSHIP OF DEMOGRAPHIC AND ADMISSION EXAM SCORES WITH FIRST SEMESTER GRADE POINT AVERAGE IN TWO COHORTS OF FIRST YEAR NURSING STUDENTS

Sommers, Christine Louise, Wirawan, Grace

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Background: As nursing programs in Indonesia admit students, it is important that student factors are identified that provide information about necessary resources that are needed to support the student, both academically and psychosocially, to succeed in the nursing program. Obejctive: The purpose of this study was to use regression analysis to analyze admission and academic data of two cohorts of nursing students to know what relationship that information has with first semester grade point average (GPA).Methods: A descriptive correlation design was used. In a previous study with one cohort of nursing students, the researcher found that the variables accounted for only 28% of the variance. This research added the variable of age, increased the categories for region of origin from five to seven, increased the categories for type of high school from three to four, and analyzed the data from two cohorts. Data from 947 students were included for analysis.  Mulivariate linear regression was used to analyze the variables of city of origin, attendance at pre-nursing course, gender, age, type of high school, and admission exam scores to determine the relationship, if any, between the first semester GPA of nursing students in a large university in an urban area of Indonesia. Results: A significant relationship (p<.05) was found between experience factors, attribute factors, and academic metric factors and first semester GPA. For students admitted in 2016, the study variables accounted for 30% of the variance in GPA; for students admitted in 2017, the study variables accounted for 37% of the variance in GPA.Conclusion: It is important that student factors are identified that provide information about succeeding in the nursing program, both academically and psychosocially.  Additional research is needed to identify other admission factors and any factors in the first semester that may also have a relationship with GPA. 

THE RELATIONSHIP BETWEEN NURSES PERCEPTIONS AND SELF-EFFICACY IN IMPLEMENTING PALLIATIVE CARE IN THE INTENSIVE CARE UNIT

Kurnia, Theresia Avila, Trisyani, Yanny, Prawesti, Ayu

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families.Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU.Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis.Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000).Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses beliefs in their abilities.

THE CORRELATION BETWEEN FAMILY FUNCTIONING AND QUALITY OF LIFE OF CAREGIVER OF CHILDREN WITH LEUKEMIA

Fadhilla, Annisha, Nurhidayah, Ikeu, Adistie, Fanny

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Background: Quality of life of caregiver of children with leukemia is important because it can affect the quality of care provided and can affect the health of children and the caregiver themselves. One of the factors that influence the caregiver’s quality of life is the family functioning. However, a few number of research on the correlation of family functioning in the caregivers situation.Objective: The aim of the study was to analyze the correlation between family functioning and the caregiver’s quality of life of children with leukemia.Methods: This study used a Quality of Life Family Version questionnaire and a Family Assessment Device questionnaire. The populations in this study were all parents (father or mother) who were the primary caregiver of children with leukemia aged 0-15 years and were being treated at a referral hospital in West Java, Indonesia. Thirty-two respondents were determined by a total sampling technique. The data analysis used frequency distribution and chi-square.Results: The results showed that the family functioning and quality of life of the caregiver had the same results, 50% good and 50% poor. Correlation test in this study showed a negative value with p value > 0.05 (0.480), which indicated that there was no correlation between family functioning and the quality of life of the caregiver.Conclusion: The correlation between family functioning and caregivers quality of life was not significant. This is likely due to the variable family functioning and the caregiver’s quality of life having balanced results. The results of this study need to be followed up by providing nursing care holistically not only to children, but also to families, especially who are directly involved in child care.

MALAY CULTURAL PRACTICE AND CHILDBIRTH WITH TRADITIONAL BIRTH ATTENDANTS: A QUALITATIVE STUDY IN WOMEN OF PRODUCTIVE AGE IN WEST BORNEO INDONESIA

Lestari, Lilis, Ramadhaniyati, Ramadhaniyati

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Background: The decline in Maternal Mortality Rate (MMR) in developing countries still does not meet the target of Sustainable Development Goals (SDGs). The rise of childbirth with the help of traditional birth attendants and cultural practices still becomes the choice of women of productive age to give birth today. Objective: This study aimed to explore the Malay culture practice and childbirth with traditional birth attendants in women of productive age in West Borneo, Indonesia.Methods: This was a phenomenological study conducted on in 2018 in one district in West Borneo. Focus Group Discussion (FDG) was done with eight Malay tribal women who had given birth with the help of Traditional Birth Attendants (TBAs). Thematic analysis was used. Results: Cultural practices during pregnancy, childbirth and the care of newborns, the services of TBAs, and the economy factor were strong reasons for mothers to choose to give birth assisted by TBAs although they were aware of the risks. This study identified five main themes, namely: 1) Reason for choosing TBAs, 2) TBAs’ service, 3) Cultural trust in pregnancy, 4) Cultural trust in labor, and 5) Cultural trust in caring for newborns.Conclusion: Our findings revealed that culture and childbirth cannot be separated. Health practitioners should have different approach by involving culture and TBAs in childbirth among women of productive age in West Borneo Indonesia. 

FACTORS ASSOCIATED WITH PARTICIPATION OF NURSES IN EARLY DETECTION OF CERVICAL CANCER

Suantika, Putu Inge Ruth, Hermayanti, Yanti, Kurniawan, Titis

Belitung Nursing Journal Early View
Publisher : Belitung Nursing Journal

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Abstract

Background: The number of cervical cancer still remains high among women, including nurses in Indonesia. This is due to low participation of them to early detect and prevent it.Objective: This study aimed to identify the factors associated with the participation of nurses in early detection (pap-smear test) of cervical cancer at the hospitals in Bandung Indonesia.Methods: This was a correlational study with a cross-sectional approach on 286 nurses selected using cluster sampling at three hospitals in Bandung on March 2018. Data were collected using health belief model (HBM) questionnaire. Data were analyzed using Chi-square or Fisher exact and multivariate logistic regression test.Results: Factors associated with pap-smear behavior were the level of education, perceived susceptibility, perceived barrier and self-efficacy (p-value <0.05). Perceived susceptibility was the most correlated factor with pap-smear behavior with relationship strength (OR) of 16.259 and gave an effect of 27.89% as illustrated in the model equation of y = 0.324 + 2.789 susceptibility + 2.738 barriers.Conclusion: Pap smear behavior of the nurses was still relatively low because they had a negative perception of susceptibility to cervical cancer. Therefore, information is needed to change the nurses perception related to the susceptibility of symptoms and risk factors that encourages nurses to do the pap-smear and increase nurses awareness to actively participate in cervical cancer prevention program.

INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS

Siregar, Rinco, Stongpat, Sunantha, Wattanakul, Boontuan

Belitung Nursing Journal Vol 4, No 6 (2018): November-December 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Self-efficacy has been described as dominan factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers.Objective: This study was to determine the effect of exercise consultation program on self - efficacy to regulate exercise adults?? patients of type 2 diabetes mellitus.Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test.Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group.  Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05).Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adults patients of type 2 diabetes mellitus.

IMPACT OF HEALTH EDUCATION INTERVENTION ON KNOWLEDGE OF CERVICAL CANCER PREVENTION AMONG WOMEN IN BAHOROK??S VILLAGE, NORTH SUMATRA INDONESIA

Simanullang, Rostime Hermayerni

Belitung Nursing Journal Vol 4, No 6 (2018): November-December 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Cervical cancer is the second cancer disease that attacks women in the world, and it ranked the first in developing countries. It is expected that woman??s knowledge about cervical cancer will prevent the incidence among them.  Objective: To examine the effect of health education on the knowledge level of women about cervical cancer prevention.Methods: This was a pre-experimental study with one group pretest posttest at Bahorok??s Village, North Sumatra, Indonesia on April to May 2016. There were 36 samples selected using purposive sampling. Paired t-test was used for data analysis.Results: There was a significant difference in the mean value of women knowledge levels (p=0.004), with the increase of the mean of knowledge before intervention (mean= 1.0) and knowledge after the intervention (mean= 2.14).Conclusion: There was a significant effect of health education in increasing the level of women knowledge about prevention of cervical cancer. It is suggested that that health education should be done routinely to increase women knowledge in order to prevent cervical cancer.

THE EFFECT OF BODY REPOSITIONING ON HEMODYNAMIC STATUS IN PATIENTS WITH VASOPRESSOR THERAPY IN INTENSIVE CARE UNIT

Oktorina, Vica Sari, Nuraeni, Aan

Belitung Nursing Journal Vol 4, No 6 (2018): November-December 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Repositioning the patients every 2 hours were often not implemented during patient care. One of the causes perceived by nurses as contraindications to repositioning in critical patients is the use of vasoactive agents. This condition increases the risk of decubitus, decreased orthostatic stability and muscle atrophy.Objective: The purpose of this study was to identify the effect of body reposition on hemodynamic patients receiving vasopressor therapy in Intensive Care Unit (ICU).Methods: The research method used Quasi Experiment with non-equivalent control group design. The subjects were ICU patients who received vasopressor therapy. The respondents recruited using consecutive sampling technique for a-four month period and obtained 34 respondents, which was divided into control and intervention group. Data analysis used paired t-test to analyze the difference in the same group and unpaired t-test to test the difference between two groups.Results: Pre-post hemodynamic differences in the intervention group when patients were repositioned from supine to the right lateral and  right lateral to left lateral showed p> 0.05. The hemodynamic difference between  the control and the intervention group also had p> 0.05. The results showed there were no significant difference.Conclusions: In general, there is no effect of body repositioning on hemodynamic status. Critical nurses can perform body repositioning activities every two hours including in patients with vasopressor therapy to prevent complications of immobilization, still considerating contraindication condition.