Nurse and Health: Jurnal Keperawatan

THE IMPLEMENTATION OF DIABETIC SELF-MANAGEMENT IN INDONESIA AND TAIWAN HOSPITAL: A CASE STUDY DESIGN

2021-10-16T13:11:55+07:00

Background:

Population of people with diabetes mellitus (DM) are increasing every year. As a chronic illness, patients with DM needs to practice self-management for life. Adopted the nursing system in other countries that are more advanced in DM care, however the study is still under investigation.

Objectives: primary objective was to analyze the diabetic Self-management among the Indonesian and Taiwan population in Hospital. Secondary was to develop theory-guided and/or evidence-based nursing model in the self-management among diabetic patient with practical issues.

Methods: We used a case study design by discussion across the multi-discipline of health care provider point of view, observation and brief interview session with patient, observe the health care model, learning process of health education between nurse and patient and whole application of the health education, at Veteran Hospital in Taiwan and Manambai Abdulkadir Hospitals in Indonesia.

Results: Education system related to self-management of DM patients have been running and prepared by the Veteran hospital in Taiwan. The health system for diabetes management was called by diabetes shared care. Nurse, nutritionist and doctor have similar opinions about self-management in DM patients in Taiwan but different perspective among health professionals in Indonesia. The process of applying of evidence-based nursing practice and guidelines for providing health education to patients in Veteran Hospital Taiwan was using guidelines from the diabetes federation of China (Taiwan), on the other hand, standard operating procedure in Hospital in Manambai Abdulkadir Hospital, Indonesia, it is due to different policy in each country.

Conclusion: The model of self-management might can be successfully be applied in clinical setting with several strategies by resolve the challenges. Hopefully, this study can be providing valuable information to the health professionals in order to provide the best service for patients with DM.

A EXPLORATION FACTOR ANALYSIS, VALIDITY AND RELIABILITY TESTS OF THE SELF-TRANSCENDENCE SCALE ON HIV/AIDS PATIENTS

2021-10-16T12:24:34+07:00

Background: The impact of HIV/AIDS affects the patient's life, both psychologically and physiologically to lower the level of Self- transcendence. So far, the measure to determine the level of self-transcendence in HIV/AIDS patients has not been established in Indonesia.

Objectives: The purpose of this study is to conduct a test of the validity and reliability of self-transcendence questionnaires in HIV/AIDS patients.

Design: This study was conducted cross-sectional study.

Methods: This research was conducted in the HIV group in Semarang with a total of 100 respondents. This research was carried out in August 2020. Data is collected using the purposive sampling method in patients who meet inclusion criteria, namely patients who are undergoing ARV therapy and residing in the Semarang area, and willing to be respondents. Statistical test methods used to test the validity and reliability of questionnaires are person product movement and reliability analysis.

Results: The validity and reliability test using SPSS 23 software shows the entire question item has a validity result of >0.164 and the reliability test results show Cronbach's alpha 0.886 result means the entire question item in the Self-transcendence Scale questionnaire is valid and reliable.

Conclusion: The results showed that the Self-transcendence scale can be used to measure levels of Self-transcendence in PEOPLE with HIV/AIDS.

SOCIETY DIMENSIONS REVIEWED FROM LOSS & GRIEVING IN COVID-19 PANDEMIC ERA

2021-10-16T12:37:56+07:00

Background: Covid-19 pandemic has spread across the world and is having an impact globally. The rules for handling the Covid-19 pandemic force people to change their habits and patterns of daily life. Covid-19 has brought dramatic changes to our lives, including many losses. However, change or transition experienced by the community due to the Covid-19 pandemic can cause loss and grief (Rosyanti&Hadi, 2020).

Objectives: This study aims to determine society dimension variables with loss and grief in Covid-19 pandemic era.

Methods: Correlational analytic with cross sectional approach. A sample of 278 respondents with accidental sampling technique. The instrument used a questionnaire distributed by social media which included data on community dimensions and instrument loss and grieving community facing the Covid-19 pandemic. The validity and reliability of the research instrument were tested using the Cronbach's Alpha test. Descriptive analysis with process analysis, analytic analysis with chi square test and Spearman's Rho at a significance level of 5%.

Results: Based on age, adolescence to early adult are mostly in the anger stage (33.3%), adult and the elderly range are in the Bargaining stage (50.76-70%). Based on gender, male (48.4%) and female (57.2%) are in the Bargaining stage. Based on the education: basic until higher education, more than half of them are in the Bargaining stage (42.8-54.4%). Based on occupation, most respondents who do not work are in the anger stage (50%) government employees, general employees, self-employed and still in school are in the Bargaining stage (47.2-61.8%).

Conclusion: The length of time the incident occurred, the cultural context, the similarity of policies, and the territorial background of the Indonesian State greatly influenced the loss and grieving stages, making the majority of the grieving stages in the Bargaining stage.

CORRELATION BETWEEN BODY FAT PERCENTAGE AND TOTAL CHOLESTEROL LEVELS TO HYPERTENSIVE ELDERLY WOMAN IN MADIUN

2021-10-16T12:30:34+07:00

Background: Patients with hypertension have twice as great exposed to heart disease and eight times as large as a stroke risk than who do not experience hypertension. Risk increase in blood pressure on the person who has overweight than people with normal weight. Women who have increased cholesterol levels in the blood more vulnerable for hypertension (Nikolov et al., 2015).

Objectives: The purpose of this research aimed to determine a percentage of body fat and cholesterol levels of the elderly women in Posyandu, Geger Subdistrict, Madiun who occurrence of hypertension.

Methods: This research using cross sectional design. The sample using purposive sampling technique with 38 respondent which satisfy the inclusion criteria. Instrument used is Bioelectrical Impedance Analysis tool. Statistical test used is spearman rho with a significance level of ? < 0.05.

Results: The results of this study showed that significant relationship between body fat percentage and blood pressure (p-value = .033; r = .304). Meanwhile, total cholesterol level did not show any relationship with blood pressure (p-value = .429; r = -.132).

Conclusion: Fat Accumulation in the kidneys where the renin-angiotensin system is identified in human fat tissue, can cause impaired nephron function which causes blood pressure to rise. Thus, abdominal obesity accompanied by ectopic fat deposits can play an important role in the development of hypertension and should not be neglected when undertaking blood pressure-lowering therapy.

EFFECTIVENESS E- LEARNING IN THE PANDEMIC TIME COVID 19 TOWARDS STUDENTS 'LEARNING MOTIVATION

2021-10-16T12:28:08+07:00

Background: This pandemic has caused many changes in various aspects of life including education. This change happened so fast and did not allow us to make preparations and anticipation so that the impact would not be so great. Learning at this time is more directed at modernization activities with the help of advanced technology with the hope of helping students digest lecture material in an interactive, productive, effective, inspirational, constructive, and fun way.

Objective: The aim of the research was to prove the effectiveness of e-learning during the Covid-19 pandemic on the learning motivation of students in the Nursing Study Program at STIKES Bina Sehat PPNI Mojokerto.

Methods: The research design used in this research is comparative exploratory which is used to describe and mention the differences and similarities of the subject under study. The sampling technique in this study used simple random sampling approach. The sample in this study was partly students in semester 6, with a sample size of 120 respondents. Collecting data using a questionnaire. This questionnaire is a modification of the previous questionnaire from Nursalam (2016) with a likert scale distributed by google form.

Results: Based on the data on the effectiveness of E-Learning, most of the respondents answered that it was quite effective as many as 79 respondents or 66%, while the motivation of the students was mostly less motivated in learning as many as 89 respondents or 75%. Spearman Rho Statistical Test are obtained ? = 0.000 with the Correlation Coefficient (r) = 0.318 which indicates a weak relationship.

Conclusion: The presence of online learning methods (E-Learning) makes students motivated to learn again. During this pandemic period, it is hoped that students will remain motivated to learn and continue to attend lectures through E-Learning with various media.

PSYCHOSOCIAL SUPPORT IN SELF-ACTUALIZING MAYER ROKITANSKY KUSTER HAUSER SYNDROME WOMEN

2021-10-16T12:37:15+07:00

Background: Self-concept is an individual's mode to completely see his personality, dealing with intelligence, emotion, spirituality, physical form, or social form. It provides continuity, consistency, and completeness for an individual. An individual with excellent self-concept could maintain their feeling of stability and positive behaviors directed for himself or other people. From the data of the MRKH community, thirty-three people were suffering MRKH in Indonesia.

Objectives: This research explored the self-concept experiences of women with Mayer Rokitansky Kuster Hauser syndrome.

Methods: This research is qualitative research with a phenomenological approach Interpretation. The data were collected from an in-depth interview with a structured design for seven participants.

Results: Such reproduction organ problems influence their life qualities because they think that a perfect woman's identity is to have a normal reproduction organ. This problem also influences their psychologies and have psychological and emotional traumas as well as self-concept changes. However, they tried to endure it and actualize themselves because they obtained support from their families and the MRKH community.

Conclusion: The states suffered by women with reproduction system problems influenced their psychological stabilities. The participants' medical teams should collaborate with psychiatrists and psychologists to foster a positive self-concept of the participants. Psychological counseling could improve their self-confidence and foster positive self-concepts.

THE RELATIONSHIP OF PHYSICAL DISTANCING WITH MENTAL HEALTH OF INDONESIAN COMMUNITY DURING COVID-19

2021-10-16T12:28:43+07:00

Background: The spread of the COVID-19 virus has spread widely throughout the world, which affects various aspects (Lebov et al., 2017). Several aspects affected by the transmission of the COVID-19 virus are psychological / mental health impacts caused by the implementation of policies from various countries in the form of a physical distancing system (Ornell, Schuch, Sordi, & Kessler, 2020).

Objectives: Analyze the relationship between physical distancing and the mental health of Indonesian community during Covid-19.

Methods: The cross-sectional study design. The sample of the study was the Indonesian people affected by the covid-19 pandemic who were taken based on purposive sampling with complete answer criteria as many as 1,090 respondents. The research instrument consisted of 2 questionnaires, including: a method questionnaire in physical distancing practices methods consisting of 11 items of physical distancing application to prevent the spread of the Covid-19 virus as recommended by World Health Organization. The Self-Reporting Questionnaire-29 is a questionnaire issued by the Directorate of Mental Health Services of the Indonesian Ministry of Health with the domains of anxiety and depression, psychomatics, symptoms of psychotic disorders, trauma stress. Parametric statistical tests used the Pearson test (p-value < 0.05).

Results: The results obtained a p-value of 0.03, which means that there is a physical distancing relationship with the mental health of the Indonesian people during Covid-19.

Conclusion: There is a significant relationship between physical distancing and the mental health of the Indonesian people. Recommendations for health workers, especially nurses in providing health services to the community, must be more comprehensive and recognize client responses to prevent psychological impacts.

THE EFFECT OF HEALTH EDUCATION ON ADOLESCENT KNOWLEDGE ABOUT ANEMIA

2021-10-16T12:15:29+07:00

Background: Anemia experienced by young women often occurs when they are menstruating. Young women must have knowledge about these conditions, so that they can overcome these problems properly.

Objectives: The purpose of this study was to determine the effect of health education on the level of knowledge of adolescents about anemia.

Methods: The research design used in this study was pre-experimental with a one-group pre-post test design approach. This research was conducted at the Islamic Boarding School of Tahfizh Putri Alfirdaus Hidayatullah, Sekardangan, Sidoarjo on February 28, 2021. The sampling technique used in this study was total sampling. The number of samples in this study were 24 respondents. This study uses health education materials about anemia for the treatment given and a modified questionnaire from Zulaekah's (2007) knowledge level questionnaire with a Cronbach Alpha value of .594. This research was conducted by providing health education to respondents about anemia. Before the health education was carried out, the researcher conducted a pre-test to measure the respondent's level of knowledge. After the health education was carried out, the researcher conducted a post-test to evaluate the respondents' level of knowledge about anemia. The statistical test carried out in this study is the Wilcoxon Signed Rank Test with significant level ? < 0.05.

Results: Based on data analysis using the Wilcoxon Signed Rank Test, it was found that there was an effect of health education on the level of adolescent knowledge about anemia (p-value = .011).

Conclusion: It is important to provide health education about anemia to young women, so that they can find out what conditions they experience when they are anemic due to menstruation. Health workers are expected to provide this health education through health counseling or education.

ASSOCIATION BETWEEN DURATION AS A FISHERMAN, DISTANCE OF HEALTH FACILITIES AND SMOKING WITH PTERYGIUM'S DISEASE IN FISHERMAN IN BENGKULU

2021-10-16T12:26:25+07:00

Background: Fishermen are a high risk group for developing pterygium. The high frequency of exposure to UV, wind, dust and sand when working makes the prevalence of pterygium among fishermen quite high. The city of Bengkulu, which is geographically located on the west coast of Sumatra Island which is directly facing the Indonesian Ocean, makes the majority of its population work as fishermen.

Objectives: This study aims to determine the relationship between duration of being a fisherman, distance to health facilities and smoking with pterygium disease in a group of fishermen in, Bengkulu.

Methods: Analytical observational research with case control design. The sample of 120 fishermen consisted of 40 cases and 80 controls, because researchers used a case-control ratio of 1:2. Sampling using purposive sampling method. The dependent variable was pterygium disease. Independent variables of duration as a fisherman, distance of health facilities and smoking. The research instrument uses a structured questionnaire that has been tested for validity and reliability with Alpha Cronbach value (0.996) > r_table. Data were analyzed by Chi Square.

Results: Based on the research results, it was found that there was a significant relationship with duration as a fisherman (? 21 years) (OR = 3.980; 95%CI = 1.404-11.284; p = 0.006) with pterygium disease. There is no relationship between smoking (OR = 1.246; 95%CI = 0.559-2.778; p = 0.590) with pterygium disease. There is a significant relationship between the distance of health facilities (OR = 5.133; 95%CI = 2.249-11.715; p = 0.000) with pterygium disease.

Conclusion: The length of time working as a fisherman increases the risk of developing pterygium disease as the frequency of exposure to UV, dust, wind and sand increases. It is necessary to use personal protective equipment to reduce the risk of exposure and education from health workers so that the public can take good preventive measures.

RELATIONSHIP OF AGE AND NUTRITION STATUS WITH WORK FATIGUE IN INPATIENT NURSES AT DR M YUNUS HOSPITAL, BENGKULU

2021-10-16T12:25:44+07:00

Background: Nurse is a profession that cannot be separated from the problem of work fatigue. Fatigue due to work will have a negative impact on work such as decreased accuracy, skill, and even work productivity. If this happens to nurses, it can put the patient at risk, decreasing the quality of service. Work fatigue is caused by several factors, such as worker characteristics, namely age, sex, education, nutritional status, and work environment factors (Tarwaka, 2013). Nurses have a fairly heavy duty in assisting emergency services and nursing services continuously for 24 hours so that nurses sometimes eat irregularly which can cause nutritional conditions to be disturbed (Astuti, Ekawati, & Wahyuni, 2017).

Objectives: The purpose of this study was to determine the relationship between age, nutritional status and subjective work fatigue in inpatient nurses at dr. M Yunus Bengkulu.

Methods: The research design was an analytic survey with a cross sectional approach. The population of this study were 128 nurses in the inpatient room with total sampling technique. The data collection instrument is a work fatigue feeling questionnaire consisting of 17 questions adopted from (Setyawati, 2010) which has tested the validity and reliability in her book entitled at a glance about work fatigue, a nutritional status questionnaire by taking physical measurements of body weight and height to determine BMI, and age questionnaire with units of years. Data analysis used chi square test with 95% degree of error if p-value ? 0.05 indicates a significant relationship and if > 0.05 is not significant.

Results: This study shows that there is no relationship between age and subjective work fatigue on nurses with a p-value = 0.107 > ? = 0.05. And there is a relationship between nutritional status and subjective work fatigue on nurses with a p-value = 0.000 > ? = 0.05.

Conclusion: Work fatigue that occurs in nurses is expected to be an important concern, nurses should maintain a healthy body by consuming balanced nutritious food and diligent exercise and adequate rest, so as to reduce the risk of fatigue due to work.

THE EFFECTIVENESS OF DIETS PROGRAM FOR PREECLAMPSIA ON BLOOD PRESSURE CONTROL AMONG PREGNANT WOMEN IN SOUTH TANGERANG

2021-10-16T12:23:39+07:00

FACTORS AFFECTING NURSE ANXIETY IN ROLE AS A CAREGIVER DURING THE COVID-19 PANDEMIC

2021-10-16T12:22:17+07:00

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020).

Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic.

Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression.

Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062).

Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.

ANALYSIS OF DETERMINANT FACTORS OF AFFECTING FAMILY ABILITY IN HIGH-RISK PREGNANCY

2021-10-16T12:27:38+07:00

Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus.

Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies.

Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS.

Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ??(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96.

Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early.

EFFECTIVENESS LEARNING USING THE GOOGLE CLASSROOM APPLICATION ON UNDERSTANDING OF NURSING STUDENTS ABOUT DISASTER MANAGEMENT

2021-10-16T12:27:12+07:00

Background: Online learning with the help of information and communication technology is very helpful in the current Corona Virus Disease 19 pandemic.

Objectives: This study aimed to determine the effect of learning using google classroom on the understanding of the concept of Disaster Management in undergraduate students of Nursing at Nahdlatul Ulama University, Surabaya.

Methods: Pre-experimental research design with one group pretest posttest design. The population of all undergraduate nursing study program students and a sample of 30 students by simple random sampling was carried out for 3 months, June-August 2020. Data collection was in the form of a questionnaire about knowledge about disaster management. Statistical test using the Wilcoxon Sign Rank Test.

Results: The results of statistical tests obtained a significance value of 0.000 (p value <0.005) which means that there is an effect of using the google classroom method on students' understanding of management.

Conclusion: Students' understanding improves after receiving material on hate through google classroom.

THE EFFECT OF THE USE OF SCRUB, CONSUMPTION OF TRADITIONAL HERBAL AND EXCLUSIVE BREASTFEEDING WITH THE DEVELOPMENT OF UNDERAGE INFANTS FROM 12 MONTHS IN MADURA COMMUNITY, EAST JAVA

2021-10-16T12:16:00+07:00

Background: The tradition that is still attached to the Madura community even though they have received higher education is to maintain the culture of their ancestors which is perceived to be true, restricted movement, use of body scrubs, drinking herbal medicine, and giving food to babies early. This will continue to be implemented by their children and grandchildren as long as the problem is believed to be the best tradition (Kamariyah, 2019).

Objectives: The purpose of this research was to analyze the effect of using scrubs, consumption of herbs, and exclusive breastfeeding with the development of infants less than 12 months in the Madura community of East Java.

Methods: This research used analytical research design. the population is postpartum mothers and infants under the age of 12 months in the Madura community, East Java, with population of 30 people, a sample of 26 respondents simple random sampling. The independent variables are the use of scrubs, consumption of herbal medicine, and exclusive breastfeeding, while the dependent variable is infant development. Data collection was done by means of interviews and observations, and the analysis of the data used was the Mann-Whitney test. The results of the Mann-Whitney statistical test with significance level 0.05.

Results: The result was 0.002 < ? 0.05 so that H0 was rejected, which means that there is an influence of the tradition of consuming herbal medicine with the breastfeeding, the result is 0.022<0.05 so that H0 is rejected, which means that there is an influence of the tradition of exclusive breastfeeding. with the development of infants aged less than 12 months in the Madurese community of East Java. Conclusion: Consumption of herbal medicine, use of scrubs and exclusive breastfeeding will increase the development of infants before the age of 12 months in the Madurese community of East Java.

Conclusion: Expected to apply the existing culture while still paying attention to the science that develops according to its era, for health workers to disseminate the knowledge obtained and change the mindset of the community.

JURIDICAL REVIEW OF HEALTH PERSONEL PROTECTION AS A LEADING GUARD IN EFFORTS TO ACCELERATE THE HANDLING OF COVID-19: A NARRATIVE REVIEW

2021-10-16T12:13:10+07:00

Health workers who are handling patient of SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona Virus 2) or better known as the Coronavirus are legal subjects who carry out their obligations properly at their leader command, ruled accordance with the legal corridors, obtained the law right and protected from positive legal norms. This narrative research aims juridical review for protection the health workers during coronavirus pandemic. Using literature that obtained by looking materials and sources that match the theme and related them. Protection of health workers as the frontline in efforts to accelerate the handling of the coronavirus pandemic. Civil Servants who served during the Covid-19 pandemic will get a promotion one level higher. The incentive budget for medical personnel comes from a budget reallocation that has been set by Mr. President Joko Widodo for 16.63 trillion in 2020. This award is in the form of compensation and for health workers who fail, the government awards “Bintang Jasa Pratama” and “Bintang Jasa Nararya”. The government provides protection by issuing various policies to protect health workers as the frontline in efforts to accelerate the handling of coronavirus disease 2019.

Keywords: Health workers, legal protection, Covid-19.

COGNITIVE BEHAVIOURAL THERAPY TO REDUCE DEPRESSION IN POST STROKE PATIENTS: A SCOPING REVIEW

2021-10-16T12:17:37+07:00

Background: Post-stroke depression is one of the psychological disorders that is often experienced by post-stroke patients. Depression is more than just sadness. People with post-stroke depression will experience a lack of interest and pleasure in daily activities, weight loss or excessive sleep, lack of energy, inability to concentrate, feelings of worthlessness or guilt and recurring thoughts of death or suicide. Based on several types of post-stroke depression management, psychosocial interventions have been shown to reduce the likelihood of developing post-stroke depression. One of the interventions to reduce post-stroke depression is cognitive behavioral therapy.

Objective: This scoping review aims to identify the effectiveness of cognitive behavioral therapy to reduce depression in post-stroke patients.

Design: This study used a scoping review through a review of articles on cognitive behavioral therapy that has been used to reduce depression in post-stroke patients.

Data Sources: Search for articles accessed through a database, including: CINAHL, MEDLINE, Academic search ultimate, PubMed, and google scholar with a range of search years 2011-2020.

Review Methods: Quality appraisal assessment for each selected study was conducted using the Preferred Reporting Items for scoping review (PRISMA) method.

Results: The results of this literature review show that cognitive behavioral therapy to reduce depression in post-stroke patients can change thoughts, feelings and behaviors to influence each other. The relationship between thoughts, feelings and behavior greatly influences respondents in dealing with post-stroke conditions with a positive way of thinking so that it will accelerate or help the post-stroke recovery process. The way to implement cognitive behavioral therapy is to be given as many as 12 sessions in 25-35 minutes each session. Cognitive behavioral therapy can be done in a hospital and has a significant post-stroke depression rate with p <0.01.

Conclusion: Cognitive behavioral therapy can be given as an intervention to reduce depression in post-stroke patients including cognitive behavioral therapy, duration of cognitive behavioral therapy and sessions in cognitive behavioral therapy.

IMPLEMENTATION OF EARLY WARNING SYSTEM IN NURSING WARD: A LITERATURE REVIEW

2021-10-16T12:14:46+07:00

THE ROLE OF EMERGENCY NURSING IN NEW NORMAL ADAPTATION: A NARRATIVE REVIEW

2021-10-16T12:13:55+07:00

The new normal for nurses is a push to revitalize the profession, especially for emergency nurses. Many patients with COVID-19 will be asymptomatic or minimally symptomatic. The role of Emergency Nurses as frontline in Pandemic have to adaptation with new standard for guideline personal protection equipment. The purpose of this study was to discuss the role of Emergency Nursing in in new normal adaptation during pandemic of Covid-19. This is a theoretical reflection based on the scientific literature. The pandemic emphasizes the importance of nursing care for the preservation of life and the right to health, and the Nursing Now Campaign echoes the demand for recognition of nursing practitioners who are at the frontline fighting of the COVID-19. Nursing practitioners have vital role as care giver, educator, advocacy, researcher and agent of change. Emergency of nursing have vital role in new normal adaptation as frontline. Nursing must consider its own worth, expand its potential for lifelong learning role as care giver, educator, advocacy and researcher, and be mindful be agent of change.