IJNP (Indonesian Journal of Nursing Practices)

Various Stressors of Indonesian Nurses Working in The Netherlands: A Preliminary Study

Ferry Dwi Cahya Riftana — 2024-12-03

Background: Working abroad certainly has challenges, especially when the job involves high responsibilities, such as being a nurse. The combination of the job tasks and the foreign environment potentially led to more stress, particularly for migrant nurses, including Indonesian nurses who work in the Netherlands.

Objective: This study aims to explore the types of stress experienced by nurses from Indonesia working in the Netherlands.

Methods: This qualitative research employed interview techniques and a literature review. The data were analyzed using coding systems in Microsoft Excel. Seven questions were used to conduct online interviews in October 2023 with five Indonesian nurses employed in the Netherlands. Simultaneously, a literature review was carried out by searching for publications on Wiley Online, Google Scholar, PubMed, Springer, and Science Direct. Journal articles found were then selected according to predetermined criteria. Seven questions were used to conduct interviews with five Indonesian nurses who were employed in the Netherlands.

Results: The results of the interviews and literature review demonstrated that the types of stress for Indonesian nurses working in the Netherlands are physiological and psychological stress (in terms of the nature of the stressor), negative stress (in terms of the effect of stress on the individual), and acute stress (in terms of the duration of exposure to the stressor).

Conclusion: Indonesian migrant nurses in the Netherlands experience physiological and psychological stress with negative effects, highlighting the need for further research with a larger sample size for more credible and diverse results.

Mothers' Experiences in Caring for Stunted Toddlers: A Qualitative Study

Yossy Utario — 2024-12-03

Background: Stunting is a condition characterized by the failure to thrive in toddlers, attributed to chronic malnutrition, resulting in shorter stature relative to their age. Mothers play a crucial role in the care of stunted toddlers.

Objective: This study aimed to explore and describe the experiences of mothers in caring for stunted toddlers, employing a qualitative study with a phenomenological approach.

Methods: The participants in this study comprised ten mothers serving as the primary caregivers for stunted toddlers aged between 19 and 36 years. Participants were purposively selected, with criteria including being the primary caregiver and a willingness to participate. Data collection involved interviews and observations, and the analysis was then conducted using the Collaizi technique.

Results: The findings of this study revealed six overarching themes: breastfeeding history, variations in complementary feeding, a spectrum of emotions experienced by mothers, wishes for their children, the need for a robust support system, and barriers to feeding. Mothers' experiences in caring for stunted toddlers can provide valuable insights into their needs so that interventions can be designed to address the problems faced by other mothers of stunted toddlers.

Conclusion: Mothers' experiences in caring for stunted toddlers can provide valuable insights into their needs so that interventions can be designed to address the problems faced by other mothers of stunted toddlers.

Enhancing Diabetic Foot Ulcer Healing: The Role of Channa striata Extract Nutrition in Accelerating Inflammatory, Proliferative, and Maturation Phases

Idramsyah Idramsyah — 2024-12-03

Background: Diabetic foot ulcers pose a severe complication for individuals with diabetes mellitus, necessitating effective therapeutic support such as albumin nutrition throughout the wound healing process. Derived from Channa striata, a commonly consumed source of albumin in Indonesia, this extract can potentially expedite wound healing.

Objective: This study aims to evaluate the efficacy of Channa striata extract nutrition in accelerating the inflammatory, proliferative, and maturation phases of diabetic foot ulcer healing.

Methods: This quantitative study employed a pra-experimental design using a single-group pretest-posttest approach. The study involved 30 diabetic patients who were administered a daily dose of 550 grams of Channa striata extract over four weeks. The Bates Jensen Assessment Tool (BWAT) assessed wound progress.

Results: Results revealed that the average participant age was 60.2 years, with an average diabetic history of seven years. The average wound duration was 8.7 weeks; 66.7% of the participants were female; 70% had Non-Insulin Dependent Diabetes Mellitus (NIDDM); and 56.7% were at stage IV. The study found a significant difference in BWAT scores before and after the administration of Channa striata extract in diabetic foot ulcer patients.

Conclusion: This study supports the effectiveness of Channa striata extract as an adjunct therapy in expediting the wound-healing phases in diabetic foot ulcers.

The Effect of Physical Exercise on Post-COVID-19 Survivors: A Scoping Review

Nur Aini — 2024-12-03

Background: Post-COVID-19 survivors or patients show deterioration in respiratory function, physical symptoms, musculoskeletal strength, quality of life (QoL), and psychological problems due to persistent symptoms. These symptoms are associated with mitochondrial dysfunction, reduced antioxidants, and oxidative stress. Physical exercise has been proven to positively affect general and psychological health.

Objective: This study intended to explore physical exercise's effect on post-COVID-19 survivors.

Methods: Literature in this scoping review was searched from seven databases, including Embase, PubMed, CINAHL, Cochrane, Scopus, Ovid-MEDLINE, and Web of Science. A manual search from Google Scholar and citations from previous meta-analyses were also performed. The keywords are “physical exercise” OR “physical activity” AND “post-COVID” OR “Long COVID.” Studies were included if involving patients with post-COVID diagnosis. However, studies that did not focus on post-COVID-19 focused on respiratory rehabilitation and had no complete data were excluded from this review.

Results: 33 studies from 1.909 were included (30 from databases and three citations from previous meta-analyses). Physical activity for post-COVID survivors can improve lung function, exercise capacity, functional capacity, physical symptoms (for instance, pain, fatigue), psychological or QoL, and also biochemical and hematological variables (for example, platelets, red blood cells, white blood cells, hemoglobin, hematocrit, creatinine, and urea).

Conclusion: Physical activity programs may represent an important supportive therapy for post-COVID-19 survivors. Therefore, health workers are encouraged to closely monitor respiratory parameters or post-COVID-19 patient symptoms and motivate patients to perform physical exercise.

Intervention Model to Increase Muscle Strength in Stroke Patients: A Systematic Literature Review

Hernita Kus Haryanti — 2024-12-03

Background: Stroke remains the most common cause of death and disability. Stroke may suffer from several neurological disorders, including hemiplegia, communication disorders, cognitive disorders, and visual-spatial cognitive disorders.

Objective: The purpose of this study was to look at how strength training affected stroke patients' muscle strength.

Methods: A systematic search for this review used PubMed, ProQuest, Science Direct, Springer Open, Directory of Open Access Journal (DOAJ), and Wiley Online Library using the keywords “strength training (strength training OR strength exercise)” AND “muscle strength” AND “stroke” AND “randomized controlled trial” NOT (systematic review OR meta-analytic). Journals are appraised using the Critical Appraisal Skills Programme (CASP) JBI 2020 the synthesis method used is narrative synthesis. To analyze the agreement between reviewers using the Interclass Correlation Coefficients (ICC) test, with the ICC result being good (r = 0.79; 95% CI, 0.53, 0.92) against the quality assessment of the selected article

Results: 15 articles fully reviewed from 2018-2023. Muscle strengthening exercises are the most effective method for enhancing muscle strength in stroke patients. The research results show that strength training tends to increase the patient’s muscle strength if it is done from the start of a stroke and is carried out for 4-6 weeks of training.

Conclusion: The results emphasize the value of strength training regimens for stroke victims in order to avert life-threatening impairment

Correlational study on Obesity Indicators and Blood Pressure in Productive Age Group

Annisaa Fitrah Umara — 2024-12-03

Background: Hypertension causes various health problems worldwide, including in Indonesia. High blood pressure that occurs in productive age and unmanaged properly can increase various risks of disease which amya lead to health burden nationally and globally. . Currently, the lifestyle of the productive age group contributes to obesity and hypertension, amplifying the risk factors for increased Cardiovascular Disease (CVD).

Objective: This study aimed to analyze the relationship between obesity indicators and blood pressure in the productive age group.

Methods: A survey was conducted at a total of 150 respondents aged 25-64 years who had jobs, had no impaired physical mobility, and had no pregnancy. . Measurements included Systolic and Diastolic Blood Pressure, Body Mass Index (BMI), waist circumference, Waist to Height Ratio (WHtR), and Waist to Hip Ratio (WHR). The data was analyzed using the Pearson correlation test.

Results: The majority of the respondents were male, aged 30-39 and 40-49 years, normal range of BMI and waist circumference, but WHR and WHtR on high risk. More than half of the total respondents in the productive age group had blood pressure in the normal range. There was a strongest positive correlation between waist circumference with SBP and BMI with DBP.

Conclusion: Individuals in the productive age group with higher waist circumference and BMI are more prone to elevated blood pressure. Regular health screening and lifestyle change intervention are crucial to prevent hypertension in the productive age group.

Learning Culture from the Perspective of the Successful Indonesian Nurse Competency Examination

Syaifurrahman Hidayat — 2024-12-03

Background: The Indonesian Nurse Competency Examination (INCE) is a strategic component that determines the output of nursing graduate students. The varied geographical conditions of the various islands in Indonesia can influence access and quality of education, causing students to have a more inclusive perspective. The learning culture of Indonesian nursing students is unique and generally carries over to higher education, notably nursing profession education.

Objective: The purpose of the study is to explain the learning culture model from the perspective of the success of the nurse competency examination and the relationship between learning culture and the success of the nurse competency examination.

Methods: A qualitative and quantitative combination research (mixed method) with a sequential-exploratory design was employed. Stage 1 used descriptive qualitative methods. While data collecting used structured interviews, the sampling technique utilized snowball with (n=9), and data analysis used Sandelowski content analysis. Stage 2 was an observational analytical design with a retrospective approach involving 74 nursing students at Wiraraja University who lived in the Indonesian student area. Data analysis then employed the Structural Equation Model (SEM) test to find variables that significantly influence the success of INCE.

Results: Stage-1 produced three themes: Theme-1: background of the learning environment concerning facilities utilization and searching strategy for learning resources; Theme-2: learning activities including learning styles, learning motivation, and self-confidence and abilities; Theme-3: learning habits comprising learning methods, concentration, and repeating the learning material. In stage 2, the result revealed that learning environment background (p=0.031), learning activities (p=0.021), and study habits (p=0.028) were significantly related to the success of the INCE on students.

Conclusion: The learning culture of Indonesian students from the perspective of success in the INCE is formed starting from the pre-graduate level and continuing at the higher and professional levels.