Blended learning to promote professional behavior during the covid-19 pandemic: A pilot study

Background: Following the evidence concerning unprofessional behavior, a blended learning module for nursing students was developed to promote professional behavior. However, due to the Covid-19 pandemic, blended learning was modified into full online learning. This modification provided a new experience for both lecturers and students, especially during role-play videos through video conferences. This study aimed to examine educational interventions using blended learning modules to promote student perceptions of professional behaviors such as civility and professional role models in nursing education.

Methods: This study applied a pre and post-test design. This study used two questionnaires to assess respondents’ perceptions, including the civility index questionnaire and the professional role model questionnaire. A total of 44 respondents at a private nursing school in Jakarta were involved in the study. As the learning modality was shifted to fully online learning, only 20 respondents finished the intervention. Subsequently, only 17 students completed the questionnaires before and after the intervention.

Results: This study indicates a significant difference in student perceptions on classmate civility (p-value 0.08) before and after the intervention.

Conclusions: Students become more aware of expected civility from their classmates and have higher expectations on civil behaviors from their peers after participating in the study. Moreover, the role-play videos produced by students are also evidence that students were able to demonstrate civility-incivility instances in nursing education. Further research is recommended by involving a more significant number of respondents and using a control group to support the generalizability of study results.

Detecting nurse's personality models with disc

Background: The personality factor can detect a person's counterproductive behavior. Certain personality types determine a person's work style and the limitations and weaknesses of his performance. One tool used to detect personality types related to work style is the DISC personality model. This study aims to determine the behavioral type of nurses based on the DISC application.

Methods: This research used mixed methods. Research design begins with data collection and analysis using quantitative procedures, then continues with data collection and analysis. Quantitative approaches through descriptive analysis implemented a behavioral scale counterproductive and DISC personality profile using the DISC application. The DISC app helps organizations describe personality information, make decisions, and interact with team members and other stakeholders.

Results: Characteristics of respondents at Klaten Hospital consisted of 58.8% of respondents aged 20-40 and 41.2% of respondents aged 41.2%. From several respondents, it can be seen that the respondents' behavior is dominant and conscientiousness, with the overall scores, obtained being 38% and 35%. While the scores for the characteristics of influence and stability are 17% and 10%, respectively.  

Conclusions: Most nurses had dominant and conscientious personalities. The results came from four behavioral dimensions (dominance, influence, steadiness, and conscientiousness).

Chewing gum administration towards gastrointestinal motility on postoperative patients of PKU Muhammadiyah Gamping Hospital

Background: Surgical procedures involving anesthetics could cause a complication of the digestive tract called postoperative ileus (POI). POI complicates the patient’s recovery and prolongs the stay period at the hospital. One of the most common interventions to prevent POI is early-postoperative feeding (EPF) to stimulate gastrointestinal motility that will prevent POI. Still, EPF is considered to be unsafe, according to several studies. Because of the disadvantage of EPF, some studies seek an alternative to EPF, one of which is postoperative chewing gum. The study aims to test the effectiveness of chewing gum to stimulate gastrointestinal motility in postoperative patients of PKU Muhammadiyah Gamping Hospital.

Methods: The research utilized a quasi-experimental design with the post-test control group. The research’s samples are 30 postoperative patients of PKU Muhammadiyah Gamping Hospital. Samples were taken with probability sampling technique with purposive sampling approach. The effectiveness of chewing gum to stimulate gastrointestinal motility was determined by comparing the time record of the first bowel sound heard between the intervention and the control groups.

Results: The result shows that there is a significance of chewing gum intervention to stimulate gastrointestinal motility. The Meantime of the first bowel sound heard of the intervention group (2.00 ± 0.07) is shorter than the control group (2.36 ± 0.33). Comparison between the intervention and control groups shows significance with p-value = 0.02 (p<0.05 indicates importance).

Conclusion: Chewing gum intervention is effective in stimulating gastrointestinal motility in postoperative patients.

Determinants factors affecting the implementation of the COVID-19 health protocol in the community

Background: The COVID-19 case is a recent problem faced by people worldwide, including in Temanggung Regency. The local government has made various efforts to reduce the spread of the COVID-19 virus, namely by enforcing public health protocols such as physical distancing, prohibition of going to hometown, quarantine system, wearing masks, implementing handwashing and temperature measurement in every place to limiting community activities. However, many people have not obeyed the rules that the COVID-19 cases in the area increase. This study aims to identify the factors that influence the implementation of health protocols in the community in the Temanggung Regency.

Method: This study used a qualitative method. Data were collected using in-depth interviews with 12 participants consisting of the community, village officials, and health workers selected using the purposive sampling technique. The instrument used was an interview guide. In addition, unstructured observations were carried out to identify the community's implementation of current health protocols. The data validity test was conducted by triangulating sources, methods, and peer debriefings. Thematic data analysis was carried out using Open code 4.02 software.

Results: The results showed that the factors that influenced the implementation of health protocols to prevent the spread of COVID-19 in the community in Temanggung Regency included awareness of implementing health protocols, limited infrastructure, limited health personnel, monitoring of officers, perceptions of COVID-19, and public attitudes towards health protocols. 

Conclusion: Based on the results of this study, it is expected that it can be used as evaluation material for the community and local government in implementing health protocols to prevent the spread of the COVID-19 virus in the region.

Community empowerment model to improve healthy living behaviors in rural areas: qualitative study

Introduction: Limited knowledge is the leading cause of the high prevalence of type 2 diabetes (DM) in rural communities. Community empowerment is one strategy to increase knowledge regarding type 2 diabetes control. This study aims to design a rural community empowerment model to advance knowledge in controlling type 2 diabetes.

Methods: The method used was qualitative with an action research design. Data collection included interviews, focused group discussions (FGD), and literature reviews. The participants of study involve the health office and cadres. The criteria for participants is to understand the procedures for preventing non-communicable diseases (NCD’s). Participants were selected using a purposive sampling method. Triangulation and member check to test the validity of the data. The analysis technique used was the N-Vivo software.

Results: Four main themes related to the empowerment of rural communities to control type 2 diabetes were found: the DM control model based on community empowerment, cadres as health partners, types of health services in villages, and the families’ roles in increasing the success of controlling DM.

Conclusion: Community empowerment can help in controlling type 2 diabetes in rural areas. Suggestions for next investigators is to evaluate the implementation of community empowerment programs in rural for clinical improvement.

Mapping the prevalence of dengue fever in sragen regency Indonesia

Introduction: Dengue fever is a disease that is transmitted by vectors. The intermediary vector for dengue fever transmission is the Aedes Aegepty mosquito. Dengue fever cases occur in almost all districts in Indonesia, including the Sragen regency. From 2016 to 2019, the incidence of dengue fever was higher than the previous year. This unusual condition needs to be further monitored and studied. This study's purpose was to map the prevalence of dengue fever in the Sragen regency.

Methods: A retrospective research design was performed using secondary data provided by the regency health office and the Central Bureau of statistics from the government of Sragen regency. A free and open-source software, namely Quantum Geographic Information System (QGIS), was utilized to produce maps and spatial figures. The results of this study are presented by map and prevalence.

Results: The incidence of dengue fever in the Sragen regency in 2017-2019 fluctuated between 15.83 per 100,000 population and 33.54 per 100,000 population. The dengue fever case in Gemolong district is the highest in 2018 and 2019.

Conclusion: The conclusion for this research is mapping the dengue fever prevalence helping to figure up the spatial pattern of the disease in Sragen regency.

Health Education on Self-Efficacy in Breastfeeding Mothers: Literature Review

Mother's milk is the first food for newborns and is the main nutrition for babies. Efficacy is important in breastfeeding, because it is used as a parameter of the mother's ability to breastfeed. Knowledge is one of the mother's self-efficacy factors for breastfeeding. Objective: The purpose of this study was to determine whether there is an effect of health education on lactation management on breastfeeding self-efficacy in mothers. Method: The research design used is a literature review, starting with topic selection, then searching through several databases, namely Google Scholar and Science Direct by entering key-words. Results and conclusions: From 163 articles, we selected 9 relevant articles to identify the effect of health education on breastfeeding self-efficacy in mothers. Breastfeeding education interventions increase breastfeeding self-efficacy, infant feeding attitudes, and rates of exclusive breastfeeding. Self-efficacy in breastfeeding mothers through a health education approach encourages mothers through self-management to follow a plan (eg, tests, treatment, procedures, behavior change) that is formulated in collaboration with health professionals such as during health education.

Online continuing professional development (CPD) for clinical nurse in the developing countries: a literature review

Continuing education for nurses in the clinical setting is pivotal for their professionalism as well as the improvement of care delivery to the patient. While the traditional face-to-face method takes so many resources, online provision exists to bridge the gap. Therefore, this study aims to review the implementation of online CPD in developing countries where the characteristics of Indonesia are almost similar to these countries. Relevant publications were identified from Cochrane Trial, EBSCOhost, ProQuest, PubMed, ScienceDirect, and online manual resources from a search engine. Inclusion criteria included studies done in the low- and middle-income countries, full text, in English, peer-reviewed, and published in 2016-2020. A total of 17 articles were reviewed in this study resulting in several major themes including 1) barriers and facilitators of online CPD; 2) perception and expectation of nurses about online CPD; 3) model and development for online CPD. Study of needs and Indonesian nurse expectation and preparedness, a suitable framework to develop a more targeted and usable online CPD development plan in Indonesia can be done using pilot projects and other methods.

The prominent factors of the selection of injecting contraception equipment in women of childbearing age in Yogyakarta

Introduction: The increasing population growth has prompted the government to launch a family planning program. One of the family planning programs is the use of contraceptives. The government provides various contraceptives, one of which is injection contraception. Multiple factors influence the choice of injection contraceptives. The objective of this study was to analyze the factors that influence the choice of injection contraceptives for women of childbearing age (WCA).

Methods: This study used a qualitative research method with a descriptive-analytic approach. The research respondents were nine people. The sampling technique was purposive sampling. This research was conducted on January 22 – February 06, 2021, in Brajan hamlet, Bantul. The instruments used in this study were interview guides, field notes and voice recorders.

Results: There were six themes related to the factors influencing the choice of injection contraceptive methods for women of childbearing age in Brajan, Tamantirto, Kasihan, Bantul, Special Region of Yogyakarta. Mother's experience while using injectable contraceptives, mother's perception of injection contraceptive use, social support for mothers in choosing injectable contraceptives, advantages of injection contraceptives, sources of information related to injection contraception, mother's motivation to choose injectable contraceptives.

Conclusion: The conclusion of this study is the mother's experience of using injectable contraceptives is comfortable and safe, mother's perception of injection contraceptives, mothers view that injection contraceptives have advantages, mild side effects, and easy installation methods, social support for mothers in choosing injection contraceptives is obtained from the help of their husbands, the experience of friends who use injectable contraceptives and the participation of midwives in choosing them, the advantages of injectable contraceptives include common side effects, low cost, easy installation, and safe breastfeeding, sources of information related to injection contraception are obtained from health workers, social media, relatives and friends, and than mother’s motivation to choose injectable contraceptives is to delay or regulate pregnancy spacing, provide comfort during use, and maintain a healthy body condition.