Independent International Journal of Nursing and Health Science (INJOINE)

The Influence of Occupational Arts of Drawing Therapy on Changes in Signs and Symptoms of Schizophrenic Clients' Haluscinating at Jambi Mental Hospital

Isti Harkomah, Maulani Maulani, Annisa Larasati Kusuma Ningrum — Wed, 08 Feb 2023 00:00:00 +0700

Background: Hallucinations that don't get treated immediately can have impacts such as violent behavior, a high risk of suicide, and impaired social interaction. One of the efforts to overcome the symptoms of hallucinations in schizophrenic clients is drawing occupational therapy which can stimulate the brain to control the production process of noripinephrine and beta endorphins so that they are balanced for mood improvement so that the signs and symptoms of hallucinations change.

Aims : to determine the effect of drawing occupational art therapy on changes in signs and symptoms of hallucinations of schizophrenic clients.

Methods: This research is a quantitative study with a quasi-experimental pretest-posttest control group design. The sample in this study were 36 respondents. Data collection techniques using observation sheets. The data analysis technique used was the Wilcoxon sign rank test.

Results: The statistical test results obtained a p-value of 0.000 (<0.05) which indicates a change in the average signs and symptoms of hallucinations.

Conclusion: There is an influence of occupational art drawing therapy on changes in signs and symptoms of hallucinations of schizophrenic clients.

Suggestion: it is recommended to the nurses in the Jambi Provincial Hospital that occupational therapy is carried out routinely 2-3 times a week to improve changes in signs and symptoms of hallucinations of schizophrenic clients so as to improve the quality of the client's mental health.

Analysis Readiness of First Level Health Facilities in Compliance with Minimum Standards of Pregnant Women Health Services in Jambi City

Mutia Lisandra, Dwi Noerjoedianto, Rumita Ena Sari — Wed, 08 Feb 2023 00:00:00 +0700

Background : The minimum service standard (SPM) in the health sector is one type of minimum service standard (SPM) which is a reference for Regency/City Regional Governments in providing a health service that every citizen is entitled to receive at a minimum. Minimum service standard (SPM) for health consists of SPM for Provisional Areas and SPM for District/City Regional health. The Minimum Service Standards (SPM) in the District/City Regional Health Sector have 12 indicators, namely health services for pregnant women, health services for mothers giving birth, health services for newborns, health services for toddlers, health services at the age of basic education, health services at productive age, services health services for the elderly, health services for people with hypertension, health services for people with diabetes mellitus, health services for severe mental disorders, health services for people with TB, and health services for people at risk of being infected with HIV. The purpose of this study was to see the Readiness of First Level Health Facilities in Efforts to Fulfill the Minimum Service Standards for Pregnant Women in Jambi City. Method: This type of research is qualitative. The research was conducted starting in April and continued in June. There were 33 informants in this study, including 1 key informant and 32 supporting informants. Research informants were determined using a purposive sampling technique. Data collection techniques were carried out by in-depth interviews. Data analysis was used with thematic analysis and data validity using source and data triangulation. Result: Lack of coordination between related officers, in this case cross-program collaboration with MCH officers in assisting MCH activities and infrastructure which includes examination rooms and medical devices according to standards based on regulations. However, the waiting room is uncomfortable and feels cramped and the provision of chairs for pregnant women is still slightly increased because the MCH room is next to the immunization room and the number of patients who come is quite a lot, so officers need to quickly examine patients so that there is no accumulation in the waiting room. Conclusion: Increased cooperation or coordination between related officers or cooperation between cross-programs and waiting room conditions that are not conducive because the availability of seats is still small and considering that the MCH room is next to the immunization room which causes the patient's condition to pile up in the waiting room.

Factors Realated to Midwives Performance in Infant Health Services at Health Center Kerinci District in 2022

Wed, 08 Feb 2023 00:00:00 +0700

Background: Employee performance which refers to a person's capacity to achieve something with certain abilities in an organization where they are expected to carry out obligations in order to achieve a goal. Based on data obtained from the Kerinci District Health Office, there are still many puskesmas with a low percentage of health services for babies, among 21 health center there are 9 health center whose percentage is still below 50%. Aims: This study aims to determine the factors related to the performance of midwives in infant health services at the Kerinci District Health Center in 2022. Method: This research is a quantitative study with a cross-sectional study design. To find out the sample of this study, researchers used the Lemeshow formula. The sample in this study was 66 midwives. The independent variables in this study are quality, quantity, timeliness, effectiveness, independence, and workload. While the dependent variable is performance. Data obtained from filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate tests (chi-square). Result: The results of this study indicate that there is a relationship between the quality and performance of midwives (0.000), quantity and performance of midwives (0.000), punctuality and performance of midwives (0.000), effectiveness and performance of midwives (0.015), independence and performance of midwives with (0.000), workload and performance of midwives with (0.030).

The Effect of Educational Videos on Knowledge and Compliance with Taking Pulmonary Tuberculosis Drugs at The Kenali Besar Health Center Jambi City

Deny Sutrisno, Rizki Amelia Lestari, Santi Perawati — Wed, 08 Feb 2023 00:00:00 +0700

Background: One of the factors leading to treatment failure of pulmonary TB patients is low levels of knowledge and compliance. The level of knowledge and drug adherence is very important if treatment is not carried out regularly and prescribed, there will be germ immunity (resistance) to anti-tuberculosis drugs.

Aims: The purpose of the study was to determine the effect of educational videos on knowledge and compliance with taking pulmonary Tb medication at the Kenali Besar Community Health Centre, Jambi City. This research is a quantitative study with Pre-experimental.

Methods: The research design uses the Pre-test and Post-test design method. The research was conducted in April-July 2022.

Results: The results showed that of the 60 pulmonary TB patients there were (31.67%) women and (68.33%) men with an age range of 26-35 years totalling (53.33%). Based on the results of the paired sample T-Test test, the level of knowledge is at the pre-test (49.89) and post-test (70.99) the results of the level of compliance are at the pre-test (49.69) and post-test (83.54), meaning that there is a significant difference between the pre-test and post-test.

Conclusion: In conclusion, there is an effect of educational videos on knowledge and compliance with taking medication in pulmonary TB patients after being given educational videos.

The Relationship between the Managerial Role of Nursing Head with Prevention of Covid-19 for Associate Nurses

Rahma Agustina, Basok Buhari, Rian Maylina Sari — Wed, 08 Feb 2023 00:00:00 +0700

Abstract

Background: The incident of Covid-19 has become a world problem, including Indonesia. Efforts to control and prevent it quickly and precisely but there is still a significant increase in cases. One of the determining factors in implementing the prevention and control of Covid-19 is leadership in the organization, namely through the management of the head of the room.

Aims: The aim of the study was to see the relationship between the managerial role of the head of the room and the prevention and control of Covid-19 by practicing nurses at Bhayangkara Hospital in 2021.

Methods: This research is a quantitative research design study with a cross sectional design. The population in this study were all nursing staff at Bhayangkara Jambi Hospital, totaling 123 people. This study uses a total sampling technique. This research was conducted from October 4 2021 to November 10 2021. The analysis in this study was univariate and bivariate, using the chi square test, this research instrument used a questionnaire.

Results: The results of the univariate analysis showed that there were 81 respondents (65.9%) doing the prevention and control of Covid-19 well, there were 75 respondents (61%) who said that the managerial role of the head of the room was good in carrying out his management functions. The results of the bivariate analysis showed that there was a significant relationship between the managerial role of the head of the room and the prevention and control of Covid-19 in implementing nurses at Bhayangkara Jambi Hospital in 2021 with a p-value <0.05 (0.000).

Conclusion: There is a significant relationship between the managerial role of the head of the room and the prevention of Covid-19 in implementing nurses at Bhayangkara Hospital.

Suggestion: It is hoped that the Hospital will make policies and procedur operational standart related to regular training for the head of the room regarding the managerial role of the head of the room which includes the functions of planning, organizing, staffing, directing, and special control in leadership in managing infectious diseases such as one of them is covid-19.

The Effect of Clinical Supervision Using The 4S Model on Risk of Patient Harm Resulting from Falls Assesment

Paisol Paisol, Rian Maylina Sari, Basok Buhari — Wed, 08 Feb 2023 00:00:00 +0700

Background: Reducing the risk of patients falling is an important part of the six goals for hospital patient safety as stipulated in Minister of Health Regulation No. 11 of 2017. The implementation of this fall risk assessment is also influenced by several supporting factors and several inhibiting factors. factors that can support the implementation of this assessment are related to the existence of motivation among colleagues and complete facilities and infrastructure. This is different from the inhibiting factors in the implementation of a fall risk assessment, namely leadership and management factors, namely supervision.

Aims: The aim of this study was to see the Effect of Clinical Supervision Using the 4S Model (Structure, Skill, Support, Sustainability) on Risk of Patient arm Resulting from Patient Fall Assessment at the UPTD Puskesmas Mersam in 2021.

Methods: This research is quantitative research with pre-experimental method. The research design used a one group pretest-posttest design. The population in this study were all nurses on duty at the Mersam Health Center UPTD inpatient unit, totaling 16 nurses.

Results: The results of the univariate analysis showed that the majority (81.2%) of the implementing nurses were not good at implementing the patient fall risk assessment before being given the 4S model supervision intervention, more than half (68.8%) of the implementing nurses were good at implementing the patient fall risk assessment after given the 4S model supervision intervention. The results of the bivariate analysis showed that there was a significant effect of clinical supervision using the 4S model on Risk of Patient arm Resulting from Patient Fall Assessment at the UPTD Puskesmas Mersam in 2021 (P-Values 0.005).

Conclusion: There was a significant effect of clinical supervision using the 4S model on Risk of Patient arm Resulting from Patient Fall Assessment.

Suggestion: It is hoped that the Health Office and the Community Health Center will develop a work program to train all HRHK, especially nurses working in inpatient departments regarding how to assess the risk of falling patients. Then, it is also suggested that the Batang Hari Jambi District Health Office should compile regulations for all Puskesmas to implement routine, systematic and scheduled supervision with the 4S model.