ANALYSIS OF POTENTIAL HAZARDS FOR GADUNG CHIPS WORKERS USING THE HIRARC METHOD IN RINGINSARI VILLAGE KEDIRI REGENCY

Background: One of the industrial sectors that has a high risk of danger is the informal sector, one of which is the home industry of making chips. Knowledge about occupational health and safety is one of the factors that cause health problems and incidents in the workplace. Therefore, it is necessary to handle the problem of danger by identifying risks and controlling in minimizing the occurrence of accidents and occupational health disorders. Objectives: The purpose of this research was to determine the risk of work accidents, determine the level of work accident risk and provide suggestions for controlling the risk of work accidents that can occur in the cassava chips manufacturing industry. Methods: This study is a descriptive observational study, which is a research method that provides an in-depth description of the process of making gadung chips in a home industry which is then analyzed and compared based on existing reality. Observations are made directly to ensure that the process reflects daily practices in the home industry. The study was conducted with a cross-sectional approach, data will be collected at one time to understand the conditions at that time. The data analysis technique used in this study is descriptive analysis and risk identification with the HIRARC method, namely: 1) Hazard identification, 2) Risk Assessment (Risk Analysis), 3) Determining Controls, 4) Documentation Socialization and Implementing Controls Results: 33 work accident risks were found that could occur in the process of making combined chips. The level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards Conclusion: Based on the research results, it can be concluded that: 1) 33 work accident risks were found that could occur in the process of making combined chips. 2) the level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards. 3) there are 33 risk control studies consisting of substitution control, administration, and use of PPE   &nbsp

NEUROMUSCULAR TAPING IMPROVES MICROVASCULAR CIRCULATION IN TYPE 2 DIABETES MELLITUS PATIENTS

Background: The most common complications in Diabetes Mellitus patients are foot problems and high risk for amputation. Factors that trigger problems in diabetic feet in the form of neuropathy factors, namely loss of sensory nerve function and circulatory disorders. One of the non-pharmacological therapies to prevent these problems is safe Neuromuscular Taping (NMT) which is applied to the skin with elastic plaster through a decompression method to prevent a decrease in peripheral blood circulation and improve blood circulation. Objectives: The purpose of this study was to determine the comparison of the effectiveness of Neuromuscular Taping (NMT) intervention on microvascular circulation which was assessed by Ankle Brachial Pressure Index (ABPI) measurement in type 2 Diabetes Mellitus patients. Methods: This study used a quasi-experimental research design with a pretest-posttest control group approach. The number of respondents to this study was 60 type 2 DM patients divided into treatment group respondents and control group respondents. The intervention group was given NMT intervention for 2 weeks with daily plaster changes while the control group was given standard foot care education. The data collected is an ABPI score that describes microvascular circulation using a sphygmomanometer. Analysis was carried out using paired sample t-tests which were used to determine the effectiveness of the intervention. Results: Based on the results of the study, significant changes were obtained in the microvascular circulation of the treatment group (p = 0.000) α 0.05 which is the category of normal microvascular circulation or no disturbance. Increased microvascular circulation is caused by the application of NMT for 2 weeks.  Conclusion: There was an increase in microvascular circulation seen through changes in Ankle Brachial Pressure Index (ABPI) values before and after Neuromuscular Taping (NMT) intervention. There were significant differences between the intervention and control groups in changes in ABPI scores

TRANSFORMATIONAL LEADERSHIP ON JOB SATISFACTION AMONG REGISTERED NURSES CARING PERSPECTIVE: A SYSTEMATIC REVIEW

Background: The healthcare profession face scarcity due to increased global demand for registered nurses. The inadequacy of the healthcare workforce is a critical concern in an organization, as it is difficult to retain and recruit qualified staff to deliver safe and quality outcomes in the provision of care. Numerous studies identify transformational leadership style as an effective style to foster job satisfaction among licensed nurses. Objective: The study aimed to review transformational leadership in relation to job satisfaction according to Registered Nurses perspective. Design: This systematic review utilized the Cochrane Collaboration procedures and PRISMA statement. Data source: A comprehensive search of Pubmed, CINAHL, ScienceDirect, Cochrane Library, Wiley Online, and Google Scholar published from 2018 to 2023. Ten articles of cross-sectional studies met the inclusion criteria. Review Methods: The method utilized is the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Results: All articles demonstrated that a transformational leadership style was reported to have a positive correlation among registered nurses' job satisfaction. In addition, four main themes emerged to determine job satisfaction variables on organizational commitment, work environment, competencies in evidence-based practices, and resilience of skilled nurses to minimize the repercussions of the inadequacy of nurses in the healthcare setting. Conclusion: Transformational leadership contributes to improving job satisfaction and instituting the identified themes that could support the development of caring strategies that would close the gap of registered nurses’ shortage in healthcare

EFFECTIVENESS OF WALKING EXERCISE ON HBA1C AND BMI OF DIABETES MELLITUS TYPE 2: A SYSTEMATIC REVIEW

Background : Survey data shows that there are 51.9% of DM sufferers who do not exercise as an alternative to controlling diabetes. Walking exercise has been demonstrated to have an impact on BMI and HbA1c in one trial, but only in people with prediabetes. Objective: Analyzed the results of primary research regarding the effectiveness of walking exercise in controlling the HbA1c and body mass index (BMI). Methods: Design of this study was a systematic review. Data sources of this article was from 4 databases (Scopus, EBSCO, Proquest and Pubmed). Search for articles for the last 10 years, Mar 2015- Mar 2024. The research method used PRISMA 2020 guidelines. Article selection used the PICO framework. Medical Subject Heading (MeSH) is used to search for keywords. The quality assessment of an article is assessed using the Joanna Briggs Institute (JBI) format. Results: Walking exercise has a positive effect on HbA1c and BMI. Four of the eight articles showed a significant effect of walking exercise on reducing HbA1c. Three of the 7 articles showed a significant effect of walking exercise on reducing BMI. Conclusion: Walking exercise is a type of physical exercise that is considered to have a positive effect on body health for both diabetics and non-diabetics. Walking exercise can improve the metabolic status of diabetes sufferers by reducing blood glucose levels, HbA1c and BMI

FACTORS RELATING TO NURSES' COMPLIANCE IN IMPLEMENTING THE SURGICAL SAFETY CHECKLIST : A SCOPING REVIEW

Backround: One component of Safe procedure Saves Lives is a surgical safety checklist (SSC), which serves as a tool for the surgical team to utilize in the operating room to ensure that the procedure is both safe and of high quality, SSC compliance cannot be separated from the factors that influence it, therefore we need to know these factors to overcome SSC problems SSC compliance cannot be separated from the factors that influence it, therefore we need to know these factors to overcome SSC problems. This article aims to obtain a comprehensive picture of the factors related to nurse compliance in implementing the Surgical Safety Checklist. Design: This study uses the Arksey and O'Malley model to conduct the analysis. Data Source: The analyzed literature consisted of Scholar, Science Direct, and Pubmed from January 2016 to June 2023. Identification and selection of literature used Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) Moher 2009. Result: The results were 15 articles that were analyzed, consisting of 12 quantitative articles, two descriptive articles, and one literature review article. This article summarizes findings regarding compliance in implementing the Surgical Safety Checklist, including attitudes, perceptions, motivation, knowledge, time for operations, age, length of work, education, teamwork, and nurse compliance. Conclusion: There is a relationship between 10 factor include attitudes, perceptions, motivation, knowledge, time for operations, age, length of work, education, teamwork, and nurse compliance. in the implementation of SSC

DETERMINANTS OF NEONATAL PAIN MANAGEMENT PRACTICES AMONG NURSES WORKING IN NEONATAL CARE UNITS IN WESTERN KENYA HOSPITALS

Background: Newborn babies in the neonatal intensive care units (NICU) and newborn units (NBUs) undergo various tissue-damaging procedures as a result of both diagnostic and therapeutic care. Each neonate may experience an average of 300 painful procedures throughout their period hospitalization surgeries inclusive. However, little is known about factors that determine the neonatal pain management practices among nurses working in NICUs in Kenya. Objective: To assess factors that determine neonatal pain management practices among nurses working in neonatal intensive care and newborn units. Methods: A descriptive analytical cross-sectional study design with qualitative and quantitative approach was used. The statistical package for social science version 22.0 software was used for analysis. Spearman’s tests assessed for associations and correlations. Confidence level was 95%. A p-value equal or less than 0.05 was considered significant. Results: Less than half of the respondents were aware of both the pharmacologic and non-pharmacologic methods used in management of pain in neonates. On beliefs and attitudes, less than half (42%) of the nurses believed that pharmacologic and non-pharmacologic interventions are vital in neonatal pain management. Only a third (33%) of the respondents felt that the pain assessment tool is accurate and effective. Use of pain assessment tools (5.6%), non-pharmacologic (34.8%) and pharmacologic (28.1%) pain intervention strategies was low. Majority used physiological and behavioral factors to assess pain in neonates. Knowledge of pharmacologic (p<0.0001) was significantly associated with the practice of pain management in neonates. Conclusion: The study highlights that pain management in neonates is influenced by a variety of determinants including participants knowledge on various pain management practices and attitude towards pain management in neonates. Knowledge of pharmacological pain interventions emerged as the main determinant of neonatal pain management practices among nurses. There is therefore need to enhance nurses’ knowledge on neonatal pain management aspects. This can be achieved through targeted trainings and CMEs on pain management in neonates

THE EFFECT OF THE APPLICATION OF GARDENING MODALITY THERAPY ON THE QUALITY OF LIFE OF THE OLDER PEOPLE

Background: Humans experience the natural process of aging. The most important stage is in the old or elderly stage, where a person naturally experiences changes and decreases in conditions from physical, social, psychosocial. One way to optimize the cognitive function of the elderly is to use modality therapy. One type of modality therapy is gardening, gardening activities can provide opportunities for the elderly to do physical activity, release physical energy and emphasize physical movements. Objectives: This study aimed to analyze the effect of the application of gardening modality therapy on the quality of life of the older people in Puskesmas Tajinan Malang Regency. Methods: The design used quasi-experimental with one group pre-posttest design. The population in this study were all old people who participated in prolanis activities and were aged > 50 years totaling 30 people. This research was conducted for one month. Measurement of the quality of life of the elderly used the WHOQOL-BREF questionnaire, while for the measurement of gardening therapy used an observation sheet. Data analysis was carried out using the statistical test used was the Wilcoxon Test with α 0.05. Results: The results of bivariate analysis using the Wilcoxon test show that the P value is 0.317 > 0.05, which means that there is no significant effect of providing gardening modality therapy 2 times per week on the quality of life of the older people, while the provision of gardening modality therapy 3 times per week on the quality of life of the older people the results of bivariate analysis using the Wilcoxon test show that the P value is 0.0001 < 0.05, which means there is a significant effect. Conclusion: The effect of gardening therapy on the quality of life of the elderly can be used as an alternative to improve the quality of life of the elderly, because gardening can make the elderly more productive, the elderly can also be a stimulation for the elderly to socialize and do physical activity

NURSES’ OCCUPATIONAL STRESS IN EMERGENCY CARE AND ISOLATION WARDS AFTER SECOND AND THIRD WAVE OF COVID-19

Background: COVID-19 pandemic caused globally public health crises. The massive spread of COVID-19 cases put nurses under immense stress due to high workload and thus high risk of infection, especially those in Emergency Room (ER) and Isolation Wards (IW). Both units were actively involved in handling COVID-19 as the first screening and treatment were given to COVID-19 patients. Objectives: Analyze the differences in stress among nurses working in emergency room and isolation room in designated hospitals after the second and third waves of the COVID-19 pandemic. Methods: The study was designed as comparative descriptive research, with observational and comparative longitudinal approach. There was a 14-month time periods between T1 and T2. The research samples were 33 nurses who working in emergency room (ER) and 32 nurses’ isolation wards (IW) at two hospitals handling COVID-19. Healthcare Workers' Stress questionnaire was used to assess nurse's stress level. Data analysis was performed using the Mann Whitney U Test. Results: The results indicated there were differences levels of stress among the 65 nurses who worked in the emergency room and isolation ward. On average, those Nurses working in the ER experienced lower stress than IW during first wave. By contrast, those Nurses working in IW experienced lower stress than ER during the third wave. There were significant differences on nurses’ stress scores between the two departments during the second wave (p=0.000) and third wave (p=0.036) of COVID-19 pandemic. Conclusion: This study suggests that nurses need to develop adaptive coping mechanisms to maintain decent nursing care during the COVID-19 pandemic. Attempts to anticipate or resolve the work stress are believed to maintain their performance on par with professional nursing care standards, even during the post-pandemic

ANALYSIS OF FACTORS INFLUENCING THE USE OF THE TUBECTOMY METHOD IN FERTILE COUPLES: A LITERATURE REVIEW

Background: The use of tubectomy contraception is one way to control birth rates and improve reproductive health. Tubectomy is a permanent form of contraception that involves blocking or sealing the fallopian tubes to prevent the egg from reaching the uterus for fertilization. This article analyzes the factors that influence the use of tubectomy contraception among couples of childbearing ages. Objective: This literature review aims to identify factors that influence the use of the tubectomy method in fertile couples. Design: This research design is a literature review. Data Sources: Search for articles using three journal databases, namely Google Scholar, PubMed, and ScienceDirect. Reviews Methods: Used PRISM flow diagram to find a total of 6 articles that meet the inclusion criteria reviewed. Results: Inclusion criteria include full text articles from 2015-2024 published from national or international journals. Article types are quasi-experimental and case studies. Five articles meet the inclusion criteria. the various techniques used in tubectomy, the benefits and risks associated with the procedure, and its effectiveness in preventing pregnancy. Tubectomy can be done through different methods. Conclusion: Tubectomy is crucial to recognize and address the social stigmas surrounding tubectomy in order to create a more supportive and understanding environment for individuals seeking this form of birth control. By promoting open dialogue and challenging misconceptions, we can work towards creating a more inclusive society where individuals feel empowered to make informed decisions about their reproductive health

STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS

Background: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness. Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness. Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test. Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care