The Effect of the Nursing Care Model Based on Culture to Improve the Care of Malnourished Madurese Children in Indonesia

AIM: The purpose of this study is to analyse the usage of nursing care model based on culture to improve parenting practices related to malnutrition among Madurese children. METHODS: This study uses a quasi-experimental design and a purposive sample of 102 respondents from families with toddlers who suffered from nutritional deficiency. The sample consisted of an intervention group (n = 51) and a control group (n = 51). Data were collected using a questionnaire and weight measurement. RESULTS: A t-test found a difference between all of the variables of care, including health technology utilization, when comparing the following variables between the intervention group and the control group (t = 14.12, p < 0.001), beliefs and philosophy (t = 10.20, p < 0.001), cultural values and lifestyle (t = 13.63, p < 0.001), economic reasons (t = 0.20, p = 0.837), nursing action response based on culture (t = 11.28, p < 0.001), and care behaviors for children (t = 16.43, p < 0.001). The Wilcoxon signed-rank test found a difference between pre-intervention nursing care model based on culture and post-intervention nursing care model based on culture regarding the variable malnutrition status (t = 16.43, p < 0.001). CONCLUSION: This study found that the application of nursing care model based on culture affects care practices. Nursing care model based on culture can be applied to families with toddlers who are malnourished because of the lack of a culture of care

Faktor Prediktor Kepatuhan Clinical Pathways COVID-19 di Rumah Sakit

Objective: Clinical pathways for covid-19 are the best efforts made by nurses in handling cases of covid-19. However, there are still nurses who have not been optimal in implementing COVID-19 clinical pathways. For this reason, this study aims to analyze predictor factors for compliance with Covid-19 clinical pathways in hospitals, Surabaya, Indonesia during the COVID-19 pandemic.Methods: This study used a cross sectional study, with a sample size of 126 nurses selected from a private hospital in Surabaya. Data was collected using the Covid-19 clinical pathways measurement scale instrument and sociodemographic questionnaire, used to obtain information about the characteristics of respondents.Results: The results of statistical analysis with regression test showed p = 0.000, that the predictor factor of clinical pathways adherence was the role of nurses, with a value (OR 379,479, 95% CI 41,391, 3479,165), this shows the role of nurses with good categories will have an impact on high compliance in clinical pathways covid-19, while the factors of age, gender, educational background, and length of work are not predictor factors in the compliance of clinical pathways covid-19 in hospitalsConclusion: Nurses in carrying out their roles well have an impact on Covid-19 clinical pathways compliance, and it is proven that nurses' roles are strong predictors in determining clinical pathways compliance in hospitals. Therefore, the capacity building program and the development of nurse resources are important to be given in order to continue to apply the covid-19 clinical pathways

Model Blended Learning Pendekatan Contextual Teaching Learning (BLCTL) Pada Mata Kuliah Keperawatan Dasar Bagi Mahasiswa Keperawatan

Objective: The competencies of nursing education graduates that are of concern are basic nursing knowledge, collaboration skills, and adaptive thinking. The efforts to overcome these competencies are through learning that can construct knowledge, encouraging collaboration and adaptive abilities. The process of constructing knowledge, collaboration and adaptive skills can be got from two learning models, namely face-to-face and e-leaning, with emphasis on contextual aspects, collaborative and adaptive elements. This research aims to analyze the feasibility of a blended learning model with a contextual teaching learning (BLCTL) approach in learning basic nursing courses for nursing students. Methods: research and development was used in this study, using the Dick and Carey Model, with a sample size of 104 selected using simple random sampling from students in the Nursing Program at Muhammadiyah University, Surabaya. Data was collected at the model needs analysis stage using for and observations, the development stage using questionnaires, the implementation stage using tests and observations. Results: The research results show that the BLCTL model is a learning model that is suitable for the learning process with a learning syntax comprising 5 phases, namely constructivism, questioning and inquiry, learning community, modeling, and authentic assessment and reflection. With the results of the model feasibility test on the learning model aspect 97.1%, RPS learning device aspect 97.9%, media device (e-learning) 96.6%, textbook device 95.8%, knowledge assessment and collaboration device 100%. Conclusion: The BLCTL model involves students in the learning process, which identifies previous knowledge and learning experiences for the learning activity process. By emphasizing actual conditions and existing characteristics, this model is very relevant to learning in nursing education and the development of information technology to create an adaptive learning system

Factors Affecting Nutritional Status in Children Aged 6–24 months in Lamongan Regency, Indonesia

BACKGROUND: Family food security and parenting are factors affecting changes in nutritional status related to family care and food availability. AIM: This study aims to analyze the factors affecting nutritional status in children aged 6–24 months in Lamongan Regency, Indonesia. METHODS: The study used cross-sectional data with 191 children aged 6–24 months and their parents, selected by simple random sampling. The data were collected through observations and interviews and used to assess the physical endurance and nutritional status based on the questionnaires, food frequency, observations, weight scales, and World Health Organization/National Center for Health Statistics reference standards. RESULTS: The results of the double linear regression test p = 0.000 indicated that the parenting coefficient had more influence on the nutritional status of children aged 6–24 months than the family food security coefficient on the nutritional status of children in Lamongan Regency, with Y = 1.565 + 0.062 X1 + 0.446 X2, Y being nutritional status, 1.565 as the coefficient value, X1 (0.062) being family food security, and X2 (0.446), parenting. CONCLUSION: Better parenting improved the nutritional status of children aged 6–24 months compared to maintaining food security. Thus, parenting improvement programs could be prioritized through the Community Health Center

A blended learning using contextual teaching learning: strengthening nursing students’ procedural knowledge and interprofessional collaboration

Introduction:The level of knowledge about the types of teaching instruction through blended learning in nursing education is still lacking. This study aims to develop blended learning using contextual learning and evaluate its effect on procedural knowledge and interprofessional collaboration. Methods: A quasi-experimental study was conducted from January to March 2022. The total participants were 96 students from one of the nursing departments in Indonesia, who were equally divided into experimental and control groups. The experimental group received a blended learning method with a combination of contextual learning for 400 minutes for four meetings. Meanwhile, 48 students in the control group received traditional blended learning. Mann-Whitney U test to compare between treatment and control groups. The instrument used to measure the interprofessional education variable was the Nurse–Physician Collaboration Scale and procedural knowledge was measured through a test of 25 multiple choice questions about procedural knowledge. Results: The implementation of blended learning based on contextual teaching significantly increased their procedural knowledge (pre M = 43.30 vs post M = 79.00), and interprofessional collaboration (pre M = 58.08 vs post M = 83.79) with p-value < 0.01. Conclusions: Blended learning using contextual learning was effective for increasing procedural knowledge and interprofessional collaboration in nursing students. The application of this instruction is highly recommended for nursing departments in higher education institutions as an effort to achieve qualified health workers for sustainable development and well-being

PENGARUH INTERVENSI KEPERAWATAN DAN JENIS KELUARGA TERHADAP PRAKTIK POLA ASUH MAKAN ANAK USIA 6-24 BULAN

Nursing intervention is nursing action with a supportive and educative approach done by nurses cooperating with families in overcoming the problems of nursing family. Type of family is the type of family based on the members of family or the composition of it that living in one residence which can influence the pattern of baby feeding. The aim of the research was to explain the effect of nursing intervention and the type of families toward the practice of feeding pattern on infants of 6-24 months, including the breastfeeding (ASI), PASI, soft food, family food, snacks, and way of feeding. The design of the research was experimental. The sample of the research was ninety six (96) samples containing mothers who have infants of 6-24 months in nuclear and extended family in Kenjeran District and Bulak Surabaya, which was chosen with simple random sampling as the subject of the research.The sample was then divided into two parts of family, namely nuclear family and extended family, and each family divided into three groups of interventions; a group of guiding, guiding with accompanying and controls. The variables measured were breastfeeding, PASI, soft food, family food, and a way of feeding through interviewing and observation. The data analysis used was Uji Kruskal Wallis and Mann Whitney U. Result showed that effect of nursing interventions on the style of feeding containing of giving PASI (p= 0,043), soft food (p=0,003), family food (p=0,27), snacks (p=0,009), and way of feeding (p=0,013), and there was an effect of kind of family after the practice intervention of feeding style on giving PASI (p=0,003), soft food (p=0,005), family food (p=0,000), snacks (p=0,034), and way of feeding (p=0,000). Those effects can be shown with the increasing of frequency and way of feeding before and after intervention. The conclusion is nursing intervention through the supportive and educative approach as the form of actions on families with problems on the pattern of feeding has the influence on the practice of feeding pattern. The increasing of feeding frequency shows the cognitive and behavioral change on the practice of feeding pattern which can possibly improve the status of infants nutrient. The suggestion of the research is that intervention of family nursing which combines the elements of guiding and accompanying can be used as an alternative of solving the problems of infants' nutrient, growth and development in society that can improve the practice of feeding pattern faster.It is worth underlining here that there should be further research on other type of family

QUALITY IMPROVEMENT MODEL OF NURSING EDUCATION IN MUHAMMADIYAH UNIVERSITIES TOWARD COMPETITIVE ADVANTAGE

Introduction: Most of (90,6%) nursing education quality in East Java was still low (BAN-PT, 2012). It was because the quality improvement process in nursing education generally was conducted partially (random performance improvement). The solution which might be done was through identifying proper quality improvement model in Nursing Education toward competitive advantage. Method: This research used survey to gain the data. The research sample was 16 Muhammadiyah Universities chosen using simple random sampling. The data were collected with questionnaires of 174 questions and documentation study. Data analysis used was Partial Least Square (PLS) analysis technique. Result: Nursing education department profile in Muhammadiyah Universities in Indonesia showed of 10 years establishment, accredited B and the competition level in one city/regency was averagely more than three Universities becoming the competitors. Based on the quality improvement model analysis of nursing education toward competitive advantage on Muhammadiyah Universities, it was directly affected by the focus of learning and operasional process through human resources management improvement, on the other hand information system also directly affected on quality improvement, also affected quality process components; leadership, human resources, focus of learning and operational process. In improving human resources would be directly influenced with proper strategic planning. Strategic planning was directly influenced with leadership. Thus, in improving quality of nursing education, the leadership role of department, proper information system, and thehuman resources management improvement must be implemented.  Conclusion: Quality improvement model in nursing education was directly determined with learning and operational process through human resources management along with information system, strategic planning factors, and leadership. The research finding could be developed in quality analysis application program

The determinants of patient care manager role and the implementation of COVID-19 clinical pathway: a cross-sectional study

Objective This study aims to determine the factors associated with patient care manager role and the implementation of the clinical pathway among nurses in private hospitals. Methods This study was conducted from January–July 2021 using the cross-sectional approach. The sample consisted of 168 nurses working in a private hospital in Surabaya City, East Java, Indonesia. Meanwhile, the data were collected using the Patient Care Manager Role Scale (PCMRS) and analyzed by multiple logistic regression to find the correlation between the variables. Results A higher percentage of nurses namely 64.3% had compliance in COVID-19 clinical pathways with an average PCMRS score of 27.81 ± 2.43. Nurses with a high-level patient care manager role level had a significant compliance risk with odds ratio [OR] 440.137, 95% confidence interval [CI] [51.850–3736.184], and p-value = 0.000 compared to those with a low role. Conclusion The role of patient care manager and compliance with COVID-19 clinical pathways correlated significantly. Based on the results, several actions are needed for the early identification of patient service managers’ roles to ensure compliance with COVID-19 clinical pathways and reduce the number of cases in Indonesia