Knowledge Transfer Through Mobile Application Needs: A Survey of Nurses as End Users

Dissemination of evidence through a mobile application in the nursing area is a promising area of development. The effectiveness of this method of knowledge transfer encourages the development of a user-friendly mobile application responding to the needs of the nurses. However, nurses’ needs have yet to be identified. This study aims to understand the needs for knowledge transfer through the mobile application of nurses. An online survey was conducted at two public and private hospitals in Depok City in August and September 2019. A questionnaire with four items of needs assessment and 12 items of application features importance was completed by 110 nurses. Descriptive analysis showed the majority of nurses reported the need for best evidence with an average of 5.41 for research summary, 5.49 for systematic review, 5.87 for clinical guidelines, and need for knowledge transfer through mobile application with an average of 5.65 on 7 ranged Likert scale. Most nurses rated 11 out of 12 features are important with a score of more than four out of five on the Likert scale. The highest mean is the feature search with keywords (4.68±0.06) and the lowest in the quiz/games feature (3.82±0.10). The study noted that knowledge transfer through a mobile application is needed by nurses. Future design of the mobile application based on the needs of nurses as end-users is feasible.   Keywords: evidence-based practice, evidence-based nursing, knowledge translation, mobile applications, need analysi

Knowledge Transfer through Mobile Application Needs Questionnaire: Validity and Reliability

Introduction: Knowledge transfer through mobile application needs assessment   to develop a user-friendly technology. However, the means to measure the need is unavailable. An instrument was developed from the Joanna Briggs new model of EBP to examine the nurses’ needs. This study aims to examine the reliability and validity of knowledge transfer through mobile application needs questionnaire for nurses. Methods: The validity of the questionnaire was examined for its content with Content Validity Index (CVI). CVI was measured for its relevance, ambiguity, clarity and simplicity on each item (I-CVI) and scale (S-CVI). Content validity assessment forms and guidelines were given to six experts in nursing and computer sciences. Their suggestions contributed to the questionnaire revision. Subsequently, the online questionnaire was completed by 40 nurses randomly selected in a hospital in Depok City. Internal consistency was analyzed for the reliability. Results: The CVI of this questionnaire is high with mean of I-CVI and S-CVI at 0.96 relevance, 0.98 ambiguity, 0.97 clarity and 0.94 simplicity. Cronbach’s alpha shows that the internal consistency is acceptable (0.87). Conclusion: The questionnaire is content valid and reliable. This questionnaire can be used to measure those needs and contribute to the design of a user-friendly mobile application

Karakteristik Pasien Rawat Inap Meninggal ≥48 Jam Dirawat: Pelatihan Penelitian bagi Perawat

Nurses need data on patient mortality ≥48 hours of care, but nurses' skills to get these data are lacking. Nurses' lack of skills to produce scientific evidence is one of the obstacles to evidence-based practice (EBP). Research training for nurses is carried out to overcome obstacles and answer research problems. Research mentoring training was carried out for three days in June 2019 using the EBP stage. 10 nurses participated in this training. The training results reported that all nurses could plan, carry out, and report the results of the research. The research that nurses conducted was a retrospective study to collect data from 62 medical records of patients who died ≥48 hours of treatment in March-May 2019. The results of the nurse's study found that most of the patients were male (51.6%), aged over 45 years ( 66.1%), died with a medical diagnosis of Tuberculosis (27.4%), stroke (17.7%), HIV (12.9%), and with an indication of being hospitalized in the ICU (53.2%). Through training for three days, nurses can produce scientific evidence and provide recommendations for improving hospital management services. Essential research training is carried out in clinical areas to improve evidence-based practice, which in turn can improve the quality of care and health status of patients

Evidence-based Practice and Information and Communication Technology: Stakeholders’ Insights

Stakeholders’ role to support evidence-based practice (EBP) and enhancing the use of information and communication technology (ICT) for EBP is essential. However, how EBP is supported and how ICT is utilized in health care providers is unknown. Aim: This study aims to explore stakeholders’ insights regarding the implementation of EBP and the use of ICT. A qualitative study with semi-structured face-to-face interview was used to obtain the aim. Using purposive sampling, eleven management representatives from public and private hospitals, clinics, and health office in Depok city, Indonesia were asked about EBP and ICT. Data were recorded, transcribed, and analyzed thematically. Five themes emerged from this study. EBP services availability and accessibility showed ICT sources were adequate, but still need improvement in the library and Education and Training Department (ETD); Healthcare workforce represented doctors and nurses who hardly generate research although permitted by the stakeholders; Health information system such as clinical cases forums in hospitals was established, but current evidence was rarely discussed; Funding for research and training related to EBP were not allocated; Leadership and governance showed there were limited policies on EBP and clinical instructors available in hospitals but generally work on supporting training and student practices. Although EBP implementation needs improvement, the stakeholders in this study mostly support EBP and enable ICT for EBP purposes. Advocacy on policy and resource arrangements is urged to support information initiatives

Penerapan Evidence Based Practice Nursing ( EBPN ) Elevasi Kaki terhadap Penurunan Foot Edema pada Pasien Congestive Heart Failure (CHF)

failure (CHF) based on the results of Evidence-Based Practice Nursing (EBPN) research. The design used is using a case study. Case studies in this innovative design are case studies by applying research results in the form of providing leg elevation to reduce edema in CHF patients with leg edema at Tarakan Hospital. Doing foot elevation three times daily for two days can reduce leg edema in CHF patients. From the interventions carried out on the three patients, data were obtained on decreased edema in foot edema.   Keywords: Elevation of the Feet, Edema, Congestive Heart Failure (CHF

The Indonesian Version of Evidence-Based Practice Questionnaire (EBPQ): An Evaluation of Reliability

Introduction: The use of evidence-based practice (EBP) has been demonstrated to increase the quality of patient care. However, the extent to which it is practiced in Indonesia is yet to be determined. It was necessary to develop a means of measuring EBP in order to acquire a profile of the use of EBP in Indonesia. The EBP questionnaire (EBPQ) developed by Upton and Upton was selected in the current study to evaluate the perceptions of healthcare workers regarding their knowledge of, attitudes toward, and practice of EBP. This questionnaire is widely recognized; however, an Indonesian version has not yet been developed. This study aimed to translate the EBPQ developed by Upton and Upton into Indonesian and to evaluate its reliability. Method: WHO framework on how to translate and adapt an instrument was applied. On completion of the forward translation and discussion process, backward translation of the EBPQ was performed, after which it was pretested and finalized. Reliability was tested by testing the questionnaire on 42 nurses at five hospitals in Depok and Jakarta. Result: Four words were changed. All items are valid. The reliability analysis resulted Cronbach’s a of 0.96 (a = 0.92, 0.80, and 0.96 for practice, attitude, and knowledge, respectively. Thus, 24 translated statements determined to be valid and reliable, were included in the final version. Conclusion: The Indonesian translated version of the EBPQ proposed by Upton and Upton was demonstrated to be valid and reliable. Further studies on the perceptions of healthcare workers  are warranted

Teknologi Pendidikan dalam Meningkatkan Kualitas Hidup dan Kepatuhan pada Penderita Hipertensi

This study aims to determine the effectiveness of educational technology in improving the quality of life and compliance in hypertensive patients. The research method is quasi-experimental, with a research design before and after educational interventions. The results showed that the majority of respondents aged >50 years were ten people (83.3%), female sex was eight people (66.7%), with high school education status were six people (50%), respondents had a history of hypertension numbering ten people (83.3 %), and the maximum BMI value is 25.1-27 of 7 people (58.3%). In conclusion, educational interventions with flipcharts can improve quality of life scores and enhance adherence to hypertension treatment, with attentive listening and dialogue built within health facilities and in community spaces that can facilitate decision-making about strategies to promote life improvements.   Keywords: Hypertension, Quality of Life, Educational Technolog

Anosmia and Ageusia in Adult Patient with Covid-19

Early detection of COVID-19 disease in the community is essential, one of the ways is by identifying the symptoms of anosmia (loss of sense of smell) and ageusia (loss of sense of taste). However, it is not yet known how the characteristics of these symptoms can be used as a protocol to prevent the spread of the SARS-CoV-2 virus. This study aims to obtain an overview of the prevalence and characteristics of anosmia and ageusia in adult patients with COVID-19 in the community setting. Descriptive research with a retrospective approach was used to collect outpatients’ data at Puskesmas Kecamatan Cempaka Putih from May – June 2021. A total of 105 participants from 400 patients were selected using a simple random sampling with inclusion criteria were patients who confirmed positive for COVID-19 based on the results of the PCR Swab and had symptoms of anosmia and ageusia. Demographic data and general symptoms of COVID-19 were obtained from the Epidemiological Investigation of Suspected COVID-19 form from the Ministry of Health recorded in medical records, Data on prevalence and characteristics of anosmia and age were obtained through a questionnaire consisting of 12 questions made in google form format and distributed via WhatsApp to the participant. Descriptive analysis showed that from a total of 105 patients in the community with anosmia and ageusia, 103 patients (98.1%) reported anosmia, 50 patients (47.6%) had ageusia, and 48 patients (45.7%) experienced both symptoms. Patients experienced anosmia before being diagnosed with COVID-19 (62, 60.2%) and ageusia after being diagnosed with COVID-19 (28, 56.0%). The median duration of anosmia in days (IQR) was 7 (2) and ageusia was 5 (4). Anosmia and ageusia are symptoms experienced by an adult patient with COVID-19 in the community setting. These two symptoms need to be recognised as typical symptoms of COVID-19, added to the early detection of COVID-19, and included in the self-isolation protocol. Further research on the impact of anosmia and age on health and long-term decline in sensory function after COVID-19 needs to be done

Factors Related to Doctors’ and Nurses’ Perceptions of Evidence-Based Practice and Information - Communication Technology

Evidence-based practice (EBP) that is supported by the availability of the best literature can improve the quality of health services. Information and communication technology (ICT) usage may provide the evidence in timely-manner. However, literature on the factors related to EBP and ICT of doctors and nurses in Indonesia is scant. This study aimed to describe the factors related to the doctors’ and nurses’ EBP perception and ICT. This survey was conducted in November 2017–January 2018 at one general hospital, five private hospitals, eleven public health centers, and five private clinics. A total of 85 doctors and 271 nurses selected by proportional probability sampling were given online questionnaires. Each questionnaire consisted of 12 items about access to information and 24 items about perception of EBP adopted from the evidence-based practice questionnaire Upton & Upton. Pearson correlation, independent t-test analysis, and one-way ANOVA results found education and role were related to the doctors’ EBP. Education, role, age, and experience were related to the doctors’ ICT. There was a relationship between age and education with the nurses EBP. These two factors and working experience were related to the nurses’ ICT. EBP intervention through ICT may take into account the nature of experienced senior doctors and young inexperience nurses with higher education in the ICT platform. Advocacy is needed to increase the use of ICTs for EBP and professional development. Further research related to the need of knowledge translation through ICT should be conducted.  Abstrak  Faktor-faktor yang Berhubungan dengan Persepsi Dokter dan Perawat terhadap Praktik Klinis Berbasis Bukti dan Teknologi Informasi dan Komunikasi. Praktik klinis berbasis bukti (PKBB) yang ditunjang dengan ketersediaan literatur terbaik dapat meningkatkan kualitas pelayanan kesehatan. Penggunaan Teknologi Informasi dan Komunikasi (TIK) menyediakan bukti ilmiah dalam waktu yang singkat. Namun, literature tentang faktor-faktor yang berhubungan dengan PKBB dan TIK dokter dan perawat di Indonesia masih sedikit. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan persepsi PKBB dan TIK dokter dan perawat. Survei ini dilaksanakan pada November 2017–Januari 2018 di satu rumah sakit umum, lima rumah sakit swasta, sebelas puskesmas, dan lima klinik swasta. Sebanyak 85 dokter dan 271 perawat yang dipilih dengan sampel proportional probability diberikan kuesioner daring. Kuesioner terdiri dari 12 pertanyaan tentang akses informasi dan 24 pernyataan tentang persepsi PKBB yang diadopsi dari evidence-based practice questionnaire Upton & Upton. Hasil analisis Pearson correlation, independent T-test dan one-way ANOVA menemukan hubungan antara pendidikan dan peran dengan PKBB dokter, serta pendidikan, peran, usia dan pengalaman kerja berhubungan dengan TIK dokter. Ada hubungan antara umur dan pendidikan dengan PPKB perawat. Kedua faktor dan pengalaman kerja ini terkait dengan TIK perawat. Intervensi PPKB melalui TIK dapat mempertimbangkan karakter dokter senior berpengalaman dan perawat muda yang pendidikan tinggi namun belum berpengalaman dengan platform TIK. Advokasi diperlukan untuk meningkatkan pemanfaatan TIK untuk PPKB dan pengembangan profesional. Penelitian lebih lanjut terkait kebutuhan penerjemahan pengetahuan melalui TIK harus dilakukan. Kata Kunci: dokter, perawat, persepsi, praktik klinis berbasis ilmiah, teknologi informasi komunikas

Penerapan Evidence Based Practice Nursing (EBPN) Modifikasi Miring Kiri dan Miring Kanan Menurunkan Back Pain Post Percutaneous Coronary Intervention

This study aims to apply the identification of left and right oblique modifications to reduce back pain after percutaneous coronary intervention based on the results of Evidence-Based Practice Nursing (EBPN) research. The research method used is a case study. The case study in this innovative design is a case study by applying research results in identifying left and right oblique modifications to reduce back pain post-percutaneous coronary intervention. The results showed that adjusting the correct oblique and left diagonal positions was carried out after two hours of cardiac catheterization, namely for 30 minutes (15 minutes in the correct oblique position and 15 minutes in the left oblique position). In conclusion, giving accurate diagonal left oblique work is carried out in patients who experience post PCI back pain at the time of the study, having a pain scale of 5. After being given intervention, the pain scale is reduced to 3.   Keywords: PCI, PJK, Right and Left Tilt Positio