INFORMATION THROUGH THE FLIPBOOK TO THE LEVEL OF KNOWLEDGE ABOUT DOMESTIC VIOLENCE IN FERTILE COUPLES IN SLEMAN IN 2017

Domestic violence can have an impact on reproductive health. This study aims to determine the Influence of information through the Flipbook to the level of knowledge about Domestic Violence in fertile couples in Sleman in 2017 ". This research is quasi-experimental research. The population is a fertile-age couple in Sleman in 2017. The sample is obtained by simple random sampling. The sample size was 70 respondents for the experimental group and 70 for the control group. The independent variables are the giving of information through flipbook about domestic violence (KDRT). The dependent variable is Knowledge of Domestic Violence. In the experimental group were given information through the Flipbook on domestic violence, while the control group was given leaflets. Instruments in the form of questionnaires and data collection format. Analysis with T Test analysis with significant level 5% (p = 0,05). The results of this research is in the experimental group given information with the average flipbook knowledge level of pretest domestic violence 62.8, standard deviation 7.2 post test average 78.5 standard deviation 6.6. In the control group with leaflet, pretest average of 60.8, standard deviation of 8.9; average post test 71.5 standard deviation 10.4. Average knowledge increase 15.6, standard deviation 8.5, in leaflet group 10.7, standard deviation 10.4 with p-value 0.003. There is a significant difference in the average increase in knowledge of domestic violence between flipbook and leaflet groups. The conclusion of this study is significant of giving the flipbook to the level of knowledge about domestic violence. Keywords : Information, Flipbook, Knowledge, Fertile Couple

The Influence of Exclusive Breastfeeding to Emotional Development of Children Aged 48-60 Months

Impaired emotional development is a problem faced by children and this can negatively impact on function, development and readiness of their school. Exclusive breastfeeding is able to meet brain development needs that affect child development. This study aimed to determine correlation between exclusive breastfeeding and emotional development of children aged 48-60 months. This study used historical cohort.The subjects of this study were 7-12-month old infants living in area of Borobudur Primary Health Care Primary Health Care, Central Java Province, Indonesia in 2011-2012. Independent variable of exclusive breastfeeding was when infants received only breast milk without any supplementary food or drink including water since birth until the age of 6 months. Data were obtained from medical records of children. The emotional development was assessed directly by using questionnaires on emotional and mental problems. Data analysis used cox regression. This study found that provision of exclusive breast milk was evidently correlated with child’s emotional development. Infants who did not receive exclusive breastfeeding had 2.96 higher risk of having abnormal emotional development than infants who received exclusive breastfeeding. Exclusive breastfeeding greatly influences emotional development of the child

Parents’ knowledge, attitude, and practice on children’s screen time at home and the implications for nurses in promoting health: A cross-sectional study

Introduction: The present study investigated the parent’s knowledge, attitude, practice, and experience of the screen time spent by their children at home aged below 5 years old, identifying the common screen-based devices used, content type, and level of screen time spent by the children. Method: A cross-sectional survey of parents having children aged 0 to 4 years old attending the Maternal and Child Health Care Clinics in four districts in Brunei Darussalam was conducted. A questionnaire was developed through the Qualtrics platform. Data were analyzed using R Studio Desktop version 1.2.1335. The statistical analyses included descriptive statistics and Fisher’s exact test. Results: Parents’ knowledge, attitude, and practice of screen time spent by their children are generally positive; parents who correctly answered the knowledge section overall average of 30.1% (n=34). Children studied (<2 years old and 3 to 4 years old) were found to spend more time watching television. A statistically significant association was observed between children of both age groups with time spent on tablet device (p=0.037) and (p=<0.001). Also, a significant association between parents’ knowledge, attitude and practice with gender of the parents, household income and total number of children was reported. Conclusions: We conclude that the children in our study exceeded the recommended guidelines on screen time behavior and the parents’ health knowledge with regard to screen time was poor which emphasized the need for improvement and further study. Keywords: screen time, children, parent’s knowledge, parent’s attitude, parent’s practice

An exploration of the internationalisation of the nursing and midwifery curriculum in Brunei Darussalam

This study explored curriculum developers’ experiences of developing and internationalising the nursing and midwifery curriculum in Brunei Darussalam (henceforth: ‘Brunei’), and students’ and graduates’ views of learning from the curriculum. The internationalisation of the curriculum, in education generally and health care and nursing in particular, has featured as a phenomenon in much global literature, describing attempts to ensure that curricula are fit for purpose, both to meet globally acceptable standards and accommodate an increasingly mobile workforce. A qualitative case study approach was used for the research. Data were collected from 34 participants (curriculum developers [n=17], students [n=8], graduates [n=9]) through semi-structured in-depth individual interviews. Qualitative data analysis used grounded theory principles and thematic analytic methods. Literature indicated that the evolution of the internationalisation of the nursing and midwifery curriculum in Brunei initially occurred due to the influence of the British over Brunei, from 1888 until 1983. The findings in this study showed that, in contemporary times, the integration of international perspectives into the curriculum has been culturally influenced whereby only perspectives considered as usable, culturally acceptable and applicable in Brunei would be selected for the curriculum. These international perspectives were further adapted to ensure relevancy to the Brunei context, in order to preserve its local identity. Data also indicated that curriculum users have contrasting perceptions on what constitutes relevance. Importantly students and graduates have particular views which characteristically were ignored in curriculum development. This study has implications for the development of an internationally oriented curriculum in nursing and midwifery which takes into account the cultural context of a specific country. Since there existed different perceptions of curriculum developers and those engaging with and learning through the curriculum, the study also points to a need to involve students in the curriculum design, an inclusion that is not apparently commonplace

Competency assessment for community health nurses: a focus group expert panel discussion

Abstract Background General Practice setting in the Primary Health Care Services are the utmost visited by the public. It is important that the nurses’ competencies in this area be assessed to ensure provision of safe and quality services. Aim/objective To explore perceptions and experiences of competencies assessment tool for community health nurses working at the General Practice setting in the Primary Health Care Services. Methods An exploratory qualitative study utilizing focus group discussions were conducted on purposive sample of 12 officers with expertise in competency assessment and community health nursing from higher nursing education institutions, the Nursing Training and Development Centre, the Nursing Board and the Community Health Nursing Services in Brunei Darussalam. The existing competencies assessment tool was revised, the participants were divided into two groups of expert panel review team and two focus group discussions were held with each team. The focus group discussions encompassed components and methods of assessment; methods of grading; and overall organization and structure of the revised competency assessment tool. Findings Four themes emerged: 1) International equivalent core competencies components; 2) Multi-methods approach to assessment; 3) Definitive guidelines as framework for assessment; and 4) Understanding and acceptability of the competency assessment tool. Conclusions/implications to practice The expert panel reviews provide practical input that were inculcated in the preliminary developed competencies assessment tool. Identification of eligible assessors were recommended based on standardized criteria, and socialization and training held to set direction and guidance for implementing the utilization of the competencies assessment tool. Further studies are deemed important to critically evaluate and validate the preliminary competencies assessment tool for development of a more robust assessment instrument.http://deepblue.lib.umich.edu/bitstream/2027.42/173524/1/12912_2022_Article_898.pd

The clusters of health-risk behaviours and mental wellbeing and their sociodemographic correlates: a study of 15,366 ASEAN university students

This study investigated, through cluster analysis, the associations between behavioural characteristics, mental wellbeing, demographic characteristics, and health among university students in the Association of Southeast Asian Nations (ASEAN) University Network – Health Promotion Network (AUN-HPN) member universities. Data were retrieved from a cross-sectional self-administered online survey among undergraduate students in seven ASEAN countries. A two-step cluster analysis was employed, with cluster labels based on the predominant characteristics identified within the clusters. The ‘healthy’ cluster was assigned as the reference group for comparisons using multinomial logistic regression analysis. The analytic sample size comprised 15,366 university students. Five clusters of student-types were identified: (i) ‘Healthy’ (n = 1957; 12.7%); (ii) ‘High sugary beverage consumption’ (n = 8482; 55.2%); (iii) ‘Poor mental wellbeing’ (n = 2009; 13.1%); (iv) ‘Smoker’ (n = 1364; 8.9%); and (v) ‘Alcohol drinker’ (n = 1554; 10.1%). Being female (OR 1.28, 95%CI 1.14, 1.45) and being physically inactive (OR 1.20, 95%CI 1.04, 1.39) increased the odds of belonging to the ‘High sugary beverage consumption’ cluster. Being female (OR 1.21, 95%CI 1.04, 1.41), non-membership in a sports club (OR 1.83, 95%CI 1.43, 2.34) were associated with ‘Poor mental wellbeing’. Obesity (OR 2.03, 95%CI 1.47, 2.80), inactively commuting to campus (OR 1.34, 95%CI 1.09, 1.66), and living in high-rise accommodation (OR 2.94, 95%CI 1.07, 8.07) were associated with membership in the ‘Smoker’ cluster. Students living in The Philippines, Singapore, Thailand, and Vietnam had a higher likelihood of being alcohol drinkers, compared with those who lived in Brunei. ASEAN university students exhibited health-risk behaviours that typically clustered around a specific health behaviour and mental wellbeing. The results provided support for focusing interventions on one dominant health-risk behaviour, with associated health-risk behaviours within clusters being potential mediators for consideration