Caring: Indonesian Journal of Nursing Science 2023-07-31T00:00:00+07:00 Dina Rasmita Open Journal Systems <p>Caring: Indonesian Journal of Nursing Science is a national nursing journal published by TALENTA Publisher, Universitas Sumatera Utara and managed by Faculty of Nursing Universitas Sumatera Utara. It publishes peer reviewed articles online in an open access format. The journal will encourage both empirical and theoretical contributions that advance nursing in practice in clinic and research. This journal is a connection from the previous journal with name Jurnal Riset Keperawatan Indonesia published by Faculty of Nursing University of Sumatera Utara in August 2013. It is a peer-reviewed journal, has both online and print versions and ISSNs. It represents the initiative and effort of the members of the Faculty of Nursing University of Sumatera Utara. The purpose of this Journal is to bring together researcher, lecturer, practitioners, health policy maker, and students interested in health science, health environment and technology and caring in the field of nursing science research. The publication is particularly committed to the development of interpretative approaches to the above mentioned issues. It does not restrict its remit to any particular methodological or theoretical orientation, but publishes both scholarly papers and more speculative pieces designed to further understanding and debate. Faculty of Nursing is committed to publish scholarly research and informed commentaries on a wide category of medical surgical, health and Science, research, education and clinical. It welcomes contributions from the growing numbers of scholars and practitioners across nursing Science who are interested in education and practice.</p> Analysis of Nurses' Fatigue and Stress Factors in the COVID-19 Isolation Room in Indonesia: A Cross-Sectional Research 2023-06-15T17:42:34+07:00 Nila Sari Roxsana Devi Tumanggor <p>The COVID-19 pandemic has increased workloads and psychologically affected the nurses due to a long time of exposure to the virus, and causes a decrease in energy, leading to stress and fatigue. This study aims to analyze the factors associated with fatigue and stress experienced by nurses in the COVID-19 isolation room in Indonesia. This study involved 50 nurses who worked in the hospital's COVID-19 isolation room. The instrument used consists of three parts, namely the demographic data, a Fatigue Scale-14 questionnaire, and a Perceived Stress Scale-10. The results of the validity and reliability tests carried out on both instruments were declared valid and reliable. The data were collected by providing questionnaire link in form of a google form link through WhatsApp to each research sample. Subsequently, the collected data were analyzed using cross-tabulation analysis and chi-square test. Results showed that the majority of respondents were aged 31-40 years and most were female (35%). A total of 64% experienced moderate fatigue and 82% of nurses were in the moderate stress category. Based on the fatigue data tabulation analysis, there is no relationship between demographic data variables and fatigue. However, there is a relationship between work duration and stress variables as well as fatigue and stress experienced by nurses. These results showed that the stress and fatigue experienced by COVID-19 nurses are related to the nurses’s certain characteristics that have the potential to worsen mental health conditions. It Is recommended to explore more related to fatique factors in the future with specific nursing interventions.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science A Mobile Application for Calculating Nutrition of Cervical Cancer Patien 2023-05-12T13:09:28+07:00 Younanda Mirah Fransisca Karolin Adhisty Firnaliza Rizona <p>Nutritional balance is one of the complex problems that can occur in cervical cancer patients. This problem can lead to a decrease in the quality of life of patients during treatment, so the nutritional needs of cervical cancer patients must be controlled and maintained in order to improve the quality of life of patients. It takes a nutrient that cervical cancer patients can use to help them calculate and balance these nutritional needs. This study aimed to create an application to help cervical cancer patients manage their nutritional needs. Research and development research was carried out using the ADDIE method. A limited test of this application was carried out by involving 30 cervical cancer patients who meet the inclusion criteria, namely, cervical cancer patients who had received curative treatment in the form of chemotherapy or radiotherapy in the Cancer Information and Support Center (CISC). The average score of the System Usability Scale used in this limited test was obtained with a value of 79.90 which was in the good and acceptable category. This application can certainly be one way to help cervical cancer patients in managing nutrition and improving their quality of life.</p> <p> </p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science The Effect of Puzzle as Health Education Media on Knowledge and Attitude of DHF Prevention Among Trash Warrior Community 2023-06-26T15:06:31+07:00 Aris Mudariani Ni Komang Ari Sawitri Indah Mei Rahajeng Putu Ayu Sani Utami <p>Dengue Haemorrhagic Fever (DHF) is a significant public health threat that can be controlled by engaging all community groups in preventive measures. Interventions targeting early age are pivotal in improving knowledge and attitudes toward DHF prevention. This study proposes a health promotion strategy using a Puzzle as an educational media targeting the Trash Warrior Community members aged 9-12 years to enhance knowledge and attitudes towards DHF prevention. This was a pre-experimental study with a one-group pretest-posttest conducted from February to March 2023. All Trash Warrior Community members aged 9 – 12 (n=20) were included as respondents. They were given a questionnaire consisting of 13 questions of knowledge and ten statements of attitudes towards DHF prevention before and after the health education. The intervention in this study was health education using puzzles in 5 small groups, each consisting of 4 children. Each group was given 30 minutes to arrange the puzzle. This study shows an improvement of mean value on knowledge for 2.1 points and attitude for 0,75 points. Based on the result of bivariate analysis using the Wilcoxon test, it was found that there was a significant effect of education using puzzle media on knowledge (p=0.000, p&lt;0.05) and attitudes (p=0.045, p&lt;0.05) in preventing DHF among Trash Warrior Community members aged 9-12 years. Health education using puzzles effectively increases children’s knowledge and attitude toward DHF prevention.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Caring Behavior of Nurses In Providing Nursing Care Patients During The Covid-19 Pandemic 2023-05-12T15:51:43+07:00 Wardiyah Daulay Rahmatia Sitanggang <p>During the Covid-19 pandemic, a lot of nursing care was missed due to the increasing demands for patient care, the high risk of infection, physical and mental fatigue, things that make health workers experience this, one of which is because the high workload couses fatigue in implementing nurses and the cessation of caring behavior. This study aims to identify the caring behavior of implementing nurses in providing nursing care to patients in the Inpatient Room at the Universitas of North Sumatra Hospital during the Covid 19 Pandemic Period. The design used descriptive with a quantitative approach. Sampling used a non-probability sampling technique with a purposive sampling. Samples that met the inclusion criteria were 40 nurses and 40 patients. Data was collected using a questionnaire caring behaviors inventory (CBI). Of all the statement items, the highest score was on the assurance of human presence subscale, providing timely care and treatment of patients with an average score of 5.33 with a median value of 5.00. Meanwhile, according to the patient's perception of the caring behavior of the implementing nurse, the highest score is on the assurance of human presence subscale, talking to patients with an average value of 5.20 with a median value of 5.00. It can be concluded that the perception of the implementing nurse as the provider of nursing care and the patient as the recipient of nursing care have different perceptions about caring behavior. This research is expected to be input for nursing services to improve caring behavior.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Traumatic and Knowledge on Self Efficacy During The Postpartum Recovery Period 2023-05-31T14:32:49+07:00 Bina Melvia Girsang Eqlima Elfira Evi Indriani Br Karo Ismayadi <p>Information provision and postpartum care that is less than optimal is a problem that is often overlooked. The number of respondents based on the calculation of the sample size was 150 people, while the number of samples in this study were 134 postpartum mothers. The sample selection was carried out according to the probability sampling technique. Postpartum mothers were surveyed using a questionnaire about the history of childbirth trauma, the knowledge of postpartum mothers about self-care during the postpartum period, and the level of self-efficacy of postpartum mothers. The results of the study showed several factors that could affect the mother's self-efficacy in postpartum recovery, namely age (26.14 (4.96); p = 0.00), traumatic experience during childbirth (1.86 (0.34); p = 0.000), and mother's occupation (1.597 (0.49); p = 0.02), and knowledge (4.38 (1.68); p = 0.000). Nurses need to provide prenatal health education to increase women's beliefs about their behavior during labor and postpartum recovery.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science The Effect of Early Marriage Education on the Level of Knowledge of Adolescents about the Impact of Early Marriage 2023-06-24T15:53:46+07:00 Ririnisahawaitun Maruli Taufandas Hariawan Junardi Anatun Aupia <p>Marriage is a sacred bond between man and woman to be husband and wife to form a happy and eternal family by believing in the one and only God. Early marriage can lead to high maternal and infant mortality, miscarriage, congenital disabilities in babies, and low birth weight. One of the efforts to reduce early marriage is to increase adolescent knowledge about early marriage by educating them on the impact of it. This study aims to determine the effect of early marriage education on the adolescent level on the impact of early marriage. This study is pre-experiment using a one-group pretest post-test design. The study population is 62 students in XI grade SMKN 1 Pringgasela, East Lombok Regency. All respondents were grouped, educated on early marriage, and presented orally using Powerpoint for 30 minutes. Their knowledge level on the impact of early marriage before and after the education was measured using a questionnaire consisting of 32 questions that had been tested for validity and reliability. The results showed an increase in their knowledge level with a mean pretest of 15.10 and a mean posttest of 31.90 (delta mean = 16.80). Based on the Wilcoxon test, the study obtained p = 0.000. It can be concluded that providing early marriage education impacts students' knowledge level at SMKN 1 Pringgasela, East Lombok Regency, with a p-value &lt; 0.05. It is expected that the school will continue providing early marriage education regularly to reduce the occurrence of early marriage.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Description of Suicide Idea in Among High School Students 2023-06-23T14:40:15+07:00 Putu Diah Wilya Dewi Ni Made Dian Sulistiowati Ni Komang Ari Sawitri Putu Ayu Emmy Savitri Karin Putu Sri Febriyanti <p>Complex development and changes in adolescence led to positive or negative effects in terms of how individuals adapt with growth period. This study aims to determine the description of suicidal ideation among adolescent. Involving 317 high school students in Badung Regency, conducted in January 2023 with purposive sampling technique. Data collection was conducted through the Suicide Ideation Scale questionnaire which was distributed through a google form link. This instrument is divided into two aspects namely overt and covert.</p> <p>The results showed that there were 4 (1.2%) grade XI students in Badung Regency who had suicidal ideation, consisting of 3 female students (0.9%) and 1 male student (0.3%). The data shows that students have low suicidal ideation of 1.3%, while those who do not have suicidal ideation are 98.7%. Compared to male students, suicidal ideation was experienced more by female students with a total of 3 people (0.9%). The majority of students are female, namely 195 people (61.5%) while 122 male students (38.5%). The age of students is dominated by students aged 17 years, as many as 311 people (98.1%). The majority of students who became respondents were the second child, with 137 people (43.2%), 125 people (39.4%) had 2 siblings and only 1 person (0.3%) had 6 siblings. On average, students have parents who are still intact, with a total of 290 people (91.5%). The score on the covert aspect was higher than the overt, which means that many students did not show others that they had suicidal thoughts.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Covid-19 Health Education for Compliance in Implementing Health Protocols 2023-06-16T09:56:11+07:00 Andri Setyorini Musdalifah Sri Nur Hartiningsih <p>The Covid-19 pandemic has forced people to fight hard to survive and adapt to a lifestyle in the new normal era. To adapt to the new normal era, complying with health protocols is needed to reduce the transmission rate of positive cases. Thus, continuous promotive efforts must be carried out to increase awareness and healthy living behaviour in the community. This study aims to determine the effect of health education about Covid-19 on adherence to implementing health protocols. This research is pre-experimental. Sampling used the Total Sampling technique with 20 women in Trimurti Village RT.08 Kapanewon Srandakan. The instrument used is a compliance questionnaire adopted from Istikomah (2021). The analytical test used is the Wilcoxon test. These study results illustrate that most adherents to carrying out health protocols before being given health education were in the moderately obedient category, namely 17 respondents (85%). Meanwhile, most adherents to implementing health protocols for mothers after being given health counselling were in the obedient category, namely 17 respondents (85%). The results of data analysis using the Wilcoxon test show the results of Signed Ranks, namely z count ≤ z table (109.00 ≤ -3.742), with a sig value of ≤0.000. It can be concluded that health education about Covid-19 influences mothers' attitudes and compliance in implementing health protocols.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Relationship Between Adequacy of Breastfeeding and The Incidence of Neonatal Jaundice in The NICU at Darus Syifa’ Islamic Hospital Surabaya 2023-06-09T19:57:54+07:00 Yuanita Syaiful Lilis Fatmawati Sumiyati Sumiyati <p>Inappropriate early breastfeeding is associated with reduced caloric intake and increased serum bilirubin. It occurs due to a lack of caloric intake to increase enterohepatic circulation. Early breastfeeding for neonates can reduce the occurrence of jaundice. This study aimed to determine the relationship between adequacy breastfeeding and the incidence of neonatal jaundice at the Darus Shifa Islamic Hospital Surabaya. This study used an analytical research design with a cross-sectional approach and a purposive sampling method. The population of this study was 35 respondents. The sample in this study was 32 respondents, and there were two variables. The dependent variable was the adequacy of breastfeeding using an instrument on an observation sheet. The independent variable was the incidence of jaundice using a checklist instrument. Data analysis used Spearman rho. The results of the statistical analysis test using the Spearman rho statistic test with the help of SPSS obtained a significance value of p = 000 which means there is a relationship between the adequacy of breastfeeding. The incidence of neonatal jaundice is r =0,912, meaning there is a solid correlation between the adequacy of breastfeeding and the incidence of it. Adequacy breastfeeding is one way to prevent neonatal jaundice with the support of professional health workers' information to mothers about breastfeeding and its benefits. Thereby affecting the continuity of mothers in breastfeeding so that babies do not experience neonatal jaundice.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science Care Behavior on Postmenopausal During Covid-19 Pandemic in The Medan Johor District Area 2023-06-26T15:27:59+07:00 Siti Saidah Nasution <p>Reproductive health issues, especially maternal and infant health, are a priority and require special care during the COVID-19 pandemic. One of the groups at high risk of contracting the COVID-19 virus is people in the elderly age group, especially mothers in the menopause stage, which is categorized as a comorbid group. An assessment of the knowledge and attitudes of postmenopausal mothers in health care is important to maximize action in the treatment and prevention of disease. This type of research is a descriptive study that aims to describe behaviors, especially the knowledge and attitudes of postmenopausal mothers. The population of all menopausal mothers in the Medan Johor sub-district with a sample of 128 people. Data collection was carried out using questionnaires, which consisted of demographic data, and knowledge and attitude data. Univariate data analysis using frequency distribution and presentation. The results of the study found that the knowledge of postmenopausal mothers was in a low category, namely around 48%, and negative attitudes of 52% related to health care during the COVID-19 pandemic.</p> 2023-07-29T00:00:00+07:00 Copyright (c) 2023 Caring: Indonesian Journal of Nursing Science