Occupational Stress and Professional Quality of Life Among Community Health Nurses During the COVID-19 Pandemic.

Purpose: This study aimed to identify the correlation between occupational stress and professional quality of life (Pro-QOL) among community nurses during the pandemic COVID-19. Design: This study was conducted with a correlational design of 120 community health nurses. The research sample was obtained using a nonprobability purposive sampling technique following the research inclusion criteria. Expanded Nursing Stress Scale and Pro-QOL were used in this study. The research hypothesis: there is a correlation between occupational stress and the Pro-QOL of community health nurses. Methods: Pearson's correlation coefficient was used to analyze the correlation between occupational stress and Pro-QOL. Findings: The results of correlation analysis showed that there was a statistically significant positive correlation between occupational stress and Pro-QOL. Despite being in a difficult situation due to the pandemic and vulnerable to occupational stress, nurses significantly had high compassion satisfaction. Conclusions: Occupational stress affects nurses' Pro-QOL, it can be considered for public healthcare organizations to promote healthcare workers' well-being. Mobilizing the existing workforce, changing work patterns, support from colleagues and supervisors, clear communication of directives, and precautionary measures can reduce psychiatric symptoms.

The relationship of cultural values with clean and healthy life behaviour (CHLB) among Islamic boarding school students in Indonesia.

BACKGROUND: Poor clean and healthy life behaviours (CHLB) are often found in students (santri) in Islamic boarding schools (pesantren) in Indonesia. Pesantren is a subculture that has derived different cultural values from society, while santri have a habit of borrowing and lending clothes and see scabies as a blessing. This study aimed to identify and describe the correlation between cultural values and CHLB practices among santri. DESIGN AND METHODS: It used descriptive analytics with a cross-sectional approach. The participants were 100 santri who lived in pesantren and were selected by using stratified random sampling. The cultural values and CHLB practices were assessed using the instruments developed by the writers in the previous study. The statistical analysis using the Spearman correlation test was applied to evaluate the association between cultural values and CHLB practices. RESULTS: The result shows a significant correlation between cultural values and CHLB practices among santri (p=0.004; r=0.284). Most of the santri had positive cultural values (52%) and poor CHLB practices (54%). CONCLUSIONS: The findings of this study showed that most of the santri adhered to positive cultural values, and most of them had poor CHLB practices. These findings also showed significant correlation between cultural values and CHLB practices among santri. This study is expected to be the basis for school nurses to provide nursing care with a cultural approach to improve CHLB practices among santri.

Measuring the interprofessional collaborative competencies of health-care students using a validated Indonesian version of the CICS29.

The objectives of this study are to validate an Indonesian version of the Chiba Interprofessional Competency Scale (CICS29) and measure the interprofessional competencies of undergraduate health-care students following their completion of an interprofessional education (IPE) course. This study used a cross-sectional design and was preceded by a cross translation of the instrument and a confirmatory factor analysis (CFA), which confirmed that the Indonesian-version CICS29 has good internal consistency comparable to the original model. The Indonesian version was then administered to 723 health-care students who had completed a community-based IPE course. Based on data gathered from 707 respondents (97.8%), it was found that their interprofessional competency was relatively good (mean score: 127.9 out of 145, 88.2%). The dental students scored consistently lower compared to students of other faculties, both in the overall CICS29 and all five of its subscales, three of which are specifically related to teamwork. The study has provided support for cross-cultural validity of undergraduate health-care students' interprofessional competency measures using CICS29. Further efforts are necessary to ensure that the students understand their roles and internalize the collaborative values and practices of all health professions.

Expectations of survivors towards disaster nurses in Indonesia: A qualitative study.

OBJECTIVE: This study aims to explore the expectations of survivors towards disaster nurses. METHODS: The study used qualitative content analysis. Data were collected in 2017 through three focus group discussions with 21 survivors and in-depth interviews with three community leaders; the respondents had experienced one of the following events: a) an earthquake in Padang 2009, b) a volcanic eruption in Yogyakarta 2010, and c) flooding in Jakarta 2014. RESULTS: Four themes represented survivors' expectations of what nurses can do in responding to a disaster, including: a) provision of direct nursing care, b) provision of information of health service access, c) provision of resources through cross-sector coordination, and d) disaster preparedness activities for the community. CONCLUSIONS: This study suggests the importance of disaster nurses having the competency to update information regarding healthcare access, particularly the utilization of health insurance and providing culturally competent care to the survivors. Disaster nurses are also expected to be able to train the community and families about preparedness-related activities. Besides, these disaster nurses should improve their competency in disaster risk reduction. More broadly, such nurses should have the ability to advocate and coordinate with the local government and other stakeholders regarding access to healthcare services and continuous rapid assessment, so that survivors receive immediate and appropriate treatment.

Improving Food Safety Behavior through Mind Map Methods in School-Age Children.

School-age children who do not practice safe food behavior are at risk of experiencing health problems. The aim of the study was to determine the effect of education with mind map methods on safe food behavior in school-age children. The study design was a quasi-experimental with pre- and posttests design, involving 88 school-age children, and each group consisted of 44 respondents who were divided into intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. Measuring instruments used questionnaires from previous researchers regarding food safety behavior in school-age children. The results showed that the mind map method significantly affects knowledge (p-value = 0.000), attitude (p-value = 0.000), and skill (p-value = 0.000) for safe food. This study recommends that the mind map method be applied in an effort to improve clean and healthy living behavior in school-age children.

Risk Factors for the Initiation of Smoking Behavior in Primary School Age Children in Karawang, Indonesia.

Increases in smoking behavior among people in the community can cause health problems. Current smoking behavior changes in the younger generation and spreads to children. This condition is a concern for elementary school-age children. The purpose of this study was to determine the relationships between risk factors for smoking behavior in primary school-aged children in Karawang. Descriptive research method with cross-sectional design was used; a random sampling technique obtained a sample of 356 respondents aged 9-12 years in Karawang. This study used a smoking behavior questionnaire with validity (0.469-0.872) and reliability (0.92). Data were analyzed using linear correlation and multiple linear regression. The results of study show a relationship between age risk factors for the first-time smoking, family of smokers, and following trends and wanting to be cool with smoking behavior of primary school-age children. Multivariate analysis of multiple linear regression showed that the most dominant factor related to smoking behavior was sex (R square = 0.159). Risk factors for smoking and sex affect smoking behavior in primary school-aged children in Karawang Regency. The findings of this study indicate the need to control risk factors that influence school-age children to start smoking.

The Relationship between the Nutritional Status of School-Age Children and Their Academic Achievement and Physical Fitness Levels.

Physical fitness and academic achievement in schoolchildren can be supported by good nutrition. Today, however, the nutritional status of school-age children, especially in Indonesia, is concerning. The objective of this study was to examine the relationship between the nutritional status of school-age children and their academic achievement and physical fitness levels. This study used a cross-sectional method; the sample was school-age children in Banjar, Pandeglang. The respondents were 137 randomly selected students in the fourth, fifth, and sixth grades. A chi-square test was used to identify the relationship between nutritional status and physical fitness level and, also, nutritional status and academic achievement. The results showed that the majority of participants had poor fitness levels (86.9%), and 46% had low academic achievement. However, the nutritional status of the majority of the participants was normal (78.8%). The analysis of the results found no significant relationship between nutritional status and physical fitness (p = 0.787 > a = 0.05). However, there was a significant relationship between nutritional status and children's academic achievement (p = 0.03 < a = 0.05). Therefore, schools could provide health education about balanced nutrition to support students' academic achievement.

Parental Knowledge Influenced the Effectiveness of Therapeutic Sociodramatic Play on Diarrheal Preventive Behavior in School-Age Children.

Healthy and clean living behaviors among school-aged children are still relatively low in Indonesia, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the most influential factors to effectiveness therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6-12 years). The study design was quasi-experimental with pre- and post-tests, involving 102 school-age children who were divided into an intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that parental knowledge had a significant effect on therapeutic sociodramatic play improving students' knowledge (p = 0.001), attitudes (p = 0.004), and diarrheal prevention skills (p = 0.003). Therapeutic sociodramatic play will be more effective when followed by good parental knowledge. The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.

The Correlation between Spirituality Level and Emotional Resilience in School-Aged Children in SDN Kayuringin Jaya South Bekasi.

School-aged children are an age group with unstable emotional resilience. Negative emotional resilience will influence their emotional health. Based on these factors, school-aged children are at risk for a decrease in emotional resilience. Spiritual activity is one coping mechanism for those who have experienced stress because of negative emotional resilience. This research is a correlation study to understand the presence or absence of the relationship between spirituality level and emotional resilience of school-aged children in SDN Kayuringin Jaya VI and SDN Kayuringin Jaya VII, Bekasi Selatan, Indonesia. Respondents were 106 people taken from proportionate stratified. The results of a chi-square test showed a correlation between spirituality level and emotional resilience (p = 0.026). Based on this research, the researchers suggest school institutions optimize spiritual activity in school, which could be used to form positive emotional resilience.

The Effect of Interactive Education with 3-Dimensional Puzzles on the Injury-Prevention Behaviours of School-Age Children.

The aim of this quantitative study was to identify the effect of interactive education with 3-dimensional puzzles on the injury-prevention behaviours of school-age children in Bekasi, Indonesia. This study used a pre-post group design to select the intervention group and the control group. Of the 120 elementary school students included, 60 were placed in the intervention group and 60 in the control group. Multistage random sampling determined the schools, and simple random sampling determined the subjects. The results showed that interactive education with 3-dimensional puzzles was significant for knowledge (p < 0.001), attitude (p < 0.001) and injury prevention skills (p < 0.001). Interactive education sessions with 3-dimensional puzzles significantly improved knowledge related to injury prevention. Therefore, interactive education with 3-dimensional puzzles may prevent injuries in school-age children. School nurses can use this technique to improve their health education programs.