Community of inquiry Framework Combined With Podcast Media in Nursing Education innovation During Covid-19 Pandemic: An Evaluative Study.

Background: The COVID-19 pandemic has not researched inquiry methods much, other than that it has never been combined with podcast media to better refine students' abilities. The purpose of this study was to determine student satisfaction with basic nursing theory and practice courses taught using the Community of Inquiry framework using podcast media. Methods: This evaluation was done at a university using a validated Community of Inquiry survey (n = 54) and interviews (n = 20). A convenience sample of 54 graduate students enrolled in a core research field comprised the study participants. The quantitative data were analyzed descriptively and the qualitative data were thematically coded. Results: Five major themes emerged: It was a new experience, and fun to learn; it is challenging to learn; it is an ongoing enthusiasm; it is well known, and useful to others. Overall, student satisfaction was high, especially in the cognitive presence (critical thinking) and instructor presence (mostly related to pedagogy) categories. Student perspectives on developing "social presence" vary, but the framework is generally effective for stimulating inquiry and fostering a sense of community. Students can gain thorough knowledge of the learning goals they wish to pursue. Conclusion: Formation of an "investigation community" through the use of the media of podcasts. This framework has significant potential for use in the teaching of nursing research subjects; satisfaction is high when students report learning not only theory and practice, but also how to "make" character changes through the formation of professional and intellectual communities.

"We are Tired but Do Not Give Up" the Dilemma and Challenges of Primary Nurses Facing the Omicron Variant: Qualitative Research.

Background: Everyone becomes aware due to the epidemic, especially primary department nurses. The significance of their experiences teaches nurses how to take care of themselves and be successful in their caregiving. Objective: The purpose of this study was to investigate the perceptions of nurses working in primary care settings in rural regions during the omicron variant pandemic. Methods: On the basis of the Nvivo 12 analytic approach, extensive semi-structured interviews were used to perform this qualitative study. 20 interviews later, data saturation had been reached. Data collecting was place from February to March 2022 for a month. The following participant characteristics were discovered through semi-structured interviews with 20 nurse participants. Ages of the participants, who were split between eight men and twelve women, varied from 28 to 43 years (average age 36.4 years). The majority (75% of them) had a vocational education, and their years of experience ranged from five to fifteen (average 11 years). Results: 4 topics and 7 sub-themes' results. The results' fundamental message is: The Nursing Clinical Practice Dilemma, school district, virus type uncertainty Indigenous peoples do not adhere to the concept of the afterlife. Must Be Excited and Alert; School Cluster; Virus Type Confusion; Non-Belief in Covid; and the Dilemma of Nursing in Clinical Practice are the Overarching Themes of This Study. Conclusion: Making innovations to increase motivation thereby reducing mental and physical fatigue are the implications of the results of this study. Further exploration of the readiness of nurses to treat patients in the main department is believed to be beneficial for the results of this study.

Nursing Students Facilitating the Transition from Suicidal Ideation to Action in the Rural: A Qualitative Study.

Objective: This study aims to increase understanding of the process of nursing students at risk of completing suicide attempts that facilitates the transition from suicidal ideation to action. And The Central Bureau of Statistics, there were 812 suicide cases throughout Indonesia. Methods: The qualitative research involved 15 nursing students who were selected purposively. data collection in rural East Java Data were collected through semi-structured interviews and analyzed using the Colaizzi phenomenological method. Results: We identified six main themes; 1 (the dimension of individual history). 2 (socio-cultural dimension) describes the problems experienced by nursing students on campus and off campus. 3 (interpersonal dimension). 4 (intrapersonal dimension); Factors of family conflict, peer conflict, and psychiatric and/or medical disorders. 5 (emotional dimension). 6. (be a good listener). Conclusion: The intrapersonal element is the most influential catalyst in the progression from suicidal ideation to action. As prospective targets for preventive interventions and practices with nursing students at risk of suicide, our findings suggest the need for specific measures addressing freshman recruitment during selection for faculty, emotional dysregulation, and feelings of invalidity and entrapment. Nursing students need intrapersonal training. Being a good listener for all students, lecturers and staff is important to create a support system for suicide prevention in the nursing environment.

Dynamic Self-Determination of Self-Care and Positive Deviance Model for Stunting Prevention in Indonesia

ABSTRACT Objective: To describe the dynamic self-determination of self-care (DSDoSC) and positive deviance (PD) models in changing stunting prevention behavior. Material and Methods: This research is a quasi-experimental study with a sample of 90 mothers taken by purposive sampling. Thirty mothers were given the DSDoSC intervention, 30 were given the PD intervention, and another 30 were in the control group. This research was conducted in July - October 2019. The variables studied were feeding behavior, nurturing behavior, personal hygiene behavior, environmental cleanliness and air sanitation, and behavior seeking health services. To analyze the difference in mother behaviour before and after test, we used Paired t-test. Analysis of Variance (MANOVA) was used to analyze the difference of mother behaviour among groups. The level of significance was p<0.05. Results: The PWD group showed that eating behavior, parenting behavior, personal hygiene behavior, environmental hygiene and water sanitation, and behavior seeking health services had significant numbers. In the DSDoSC group, eating behavior, parenting behavior, environmental hygiene, water sanitation and health service-seeking behavior were significantly (p<0.05). The results of the Manova test showed that there was an effect of PD and DSDoSC on stunting prevention behavior. Conclusion: Self-dynamic for self-care model and the positive deviance model both can change a mother's behavior for the better in feeding, parenting, environmental hygiene, and water sanitation, seeking health services, but not changing behavior about personal hygiene behavior.

Determining the Factors That Influence Stunting during Pandemic in Rural Indonesia: A Mixed Method.

OBJECTIVE: Pandemic causes an increase in the poverty rate. The consequences will be many, including the birth of stunting babies. The COVID-19 pandemic has had an impact on stunting. Analyzing the factors that cause stunting during a pandemic will provide suggestions for effective stunting prevention strategies at the national, regional, community, and household levels. This study aims to determine the factors that influence stunting during the pandemic. METHOD: We use mixed methods. The respondents of this study were 152 mothers of the Maternal and Child Nutrition Security project, and the sampling technique is Cluster Sampling. Quantitatively using a baseline survey whose analysis uses multiple logistic regression to determine the unadjusted and adjusted odds ratio. The qualitative data used focus group discussions which were analyzed using Nvivo 12 with a questionnaire, and anthropometric measurements of children from surveyed households. RESULTS: This study summarizes the multivariate analysis of stunting determinants in the pandemic era, revealing statistically significant interactions between household sanitation facilities and household water treatment. Significant risk factors for severe stunting during the pandemic were male gender, older child age, coming from a low socioeconomic quintile, not participating in prenatal care at a health facility, and mother's involvement in choices about what to prepare for Community House. The FGDs identified misinformation about childcare and consumption of sweetened condensed milk as significant contributors to child malnutrition. CONCLUSIONS: Lack of sanitation facilities and untreated water are contributing factors. Water, sanitation, and hygiene initiatives must be included into Indonesian policies and programs to combat child stunting during a pandemic. The need for further research related to government assistance for improving toddler nutrition, as well as the relationship between WASH and linear development in early infancy should be explored.

Analysis of organizational culture factors that influence the performance of health care professionals: A literature review.

Hospitals in today's healthcare system are under pressure to boost their competitiveness. A number of studies have shown the disconnect between corporate culture and the enhancement of healthcare professionals' performance. While it is well accepted that an organization's culture has a substantial impact on the performance of its health care professionals in clinical practice, the mechanisms by which culture might enhance health care professionals' performance remain unclear. This paper draws on 22 literature reviews and database searches using keyword syntax from Sciencedirect, Pubmed, Google Schoolar, and other relevant publications published between 2011 and 2021. Research in the field demonstrates that a company's culture may influence the efficiency and effectiveness of its healthcare employees. This overarching issue was dissected into the following themes: nurse performance mediated by discipline; the existence of cultural groups; a central focus on health care professional management; and individual, organizational, and psychological aspects. The optimal performance of nurses and the outcomes of patient care are contingent on management in the health care business knowing the cultural factors that exist in the workplace.

Determination of factors affecting post-partum depression in primary healthcare during the COVID-19 pandemic.

Postpartum depression is a phenomenon that occurs in the first postpartum days. Symptoms of postpartum depression peak on days 3 to 5 postpartum with a duration ranging from a few hours to several days. Of course, this will be different during the Covid-19 pandemic. The aim of this study was to analyze the determinants that influence the incidence of post-partum depression in primary health during the pandemic. The method in this research is descriptive analysis with cross sectional approach with a total sample of 100 respondents. The research instrument used a standard instrument, namely the EPDS (Edinburgh Postnatal Depression Scale) instrument. The results of the study were the determinant factors of parity in primigravida and attitudes. From the results of this study, it can be concluded that the dominant factors that greatly influence the risk of post-partum depression in women in primary health during the pandemic are parity (primigravida) and the attitude of women who take it for granted when they know that they are at risk of post-partum depression.

Development of Social Support Model to Reduce Menopause Women’s Anxiety / Desarrollo del modelo de apoyo social para reducir la ansiedad de la menopausia femenina

Background: Menopause is a natural phase of a woman's life when menstrual periods stop permanently and cause psychological symptoms such as anxiety. anxiety can be reduced when women get social support. Objective: The purpose of this study is to develop a social support model to reduce anxiety in menopausal women. Method: This study applied explanatory research design with a Cross-sectional approach. The study population was selected 197 menopausal women who were in 11 clusters in Diwek - Jombang Regency. The participants were selected using Cluster Random sampling. The data analyzed by using the Partial Least Square test. The inclusion criteria of this research are 1) Women Menopause Age 45-55 years old experiencing anxiety, 2) Registered in couples of childbearing age records 2017 of Diwek District Health Center, while the exclusion criteria of this research are 1) Menopausal women single/ virgin, 2) Using tranquilizers, 3) Using hormone replacement therapy (TSH). Results: The results showed that (1) individual factors significantly influenced the evaluation of stress (path coefficient of -0.056, t = 3.74); (2) social networking significantly influences stress evaluation (path coefficient -0.147, t = 2.13); (3) social support significantly influences stress evaluation (path coefficient -0.117, t = 2.02); (4) social support significantly influences anxiety (path coefficient -0.326, t = 5.25); and (5) stress evaluation significantly influences anxiety (path coefficient 0.196, t = 9.07). Conclusion: The development of social support models to reduce postmenopausal anxiety has a significant direct effect. The development of the model consists of stress assessment consisting of experience, trust, coping resources, informative support and award support. The development of social support is highly recommended to reduce anxiety among menopausal women by promoting stress evaluation and social support from close relationships.(AU)

Antecedentes: la menopausia es una fase natural de la vida de una mujer en la que los períodos menstruales se detienen de forma permanente y provocan síntomas psicológicos como la ansiedad. la ansiedad se puede reducir cuando las mujeres obtienen apoyo social. Objetivo: El propósito de este estudio es desarrollar un modelo de apoyo social para reducir la ansiedad en mujeres menopáusicas. Método: Este estudio aplicó un diseño de investigación explicativa con un enfoque transversal. La población del estudio fue seleccionada 197 mujeres menopáusicas que estaban en 11 grupos en Diwek - Jombang Regency. Los participantes fueron seleccionados mediante muestreo aleatorio por conglomerados. Los datos analizados mediante la prueba de mínimos cuadrados parciales. Los criterios de inclusión de esta investigación son 1) Mujeres con menopausia de 45 a 55 años que experimentan ansiedad, 2) Registradas en parejas en edad fértil en 2017 del Diwek District Health Center, mientras que los criterios de exclusión de esta investigación son 1) Mujeres menopáusicas solteras / virgen, 2) Usar tranquilizantes, 3) Usar terapia de reemplazo hormonal (TSH). Resultados: Los resultados mostraron que (1) los factores individuales influyeron significativamente en la evaluación del estrés (coeficiente de trayectoria de -0,056, t = 3,74); (2) las redes sociales influyen significativamente en la evaluación del estrés (coeficiente de trayectoria -0,147, t = 2,13); (3) el apoyo social influye significativamente en la evaluación del estrés (coeficiente de trayectoria -0,117, t = 2,02); (4) el apoyo social influye significativamente en la ansiedad (coeficiente de trayectoria -0,326, t = 5,25); y (5) la evaluación del estrés influye significativamente en la ansiedad (coeficiente de trayectoria 0,196, t = 9,07). Conclusión: El desarrollo de modelos de apoyo social para reducir la ansiedad posmenopáusica tiene un efecto directo significativo...(AU)

"We Are at The Forefront of Rural Areas" Emergency Nurse's Experience During Pandemic: A Qualitative Study.

Purpose: The pandemic makes everyone alert, including nurses who are in emergency rooms at community health centers, the importance of their experiences is a lesson for nurses to maintain themselves and be effectivein providing services. This study aimed to explore the experience of nurses who are in emergency rooms at rural area during the coronavirus disease pandemic. Methods: This qualitative research was conducted based on the Nvivo 12 analysis method using in-depth semistructured interviews. Data saturation was reached after 20 interviews were completed. Data collection lasted for 1 month from February to March 2020. Results: Semistructured interviews with 20 nurse participants obtained the following participant characteristics. Eight participants were males and 12 were females with an age ranged from 28 to 43 years (average age 36.4 years). The majority had vocational education (75%), with long experience that ranged from 5 to 15 years (average 11 years). The findings of four themes and seven subthemes. The theme of the findings is Expressions of care, Compliance increases using Personal Protective Equipment (PPE), Focus to refer to, Triage at the forefront. Conclusion: This research reveals that Expressions of care, Compliance increases using PPE, Focus to refer to, Triage at the forefront is the main theme identified in this study. Further investigation of the readiness of nurses in handling patients in the emergency room is considered to be of benefit to the results of this study.