https://ejournal.almaata.ac.id/index.php/JNKI/issue/feedJNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)2024-01-18T14:53:15+07:00JNKI Editorial Teamjnki.almaatajournals@almaata.ac.idOpen Journal Systems<strong>JNKI (Jurnal Ners dan Kebidanan Indonesia)</strong> (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in collaboration with AIPNI (Asosiasi Institusi Pendidikan Ners Indonesia), AIPKIND (Asosiasi Institusi Pendidikan Bidan Indonesia), PPNI (Persatuan Perawat Nasional Indonesia), and IBI (Ikatan Bidan Indonesia).https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3200Mobile app for the accuracy of emergency drug administration in children's cardiovascular resuscitation : A literature review2024-01-18T14:51:06+07:00Arie Sasongkosasongko_83@yahoo.co.idIwan Purnawansasongko_83@yahoo.co.id<p><strong><em>Background : </em></strong><em>Errors in the calculation of drug titration are one of the causes of medical errors that have an impact on the implementation of cardiopulmonary resuscitation in children. Calculations based on age, child weight and incorrect anthropometric data are what cause medical errors in the administration of emergency drugs in cases of pulmonary cardio resuscitation.</em><em> </em><em>One strategy in utilizing technological advances to minimize the occurrence of medical errors in drug administration with the titration method is to use a dose calculation application for drug titration.</em></p><p><strong><em>Objectives : </em></strong><em>The purpose</em><strong><em> </em></strong><em>of this literature review is to analyze the effect of using drug administration calculation applications for the prevention of medical errors in emergency cases and pediatric cardiopulmonary resuscitation</em><em>. </em></p><p><strong><em>Methods : </em></strong><em>This research method is a literature review using PRISMA analysis with a database of PUBMED, Science Direct, Proquest, Springer, Wiley, Taylor ,and France from 2017-2022</em><em>. </em></p><p><strong><em>Results :</em></strong><em>The use of mobile apps for drug administration or titration in cases of cardiovascular emergency children has proven to be effective and efficient because it can speed up the preparation time with dose accuracy to minimize ischemia assembled hypotension to vital organs and improve the hemodynamic status and maintain neurological status</em><em>. </em></p><strong><em>Conclusions: </em></strong><em>Mobile applications is effective and efficient in preventing medical errors in drug administration with the titration method in cases of pediatric cardiopulmonary resuscitation.</em>2023-12-05T08:20:06+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3537The implementation of health operational cost management in reducing stunting in the Kalisat Community Health Centre, Jember Regency2024-01-18T14:51:14+07:00Masilatul Khikmahmasila@unej.ac.idYennike Tri Herawatiyennike.fkm@unej.ac.idNi'mal Baroyanbaroya@unej.ac.id<p><strong><em>Background </em></strong><em>: BOK Funds are used to finance ten activities that promote and prevent health, including community health centre management and malnutrition reduction. Other sources of funding for stunting include the State Budget, the Local government budget, village funds, and the BOK. According to the 2018 Jember Regency BOK budget realization report, the average utilization of BOK funds by Jember Regency community health centres was 89.99%. This typical rate of absorption is regarded as satisfactory. This is not consistent with the increase in stunting, particularly at the Kalisat Community Health Centre, which increased by 25.07 % in 2019. </em></p><p><strong><em>Objectives </em></strong><em>: The objectives of the study were: a) to evaluate the planning; b) to evaluate the mobilization and implementation; and c) to evaluate the supervision, control, and performance evaluation of BOK in reducing stunting. </em></p><p><strong><em>Methods </em></strong><em>: Therefore, this study employed a qualitative methodology and case study research design. Informants involved in this research were the head of the community health center a person in charge of the BOK, secretary and a member of the BOK management, the head of administration, nutritionist at the community health center, and regional midwife. Completed research conducted in August of 2020. An interview guide, in-depth interviews were utilized to collect data. </em></p><p><strong><em>Results</em></strong><em> : According to the study's found that the series of management activities were in accordance with the guidelines. Planning is carried out from the bottom up, Mobilization and Implementation are carried out through Lokmin, but Lokmin participants are often absent due to multiple tasks (e.g., there were several activities that did not go according to plan, particularly during the pandemic era, there were double jobs, and workshop participants were frequently late.) BOK is used to finance the operational costs of stunting prevention program activities.</em></p><p><strong><em>Conclusions:</em></strong><em> Planning, mobilization, implementation and use of BOK funds are in accordance with guidelines and budget allocation. Mini workshops should be held at agreed times and take into account officers who have double jobs</em></p>2023-12-05T08:20:11+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3576Exploration of resilience in midwifery students2024-01-18T14:51:45+07:00Niken Bayu Argahenikinantiniken@gmail.comGrhasta Dian Perestroikagrhastadian@staff.uns.ac.idSyarifah Syarifahsyarifahsst@gmail.com<p><strong><em>Background: </em></strong><em>Resilience is considered a vital characteristic and has gained attention in midwifery practice and education. In particular, midwifery students face challenges during their education in both the academic and clinical components of the program. The clinical component of midwifery education is equally demanding. Students work in actual healthcare settings, providing care to expectant mothers and infants. They face the emotional and physical demands of long hours, the need for excellent communication skills, and exposure to complex clinical situations. Resilience enables them to stay composed in high-stress situations and learn from both successes and failures.</em></p><p><strong><em>Objectives: </em></strong><em>to offer a complete picture of the recent research on the resilience of midwifery students</em></p><p><strong><em>Methods: </em></strong><em>This study's methodology is a scoping review using the prism-ScR checklist, the Joanna Briggs Institute (JBI) critical appraisal tool, and a PEOs framework. It makes use of four databases— Google Scholar, PubMed, Scopus, and ProQuest —and its inclusion criteria are original English articles that can be accessed in full text between 2019 and 2023.</em><em></em></p><p><strong><em>Results: </em></strong><em>Out of 168 publications, we found 10 that are pertinent to the research goals. Qualitative research, cross-sectional studies, and mixed methods studies make up the research. The mapping result includes four themes: Caring, Support, Bounce back, Critical Reflective Skills, A Mandatory skill set, and Burnout.</em><em></em></p><strong><em>Conclusions: </em></strong><em>Empathy, resilience, professional identity, perceived concern from peers, and recognition of caring as a prerequisite for the midwifery profession were factors strongly associated with humanistic caring ability. These factors should be incorporated into the midwifery education agenda for agents of change. Facilitating the improvement of empathy, resilience, and professional identity will require strategic training, reinforcement, and transformative educational approaches from educators.</em>2023-12-05T08:20:18+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3580Effect of education level on delivery at home evidence from eastern Indonesia2024-01-18T14:52:03+07:00Nikmatur Rohmahnikmaturrohmah@unmuhjember.ac.idAgung Dwi Laksonoagung.dwi.laksono@brin.go.idSofia Rhosma Dewisofiarhosma84@gmail.com<p><strong><em>Background:</em></strong><em> Eastern is an area that tends to be lagging in terms of health development in Indonesia, including delivery services. </em></p><p><strong><em>Objectives:</em></strong><em> The study aims to analyzes the effect of education level on delivery at home in eastern Indonesia. </em></p><p><strong><em>Methods:</em></strong><em> The study employed secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The samples of this study were women of childbearing age, who labored in the last five years, and there were 2,299 respondents. Apart from education level as an exposure variable, the study used seven control variables, i.e., residence, age, employment, marital, parity, health insurance, and wealth status. In addition, the study employed binary logistic regression in the final stage. </em></p><p><strong><em>Results:</em></strong><em> The results inform women with primary education have a 1.520 times higher probability than women with higher education to deliver at home (AOR 1.520; 95% CI 1.520-1.521). Moreover, women with secondary education are 1.206 times more likely than women with higher education to deliver at home (AOR 1.206; 95% CI 1.206-1.207). Thus, the results of this analysis inform the lower the education level, the higher the possibility for delivery at home. Apart from education level, the study also found other control variables significantly related to maternal delivery at home in eastern Indonesia.</em> <em>Seven control variables are proven to be related to home delivery in Eastern Indonesia. The first lives in the countryside, the second is younger, the third does not work, the fourth has a partner, the fifth is multiparous, the sixth has no insurance, and the seventh is very poor. </em></p><strong><em>Conclusions:</em></strong><em> The study concluded that education level affects maternal delivery at home in eastern Indonesia.The recommendation from this research is the need for policies that can minimize the limitations of vulnerable groups in utilizing help in hospitals. </em>2023-12-05T08:20:24+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3606Marmet technique and oxytocin massage increase the smoothness of breastfeeding2024-01-18T14:52:19+07:00Rialike Burhanrialikeburhan@poltekkesbengkulu.ac.idAfrina Mizawatiafrinamizawati@poltekkesbengkulu.ac.idMariati Mariatimariati@poltekkesbengkulu.ac.idAsmariyah Asmariyahasmariyah@poltekkesbengkulu.ac.idLia Nurcahyanilianurcahya@poltekkesbengkulu.ac.id<p><strong><em>Background: </em></strong><em>Breast milk is the best baby food and every baby has the right to get breast milk. Based on data from the World Health Organization (WHO) in 2018, data on the coverage of exclusive breastfeeding in several countries had not yet reached the target. Referring to the national target of 80%, in 2018 nationally the coverage of babies receiving exclusive breastfeeding is 68.74%. Meanwhile, in Bengkulu province, newborns who received exclusive breastfeeding were 65.46%. Based on the results of the 2018 Riskesdas, the proportion of breastfeeding patterns for infants aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding.</em></p><p><strong><em>Objectives</em></strong><em>: This study aimed to determine the effectiveness of the marmet technique and oxytocin massage on the smoothness breastfeeding .</em></p><p><strong><em>Methods</em></strong><em>: This research used a quantitative approach with a quasi-experimental design, employing a two-group pretest-posttest design with a control group. The experimental group was administered the Marmet technique, while the control group received oxytocin massages for seven consecutive days. The sample for this study consisted of 60 first-day postpartum mothers, with 30 in the intervention group and 30 in the control group. The research was conducted at PMB Bengkulu City. The research instruments used observation sheets, and data analysis was tested using the t-test and processed using computerization. </em></p><p><strong><em>Results:</em></strong><em> The statistical results obtained showed that there was a significant difference between the groups given the marmet technique and oxytocin massage regarding the smoothness of breast milk, where the marmet technique group had better improvement. There is a relationship between education and parity with breastfeeding fluency but there is no relationship between age and work with breastfeeding fluency. Intervention and parity variables are the most effective variables in increasing the smooth breastfeeding of postpartum mothers.</em></p><p><strong><em>Conclusions: </em></strong><em>There is an effect of the marmet technique and oxytocin massage on the smoothness of breast milk. It is expected that midwives can provide midwifery care for postpartum mothers by applying the marmet technique and oxytocin massage for the smooth production of breast milk and can be disseminated to the community</em></p>2023-12-28T09:37:20+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3621A prospective observational study to evaluate the association of various maternal risk factors with increasing incidence of term neonatal jaundice2024-01-18T14:52:25+07:00Neetha Georgedrdevinadinesh@gmail.comDevina Dineshmsarun730@gmail.com<p><strong><em>Background: </em></strong><em>In our setting majority of the mothers were discharged on postnatal day 3.but over the past few years the NICU admissions also increased prolonging the hospital stay of mothers leading to increase in the hospital acquired infections for both mother and baby. This study was developed in this context. <strong></strong></em></p><p><strong><em>Objectives:</em></strong><em> The present study was performed with the purpose of establishing the incidence of neonatal jaundice in term neonates and the role of the various maternal factors being responsible for exaggerated physiological hyperbilirubinemia in term neonates. <strong></strong></em></p><p><strong><em>Methods: </em></strong><em>Using the NICE gestational age-based phototherapy chart, this study analysed serum bilirubin of the term newborns on their day 2 of life. Total 155 antenatal mothers were taken for study. Associations between maternal risk factors and neonatal jaundice and comparing risk factors in early-term, term, and late-term newborns were assessed using chi-squared or Fisher’s exact tests</em></p><p><strong><em>Results: </em></strong><em>Incidence of neonatal jaundice is 58.1% in this study. Age, BMI, weight gain of the mother had no significant correlation with neonatal jaundice. Blood group incompatibility had a positive corelation (P=.001) Gestational age at the time of delivery determines the neonatal outcome. (P=.001). As gestation advances the neonatal outcomes are better. Hyperbilirubinemia incidence more at 37 -38 weeks when compared to 39 weeks. Maternal comorbidities, amniotic fluid volume changes, mode of delivery didn’t have statistical significance. when new-born factors are considered birth weight, gender growth problems, blood group has no statistical significance whereas dehydration proved to be significant (P=.001). meconium-stained amniotic fluid[P-0.034] were found to be associated with the development of neonatal jaundice.</em></p><p><strong><em>Conclusions: </em></strong><em>The prevalence of jaundice is higher in this study. maternal and foetal blood group incompatibility, gestational age at delivery, meconium-stained amniotic fluid, neonatal dehydration was found to be associated with the development of neonatal jaundice.</em></p>2023-12-28T09:37:55+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3305The correlation between provision time of weaning food and history of exclusive breastfeeding with nutritional status in toddlers2024-01-18T14:52:51+07:00Sundari Mulyaningsihsundarum@gmail.comFatimah Fatimahfatimah123@gmail.comDyah Pradnya Paramitadyahpradnya.paramita@almaata.ac.idSupiyati Supiyatisupiyati@gmail.comIka Tri Susilowatiikatrisusilowati@gmail.comNicwa Mirnasarinicwa@gmail.comAmanah Rahma Deliaamanah@gmail.com<p><strong><em>Background: </em></strong><em>The toddler period is a golden age for the formation and development of children starting from the basic sensory abilities, thinking, speaking, and intensive intellectual mental growth and early moral growth. So that the nutritional status of children under five is very, very important to study because it is related to the current increasing stunting status. Cases of stunting under five currently have the highest number when compared to other forms of malnutrition. The prevalence of stunting in DIY in 2018 was 12.37% and this figure fell to 10.69% in 2019 but in 2020 it rose to 11.08%.</em><strong><em> </em></strong><em>The highest prevalence of stunting is Gunung Kidul Regency (17.43) and the lowest is Sleman Regency (7.24). From this figure, it can be seen that the prevalence of very short toddlers in DIY is lower when compared to Riskesdas in 2018 (21.4%) </em>(1)<em>.</em><strong><em> </em></strong></p><p><strong><em>Objectives: </em></strong><em>To determine the relationship between the characteristics (education, occupation) of the mother, provision time of weaning food, exclusive breastfeeding, and the provision of deworming drugs with nutritional status in toddlers aged 6-60 months in 2 areas, namely in the work area of the Pajangan Health Center and the Work Area of the Public Health Center, Sedayu</em><strong><em>. </em></strong></p><p><strong><em>Methods: </em></strong><em>Analytic survey with cross-sectional design. Analysis of the data using the chi-square test with a sample of 35 mothers who have children under five.</em><strong><em> </em></strong></p><p><strong><em>Results: </em></strong><em>The results showed that there was a correlation between the time of weaning food (p = 0.0001), history of exclusive breastfeeding (p = 0.0001), and the nutritional status of children under five. However, there was no correlation between education (p = 0.657), occupation (p = 0.579), deworming (p = 0.410)</em><strong><em>. </em></strong></p><strong><em>Conclusions: </em></strong><em>There is a correlation between the time of weaning food, history of exclusive breastfeeding nutritional status in toddlers</em>2023-12-28T09:38:15+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3637Compliance with consuming blood supplement tablets can reduce the incidence of anemia in young women in Bengkulu City2024-01-18T14:52:58+07:00Sri Yanniartisri123yanniarti@gmail.comSiska Nurhalizasiskanurhaliza771@gmail.comDwie Yunita Baskabaskadwi@gmail.comDesi Widiyantidesiw@gmail.comWewet SavitriWewetSafitri0@gmail.com<p><strong><em>Background: </em></strong><em>Anemia is a public health problem throughout the world, globally the highest prevalence of anemia is in the Southeast Asia region at 46.6%, while in Indonesia it is 31.2%.</em><strong><em> </em></strong><em></em></p><p><strong><em>Objectives: </em></strong><em>The aim of the study was to determine the relationship between adherence to blood supplement consumption and the incidence of anemia in young women in Bengkulu City.</em></p><p><strong><em>Methods: </em></strong><em>The research uses a cross sectional approach. The sample was calculated using the Slovin formula, obtaining a minimum sample of 160 people. The independent variable is compliance with blood supplement tablet consumption, the dependent variable is the incidence of anemia, while the confounding variables in this research are knowledge, attitudes, perceptions and peer support. Data collection on hemoglobin levels used easy touch GCHb while data on compliance, knowledge, attitudes, perceptions and peer support used a questionnaire. All data obtained were tested for univariate, bivariate and multivariate analysis using the Chi Square test and Logistic Regression</em></p><p><strong><em>Results: </em></strong><em>The results of research using univariate analysis tests showed that respondents were anemic (14%) and respondents were not anemic (86%). Respondents did not comply with taking blood supplement tablets (27.5%) respondents complied (72.5%). The results of the bivariate analysis test were that there was a significant relationship between compliance and the incidence of anemia in adolescent girls (p value 0.000 < 0.05). There is no relationship between knowledge, attitudes, perceptions and the incidence of anemia, and there is a significant relationship between peer support and the incidence of anemia as well as the results of the multivariate analysis test, namely the most influential variable is Compliance with PR value (119.214).<strong></strong></em></p><strong><em>Conclusions: </em></strong><em>Conclusions and research suggestions show a relationship between adherence to consuming blood supplement tablets and the incidence of anemia in adolescent girls, so support from parents, health professionals, teachers and peers, as well as increased knowledge of the importance of adolescent girls consuming iron supplements are needed to increase compliance. taking blood enhancing tablets<strong></strong></em>2023-12-28T09:47:27+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3800Relationship of psychosocial stimulation by mother to development children age 3th-5 th years in Gamping 1st Public Health Center Working Area2024-01-18T14:53:04+07:00Ayu Pramestya Ameliaayu@gmail.comLia Dian Ayuningrumliadianayuningrum@almaata.ac.idMuafiqoh Dwiarinimuafiqohdwiarini@almaata.ac.id<p><strong><em>Background</em></strong><em>: According to World The Health Organization (WHO) states that around 95% of children with developmental disorders live in the country income low and intermediate. Several studies show that stunting and being underweight are related to child development, especially motoric, cognitive, and language development on child. Psychosocial stimulation is external or environmental stimulation that is important for child development. Children who receive targeted and regular stimulation develop faster than children who receive less or no stimulation. If developmental deviations are not treated early and adequately, they tend to result in disability. </em></p><p><strong><em>Objectives</em></strong><em>: To determine the relationship between maternal psychosocial stimulation and children development age 3<sup>th</sup>– 5<sup>th</sup> years in Gamping 1<sup>st</sup> Public Health Center Working Area.</em></p><p><strong><em>Methods</em></strong><em>: The quantitative analytical research with design cross sectional. The sampling technique used is probability sampling with a type of cluster random sampling technique design with a total sample of 103 children from 1,421 in population at posyandu in Gamping 1<sup>st</sup> Public Health Center Working Area. Child development is measured using a Questionnaire Pre-Screening Development (KPSP). Psychosocial stimulation mothers were measured using the HOME instrument</em><em> </em><em>which has been tested by CVI Expert</em><em>. The bivariate analysis used is the test chi square .</em></p><p><strong><em>Results</em></strong><em>: Based on the research results after carrying out the Chi Square Test, the p value was 0.002 (p-value was <0.05). </em></p><strong><em>Conclusions</em></strong><em>: That psychosocial stimulation has an relationship on children's development aged 3-5 years this is also one of the nurturing patterns that mothers can do at home. The need for further research is to control the amount or how much influence from outside regarding the information obtained by the mother which can influence the level or model of stimulation that the mother develops when providing stimulation</em>2023-12-29T12:22:55+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)https://ejournal.almaata.ac.id/index.php/JNKI/article/view/3629Analysis relationship of knowledge and bullying in adolescents2024-01-18T14:53:15+07:00Ketut Novia Arininoviaarini85@yahoo.comKetut Ayu Wulandariayulan93@gmail.comPutu Dian Prima Kusuma Dewidian_pkd@yahoo.co.idLuh Vina Utarivinautariluh@gmail.com<pre><strong><em>Background</em></strong><strong><em>: </em></strong><em>Bullying is an abuse of power or force that is carried out</em><em> a person or group either physically or psychologically towards someone who unable to defend himself in a situation where there is a desire to injure, frighten or depress someone that has the potential to be repeated. Bullying can have a long-term impact on mental health and this will increase in adolescence with their low knowledge about aspects of bullying.</em><em></em></pre><pre><strong><em>Objectives</em></strong><strong><em>: </em></strong><em>was<strong> </strong></em><em>To determine the relationship between knowledge and bullying behavior in adolescents at SMA Negeri 2 Gerokgak. </em><em></em></pre><pre><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em> : </em></strong><em>This</em><em> </em><em>study used </em><em>a quantitative research, with a cross sectional approach method . The population in this study were all students of class X. The sampling technique in this study was non-probability sampling using a purposive sampling technique.The total population in this study was 136 people </em><em>and this study used</em><em> of 101 respondents. The measuring instrument in this study is a questionnaire sheet</em><em> about bullying</em><em>. Data analysis using Pearson Product Moment. </em><em></em></pre><pre><strong><em>Results: </em></strong>Based on the results of the analysis, the p-value is 0.000 <0.05, which means that there is a significant relationship between the level of knowledge and bullying behavior with a correlation coefficient of -0.719 with a strong correlation strength and a negative correlation direction, which means that knowledge is in the opposite direction to behavior bullying which means the higher the knowledge, the lower the level of bullying behavior and vice versa.</pre><strong><em>Conclusions: </em></strong><em>There is a correlation between the level of knowledge and bullying behavior at SMA Negeri 2 Gerokgak.</em>2023-12-29T12:26:51+07:00Copyright (c) 2023 JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)