International Journal of Nursing and Health Services (IJNHS) 2020-08-20T12:54:29+00:00 Dr. P.H. Rian Adi Pamungkas, S.Kep. NS., MNS Open Journal Systems <p style="font-weight: 400;">International Journal of Nursing and Health Services (IJNHS) is a peer-reviewed, open access scholarly journal publishes high-quality manuscripts on innovative research covering all aspects of nursing and healthcare. The scope of topics covered in the journal includes public health nursing, advanced practice nursing, family nursing, critical care nursing including surgery, pediatrics, medicine, midwifery and obstetrical nursing, accident, emergency, cardiac, renal, neurosciences, hematology, etc.</p> <p style="font-weight: 400;">This journal accepts original research articles, review articles, case reports, mini-reviews, rapid communication, opinions and editorials on all related aspects of nursing and health science</p> Applicability of Lewin’s Change Management Model for Optimization Management Function in Nursing Delegation between Head Nurse and Team Leader: A Mini Project in Jakarta Military Hospital 2020-08-20T12:40:07+00:00 Aris Teguh Hidayat Rr. Tutik Sri Hariyati Sri Hariyati Titiek Muhaeriwati Muhaeriwati <p>The role of nurses in healthcare systems is diverse, including being a health care provider to clients, client advocates, educators for clients and families, and nursing service managers. This study's goal was to assess Kurt Lewin's change management method to analyze the management function in nursing delegation between the head nurse and team leader. This project was conducted at Jakarta Military Hospital using a fishbone diagram approach, and solving problems using Plan-Do-Check-Action (PDCA) tools starting with Plan Of Action (POA), implementation, evaluation, and follow-up. The study results showed that the head nurse performed nonoptimal delegation in terms of delay to complete the nursing documentation, non-uniformity of delegation format, and lack of control from superiors. Guidelines are used as a reference in delegating nursing to the head of the hospital room. The documentation of nursing delegates is done because representatives work better when the reporting structure is clear. In conclusion, the application fishbone diagram, Lewin's change management model, and PDCA cycle can optimize management function in nursing delegation between head nurse and team leader in Jakarta Military Hospital. Recommendations are given to the nursing department, head of the room, team leader, and executive nurses to increase self-awareness, knowledge, and ability in delegating nursing.</p> 2020-08-09T00:00:00+00:00 Copyright (c) The Effect of Extract Red Gingger (Zingiber Officinale Var. Rubrum) on Reducing the Blood Pressure Level among Maternal with Gestasional Hypertension 2020-08-20T12:40:07+00:00 Naomi Christina Hutabarat Supriyana Supriyana Suhartono Suhartono <p>estational hypertension is a major cause of maternal and infant morbidity and mortality. Handling of hypertension is done by pharmacological therapy but provides side effects Red ginger can be used as one of the herbal therapies to reduce blood pressure. The main compound in red ginger can reduce cholesterol, reduce fat deposits in blood vessels and the risk of coronary heart disease. The study aimed to analyze the red ginger extract on reducing blood pressure level among maternal with gestational hypertension. A quasi-Experiment with pretest posttest design with equivalent control group design. Thirty-four patients were recruited and divided into experimental and control group Patients in the experimental group received the antihypertensive drugs plus red ginger extract at a dose of 500 mg for 14 days. While control group control group was given antihypertensive drugs with placebo. There was a significant difference in systolic blood pressure between the intervention and control groups with a value of p 0.000 and a diastolic p value of 0.000. In the intervention group there was a systolic decrease of 29.35 mmHg and a diastolic 16.00 mmHg. Red ginger extract has the potential to reduce systolic and diastolic blood pressure in women with gestational hypertension. Pregnant women with gestational hypertension can take advantage of red ginger extract as an alternative treatment for gestational hypertension. The next researcher can control psychological factors and check the levels of nitric oxide (NO) in blood / saliva &nbsp;</p> 2020-08-09T00:00:00+00:00 Copyright (c) Factors Influenced the Quality of Sleep among Patients with Coronary Artery Bypass Graph: A Literature Review 2020-08-20T12:40:07+00:00 Hermin Esti Dianingtyas Agung Waluyo <p>Coronary heart disease is a condition of narrowing the coronary artery lumen due to fat accumulation, which causes reduced blood flow. One of the interventions to overcome the blockage is surgical coronary artery bypass graft (CABG). CABG can help patients overcome obstructions in the coronary arteries. However, CABG can cause disturbances in sleep patterns that can reduce the quality of life of patients. The purpose of this paper is to find out what factors influence sleep quality in post CABG patients. This paper is a literature study of several databases in ELSEVIER, PROQUEST, EBSCO, PMC, JMH, JMC. The result found that sleep quality in post CABG patients was influenced by age, sex, emotional distress, the effect of treatment, surgery, and comorbidity, and environmental factors. Nurses need to improve their ability to conduct sleep quality assessments in patients after CABG patients using the international sleep quality assessment format</p> 2020-08-09T00:00:00+00:00 Copyright (c) The Effect of Health Coaching-based Health Belief Model on Preventing the Pulmonary Tuberculosis Transmission at Puskesmas Karang Taliwang and Ampenan West Nusa Tenggara 2020-08-20T12:40:07+00:00 Dady zharfan hanif Muhammad Amin Amin Andri Setiya Wahyudi Nursalam Nursalam <p>Adherence is an essential factor in achieving optimal health status in patients with tuberculosis. The study aimed to examine the effect of health coaching on preventing the infection of pulmonary tuberculosis patients. A quasi-experimental study design, pre, and post-test with the non-equivalent control group. Seventy samples were recruited by using a purposive sampling technique. The intervention group received the health coaching program for two months, while the control group received the usual care. The results showed that health coaching was to improve adherence prevention of infection (p&lt;0,001). Health coaching based on the Health Belief Model was a positive effect on preventing infection transmission</p> 2020-08-20T00:00:00+00:00 Copyright (c) The Effect of a Combination of Autogenic and Benson Relaxation on Sleep Quality among Pregnant Women with Hypertension 2020-08-20T12:40:07+00:00 Esa Rosyida Umam Agus Sulistyono Esti Yunitasari <p>Physical changes, such as changes in body habitus, and hormonal changes, including dramatic increases in estrogen and progesterone, are recognized contributors to sleep disturbance in pregnancy. The study aimed to examine the effect of combined Autogenic and Benson relaxation on sleep quality in pregnant women with hypertension. A quasi-experimental, pre-test, and post-test with a control group was applied in this study. Forty-six samples were recruited using a non-probability sampling such as consecutive sampling and assigned to the intervention group (n=23) and the control group (n=23).&nbsp; The intervention group did the relaxation two times per day for two weeks, then no intervention for the control group. Significant findings were analyzed using chi-square. There was a statistically significant difference between groups regarding daily sleep time, <em>Pittsburgh Sleep Quality Index</em> (PSQI) score, and sleep quality after the intervention. The results (p&lt;0,05) showed that the mean intervention group PSQI score decreased from indicating significant differences in the decline PSQI score between the intervention and the control group. It was found that combined autogenic, and Benson relaxation as one of the non-pharmacological interventions effectively improved participants' sleep quality. Instruct pregnant women about appropriate non-pharmacological interventions which have no side-effects to enhance the quality of sleep</p> <p>Results: there was a statistically significant difference between groups regarding daily sleep time, <em>Pittsburgh Sleep Quality Index</em> (PSQI) score and sleep quality after intervention. The results (p&lt;0,05) showed that the mean intervention group PSQI score decrease from indicating that there were significant differences in the decrease PSQI score between the intervention and the control group.</p> <p>Conclusion: It was found that combined autogenic and benson relaxation as one of the non-pharmacological interventions was effective in improving participants sleep quality. Instruct pregnant women about appropriate non-pharmacological interventions which have no side-effects to improve sleep quality.</p> 2020-08-20T00:00:00+00:00 Copyright (c) The Effect of H-Hope Plus Kinesthetic with Acupressure ST 36 and SP 6 on Weight Gain among Infants with Low Birth Weight 2020-08-20T12:40:07+00:00 Rizqitha Rizqitha Mardiyono Mardiyono Leny Latifah <p>During this time, the handling of LBW infants in the form of incubator care requires a high cost, while the Kangaroo Mother Care (KMC) has not been able to reach the standard of increase. H-HOPE plus kinesthetic can help parents to care for their baby at home after returning from hospital care. ST36 and SP6 acupressure an essential role in stimulating the production of hormones that affect the absorption of nutrients so that optimal infant growth can be achieved. The study aimed to increase LBW infants' weight using the H-HOPE plus kinesthetic with ST36 and SP6 acupuncture. A randomized control trial (RCT) was applied in this study. We involved 30 LBW infants and divided them into two groups, including the experimental and control groups. The intervention group received the H-HOPE plus Kinesthetic method with acupressure ST36 SP6 for 14 days in 2x/15 minutes/day and KMC 1 hour/day and 15 infants, whereas the control group received the KMC for 14 days in 1 hour/day. The results showed that patients in the experimental group showed increasing the bodyweight within 14 days; approximately 629.33 grams showed p=0.001, meaning that the increase reached the standard of average increase (420 grams). The H-HOPE plus Kinesthetic method with acupressure ST 36 and SP 6 effectively increased LBW infants' weight </p> <p><strong>Keywords : </strong>H-HOPE plus Kinesthetic, acupressure, weight, LBW infants.</p> 2020-08-09T00:00:00+00:00 Copyright (c) The Effectiveness of Ballon Blowing Exercise on Increasing Expiratory Forced Volume Value in 1 Second (FEV1) and Oxygen Saturation among COPD patients 2020-08-20T12:40:07+00:00 Moch Dadang Suharno I Ketut Sudiana Ninuk Dian K Abu Bakar Muhammad Amin Tintin Sukartini Argo Winoto <p>Balloon-blowing exercise is a breathing technique that is used to reduce breathlessness and improve lung expansion. The purpose of this study is to explain the difference in effectiveness balloon blowing exercise to the increase in value FEV1 and <em>oxygen saturation in COPD patients.&nbsp; </em>This study used a quasi-experimental design with a pre-test post-test study; the study population was patients with COPD in Taman Husada Bontang hospitals. Consecutive sampling techniques do sampling following the inclusion criteria, with a total of 20 patients. Intervention balloon blowing exercise performed 3 times per week within 4 weeks. The results showed that there are positive effects on FEV1 (p-value= 0.001) and oxygen saturation (p-value 0.02). Balloon-blowing exercise could increase in value FEV1 and&nbsp;oxygen saturation in patients with COPD</p> 2020-08-20T00:00:00+00:00 Copyright (c) Dietary and Fluid Non-Adherence, Self-efficiency, and Inter-Dialytic Weight among Hemodialysis Patients 2020-08-20T12:40:08+00:00 Adelia Rochma Kusnanto Kusnanto Suprajitno Suprajitno <p>Chronic Kidney Disease needs to continue treatment. It can cause some problems for patients. This research was conducted to analyze dietary and fluid non-adherence, Self-efficacy, and IDWG among patients Undergoing hemodialysis. The method used in this study is descriptive with a quantitative research approach. Instruments used in this research were closed questionnaire. The average value of diet and fluid adherence in the participants is 6.18, SE value of the respondents is 65.91, the Percentage of average IDWG, the respondents, are 4.72%. Recommendation: Further research is needed on interventions that can be applied to respondents</p> 2020-08-09T00:00:00+00:00 Copyright (c) A Systematic Review of Intervention on Improving Cervical Cancer Screening Rates 2020-08-20T12:54:29+00:00 Ida Maryati Nur Rifa Fatmia Okta Sri Rahmayani Raden Roro Widiastuti Lia Yulianti Yulianti Reni Rohaniah Rery Yuliani Pratiwi Riana Hendra <p>Cervical cancer is a disease that can be prevented through early detection. However, cervical cancer is the fourth leading cause of death for women globally due to the low coverage of cervical cancer screening. An intervention is needed to increase the coverage of cervical cancer screening. This study aimed to provide current evidence of effective interventions to improve cervical cancer screening coverage, especially with low socio-economic conditions. This study uses a systematic design review to review the literature that has been evaluated in a structured, classified, and categorized based on evidence-based previously. The study's inclusion characteristics are as follows: all article searches are limited to those in English or Indonesian only, and scan bibliography to identify relevant articles, method design is RCT studies, or quasi-experiments. The study results found the characteristics of the article as follows: the majority of studies were conducted in the Americas, two studies in Asia, and one in Europe. The respondents' age varied from&gt; 18 years to 75 years; the number of samples ranged from 102 to 12,061 respondents. Interventions were grouped into three types, namely: health education, self-testing, and reminders of the screening schedule. Among the three types of interventions most recommended is counseling with video media, because providing information with exciting media will increase knowledge which will increase women's interest in screening. Independent screening interventions can also increase the coverage of cervical cancer screening in women with low socio-economic conditions because this method allows more savings in funding</p> 2020-08-20T00:00:00+00:00 Copyright (c) Model of Health and Mouth Health Care Services among Stroke Patients 2020-08-20T12:40:08+00:00 Wanda Nur Aida Supriyana Supriyana Rasipin Rasipin Bedjo Santoso Peni Yuliawati <p>Stroke is the main trigger that can cause disability in adults. Stroke patients are known to be vulnerable to oral health problems, such as periodontal disease, due to limitations in their daily activities so that dental and oral hygiene management is neglected. These dental and oral health problems can become worse when patients are treated in a stroke unit. For this reason, dental and oral health care needs to be taken in stroke patients. The study aimed to develop a model of dental and oral health care among stroke patients. Research and Development (R&amp;D), on five research stages, namely: information gathering, product/model design, expert validation and revision, product/model trials (using quasi-experiments with pretest and posttest with control group design). The sample was divided into two groups, the dental and oral health care model in stroke patients in the intervention group and the oral health care model No.284 year 2006 in the control group. Data were tested using normality, paired t-test, post hoc LSD, Mann Whitney, and linear regression. The model of dental and oral health care in stroke patients was relevant as dental and oral health care was shown to be p &lt;0.001. The application of dental and oral health care models in stroke patients effectively improves the skills of gargling in moderate stroke patients p &lt;0.001, increasing the ability to brush teeth in moderate stroke patients p &lt;0.001. &nbsp;The application of dental and oral health care models in stroke patients is useful as an increase in the skills to rinse and brush teeth in moderate stroke patients</p> 2020-08-20T00:00:00+00:00 Copyright (c) Diet knowledge, Self Efficacy and Motivation for Hypertension Prevention Behavior 2020-08-20T12:40:08+00:00 Donny Tri Wahyudi <p>Background: Preventive behavior requires an individual's desire and ability to be able to control blood pressure. The purpose of this research is to analyze dietary knowledge, self-efficacy and motivation towards hypertension prevention behavior in the elderly. Methods: Analytical research with cross sectional approach. Results: C-Square statistical test showed diet knowledge, motivation towards hypertension prevention behavior p = &lt;? = 0.05. While self-efficacy of hypertension prevention behavior p =&gt; ? = 0.05. Conclusion: Knowledge of diet, motivation influences hypertension prevention behavior whereas self efficacy does not affect hypertension prevention behavior. Recommendation: It is expected to conduct further research related to the effect of social support and effective methods of providing information in increasing self-efficacy</p> 2020-08-20T00:00:00+00:00 Copyright (c)