International Journal of Nursing and Health Services (IJNHS) <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> en-US (Dr. P.H. Rian Adi Pamungkas, S.Kep. NS., MNS) (Ns. Andi Mayasari Usman, S.Kep., M.Kep) Tue, 20 Apr 2021 08:53:48 +0000 OJS 60 Management Model of School Dental Health Effort (SDHE) of Website-Based for Improving Quality of Information System at Elementary School <p>Dental and oral health services for elementary school students aged 6 to 12 years have not been optimal. This shows that the implementation of SDHE has not succeeded. Monitoring and evaluation of the performance of SDHE are complex because the reporting system of SDHE all this time is conducted manually at the end of the year using a form combined with the report of the health center. The website-based SDHE management model is an information system that can be used to report the activities of SDHE directly and monitor and evaluate the activities of SDHE to fit the targets that have been set. The study aimed to develop the SDHE management model's innovations with relevant/appropriate information systems to increase the effectiveness and efficiency in the implementation of SDHE in elementary school students. Methods: Research and Development (R&amp;D) and model trials using the technique of pre-experimental. The respondents amounted to 48 populations which consist of 24 dental therapists and 24 teachers, to assess the quality of SDHE management and the quality of information systems in the implementation of SDHE management. The result of the design of the model was tested for validation by an expert. The data were tested using paired difference test, proportion test, and linear regression test. Result: Validation by expert result the average value of 92, the category is very feasible, and with a p-value of 0,014. After the intervention, the E-SDHE information system's quality also improved compared to before (p = 0.001). Respondent's assessment stated that the quality of the E-SDHE information system in the excellent category. The SDHE management model of elementary schools based on the website provides a significant increase in SDHE management quality and the quality of information systems in the excellent category. The SDHE of website-based in this study can be used to evaluate elementary school health managemen</p> Galuh Ayuning Suryo, Supriyana Supriyana, Rasipin Rasipin, Lanny Sunarjo, Diyah Fatmasari Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Effectiveness of Family Support on Utilizing Basic Immunization Services In Posyandu Bambu Village Mamuju <p>Efforts to prevent the transmission and transmission of dangerous infectious diseases in children, especially those under five years of age. Immunization is a form of health intervention that is very effective in reducing infant and under-five mortality rates. However, the achievement of the global target of 1 in 5 children in the world is recorded that they have not received routine immunization. This study aims to determine the description of family support by utilizing basic immunization service facilities. Methods: This study used an analytic survey design with a cross sectional study approach. Sampling by purposive sampling. The data collection technique was done by using a questionnaire. The sample in this study were 100 subjects who met the inclusion criteria. Results: The study shows that from the statistical analysis test using the SPSS version 16.0 program, it shows that 51.0% of the mother's family support is good, 37.0% is sufficient. Meanwhile, using posyandu service facilities showed 72.0%. Conclusion: This shows that there is a relationship between family support and the use of basic immunization services at posyandu with a significance level of ? = 0.031.</p> I Kadek Dwi Swarjana, Dewarawati Patandean Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Rituals of Elders of the Osing Tribe on Holistic Health (Biopsychosocial-spiritual): A Narrative Review <p>It is hoped that the elderly in the SDGs program are productive and in good health. A healthy condition based on good health and well-being is health as a whole (holistic), which is viewed from the aspects of biology, psychology, social and spiritual. The “biopsychosocial-spiritual” model in the manifestation of the ritual of the Osing tribe. Elderly rituals carried out from generation to generation have integrated with biological, psychological, social and spiritual indirectly. Indirectly, these rituals are to make a balance between psychological who believe in traditional physical (biological) medicine, a high level of spirituality of heritage and culture that has been carried out from generation to generation without any confusion in carrying it out and is carried out together intensely.</p> Novita Surya Putri, Anggi Ameliya, Elda Elpina, Lidiya Riski Aprilia Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Blended Learning Model During Work from Home and Its’ Impact on Students’ Satisfaction and Learning Achievement in the Pandemic Covid-19 Period <p>The Covid 19 pandemic has caused many changes in various aspects of life, including education. This blended learning is the mixing of conventional (face-to-face) learning models with online learning. The study aimed to describe the blended learning model During Work From Home And Its' Impact On Students' Satisfaction And Learning Achievement In The Pandemic Covid-19 Period. A Cross-Sectional study approach was applied in this study. The samples were all students who took community nursing learning who selected using the purposive sampling technique. The researcher involved 121 students in this study. The data were collected using a questionnaire online via a google form. The results showed that most of the respondents were satisfied (60.3%), and their learning achievement was good (53.7%). Satisfied respondents will have good learning achievement as many as 44 respondents (60.3%). The p-value&lt;0.05, which indicated that there is a relationship between satisfaction and learning achievement of respondents in community nursing learning. This study's results can provide input from the Ministry of Education and Culture, leaders of educational institutions, and teachers in making regulations and formulations for developing blended learning models, especially during the pandemic and in the Industrial Age 4.0</p> rina nur hidayati rina nur hidayati, Faisal Ibnu Faisal Ibnu Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Implementation of Informed Consent on Hormonal Injection Contraceptive Family Plan Method Acceptor: A Phenomenology Study <p>Every medical treatment conducted by health professionals have to be based on the consent from patients. This consent obtained through informed consent. Informed consent is a communication process between health professionals and patient on approving the medical treatment. The objective of this study was to identify the implementation of informed consent on &nbsp;the acceptor of hormonal injection contraceptive family plan method. This study was a qualitative study using phenomenology approach, which the data analysis initialized by reducing interview result, then data were verified using data triangulation and the research conclussion developed. The participant of this study were 3 midwives and 1 primary midwife. The study identified three (3) themes on the implementation of informed consent namely human resources, the implementation of informed consent and the related policy to implement informed consent on prefering the hormonal injection contraceptive. The acceptor adherence on signing the informed consent are considered low thus the health education and approach of informed consent from health professionals are important to increase public awareness paetu=icularly the family plan contraceptive acceptor.</p> Eufrasia Prinata Padeng, Putriatri Krimasusini Senudin, Dionesia Octaviani Laput , Eugenius Rada Masri Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Effectiveness of Cognitive Behavioral Therapy and Muscle Relaxation on Fasting Blood Sugar Levels among Type 2 Diabetes Mellitus: A Systematic Review <p>Diabetes mellitus type 2 is a metabolic disease in the form of a collection of symptoms due to an increase in blood sugar. Interventions cognitive behavioral therapy and muscle relaxation focused on reducing fasting blood sugar levels shown to affect the management of diabetes mellitus. This literature study aimed to evaluate cognitive-behavioral therapy's effectiveness and muscle relaxation on fasting blood sugar levels in people with type 2 diabetes. This search systematic review was conducted with PRISMA using the electronic database method Science Direct, Proquest, PubMed, Scopus, Springer Link. The research study criteria used a randomized control trial, quasi-experimental, experimental, meta-analysis review published in 2015-2020. Based on 27 literature studies that found muscle relaxation intervention effectively controlling glycemic and lowering blood sugar levels. The study results were significant in muscle relaxation, improving blood sugar levels, and found multiple outcomes such as anxiety, depression, and quality of life. Cognitive-behavioral therapy and muscle relaxation can be applied to control and reduce blood sugar levels and improve the quality of life of people with type 2 diabetes mellitus</p> Meylani Anaabawati Anaabawati, Hotma Rumahorbo, Rr. Sri Endang Pujiastuti Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Resilience levels based on individual characteristics of correctional nurses: preliminary study <p>Correctional nurses need resilience to face challenges in the workplace, such as stress from role ambiguity. This study aims to explore the level of resilience based on the individual characteristics of correctional nurses. This study used a cross-sectional method with 24 correctional nurses in Central Java as the participants. This study used a Nicholson McBride Resilience Questionnaire (NMRQ) questionnaire distributed via a google form. Data analysis using the cross-tabulation method. The results showed that nurses had a strong resilience level (45.83%). Based on gender, male nurses have higher resilience. Nurses aged 45-54 years have the most increased resilience. Nurses with undergraduate education have the highest resilience among other levels of education. In general, the correctional nurse resilience is in a Strong category. Based on individual characteristics, male nurses aged 45-54 years with a bachelor's degree have the highest resilience. Further study should be conducted to investigate correctional nurses' resilience process qualitatively, difficulties in work, how they deal with them, and the adaptation process</p> Adisty Rose Artistin, Megah Andriany , Fani Kurnia Pusparini Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 An Innovation Scheduling Program of Nurses During Covid-19 Pandemic: A Case Study <p>The increasing number of COVID-19 patients in hospitals has impacted workload and nurse fatigue. Management of service schedules is necessary to protect the safety of patients and nurses. This case study aims to describe innovative programs in scheduling nurses during the COVID-19 pandemic. This study used the case study method, implementation analysis, and discussion with the literature. Data collection was conducted with interviews and secondary data. The samples were three heads nurse from three inpatient rooms. The process started from problem identification, problem analysis, planning of action, implementation, and evaluation. The results showed that the innovation program for scheduling during the COVID-19 pandemic could be implemented. The implementation was to prepare official schedule guidelines, simulation of the creation of official schedules, and socialization of draft guidelines for the office schedule to the Head nurse. Planning the official program during the COVID-19 pandemic required good management. Nursing managers could create schedules with excel-based formats that were easy to apply. Online socialization could be done to improve understanding. The use of information technology was necessary to create an easy, fast and workable scheduling formula. The nursing field can make policies related to scheduling during the COVID-19 pandemic, carry out implementation trials in units, monitoring and evaluating the implementation of innovative programs, and provide adequate internet connections.</p> Kartika Mawar Sari, Rr. Tutik Sri Hariyati2, Titiek Muhaeriwati Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Effectiveness of Role Play on Changes Attitudes and Food Safety Practised Among School Aged Children <p>Health problems due to unsafe food in Indonesia often occur, especially amongst school-aged children. School-aged children need to give health education related to food safety to prevent food poisoning. This study aimed to determine the effect of role-playing on improving attitudes and practices regarding food safety amongst elementary school children in Purwokerto City, Banyumas Regency. The research method used a quasi-experimental design with a pre-post test using a control group. The total sample of the study was 102 school-aged children aged 6-12 years. The intervention group was treated in the form of a group process with the implementation of a role play for four weeks, carried out four times a month, and lasted for 40 minutes per session. The analysis of data performed using the paired t-test and independent t-test. This research showed that the health education method with a role-play could significantly improve attitudes and skills regarding food safety among school-aged children, significantly p &lt;0.05. it can use the role-play method to improve the food safety behavior of school-aged children. The role-play method should be an effective and interactive health education intervention for elementary school-aged children</p> Lita Heni Kusumawardani, Aprilia Kartikasari, Koernia Nanda Pratama Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Effect of Hypno-Teaching Toward Ability of Critical Thinking Students 2nd Level of Nursing Study Program, Stikes Santa Elisabeth Medan <p>Hypno-teaching is a creative, unique, and imaginative learning method. This study aims to determine the Effect of Hypno-Teaching Toward The Ability of Critical Thinking Students 2<sup>nd </sup>Level of Nursing Study Program, STIKes Santa Elisabeth Medan. The study design was classroom action research. This study's respondents were 74 students of Nurses level II, which obtain through the purposive sampling technique. These respondents divide into two groups: the intervention group using the Hypno-teaching method and the control group using the conventional learning method. Each group was 37 respondents. The results showed that the mean Ability of students' critical thinking in the intervention group before Hypno-teaching was 7.84 with a standard deviation of 3,648 after Hypno-teaching was 12.46 with a standard deviation of 3,671. The statistical test results showed that the value P = 0.000 means a positive difference in the average Ability of critical thinking of students between before and after Hypno-teaching, with an increase in the range of 4.62. The control group also found that the mean pretest scores of students were 10.78 with a standard deviation of 4.158, and the mean post-test scores were 13.27, with a standard deviation of 3.097. The results of statistical tests showed that the value of P = 0.004 means that there is a difference in the average Ability of critical thinking of students in a positive direction between before and after learning that using conventional methods, with an increased range was 2.49. This study showed that the Hypno-teaching method could improve students' critical thinking skills better than Sectional methods. These two methods influence students' critical thinking skills, but the average increase in Hypno-teaching reached 4.62, while in the conventional method only increases to 2.49</p> LINDAWATI SIMORANGKIR, LINDAWATI SIMORANGKIR, LINDAWATI FARIDA TAMPUBOLON Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Buteyko Breathing Techniques and Asthma Gymnastics on Improving Oxygen Saturation and Eosynophile Levels among Asma Patients <p>Asthma is a chronic disease of the respiratory system that causes respiratory symptoms, such as wheezing, shortness of breath and coughing, so that one of the non-pharmacological therapies can be used to help increase oxygen saturation, eosinophil levels and prevent recurrence independently by using the buteyko breathing technique and asthma gymnastics. &nbsp;This study aims to analyze the effectiveness of the buteyko breathing technique and asthma gymnastics on the improvement of oxygen saturation values ??and eosinophil levels. The study quasi experiment used a pre-test – post-test design with a control group design involving 36 asthma patients. Selected through a non- probability sampling technique with a purposive sampling method which is divided into 3 groups, namely 12 respondents in intervention group 1 who were given buteyko breathing technique treatment, 12 respondents in intervention group 2 who were given treatment in the form of buteyko breathing technique and asthma gymnastics, while 12 respondents in a control group that was only given asthma gymnastics. Measurements of oxygen saturation and eosinophil levels were carried out on the 1th, 7th to 14th day with 3 measurements, then the data were analyzed using the General Lineal Model (GLM) test. Repeated ANOVA test showed that there was a difference in the mean value of oxygen saturation (spo2) and eosinophil levels with a value of p = 0.000 which indicated that there was a significant difference between groups with the highest increase in oxygen saturation value in the intervention group 2 (Buteyko and asthma gymnastics) that is 1.83, followed by intervention group 1 (Buteyko breathing technique) that is 0.50 and the smallest decrease in the value of SpO2 was in the control group (asthma exercise) of 0.42. The highest decrease in eosinophil levels was in the intervention group 2 that is -21.66, followed by the control group that is -18.67 and the smallest decrease in eosinophil value was in the intervention group 1 at -7.66. Research conclusions buteyko breathing technique and asthma gymnastics effectiveness on value improvements oxygen saturation and eosinophil levels.</p> Niya Fittarsih Fittarsih, Ari Suwondo, Rr. Sri Endang Pujiastuti, Bedjo Santoso Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Provision of Psychoeducation on Decreasing Family Anxiety Triggered among Patients with Schizophrenia Relapse: A Case Report <p>Schizophrenia is one of the serious mental disorders that requires long-term care and medication. Clients with schizophrenia have a relapse period. When a relapse occurs, they require inpatient services at the hospital. A relapse of clients with schizophrenia triggers physical and psychological fatigue, anxiety, and frustration; the sources of stressors which can disrupt the balance of the family system. The study aimed to explore the family psycho-education to decrease the anxiety triggered among family. The results of the nursing intervention found unveiled to decrease the signs and symptoms of anxiety experienced by families. The findings also showed the increasing knowledge and ability of the family members in taking caring of clients with schizophrenia. This study recommended to provide psycho-education as part of comprehensive nursing care for schizophrenia patients and their families</p> Ellya Fadllah Samiun, Herni Susanti, Ice Yulia Wardani Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Effectiveness of Hydrogel from Snakehead Fish Extract (Chana Striata) on Wound Healing of Grade II Ulcer in Type II Diabetes Mellitus Patients <p>Diabetic ulcers are complications of diabetes mellitus. The prevalence of diabetic ulcers was 15%from the total population. Effective management of ulcers using an antiseptic could interfere with the wound healing process. A hydrogel from snakehead fish extract was a complementary treatment to improve the wound healing of diabetes. The study aimed to examine hydrogel's effectiveness from snakehead fish extract on wound healing among type II diabetes mellitus with grade II ulcers. The quasi-experimental study, pretest, and post-test with the non-equivalent control group were applied in this study. The intervention group (n = 16) received a dose of 675.675 mg of snakehead hydrogel and 0.9% NaCl for 21 days. The control group (n = 16) only received 0.9% NaCl. Analysis with repeated ANOVA test and Dependent t-Test was applied in this study. The results showed that the intervention group's mean score for wound healing before receiving the intervention was 26.31 ± 6.740after 14 days receiving the intervention was 13.00 ± 4.872 with p-value = 0.000. The mean difference between the intervention group and the control group also showed the mean was346.25 more than the control group with a delta score of 301.31. In conclusions showed that hydrogel extract of snakehead fish was effective among type II diabetes mellitus patients with healing grade II ulcers</p> Pratiwi, Suharyo Hadisaputro, Sudirman, Ta'adi, Lanny Sunarjo Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 The Analysis of Students Health Behavior Factors in an Effort to Prevent Covid-19 <p>China and all societies are required to understand and practice the steps for self-protection and of prevention of infection transmission to others. Strategies to prevent Covid-19 infection can be applied by self-isolation or quarantine, promoting public health behaviors, such as: washing hands with soap or hand sanitizer, applying proper cough and sneezing ethics, and maintaining social distancing. This study aimed to determine the factors that influence Covid-19 prevention behavior among students in Banyuwangi Regency, East Java, Indonesia. This study was an observational analytic study and used a cross-sectional design. The sampling used purposive sampling; respondents who returned the online questionnaire were 138 people. Pearson chi square test was conducted to determine the correlation among the variables of gender, age, type of college and knowledge. The results of Pearson chi square test showed that there was an effect between type of college (p = 0,000) and knowledge (p = 0,000) in the efforts to handle, prevent, and care for Covid-19 patients. From the results of multivariate analysis, knowledge was the most influential (r = 0.721; CI = 3.466 - 7,680), which means that knowledge has an effect of 72.1% on student health behavior in efforts to prevent Covid-19. The role of governments and the dissemination of relevant information on social media will influence knowledge on health behavior.</p> Novita Surya Putri, Annisa Nur Nazmi Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000 Educational Intervention on Self Efficacy among Postoperative Fracture: A Literature Review <p>Fracture is a disruption of the normal discontinuity of bone and causes the surrounding tissue to be disrupted. Management of fractures is generally divided into recognition, reduction, retention, and rehabilitation. Exercises in the postoperative fracture patient rehabilitation program require patience and take a long time to achieve maximum cure. Nurses' therapeutic action in helping patients do rehabilitation exercises is by increasing the patient's self-efficacy to be independent in carrying out activities. Efforts to increase self-efficacy can be made through nursing interventions. This literature review aimed to explore the appropriate interventions on improving self-efficacy among postoperative fracture patients. Methods: This study was obtained from 4 databases, namely EBSCO, Key clinical, Willey, and Proquest, using inclusion and exclusion criteria. Results obtained. Decreased self-efficacy can occur in cases that require long action both for the healing process and chronic disease and when taking actions to maintain health, including post-surgery fractures. In conclusion, educational media will make it easier to provide interventions in increasing self-efficacy by paying attention to the factors that affect self-efficacy, namely master experience, vicarious experience, verbal persuasion, and emotional Arousal. The recommendation is that patients need support for adjusting the use of tools in providing education, providing logistics from samples in the application of education through technology media and to parents</p> Sri Wirayuni Ni Luh Putu, Sri Yona Copyright (c) 2021 International Journal of Nursing and Health Services (IJNHS) Tue, 20 Apr 2021 00:00:00 +0000