Journal of Nursing Science Update <p>Journal of Nursing Science Update (JNSU), with e-ISSN 2829-0003 and p-ISSN 2829-7075, is a media to share scientific studies about nursing published by the Department of Nursing, Faculty of Health Science, Universitas Brawijaya.</p> <p>This journal is peer-reviewed and published twice a year in May and November.</p> <p>It contains articles about emergency nursing, basic nursing science, community nursing, mental health nursing, pediatric nursing, maternity nursing, geriatric nursing medical and surgical nursing, and management nursing.</p> <p>Jurnal Ilmu Keperawatan: Journal of Nursing Science, with p-ISSN 2088-6012 and e-ISSN 2598-8492, was first published in 2013 and discontinued in Vol. 9, No. 2, 2021. This journal's name was changed to Journal of Nursing Science Update with a new ISSN number started in Vol. 10, No. 1, the Year 2022. This journal has been indexed in Google Scholar, Garuda, SINTA Science, and Technology index, and crossref.</p> en-US <p>The authors who publish their articles in Jurnal Ilmu Keperawatan (Journal of Nursing Science) must approve the copyright statement as follows :</p><p>Â </p><p>1. The authors agree to automatic transfer of the copyright to the publisher</p><p>2. All material contained in this site is protected by law.</p><p>3. If you find one or more articles contained in the journal that violate or potentially infringe your copyright, please contact us via email<br /> 4. The formal legal aspect of access to any information and articles contained in this journal site refers to the terms of the Creative Commons Attribution-nonCommercial 4.0 International (CC BY NC) license. This allows authors and others to share (copy and redistribute the material in any medium or fomat) and adapt (remix, transform, and build upon the material) for non-commercial purposes.</p><p>4. All Information contained in the journal is academic. The journal is not liable for any losses incurred by misuse of information from this site.</p><p>Para punulis yang mempublikasin artikel nya di jurnal ilmu keperawatan (Journal of Nursing Science) ini harus menyetujui pernyataan hak cipta seperti dibawah ini:</p><p>Penulis secara otomatis setuju bahwa hak cipta artikel berada pada penerbit. Seluruh materi yang terdapat dalam situs ini dilindungi oleh undang-undang. .<br /> Apabila anda menemukan satu atau beberapa artikel yang terdapat dalam jurnal ini yang melanggar atau berpotensi melanggar hak cipta yang anda miliki, silahkan menghubungi kami melalui email<br /> Aspek legal formal terhadap akses setiap informasi dan artikel yang tercantum dalam situs jurnal ini mengacu pada ketentuan lisensi Creative Commons Attribution (CC BY NC). Penulis dapat menggunakan artikel dalam jurnal ini untuk disebarluaskan untuk kepentingan non-commercial.<br /> Semua Informasi yang terdapat di jurnal ini bersifat akademik. Jurnal ini tidak bertanggung jawab terhadap kerugian yang terjadi karana penyalah gunaan informasi dari situs ini.</p><p>Â </p><p>Jurnal Ilmu Keperawatan is licensed under</p><p><a href="" rel="license"><img src="" alt="Creative Commons License" /></a></p><p>Â </p> (Dr. Ns. Retno Lestari, M. Nurs) (JNSU Support) Mon, 06 Jun 2022 00:00:00 +0000 OJS 60 Literature Review: The Effect of Consumption Vigna radiata, Carica papaya, and Sauropus androgynous Leaves on Breast Milk Production <p>The lack of understanding about enhancing breast milk production is a challenge that many mothers confront after giving delivery. The hormones oxytocin and prolactin naturally affect breast milk release and production. To improve milk production, however, the production of these two hormones must be increased by consuming certain foods. This study aimed to gather and analyze articles about the effect of Vigna radiata, Carica papaya, and Sauropus androgynous leaves on breast milk production. The articles used in this literature review met specific criteria, such as publishing in a peer-reviewed journal from databases such as DOAJ, Science Direct, Copernicus, SINTA, ResearchGate, GARUDA, and Google Scholar. The articles were chosen based on their publication dates, ranging from 2015 to 2020. The PICOS framework is used to select articles chosen subsequently using the JBI Critical Appraisal tools. According to the article reports, ingesting Vigna radiata, Carica papaya, and Sauropus androgynous leaves influences breast milk production by stimulating the hormones oxytocin and prolactin, which can enhance breast cancer milk production. Suggestions for more research, particularly on the time and amount of Sauropus androgynous, Vigna radiata, and Carica papaya leaves given to postpartum moms to improve breast milk production.</p> Nurul Pujiastuti Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Dominant Factor Affecting to Intention of Nursing Students toward Basic Life Support (BLS) Effort: Using Theory of Planned Behavior Approach <p>The less intention of nursing students toward Basic Life Support (BLS) effort could affect less quality of basic life support performed by nursing students. The study aimed to analyze the dominant factor affecting the intention of nursing students toward basic life effort using the theory of planned behavior approach. The samples were 100 respondents who met inclusion criteria using the purposive sampling technique. The instrument was a self-administered questionnaire that consisted of the variables from the theory of planned behavior. The data analysis using logistic regression. The result showed that attitude was the dominant factor affecting to intention (p=0.000; OR=47.175). followed by subjective norm (p=0.011; OR=19.002) and perceived behavioral control (PBC) (p=2.344; OR=10.428). Nursing students' intention could be optimized through the effort to enhance attitude toward basic life support. enhancing external support (supervisors and nursing student peers). and enhancing perception about the function of self-control to utilize the resources (perceived behavioral control).</p> Yusron Amin, Haswita Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Correlation between Perception with The Needs of Structured Education for Psoriasis Patients during The Pandemic of COVID-19 <p>The number of psoriasis patients visiting the health services during the COVID 19 pandemic is decreasing. Meanwhile, routine control is needed to maintain the prognosis education of psoriasis. The patient is suspected of having frequent problems and flares at home. Therefore, it is necessary to study the perception in assessing the need for structured education in a group of psoriasis patients. This study aimed to determine the correlation between perception with the need for structured education. Twenty psoriasis patients at General Hospital Dr. Saiful Anwar Malang were interviewed by telephone. The independent data consisted of patient perception (B-IPQ) of psoriasis, while the dependent data consisted of the need for structured education. Bivariate data showed the correlation between perception (B-IPQ) with the need for structured education, indicated by a p-value = 0.05. In conclusion, this study's perception (B-IPQ) level significantly correlates with the need for structured education. Promoting health education among people with psoriasis is essential to create a good perception of this diagnosis.</p> <p> </p> Dewi Purnama Sari, Alfrina Hany, Magdalena Ayu Christanti, Aura Tasya Amalia Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Nurses’ Experiences with Work and Family Conflict During the Covid-19 Pandemic: A Qualitative Study <p>The Covid-19 pandemic impacts all aspects of life and all fields of the profession, including nurses, where this can affect physical and psychological health, which impacts the emergence of various new problems, including work and family conflicts. This study aims to explore work and family conflicts experienced by nurses during the Covid-19 pandemic. This study used a qualitative method with a phenomenological approach to get an in-depth picture of the experiences of nurses who experience conflict at work and conflict in the family during the Covid-19 pandemic. Data were collected using in-depth interviews with 12 participants who were taken using the purposive sampling technique. Participants were female and male nurses who work in isolation and non-isolation rooms. Data analysis was carried out thematically inductively through six stages, namely data introduction, code identification, determining the initial theme, reviewing the theme, defining and naming the theme, and the last step is to making a report. The results showed that five themes were identified, namely, (1) role conflict, (2) conflict with family and the surrounding environment, (3) heavy role demands, (4) accepting and undergoing multiple roles, and (5) support in carrying out multiple roles. With the discovery of several new conflicts due to the Covid-19 pandemic, both conflicts at work and conflicts in the family, it is essential for a nurse to adapt to stay balanced in carrying out obligations both as someone professional in their field and as a housewife.</p> Yuliani Budiyarti, Tresia Eramitha Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Analysis of Nursing Process on Nasopharyngeal Cancer Patient with Peaceful End of Life Theory Approach: A Case Report <p>Nasopharyngeal cancer is a malignancy in the nasopharyngeal area with squamous differentiation. According to Ruland and Moore, every cancer patient has the right to get comprehensive bio-socio-spiritual care to improve quality of life by relieving pain and other sufferings and providing spiritual and psychosocial support. The writing aims to apply a peaceful end-of-life care nursing theory to the nasopharyngeal cancer patient. This writing uses a case study approach. Case studies were taken on patients with nasopharyngeal cancer treated at Cipto Mangunkusumo Hospital. Case study was taken for seven days of treatment. Patients were analyzed by using Peaceful End of Life Theory. The result showed that the main nursing problem is chronic pain. Applying the theory of the peaceful end of life is appropriate for cancer patients with palliative conditions to improve their quality of life, free from pain, increasing feelings of comfort, cherish and respect, peace, and feeling close to people who are meaningful in their lives. The conclusion is that the theoretical approach focuses on the physical problems experienced and psychological, social, and spiritual needs. Nurses are expected to be able to apply the Peaceful End of Life theoretical approach in providing nursing care to patients with cancer.</p> Endah Panca Lydia Fatma Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 The Relationship of Self-Efficacy with Diet Compliance in Type 2 Diabetes Mellitus Patients in Puskesmas Gumawang, OKU Timur Regency <p>Dietary compliance in diabetes patients is vital to developing good outcomes for better health. One of the biggest problems in managing diet for patients is feeling bored and pressured with the menu that has been provided. The impact is that they show unwillingness and inability to follow a diet program. Adherence to this diet emphasizes the role and self-efficacy that requires awareness and intention from people who manage diabetes mellitus. This study aimed to determine the relationship between self-efficacy and dietary compliance in patients with Diabetes Mellitus type 2 at the Gumawang Primary Health Center, East OKU district. This study used a cross-sectional approach with 53 respondents. The sampling technique used is purposive sampling. Data collection using research instruments in two questionnaires, namely the Diabetes Management Self Efficacy Scale (DMSES) and Dietary Compliance by Haryono modified by Permatasari (2014). The results of the univariate analysis showed that self-efficacy was in the reasonably good category and diet compliance was in the good category. Based on bivariate analysis, it is known that the p-value is 0.000 &lt;0.005 with a correlation coefficient of 0.773, which means that there is a solid significant correlation between the self-efficacy variable and dietary compliance. It is recommended to create a program to improve patient self-efficacy, one of which is to create a Self-Help Group program for patients with Diabetes Mellitus.</p> Ahsan, Nurul Rahmawati, Annisa Wuri Kartika Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Factors Affecting Antenatal Care Visit Obedience during the Covid-19 Pandemic in Konawe District, Southeast Sulawesi <table> <tbody> <tr> <td> <p>The Covid-19 pandemic impacts both the access and quality of health services resulting in many restrictions on almost all routine services—the coverage of antenatal care visits in Indonesian public health centers decreases. Research on the factors affecting antenatal care visits of pregnant women during the Covid-19 pandemic in the eastern Indonesian population is currently limited. This study aims to analyze the factors affecting ANC visits of pregnant women during the covid-19 pandemic. This research implements a cross-sectional design by conducting the study on the coverage area of Pondidaha Health Center, Konawe, in January 2021. Respondents fulfilling the criteria included pregnant women residing in Konawe, experiencing the third trimester of pregnancy (28−40 weeks), having a personal Maternal-Child Health book, and recording the pregnancy visit at Pondidaha Public Health Center or Integrated healthcare center. The exclusion criteria included a mother who did not complete the questionnaires. The data analysis implements the Spearman rank test. Forty-six respondents participating in this study (with most of Pondidaha's pregnant women) were found to have incomplete ANC visits. Factors affecting incomplete ANC visits included knowledge, attitude, health care system, and health workers' support. The result indicated that the level of knowledge, mothers' attitude, healthcare, and health workers' support significantly indicated the positive outcome of ANC visits during the COVID-19 pandemic. In conclusion, the level of knowledge exhibited the highest correlation to the obedience of ANC visits.</p> </td> </tr> </tbody> </table> Ayut Merdikawati, Eka Nurjannah, Asti Melani Astari, Muladefi Choiriyah Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Reducing Patients’ Death Rate Through Rapid Response Team Bell Activation in Emergency Room <p>The patient death rate in the emergency department is a critical measure of the quality of hospital services and is regulated by legislation. The presence of a rapid response team is one of the factors influencing the fatality rate. A bell is a gadget that can summon a quick response team during the resuscitation process. The specific purpose of this research was to determine the effectiveness of the activation of the bell in the emergency room resuscitation of Universitas Airlangga Hospital on the patient death rate. The research design is a comparative study with a retrospective approach. Researchers used total sampling with a population of all patients in the emergency resuscitation room at Universitas Airlangga Hospital from July-December 2019 that met the criteria. The design of this study compared two groups that were extracted from the electronic register. The data were divided into two groups: three months before the intervention of the bell (N=62) and three months after the activation of the bell (N=65). The statistical analysis result of the Chi-Square Test obtained a p-value &lt; 0.05 for the death rate between the two groups. There is a significant reduction in the death rate before and after the intervention. The result shows that it is possible to reduce the death rate by using a bell as a method to activate the rapid response team in the emergency room during resuscitation. This study offers a simple way to improve the death rate in the emergency room using bell intervention.</p> Nurul Ardlianawati, Taufiqul Rochman, Aang Kunaifi, Emha Rafi Pratama Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Correlation Between Diabetes Self-Management and Nutritional Status of Type 2 Diabetes Mellitus Patients in Hospital <p>Diabetes Mellitus patients must maintain constant glucose control to avoid complications. Diet is one type of diabetes management that can be accomplished through self-management (DSM). DSM activity greatly influences patients since the patient can independently manage and apply dietary guidelines in daily life. This study aims to analyze the correlation between DSM and nutritional status in patients with diabetes mellitus. This study was conducted in three types A hospitals in Jakarta using a cross-sectional design with 260 patients with type 2 diabetes mellitus. The measurement of DSM activity was measured using the Diabetes Self-Management Questionnaire (DMSQ), measuring food intake through a questionnaire of 1x24 hours food recall and nutritional status assessed by body mass index (BMI). This study shows that 53.1 % of respondents have adequate food intake, 52. 7% of respondents have an inadequate level of diabetes self-management, and 56. 6% of respondents have abnormal nutritional status. There is a significant correlation between DSM and nutritional status (p = 0.002, OR = 2,217). Respondents with an inadequate DSM are at risk of 2,217 times experiencing abnormal nutritional status compared to respondents with an adequate DSM. It is necessary to strengthen education through diabetes self-management in dietary problems repeatedly to patients through meetings held in groups when patients come to the outpatient unit. Hence, patients can fulfill their self-care properly.</p> Rizki Andriani, Yulia, Riri Maria Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000 Behavior Therapy in Those Who Are Addicted to Online Games <p>Adolescents addicted to online games harm their physical, psychological, and social health and require therapy. Providing therapy such as behavior therapy can help reduce online game addiction. This research aims to review articles that discuss the addictive behavior of online games and the therapy used. The method used in this study is a literature review by identifying articles from a systematic review identifying articles from four data based on ScienceDirect and PubMed in 2020. Based on the inclusion and exclusion criteria set, using the keywords behavior therapy, adolescents, and online game addiction from 2017-to 2020. We discovered 15 publications that satisfied the inclusion criteria and deserved to be considered in our examination of data-based articles. Adolescents who experience online game addiction discussed they vary in the causes, symptoms, effects, and psychotherapy given. Cognitive Behavioral Therapy (CBT), Social Skill Training (SST), and Mindfulness are all types of behavior therapy that can help kids addicted to online games. Psychotherapy can help teens addicted to internet games.</p> Atin Humayya, Heni Dwi Windarwati, Indah Winarni Copyright (c) 2022 Journal of Nursing Science Update Mon, 06 Jun 2022 00:00:00 +0000