Papers by Rista Fauziningtyas
The author has highlighted the research topic regarding challenges care for older adults in nursi... more The author has highlighted the research topic regarding challenges care for older adults in nursing homes in the COVID 19 pandemic era. There are several things that need attention to improve the quality of this article.
Journal of the Pakistan Medical Association
Objective: To analyse the relationship of self-efficacy and social support with academic burnout ... more Objective: To analyse the relationship of self-efficacy and social support with academic burnout of nursing students. Method: The correlational, cross-sectional study was conducted in August 2021 at the Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia, and comprised nursing students in the 4th and 6th semesters of their academic programme. Data was collected using self-efficacy and social support questionnaires as well as the Maslach Burnout Inventory-Student Survey. Results: Of the 184 subjects, 160(87%) were females and 24(13%) were males; 98(43.3%) were from the 4th semester and 86(46.7%) were from the 6th; 66(36.4%) were aged 20 years, followed by 65(35.9%) aged 21 years; and East Java was the hometown for 163(88.6%) students. Self-efficacy (p=0.005; r=-0.205) and social support (p=0.000; r=-0.265) were significantly associated with academic burnout. Conclusion: Higher self-efficacy and social support levels may lead to lower academic burnout among nursing students...
Journal of Multidisciplinary Healthcare
Adverse incidents in nursing home (NH) may occur as the result of inadequate monitoring for signs... more Adverse incidents in nursing home (NH) may occur as the result of inadequate monitoring for signs of unobservable initial complications, medical errors, improper nursing interventions, lack of communication, and inadequate reporting. Purpose: This study explores incident types, causes, handling, and documentation in Indonesian NHs through a qualitative approach. Patients and Methods: In-depth interviews were conducted with 23 NH staff members, including managers, nurses, and support staff. Results: Five themes and 17 sub-themes emerged, with falls and resident-to-resident abuse as common adverse incidents. Causes included older adults' conditions, environment, and misunderstanding. Follow-up action included first aid, hospital referrals, and assertive communication. Adverse incidents were actively reported through verbal and written reports or WhatsApp groups. Reports and documentation remain unstructured, however, as there were no standard operating procedures regarding incident reporting, documentation, and the types of adverse incidents that staff should report. Conclusion: Improvements in management, documentation, and reporting adverse incidents are highlighted in this research. Practitioners, nurses, and social workers should develop guidelines for handling, reporting, and documenting adverse incidents in NHs. Plain Language Summary: This study aimed to explore adverse incidents and events in nursing homes (NHs) in Indonesia, particularly focusing on falls and resident-to-resident abuse (RRA). With a growing older adult population and an increasing demand for long-term-care (LTC) facilities, the study aimed to understand the types of adverse incidents, their causes, approaches for handling them, incident reporting, and documentation practices within NHs. The study employed qualitative methods, conducting in-depth interviews with 23 staff members from four NHs in East Java, Indonesia. Falls and RRA were found to be the most commonly encountered adverse incidents. Falls were primarily caused by older adults' physical conditions and environmental factors. Strategies for fall prevention included initial treatment, coordination with nursing staff, referrals to health services, and minimizing falls risk. RRA incidents were typically triggered by misunderstanding related to daily activities. Incident reporting methods varied, including verbal, written, and WhatsApp-based reporting, with varying levels of documentation practices. The study underscores the need for effective incident management and prevention strategies in NHs. Falls and RRA are significant concerns that demand attention. The findings highlight the importance of standardized protocols, comprehensive reporting systems, and structured documentation practices to enhance the safety and well-being of older adults in NHs. These insights can inform the development of strategies to improve incident handling, thus improving the quality of care provided to older adults in LTC facilities.
The aging process can cause a reduction in physiological function. Being older means a 30-50% dec... more The aging process can cause a reduction in physiological function. Being older means a 30-50% decrease in physical fitness for the elderly. Factors related to elderly fitness are associated with the Giant Geriatric Syndrome including physical activity and sleep quality. This research is intended to explain the relationship of physical activity and sleep quality with the level of physical fitness of the elderly who live in nursing homes. This research used a descriptive correlational design with a cross-sectional approach. The population was the elderly with a Barthel score > 60. Sample size was 102 respondents with total sampling. The variables were physical activity, sleep quality and physical fitness. The instrument used was a 24 hours activity recall questionnaire, Pittsburg Sleep Quality Index. Physical fitness was measured using a six minutes walking test, five times sit to stand test, chair sit and reach test and body mass index. Data analysis used chi square α ≤ 0,05. The ...
International Journal of Older People Nursing, Jun 19, 2023
IntroductionThe development of resident safety culture in nursing homes (NH) represents a major c... more IntroductionThe development of resident safety culture in nursing homes (NH) represents a major challenge for governments and NH owners, with a requirement for suitable tools to assess safety culture. Indonesia currently lacks suitable safety cultures scales for NH.ObjectivesTo evaluate the psychometric properties of the translated Indonesian version of the Nursing Home Survey on Patient Safety Culture (NHSOPSC‐INA).MethodsThis study was a cross‐sectional survey conducted using NHSOPSC‐INA. A total of 258 participants from 20 NH in Indonesia were engaged. Participants included NH managers, caregivers, administrative staff, nurses and support staff with at least junior high school education. The SPSS 23.0 was used for descriptive data analysis and internal consistency (Cronbach's alpha) estimation. The AMOS (version 22) was used to perform confirmatory factor analysis (CFA) on the questionnaire's dimensional structure.ResultsThe NHSOPSC CFA test originally had 12 dimensions with 42 items and was modified to eight dimensions with 26 items in the Indonesian version. The deleted dimensions were ‘Staffing’ (4 items), ‘Compliance with procedure’ (3 items), ‘Training and skills’ (3 items), ‘non‐punitive response to mistakes’ (4 items) and ‘Organisational learning’ (2 items). The subsequent analysis revealed an accepted model with 26 NHSOPSC‐INA items (root mean square error of approximation = 0.091, comparative fit index = 0.815, Tucker‐Lewis index = 0.793, CMIN = 798.488, df = 291, CMIN/Df = 2.74, GFI = 0.782, AGFI = 0.737, p < 0.0001) and a factor loading value of 0.538–0.981. Expert feedback confirmed the relevance of the instrument items (content validity index [CVI] = 0.942).ConclusionThe modified NHSPOSC‐INA model with eight dimensions (26 items) fits the data set in the context of Indonesian NH services.Implications for practiceThe NHSPOSC‐INA is a valid and reliable instrument for assessing staff perceptions of NH resident safety culture in Indonesia. The questionnaire can now be used to evaluate interventions for resident safety in Indonesian NH.
Working with Older People
Purpose Older adults living in nursing homes may become vulnerable because of errors or incidents... more Purpose Older adults living in nursing homes may become vulnerable because of errors or incidents; it is necessary to create a positive safety culture to minimise such occurrences. However, safety culture is still a prevailing issue in Indonesian nursing homes. This study aims to examine factors related to resident safety culture in nursing homes located in Indonesia. Design/methodology/approach This study used a cross-sectional research design and involved 13 nursing homes in East Java province, Indonesia. Multistage cluster samplings were used to determine the respondents of this study. The respondents included 219 employees: managers, health care, supportive and administrative staff. The Indonesian version of the Safety Attitudes Questionnaire was used to measure safety culture. Findings Most of the respondents (68.5%) had a positive perspective on the nursing home’s safety culture. Staffs who had worked for six to ten years in the nursing home were 17.07 times more likely to hav...
Background: Nutrition problems are among the complex public health problems that require solution... more Background: Nutrition problems are among the complex public health problems that require solution. Protein energy malnutrition (PEM) is a major nutritional problem that is often found in infants which may result in negative impact on growth, intellectual development and productivity, and can lead to morbidity and death. The incidence of malnutrition in Kebong Puskesmas has been increasing in 2016. Purpose: This study aims to analyze the determinants of malnutrition in children under five in the area of Kebong Health Center, Kelam Permai, Sintang. Method: This study applied descriptive analytic research design with cross sectional approach involving 60 respondents who were selected using total sampling. The independent variables are toddler age, sex, birth weight, number of children, history of exclusive breastfeeding, history of infectious diseases, history of immunization, ethnicity, tradition, who care for toddlers, family heads, family forms, parental education, health services, ...
Risk Management and Healthcare Policy
The attention to building a safety culture in nursing homes is relatively less when compared to h... more The attention to building a safety culture in nursing homes is relatively less when compared to hospitals. Good patient safety will improve the quality of health services and minimize incidents related to patient safety. This study aims to look at efforts that can be made to improve safety culture in nursing homes. Materials and Methods: The research design uses phenomenological qualitative with in-depth interviews. Purposive sampling was used with interpretive phenomenological analysis. Participants were 29 staff from four government and private institutions in East Java, Indonesia. Results: The sub-themes resulting from the research efforts to improve the safety culture of the elderly in nursing homes are the provision of new staff orientation, training, improvement of infrastructure, and procurement of security staff. Conclusion: The analysis shows that efforts to improve safety culture can be carried out with various strategies by paying attention to risk assessment steps, patient risk identification, and management, incident reporting, and analysis, the ability to learn from incidents and their follow-up, as well as implementing solutions to minimize risks and prevent them from occurring injury. Safety culture plays an essential role in improving the quality of care.
BMC Pediatrics, 2017
Background: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. ... more Background: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. In developing countries limited evidence is available regarding predictors of DD during the critical complementary feeding period. The purpose of the study is to assess DD and predictors among children 6-23 months of age in rural Gorche district, Southern Ethiopia. Method: A community based cross-sectional study was conducted among 417 children aged 6-23 months in Gorche district. The children were selected using a stratified two-stage cluster sampling technique. DD in the preceding day of the survey was assessed using the standard 7-food group score without imposing a minimum intake restriction. Factors associated with DD were identified by modeling dietary diversity score (DDS) using linear regression analysis. Results: Only 10.6% (95% CI: 7.6-13.6) of the children had the minimum recommended DD (≥4 food groups). In children born to literate fathers, the DD was increased by 0.26 as compared to their counterparts (p = 0.026). Children from households that grow vegetables and own livestock, the DDS was significantly increased by 0.32 (p = 0.032) and 0.51 (p = 0.001). As the age of the child increases by a month, the DD also increased by 0.04 (p = 0.001). Mothers that received Infant and Young Child Feeding (IYCF) education during their post-natal care, the DDS was increased by 0.21 (p = 0.037). Unit increase in maternal knowledge on IYCF was associated with 0.41 rise in DDS (p = 0.001). Other factors that showed positive association were: mother's participation in cooking demonstration, exposure to IYCF information on the mass media and husband involvement in IYCF. Conclusion: Nutrition education, promotion of husbands' involvement in IYCF and implementation of nutrition sensitive agriculture can significantly enhance DD of children.
Introduction: The implementation of self-medication may be a source of medication error due to th... more Introduction: The implementation of self-medication may be a source of medication error due to the limited knowledge of the community about the drug and its use. Based on the preliminary study, the majority of people in the Working Area of Puskesmas Desa Soso, Kecamatan Gandusari, Kabupaten Blitar, was used the self-medication inaccurately. This study was purposed to analyze the effect of brainstorming on the level of knowledge and rationality of drug use. Method: This study was used in experimental design with a Quasy-experimental approach and purposive sampling technique. Independent variables is Brainstroming and dependent variabel are knowledge and rationality of drug usage. This sample are 30 respondents that divided into two groups, there are control group and experimental group. The data were collected using questionnaires and analyzed using Wilcoxon-Mann Whitney test with p-value <0,05. Result: The statistical analysis using Wilcoxon test showed result of knowledge variab...
Introduction: The elderly problem is dementia, which can interfere daily activity. One of the tre... more Introduction: The elderly problem is dementia, which can interfere daily activity. One of the treatment for elderly with dementia is reminiscence therapy with dhakonan traditional games. The purpose of this study is explain the effect of dhakonan traditional games on dementia level in the elderly. Methods: The design of this study was quasy-experiment design. The population was elderly with dementia in Desa Wedoro Kecamatan Waru Kabupaten Sidoarjo. The total sample were 20 respondents who appropriate to inclusion criteria. The sampling was simple random sampling. The independent variable was dhakonan traditional games, the dependent variable were cognitive function, depression, and dementia level. Data were collected using quissionaires of Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), dan Functional Assessment Staging Tool (FAST). Data analysis were Wilcoxon Sign Rank Test and Mann Whitney Test with significance level of α<0,05 Results: Based on Wilcoxon...
Proceedings of the 9th International Nursing Conference, 2018
Cancer is the main cause of death and disability in the world, especially in women. Regarding cer... more Cancer is the main cause of death and disability in the world, especially in women. Regarding cervical cancer, women can be pressed to participate in primary and secondary prevention. Cervical cancer prevention in Indonesia is not a priority for women of childbearing age. This research used a cross-sectional approach. Simple random sampling was and 159 woman of childbearing age were selected as respondents. Independent variables involved interpersonal and situational factors. The dependent variable was the prevention of cervical cancer. Data were collected by questionnaires and analyzed using Spearman's Rho test with a significant level of α ≤ 0,05. This showed the relationship between interpersonal factors with cervical cancer prevention at p = 0.000 and situational factors relating to cervical cancer prevention at p = 0.000. Interpersonal factors and situational factors have a significant relationship with the primary and secondary prevention of cervical cancer. These results can be referenced in future research related to other factors of HPM theory such as previous experience, urgency, perceived benefits of actions, the perceived barriers of actions, activity related to effects, and commitment in prevention. Health officers should try to improve information about cervical cancer prevention methods in a form that people can easily understand.
Indonesian Journal of Community Health Nursing, 2020
Pendahuluan: Disabilitas merupakan masalah yang paling umum dihadapi oleh lansia. Hal tersebut da... more Pendahuluan: Disabilitas merupakan masalah yang paling umum dihadapi oleh lansia. Hal tersebut dapat mempengaruhi kualitas hidup lansia, sehingga dibutuhkan perawatan dari keluarga. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberdayaan keluarga terhadap self-efficacy dan kualitas hidup lansia.Metode: Rancangan penelitian ini adalah penelitian Quasy Experimental dengan menggunakan data kuantitatif. Sampel sejumlah 39 responden yang berkunjung di Puskesmas Oebobo Kota Kupang Nusa Tenggara Timur dengan menggunakan teknik purposive sampling. Data diperoleh dari kuesioner General self efficacy scale (GSES) dan kualitas hidup lansia menggunakan WHOQOL – BREF. Analisis dengan menggunakan uji statistik wilcoxon test dan mann- whitney.Hasil: Hasil uji wilcoxon signed rank test menunjukkan adanya pengaruh pemberdayaan keluarga terhadap kualitas hidup lansia sebelum dan sesudah intervensi dengan nilai p = 0,034 atau ≤ 0,05. Uji mann whitney post-test kelompok perlakuan dan kelomp...
Indonesian Journal of Community Health Nursing, 2019
Introduction: Hypertension or high blood pressure often occur without symptoms, so called the sil... more Introduction: Hypertension or high blood pressure often occur without symptoms, so called the silent killer. Based on these problems, humour therapy can be used to reduce the incidence of hypertension and decrease blood pressure at low cost, easily done. Humour therapy most economical to fight against hypertension. Humour therapy also stimulates endorphins hormone. Endorphins stimulate relaxes tense muscles, blood vessels dilate to accelerate the flow of blood the body. This study was aimed to determine the effectiveness of humour therapy in decreasing blood pressure in elderly with hypertension.Method: Design study that used is quasi-experiment pretest-posttest with control group design. The sample used amounted to fifty-three respondents to the intervention group by random sampling. The instrument used sphygmomanometer. Independent variable was humour therapy by using comedy film, and dependent variable was blood pressure. Data analysed by Wilcoxon Signed Ranks Test and Kolmogorov...
IOP Conference Series: Earth and Environmental Science, 2020
Sechium edule contains flavonoids and potassium to reducing small blood pressure in the elderly w... more Sechium edule contains flavonoids and potassium to reducing small blood pressure in the elderly with hypertension. The serving of chayote for consumption can be juiced, steamed, and squeezed. However, no research proves from three serving is more effective in reducing the pressure of elderly hypertension. The aims of the study compared from three presentations which is more useful to make blood pressure decrease in elderly with hypertension in coastal area. This study used Pre-Experimental Design with the three-group pre-post-test design. Samples were 51 elderly obtained from purposive sampling. The independent variable was the consumption of Sechium edule with the various presentation. The dependent variable was the blood pressure. Based on analysis data used paired t-test with significance p-value ≤ 0.05. The mean of blood pressure in the juiced group before intervention was 156.28 mmHg and after intervention 152.48 mmHg (decrease 3.8 mmHg). The mean of systolic pressure in steame...
Proceedings of the 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017), 2017
Elderly with frailty need help to do they daily activities. Training for health volunteers and pr... more Elderly with frailty need help to do they daily activities. Training for health volunteers and primary caregiver was expected to increase their ability in providing care to the elderly with frailty. So the elderly's quality of life can be maintained, or even improved. The training was conducted at health volunteers and primary caregiver of elderly with frailty at Puskesmas Mulyorejo, Surabaya. Thirty people were involved. The training methods were lectures, discussions, and demonstrations. Evaluation was conducted to participant's knowledge by using questionnaire. The results were then presented in a frequency distribution and percentage. The result had show that most participants has enough knowledge (23;76.67%), while the rest were less at pretest. After training 20 (66.67%) have good knowledge, and the rest have enough. Most participants had a pre-post difference in score of 30 points, i.e. 8 (26.67%) people. The highest pre-post score difference was 50 points. There were 3 (10%) participants who have no pre-post score difference. Training can improve health volunteers and primary caregivers knowledge. By increasing knowledge, their ability were expected to increase. Training should be followed by guidance and supervision from the nurses continuously to ensure the care provided was appropriate.
WIRARAJA MEDIKA, 2018
One of the elderly problem is dementia, which can interfere daily activity. One of the safetreatm... more One of the elderly problem is dementia, which can interfere daily activity. One of the safetreatment for elderly with dementia is reminiscence therapy with dhakonan traditional games. Thepurpose of this study is explain the effect of dhakonan traditional games on dementia level in theelderly.The design of this study was quasy-experiment design. The population was elderly withdementia in Desa Wedoro Kecamatan Waru Kabupaten Sidoarjo. The total sample were 20respondents who appropriate to inclusion criteria. The sampling was simple random sampling. Theindependent variable was dhakonan traditional games, the dependent variable were cognitivefunction, depression, and dementia level. Data were collected using quissionaires of Mini MentalState Examination (MMSE), Geriatric Depression Scale (GDS), dan Functional AssessmentStaging Tool (FAST). Data analysis were Wilcoxon Sign Rank Test and Mann Whitney Test withsignificance level of α<0,05.Based on Wilcoxon Sign Rank Test found that p<...
Indian Journal of Public Health Research & Development, 2019
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Papers by Rista Fauziningtyas