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Exploring predictors of perceived stress: a cross-sectional study among nursing students during their clinical practice.

Clinical practice is a demanding academic activity for nursing students, and a variety of factors can affect this perception. This study aimed to investigate the predictors of perceived stress among Indonesian nursing students during their clinical practice. From September to November 2022, this cross-sectional investigation was carried out. Five questionnaires, including the socio-demographic, the PSS, the GHQ, the CBI, the MSPSS and the RSES, were completed by 208 participants. With significance set to p < 0.05, the Pearson correlation and multiple linear regression analysis were carried out. Coping strategies (r = 0.20, p < 0.01), overall health (r = 0.50, p < 0.01), social support (r = -0.34, p < 0.01) and self-esteem (r = -0.51, p < 0.01) were all substantially linked with perceived stress. Furthermore, age (β = -0.22, p < 0.001), coping style (β = 0.22, p < 0.001) and self-esteem (β = -0.42, p < 0.001) substantially predicted perceived stress among nursing students. The study's findings revealed strong relationships between perceived stress and general health, coping mechanisms, self-esteem and social support. These results can be utilised as evidence to help educators and other stakeholders develop programmes that effectively manage stress among nursing students during their clinical rotations.

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Metode peer teaching untuk meningkatkan keterampilan bermain biola, keterampilan komunikasi, dan sikap percaya diri

Keterampilan komunikasi dan sikap percaya diri merupakan dua kompetensi yang sangat bermanfaat bagi siswa/i yang sedang belajar musik dalam sebuah ansambel. Penelitian ini bertujuan untuk mencari dan menganalisis perbedaan keterampilan bermain biola, keterampilan komunikasi dan sikap percaya diri siswa pada kelas musik ansambel biola dengan menggunakan metode peer teaching. Penelitian ini dilakukan selama dua bulan dengan subyek penelitian sebanyak 9 siswa peserta kelas ansambel biola. Jenis penelitian yang digunakan yaitu penelitian kuantitatif dengan metode eksperimen dengan jenis pre-experimental design, dengan bentuk one group pretest-posttest. Instrumen penelitian yang digunakan yaitu rubrik untuk seluruh variabel yang telah divalidasi. Data pretest dan posttest kemudian diuji menggunakan uji Wilcoxon signed Rank Test. Hasil uji hipotesis keterampilan bermain biola menunjukkan perolehan asymp. sig. (2-tailed) = 0.007; keterampilan komunikasi menunjukkan perolehan asymp. sig. (2-tailed) = 0.007; sikap percaya diri menunjukkan perolehan asymp. sig. (2-tailed) = 0.007. Dari hasil yang didapatkan maka kesimpulan yang dapat diambil yaitu terdapat perbedaan keterampilan bermain biola, keterampilan komunikasi dan sikap percaya diri sebelum dan sesudah mengikuti latihan ansambel dengan menggunakan metode peer teaching.Kata kunci: peer teaching, keterampilan bermain biola, keterampilan komunikasi, sikap percaya diri Peer teaching method to improve violin playing skills, communication skills, and confidenceAbstractCommunication skill and confidence are two important skill for high school students and beneficial for those who are learning to play music in an ansamble. This study aims to look and analyze differences in violin playing skill, communication skill and confidence for students in violin ansamble rehearsal using peer teaching method. This researched was conducted at SMA XYZ for two months with research subjects 9 students from violin ansamble class. The method used in this research is quantitative research with experimental method by using pre-experimental design, with one group pretest-posttest design. The research instruments used were rubric for all variables. The obtained pretest and posttest values were then tested using Wilcoxon Signed Rank Test. The results of hypothesis testing for violin playing skill showed the acquisition of asymp. sig (2-tailed) = 0.007; communication skill with asymp. sig. (2-tailed) = 0.007; confidence with asymp. sig. (2-tailed) = 0.007. Based on the results, it can be concluded that there are differences in the violin playing skill, communication skill and confidence of students before and after they join the violin ansamble rehearsal using peer teaching method.Keywords: peer teaching, violin playing skills, communication skills, confidence

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Characterization of corn-starch edible film with the addition of microalgae extract Chlorella vulgaris as an antioxidant applied to dodol (glutinous-rice cake) products

Dodol, an Indonesian glutinous rice cake, is normally only lasts up to 7 days in room temperature and susceptible to rancidity. Addition of C.vulgaris extract to the edible film used as packaging for dodol is expected to be a new alternative to extend the shelf life of dodol through its antioxidant activity. The aims of this study were to evaluate the characteristics of edible film that added with C.vulgaris extract and to observe people preference, based on its organoleptic parameters. The test was conducted based on different concentrations of corn starch (1%, 3%, and 5%) and different types of solvents used to extract the microalga (ethanol and distilled water). Based on its appearance, aroma, flavor, and texture, dodol with additional C.vulgaris extract in distilled water (J1P1) showed the highest total organoleptic value of 25,87. This is supported by the characteristics of such edible film which has the highest solubility and the highest WVTR values, which were 29,25% and 1,1785, respectively, as well as low peroxide number, compared to that without additional C.vulgaris. These values exhibit no harmful effect to the environment, low risk of rancidity, and longer shelf-life time of dodol.

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Impact of the COVID-19 pandemic on tuberculosis control in Indonesia: a nationwide longitudinal analysis of programme data

The impact of the COVID-19 pandemic on tuberculosis control in high-burden countries has not been adequately assessed. We aimed to estimate the impact of the COVID-19 pandemic on the national tuberculosis programme in Indonesia, in association with indicators of human development and health-system capacity across all 514 districts in 34 provinces. We did a nationwide longitudinal analysis to compare tuberculosis case notification, treatment coverage, and mortality rates in Indonesia before (2016-19) and during (2020-21) the COVID-19 pandemic. The following outcomes were assessed: the district-level quarterly reported tuberculosis case notification rate (number of all reported tuberculosis cases per 100 000 population), treatment coverage (proportion of tuberculosis patients who started treatment), and all-cause mortality rate in patients with tuberculosis (number of reported deaths per 100 000 population). District-level data on COVID-19 incidence and deaths, health-system capacity, and human development and sociodemographics were also analysed. Multilevel linear spline regression was done to assess quarterly time trends for the three outcomes. During the COVID-19 pandemic, the tuberculosis case notification rate declined by 26% (case notification rate ratio 0·74, 95% CI 0·72-0·77) and treatment coverage declined by 11% (treatment coverage ratio 0·89, 95% CI 0·88-0·90), but there was no significant increase in all-cause mortality (all-cause mortality rate ratio 0·97, 95% CI 0·91-1·04) compared with the pre-pandemic period. In the second year of the pandemic, we observed a partial recovery of the case notification rate from Q1 to Q4 of 2021, a persistent decrease in treatment coverage, and a decrease in the all-cause mortality rate from Q2 of 2020 to Q4 of 2021. The multivariable analysis showed that the reduction in the tuberculosis case notification rate was associated with a higher COVID-19 incidence rate (adjusted odds ratio 3·1, 95% CI 1·1-8·6, for the highest compared with the lowest group) and fewer GeneXpert machines for tuberculosis diagnosis (3·1, 1·0-9·4, for the lowest compared with the highest group) per 100 000 population. The reduction in tuberculosis treatment coverage was associated with higher COVID-19 incidence (adjusted odds ratio 11·7, 95% CI 1·5-93·4, for the highest compared with the lowest group), fewer primary health centres (10·6, 4·1-28·0, for the lowest compared with the middle-high group), and a very low number of doctors (0·3, 0·1-0·9, for the low-middle compared with the lowest group) per 100 000 population. No factors were shown to be significantly associated with all-cause mortality. The COVID-19 pandemic adversely and unevenly affected the national tuberculosis programme across Indonesia, with the greatest impacts observed in districts with the lowest health-system capacity. These disruptions could lead to an escalation in tuberculosis transmission in the coming years, warranting the need for intensified efforts to control tuberculosis and strengthen local health systems. Wellcome Africa Asia Programme Vietnam. For the Bahasa translation of the abstract see Supplementary Materials section.

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Model Dinamika Spasial Perubahan Tutupan Lahan dan Daya Dukung Lahan Permukiman Kota Ambon Tahun 2031

The rate of population growth that continues to increase in Ambon city with the availability of suitable land is relatively constant, resulting in inconsistencies between land requirements and available land. This study aims to analyze land cover changes in Ambon City in 2013, 2018, 2023 and predict land cover in 2031 using the Cellular Automata Markov Chain (CAMC) and the carrying capacity index of residential areas. The driving factors used in this study were elevation, slope, distance from the coastline, distance from the main road, distance from the river, distance from the center of economic activity and distance from protected areas. Based on the predictions of the Cellular Automata Markov Chain model in 2031, the built-up land cover has increased in area to 4,958.33 ha or 49,583,268 m2, with a predicted population of Ambon City in 2031 of 2,445,961 people. The calculation of the carrying capacity of residential land in 2031 in Ambon City results in the carrying capacity index of residential land of 1.27 m²/capita, meaning that if DDPm &gt; 1 indicates the carrying capacity of residential land is high and still able to accommodate residents to live and build houses in the area. In other words, Ambon City can still accommodate an increase in settlements of 1.27 m²/capita.

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