Family Empowerment Research Articles

STRATEGI PENCEGAHAN PERNIKAHAN USIA DINI MELALUI PENERAPAN PUSAT INFORMASI DAN KONSELING REMAJA (PIK-R) DI SMK NEGERI 1 BULUKUMBA

Jumlah pernikahan usia dini (15 tahun) tercatat tertinggi di Sulawesi Selatan. Angkanya mencapai 6,7% dibandingkan angka nasional yang hanya 2,46%. Akibat pernikahan dini meliputi terenggutnya hak-hak anak seperti pendidikan dan dilindungi dari eksploitasi, juga munculnya permasalahan kesehatan. Tujuan penelitian ini adalah untuk mendeskripsikan strategi pencegahan pernikahan usia dini melalui PIK-R di SMK Negeri 1 Bulukumba. Metode yang digunakan adalah metode kualitatif dengan desain studi kasus. Data didapatkan melalui wawancara terstruktur serta telaah dokumen. Informan dalam penelitian ini sebanyak 14 orang yaitu Kepala Sekolah dan Guru SMK Negeri 1 Bulukumba (4 orang), orang tua siswa (5 orang) dan siswa (5 orang). Data dianalisis dengan pendekatan analisis tematik. Hasil penelitian menunjukkan bahwa PIK-R telah diterapkan di SMK Negeri 1 Bulukumba melalui tiga strategi yaitu pemberdayaan anak di sekolah, pemberdayaan keluarga melalui pengawasan orang tua dan penekanan faktor sosial ekenomi yang beresiko pada pernikahan usia dini. Dalam penerapannya strategi kedua ini belum optimal. Strategi ketiga adalah peningkatan pengetahuan siswa melalui pendidikan formal yang penerapannya belum dapat dilaksanakan, meskipun siswa menganggap bahwa pengetahuan terkait pernikahan usia dini ini sangat penting. Penelitian ini merekomendasikan pemberdayaan peran keluarga, pembuatan kurikulum muatan lokal terkait kesehatan reproduksi dan pencegahan pernikahan usia dini, serta penelitian lanjutan melibatkan siswa yang belum terlibat dalam kegiatan PIK-R.

Implementation of an Intensive Care Unit Diary Program at a Veterans Affairs Hospital.

Intensive care unit (ICU) diaries are recommended to address psychological sequelae following critical illness. Diaries are correlated with reduced prevalence of posttraumatic stress disorder in survivors of critical illness and their families. Our ICU was not adequately meeting the psychological needs of patients and families. We established an interprofessional team to implement an ICU diary program in partnership with implementation of the ABCDEF (Assess, prevent, and manage pain; Both awakening and breathing trials; Choice of analgesia and sedation; Delirium: assess, prevent, and manage; Early mobility and exercise; Family engagement and empowerment) bundle and peer support programs. Staff knowledge and perception of ICU diaries were obtained. Diaries were initiated for patients at high risk for post-intensive care syndrome, and entries by all ICU staff and family members/visitors were encouraged. A total of 75 diaries were initiated between January 2017 and January 2019. The ICU diaries have been received positively by patients, family members, and staff. The ICU diary is a cost-effective and efficient intervention to help patients and family members cope with the burden of critical illness.

Parental Empowerment and Child Behavioral Problems in Single and Two-Parent Families During Family Treatment

We examined (1) the extent to which the family-centered program Intensive Family Treatment (IFT) succeeds in realizing beneficial parental psychological empowerment and child behavioral outcomes both in single-parent and two-parent families and (2) how these outcomes are influenced by the presence of a co-caregiver as a potential source of empowerment. A group of 140 single-mother and 156 mother–father families was compared. Information about empowerment of parents and children’s behavioral problems was collected at the start and end of IFT and analyzed with cross-lagged panel analyses. Although single mothers and mothers in two-parent families were comparable in the extent of improvements in psychological empowerment (effect sizes were respectively 0.52 and 0.57) and child behavioral problems (effect sizes were both 0.49), they differ in how these improvements were achieved. For single-parent families, more maternal empowerment at the start of IFT was directly related to positive changes in child behavioral problems (β = −0.246, p < 0.01). Among two-parent families, more paternal empowerment at the start was directly related to improved maternal empowerment (β = 0.249, p < 0.001) but maternal empowerment at the start was not directly related to changes in the father’s empowerment. This study stresses the importance of taking into account the presence or absence of a co-caregiver as a potential source of psychological empowerment during family-centered programs as IFT.

FAMILIARES CUIDADORES DE IDOSOS COM SINTOMAS DEPRESSIVOS

Objetivo: conhecer as relações de cuidado dos familiares de idosos com sintomas depressivos e a suas percepções acerca do desgaste do cuidador. Método: estudo exploratório, com delineamento transversal e de abordagem clínico-qualitativa, realizado em uma cidade do interior de Minas Gerais, no ano de 2019, com método de amostragem por variedade de tipos. Resultados: emergiram três categorias temáticas - cuidador suficientemente bom e a possibilidade de um ambiente facilitador aos idosos com sintomas depressivos; o familiar cuidador e o fortalecimento da autonomia durante o envelhecimento e sobrecarga subjetiva e a necessidade de implementação de políticas públicas aos cuidadores informais. Conclusão: os cuidadores primários encontrava-se em condição de vulnerabilidade social e emocional, pouco suporte social dos familiares e de políticas públicas, e demonstrando com isto, sobrecarga enquanto cuidadores.

Prevention and Management of Delirium in the Intensive Care Unit.

Delirium is a debilitating form of brain dysfunction frequently encountered in the intensive care unit (ICU). It is associated with increased morbidity and mortality, longer lengths of stay, higher hospital costs, and cognitive impairment that persists long after hospital discharge. Predisposing factors include smoking, hypertension, cardiac disease, sepsis, and premorbid dementia. Precipitating factors include respiratory failure and shock, metabolic disturbances, prolonged mechanical ventilation, pain, immobility, and sedatives and adverse environmental conditions impairing vision, hearing, and sleep. Historically, antipsychotic medications were the mainstay of delirium treatment in the critically ill. Based on more recent literature, the current Society of Critical Care Medicine (SCCM) guidelines suggest against routine use of antipsychotics for delirium in critically ill adults. Other pharmacologic interventions (e.g., dexmedetomidine) are under investigation and their impact is not yet clear. Nonpharmacologic interventions thus remain the cornerstone of delirium management. This approach is summarized in the ABCDEF bundle (Assess, prevent, and manage pain; Both SAT and SBT; Choice of analgesia and sedation; Delirium: assess, prevent, and manage; Early mobility and exercise; Family engagement and empowerment). The implementation of this bundle reduces the odds of developing delirium and the chances of needing mechanical ventilation, yet there are challenges to its implementation. There is an urgent need for ongoing studies to more effectively mitigate risk factors and to better understand the pathobiology underlying ICU delirium so as to identify additional potential treatments. Further refinements of therapeutic options, from drugs to rehabilitation, are current areas ripe for study to improve the short- and long-term outcomes of critically ill patients with delirium.

Student, Educator, and Parent Perspectives of Self-Determination in High School Students with Autism Spectrum Disorder.

Self-determination refers to an individual being a causal agent in their daily activities, including the ability to express their own needs, interests, and wants, make choices, and set goals. Self-determination is critical during adolescence and has been linked to positive educational outcomes in individuals with disabilities. Few studies have characterized the measurement of self-determination in adolescents with autism spectrum disorder (ASD). The purpose of the current study was to (a) examine the agreement across the American Institutes for Research Self-Determination Scale (Wolman et al., AIR Self-determination scale and user guide. Palo Alto, CA: American Institute for Research, 1994) student, educator, and parent forms for high school students with ASD, and (b) examine student and family predictors of self-determination. Participants included adolescents with ASD (N = 547, mean chronological age = 16.1 years, SD = 1.4 years), their parents, and educators. Student reports did not correspond to parent or educator reports, and parent and educator reports were in moderate agreement. Adaptive behavior was a significant predictor of self-determination across reporters, highlighting the significance of adaptive behavior skills during high school. In addition to promoting adaptive behavior, supporting family empowerment, and reducing family burden may help to increase self-determination in high school students with ASD. LAY SUMMARY: Self-determination refers to the abilities and opportunities for students to make choices, plans, and set goals. The current study examined self-determination from multiple perspectives in a large, diverse sample of high school students with ASD. Students, parents, and their teachers each completed a questionnaire on self-determination and had little to some agreement across reporters. Providing support to families and help for students to increase independent skills may promote self-determination.

The Effect of Family Empowerment in Nursing Implementation Toward Self-Efficacy among Patients with Diabetes Mellitus

Introduction: : Diabetes mellitus is a condition where the body cannot produce the insulin hormone as needed so that there is an excess of normal blood sugar levels. Giving family empowerment in clients with gangrene foot diabetes should be done comprehensively using the nursing process. Interventions that can be done are family empowerment to motivate and improve the self-efficacy of patients with diabetes mellitus. The purpose of this study was to determine the effect self-efficacy before and after the implementation of family empowerment in nursing in patients with diabetes mellitus. Methods: Pre-experiment research with pretest and posttest study design without control group. Forty respondents who met the inclusion criteria were then tested using purposive sampling. The instrument in this study used a self-efficacy questionnaire. The dependent variable of this study is self-efficacy, while the independent variable is family empowerment using the paired sample t-test parametric analysis method. Results: Based on what was answered by the respondents there was a significant influence which showed difference after the posttest. The results obtained values: α = 0.05 which calculated the results of p = 0.00 (p &lt;0.05). This means that, after a posttest, there was a decrease in motivation and self-efficacy. Conclusion: Researchers concluded that there is an effect of family empowerment on patients with diabetes mellitus. The implication of this study is that the role of family is very important in healing patients.

Adoption of Integrated Rice-fish Farming Technology in Ebonyi State Nigeria: Sources of Information and Level of Use

Background: Integrated rice-fish farming is one of the most viable, reliable and profitable of any farming enterprise. It contributes immensely to the economic empowerment of many families especially in the rural communities. It enables the farmer to be productive all year round and fully maximize its production.&#x0D; Aim: To identify the sources of information available to farmers on integrated rice-fish farming and assess the level of use of integrated rice-fish farming technologies by the farmers in the study area.&#x0D; Study Design: This was a cross-sectional study. 243 farmers were assessed to ascertain their sources of information and level of use of integrated rice-fish farming technologies in the study area.&#x0D; Methodology: Primary data were obtained from the field using structured questionnaire. The questionnaire contained questions that address the objectives of the study. Farmers were asked to identify the sources of information and the level of use of integrated rice-fish technology on a 4- Likert scale.&#x0D; Results: The result revealed that 78.2% of the farmers got information on integrated rice-fish farming technology using phone, 75.0% said they heard about it on radio, 70.0% got theirs from friends /relatives while 67.9% indicated getting their information from co-operatives. It revealed that the farmers used the following technologies: use of net guard (M = 3.17) skills in harvesting of fish before rice (M=3.17) stocking of carp fish (M=3.09) use of organic fertilizers (M=3.05) transplanting the rice seedling (M=2.95) and use of pest and disease resistant varieties (M=2.85), while technologies like use of bamboo guard (M=1.97) skills in harvesting of rice before fish (M=1.96) stocking of tilapia fish (M=1.93) construction of trenches (M=1,88) and use of terracing (M=1.86) are not used.&#x0D; Conclusion: Most of the farmers (78.2%) got their information from the electronic media such as mobile phones and radio. Use of net guard (M= 3.17) skills in harvesting of fish before the rice (M= 3.17), stocking of carp fish (M= 3.09) and use of organic fertilizers (M= 3.05) were the technologies mostly used by the farmers.&#x0D; Recommendations: For effective communication and information dissemination to be sustained on rice-fish farming, the Federal and State governments should support the farmers by providing mobile phones and radios because farmers will always prefer information channels that are cheaper, accessible and convenient.

Family Planning’s Village: A Real Role in the Efforts to Improve Family Empowerment

The Family Planning Village Program as known as ‘Kampung KB’, is one of the government’s innovation&#x0D; programs in strengthening the Family Planning and Family Development program by narrowing the scope&#x0D; of the target is at the regional or village level. This study aims to analyze the implementation of the program&#x0D; in Tanjung Gunung Village, Pangkalan Baru District, and also the obstacles. This type of research was&#x0D; qualitative with a case study approach. Subject selected by purposive sampling method. Data collected&#x0D; by in-depth interviews. Data was analyzed by content analysis methods. Referring to all indicators that all&#x0D; levels of both the implementers and also the target activities related to the information provided is not up to&#x0D; date and not yet clear enough. The available resources are inadequate, while the disposition given has not&#x0D; been responded to very well, so that the elements of the community themselves are less willing to respond&#x0D; or lack of their awareness. Judging from the organizational structure, the program has not been carried&#x0D; out in accordance with the technical manual guidelines, and the tasks given have not been carried out in&#x0D; accordance with the existing of SOPs, then accounted for in the form of unscheduled and organized reports.&#x0D; The conclusion is that not all input, process and output indicators have been fulfilled. The suggestion of&#x0D; this research is the need for a shared awareness that Kampung KB is a shared property and with an increase&#x0D; in the Quality of human resources, various concerns of life regarding issues related to Population Family&#x0D; Planning and Family Development Program (KKBPK). It is also need to create a standard reporting system&#x0D; to implement these activities.

CREATIVE ECONOMY ON E-WAROENG KUBE

Creative economy is the creation of added value (economic, social, cultural, environment) based on ideas that are born from the creativity of human resources (creative people) and based on the use of knowledge, including cultural and technological heritage. Creativity is not limited to works based on art and culture, but can also be based on science and technology, engineering and telecommunications. There are 3 main things that are the basis of the creative economy, including creativity, innovation and discovery. E-warong KUBE is a community empowerment program in the economic field and through the Prosperous Indonesia Community Card issued by BNI is expected to empower the poor to achieve a prosperous society. This program facilitates economic transactions for residents receiving the Family Hope Program (PKH). The amount of non-cash food aid is Rp. 110,000.0 / KPM / month, the assistance cannot be collected in cash, and can only be done with rice and / or eggs in e-warong. If assistance is not spent in that month, the value of assistance will still be stored and accumulated in the Food Aid Electronic Account. The aim of KUBE e-waroeng can be achieved through increasing the ability or empowerment of families and communities, as well as increasing community access to social resources in the community so as to foster creativity, innovation and discoveries that can make e-waroeng have economic value to realize development a sustainable economy based on creativity.

Effect of Family Empowerment Education on Pulmonary Function and Quality of Life of Children With Asthma and Their Parents in Tunisia: A Randomized Controlled Trial

PurposePatient education is fundamental in asthma management, especially at pediatric age. It is increasingly recognized as effective in reducing the burden of the disease, but is less clear in improving the quality of life of children with asthma and their parents. This study assessed the effect of an asthma therapeutic education program on pulmonary function and quality of life in children with asthma and their parents. Design and methodsA monocentric randomized controlled trial conducted in Farhat Hached University Hospital of Sousse (Tunisia) from May 2018 to September 2019. Thirty-seven families in the experimental group and 39 families in the control group received allocated intervention at baseline. Thirty-four families in each group completed the study at the 12-month follow-up. ResultsThe intervention significantly improved quality of life scores of children and their parents (all p < 0.05). Children in the experimental group had significantly better forced expiratory maneuver than children in the control group. Nonetheless, the FEV1/FVC ratio did not show any significant difference in the experimental and control group (p = 0.9; p = 0.14, respectively). ConclusionsThis study demonstrated that a long-term family-based asthma education program resulted in better pulmonary function and QOL of children and parents enrolled in the intervention group, particularly children with non-allergic asthma. Practice implicationsFamily-based asthma education can reduce the burden of allergic and non-allergic asthma on children and their parents through improving their quality of life. Also, the pulmonary function of children with non-allergic asthma was improved due to My Asthma Therapeutic Education intervention.

The Intersection of Islamic Microfinance and Women’s Empowerment: A Case Study of Baitul Maal Wat Tamwil in Indonesia

It is largely assumed that Islamic microfinance institutions (IMFIs) deal with family empowerment instead of women’s empowerment. However, women are the main beneficiaries of Baitul Maal Wat Tamwil (BMT), Indonesia’s first IMFIs. This paper aims to explore the origins, the initiators, and the visions of BMTs and the extent to which they intersect with women’s empowerment. Employing a qualitative approach, this study selected four BMTs in Yogyakarta as a case study. It found that four critical groups that have a significant role in the development of Indonesian BMTs: ICMI (Association of Indonesian Muslim Intellectual), Islamic mass organizations, NGOs, and local governments. The issues of loan sharks and poverty alleviation were the primary factors driving the inception of BMTs. Despite women being crucial clients, none of the studied BMTs explicitly invoked women’s empowerment in their organizational vision. To conclude, the BMTs’ preference for women is not based on an understanding of gender inequality, but rather motivated by pragmatic business considerations, particularly the self-sustainability paradigm that underpins their practices.

Effect of Family Empowerment on HbA1c Levels and Healing of Diabetic Foot Ulcers.

Objective. To evaluate the effectiveness of family empowerment through educational interventions against HbA1c level and healing progress of diabetic foot ulcers. Method. A quasi-experimental design was employed involving 33 participants from 4 wound care clinics in Makassar, eastern Indonesia. The intervention group consisted of 17 participants and their families; the control group was composed of 16 participants who received nonstructural education. Family empowerment was measured by the Indonesian version of the Family Empowerment Scale instrument. Glycemic control was evaluated with HbA1c levels, and the wound healing process was evaluated on the Diabetic Foot Ulcers Assessment Scale. Result. After 3 months, Family Empowerment Scale scores improved, particularly in the subdomain of family knowledge (16.59 ± 3.92 vs 13.38 ± 1.26; P = .005) and attitude (3.65 ± 0.93 vs 2.75 ± 0.45; P = .002). After 3 months of intervention, HbA1c decreased (from 10.47 ± 2.44% to 8.81 ± 1.83%), compared with the control group (P = .048). Meanwhile, an independent t test further revealed that the wound healing process tended to be better with the intervention group (4.71 ± 7.74) compared with the control group (17.25 ± 17.06), with P = .010 at the third month. Conclusion. Family-based education intervention creates family empowerment to control HbA1c levels and accelerate wound healing of diabetic foot ulcer.

The analyze toddler growth and development according to family's economic status in Village Limau Manis, Districts Tanjung Morawa

The toddler stage is a golden period and at the same time a critical period for a child, since he / she will experience rapid brain growth and development so that he/ she need sufficient nutrition intake. Toddler's abnormal growth and development are usually found in low economic community because they cannot afford to provide their need for basic food for their toddler's growth and development. The objective of the research was to analyze toddler's growth and development according to family's economic status. The research used descriptive analytic method with cross-sectional design. It was conducted at Limau Manis Village, Tanjung Morawa Subdistrict, Deli Serdang Regency, from January to June 2016. The population was 1899 toddlers, and 113 of them were used as the samples, taken by using simple random sampling technique. The data were gathered by using questionnaires to find out toddler's growth and development according to family's economic status. The result of univariate analysis showed that 57 toddlers (50.4%) had abnormal growth and development. The result of bivariate analysis with chi-square test showed that there was the correlation of toddler's growth and development with economic status (p value=0.004), women's care pattern (p value=0.028), and environmental sanitation (p value=0.01). Therefore, empowerment of family's economy through the development of family's nutrition portfolio is necessary.

Effectiveness and family experiences of interventions promoting partnerships between families and pediatric and neonatal intensive care units: a mixed methods systematic review protocol.

This mixed methods systematic review examines the effectiveness and family experiences of interventions that promote partnerships between parents and the multidisciplinary health care team in pediatric and neonatal intensive care units. The hospitalization of a child or infant in an intensive care unit can have considerable negative effects on them and their family. Family members can experience increased stress, anxiety or depression and detrimental impacts on quality of life and family functioning. Interventions that promote families as health care partners may improve negative outcomes arising from intensive care hospitalization. The review will include family members of pediatric or neonatal patients hospitalized in an intensive care unit. It will focus on interventions that promote partnership between families and multidisciplinary health care teams in pediatric and neonatal intensive care units and the family's experiences of these interventions. The outcomes of interest are stress, anxiety, depression, quality of life, family functioning, family empowerment or satisfaction with family-centered care. The proposed review will follow the JBI methodology for convergent segregated mixed methods systematic reviews. It will search for published and unpublished studies from eight different sources. Studies will be reviewed by title and abstract and potentially eligible studies will have full text retrieved for further review. Studies meeting the inclusion criteria will be assessed on methodological quality and the data will be extracted. Separate quantitative and qualitative analysis and synthesis will be performed and an overall analysis will be presented. PROSPERO CRD42019137834.

Strategies to Optimize ICU Liberation (A to F) Bundle Performance in Critically Ill Adults With Coronavirus Disease 2019.

The severe acute respiratory syndrome coronavirus 2 pandemic has stretched ICU resources in an unprecedented fashion and outstripped personal protective equipment supplies. The combination of a novel disease, resource limitations, and risks to medical personnel health have created new barriers to implementing the ICU Liberation ("A" for Assessment, Prevention, and Manage pain; "B" for Both Spontaneous Awakening Trials and Spontaneous Breathing Trials; "C" for Choice of Analgesia and Sedation; "D" for Delirium Assess, Prevent, and Manage; "E" for Early Mobility and Exercise; and "F" for Family Engagement and Empowerment [ABCDEF]) Bundle, a proven ICU care approach that reduces delirium, shortens mechanical ventilation duration, prevents post-ICU syndrome, and reduces healthcare costs. This narrative review acknowledges barriers and offers strategies to optimize Bundle performance in coronavirus disease 2019 patients requiring mechanical ventilation. The most relevant literature, media reports, and author experiences were assessed for inclusion in this narrative review including PubMed, national newspapers, and critical care/pharmacology textbooks. Uncertainty regarding coronavirus disease 2019 clinical course, shifts in attitude, and changes in routine behavior have hindered Bundle use. A domino effect results from: 1) changes to critical care hierarchy, priorities, and ICU team composition; 2) significant personal protective equipment shortages cause; 3) reduced/restricted physical bedside presence favoring; 4) increased depth of sedation and use of neuromuscular blockade; 5) which exacerbate drug shortages; and 6) which require prolonged use of limited ventilator resources. Other identified barriers include manageable knowledge deficits among non-ICU clinicians unfamiliar with the Bundle or among PICU specialists deploying pediatric-based Bundle approaches who are unfamiliar with adult medicine. Both groups have been enlisted to augment the adult ICU work force to meet demand. Strategies were identified to facilitate Bundle performance to liberate patients from the ICU. We acknowledge current challenges that interfere with comprehensive management of critically ill patients during the coronavirus disease 2019 pandemic. Rapid response to new circumstances precisely requires established safety mechanisms and protocols like the ABCDEF Bundle to increase ICU and ventilator capacity and help survivors maximize recovery from coronavirus disease 2019 as early as possible.

Family Empowerment Model Based on Belief and Health-Related Quality of Life among Housewives With HIV/AIDS

The trend of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) prevalence in Indonesia has increased significantly. This study was aimed to develop family empowerment model based on belief and analyze the effects of health-related quality of life (HRQL) in patients infected by HIV/AIDS. Mixed methods design with the first stage using quantitative research with cross sectional approach. A total 135 respondents with HIV/AIDS were determined from purposive sampling. For developing the model, we conducted focus group and expert discussion to make the model and the intervention tool for the second stage. We analyzed the collected data using Structural Equation Model Partial Least Squares (SEM-PLS) test. The outer loading value measured the sub-variable validity value of its latent variable, where the outer loading is valid if the value is >0.4. Based on the research results, nine indicators were invalid (outer loading value = 0.4), and the indicator must be removed from the model. Evaluation of inner models was used to test the research hypotheses. The research hypothesis can be accepted if the value of T count >T table. The health services, patient factors, family factors and empowerment have a significant influence between some of these factors on HQRL (T >1.96). The development of a family empowerment model based on belief has a good effect in healthrelated quality of life among women with HIV/AIDS. From the developed model, it be seen that HRQL is related to health services, patient factors, family factors and empowerment. © Advanced Scientific Research. All rights reserved.

Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting

The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). With end-user input, we designed a tool to help families in a PICU in Vietnam to remind HCWs to perform HH. We conducted 3 preliminary focus group discussions (FGDs) with patients' family members (n = 8), physicians (n = 9), and nurses (n = 8) to understand acceptability of preliminary tools, attitudes towards HH and barriers to HH. Tools were then modified and implemented in a 5-week intervention study. We then conducted 3 more FGDs with families (n = 7), physicians (n = 7), and nurses (n = 8). Discussions were analyzed using qualitative directed content analysis. Families who used the tool were asked to complete written surveys. Both family members and HCWs felt that HCWs had a responsibility to perform HH. Barriers to performing HH were identified, including forgetfulness and time constraints. Family members felt shy reminding HCWs to perform HH. However, the HH reminder tool was acceptable, and some felt it could overcome barriers to reminding HCWs to perform HH. HCWs felt embarrassed when reminded to perform HH, but felt that the reminder was useful. Nearly all (99%) survey respondents felt that family members should speak up if they noticed HCWs omitting HH. A tool given to families to remind HCWs to perform HH was largely acceptable in a pediatric ICU in Vietnam. Perceived benefits of improving HH were felt to surmount barriers to tool use.

Pengaruh Pemberdayaan Keluarga terhadap Pengendalian Obesitas

World's population 2,2 billion obesity. Besides, overweight and obesity have a risk of developing diabetes (44%), ischemic heart disease (23%), and cancer (7-41%). The main risk factors that cause obesity are behavioral factors, which are unhealthy eating patterns, plus insufficient consumption of fiber (fruit and vegetables), lack of physical activity, and smoking. The study aimed to determine the effect of family empowerment on obesity control in Hajimena Public Health Center, South Lampung. The research variable was family empowerment with a balanced nutrition diet, routine physical activity measured before, and after being educated. The study was conducted in July-November 2018. The type of research was a Quasi experiment, the results of sample calculations obtained a sample of 66 people. The results showed there were differences in fat, vegetable, sugar, salt and sweet foods intake before and after intervention with a value of p 0.048, 0,022, 0,001, 0,008 and 0,025. There was no difference in intake, energy, protein, carbohydrate, fruit, before and after the intervention with p-values of 0,576, 0,229, 0,583, and 0,930. There are differences in physical activity before and after the intervention with a p-value of 0,001. The Health Center can collaborate with the school in overcoming obesity programs by conducting counseling in schools and evaluating nutritional status. Â

Kegiatan “Rumah Belajar” Sebagai Media Menganalisis Perilaku Keluarga dengan Risiko Kejadian Balita Stunting

The rate of stunting or dwarf or acute malnutrition in children aged 1000 days in Indonesia is stagnant, which is around 37% of births from 2007 to 2013 (World Bank Report: Aiming High and Riskesdas, 2013). Children who are stunted will be more susceptible to illness and experience a decline in cognitive abilities that impact on the child's economic abilities in the future. Family development and empowerment is part of sensitive nutrition interventions. In carrying out its function role, the family has views and beliefs which will certainly affect the way the family takes care of children. This family paradigm is a basic belief held by the family, and guides actions in caring for and caring for their children. The "Rumah Belajar" activity guide for researchers developed into a joint study guide that families can do as a medium to analyze risky behavior in families with stunting toddlers in Singakerta Village, Ubud. This research uses quasi-experiment design. 66 families as a control group and 72 families as a treatment group. Samples are taken randomly from the number of banjar/posyandu available. Test the difference in the average of two sample pairs, before and after the "Rumah Belajar" activity in the treatment group. The results of the correlation before and after the "Rumah Belajar" in the treatment group showed a .866 figure with a probability value (sig) of .000. This means that family risk behavior is significantly related. Based on the comparison of the probability value (sig) .000 &lt;0.05, then Ha is accepted that there are significant differences in family risk behavior before and after the "Rumah Belajar" activity.