National Nursing Associations Research Articles

Nursing department directors' perspectives on leadership training programme: A descriptive qualitative study

BackgroundLeadership training is crucial for nurses to navigate changes, but research on nursing department directors' views of such programmes is limited. AimTo explore the perspectives and experiences of nursing department directors regarding a national leadership training programme for mid-level nurse managers. DesignDescriptive Qualitative Study. SettingsA national nurses association in Taiwan. ParticipantsA purposive sample of 11 nursing department directors who recommended mid-level nurse managers for the programme. MethodsEleven individual face-to-face interviews were conducted and analysed thematically between November 2022 and April 2023. ResultsThree themes and eight subthemes emerged, including directors' strategies for identifying potential successors, providing coaching and guidance, and observing changes in trainees. Directors reported the programme broadened perspectives, fostered responsibility, and enhanced leadership skills in mid-level managers. ConclusionsThe engagement of nursing department directors and their adoption of a coaching style, such as fostering a growth mindset, were instrumental in the programme's success.

The Effect of Implementing 3S (SIND, SINO, SINI)-based Orthopedic Nursing Care Instrument in Improving Nursing Service Quality and Patient Safety in Indonesia Hospital

Along with the increasing of orthopedic disorders incidence, the provision of orthopedic nursing care in Indonesia is also increasing. The Indonesian National Nurses Association (INNA) has published nursing care standards as a reference for nurses in providing nursing care and standardizing nursing care terminologies. Standard-based orthopedic nursing care instruments have been developed, but their effectiveness has not been investigated in improving the quality of nursing services and patient safety. This study aimed to identify the effect of the application of 3S-based Orthopedic Nursing Care (3S-ONC) on the quality of nursing services and patient safety. Descriptive quantitative analysis using a quasi-experimental method with a pretest and posttest with control group design, involving 106 respondents (53 control, 53 intervention), recruited by purposive sampling technique. In the intervention group, nurses provided nursing care by applying the 3S-based Orthopedic Nursing Care (3S-ONC) instrument. The study showed that in both groups, most of the nurses were in the early adult category, dominated by female sex and most of them had professional education level. There were significant differences in the quality of nursing services (p 0.046; α 0.05) and patient safety (p 0.000; α 0.05) between the intervention group and the control group after the application of the 3S-ONC instrument. The 3S-ONC instrument can improve the quality of nursing services and the safety of patients with orthopedic disorders in hospitals.The 3S-ONC instrument can be considered for the development of a paper-based or computer-based nursing care documentation system to further improve the quality of nursing services and patient safety in healthcare facilities, especially in hospital.

The process of developing and implementing health and nursing policy: Implications of research and opportunities to influence.

To provide insight into the process of developing health and nursing policy and how that process can be influenced by both researchers and nursing leaders. Nurses care for people across the life course from birth to death, in our communities, hospitals, care homes and schools. They have unique insight into how people live their lives and how this affects their health. Despite being well placed to influence health policy, nurses often fail to capitalise on this. At the same time, academics often struggle to identify the policy implications of their research resulting in further missed opportunities to use policy influence. Classical policy theory, which is predominantly drawn from economics and public administration together with a range of contemporary nursing and health policy studies, is used in this paper to discuss the policy process and opportunities to influence. Researchers need to focus on realistic policy suggestions that aim to raise awareness, highlight policy problems or set the agenda. In turn, nursing leaders, from National Nursing Associations, need to harness evidence to support their efforts to influence policy. In terms of influence, a range of approaches exist, and each lends itself to different parts of the policy cycle. The role nurses can play in health policy is not well developed in many countries. Nursing researchers and leaders are well placed to influence policy but must do so in a clear and pragmatic way recognising that policymakers make decisions despite being faced with conflicting evidence, competing demands and economic imperatives. Recognising that nurses can offer much in terms of policy development, the paper argues that a pragmatic approach based on different forms of influence at different stages is likely to be most successful. The evidence reviewed in this paper suggests that nursing academics and leaders need to identify realistic policy interventions when examining their own empirical work or identifying ways to individually or collectively influence policymakers.

Pemeriksaan kesehatan pada Kelompok Adat Terpencil Suku Anak Dalam di Sungai Terap

Efforts to improve public health in remote indigenous communities continue to be increased. This is because they are often an inaccessible part of the government's attention, especially regarding their health conditions. Their residence is far from local residential areas, their frequent hunting in the forest and their habit of moving frequently make it difficult for local health center officials to provide health services. Therefore, the Professional Organization (OP) of the Indonesian National Nurses Association (PPNI) of Jambi Province together with the Durian Luncuk Community Health Center carried out community service in the form of health checks and treatment for the Suku Anak Dalam (SAD) in Sungai Terap, Batanghari Regency. This activity shows that SAD suffer from common health problems such as coughs and colds that affect their children. This will certainly have an impact on their immune system which may decrease at any time and also discomfort in the throat which affects their appetite so that nutritional intake becomes less. SAD still likes to move around, so every time the community health center officers make a residential visit, they rarely meet the same individual. From the results of this community service, it was found that it is important to carry out regular and routine health checks and not only rely on local health center officers to do it, but wider community awareness, such as health education institutions, also needs to participate.

EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY

Background: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration
 Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit.
 Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age > 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi
 Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department
 Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.

HUBUNGAN BEBAN KERJA DAN LINGKUNGAN KERJA DENGAN TINGKAT STRES PERAWAT DI RS X KOTA BATAM

The Indonesian National Nurses Association revealed that as many as 50.9% of Indonesian nurses who work experience work stress, often feel dizzy, tired, unfriendly, lack of rest due to too high workload and inadequate income. Factors that cause work stress include workload and work environment. Workloads that are heavy and too high can make nurses feel overwhelmed. A conducive work environment will support the smooth work carried out by nurses. The purpose of this study was to see the relationship between the workload of nurses, work environment and work stress in hospitals. X Batam City. The research design used was cross sectional with a total sampling technique of 54 nurses. The results of the bivariate analysis between workload and work environment with work stress using the Chi-square Statistical Test obtained p-value 0.000 <0.05 which means Ha is accepted and Ho can be concluded that there is a significant relationship between workload, work environment and work stress in the hospital X Batam. It is expected that the hospital can provide a comfortable work environment to support the productivity of nurses and pay attention to the workload of nurses to avoid work stress in the hospital.

Improvement on the Ability of Triple Standards Nursing Documentation through Case Reflection: A Pilot Study

Introduction: : The Indonesia National Nurses Association (INNA) has issued triple standard nursing documentations. Professional nurse’s developments program was included set of interventions to increase the ability on nurses to implement the triple standards. Nevertheless, study on the program’s evaluation was scarce. The study aims to find out the improvement of the ability of nurses to do documentation nursing by Triple S standards through case reflection at a regional general hospital in Indonesia. Methods: A pilot project consisted with series of identifications was initiated. This included problem identification, problem analysis, and preparation of a Plan of Action (POA) was conducted. The research was set at a regional general referral hospital in Indonesia on 25 nurses with a purposive sampling technique. Data collection was carried out using interview and observation techniques related to the ability of nurses to carry out triple S nursing documentation, then problem-solving used a case reflection discussion approach. Results: There is an enhancement ability of nurses in nursing diagnoses by SDKI standard by 56% after cases reflection was delivered. An increase of 28% was documented on the nurse’s ability for the following sections: preparation of intervention and outcomes following the triple standards. Conclusions: Case reflections positively impact nurses’ ability to implement a standardized nursing documentation. The program helps nurses more precise and structured in carrying out documentation according to 3S standards. Better and more accurate documentation can lead to more appropriate and quality care, and facilitate better communication between members of the healthcare team.

Addressing Secondary Traumatic Stress Among Nurses: A Brief Unit-Based Group Program

The nursing profession requires constant adaptation to change, along with resilience and unwavering provision of excellent patient care. Secondary traumatic stress (STS) challenges this adaptive process and provision of patient care, leaving nurses with impairment in several well-being domains critical to resilience, including emotional, physical, spiritual, and professional well-being. STS is described as experiencing a patient’s trauma, resulting in a form of posttraumatic stress disorder with hyperarousal, avoidance, sleep disturbance, intrusive thoughts, mood disturbance, and impaired performance. Currently there is a nationwide paradigm shift among national and state nursing associations about how to address stress in nursing and support the well-being of nursing professionals. However, many nurses often do not recognize the signs of stress in themselves or colleagues, and they tend not to utilize strategies for prevention or intervention. Also, it is difficult for busy nursing professionals providing direct patient care to leave their units to engage in stress management programs offered by their institutions. This article addresses this gap and presents a short-term, four-session unit-based group model that integrates cognitive behavioral strategies and mindfulness practice for stress reduction, which has been implemented at a large, busy, urban academic medical center in the Northeast. The short-term unit-based group model aims to assist nursing professionals with recognition, prevention, and mitigation of stress. Such an intervention supports the emotional well-being of nursing professionals, which in turn contributes to a resilient and engaged workforce, a high-functioning team, and improved patient care.

Position Statement on Cancer Nursing Leadership.

Position Statement on Cancer Nursing Leadership.

Enhancing nurses' involvement in policy making: A qualitative study of nurse leaders.

Nurses can play a valuable role in not only the implementation but development of general and health policies. However, evidence indicates limited involvement of nurses in politics and general health policy making owing to individual, interpersonal, and systematic barriers. Strategies are required to increase nurses' participation and engagement in policymaking. However, no studies explored the perspective of nurse leaders in policy making roles and how to improve nurses' involvement in policy making. To explore strategies to enhance nurses' involvement in policy making from the perspective of nurse leaders. A qualitative descriptive study was conducted. Semistructured interviews were conducted with a purposive sample of 11 nurse leaders with at least one year of experience in policy making. Data were analyzed using a thematic analysis approach. The COREQ guidelines were followed for reporting. Five themes were generated: strategically revisit and implement educational approaches, becoming transformative leaders, improving social image of nurses, developing triadic partnerships, and empowering nurses through reflective and supportive mechanisms. Nurses' involvement in policymaking can be enhanced by implementing grassroots-level educational strategies, managerial-level empowerment efforts, and social mechanisms focused on improving the social image of nursing. Self and professional role empowerment through education, increasing awareness, and improving the social image of nursing can boost nurses' involvement in policymaking. Nurse leaders, national and global nursing associations, and nursing regulatory bodies should collaborate with associations of nursing colleges to design nurse policymaking competencies framework and contextually tailored strategies to enhance nurses' engagement in policymaking.

Efektifitas Pelatihan Asuhan Keperawatan pasien Kanker Payudara dalam Penerapan SDKI, SLKI, dan SIKI

Nursing documentation is the most important part of providing nursing care given by nurses to patients, especially for breast cancer. This community service activity is aimed at increasing the knowledge of nurses in providing nursing care and documenting by the guidelines from the Indonesian National Nurses Association (PPNI), namely 3S: Indonesian Nursing Diagnosis Standards (IDHS), Indonesian Nursing Outcomes Standards (SLKI) and Indonesian Nursing Intervention Standards (SIKI). ). This training is provided online, which begins with a pre-test, then lectures and discussion/problem-based solving followed by a post-test. Participants in this training were all student nurses and nurses with a total of 285 participants. The results of this training found an increase in knowledge of the application of the 3S covering signs and symptoms, diagnoses, interventions, and outcomes. It is hoped that from the results of this activity nurses have started to implement nursing care and document it using this 3S.

Literature Review of Curriculum Management Model Development of Addiction Science Study Program

Drug abuse among college students is a worrying problem and threatens the survival of the nation. At Health University (HU) of Healthy Building Indonesian National Nurses Association (INNA) Mojokerto East Java, drug education is also provided for nursing students. Therefore, the researcher conducted a literature review regarding the development of a curriculum management model for the addiction study program at HU INNA Mojokerto, East Java. This is useful as a foundation for researchers to establish schools with addiction science with the specialization of nurses and addiction counsellors who can later assist in treating victims of drug addiction and providing counselling services to drug addicts. The results shows that as for the components of mastery of knowledge, special work abilities, and authority and responsibility, it refers to the level 6 INQF in the field of addiction treatment that has been agreed upon by the INQF Directorate General of Higher Education drafting team involving the INNA. The implication of this research is to prepare the curriculum with the aim of providing guidelines for institutions providing addiction care services education in Indonesia. Content of addiction nurse management materials: addiction case management, recovery management, addiction care service management.

Bakti Sosial Pengabdian Masyarakat melalui Sunat Massal Gratis di Klinik Swara Medika Medan Sumatera Utara

Circumcision is one of the teachings of Prophet Ibrahim AS which is an obligation for men. Klink Swara Medika Circumcision Volunteer Team partnering with DPD PPNI Medan City to provide free mass circumcision assistance for children in this community service social service event during the school holidays in accordance with the health protocol. The purpose of this mass circumcision social service activity is to mass circumcise Muslim children who are about to reach puberty in the Medan environment, especially children who are economically disadvantaged. The method used in this activity is to disseminate information on community service activities through direct visits to the Swara Medika Clinic in Medan City, social media. The result of this community service activity was that mass circumcision was carried out on July 2, 2023 at the Swara Medika Clinic in Medan City. Participants in the mass circumcision were 20 people from various sub-districts of Medan City. There were 8 medical personnel involved and 8 medical assistant assistants from the Regional Representative Council of the Indonesian National Nurses Association in Medan City.

ANALISIS HUBUNGAN ANTARA BEBAN KERJA PERAWAT DENGAN STRES KERJA RUANG INTENSIF DI RSU MITRA MEDIKA AMPLAS MEDAN TAHUN 2020

Hospital is an institution that provides medical care for various diseases or conditions of health problems. Hospitals are required to provide services of good quality and provide adequate facilities with qualified and professional human resources. Nurses are one of the most important resources for health services in hospitals. employment, 18% unfair wages, 22% working conditions, and 18% not included in decision making. This study shows the prevalence of mental emotional disorders in nurses is 17.7%. Research conducted at Mitra Medika Amplas General Hospital showed that 26.2% of nurses in the hospital were in a high risk group for work-related stress.10 The Indonesian National Nurses Association (PPNI) stated that even 50.9% of Indonesian nurses experienced stress due to overwork. This research is a type of quantitative research with a survey method, is cross sectional with a sample of 50 nurses. The research instrument was a questionnaire and data analysis was carried out by logistic regression test at a significance level of = 0.05. The results of the analysis in this study found a significant relationship between the workload of nurses and work stress in intensive care, pulse (p=0.002), nursing care (p=0.001), workload (p=0.002) and work stress in intensive nurses. The linear regression test stated that the most dominant variable influencing nursing care with (OR = 10.200) It is recommended to the hospital leadership to further improve welfare in dealing with work stress health by providing training related to work stress management, especially in the hospital environment in order to optimize the performance of nurses, especially in the nursing room. intensive.

The The Behavior of PPNI Professional Organizations that Fire Their Members Is Seen from the Point of View of Law and Society

Indonesian National Nurses Association (PPNI) is an organization that houses all nurses in Indonesia. PPNI aims to improve and develop the knowledge, skills of nursing practice, dignity, welfare and ethics of the nursing profession, strengthen unity and empower nurses. This research aims to find out the various community responses regarding PPNI policies in firing its members who are allegedly not in accordance with the Ppni Articles of Association / Household Budget (AD / ART). It happened because the dismissal of PPNI members did not hammer out the correct procedures. This research method uses qualitative methods. Qualitative method is a research method that produces descriptive data in the form of words obtained from the results of surveys addressed to the public to find out various responses about PPNI policies that fire their members by not going through the correct procedures. Based on research, 82.8% of respondents were aware of the policy governing the dismissal of members in AD / ART. While 17.2% were not aware of the policy. 72.4% argued that the PPNI should not dismiss its members disrespectfully, while 27.6% thought the PPNI should dismiss members disrespectfully. 86.2% stated that PPNI has become a good organization while 13.8% do not agree with it. 82.8% did not accept the dismissal of members disrespectfully while 17.2% responded to the statement. 62.1% stated ppni behavior in accordance with AD / ART while 37.9% stated not in accordance with AD / ART. 69% argued that the professional ethics of PPNI organizations are classified as good so far while 31% stated not to be classified as good.

Exposure, access and interaction: A global analysis of sponsorship of nursing professional associations.

To analyse the nature and extent of sponsorship of nursing professional associations and their major scientific conferences. Cross-sectional content analysis. Data were extracted from the websites and conference documents of 156 national and international professional nursing associations in 2019 to identify sponsors. Sponsorship prospectuses were analysed to estimate the value and describe the nature of sponsorship arrangements. We analysed sponsorship patterns using social network analysis. Most associations (84/156, 54%) did not report any sponsors. Sponsorship was concentrated among specialty nursing associations in high-income countries. Half of identified sponsors promoted products used in clinical care (50%; 981/1969); the majority represented the medical device industry (69%; 681/981). Top sponsors generally favoured opportunities that promoted interaction with conference attendees. Globally, commercial sponsorship of nursing associations is a common, but not the dominant source of support for these activities. Half of sponsors were commercial entities that manufactured or distributed products used during clinical care, which presents a risk of commercial influence over education and ultimately, clinical practice. Sponsors favoured opportunities to interact directly with nurses, determine educational content, or foster continued interaction.

The Ethical Recruitment of Internationally Educated Nurses: A Leadership Perspective on Labor Migration

The trend in labor migration depends on variables such as the country’s economy, immigration policy, aging and population health, and the health care industry’s supply and demand prospects. The World Health Organization (WHO) and the Migration Policy Institute reported a steady rise in hiring international educated nurses with developed countries relying on foreign-born nurses to fill vacancies. According to a survey conducted by the International Council of Nurses in 2020, the National Nurses Association reported a 20% increase in nurses leaving the profession. The aging nursing workforce, heavy workload, insufficient staffing, burnout, stress, mass trauma, and the growing effects of COVID-19 on nurses’ psychosocial and emotional health exacerbated the nurses’ intention to leave. Although health care organizations are strained dealing with the outbreak, nurses are either retiring or quitting, leaving administrators to rely on temporary employees while struggling to fill permanent positions. This cyclical nursing shortage in the past, now exacerbated by the global pandemic crisis, has prompted policymakers to revisit the WHO’s Code on recruitment of health workers and its impact on sending and receiving countries.

Gender And Workplace Associated With Psychosocial Status Of Nursing Population In Third Month Covid-19 Outbreak

Health care professionals have a higher risk of contracting Covid-19 with high stress, overwork, sometimes without proper training and personal protective equipment. Gender, occupation and workplace were factors affected to cope stress ability in person daily life. Aim of this study was to identify association between gender and workplace with psychosocial status on 920 mental health nursing seminar participants in the first three months of Covid-19 outbreak in various Indonesian regions. Accidental sampling was conducted an hour before the Indonesian National Nurses Association of South Sulawesi started the seminar with The Self-Reporting Questionnaires (SRQ29) online form with informed consent. There were 920 of 1500 participants filled the form. Variable association was analyzed by using Pearson Chi Square and Fisher Exact Test. The results show that based on gender, women significantly dominated anxiety symptom, somatic symptom, decreased energy symptom and post traumatic stress symptom Workplace significantly associated with depression symptom, cognitive symptom, psychotic symptom and post traumatic stress symptom which dominate in college. Gender and workplace were associated with psychosocial symptom. Therefore, it is essential for further research to arrange strategies for minimizing those symptoms.

Pelatihan komunikasi efektif berbasis media sosial bersama ppni komisariat rsud karawang

The abundance of information related to the Covid-19 virus has created a crisis of public confidence in the massively spreading information related to handling of the pandemic. Professionals in the field of communication and health must produce reliable health information. Therefore, it is necessary to conduct training for health workers on carrying out health literacy to patients and the community using social media. With the expertise possessed by the servant in collaboration with the Indonesian National Nurses Association, the Karawang Hospital Commissariat became a facilitator in Social Media-Based Effective Communication Training at Karawang Hospital. This event was conducted online using the zoom.us application, followed by health workers in the Karawang Regional Hospital. This event is expected to improve the skills of health workers to produce health information and disseminate it to the broader community so that the Covid-19 virus problem can be resolved immediately.

Intensive Care Nurses’ Ethical Challenges Caring for People with COVID-19: A qualitative study

Purpose: The purpose of this study was to analyze the ethical challenges experienced by nurses, who provide care for COVID-19 patients in intensive care units. Methods: Qualitative phenomenological method was used with in-depth interviews, focusing on the concept of "ethical challenges". The study was conducted with 15 nurses working in Adult Intensive Care Units who were members of a National Nursing Association. The data were collected through the personal information form and in-depth interviews involving 5 questions regarding ethical challenges. The interviews were recorded in writing and then turned into a written document. Analysis of the open-ended questions was performed using the content analysis method. Results: Five themes and nine sub-themes have emerged as a result of in-depth interviews. Themes were defined as the Concept of Ethical Dilemma, Conditions in which an Ethical Dilemma is Experienced, Ethical Challenges in a Newly Defined Infectious Disease, Guiding Ethical Principles, and the Ways to Cope with an Ethical Dilemma. Sub-themes were identified as the conflict of interest, patient rights, patient privacy, role confusion, professional incompetence, non-maleficence, beneficence, confidentiality, and professional ethics. Conclusion: The nurses expressed that they had an ethical difficulty and ethical dilemma in a newly defined infectious disease. It is of importance to set international standards on the priority of care and the quality of care, which will eliminate ethical dilemmas for care during the pandemic.