Open Interviews Research Articles

Ethnobotanical study of traditionally used plants in the municipality of Zavidovići, BiH

Ethnopharmacological relevanceBosnia and Herzegovina (BiH) is a country with a highly diverse ecosystem, containing over 5000 confirmed taxa of vascular plants. The traditional medicinal use of plants has always played a crucial role and gained in importance in the time of war in the 1990s due to a lack of medical facilities. Still nowadays, the health care system is poorly developed, which altogether makes the region interesting for ethnopharmacological researches. Aim of the studyFocusing on the area of Zavidovići Municipality in the central part of the country, we aimed to document the diversity of the used medicinal plants and the knowledge of their therapeutic usages. Material and methodsData was collected in individual open and semi-structured interviews. Therapeutic uses were classified into 14 disease categories following the International Classification of Primary Care-2 (ICPC-2), a classification system recognized by the World Health Organization's Family of International Classifications (WHO-FIC). Use reports have been used to evaluate the acquired knowledge. ResultsThe findings revealed a total of 113 species belonging to 46 families. 14 informants well respected for their knowledge in the area listed 77 therapeutic uses for the indicated plants. Based on a comparison with other ethnobotanical surveys of BiH and to other important relating literature, three taxa have not been previously reported in BiH and for 19 species, new medicinal uses were stated. Based on use reports, oral application of remedies is far more common (76,7%) than external application (23,3%), the dominant mode of preparation thereby is an infusion. Usages of most concern were digestive, urological and respiratory diseases, their consensus factor ranging between 0,63 and 0,71. ConclusionThese results summarize the usage of traditional plants among people who are highly valued in their community of Zavidovići Municipality for their knowledge and thereby aim to preserve the indigenous knowledge associated with the medicinal plants of the area.

Nursing Experience of a Patient with Acute Kidney Injury Facing the First Hemodialysis

<p>本文描述一位因腎功能損傷伴隨致命性高血鉀風險，使其面臨初次血液透析之護理經驗，經團隊評估後，需長期血液透析的個案，其日常生活受限、家中角色改變進而產生無力感，照護期間為2020/1/16~2/2。護理過程中藉由直接照護、身體評估、主動關懷及開放性會談等方式收集資料，發現主要健康問題有：一、呼吸喘，二、透析飲食執行度不佳，三、無力感。照護期間透過圖表（卡）教導個案測量水腫情況，並透過水壺、磅秤讓個案學習飲食及水份控制技巧，與其搭配營養師衛教及食品營養成分資料庫，增加個案對飲食資訊管道，並考量個案生活習慣下建立提醒機制，如：製作小吊飾或手機鬧鈴等個別性護理措施，加上家人支持、宗教信仰成為心靈上慰藉及腎友的經驗分享，引導個案接受目前扮演的角色，與疾病共存生活。建議往後照顧類似案例能融入家屬的參與，並思考如何強化醫療成員自我主動學習心理諮商輔導課程意願，讓往後面對此案例時能有更好的因應之道。</p> <p> </p><p>This paper describes the case of a patient with worsening renal function accompanied by electrolyte disturbance who required long-term hemodialysis after assessment by a medical team. The patient felt helpless due to restrictions in daily life and changes in their family role. The care period was from January 16 to February 2, 2020. In this period, observations, direct care, physical evaluation, medical record inspection, active concern, and open interviews were used for collecting information. Major health problems found included the following: 1. shortness of breath; 2. poor execution of dialysis diet; and 3. a sense of powerlessness. During the care period, picture teach the case to measure edema, and let the case study dietary water control skills through the use of water bottles and scales, nutrition-related information websites and several types of reminder mechanisms were employed, such as using cell phone charms or mobile alarms, to help the patient understand correct information on various dietary components and accept their current family role. This was done to make living with the disease easier for the patient. We recommend the inclusion of family participation for future studies on care of patients with similar conditions. Also, we should think of devising ways for increasing medical staff’s willingness to proactively take psychological counseling courses so that they can respond better to such cases in the future.</p> <p> </p>

Creation and Validation of an Educational Booklet on Autism Spectrum Disorder

ObjectivesTo develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum. MethodsA descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin. ResultsDifficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet. ConclusionsThe validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.

The Effectiveness of Using Quizizz in Numerational Literacy Skills of Fractional Materials in 3rd Grade Students of Elementary School

The purpose of its application in this study is to determine the effectiveness of using Quizizz game-based application media in numeracy literacy skills. The method implemented in this research is a combination method with Explanatory Sequential Designs. The data collection technique used is a matter of numeracy literacy test material assisted by Quizizz, e-questionnaire assisted by google form, and interview sheet. The subjects used were 25 students of class III C Ibnu Batutah SD IT Harum for the 2021/2022 academic year. The results of data processing, the average value obtained by students with Quizizz media on all indicators is 81.80 with a percentage of 80% of students belonging to the complete group, compared to the average value obtained by students who only use paper, which is 68.80 with a percentage of 40% of students belonging to the complete group. In further testing using SPSS version 25 through the paired sample t-test the value of sig (2-tailed) is smaller than 0.05, namely 0.000 < 0.05, meaning is rejected and is accepted. The results of the open questionnaire and interview process showed that all students gave positive responses in using the Quizizz application media when working on questions. This study concludes that there is an influence in the use of Quizizz application media in numeracy literacy skills in third third gradients of SD IT Harum.

Envisioned intellectuals

The study aims to unravel social coping strategies for gifted students with low academic achievement in the Hafer Al-Batin region. It also aims to examine and analyze statistical differences at the function level (a ≤ 0.05), being used in social coping strategies for this type of student with regard to gender and class variables. The researcher adopted the mixed curricula of interpretive design. Two tools were used, a qualitative one in the form of a strategic questionnaire to resist stresses and a quantitative counterpart in the form of an open interview. Sample of the study comprised (30) male and female students. Findings of the study revealed that there are differences with statistical significance attributable to gender, but there were no differences with regard to the class variable. The findings also revealed that the majority of students use coping strategies to resist stress to a medium degree, while others use them to a low degree. The researcher concluded the study with several propositions and recommendations.

Kesehatan Mental Remaja Usia SMA Selama Pandemi Covid 19 (Studi Komparatif Pondok Pesantren Dan Sekolah Umum)

This study aims to compare mental health conditions between students who attend islamic boarding schools and those in public schools that are assessed during the Covid 19 pandemic. It is hoped that using a literature study approach and qualitative methods through open questionnaire techniques and interviews, it will be possible to present a true picture of the mental health situation in both students today. The results showed that students attending boarding schools were more vulnerable to mental health risks compared to students who attended public schools. The COVID-19 pandemic has caused symptoms of PTSD and depression among adolescents aged 16 to 19. This symptom is more commonly experienced by students who attend islamic boarding schools. In general, most respondents are satisfied with online education, but still most students are not comfortable with this new form of learning. The results provide insight into under-researched subjects, helping to highlight potential intervention points to support community mental health programs in the boarding school student population. Keywords: Mental health; high school teenagers; covid 19

Adaptations in dental public health services during the COVID-19 pandemic in municipalities of Southern Brazil: a grounded theory and collaborative research.

The aim of this study was to analyze oral health actions in four municipalities in Brazil during the COVID-19 pandemic according to a theoretical framework model on oral healthcare management. It was a qualitative study carried out in two stages. A theoretical-empirical model on the significance of oral healthcare management was developed, following the Grounded Theory method. Fourteen dentists and five healthcare managers participated, through open interview. Subsequently, collaborative research was performed, and the model was applied to analyze the documents produced to address the pandemic by each of four municipalities in Santa Catarina State. The model provided a framework for analyzing actions for coping with the pandemic regarding oral health services. Actions were identified in all dimensions of the model: reduction in supply of dental care due to restricted access to elective services; search for biosafety care standards; dissemination of standardized science-based guidelines; attempt to maintain comprehensive dental assistance through re-adaptation of specialized services and collective actions; and relocation of oral health professionals to assist in other sectors. The oral health care management framework can serve as a reference for redesigning oral health actions and services in other municipalities during the COVID-19 pandemic, in a broader perspective.

Evaluasi Pelaksanaan Elektronic Medical Record (EMR) di Rawat Jalan RSU Queen Latifa Yogyakarta

Elektronic Medical Records have been widely applied in Asian countries including Indonesia. Queen Latifa General Hospital Yogyakarta has implemented EMR on an outpatient basis since July 2019. In practice, there are still obstacles in implementation. So it is necessary to evaluate by looking at the satisfaction of service users, usefulness, ease of use, quality of information, performance expectations and attitudes of officers. The hope is that there will be improvements, helping performance and learning about the development of management systems in hospitals. The purpose of the study was to evaluate the implementation of electronic medical records in outpatient services at Queen Latifa General Hospital Yogyakarta. This research is quantitative with cross sectional design. The population is an outpatient staff. The sample is 81 people with total sampling technique. Data collection using questionnaires totaling 33 questions and open interviews. Data analysis with univariate analysis. The results showed that service user satisfaction was 97,5 % good, usefulness was 95,1 % good, user convenience was 95,1 % good, information quality was 87,7 % good, performance expectations were 87,7 % good, and the attitude of the officers was 95,1 % good. The conclusion that the implementation of electronic medical records in outpatient Queen Latifa Hospital Yogyakarta is in the good category for all variables. It is recommended that further researchers use other variables such as facilities, security, timeliness.

Safety of Healthcare Workers in the Context of the COVID-19 Pandemic: Nurses’ Understanding

Objective: To understand the meaning of worker safety in healthcare during a pandemic from the perspective of nurses, based on interventions related to continuing education in health. Materials and method: This action-research study is based on the constructivist paradigm. The study was conducted between August 2020 and April 2021 through open individual interviews, mediated by guiding questions without prior validation. The interviews were conducted with 19 nurse managers of inpatient units who had previously participated in a schedule of continuing education interventions in a university hospital in the South region of Brazil. Research data were analyzed based on Minayo’s thematic content analysis. Results: The research data resulted in two thematic categories: “Reframing knowledge and professional practices” and “From banalization to resumption of preventive care.” The categories indicate that, in addition to specific and normative educational processes, it is necessary to promote self-reflection and individual and collective self-examination. Conclusions: From the understanding of nurses, the pandemic period aroused greater reflection and self- examination among nursing/health professionals, especially concerning preventive health care, which is addressed as secondary.

ANALISIS PELUANG PENERAPAN APLIKASI SISTEM PELAPORAN KEGIATAN PEMELIHARAAN PERALATAN MEDIS BERBASIS ANDROID MELALUI PENDEKATAN TEORI SWOT DI RSUP dr WAHIDIN SUDIROHUSODO MAKASSAR

ABSTRACT
 The hospital is one of the institutions that has an important role in providing health services to the community. Availability of medical equipment that is complete and in good condition is one of the supports for the realization of improving the quality of electromedical services, especially in the supervision and maintenance of medical facilities that are more efficient and effective at Dr. Wahidin Sudirohusodo Hospital Makassar.The purpose of this study was to determine the readiness at RSUP dr Wahidin Sudirohusodo Makassar in the plan to implement an android-based medical equipment maintenance activity reporting system.This research is a qualitative research that aims to obtain a complete picture of a matter according to the view of the human being studied. This research was carried out at Dr Wahidin Sudirohusodo Hospital Makassar in July-August 2021. By involving 5 respondents who met the requirements in this study, namely the Director of Planning, Organization and General Affairs, Head of Facility Maintenance Agency, Head of Sub-Installation of Medical Equipment Maintenance, and Electromedical technical staff. Dr. Wahidin Sudirohusodo Hospital, Makassar. Data collection was done by open interview and observation. The entire interview process was recorded using audio recordings. Data is presented in narrative form.The results showed that based on the analysis with the SWOT theory approach, it was found that the chances of implementing an Android-based medical equipment maintenance reporting system application plan could be implemented well if the strengths and opportunities were combined into a good form of planning to be implemented in the process. The conclusion in this study is that dr Wahidin Sudirohusodo Hospital Makassar is ready to plan the implementation of an android-based medical equipment maintenance activity reporting system.It is hoped that all relevant parties will always try to minimize bad possibilities in the application of the android-based medical equipment maintenance activity reporting system.
 Keywords: Android Application, Facility Maintenance, SWOT Theory

The importance of informal support and a listening ear: A narrative analysis of emotional conflict and support needs of siblings of children with a psychiatric disorder.

This study investigates the self-reported impact of children's psychiatric disorders on their siblings and assesses what forms of support such children most value. We used a qualitative research design with open interviews to stimulate children between 8 and 15years old to talk about their experiences living with a brother or sister with a psychiatric disorder. Their stories were analysed within a hermeneutic phenomenological framework in order to identify narrative themes and interpret the meaning of shared experiences. From our analysis, nine shared narrative themes emerge. Overall, siblings report feeling conflicted about adapting their lives to their brother's or sister's disorder and signal a need for personalized attention from parents. They also indicate that being involved in the care for their brother or sister helps them to better understand their behaviour. Finally, siblings reveal that, in their experience, formal, protocolized forms of support foreground family problems and stress. Thus, we recommend to involve children in the care process; to acknowledge their personal needs and conflicts; and to be mindful of the style of support: help offered in an informal or playful way, instead of formal and protocolized, could be a more effective way of meeting siblings' needs.

Individual Independence of Children with Special Needs in Inclusive Education (Teacher And Students With Special Needs)

The aims of this study are: a) to find out teachers' understanding of inclusive education, b) to describe the individual independence of children with special needs in inclusive schools. This research was conducted in an inclusive junior high school in Surakarta, with the subjects of teachers and children with special needs in inclusive schools. The data collection method used closed and open questionnaires and interviews with children with special needs. The data analysis technique used descriptive quantitative and qualitative descriptive. The results showed that: a) 48% of children with special needs experienced individual independence problems in socializing, b) children with special needs experienced individual independence problems in adjusting to the first year of inclusion in inclusive schools, c) 38% of children with special needs experienced individual independence problems in overcoming problem. The results of this study are expected that all parties pay attention to the problem of the independence of children with special needs in continuing to junior high school.

UNDERSTANDING CHALLENGES OF FOREIGN LANGUAGE TEACHERS: UKRAINIAN PERSPECTIVE

Challenges encountered by foreign language teachers remain an understudied issue in the context of Ukraine, awaiting a more systematic empirical response. The given paper aimed to probe for the challenges of Ukrainian language teachers and consider their possible causes. To this end, an exploratory study was carried out with the participation of 44 foreign language teachers. The qualitative data collected through an open interview were subjected to content analysis. A range of potentially challenging aspects of language teaching and their causes were derived from the data analyzed. The findings indicated that the respondents were inclined to identify the challenges of language teaching with the aspects inherent to the profession. In other words, they commonly referred to difficulties deriving from the characteristics of their competence and the nature of their professional activity. The interviewees repeatedly referred to the challenges of personalizing instruction, its planning and management, establishing rapport with learners, attending to discipline issues, motivating learners, and teaching mixed-ability classes. The teachers also reflected on the challenges of developing various language competencies, like explaining grammar in clear terms and teaching speaking. Meanwhile, the respondents rarely mentioned causes of difficulties external to them, for instance, language policy. However, they frequently commented on the problems caused by the lack of resources, in particular, indispensable in distance learning. Thus, the teachers’ overriding concern stemmed from having to deal with learners, which outweighed the significance of developing their language skills. Overall, the qualitative snapshots of the foreign language teaching challenges help discern areas deserving more specific attention in teacher education. One of the study’s implications is the need to embrace the views of practitioners in organizing effective teacher education. Otherwise, risks are high of furnishing them with preparation experiences divorced from their actual needs.

STRATEGI BPBD KABUPATEN PACITAN DALAM UPAYA PENANGGULANGAN BENCANA BANJIR DAN TANAH LONGSOR

This study aims to determine the condition of natural disasters such as floods and landslides and the efforts of BPBD to overcome them. The research was conducted in Pacitan City on the basis of the consideration that floods and landslides are common in this area. Data was collected through open interviews, observation, and document review, then the data were analyzed descriptively qualitatively. The results showed that the condition of the Pacitan City area consists mostly of highlands in the form of steep mountains and shallow river areas so that it is very vulnerable to natural disasters in the form of floods and landslides, especially during the rainy season. The flood natural disaster that occurred in Pacitan City was mainly caused by the silting of the riverbed and the narrowing of the river's width. Meanwhile, landslides are caused by erosion caused by rainwater and the increasing number of residential areas that make the foot of the slope increasingly eroded. Efforts made by BPBD to overcome natural disasters of floods and landslides that occurred in Pacitan Regency were by launching various forms of strategies such as the DESTANA program, Socialization, Procurement of Disaster Simulations, Construction of Embankments, Installation of Information Signs for Disaster-Prone Areas, Map-making of Disaster-Prone Areas and Determination of Evacuation Areas, and Mangrove Planting. The various strategies implemented also serve to increase public awareness and preparedness for disasters.

The European Education Initiative as a Mitigation Mechanism for Energy Transition

The transformation of the European energy sector is becoming a priority for the European Union. This is indicated, for instance, in the European Union strategy known as the European Green Deal. According to the Green Deal, the area of ‘research and innovation’ is one which can counteract climate change. Universities can play a significant role in this by adopting a pedagogical approach aimed at mobilizing the spirit of innovation and entrepreneurship in young professionals. In addition to modifying curricula related to mining, energy, and environmental engineering, i.e., activities in recognized, traditional schemes, one prospective tool may be the involvement of students and PhD candidates in European initiatives such as the InnoEnergy PhD School (which is funded by the European Institute of Innovation and Technology). This paper aims to discuss the InnoEnergy PhD School programme as a possible instrument for mitigating the negative effects of energy transformation. The article analyzes the programme using a case study method, including surveys and open interviews. The paper draws attention to and highlights the role of human resources in the field of education and the stimulation of innovation, as well as the need to strengthen the business component in the education of PhD candidates.

Designing a Green-School Education Model of Community Development in Rural Areas

Education is an important factor in developing human resources as development actors take advantage of the potential of natural, social, and economic resources in rural areas in the form of green schools. The purpose of this research is to design a model of green-school education as community development in rural areas. The research used Participatory Learning and Action (PLA) with direct observation, analysis of documentation, open interviews, and Focus Group Discussions (FGD). Determination of research locations at the "Green Kids" School educational institutions in Sokaraja and the Baturaden Green School of Banyumas Regency, Central Java of Indonesia. Research informants were determined by purposive sampling consisting of foundation administrators, teachers or teachers and students, educational leaders, educational activists or activists, experts, and educational practitioners. The research analysis uses verification analysis and data triangulation to reduce, classify and design models. The results (1) Education can be designed with a curriculum based on the natural, social and cultural potential of the community in the form of a green school institution. (2) Green-School is very important in utilizing, preserving, and developing the potential of natural resources such as agriculture, animal husbandry, fisheries, plantations, and forestry which are the uniqueness and advantages of rural communities.

Pemeriksaan Rapid Test Antigen Untuk Mendeteksi Dini Covid-19

The spread of the coronavirus first appeared in Wuhan, China, this virus is a virus with a high transmission rate. Coronavirus can spread easily through human intermediaries. The purpose of this research is to find out, explore and understand more deeply the experiences of people who undergo the Rapid Antigen Test. The qualitative method and the participant phenomenological approach were carried out by purposive sampling, namely the sampling technique. The sample used was 10 participants. This research was conducted by means of open interviews so as to produce detailed answers. The number of participants was 10 consisting of 3 men, 3 and 7 women. The results of the interviews that most of the participants have a fairly large understanding of the antigen test. Almost all participants know how the rapid test works. Participants have feelings of anxiety and fear when deciding on a rapid antigen test because many of the surrounding environments have been affected by the Covid-19 virus after carrying out the test. The role of medical personnel is very influential for the community in providing guidance on Rapid Antigen Tests for the prevention of Covid-19.

Implementation of Convergence Action to Accelerate Stunting Reduction in Labuhan Batu Regency, North Sumatra

Indonesia has set a target in accordance with the SDGs Program in 2030 in the health sector, namely through efforts to improve nutrition and health quality in combating the prevalence of stunting. The achievement of the SDGs goals must be prepared from now on in cross-sectoral coordination. Over the last 20 years, the handling of the stunting problem has been very slow, globally, the percentage of children whose growth is stunted has decreased by only 0.6% per year since 1999. It is predicted that if this continues, 15 years later it is estimated that 450 million children will experience growth retardation or stunting. The contributing factor is thought to be the lack of cross-sectoral roles in preventing stunting, so it is necessary to strengthen the role through convergence action to accelerate stunting reduction. This research is a descriptive study with a qualitative approach using source triangulation, where researchers get data from different sources using the same technique, namely open and in-depth interview techniques. There were 5 informants involved in this study, namely 2 OPD KB Officers, 1 Provincial PIC, 1 Regency PIC and 1 Nutrition Manager. The instruments used for primary data collection were observation, field documentation and interview guides. The results of the study are the factors that encourage the implementation of convergence actions to accelerate stunting reduction are the government's commitment, as well as the involvement of various parties both from the health and non-health sectors, but still need to be further improved. Lack of awareness related to stunting handling and stunting reduction program management that is not well organized because it only considers that it is only the task of nutrition managers so that there is no synergy with others.

Involvement of adult children in treatment decision-making for older patients with cancer — a qualitative study of perceptions and experiences of oncology surgeons and nurses

BackgroundMany older patients with cancer have their family members, often their adult children, involved in a process of treatment decision-making. Despite the growing awareness that family members can facilitate a process of shared decision-making, strategies for involving family members are scarce. Furthermore, literature about shared decision-making pays little attention to family involvement or to the impact that family relations have on the decision process. The purpose of this study was to explore how surgeons and nurses perceive the involvement of adult children of older patients with cancer in treatment decision-making. Subsequently, it identified strategies to ensure family involvement in the decision-making process, used in clinical practice.MethodsQualitative open in-depth interviews were conducted with 13 surgeons and 13 nurses working in a university or general hospital. Qualitative content analysis was conducted according to the steps of thematic analysis.ResultsBoth nurses and surgeons indicated that adult children’s involvement in decision-making about treatment increases when patients become frail. They mentioned several characteristics of adult children’s behaviour during the decision-making process. Most of these characteristics are beneficial, but they also can be challenging. The distinct nature of adult children’s involvement can help older patients with cancer reach better-informed treatment decisions. Health professionals reported six strategies to support positive family involvement in decision-making about treatment.ConclusionAdult children may facilitate a process of shared decision-making and help patients reach well-informed treatment decisions. Health professionals’ strategies deliberately support positive family involvement.

Geotourisms in Cibenda Village: Potencies of Sustainable Tourism in Ciletuh – Palabuhanratu Geopark after COVID–19 Pandemic

COVID-19 pandemic, which is still lasting from the end of 2019 until the 1st quarter of 2022, has influenced and altered the tourism paradigms before and after pandemic. The changes are not only adapting health protocols to minimize the pandemic outbreaks but also the tourism reborn from mass tourism into sustainable tourism. This research is investigating the geotourism activities in Cibenda village and its potencies of sustainable tourism found in geosites of the village which are included as geoarea of Ciletuh – Palabuhanratu UNESCO Global Geopark. Qualitative descriptive method with a case study was used in this research. The data used are primary and secondary ones which were taken by observation, open interview with prominent people of Cibenda, and literature studies. This research’s results show that Cibenda village has potential tourism attractions with their geodiversity, biodiversity and cultural diversity providing something to see, something to do and something to learn. Furthermore, the geotourism activities in Cibenda are in accordance with the concept of quality adventure tourism and in line with sustainable tourism principles i.e. balancing the environmental conservation, local economic empowerment, as well as social and culture preservation which comply with the health protocols of COVID-19 and the necessities of tourism activities after pandemic.