The correlation between family role and anemia prevention in pregnancy

Introduction: It is important to reduce the high incidence of anemia in pregnancy globally. Pregnant women need the support of their families to face any difficulties in order to prevent anemia. Design and Methods: This study aims to determine the correlation between family role and anemia prevention in pregnancy. This cross-sectional study was conducted in August 2021 among 60 pregnant women who went for check-ups at two primary healthcare centers in Surabaya, Indonesia, and received iron supplements. Additionally, it was discovered that family role andanemia prevention in pregnancy were evaluated using questionnaires. Result: The Spearman test was used as a test for significance and the results showed that there was a correlation between family role and anemia prevention in pregnancy (r = 0.318; P = 0.013). Also, it was found that informational, emotional, and affirmational support, as well as having a role model were significantly correlated with anemia prevention at (r = 0.311; p = 0.015), (r = 0.265; p = 0.041), (r = 0.400; p = 0.002), and (r = 0.353; p = 0.006), respectively. Conclusions: There was a relationship between family role and anemia prevention in pregnancy, as well as adequate nutrition, adherence to iron supplements, and prevention of worms. Therefore, there is the need for health promotion to the families of pregnant women in order to increase the understanding of anemia prevention in pregnancy.

Knowledge and peer support for increase Menstrual Hygiene Management (MHM) in adolescents

Introduction: During the transitional period of reproductive function development, adolescents require special attention, one of which is menstrual hygiene management (MHM). Teenagers dealing with menstruation have little information and understanding due to the taboo assumption of being more comfortable communicating with peers. Therefore, this study aims to explain the relationship between knowledge and peer support with MHM in adolescent girls. Design and Methods: This study adopted a correlational descriptive design with a cross-sectional approach and 122 students in apublic Junior High School in East Java were selected using proportional simple random sampling. Furthermore, the questionnaire was adopted as the study instrument to measure the variables of knowledge level, peer support, and MHM. Data were then analyzed using Spearman Rho Test with a significance level of p<0.005. Results: The results showed that there is a significant relationship between the level of knowledge (p = 0.000 r = 0.619 and peer support (p = 0.000 r = 0.534) with MHM in adolescent girls. Conclusions: Adolescent girls with adequate knowledge and peer support have better MHM. Therefore, information and education about MHM are recommended for adolescents.  

The correlation between knowledge, family income and peer support with anaemia prevention behaviour among adolescent girls

Objectives

To analyse the correlation of knowledge, family income and peer support with anaemia preventive behaviour among adolescent girls.

Method

The correlational, cross-sectional study was conducted at the Junior High School 3, Sampang, Indonesia, from April to June 2021, and comprised adolescent girls who had gone through menarche and were living with their families. Data was collected using knowledge, peer support and anaemia preventive behaviour questionnaires that were designed based on literature. Data was analysed using Spearman's Rho test.

RESULTS

Of the 156 subjects with mean age 14.0±0.98 years, 60(38.5%) were studying in the 8th grade. The mean age of menarche was 11.91±1.03 years. Anaemia preventive behaviour was significantly associated with knowledge (p=0.000, r=0.277) and peer support (p=0.000, r=0.403), but not with family income (p=0.166, r=0.111).

CONCLUSIONS

knowledge level and better peer support were found to improve anaemia preventive behaviour among adolescent girls.

Educational intervention to improve menstrual hygiene management in adolescent girls in Kalimantan, Indonesia

Objectives

To determine the effect of health education on menstrual hygiene management in adolescents.

METHODS

The quasi-experimental study was conducted from April to July 2021 in Sampit, Kalimantan, Indonesia, after approval from ethics review committee of the Nursing University of Airlangga, Surabaya, East Java, Indonesia. The sample comprised grade VII female students at a public junior high school in Sampit. The sample was divided into intervention group A and control group B. Group A was given a health education intervention through video conferences in two meetings and was given a leaflet after each meeting which lasted 90 minutes. The control group was only given a leaflet. Baseline and post-intervention data was compared. Data was analysed using SPSS 16.

RESULTS

There were 70 subjects; 35(50%) in each of the two groups. The age range was 12-14 years, with 25(71.4%) subjects in group A and 28(80%) in group B being aged 13 years. The age of menarche was 12 years for 17(48.6%) subjects in each of the two groups. Knowledge level of group A increased significantly post-intervention (p<0.05), but group B showed no significant difference (p=0.144).

CONCLUSIONS

Health education on menstrual hygiene management was found to have a beneficial influence on knowledge and attitudes among adolescents.

The description of pregnancy status and type of delivery attachment technique in postpartum mothers at the Roemani muhammadiyah hospital Semarang: assessed by latch score analysis

Background:  Breast milk plays a role in cognitive, sensory, and motor development and protects against infections and chronic diseases. The process of breastfeeding will protect the baby from illness, and increase cognitive intelligence and social-emotional development between mother and baby. Duration of breastfeeding was associated with acute illnesses, diarrhea, constipation, and a lower likelihood of being overweight/obese. Thus, this study aimed to the investigated correlation between pregnancy status and delivery type with successful breastfeeding in postpartum mothers at Roemani Muhammadiyah Hospital Semarang Methods: This type of research was analytical descriptive, conducted in December 2021 with purposive sampling and a sample size of 120 respondents. The inclusion criteria of postpartum mothers who breastfeed their babies, mothers who are in good health, and baby who has no congenital abnormalities. Respondents who refused and who have babies with congenital abnormalities are excluded from the study. The data was extracted from the questionnaire and also coded into the SPSS 25 ver. Data were analyzed descriptively and analytically by using chi-square analysis. Results: The participant with a planned pregnancy was 107 mothers (89.2%), unplanned 13 mothers (10,8%), section Caesarea type of delivery was 70 mothers (52%) and vaginal type of delivery was 50 mothers (48%). Based on LATCH score analysis planned pregnancy showed good category 38 mothers (31,7%), medium category 69 mothers (57,5%), and planned pregnancy showed good category 4 mothers (3,4%), medium category 8 mothers (6,7%), bad category 1 mother (0,8%). Based on the type of delivery, the vaginal type score was good for 25 mothers (50%), medium for 25 mothers (25%), and the section Caesarea type score was good for 17 mothers (24%), medium for 52 mothers (75%) and bad 1 mothers (1%). Either pregnancy status and type of delivery have P value scores of 0,016 and 0,012, respectively. Conclusion: A mother that delivers a vaginal has a better level of breastfeeding than SC, and pregnancy status such as planned pregnancy also shows a better level than they are not.

Factors associated with diarrhoea among infants with low-birth-weight history in Indonesia

INTRODUCTION

Diarrhoea is one of the leading causes of infant mortality and morbidity. Infants with low-birth weight (LBW) have a higher risk of diarrhoea due to their low immunity and nutritional status issues.This study aimed to analyze the factors associated with diarrhoea in infants with LBW in Indonesia.

MATERIALS AND METHODS

We used cross-sectional and secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS). A total of 142 infants under 1 year were selected as the respondents. Chi-square test and binary logistic regression were used to examine factors associated with diarrhoea in infants with LBW in Indonesia.

RESULTS

There are several factors more likely to increase the incidence of diarrhoea in infants with LBW, which are living in rural areas [OR = 5.65, 95% CI = 1.08-29.5] and having internet access less than the last 12 months (OR = 13.03, 95% CI = 1.48-114). Meanwhile, factors more likely to decrease the incidence of diarrhoea in infants with LBW, which are maternal age (20-24 years old) [odds ratio (OR) = 0.07, 95% CI = 0.01-0.98], cell phone ownership (OR = 0.08, 95% CI= 0.01-0.45), and the use of feeding bottles (OR = 0.22, 95% CI = 0.05-0.92).

CONCLUSION

This study highlights that maternal age, cell phone ownership, internet access, area of residence, and use of feeding bottles are significant factors associated with diarrhoea in infants with LBW. Health workers must enhance health education related to those factors through the Community Integrated Child Health Service (Posyandu) programs.

Analysis of Accuracy Nursing Care Process Implementation

Introduction: Implementation of the nursing care process is still a problem in nursing services. The problem found in the nursing process is the accuracy of nurses in applying the nursing care process. The aim of this study to analyze the accuracy of the implementation of the nursing care process.Methods: This study was as a descriptive analytics design with 100 respondents. Samples were selected using cluster sampling. Data were collected using a questionnaire that has been tested for validity and reliability. The variables included assessment, nursing diagnosis, nursing plan, nursing implementation, evaluation, and nursing documentation. Data were analyzed in a descriptive form consisting of good, sufficient and fewer categories. The standard for implementing the accuracy of the nursing process is 100%.Results: The result showed the accuracy of implementation nursing care, namely 64% assessments are sufficient, 69% of nursing diagnosis is sufficient, 59% of nursing plans are sufficient, 66% of nursing implementation is sufficient (), along with 60% of nursing care evaluation and 62% of nursing care documentation.Conclusion: The accuracy of the nursing care process describes the quality and patient safety and is useful for patients, nurses, and the health team. Further studies must be conducted to analyze  factors related to accuracy of the implementation of the nursing care process.

Perceptions of Working Mothers Toward Breastfeeding Self-Efficacy

Introduction: The benefits of exclusive breast feeding are well-documented; however, in Indonesia, breast feeding rates fall well below global recommendations. One of the factors contributing to the low breast-feeding rates is the economic need for many mothers to work and workplaces not providing an adequate environment in which to do so. The aim of the research was to explore the meaning of breastfeeding self-efficacy from the working mothers’ perspective.Methods: The methodology is phenomenology; hence, it is qualitative in nature. The study was conducted in an outpatient’s department in a hospital in Surabaya, Indonesia. Participants: 8 working mothers working outside the home 40 hours a week, attend lactation class, Indonesian, children ages 7 months to 2 years, and baby born healthy.Results: There were six main themes identified in the women’s stories that related to self-efficacy and breastfeeding: 1) the source of breastfeeding self-efficacy, 2) the benefits of breastfeeding, 3) another woman's experience, 4) perception of workplace control,   5) estimated ability of self-confidence, and 6) decision of breastfeeding. The participants who decided to breastfeed for at least two years tended to think positively about breastfeeding.Conclusion: The women had realistic expectations of the commitment that breastfeeding entailed even though they were faced with many workplace obstacles.

The Effect of Health Promotion Model and Self Determination Theory Based Intervention on Anemia Prevention Behavior and Haemoglobin Level in Pregnant Women

Introduction: Anemia during pregnancy has an impact on pregnancy and fetus. The low status of prenatal iron in pregnant women may also affect neurodevelopment and behavior in children. Many pregnant women still do not have good behaviors in preventing anemia. The objective of the study was to analyze the effect of Health Promotion Model and Self Determination Theory Based Intervention on anemia prevention behaviors and haemoglobin level in pregnant mothers.Methods: This research was a quasi-experiment research with a pre- and post-test using a control group design. The samples were 30 pregnant women who did antenatal care in Community Health Center of Tanah Kali Kedinding Surabaya. Data were collected using questionnaires, food recall in 2x24 hours, and haemoglobin level examination using the cyanmethaemoglobin method.Results: There was an effect of Health Promotion Model and Self Determination Theory Based Intervention to anemia prevention behaviors and haemoglobin level (p = 0.013; p = 0.040).Conclusion: Health Promotion Model and Self Determination Theory Based Intervention improve the anemia prevention behaviors and haemoglobin level. Health workers can use Health Promotion Model and Self Determination Theory Based Intervention to improve anemia prevention behavior

The Effect of Health Promotion Model and Self Determination Theory Based Intervention on Anemia Prevention Behavior and Haemoglobin Level in Pregnant Women

Introduction: Anemia during pregnancy has an impact on pregnancy and fetus. The low status of prenatal iron in pregnant women may also affect neurodevelopment and behavior in children. Many pregnant women still do not have good behaviors in preventing anemia. The objective of the study was to analyze the effect of Health Promotion Model and Self Determination Theory Based Intervention on anemia prevention behaviors and haemoglobin level in pregnant mothers.Methods: This research was a quasi-experiment research with a pre- and post-test using a control group design. The samples were 30 pregnant women who did antenatal care in Community Health Center of Tanah Kali Kedinding Surabaya. Data were collected using questionnaires, food recall in 2x24 hours, and haemoglobin level examination using the cyanmethaemoglobin method.Results: There was an effect of Health Promotion Model and Self Determination Theory Based Intervention to anemia prevention behaviors and haemoglobin level (p = 0.013; p = 0.040).Conclusion: Health Promotion Model and Self Determination Theory Based Intervention improve the anemia prevention behaviors and haemoglobin level. Health workers can use Health Promotion Model and Self Determination Theory Based Intervention to improve anemia prevention behavior

Perceived Benefits and Intakes of Protein, Vitamin C and Iron in Preventing Anemia among Pregnant Women

Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia.Methods: This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025).Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.

Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support

Background

Anaemia during pregnancy is a major nutritional problem that can cause preterm delivery and low birth weight. Adherence to iron supplementation can prevent anaemia during pregnancy. However, adherence to iron supplementation remains a problem in many countries.

Objective

This study aimed to identify the correlations of the perceived benefits and perceived barriers of and family support for iron supplementation with adherence to this practice amongst pregnant woman in Surabaya, Indonesia.

Methods

A cross-sectional study was carried out on 102 pregnant women who attended check-ups at the Puskesmas and received iron supplementation. Data were collected using questionnaires.

Results

Perceived benefits (r = 0.334, P = 0.001), perceived barriers (r = −0.294, P = 0.003) and family support (r = 0.263, P = 0.008) were noted to be correlated with adherence to iron supplementation amongst pregnant woman in Surabaya, Indonesia.

Conclusion

Perceived benefits, perceived barriers and family support are related to adherence to iron supplementation; thus, developing good perceptions and family support should be properly promoted.

EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia.Objective: This research aims to explore the effect of educational intervention on family support for pregnant women  in preventing anemia.Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy check ups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention.Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32.Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.

Motoric Stimulation Related to Fine Motoric Development on Child

Introduction: Motor developmental stimulation is an activity undertaken to stimulate the children basic skills and so they can grow and develop optimally. Children who obtain a direct stimulus will grow faster than who get less stimulus. Mother’s behavior of stimulation is very important for children, it is considering as the basic needs of children and it must be fulfilled. Providing good stimulation could optimize fine motor development in children. The purpose of this study was to analyze mother’s behavior about motor stimulation with fine motor development in toddler age 4-5 years old.Method: Design have been  used in this study was cross sectional. Population were mothers and their toddler in Group A of Dharma Wanita Persatuan Driyorejo Gresik Preschool. Sample were 51 respondents recruited by using purposive sampling technique according to inclusion and exclusion criteria. The independent variable was mother’s behavior about motor stimulation whereas dependent variable was fine motor development in toddler. The data were collected using questionnaire and conducting observation on fine motor development based on Denver Development Screening Test (DDST). Data then analyzed using Spearman Rho (r) test to find relation between mother’s behaviors about stimulation motor on their toddler fine motor development.Result: Results  of this study showed that there were correlations between mother’s knowledge and fine motor development in toddler (p=0.000), between mother’s attitude and fine motor development in toddler (p=0.000), and between mother’s actions and fine motor development in toddler (p=0.000).Conclusion: In sort study found that there were relation between fine motor development and mother’s behavior. Discussion: Therefore mother’s behavior needed to be improved. Further research about stimulation motor and fine motor development aspects in toddler is required.

Education Package Reduce Physical and Psychological Complaint In Cervical Cancer Patient with Chemotherapy

Introduction : Patient with cervix cancer who receives chemotherapy experience problems in physical or psychological. Physical complaints such as nausea, vomiting and fatigue. Psychological responses such as anxiety and depression can be reduced by providing education about the care package for themselves at home. The education package at the gynecology ward RSU Dr. Soetomo Surabaya has been developed which contains about nutrition, activity, psychological aspects and progressive muscle relaxation exercise. The objective of this study explore the relationship of the educational package with physical and psychological complaints of cervical cancer patients with chemotherapy.Methods :  This research use cross-sectional design. The sampling technique used total population. The sample was taken from those suitable with  inclusion criteria, with the total sample 25 patients. Data were collected by using a questionnaire. Data analysis using the T test and chi-squere.Results : Results showed that there are differences level of nausea, vomiting, fatigue and the entry psychological response to the respondents before and after intervention (p<0.05). The results showed that there is relationship between age with anxiety (p=0,032), relationship between the status of work with fatigue (p=0,003) and relationship between the frequency of chemotherapy with fatigue (p=0,015).Conclusion : It can be concluded that education package can reduce physical and psychological complaint in serviks cancer patient with chemoteraphy. Discussion : Implications the results of this research is the educational package can be developed as part of the nursing care of cervical cancer patients with chemotherapy to reduce physical and psychological complaints. 

Brain Storming and Demonstration Change Mother’s Behavior Toward Breastmilk Companion Food

Introduction: Infant on 0-6 months must be gotten exclusive breast milk from their mother for growth and development status. It was mean that no other food for infant. The objective of this study was to expalain the the effect of brain storming and demonstration about exclusive breastfeding on mother’s behaviour ( knowledge, attitude and practice) in giving breastmilk companion food for infant (0-6 month) at Bung Baruh’s Village,  Pamekasan. Method: This study used one group pre-test post-test design. Population were mothers in those area, and sample were 32 respondents who met the inclusion criteria. The independent variable were health education with brain storming and demonstration methods. The dependent variable were mother’s behaviour (knowledge, attitude and practice) in giving food beside mother’s milk for infant. The data were analyzed by using Wilcoxon Signed Rank Test with significance level α≤ 0.05. Result: The result showed that brain storming and demonstration had effect on mother’s behaviour  (knowledge p=0.000; attitude p= 0.033; and practice p=0.000) in giving breastmilk companion food for infant (0-6 month). It can be concluded that brain storming and demonstration has an effect on mother’s behaviour ( knowledge, attitude and practice) in giving breastmilk companion food for infant (0-6 month). Discussion: Brainstorming can be alternative choice for changing mother’s health behaviour.  

Pengaruh Cat Stretch Exercise Terhadap Penurunan Intensitas Nyeri Menstruasi (Dysmenorrhea) dan Tanda-Tanda Vital pada Remaja

Menstruation is a period of uterine fluid discharge to endometrial detachment, often accompanied with pain called dysmenorrhea. The objective of this study was  to  analyze the effect of cat stretch exercise on the relief of menstrual pain and characteristics of vital sign in adolescence. Pre experimental design (one group pre-post test) was used in this study, 12 samples were recruited by purposive sampling. Observation and questionnaire were applied to measure patient’s pain scale. Data were analyzed by  using  Wilcoxon signed rank test (p<0.05). Conclusion: the cat stretch exercise has effect on relieve of menstrual pain (dysmenorrhea) and normalized of vital sign: blood pressure, hearth rate and respiratory rate.

Counseling Improves Anemia Prevention Behavior of Pregnant Women

Introduction: Pregnancy closely associated with anemia, where the condition of mothers with Hb under 11gr% in 1st and 3rd trimester or Haemoglobin (Hb) levels below 10.5 g% in 2nd trimester. Knowledge, attitudes and practices of pregnant women on  preventing anemia during pregnancy is one of the factors that influence incidence of anemia which affects the health of babies. Objective of this study was to explain the effect of counseling toward anemia prevention behaviour (knowledge, attitude, practice) of pregnant women. Method: A pre-experimental (one group pretest-posttest) simple random sampling design was used in this study. Population of this study was all pregnant women in Mrs. Wolita midwife practice Surabaya ( as many as 30 pregnant women a month). Sample of these 28 pregnant women were recruited over period of this study. Independent variable was counseling, while the dependent variable were knowledge, attitudes and practice. Data were collected by using questionnaires and analyzed with the Wilcoxon Signed Rank Test with significance level of  α ≤0.05. Result: The result showed that counseling effected behaviour (knowledge, attitude and practice) of pregnant women on anemia prevention with significance level p=0.000 (knowledge); p=0.007 (attitude) and p=0.027 (practice). It can be concluded that counseling or health education about prevention of pregnancy anemia is needed for pregnant women. Discussion: It is recomended that regular counseling must be provided by counselor to prevent anemia during pregnancy. Haemoglobin of pregnant women should also be checked regularly in the midwife practices, as a first step effort to decrease the incidence of anemia in pregnant women.

Preventing Medication Error Based on Knowledge Management Against Adverse Event

Introductions: Medication error is one of many types of errors that could decrease the quality and safety of healthcare. Increasing number of adverse events (AE) reflects the number of medication errors. This study aimed to develop a model of medication error prevention based on knowledge management. This model is expected to improve knowledge and skill of nurses to prevent medication error which is characterized by the decrease of adverse events (AE).Methods: This study consisted of two stages. The first stage of research was an explanative survey using cross-sectional approach involving 15 respondents selected by purposive sampling. The second stage was a pre-test experiment involving 29 respondents selected with cluster sampling. Partial Leas square (PLS) was used to examine the factors affecting medication error prevention model while the Wilcoxon Signed Rank Test was used to test the effect of medication error prevention model against adverse events (AE).Results: Individual factors (path coefficient 12:56, t = 4,761) play an important role in nurse behavioral changes about medication error prevention based in knowledge management, organizational factor (path coefficient = 0276, t = 2.504) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. Work characteristic factor (path coefficient = 0309, t = 1.98) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. The medication error prevention model based on knowledge management was also significantly decreased adverse event (p = 0.000, α <0.05).Conclusion: Factors of individuals, organizations and work characteristics were important in the development of medication error prevention models based on knowledge management.

Development of Performance Assessment Instrument for Nurses Based on Web in Inpatient Unit

Introduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing’s task. The purpose of this study is to develop nurses’ performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital.Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument’s was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses’ performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; usability: 81.70 and portability: 81.70.Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server.Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result.

Development of Self Regulated Learning Model in Studying Nursing (SRLSN) to Improve Student Learning Competence

Introduction: New students at the college have to adjust to the learning process in a way more independent, not dependent on the lecturer, and self-regulation in learning. The purpose of this study is to develop a model of competence SRLSN to increased achievement among undergraduate students in the fourth semester of nursing STIKES Pemkab Jombang.Methods: The design used is explanatory and quasi-experimental pre-post test with control group. The population in this study were 71 nursing students of 4th semester of the academic year 2012–2013. The sample used 60 students with simple random sampling. Data was collected using focus group discussions, observation and questionnaires, then analyzed using regression results.Results: The results showed that the correlation between SRLSN preparation phase and implementation phase of 0.976, the correlation between the phase and the implementation phase has a self-reflection of 0.374, the relationship between the phase of preparation and reflection phase of 0.576. There are significant differences between treatment and control groups on aspects of cognitive competence achievement, competence affective, and psychomotor competencies.Discussion: SRLSN models are systematically formed by the preparation, implementation and reflection phase. The application of the model SRLSN will enhance student learning in the cognitive, affective, and psychomotor in achieving competence. Psychomotor competency has a value greater signi fi cance than other competencies. SRLSN models should be generalized to all learning processes, especially in nursing students.

Cutaneus Stimulation: Slow-Stroke Back Massage Reduces the Intensity of Osteoartritis Pain of Elderly

Introduction: Osteoarthritis disease is the result of both mechanical and biological process which lead come to unstable degradation and synthesis of condrozyte cartilage and extracellular matrix. The risk factor of this instability is aging process. The aging process stimulates osteophytes formation and degradation of cartilage, and emerged pain as primary clinical symptom. One of the non pharmacological ways to cope this pain is by applying cutaneus stimulation through slow-stroke back massage method. The objective of this study was to analyze the effect of applying cutaneus stimulation with slow-stroke back massage method to osteoarthritis’s pain intensity.Methods: Pre experimental design with one group pre test-post test approach was used in this study. The subject of this study were elderly above 50 years old living in Panti Werdha Hargo Dedali Surabaya, 15 participants were involved using purpose sampling technique. This study started on January 29th until February 6th, 2010. Data were collected by interview and observation and analyzed by WIlcoxcon Signed Rank Test α = 0.05, p value <α.Results: The Result showed that the message intervention was significantly affect the elder’s level of osteoarthritis pain in Panti Werdha Hargo Dedali Surabaya (p = 0.003).Conclusion: It can be concluded that gives stimulation cutaneus: slow-stroke back massage reduce osteoathritis pain intensity. Slow-stroke back massage increase level of endorphin, so that pain reduction and individual pain perception will decrease.

Antenatal Care Services Standart Compliance of Village Midwife in East Java Province

Introduction: The high Maternal Mortality Rate (MMR) require attention to implementing improvement programs and improving maternal health. According to data from East Java Health Offi ce AKI during 2009 were 260/100,000 live births. Indicators of maternal monitoring imple can be seen from figure K1 coverage (visit pregnant women in the first pregnancy) and K4 (contact at least 4 times during pregnancy for antenatal care).Methods: This study was conducted with the observational design of the “cross-sectional”, is a study to learn the dynamics of the correlation between risk factors with effects, with the approach, observation or data collection at once at some point (time point approach).Result: Variable associated with compliance standards of village midwives in implementing the ANC in the province of East Java is the level of knowledge (p) = 0.014 and the infrastructure required to ANC (p) = 0.000. Other variables did not show a significant relationship such as: age (p) = 0.121, status (p) = 0.831, period of employment (p) = 0.147, education (p) = 0.153, training (p) = 0.664, motivation (p) = 0.525, supervision (p) = 0.887, and rewards (p) = 0.663.Discussion: District Health Office/City should do a refresher on antenatal care in midwife needs to be done, since there are those who have a suffi cient level of knowledge and less. Facilities and infrastructure that support the implementation of Antenatal Care (ANC) should be facilitated effectively, to support midwives performance in implementing standards of care Antenatal Care.