Inflammatory bowel disease nurses' views on taking on a new role to support an online self-management programme for symptoms of fatigue, pain and urgency: a qualitative study to maximise intervention acceptance

Background: Patients can be empowered through self-managing their inflammatory bowel disease (IBD) symptoms. It is important to understand how specialist IBD nurses can practically support patients to do this. Aim: To explore the perceptions of IBD specialist nurses about the implementation of a proposed nurse-guided online cognitive behavioural self-management intervention to manage symptoms of fatigue, pain and urgency. Methods: Five semi-structured focus groups (45 participants) were conducted with IBD nurses, and themes were identified through thematic analysis. Findings: Four themes were identified: (1) role of nurse as a facilitator; (2) nurse competence in facilitating the intervention; (3) nurse perception of patient needs; and (4) intervention implementation. Conclusions: The results of this study helped to refine the proposed guided online intervention with a view to sustainable implementation in clinical practice. Refinements included in-depth training and minimisation of additional workload for nurses through reducing patient contact, including an online messaging system for communication with patients.

Patient Satisfaction in Postanesthesia Unit: Matched Study Participant Methodology

ObjectivesThe aim of this study is to determine patient satisfaction compared to nurse perception of patient satisfaction in Peri-anesthesia unit.BackgroundIn 2014 American Society of Anesthesiology published guidelines stating standards for care for hypervigilance during perioperative patient assessments. Other policy publications focus on equipment and practices in this clinical setting. However, none of these sources provide an account of patient experience.MethodsThis is a Prospective, convenience paired matched sampling study using Three multichoice questionnaires were distributed to patients and nurses in this unit. Both nurse and patient questionnaires were distributed simultaneously and paired.Results200 patients and total staff 30 nurses, 26 participated in the study-response rate 87%. Patients' perception showed highest level of satisfaction in nurses' listening. The nurses rated patients' satisfaction with communication and environmental conditions highest compared to other categories. The only significant difference between the nurses and patients' perceptions was in specific symptom communication, patients rated this lower satisfaction compared to nurses ranking this domain.ConclusionIn conclusion, similarity was found between nurses' and patients' ratings. This knowledge is relevant in raising awareness that nurses should be more vigilant evaluating and inquiring about peri-operative patients' symptoms.

The Correlation between Perceptions and Compliance in the Use of Personal Protective Equipment of Nurses at RSU Haji Surabaya

Introduction: According to previous studies, the level of compliance with the use of personal protective equipment of the nurses at RSU Haji Surabaya was still quite low. Only 17.8% of the nurses were compliant in using masks, whereas 82.2% of the nurses were not. Moreover, 57.8% nurses were compliant in using medical gloves, whereas 42.2% were not. The purpose of this study is to analyze the relationship between perception and compliance with the use of personal protective equipment of the nurses at at RSU Haji Surabaya. Methods: This study was an observational and cross-sectional study. The population used in this study was the nurses who served in the operating and lung room of at RSU Haji Surabaya. Total sampling technique was used to 33 samples. Moreover, the data were taken by questionnaires and observations. Data analysis was performed by coefficient contingency test by looking at the value of C. Results: The results show that 85.7% of nurses in the operating room are non-compliant and 33.3% nurses in the lung room are non- compliant with the use of PPE. The results also showthat the perception variable that has the strongest relationship with compliance is perception of severity (C = 0.312). Conclusion: The closest relationship between the two variables are the relationship of compliance of PPE usage with the gender of nurses, and the determination of nurses' perceptions is based on the Health Belief Model approach.Keywords: compliance, nurse, perception, personal protective equipment

A non-interventional switch study in adult patients with asthma or COPD on clinical effectiveness of salmeterol/fluticasone Easyhaler® in routine clinical practice

Background: Selection of the most appropriate device for a switch from one inhaler to an equivalent product is known to have a major impact on clinical outcomes in patients with asthma or chronic obstructive pulmonary disease (COPD). Salmeterol/fluticasone propionate (S/F) Easyhaler® has been demonstrated to be therapeutically equivalent with a reference product. However, no data on real-life effectiveness are currently available for patients switching to S/F Easyhaler from another S/F inhaler. Methods: The aim of this prospective, open, multicenter, non-interventional study was to assess clinical effectiveness of propionate S/F Easyhaler in adult asthma and COPD patients switched from another inhaler. The primary endpoints were Asthma Control Test (ACT) and COPD Assessment Test (CAT). Secondary endpoints included assessments of patient satisfaction and preference and physician/nurse perception on S/F Easyhaler use. The study included three visits during a 12-week follow-up. Results: A total of 211 patients (160 with asthma; 51 with COPD) were included in the analyses. In patients with asthma, there was a statistically significant increase in the mean ACT score at week 12 (20.2 ± 3.9) compared with the baseline (18.6 ± 4.1), with a mean increase of 1.6 (±3.5) points ( p < 0.0001). In patients with COPD, CAT score persisted from baseline (19.9 ± 8.6) to week 12 (19.6 ± 7.0). Patients were significantly more satisfied with Easyhaler and most patients preferred Easyhaler over their previous inhaler. The physicians/nurses reported that it was ‘very easy’ to teach the use of Easyhaler and the training took less than 5 minutes in most cases. Conclusion: The results from this prospective real-life clinical study indicate better or at least similar treatment control of asthma and COPD after switching to S/F Easyhaler from another S/F inhaler. This study also shows that S/F Easyhaler was favored by the patients and that it is easy to teach, learn and use in a real-life setting. The reviews of this paper are available via the supplemental material section.

PERSEPSI PERAWAT TENTANG MELENGKAPI PENGKAJIAN AWAL DI SATU RUMAH SAKIT SWASTA INDONESIA [NURSE PERCEPTION OF EARLY ASSESSMENT COMPLETION AT ONE PRIVATE HOSPITAL IN INDONESIA]

<p><em>Admission or early assessment is an early stage in the nursing process. Assessment should be done systematically by collecting individual data comprehensively and holistically including assessment of biological, psychological, social, and spiritual. This assessment is important for both patients’ condition and nurses’ performance. The assessment should be completed within 24 hours after the patient admitted in the room. A complete and proper admission assessment will help and facilitate the nurse to determine nursing diagnosis, planning, implementation, and evaluation. The purpose of this research was to describe nursing perception in completing admission or early assessment of new patients. Data was collected using the interview method using a handphone for recording. The participant of this research was all nurses at the inpatient ward in one private hospital in Indonesia. The sample of this study used a purposive sampling with inclusion criteria such as a bachelor education background and at least one- year work experience. This study was recruited, twelve nurses. Data analysis was applied by the reduction of the data using the thematic analytical process. Two themes emerged in this study including assessment implementation by nurses and the importance of conducting the assessment. </em><em></em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Pengkajian awal merupakan tahap awal dalam proses keperawatan. Pengkajian harus dilakukan secara sistematis dengan mengumpulkan data individu secara komprehensif dan holistik yang meliputi biologis, psikologis, sosial dan spiritual. Pengkajian awal merupakan hal yang penting dilakukan perawat dan harus selesai dalam 24 jam setelah pasien masuk ke ruangan. Dengan pengkajian awal yang lengkap dan dilakukan dengan benar akan membantu dan mempermudah perawat untuk menentukan diagnosa, perencanaan, pelaksanaan dan evaluasi keperawatan. Tujuan dari penelitian ini adalah menggambarkan persepsi perawat melengkapi pengkajian awal pasien baru. Pengumpulan data dilakukan dengan melakukan wawancara secara semi-struktur yang direkam menggunakan <em>handphone</em>. Partisipan adalah perawat rawat inap di satu rumah sakit swasta di Indonesia dengan latar pendidikan S1 Keperawatan dengan pengalaman kerja minimal satu tahun di Rumah Sakit Swasta di Indonesia Tengah. Sampel penelitian ini diambil menggunakan <em>purposive sampling</em> dengan kriteria inklusi perawat dengan latar belakang pendididikan sarjana dan mempunyai pengalaman kerja minimal satu tahun. Penelian ini merekruit 12 orang perawat. Analisis data dilakukan dengan cara reduksi data dengan menggunakan proses analisis tematik. Hasil penelitian ini diperoleh dua tema yaitu pelaksanaan pengkajian awal oleh perawat dan pentingnya melakukan pengkajian awal. Penelitian selanjutnya diharapkan dapat menggali lagi tentang pentingnya ketersediaan penerjemah dalam mendukung pengkajian awal di ruang rawat inap.</p>

PERSEPSI PERAWAT TERHADAP PERAN APOTEKER DALAM PELAYANAN KEFARMASIAN DI RUMAH SAKIT ROBERT WOLTER MONGISIDI MANADO

ABSTRACTPharmacy services was one of the supporting activities of health services quality. Majority, the hospitals in Indonesia had not performed Pharmaceutical Care activities in accordance with the Standard of Pharmaceutical Care in Hospital stipulated in regulation of the Minister of Health Republic of Indonesia No. 72 year 2016. The lack of cooperation and communication between pharmacists, nurses and other health workers can cause differences in perception. This studied aims to know the opinions and expectations of nurse to the role of pharmacist in pharmaceutical care at Robert Wolter Mongisidi Hospital Manado. This research was a quantitative descriptive study and data collection tool used was a questionnaire about the opinions and expectations given to 140 nurses. The results showed that perception of nurses tend to agree with an average value of 93,81% for the opinion and for the expectation of 98,16%. The conclusion that the nurse had good opinions and expectation to the role of pharmacists in accordance with Pharmaceutical Care Standards.Key words : Pharmaceutical Care, Nurse Perception, Pharmacists.ABSTRAK Pelayanan farmasi merupakan salah satu kegiatan penunjang pelayanan kesehatan yang bermutu. Sebagian besar Rumah Sakit di Indonesia belum melakukan kegiatan pelayanan farmasi sesuai dengan Standar Pelayanan Kefarmasian di Rumah Sakit yang diatur dalam Peraturan Menteri Kesehatan Republik Indonesia No. 72 Tahun 2016. Kurangnya kerjasama dan komunikasi antara apoteker, perawat dan tenaga kesehatan lain dapat menyebabkan perbedaan persepsi. Penelitian ini bertujuan untuk mengetahui pendapat dan harapan perawat terhadap peran apoteker dalam pelayanan kefarmasian di Rumah Sakit Robert Wolter Mongisidi Manado. Penelitian ini merupakan penelitian deskriptif kuantitatif dan alat pengumpulan data yang digunakan berupa kuesioner tentang pendapat dan harapan yang diberikan kepada 140 perawat. Hasil penelitian menunjukkan bahwa persepsi perawat cenderung setuju dengan nilai rata-rata untuk pendapat sebesar 93,81% dan untuk harapan sebesar 98,16%. Kesimpulan yang didapat bahwa perawat memiliki pendapat dan harapan yang baik terhadap peran apoteker sesuai dengan Standar Pelayanan Kefarmasian. Kata kunci : Pelayanan Kefarmasian, Persepsi Perawat, Apoteker.

Nurse Perceptions and Satisfaction of Assessments Competencies Process: A Cross Sectional Study

Professional Competency is a topic of great issues in care and practice, particularly health care disciplines such as nursing. Nursing competence is the ability to demonstrate knowledge, skill, professional attitude and ability to take a clinical decision practice. <strong>The purpose of the study</strong> was explored nurse perception of a competencies assessment process. Data were collected using a questionnaire and involved a proportional random sample of 410 nurses practitioner. They were analyzed using descriptive statistical methods: mean, median and standard deviation. <strong>Result:</strong> Many nurses not satisfied taken assessment competencies using examination approach and summative by assessor (mean: 48.07, SD: 4.7, CI: 47.6-48.52) and education background correlated significant with satisfaction, in while BN has lower satisfaction than Diploma (Dip:48.35; BN:47.1; p=0.18) <strong>Conclusion and Implication</strong>: many nurses felt unsatisfied using examination and summative assessment approach and better for management to evaluate of process and improve assessment competency process. Ongoing professional performance evaluation (OPPE) can be developed to improve the competency evaluation