Atitude dos enfermeiros face às famílias no cuidado: protocolo de scoping review

Objetivo: apresentar um protocolo de scoping review que mapeará a literatura acerca dos fatores associados à atitude positiva dos enfermeiros em relação à inclusão das famílias no cuidado, em estudos que utilizaram o Families' Importance in Nursing Care ‐ Nurses' Attitudes e/ou o Family Nursing Practice Scale. Método: protocolo de scoping review. Os documentos serão identificados em: PUBMED/Medline; LILACS; BVS; PsycInfo; Google Academico; SCOPUS e CINAHL, utilizando-se: “Families' Importance in Nursing Care ‐ Nurses' Attitudes” or “FINC-NA” or “Family Nursing Practice Scale”. Resultados esperados e conclusão: espera-se identificar o perfil dos enfermeiros que apresentam atitudes positivas com relação às famílias nos cuidados de enfermagem em distintos contextos e cenários de produção do cuidado. Isso é relevante para o desenvolvimento de estratégias de intervenção que busquem um perfil profissional que confira maior importância à família dos pacientes.

A Theory of Family Health: A Neuman’s Systems Perspective

Understanding the social contexts of health and healthcare delivery from a multilevel thinking perspective offers nurses an opportunity to prioritize research and interventions that address communicable and noncommunicable diseases across the care continuum. The content of this paper explains the development of a multilevel theory of family health for Sub-Saharan families affected by the burden of breast cancer guided by Neuman’s Systems Model. Implications for knowledge development in family nursing practice and research in the region are discussed.

Penerapan Terapi Rom Terhadap Perubahan Rentang Gerak Pada Klien Lansia Pasca Stroke

Elderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM

The Cost-Effectiveness of Non-Drug Interventions That Reduce Nursing Home Admissions for People With Dementia

Although people generally want to age in their community, individuals living with dementia are likely to move to a nursing home. In randomized trials, psychosocial interventions reduce the risk of people living with dementia transitioning to a nursing home, but the cost-effectiveness of these interventions is unknown. We used an evidence-based mathematical model to simulate a place of residence (community or nursing home) for people living with dementia. Our model also predicts time caregiving, health care costs, and quality of life. We modeled the reduction in nursing home rate (i.e., hazard ratio (HR) treatment effect) identified from two trials of non-drug interventions for people living with dementia and their caregiver. Using trial data, we account for the disease stage of when interventions are implemented. Specifically, we modeled MIND (HR: 0.63; 18-month effect), an in-home intervention for people with mild-moderate dementia, and the NYU Caregiver Intervention (HR: 0.53; 42-month effect), which is for people with moderate dementia. We evaluated each intervention’s cost-effectiveness relative to usual care for the duration of the intervention from a societal perspective. The MIND and NYU Caregiver Intervention resulted in $23,900, and $6,600 costs savings relative to usual care, respectively. The model predicted an improvement in the quality of life for people living with dementia for both interventions. The largest cost saving was attributed to reductions in family nursing home spending. Medicare and Medicaid received modest cost savings but are likely to be tasked with paying for these interventions.

FAMILY NURSING CARE IN THE CASE OF DIABETES MELLITUS WITH NURSING PROBLEMS READINESS TO INCREASE FAMILY COUPLING IN THE VILLAGE BANJAREJO, SUKODADI DISTRICT, LAMONGAN REGENCY

Introduction : Family is an important aspect in nursing. Family members need care, supervision, and attention if they suffer from health problems such as Diabetes Mellitus. Families must have effective and competent coping to overcome health problems of family members. Global DM prevalence in 2019 an estimated 9,3% (463 million people). DM patients in Lamongan regency are 1,4% with a total of 4,138 cases per year and are ranked 4th in Java Province. According to an integrated disease surveillance report based on Puskesmas in Lamongan. The percentade of DM in the last 2 years was 12 cases, based on data from Banjarejo village, Sukodadi. District, Lamongan Regency in 2020 as many as 6 patients from 450 patients. Method : Method this research uses a descriptive method in the form of a case study to axplore the problem of family nursing care in the case of Diabetes Mellitus with nursing problems of increasing family coping readiness in Banjarejo village, Sukodadi district, Lamongan regency. The approach used is a nursing care approach that includes assessment, nursing diagnosis, planning,implementation, and evaluation. Result : Patients usually then do things that are not allowed in the treatment process, such as not maintaining a pattern of nutrition, activity, and wound care. Discussion: The role of the family is needed because it has a duty in health so that they understand the health problems of family members with each other so that they can have a positive impact.

Optimalisasi program perkesmas dengan kunjungan rumah terhadap tingkat kemandirian keluarga serta peningkatan pengetahuan perawat dalam penulisan askep keluarga

Program Indonesia Sehat Pendekatan Keluarga (PISPK) is necessary to have continuous intervention and become a integrated program at the Public Health Center (Puskesmas). The aim purposes of this activities was to analyzed The desired objectives are to optimize home visits to increase the level of family independence and to optimize the competence of nurses in writing and documentation of family nursing care plan integrated with Nanda, Noc and Nic. The implementation phase includes home visits conducted 2-4 times and carrying out cross-program activities and the evaluation phase includes recompiling and analyzed data. There are 18 heads of households who are respondents. This activity showed that home visits through providing family nursing care and education in the family gave change the family independence level. In the future, it is expected that home visits will become priority of Public Health Center (Puskesmas) activities to improve community health status, In addition, the guidelines and modules are able to increase the knowledge, attitudes, skills, and activities of nurses in the implementation of community health services which increase the use of health facilities by families and as a complement to the community health services module in order to improve the performance of Nurse in Public Health center.

Optimalisasi program perkesmas dengan kunjungan rumah terhadap tingkat kemandirian keluarga serta peningkatan pengetahuan perawat dalam penulisan askep keluarga

Program Indonesia Sehat Pendekatan Keluarga (PISPK) is necessary to have continuous intervention and become a integrated program at the Public Health Center (Puskesmas). The aim purposes of this activities was to analyzed The desired objectives are to optimize home visits to increase the level of family independence and to optimize the competence of nurses in writing and documentation of family nursing care plan integrated with Nanda, Noc and Nic. The implementation phase includes home visits conducted 2-4 times and carrying out cross-program activities and the evaluation phase includes recompiling and analyzed data. There are 18 heads of households who are respondents. This activity showed that home visits through providing family nursing care and education in the family gave change the family independence level. In the future, it is expected that home visits will become priority of Public Health Center (Puskesmas) activities to improve community health status, In addition, the guidelines and modules are able to increase the knowledge, attitudes, skills, and activities of nurses in the implementation of community health services which increase the use of health facilities by families and as a complement to the community health services module in order to improve the performance of Nurse in Public Health center.

PEMANFAATAN mHEALTH UNTUK PERAWATAN TB BERBASIS KELUARGA PADA UPAYA PERKESMAS DI KABUPATEN LAMPUNG UTARA

The CDR of TB was increased in North Lampung District. It implicates the demand of family oriented health care for TB. The geographic conditions, limitation of nurse became challenges for informatics developers to generate supporting tools for TB home care. The goal of this study was to generate a prototipe by using mobile technology for nurses as part of Community Health Nursing. By using SDLC approach, problems related to the existing information system were identified and also the need for system improvement. Researcher used PRISM framework to help identify problems in organizational factor, technical factors and behavioral factors which interrelated among them. Android smartphone was choosen. It considered nurses’ use-friendliness, the capability of android makes computation, simple, and easy to carry and also capability to work with the internet. Nurses of Puskesmas A and Puskesmas M scored the protototipe as middle to high level of usage factor. The prototype capable to provide data of suspected TB among family member, regiment progress, drug adherence and control over, as well as useful information for TB research. We recommend implementing prototype into Java language program, building a website for data communication, and developing intelligence system of family nursing care with TB . ABSTRAKMeningkatnya angka penemuan kasus TB di Kabupaten Lampung Utara berimplikasi pada peningkatan kebutuhan pelayanan berbasis keluarga, khususnya penderita TB. Kondisi geografis, keterbatasan sumber daya perawat merupakan tantangan untuk dikembangkannya sebuah perangkat yang menopang pelaksanaan home care TB. Penelitian ini bertujuan menghasilkan prototipe aplikasi yang memanfaatkan tekologi mobile untuk perawatan TB berbasis keluarga pada upaya Perkesmas. Dengan pendekatan SDLC, diidentifikasi masalah pada sistem yang berjalan dan kebutuhan perbaikan sistem. Peneliti menggunakan model PRISM framework, untuk mengidentifikasi masalah pada faktor organisasional, teknis dan perilaku yang ketiganya saling berkaitan. Smartphone android adalah perangkat yang dipilih mempertimbangkan keterbiasaan perawat dengan android, kemampuan android melakukan komputasi, ringkas, mudah dibawa sekaligus media penghubung ke internet. Perawat di Puskesmas M dan A memberikan penilaian pada skala sedang ke tinggi untuk faktor pemanfaatan prototipe. Prototipe mampu menyediakan data penjaringan suspek Tb di keluarga, monitoring perkembangan pengobatan penderita Tb, kepatuhan minum obat dan kontrol ulang, serta informasi yang bermanfaat untuk penelitian TB. Rekomendasi meliputi implementasi prototipe ke dalam Bahasa pemrograman Java, membangun website sebagai media komunikasi data, serta pengembangan sistem intelegensi asuhan keperawatan TB di keluarga.