http://localhost:8080/xmlui/handle/123456789/10815 2026-04-08T23:48:44Z http://localhost:8080/xmlui/handle/123456789/10913 Title: Cross-Culture Adaptation and Validation of Knowledge, Attitude and Practice Regarding Disaster Preparedness among Community in Indonesia Authors: Fatoni, Fatoni; Letchmi Panduragan, Santhna; Sansuwito, Tukimin; Stia Pusporini, Lenny Abstract: Background: At the time of the research, there were only a limited number of instruments accessible for recognizing the knowledge, attitude, and behavior of the Indonesian population concerning disaster preparedness. Purpose: The goal of this study was to modify and evaluate the reliability and uniformity of a survey that individuals can complete on their own, focusing on their knowledge, attitude, and behavior related to disaster preparedness. Methods: The translation of this tool into Bahasa Indonesia went through four phases: first translation, back-translation by experts, pre-testing, and cognitive interviews. The evaluation of the tool’s accuracy involved a study with 250 volunteers using a cross-sectional approach. The validity of the questionnaire was checked based on its content and structure, and its reliability was measured by looking at internal consistency and stability (Cronbach’s alpha). Results: The CVI scores for knowledge, attitude, and behaviors ranged from 0.80 to 1.00. Regarding knowledge, the exploratory factor analysis (EFA) outcomes indicated the presence of two factors with eigenvalues surpassing 1.0, collectively explaining 71.4% of the total variance. The loading factor for 25 items was observed between 0.34 and 0.65, within the acceptable threshold of 0.3. In terms of attitude, the EFA results revealed a single factor with an eigenvalue exceeding 1.0, accounting for 86.2% of the total variance. The loading factor for 18 items ranged from 0.30 to 0.50. Similarly, for behaviors, the EFA findings displayed the existence of two factors with eigenvalues greater than 1.0, explaining a cumulative 79.7% of the total variance. The loading factor for 22 items ranged from 0.30 to 0.60. The Cronbach’s alpha values for knowledge regarding earthquake and tsunami preparedness stood at 0.763, for attitude it was 0.736, and for behaviors, it was 0.760. Conclusion: The recently implemented scale designed to assess the knowledge, attitude, and behavior of communities regarding disaster preparedness has been verified to possess satisfactory validity and reliability, making it suitable for survey applications within Indonesia. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10912 Title: Development of early detection of low-birth-weight instrument based on maternal risk factors: A mixed-methods study Authors: Utami, Sri; Susilaningrum, Rekawati; Nursalam, Nursalam; Siti Zulaecha, Erna; Rahayu, Sri Abstract: Background: Babies born with low birth weight (LBW) are at a higher risk of experiencing health problems. The absence of quick and reliable instruments to detect LBW conditions can significantly impact the growth and development of newborns. Purpose: This study aims to develop an instrument to detect the incidence of LBW based on mother’s risk factor. Methods: In this study, mixed-methods research was conducted, consisting of qualitative and quantitative stages. A total of 20 participants participated in Focus Group Discussions (FGDs) during the qualitative stage, and 321 respondents took part in the quantitative stage. During the qualitative stage, the process of labeling, synthesizing significant codes, and theoretical integration was carried out. Furthermore, at the quantitative stage, the calculation of the cut-off point using receiver operating characteristic (ROC) analysis was performed. Results: Four indicators were added in newly developed instrument; there are currently ten indicators based on results of our FGD with the experts (OR/ score: 74.395/10, 15.557/2, 13.877/2, 9.952/2, 7.203/1, 2.756/1, 2.532/1, 1.280/1, 1.268/1, and 1.163/1). Instrument was tested on 321 samples; it was able to detect 111 (88.1%) cases from a total 123 (38.3%) cases of LBW (p=0.000). Cut-off point determination used Receiver Operating Characteristic (ROC) curve; any score greater than 3 was predicted with LBW incidence (AUC=0.952, 95% CI 0.923-0.973). Conclusion: LBW could be predicted by our newly developed instrument. These finding could help health workers or policy makers to reduce the LBW incidence by early detection. Further study is needed to determine the ideal screening time to maximize the usage of this instrument 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10910 Title: Exploring the usage of conventional logbooks during the clinical learning practice: A phenomenological study Authors: Setyonugroho, Winny; Risdiana, Nurvita; Auzar Ch, Amirul; Handayani, Fatiah; Dian Saputra Taher, Muhammad; Khanif, Akhmad Abstract: Background: The use of a logbook during practice serves as a tool for ongoing assessment, continuous interaction between supervisors and students, and provides continuous feedback for learning activity evaluation Purpose: This research aims to explore the utilization of logbooks in clinical practice among nursing students. Methods: This qualitative research uses a phenomenological study approach. Data collection was conducted through open interviews to synchronize informant responses with the observed phenomena. Snowball sampling technique was used to select six students, one responsible lecturer for field practice, and one field supervisor. The obtained data were then processed and analyzed through editing, data reduction, category creation, and drawing conclusions. Results: Four research themes emerged, namely an exploration of clinical practice and the obstacles experienced by students, the importance of logbooks for students, the weaknesses of paper-based logbooks, and student acceptance of online-based logbooks. Conclusion: Nursing profession students need the development of a logbook that is easier to fill out. The design of the logbook can be digitally developed with attractive and innovative features while still reflecting the communication medium between students, faculty, and the field. It should also serve as a tool for evaluating students’ competencies in their professional roles. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10908 Title: Can D-dimer predict length of hospital stay in COVID-19 survivors? A crosssectional study Authors: Aldo Wijayanto, Matthew; Myrtha, Risalina; Rahayu, Dwi; Angelica Lukas, Graciella Abstract: Background: COVID-19 has been shown to increase the risk of thrombosis, where this mechanism occurs due to cell damage that triggers the release of various proinflammatory cytokines and chemokines, thereby activating the coagulation cascade. Thus, an increase D-dimer levels in COVID-19 patients occurs. Patients’ length of hospital stay (LOS) is pivotal in order to improve patient care, lower overall expenses, and distribute resources effectively. Purpose: This study aims to identify the association between D-dimer and other parameters as a predictor of LOS in COVID-19 survivors. Methods: This observational analytic study included COVID-19 patients who were admitted to Universitas Sebelas Maret Hospital in Sukoharjo, Indonesia, from November 2020 to January 2021. The data were taken from the medical records of patients diagnosed with COVID-19. Age, gender, comorbidities, admission oxygen saturation, D-dimer, neutrophil-lymphocyte ratio (NLR), haemoglobin, platelet count, white blood cells (WBC), estimated glomerular filtration rate (eGFR), and LOS were analysed in this study. Binary logistic regression was applied to determine the correlation between potential predictors on LOS. Results: A total 104 patients was included in the final analysis. The median LOS was 13 days (IQR 9-17 days). There was an increase of D-dimer in 79 patients with the median 759.39 ng/ml. Patients with prolonged LOS tend to have higher D-dimer levels (Median 924.95 vs 591.54 ng/ml, p = 0.018). However, D-dimer and other parameters were not associated with prolonged LOS in COVID-19 survivors (D-dimer p = 0.188; Age p = 0.138; Diabetes mellitus p = 0.172; NLR p = 0.859; Platelet count p = 0.097). Conclusion: D-dimer levels do not accurately predict prolonged LOS in COVID-19 survivors. Therefore, we suggest D-dimer solely should not be used as a tool to predict a patient’s LOS 2023-01-01T00:00:00Z