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Hospital-Acquired Malnutrition in the Pediatric Population: A Cross-Sectional Study

Sat, 01 Jan 2022 00:00:00 GMT

Title: Hospital-Acquired Malnutrition in the Pediatric Population: A Cross-Sectional Study Authors: Falahaini, Annida; Wanda, Dessie Abstract: Malnutrition is a global problem, from which hospitalized patients are not exempt. Hospital-acquired malnutrition (HaM) is associated with adverse outcomes in pediatric patients. Therefore, health professionals need to understand the factors related to the issue in such patients. This study aims to identify the factors associated with the prevalence of HaM in pediatric patients. It employed a cross-sectional design involving children from one month to 18 years old who had been hospitalized for at least 72 hours. HaM was determined by a weight loss of more than 2% by the fourth day of hospitalization. The final sample was 373, from which it was indicated that the prevalence of HaM was 7%. There were statistically significant correlations between HaM and predictor factors, including age (p = 0.001), type of disease (p = 0.017), weight on admission (p = 0.001), nutritional therapy (p = 0.012), and class of ward (p = 0.001). However, the correlation between HaM and length of stay was not statistically significant. HaM occurred in younger patients in relation to infectious diseases, low admission weight, enteral nutrition therapy, longer hospital stays, and lower ward class. Nurses are expected to monitor pediatric patients’ condition, including regular anthropometric measurement, to identify the initial signs of HaM

Counselors’ Experiences with Infant and Young Child Feeding Tele-Counseling: A Phenomenological Study

Sat, 01 Jan 2022 00:00:00 GMT

Title: Counselors’ Experiences with Infant and Young Child Feeding Tele-Counseling: A Phenomenological Study Authors: Tri Waluyanti, Fajar; Rustina, Yeni; Fudla, Hadiyati; Nurhaeni, Nani; Liaw, Jen-Jiaun; Farisa Desy Arya, Insi; Milawati, Milawati; Dewi Yani, Firda Abstract: The global COVID-19 pandemic has influenced the intervention delivery of Indonesia’s stunting reduction program. In this context, e-counseling can be adapted as an innovative approach to deliver interventions. This study aimed to explore counselors’ experiences when conducting tele-counseling. The five participants in this phenomenological study were counselors who had received breastfeeding and infant and young child feeding (IYCF) counseling training and participated in counseling service activities. The participants were selected using a purposive sampling technique. In-depth interviews were conducted with each of the participant until data saturation was reached. Each interview was transcribed and analyzed using thematic analysis method. Four themes were found in this study: exciting experiences, essential counseling skills, privacy concerns, and tele-counseling as service solution. The recommendation derived from this study is to continue the IYCF tele-counseling program as a service solution at health facilities.

Cluster Analysis of the Productivity of Nurses’ Work

Sat, 01 Jan 2022 00:00:00 GMT

Title: Cluster Analysis of the Productivity of Nurses’ Work Authors: Hermansyah, Hermansyah; Riyadi, Agung; Delfina, Rina Abstract: Productivity is a measure of performance, including effectiveness and efficiency. The importance of work productivity for nurses includes its evaluation role in contributing to continuous improvement. The purpose of this study is to determine the classification of nurses in clusters based on work productivity in the inpatient room. It is an analytic study with a cross-sectional design. The study sample were 130 nurses in the inpatient room at the Bengkulu Provincial Hospital, selected using the proportional random sampling technique. A questionnaire was employed for the data collection. Data analysis was performed univariately, and multivariately with cluster analysis. The study results involved clusters I-III, which comprised nurses with high, medium and low work productivity. The variables of motivation, management, work environment, achievement opportunities, work climate, income, workload, work ethic, and work discipline have a significant effect on the formation of the cluster (p < 0.001). Cluster I comprised 69 nurses, cluster II 53 nurses and cluster III eight. A need is shown for clarity of organizational structure, job descriptions, the granting of authority and responsibility, creation of a work system that encourages innovation, provision of facilities, clarity of Nursing Care Standard (NCS), work guidelines, and Standard Operational Procedure (SOP).

Beyond the Boundaries of Nursing Care: A Phenomenological Study

Sat, 01 Jan 2022 00:00:00 GMT

Title: Beyond the Boundaries of Nursing Care: A Phenomenological Study Authors: Ismu Pujiyanto, Tri; Hapsari, Shindi; Hani, Umi Abstract: The COVID-19 pandemic created an emergency and challenging situation, especially for nurses, who have experienced feelings including fear and questions concerning their job responsibilities and professional ethics. They needed to maintain safety on the basis of their knowledge and skills. This study aimed to explore nurses’ experiences related to the pandemic. This research was conducted by using qualitative research with a descriptive phenomenological design. The participants were 15 nurses on duty in COVID-19 units at hospitals and who were delivering or had delivered direct care to patients with COVID-19. Data were collected from in-depth interview and analyzed with Colaizzi technique. The nurses experienced psychological disorders while they were performing their roles through the professional care models, and coping with the management of their workload during the pandemic. These circumstances were caused by the responsibility of nurses to give all forms of support and protection to patients. The study has shown that nurses faced some challenges regarding nursing workload to provide nursing care during the pandemic.