Indonesian Contemporary Nursing Journal (ICON Journal)

Formulating a Research Problem Statement

Saldy Yusuf — 2024-08-28

Academic writing is a means of reporting research findings to the public, allowing them to be known, replicated, or applied. However, academic writing differs significantly from non-academic writing. It is inherently objective, grounded in research facts, and supported by citations from existing studies to substantiate or refute arguments. In contrast, non-academic writing is subjective and does not require the use of factual evidence in every analysis. This fundamental difference poses a challenge for academic writing, particularly for novice researchers.

Effectiveness of a Problem-Based Learning Approach in Clinical Teaching of The Undergraduate Nursing Students: An Integrative Literature Review

Zodwa Margaret Manyisa — 2024-08-27

Aims: To explore the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students

Methods: An integrative literature review was used to evaluate the effectiveness of PBL in integrating theory and practice among nursing students in clinical practice. The review searched research articles published in English from 2013 to 2023. Medical Subject Headings (MeSH) guidelines were used to identify relevant search terms, which included PBL. Articles that met the inclusion criteria entailed research articles published in peer-reviewed journals, written in English and the population of undergraduate nursing students. A matrix was developed that outlined (1) characteristics of the study population and (2) challenges affecting the implementation and effectiveness of PBL in clinical teaching.

Results: The literature search revealed twenty-one (n=21) studies conducted in various countries. The studies highlighted positive experiences on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. Skills such as critical thinking, problem-solving, and patient diagnosis were attributed to using PBL in the simulation.

Conclusion: This paper contributes to the body of knowledge on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. It also contributes to the body of knowledge on PBL in nursing education, particularly in South Africa.

Factors Contributing to Bleeding in Breast Cancer Wounds: A Literature Review

Nurmila Sari — 2024-08-27

Aims: In Indonesia, breast cancer ranks first in the number of new cases; there is a significant increase in the number of cases every year. Complications of breast cancer include bleeding that affects quality of life, psychology, activity limitations, anemia, increased treatment time, economic burden, and the threat of death. Breast cancer is often found in advanced stages, increasing the risk of bleeding. The literature review analyzes research articles that discuss factors associated with breast cancer wound bleeding.

Methods: Inclusion criteria include articles discussing breast cancer bleeding, cancer in general, cancer wounds, themes relevant to research, research can be a quantitative, qualitative, mixed method, meta-analysis, in English and Indonesian, from 2013 to 2023, full text. Keywords in the database are "risk factors," bleeding, breast cancer, and malignant wound. Literature searches use journal databases, namely Pubmed and ScienceDirect. This research uses the author's literature review method to analyze, evaluate, and criticize published research results.

Results: Fifteen articles met the inclusion criteria, most of them retrospective, examining factors of anticoagulation therapy on breast cancer bleeding, articles examining bleeding factors in several types of cancer, and five articles examining factors of post-operative breast cancer bleeding.

Conclusion: Breast cancer wound bleeding factors are chemotherapy, radiation, comorbidities, malignant fungating wounds, BMI≥40, dressings, thrombocytopenia, reconstructive surgery, advanced stage, infection, and therapy (anticoagulants, anti-inflammatory pain relief, NSAIDs). Suggestions for further research are analyzing various bleeding factors, examining which factors are most related to bleeding, and looking at the pattern of relationships between several factors in bleeding.

Combined Use of Cognitive Behavioral Therapy (CBT) and Its Healing Impact on Drug Abusers Who Are Addicted to Drugs: A Scoping Review

Nurul Aeni — 2024-08-28

Aims: The aim of this study is to assist individuals in healing from addiction; it is essential to implement a combination of interventions, such as CBT, that are proven to be effective in treating drug abuse with a holistic approach that integrates psychological and social aspects for optimal results, according to empirical evidence.

Methods: The search databases for this study were PubMed, ScienceDirect, and Google Scholar. Identify articles published in the last 10 years (2014-2024), Randomized Control Trials (RCTs), English and Indonesian, Full-Text, and Teenagers to the Elderly. Using the PRISMA flowchart, data extraction and scoping with keywords (English): "Drug Addict OR Substance Abuse AND Cognitive Behaviour Therapy AND Dependence OR Substance-Related Disorder" and keywords in the Indonesian language "Pecandu Narkoba OR Penyalahguna Zat AND Cognitive Behaviour Therapy AND Ketergantungan OR Gangguan Terkait Zat."

Results: The study found eight articles that met the criteria, the main findings showed the use of Modified Cognitive Behavioral Therapy (M-CBT) in enhancing recovery motivation among cocaine-dependent individuals. Interventions such as galantamine, C-CBT, and computer-based CBT also show promise in reducing cocaine use. Additionally, combining CBT with contingency management (CM) facilitates changes in neural activity related to cognitive control. CBT paired with MET+ABI+ATTI and Female-Specific CBT (FS-CBT) effectively addresses alcohol use in adolescents and women.

Conclusion: This study highlights various CBT approaches that can be combined, such as M-CBT for cocaine independence and computer-based CBT, as well as the combination of CBT with contingent management that influences neural activity related to cognitive control.

The Intervention Effect of Warm Blanket Compresses and Essential Aromatherapy on Increasing the Body Temperature of Surgical Patients

Prima Zakaria — 2024-02-27

Aims: This study aimed to show the effectiveness of a combination of interventions by providing warm compresses, blankets, and essential aromatherapy to determine changes in the patient's body temperature after surgery

Methods: The research design used accurate experimental research with a pretest-posttest design. This study had 60 respondents divided into two groups, using a non-probability sampling technique with a stratified random sampling method. The control group was given intervention according to standard hospital procedures: a Striated Blanket at room temperature. The intervention group was given a combination of warm compresses and warm blankets. The temperature of the warm blanket is 44 Celsius, with a compressive time of about 30 minutes. Essential aromatherapy is four drops in 100 cc of water with diffusion for 15 minutes. The research was conducted from December 26, 2022, to January 28, 2023

Results: This research shows a significant difference in the average increase in body temperature. After intervention treatment, a significant value was obtained, namely with a pre-value of 35.43°c and a post-value of 36.50°c (p=0.00). Combining a warm compress with a warm blanket at a temperature of 44 Celsius for 30 minutes and giving essential aromatherapy four drops in 100 cc of water with diffusion for 15 minutes give a significant result for body temperature.

Conclusion: The combination of warm compresses, warm blankets, and essential aromatherapy effectively increases the body temperature of postoperative spinal anesthesia patients in the recovery room.

Validity and Reliability of Holistic Nursing Competencies and The Patients’s Holistic Needs: A Pilot Study

Hana Priscilla Frudence Sohilait — 2024-08-27

Aims: This study aimed to identify the validity and reliability of the core competencies of The Holistic Nursing Competency Questionnaire and The Holistic Needs of Patients.

Methods: A pilot study with a correlational descriptive design was conducted to measure holistic nursing competency and the fulfillment of holistic patient needs in the ICU room of Dr. H. Soewondo Kendal Hospital. The study included 25 nurses and 30 patients. Holistic nursing competency was measured using a questionnaire, while the fulfillment of holistic patient needs was assessed using an observation sheet.

Results: The Holistic Nursing Competency Questionnaire is valid, reliable, and psychometrically robust, but the holistic needs of patients were reduced from 33 items to 29 valid and reliable items.

Conclusion: The validity test showed that the questionnaire and observation sheet were valid and reliable for measuring holistic nursing competency and the fulfillment of holistic patient needs. The study highlights the need to improve nurses' holistic competencies and address the challenges in fulfilling the holistic needs of patients, especially in critical care areas.

Use of Silver Dressing on Diabetic Ulcers During Infection: Case Report

Salsabila Nabilla Puspa Ilham — 2024-08-27

Aims: This study aimed to describe the results of applying silver dressing on diabetic ulcers during infection in patients with infected wounds on digiti one pedis dextra.

Methods: This research uses a descriptive design, namely a case study with a nursing approach consisting of assessment, analysis of problem formulation, formulation of nursing diagnosis, intervention, implementation, evaluation, and nursing documentation. The subject of this case study is Mrs. A with diabetic ulcers on Digi 1 pedis extra with infection. Case management was carried out for three days on April 17-19, 2024. Data was collected through anamnesis, wound assessment, supporting examination, and literature study. Wound assessment was performed using the Meggitt-Wagner instrument for assessing wound severity and the SINBAD (Site, Ischemia, Neuropathy, Bacterial infection, Area ulcer, and Depth) system for improving foot ulcer management according to their severity and predicting major adverse foot events.

Results: After three days of treatment using silver dressing, the wound condition shows that the infection has been resolved, and the wound has improved significantly from a grade 2 diabetic ulcer with abscess using the Meggitt-Wagner instrument and a SINBAD score of 3 (less severe ulcer) to a grade 2 diabetic ulcer without abscess and a SINBAD score of 2 (less severe ulcer).

Conclusion: Wound care using silver dressing significantly accelerates the resolution of infections and supports the overall healing process

Enhancing Health Literacy and Self-Care Abilities among Individuals with Chronic Diseases

Kusrini Kadar — 2024-08-28

Health literacy is an essential element in the effective management of chronic diseases. It provides a foundation for individuals to understand, evaluate, and utilize health information, thus enabling them to make well-informed decisions regarding their care. For individuals living with chronic conditions such as diabetes, heart disease, and hypertension, health literacy is not just about understanding their health needs; it is about empowering them to manage their conditions effectively, make informed healthcare decisions, and maintain a higher quality of life. This writing explores the multidimensional relationship between health literacy and self-care abilities among people with chronic diseases, examining the factors affecting health literacy, its impact on self-care, strategies for improvement, and the pivotal role of health professionals in this context.

Nursing Research Contributes to Changes in Clinical Practice

Makoto Oe — 2024-08-28

Through my experience visiting Hazanuddin University and touring the hospitals in Makassar, I reconsidered the role of nursing research in the development of nursing technology. It will be increasingly important to train professionals to provide quality care, develop new nursing techniques through interdisciplinary research and industry-academia collaboration, and establish evidence regarding insurance reimbursement.