Although nurses have specialized in the management of incontinence, bladder, bowel, and pelvic floor dysfunction for more than 30 years, there is a lack of awareness and underutilization of their role. This article describes a 6-year project to define, characterize, and validate a role profile of the Nurse Continence Specialist. Data collection used a 2-phase, mixed-methods design. Phase 1 of the project resulted in a draft Nurse Continence Specialist role profile and Phase 2 led to validation of the draft profile. The result was a broad consensus about what constitutes the specific skill set for Nurse Continence Specialist specialization within nursing.
While elderly population in Indonesia continues to increase, research around elderly and health care for elderly is still limited. The purpose of this study was to identify priority of research area on Gerontic Nursing in Indonesia. This was a descriptive study, using Delphi study with 2 survey rounds. Round 1 involved 34 participants purposely selected among nurses who worked in the area of and had a research interest in Gerontic Nursing. Open ended online questionnaire about priority areas was sent to potential participants. Data was analyzed for its similarity, resulted in 36 research areas around Gerontic Nursing. Round 2 involved 204 nurses with the same criteria as in round 1, selected using convenience sampling technique. Close ended questionnaire using Semantic Differential Scale range from 1 to 9 was sent via online to potential participants. Data was descriptively analyzed for median, interquartile range (IQR), and range. Findings indicated 10 levels of research priority. Level 1 research priority with Median of 9, IQR 1, and range 5 were long term care for elderly, family knowledge on caring for elderly, personal hygiene in elderly, competency of Gerontic Nurse, and nutrition in elderly. Nurse academics and researchers are suggested to collaborate with nurse practitioners in various settings to conduct research on these priority areas.
Introduction: Diabetes Mellitus (DM) is one of the main causes of 1.6 million deaths every year in the world. Irregularity of blood sugar control and the absence of a healthy lifestyle are risk factors and complications of type 2 Diabetes Mellitus (DM) patients. Many factors need to be studied related to compliance to diabetes complication prevention. Objective: The objective of this research was to analyze the determinants of compliance to complication prevention in type 2 DM patients. Method: This research used a correlation design with a cross-sectional approach. The sample was 233 type 2 DM patients recruited using the convenience sampling technique. Data were collected using questionnaires and analyzed using univariate, bivariate, and multivariate analyses. Results: The results of the Chi-Square analysis showed several factors had a significant relationship with compliance with diabetes complication prevention, including knowledge (p 0.003), attitude (p 0.000), motivation (p 0.020) and family support (p 0.000). On the other hand, the results of multivariate analysis showed that attitude (AOR: 6.148), family support (AOR: 2.846) and motivation (AOR: 1.912) were the dominant factors in preventing DM complications. Conclusion: Compliance with complication prevention in type 2 DM patients is the main aspect that needs to be improved through improving several factors, namely patient attitude, motivation and family support.
Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chisquare test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), a history of confirmed positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic so that anxiety can be detected and overcome early through constructive self adaptation and positive coping mechanisms.
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