Background: The number of cervical cancer still remains high among women, including nurses in Indonesia. This is due to low participation of them to early detect and prevent it.Objective: This study aimed to identify the factors associated with the participation of nurses in early detection (pap-smear test) of cervical cancer at the hospitals in Bandung Indonesia.Methods: This was a correlational study with a cross-sectional approach on 286 nurses selected using cluster sampling at three hospitals in Bandung on March 2018. Data were collected using health belief model (HBM) questionnaire. Data were analyzed using Chi-square or Fisher exact and multivariate logistic regression test.Results: Factors associated with pap-smear behavior were the level of education, perceived susceptibility, perceived barrier and self-efficacy (p-value <0.05). Perceived susceptibility was the most correlated factor with pap-smear behavior with relationship strength (OR) of 16.259 and gave an effect of 27.89% as illustrated in the model equation of y = 0.324 + 2.789 susceptibility + 2.738 barriers.Conclusion: Pap smear behavior of the nurses was still relatively low because they had a negative perception of susceptibility to cervical cancer. Therefore, information is needed to change the nurses' perception related to the susceptibility of symptoms and risk factors that encourages nurses to do the pap-smear and increase nurses' awareness to actively participate in cervical cancer prevention program.
The COVID-19 pandemic has not ended yet, and so educational systems need to continue to be active and creative in establishing online learning materials. Nursing education faces challenges for many learning materials with high credits, such as Medical-Surgical Nursing. Even when altered to online methods, education still must prioritise the quality of the teaching-learning process to generate satisfactory learning. This study aimed to overview the satisfaction of nursing students towards the e-learning activities of the Medical-Surgical Nursing program during the pandemic. This was a descriptive cross-sectional study with a total of 300 participants. There were five aspects assessed, including accessibility, convenience in understanding the materials, interactivity, the accuracy of the methods used, and independence. The results showed that 110 respondents (36.7%) marked low on accessibility; 164 (54.7%) determined it was convenient to understand the materials; 126 (42%) felt that they interacted well among students and with lecturers; 185 (61.7%) thought the methods were sufficiently appropriate during the online learning process; and 141 (47%) felt independent enough to be able to do online learning. In conclusion, the students determined that the online learning process was fairly good in its accessibility, convenience in understanding the materials, interactivity, accuracy of the methods used, and independence aspects. Keywords: online learning, Medical-Surgical Nursing, satisfaction
Background: Earthquake is unpredictable, making it impertinent for all components of society to be prepared to handle, especially elementary school children. During earthquakes, students often experience panic, endangering their lives. It is, therefore, crucial to identify the factors affecting students' preparedness for disasters (LIPI, 2006).Objectives: This study aimed to determine the factors related to the preparedness of students in disaster prepared schools (DPS) to reduce earthquake risks in Denpasar City, Bali.Methods: This study used a descriptive correlative analytic design with a cross-sectional approach. The sample in this study were all students of Public Elementary Schools (PES) and private schools (PS) in grades 5 and 6 whose institutions have implemented DPS, and the location of the school is in the city of Denpasar. Students chosen as the research samples received a brief explanation of the research process on the first page of the electronic questionnaire and parents can give consent to be research respondents when they approve their child to be a research sample. The instruments used in this study were 50, where this questionnaire was a standard questionnaire modified by researchers from LIPI (2006), Amri et al.,(2017), Hirano et al., (2011), and Davis & Izadkhah (2008). The univariate analysis identifies each research variable, namely disaster preparedness factors (knowledge, attitudes, infrastructure and CIE) and student preparedness in DPS. The bivariate analysis used is the Gamma test when it meets the requirements. Multivariate analysis in this study used the logistic regression analysis.Results: The results of this study show that Communication, Information and Education (CIE) has a robust correlation with earthquake preparedness (r = 0.761 and p-value = 0.000). CIE of DPS schools that are not good enough will lead to low preparedness of DPS students in earthquake disaster management by nine times.Conclusion: Knowledge, attitudes, infrastructure and CIE have a relationship with disaster preparedness school preparedness in the city of Denpasar, where low CIE can lead to a greater lack of preparedness for disaster preparedness school students after the variables of knowledge, attitude, facilities and infrastructure are controlled. Keywords: Preparedness Factors, Students, And Earthquake
The lack of interest from the public and health workers, such as nurses to carry out a pap test, is one of the triggers of cervical cancer cases. The purpose of this study was to identify the implementation of pap tests and barriers of nurses in Bandung, West Java. This study used a cross-sectional descriptive study design with a sample of 286 married nurses. Data collection was conducted during two months. The analysis was conducted by the Fisher exact test or chi-square test. The results showed that the level of education and religion had a significant relationship with the pap test behavior (p= 0,000; p= 0.031). The most perceived barrier was that respondents felt uncomfortable with the male examiners. So it was recommended to provide female examiners in the ob-gyn section in the hospitals and to improve the nurses' perceptions with pap test. Keywords: barrier, nurse, pap smear, practice Abstrak Perilaku dan hambatan pap smear pada perawat di Kota Bandung, Jawa Barat. Fenomena yang terjadi pada kasus kanker serviks adalah minimnya minat dari masyarakat bahkan petugas kesehatan seperti perawat untuk melakukan pap smear sebagai bentuk pencegahan kanker serviks. Tujuan penelitian ini adalah untuk mengidentifikasi pelaksanaan pap smear serta hambatannya pada perawat di Kota Bandung, Jawa Barat. Penelitian ini menggunakan desain studi deskriptif cross-sectional dengan jumlah sampel 286 perawat yang sudah menikah. Pengumpulan data dilakukan pada Februari hingga Maret 2018. Analisis menggunakan fisher exact test atau chi-square test. Hasil penelitian menunjukkan bahwa tingkat pendidikan dan agama memiliki hubungan yang signifikan dengan perilaku pap smear (p= 0.000; p= 0.0301). Hambatan yang paling dirasakan adalah responden merasa kurang nyaman dengan pemeriksa laki-laki sehingga direkomendasikan untuk penyediaan pemeriksa perempuan pada bagian obgyn di rumah sakit serta memperbaiki persepsi perawat yang salah terhadap pap smear. Kata Kunci: hambatan, pap smear, perawat, perilaku
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