Introduction: Open defecation behavior is one cause of poor sanitation, which can lead to various diseases. Open defecation behavior related with cultural factors that become a habit in the daily life in a society which was then followed by their children. This study aimed to analyze factors related to the parental behavior of open defecation in school-age children based on the theory of transcultural nursing in Marce, Sedau Community Health Center Area, West Lombok Indonesia. Methods: This was a descriptive research design with cross-sectional approach. Samples were taken by simple random sampling technique and obtained 95 parents of children aged 7-12 years. Independent variables were education level, economy level, cultural values and lifestyle, social and family values, religiosity, technology. The dependent variable was open defecation behavior of the parents in school age children. This research was analyzed using Spearman rho test with significance level α = 0.05. Results: education level (p = 0.000; r = 0.390), economy level (p = 0.003; r = 0.298), cultural values and lifestyle (p = 0.000; r = 0.555), social and family (p = 0.000; r = 0.444), religiosity (p = 0.000; r = 0.300), technology (p = 0.000; r = 0354) has a significant relationship with the parents about the open defecation behavior in school age children. Conclusion: the intervention was needed on the factors that influence the open defecation behavior by nurses participating directly to communities to increase public awareness about the importance of healthy defecate in a closet to avoid the disease.

Background: Self-management is an important step in preventing and impeding the progression of chronic kidney disease. The effective support and encouragement of self-management in patients with chronic kidney disease is therefore required. The aim of this study was to examine the effectiveness of a self-management program improving the quality of life on patients with CKD.Method: The literature review used the keywords ‘chronic kidney disease’, ‘self-management program’ and ‘quality of life’. From the article search using “AND” as well, only 8 studies met the inclusion criteria. Across the 8 studies, 592 participants and a mean 147 per trial were included within the middle age group.Discussion: The types intervention were a heterogenous. CKD self-management program, renal education and exercise intervention, the EASE program, the KDE program, and a CKD Educational Program recommended to improve quality of life.Consclusion: The education and exercise intervention had a positive effect on the physical and mental health and well-being of the patients with CKD. Therefore early education about renal disease improves quality of life and treatment outcomes in patients with CKD who are on dialysis.

Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using “AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.

Background: Antibiotic treatment can disturb the resistance of the gastrointestinal flora to colonization. This may result in complications, the most serious of which is Clostridium difficile associated diarrhea (CDAD). The aim of this study was to determine the effectiveness of probiotics for the prevention of CDAD.Method: The databases used were Scopus, Proquest, CINAHL, Medline, Pubmed and ScienceDirect, limited to having been published in the last 5 years. A literature review followed the keyword search. The keywords used were probiotics, Clostridium difficile, associated, diarrhea, randomized, control and trial using "AND" and “OR”. Twelve trials with 5102 participants were included. Eight trials reported a preventive effect for CDAD using a mixture of 2 strains of lactobacillus, a mixture of 4 combination strains, a mixture of lactobacillus and Saccharomyces or a mixture of Bifidobacterium, Lactobacillus and Saccharomyces.Result: Our findings indicate that probiotics may prevent CDAD. Most probiotics contain a singular strain. The combination with lactobacillus sp was the most effective at preventing CDAD.Conclusion: In addition, 6 out of 8 trials had an in relation to preventing CDAD containing lactobacillus sp. Four studies said that there were some factors that meant that the probiotic could not reduce or prevent the CDAD.