Introduction: The increasing need for palliative care (PC) in the intensive care unit (ICU) is characterised by an increasing number of patients with critical and terminals conditions. It requires comprehensive treatment of nurses, through PC. Self-efficacy is a major predictor that affects the application of PC in ICU. Therefore, nurses need to have high self-efficacy to provide quality PC for patients and their families. This study aimed to analyse the factors that dominant relates to nurses' self-efficacy in implementing of providing PC in ICU.Methods: This research was correlational research with cross-sectional survey design. The sampling technique used was total sampling, which involved 127 critical nurses who were actively working at a general hospital in Bandung, Indonesia. Data were collected using questionnaires. Bivariate analysis using Pearson correlation and Rank-Spearman test and multivariate analysis using linear regression.Results: The results showed that the majority of respondents had high self-efficacy, working experience >15 years, enough interest to the nursing profession had less knowledge and negative perception related to the PC in ICU. There was a significant relationship between self-efficacy with work experience, nurses' interest in the nursing profession, knowledge and perception variables. The most dominant factors related to self-efficacy, namely knowledge and perceptions of nurses related to PC.Conclusion: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.
Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families.Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU.Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis.Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000).Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses' beliefs in their abilities.
Background: During the COVID-19 pandemic, health workers are directly involved in many healthcare activities. If the pandemic lasts for a long time, the situation of ambiguity and full of threats will be unimaginable. It will potentially worsen individual emotions, increase work stress, and affect the quality of life of health workers. Objective: To identify relationships between work stress levels and quality of life for health workers during the COVID-19 pandemic. Methods: A cross-sectional design was used in this study, involving 90 health workers in a public health center in Ende Regency, East Nusa Tenggara Province, Indonesia, selected using total sampling. WHOQOL – BREF questionnaire and Stress Scale were used to collect data. Descriptive statistics and Chi-square were used for data analysis. Result: Most respondents did not experience work stress (77.8%) and had a good quality of life (93.3%). There was a significant relationship between work stress and the quality of life of health workers during the COVID-19 pandemic (p <0.001). Conclusion: Work stress is a significant factor influencing the quality of life. Therefore, interventions to reduce the stress level of the health workers are necessary.
Background: This quantitative study aimed to analyse the relationship between knowledge and nurses' self-confidence (or self-efficacy) in applying palliative care (PC) in the intensive care unit (ICU). This study was a correlational study with a cross-sectional approach. The sampling technique used was total sampling, and the sample included all nurses who were actively working at the general hospital in Bandung, West Java, Indonesia, during the study. There were 127 people in total. Data were collected using questionnaires. The Pearson correlation test was used for bivariate analysis. The results of univariate analysis showed that the majority of respondents had high self-confidence but had less knowledge related to PC in the ICU. Based on the results of the bivariate analysis, there was a significant relationship between knowledge and self-confidence variables. The results showed that a high number of respondents had less knowledge in implementing PC in the ICU. Therefore, familiarisation sessions and training related to this are needed, focusing on nurses' beliefs in their abilities.
Background: Longer life expectancy in Indonesia is a sign for the government to intensively improve various programs for the elderly for better welfare and quality of life. Elderly Health Service (or Posyandu Lansia) that is well-conducted will provide convenience for the elderly in accessing basic health services to maintain and optimize their quality of life. Objective: This research aimed to analyze the relationship between beliefs on health and family support toward the participation of the elderly in Posyandu Lansia. Methods: This correlational research was performed using a cross-sectional approach on 30 elderly selected purposively. The Health Belief Model (HBM) was used as a framework in this study. Data were collected using validated questionnaires and analyzed using univariate statistics, Chi-square, and logistic regression. Results: The results indicated the presence of a correlation between health beliefs, especially perceived vulnerability (p = 0.048) and perceived benefits (p = 0.030), and family support in the elderly’s participation in Posyandu Lansia. Conclusion: It is essential for the public health centers to monitor and approach the families of elderlies who rarely attend Posyandu Lansia to improve their health and quality of life.
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