Journal of Nursing Practice <p><strong>Journal Of Nursing Practice</strong>&nbsp;is an open access journal (e-journal) which publishes the scientific works for nurse practitioners and researchers. The focus and scopes of the journal include <span style="text-decoration: underline;">Pediatric and Maternity Nursing</span>, <span style="text-decoration: underline;">Adult Nursing</span>, <span style="text-decoration: underline;">Emergency Nursing</span>, <span style="text-decoration: underline;">Community and Mental Health Nursing</span>, <span style="text-decoration: underline;">Education and Management in Nursing</span>.&nbsp;</p> <p>The articles of this journal are published every six months, that is on April and October (2 issues per year), and developed by the STIKes Surya Mitra Husada Kediri, Indonesia.</p> <p>The JNP Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted.</p> <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons License"></a><br>The<a href="" target="_blank" rel="noopener"> Journal of Nursing Practice</a>, its website, and the articles published there in are licensed under a <a href="" rel="license">Creative Commons Attribution-NonCommercial-ShareAlike 4.0 </a>International License.</p> STIKes Surya Mitra Husada en-US Journal of Nursing Practice 2614-3488 Nurses’ Performance Assessment Based On Nursing Clinical Authority: A Qualitative Descriptive Study <p><strong>Background</strong>: One of nursing management functions is organizing nursing staff through assessing their working performances. Managing nursing staff in order to improve their working performance is vital. Thus, it needs to be well-designed to meet the patients’ expectation on health care quality. Nurses’ performance is defined as the action, achievement, or fulfillment of nurses’ responsibilities based on their tasks that have been assigned to them.</p> <p><strong>Purpose</strong>: The aim of this study was to describe the nurses’ performance assessment and the nurse activities based on nursing clinical authority at the Dr. Wahidin Sudirohusodo hospital Makassar.</p> <p><strong>Methods:</strong> This research is a qualitative descriptive study. Data were gathered from Focus Group Discussion (FGD), individual interviews, and document analysis.</p> <p><strong>R</strong><strong>esults</strong>: The study results showed that generally the assessment of the nurses’ performances at the Dr. Wahidin Sudirohusodo hospital has been conducted since 2015. However, there were still some areas that need to be improved, such as the quantity indicator assessment that is currently not developed based on the nursing clinical authority. In fact, the assessment of nurses' performance for quantity indicators should be adjusted to the nursing clinical authority that has been assigned to them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter.</p> <p><strong>Conclusion: </strong>The assessment of nurses’ performance should be adhered to the nursing clinical authority and it is better if hospital managers may synchronize the nursing clinical authority with the online nursing logbook provided in the Hospital Information System</p> Aisyah Supri Rini Rachmawaty Syahrul Syahrul ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 80 90 10.30994/jnp.v2i2.48 The Influence of Supervision on the Performance of Associate Nurse in Hospitals : a Literature Review <p><strong>Background</strong>: Various efforts are made to maintain and improve the quality of nursing services, one of which is to carry out nursing care according to the standards of nursing practice safely, effectively and ethically. To maintain quality, it is necessary to control nursing care in a directed and planned manner. One of the controls in nursing management is supervision.</p> <p><strong>Purpose</strong>: The purpose of this literature study is to identify the effectiveness of the implementation of supervision on the performance of implementing nurses in hospitals.</p> <p><strong>Methods:</strong> Database searches used in this literature review are Pubmed, Science Direct and Google Scholar published in 2007-2018.</p> <p><strong>R</strong><strong>esults</strong>: From the six articles used, it was found that supervision had an impact on improving nurses' performance in the form of actions and behaviors that could be measured to maintain and improve the quality of health services for both sick and healthy patients. Other impacts among them commitment, employee attachment, competence and individual quality as well as improving service qualityto them after completing the credentialing process as stated in the Nurse Clinical Assignment Letter.</p> <p><strong>Conclusion: </strong>Implementation of supervision motivates nurses to be more attached to work, and has better performance opportunities</p> Munawar Munawar Ariyanti Saleh Rini Rachmawaty ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 91 96 10.30994/jnp.v2i2.47 Effect of Humor Therapy on Chronic Pain: A Literature Review <p><strong>Introduction:</strong> Chronic pain is an unpleasant sensory and emotional experience with actual or potential tissue damage, or is described as a damage lasting more than 3 months with heavy or moderate intensity. The patient's response to the pain he experienced was done in different ways such as shouting, grimacing, crying, etc. Repair of pain is likely to occur more quickly when psychological intervention is included in medical care because it requires alternative and complementary treatment to overcome the pain including prayer , humor, hypnosis, and group support. Growing evidence-based nursing practice shows progress in helping patients deal with the pain. One of the evidence-based nursing practices is humor therapy.</p> <p><strong>Method:</strong> The literature search was done through searching the results of scientific publications 2010-2018 using several databases, such as Such as Google scholar, PubMed, DOAJ, and Cochran, with keyword "Humor Therapy and Chronic Pain.</p> <p><strong>Result:</strong> Obtained 6 fulltext articles, were obtained with various methods used, such as quasi-experimental pre- and posttest control group design, randomized two-group review literature, concluded that humor therapy proved effective in reducing chronic pain in all ages.</p> <p><strong>Conclusion:</strong> The humor therapy is effective in reducing chronic pain in patients of all ages, both children, adults and the elderly, besides humor therapy can also be used to increase endurance and quality of life in elderly who are cared for in nursing homes</p> Yusnaeni Yusnaeni Kadek Ayu Erika Rini Rachmawaty ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 97 101 10.30994/jnp.v2i2.51 Reducing Pain Score using Finger Hold Technique on Patient with Mild Head Injury in Emergency Department (of) General Hospital Brigadier H Hasan Basry Kandangan 2018 <p><strong>Background</strong>: Treatment for patients who have mild head injury are mostly pharmacological. (Despite of what happens to the patients so far, they do not have to be given drugs as treatment, they can be treated in other ways, that is not in the form of drugs)</p> <p><strong>Purpose</strong>: To determine effect of the finger hold technique on decreasing the scale of acute pain on patients with mild head injury.</p> <p><strong>Method</strong>: This research used Quasy Experimental design with the One Group Pretest-Postest Design. The population of Mild Head Injury patients in the first semester of 2018 in November-December were 20 people. Samples taken by Accidental Sampling technique in 20 respondents. Instrument for this reseach used the questionnaire sheet. Measurement of respondent's pain level using NRS rating scale 0-10 and the data analyzed using univariate analysis and bivariate analysis with Paired T-Test.</p> <p><strong>Results</strong>: The scale of pain before the finger hold technique on mild head injury patients mostly got moderate pain on 15 people (75%). The scale of pain after the finger hold technique was performed, head injury patients mostly got mild pain category on 13 people (65%). The hypothesis is accepted with a significance level of 0.000 &lt;0.05.</p> <p><strong>Conclusion</strong>: By giving finger hold technique, it can decrease pain level patients with mild head injury</p> Budiya Rahman Noor Khalilati ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 102 108 10.30994/jnp.v2i2.52 The Effect of Oxygen Therapy With Nasal Cannula to Oxygen Saturation Through Oximetry Examination For Patients With Heart Failure At Emergency Departmemt of RSUD Ulin Banjarmasin 2018 <p><strong>Background</strong>: <em>Heart Failure</em>is a major cause of morbidity and mortality worldwide. In recent years the incidence of HF has increased and the risk of heart failure is increasing all the time.</p> <p><strong>Purpose</strong>: To find outthe effect of oxygen therapy by nasal cannula to the oxygen saturation through the examination oximetry in patients with HF in the ER Hospital Ulin Banjarmasin.</p> <p><strong>Method</strong>: The study design with pre-experimental design to design one group pretest-posttest design, hearth Failure population all patients with shortness of breath in the emergency room, the study sample using accidental sampling technique. Istrumen using observation sheets, examination using pulse oximetry using univariate and bivariate analysis by paired T-test.</p> <p><strong>Results</strong>: The average oxygen saturation before treatment is given after 88.87% and 95.96% obtained by the treatment, an increase in oxygen saturation. There is the influence of oxygen therapy by nasal cannula to the oxygen saturation through the examination oximetry in patients with HF obtained value<em>ρ </em><em>value</em>= 0,000 ≤ α = 0.05</p> <p><strong>Conclusion</strong>: By giving oxygen therapy, it can increase saturation oxygen for patients with heart failure</p> Rifky Hidayat Hanura Aprilia ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 109 115 10.30994/jnp.v2i2.53 The Use of Preoperative Education Booklet Media to Decrease Anxiety Level of School-Aged Children <p><strong>Background:</strong> Preoperative anxiety is one of the effects of surgery, where children undergo surgery see it as a threat and a negative experience. The factors that cause preoperative anxiety in children is a lack of understanding of children regarding the surgery. Anxiety needs to be overcome by providing appropriate interventions to reduce the level of anxiety in children, one of which is by providing education. Providing education should be delivered using media, especially media that are of interest to children. Media that can be used and in accordance with the level of school-aged children development, which is illustrated by booklet with picture.</p> <p><strong>Objective:</strong> This study aimed to determine how the influence of the use of preoperative educational booklet media towards anxiety level of school-aged children who undergo surgery at pediatric inpatient ward (IRNA I) at Dr. Sardjito Hospital, Yogyakarta.</p> <p><strong>Method:</strong> This study used quasi-experimental with non-equivalent control group pre-test &amp; post-test design. The sample were 34 school-aged children (6-12 years). We used consecutive sampling technique.</p> <p><strong>Results:</strong> Our results showed a significant influence before and after preoperative education using a booklet (p-value = 0.001) and showed a significant difference between the intervention group and control group (p-value= 0.023).</p> <p><strong>Conclusion:</strong> The use of preoperative educational booklets has an influence on decreasing the anxiety level of school-aged children who undergo surgery effectively in pediatric ward (IRNA I) at Dr. Sardjito Hospital, Yogyakarta</p> Armenia Diah Sari Indria Laksmi Gamayanti Retno Koeswandari ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 116 122 10.30994/jnp.v2i2.54 Knowledge of Primigravida about the Regularity of Examination of Pregnancy in Gayaman Village, Mojokerto Regency <p><strong>Background</strong>: The high rate of maternal and infant mortality is due to the low level of knowledge of mothers and the frequency of irregular pregnancy checks.</p> <p><strong>Purpose</strong>: The purpose of this study was to determine the knowledge of primigravida mothers about the regularity of prenatal care.</p> <p><strong>Methods</strong>: This type of observational research, according to the analysis is descriptive research. The population is all primigravida mothers who examined in Gayaman Village and the sample size of 30 respondents was taken based on total sampling technique. The instrument used was a questionnaire. Data collection is done through several stages, namely editing, coding, tabulating and scoring data, data collection was carried out on August 17-21 2018 in Gayaman Village, Mojokerto Regency.</p> <p><strong>Result</strong>: The results of the general data from primigravida mothers' knowledge of the regularity of prenatal care showed that of 30 respondents less than 50% had sufficient knowledge of 9 respondents (30%). The data analysis here is enough because the education level of the respondents is lacking, so that in selecting and filtering the information received because the higher the level of education someone will influence the intellectual ability to choose information.</p> <p><strong>Conclusion</strong>: The conclusions from this study indicate that the knowledge of primigravida mothers about the regularity of prenatal care is sufficient. Therefore, it is necessary to improve communication, information and education from health workers in providing counseling on antenatal care, so that mothers understand more about the regularity of prenatal care.</p> Erfiani Mail ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 123 129 10.30994/jnp.v2i2.55 The Effect Of Self Efficacy Towards Independency Level Of Post-Stroke Patient In General Hospital Neuro Policlinic Ulin Banjarmasin <p><strong>B</strong><strong>ackground</strong>: Stroke is a disease of brain function disorder of the nerves in the form of local and global roomates have impact to physical and physcological. Stroke is the third causes of death in Indonesia and in South Kalimantan every 9.2 per mill areas, stroke cases had happened. There are 1258 cases in 2015 hospitalized in Ulin General Hospital.</p> <p><strong>Purpose: </strong>To analyze the effect of self-efficacy on towards the Independence level of post-stroke patient in general hospital neuro policlinic Ulin Banjarmasin</p> <p><strong>Methods</strong>: The methodology that use in this study is descriptive analytics, the total respondents in this study is 33 respondents. Collecting the data in this study is using the Stroke Self-Efficacy and Barthel index questionare. The Data Analyzed by Kendal Tau test&nbsp;</p> <p><strong>Result</strong>: According to this study to 33 respondent Obtained results. The respondents who have high self efficafy as 25 (75.7%), moderate self efficacy as many as seven respondents (21.2%) and has low self-efficacy is one respondents (3.0%) and to the independence levelof post-stroke patient variables who had Categorized to independence are 14 respondents (42.4%), need minimal assistance 5 respondents (15.2%), partially need assistance in three respondents (9.0%), dependece assistance is five respondents (15.2%) and total assistance in six respondents (18.2%). the analysis result by Kendal Tau get p value = 0.044. the strength of the correlation is r = 310 it was statethat signifficant there is a moderate correlation and the direction are positive correlation.</p> <p><strong>Conclusion</strong>: There signifficant There is correlation between self-efficacy to the Independence level of post-stroke patient</p> Eirene E.M. Gaghauna Bagus Rahmat Santoso ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 130 135 10.30994/jnp.v2i2.56 Effectiveness of Health Education With Peer Education Method On The Attitude Of Student Bse (Breast Self-Examination) In Senior High School 5 Kedir <p><strong>Background:</strong> BSE (Breast Self-Examination) is one of the early detection steps to prevent breast cancer is more effective if done as early as possible when adolescents reach the age of reproduction.</p> <p><strong>Purpose :</strong> The purpose of this research is to know the influence of health education with peer education method toward student attitude in do realize in Senior High School 5 Kediri.</p> <p><strong>Methods</strong> :The research design in this research is pre experimental design with one group pre test approach - post test design. The Sampel is some female students of class XI in Senior High School 5 Kediri as many as 104 respondents taken with Simple Random Sampling technique. Variable dependent attitude of student, independent variable of health education with peer education method. The instrument used is a questionnaire. The results of analysis using Mc Nemar with α = 0,05.</p> <p><strong>Result</strong> : The result of this research is that most respondents have positive attitude in doing BSE before giving health education as much 65 respondent (62,5%), while most of respondent have positive attitude in doing BSE after giving health education 96 responden (92,3%) . The result of Mc Nemar statistic test is obtained ρ value = 0,000 &lt;α = (0,05), which means there is Effect of Health Education with Peer Education Method toward Student Attitudes In Conduct BSE in Senior High School 5 Kediri City.</p> <p><strong>Conclusion :</strong> Peer education method has relationship with respondent attitude about BSE because counseling with peer education method about is very important for respondent and expected by giving counseling about BSE will increase knowledge and also ability to do BSE for early detection breast cancer</p> Suci Anggraeni Cahyu Novita Angraeini ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 136 142 10.30994/jnp.v2i2.57 Analysis Stress Level and Diet for Pregnant Women with The Incidence of Preeclampsia Ahmad Dahlan Hospital Kediri City <p><strong>Background</strong>: Preeclampsia is one of complications in pregnancy happened because increased blood pressure accompanied by proteinuria and edema. This is caused by several factors.</p> <p><strong>Purpose: </strong>The purpose of this study to find out the relationship between stress levels and dietary pattern of pregnant women with the incidence of preeklamsia in Hospital Muhammadiyah Ahmad Dahlan Kediri City.</p> <p><strong>Method: </strong>The design of this study is correlation with <em>cross sectional.</em> The population studied were all pregnant women who visited the Muhammadiyah Ahmad Dahlan Hospital Kediri City. With gestational age &gt; 20 weeks with a sample of 85 respondents by <em>purposive sampling.</em> Data collection using questionnaires and observation sheets. Data analysis using test <em>chi- square. </em></p> <p><strong>Result: </strong>The results of the study show that pregnant women with moderate stress levels experience as much mild preeclampsia 15 respondent (17,6%) and pregnant women with poor diet who experince as much preeclampsia 13 respondent (15,3%). The result of data analysis show that the variabel stress level <em>p-value </em>(0,088) &gt; α (0.05) so there is no relationship between stress level and the incidence of preeclampsia whereas for dietary variables <em>p-value </em>(0.029) &lt; α (0.05) so that Ho rejected and H1 be accepted which means there is a relationship between eating habits and incidence of preeclampsia in the Ahmad Dahlan Hopsital, Kediri city.</p> <p><strong>Conclusion: </strong>During pregnancy it is very important for pregnant women to manage stress well and regulate a healthy diet and routinely carry out <em>Antenatal Care</em></p> Anita Restu Korbaffo Maria Oktaviana Benu ##submission.copyrightStatement## 2019-04-01 2019-04-01 2 2 143 146 10.30994/jnp.v2i2.58