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Papers by Jurnal Ners

Introduction: School-age children in Indonesia are at risk of health problems due to food insecur... more Introduction: School-age children in Indonesia are at risk of health problems due to food insecurity. Parents have a very important role in preparing safe food, both at home and for lunch at school. The aim of this study was to determine the effect of a collaboration model of teachers, students, and their families (KOGUSIGA) towards the parents’ knowledge and skills on the food safety of elementary school students. Methods: This study applied a quasi-experiment design pre- and post-test with a control group. The subject sample used was the total sampling method, involving 206 parents. The study was conducted for over 10 weeks, supported with modules for nurses and parents, textbooks for the students and their families, and a student workbook. Results: The results showed that the KOGUSIGA model is associated significantly with greater knowledge (p-value = 0.000; with a mean difference of 20.23) and the parent’s skills (p-value = 0.000; with a mean difference of 12.3) to do with food insecurity. Conclusion: The KOGUSIGA model tends to improve the knowledge and skills parents significantly, in relation to the food safety of the students. It is expected that the KOGUSIGA model will be applied under the community health nursing/school health nurses’ supervision.

Jurnal Ners, 2018

Introduction: Flow phase with high cardiac output and increased metabolic conditions. When metab... more Introduction: Flow phase with high cardiac output and increased metabolic
conditions. When metabolic conditions are not stable there will be a long duration
of complications until death. One of the benefits of Nutrition Risk Screening (NRS2002)
is reliable inpatient care for critical patients. While the Malnutrition
Universal Screening Tool (MUST) shows speed in the classification of nutritional
disorders.
Methods: This study used the observational design method. The sampling
technique in this study used Consecutive sampling in accordance with the criteria
consisting of 31 respondents. This was to determine the specificity and sensitivity
values of NRS 2002 and MUST using contingency table analysis and for the Area
Under Curve (AUC) using Receiver Operating Characteristic (ROC) curve analysis.
Results: The sensitivity values in MUST was predicted for metabolic conditions
which was higher than when using NRS 2002, but the specificity and value of AUC
(Area Under Curve) was higher using NRS 2002 than using MUST when it came to
predicting metabolic conditions.
Conclusions: There were differences in effectiveness between use of Nutritional
Risk Screening (NRS-2002) with the Malnutrition Universal Screening Tool
(MUST) in relation to changes in metabolic conditions of trauma patients. NRS2002
is more effective than MUST. NRS 2002 has the ability to identify patients
more precisely who are likely to have a negative outcome

Jurnal Ners, 2018

Introduction: Taking care of schizophrenia patients is challenging and causes stress for the fam... more Introduction: Taking care of schizophrenia patients is challenging and causes
stress for the family involved. The study was conducted to identify the predictors of
family stress present when taking care of a patient with schizophrenia. The ABCX
Stress Theory of Hill was used as the theoretical framework.
Methods: This study used a correlational design. The sample was 137 families who
were caring for patients with schizophrenia at the Menur Mental Hospital,
Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The
data was collected by a questionnaire and analysed by multiple regression to
determine the relationship of the family’s structure, family knowledge, the burden
of care, stigma, social support, the patient's illness duration, the patient’s frequency
of relapse and the patient's severity level with family stress.
Results: The results showed that the family’s stress was predicted by the family’s
structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the
patient’s frequency of relapse (p=0.005). The burden of care was the strongest
predictor of family stress (Beta= 0.619).
Conclusion: The patient's frequency of relapse and stigma were other kinds of
family stressor. The stressors stimulated a negative perception, called the care
burden. Limited adequacy of the family structure-function will inhibit the family in
using other resources, creating family stress. Nurses may develop an assessment
format that consists of the family stress predictors in order to create a nursing care
plan specific to reframing the techniques of family stress management

Jurnal Ners, 2018

Introduction: Meditation healing exercise (MHE) using the SKT technique is popular in Bangkok, T... more Introduction: Meditation healing exercise (MHE) using the SKT technique is
popular in Bangkok, Thailand, while in Surabaya, Indonesia, it is relatively new
and unpopular. The attitude towards MHE depends on various internal and
external factors. This study aimed to compare the attitude towards MHE
between the elderly who are living with hypertension (HT) and/or diabetes
mellitus (DM) in Bangkok and Surabaya.
Methods: This was a comparative study involving 96 and 100 elderly
individuals with HT and/or DM in the communities of Surabaya and Bangkok
respectively. The sample was chosen according to the aforementioned criteria.
The sample size was 196. The instrument used was a valid and reliable
questionnaire. Descriptive statistics, the Levene test, and an independent
sample T test were used for the data analysis.
Results: The majority showed a positive attitude towards MHE; the higher
Mean and lower SD was found in Bangkok (19.43 and 2.41). Out of the total,
87.5% and 96.0% elderly had good attitude towards MHE in Surabaya and
Bangkok respectively. There was a significant attitude difference in relation to
the aspect of preferring to practice MHE between Bangkok and Surabaya
(p=0.004). Overall, there was no significant attitude difference between
Bangkok and Surabaya (p=0.17).
Conclusion: The elderly attitude towards MHE was mostly positive and good.
The elderly in Bangkok prefer to practice MHE more than in Surabaya. There
was no significant attitude difference in the elderly who are living with HT
and/or DM between Bangkok and Surabaya. The implementation of MHE using
the SKT technique has a high possibility of being accepted personally by the
elderly in both sites.

Jurnal Ners, 2013

Introduction: Professional nurses should have adequate competency in order to apply Evidence Bas... more Introduction: Professional nurses should have adequate competency in order
to apply Evidence Based Practice (EBP) in their nursing care. However, many
nurses provide nursing care based on traditions, habits and personal experience.
Less confidence in the feeling of nurses about their competency when employing
EBP could inhibit successful EBP implementation in nursing care. Therefore,
introducing and applying EBP during clinical placements in the Ners program is
essential to form a professional attitude and to provide a basic level of
experience when applying EBP in patient care. However, the self-efficacy and
competence of the students when applying EBP has not yet been evaluated
properly and there is little known about the nursing students’ competences and
self-efficacy toward EBP implementation during clinical practice. Thus, the study
aims to describe the self-efficacy and competency of nursing students toward
the implementation of EBP, while also investigating the relationship between
self-efficacy and the competency of nursing students in the implementation of
EBP.
Methods: This descriptive correlational study involved 120 nursing students
who were actively registered on the Ners program 2016/2017. The data was
collected by using the self-reporting Evidence-Based Practice Questionnaire
(EBPQ), which was then analysed descriptively and inferentially using statistics.
Results: The results of this study revealed that more than half (55%) of the
participants had a high score of self-efficacy and almost half (49%) were
categorised as having a high competence when implementing EBP. The selfefficacy
score was significantly correlated to the score of competency (r = 0.607,
p < 0.01).
Conclusion: This study recommends that the development of the students’
competence in implementing EBP is essential to promote self-efficacy when
applying EBP, and vice versa.

Jurnal Ners, 2018

Introduction: Toddlers are at risk to health problems, one of which is malnutrition. One of the i... more Introduction: Toddlers are at risk to health problems, one of which is malnutrition. One of the important determinants to toddlers’ growth is nutrition. Giving solid foods to toddlers can be done by active/responsive feeding combined with the method that best suits the stage of playing toddlers. This paper aimed to provide an overview of the intervention of Resfeed-Play as a form of community nursing intervention on 32 children aged 6-24 months with malnutrition. Implementation of the intervention Resfeed-Play was performed in families and in society in nutrition support activities. Methods: The method was quasi-experimental with one group pre-post-test design. The inclusion sample criterion was family with toddlers who suffered from malnutrition. Results: The results of evaluation of Resfeed-Play shows an increase in knowledge (24.2%), attitude and skills by 30.3% and 42.4%, respectively. After intervention of six months, the mean weight gain for toddler was 0.95Kg. Based on paired sample t-test, the weight gain is significant with a P value of 0.001 (P <0.05). Resfeed-Play intervention can increase body weight in toddlers and can address the problems of malnutrition in children under five. Conclusion: Based on the results of this study, Resfeed-Play intervention is recommended to increase community empowerment through positive activities such as post-activity nutrition in order to prevent and mitigate the problem of malnutrition in toddlers.

Jurnal Ners, 2018

Introduction: Anaemia in female adolescents tends to have a negative impact that is likely to lat... more Introduction: Anaemia in female adolescents tends to have a negative impact that is likely to later arise in pregnancy, labour and childbirth. The prevalence of iron deficiency anaemia in female adolescents in Indonesia is thirty percent. Indonesia runs an iron tablet program for female adolescents. However, with the running of the program, it is not clear what factors are correlated with the intention of iron tablet consumption among female adolescents. The purpose of this study was to analyse the factors correlated with the intention of iron tablet consumption among female adolescents. Methods: This research used a cross-sectional design. The sample consisted of 100 students in senior high school in Surabaya, chosen by proportional random sampling. The independent variables were parent income, knowledge, perceived susceptibility, perceived seriousness, perceived threats, perceived benefits, perceived barriers, and perceived self-efficacy. The dependent variable was female adolescent intention related to consuming iron tablets. The data was collected using a questionnaire and analysed by a chi square test with a level of significance α<0.05. Results: There was a significant correlation between perceived threat (p=0.02), perceived benefit (p=0.01), perceived barrier (p=0.02) and perceived self-efficacy (p=0.00) and female adolescent intention related to consuming iron tablets. There was no correlation between parental income, adolescent knowledge, perceived susceptibility, and perceived seriousness with the intention to consume iron tablets. Conclusion: From this research, it has been concluded that the factors related to the intention to consume iron tablets in female adolescents were perceived threat, perceived benefit, perceived barrier and perceived self-efficacy. Increasing the confidence of female adolescents in association with the importance of avoiding anaemia by consuming iron tablets is crucial so then they can maintain their health and prevent diseases due to anaemia later on.

Jurnal Ners, 2018

Introduction: The death of HIV/AIDS patients after receiving therapy in Bali is the seventh highe... more Introduction: The death of HIV/AIDS patients after receiving therapy in Bali is the seventh highest percentage of deaths in Indonesia. LTFU increases the risk of death in PLHA, given the saturation of people with HIV taking medication. The level of consistency in the treatment is very important to maintain the resilience and quality of life of people living with HIV. This study aims to determine the incidence rate, median time and predictors of death occurring in LTFU patients as seen from their sociodemographic and clinical characteristics. Methods: This study used an analytical longitudinal approach with retrospective secondary data analysis in a cohort of HIV-positive patients receiving ARV therapy at the Buleleng District Hospital in the period 2006-2015. The study used the survival analysis available within the STATA SE 12 software Results: The result showed that the incidence rate of death in LTFU patients was 65.9 per 100 persons, with the median time occurrence of 0.2 years (2.53 months). The NNRTI-class antiretroviral evapirens agents were shown to increase the risk of incidence of death in LTFU patients 3.92 times greater than the nevirapine group (HR 3.92; p = 0.007 (CI 1.46-10.51). Each 1 kg increase in body weight decreased the risk of death in LTFU patients by 6% (HR 0.94; p = 0.035 (CI 0.89-0.99). Conclusion: An evaluation and the monitoring of patient tracking with LTFU should be undertaken to improve sustainability. Furthermore, an observation of the LTFU patient's final condition with primary data and qualitative rese

Jurnal Ners, 2018

Introduction: Discharge planning is still become a problem for health services in hospital in-pat... more Introduction: Discharge planning is still become a problem for health services in hospital in-patient rooms. Discharge planning commonly is only done when the patients leave hospital by giving them an explanation about the content of the controlling card. Discharge planning is a routine activity that must be done by nurses in order to give information to the patients about their condition and any actions can or should be undertaken by them. In fact, the importance of discharge planning is not yet balanced, nor effectively applied in field. This research was conducted to find out about the implementation of discharge planning by nurses in one of the hospital in-patient rooms at the hospital of study. Methods: This research was a qualitative research study conducted with the phenomenological approach. The informants were 6 patients and 6 nurses in first, second and third class nursing wards. The instruments used in this research were the researchers themselves with interview guidance, field notes and a tape recorder. The data was collected through an in-depth interview. Results: There were three themes found through the analysis, which were 1) the information dimension involving room orientation, rights and obligations, and patient health problems as the sub-themes; 2) the understanding dimension with knowing and understanding the discharge planning as the sub-themes; 3) the implementation dimension with the time of implementation and content of discharge planning as the sub-themes. Discussion: Complete information given to the patients will bring about a positive impact, so then they can help themselves in relation to their curing time at home. A lack of and unclear information will bring about negative impacts such as mistakes when taking drugs, poor diet, neglecting activity while staying at home

Judul Ners , 2018

Introduction: Tuberculosis is one cause of infectious death worldwide. In relation to the healing... more Introduction: Tuberculosis is one cause of infectious death worldwide. In relation to the healing of pulmonary tuberculosis in Indonesia, there are still certain areas where the cure rate is still low. This study aims to identify the effect of spiritual emotional breathing (SEB) on the quality of respiratory function and the modulation of immune response in tuberculosis patients. Methods: The study used a quasi-experimental design with two groups of pre-post-test design. The population was 34 patients with tuberculosis in East Perak’s primary health care. The independent variable was SEB (spiritual emotional breathing). The dependent variables were peak expiratory flow rate (PEFR), pulse, oxygen saturation, breath frequency, breath sound, stiffness complaints, human IL-2, human cortisol, IgG. Results: The results showed that there was a significant difference in PEFR, pulse, oxygen saturation, respiratory rate, respiratory sound, stiffness, human IL-2, human cortisol, IgG. Conclusion: SEB can improve the quality of respiratory function and the modulation of immune response in tuberculosis patients. The emotional spiritual approach is part of the science of energy psychology that aims to turn the negative energy in a person into positive energy that can help the healing process. This therapy is performed as a complementary therapy for TB patients to improve their quality of life and the control of symptoms.

Jurnal Ners, 2018

Introduction: Blood glucose is an important component in the body produced by the consumption of ... more Introduction: Blood glucose is an important component in the body produced by the consumption of carbohydrates, proteins, and fats. A blood glucose imbalance causes an increase in the blood glucose level in the body. The occurrence of economic changes due to tourism may lead to a change in diet that can lead to increased blood glucose levels. This study aims to analyse the factors related to random blood glucose in people living in coastal tourism areas in Banyuwangi

Methods: The study used a cross-sectional survey. A total of 112 respondents were recruited using the random sampling method, using two-stage cluster sampling techniques taken from the Head of household data in multiple villages. The factors studied included demographic, socioeconomic, lifestyle, and family health history.

Results: The results showed that men had 28% higher random blood glucose compared to woman. People living in Bangsring had 31% higher random blood glucose compared to those in Buluagung.

Conclusion: Local health care services should put extra effort into include men and those living in Bangsring in programs to prevent Diabetes Mellitus in coastal areas.

Jurnal Ners, 2018

Introduction: Meditation healing exercise (MHE) using the SKT technique is popular in Bangkok, Th... more Introduction: Meditation healing exercise (MHE) using the SKT technique is popular in Bangkok, Thailand, while in Surabaya, Indonesia, it is relatively new and unpopular. The attitude towards MHE depends on various internal and external factors. This study aimed to compare the attitude towards MHE between the elderly who are living with hypertension (HT) and/or diabetes mellitus (DM) in Bangkok and Surabaya. Methods: This was a comparative study involving 96 and 100 elderly individuals with HT and/or DM in the communities of Surabaya and Bangkok respectively. The sample was chosen according to the aforementioned criteria. The sample size was 196. The instrument used was a valid and reliable questionnaire. Descriptive statistics, the Levene test, and an independent sample T test were used for the data analysis. Results: The majority showed a positive attitude towards MHE; the higher Mean and lower SD was found in Bangkok (19.43 and 2.41). Out of the total, 87.5% and 96.0% elderly had good attitude towards MHE in Surabaya and Bangkok respectively. There was a significant attitude difference in relation to the aspect of preferring to practice MHE between Bangkok and Surabaya (p=0.004). Overall, there was no significant attitude difference between Bangkok and Surabaya (p=0.17). Conclusion: The elderly attitude towards MHE was mostly positive and good. The elderly in Bangkok prefer to practice MHE more than in Surabaya. There was no significant attitude difference in the elderly who are living with HT and/or DM between Bangkok and Surabaya. The implementation of MHE using the SKT technique has a high possibility of being accepted personally by the elderly in both sites.

Jurnal Ners, 2018

Introduction: Heart disease is the number one cause of death in Indonesia. Promotional efforts th... more Introduction: Heart disease is the number one cause of death in Indonesia. Promotional efforts through the provision of health education and counselling through Peer Health Education is one of the primary prevention strategies that can be undertaken to prevent the occurrence of heart disease. The purpose of this study is to prove the influence of Peer Health Education in reducing the risk of heart disease. Methods: The research method used in this study was quasi-experimental with a pre-test-post-test non-equivalent control group design. The samples were taken from 56 people using the purposive sampling technique. The first group of 28 people was the experimental group and the second group of 28 people was the control group. Before and after treatment, both groups were measured concerning their knowledge, lifestyle behaviour, blood pressure, blood glucose levels, blood cholesterol levels and risk assessment of heart disease. Data analysis was done by using the Friedman Test with a 95% significance level. Results: The results showed that Peer Health Education was able to improve the respondents' knowledge about having a healthy lifestyle, changing the behaviour of the respondents, i.e. behaviour of consuming sweet foods, controlling blood pressure and decreasing the risk of heart disease. Conclusion: Based on the result, health promotion efforts through a Peer Health Educator can continue to be done as one method to improve heart health in the community. Thus, the expectation of morbidity and mortality due to heart disease can be lowered.

Jurnal Ners, 2018

Introduction: Globally, leptospirosis is still a major health problem in African and developing c... more Introduction: Globally, leptospirosis is still a major health problem in African and developing countries, including Indonesia. The best control effort is with prevention through health education. Health education with conventional methods is considered less effective, so there is a need to look for other health education methods. Methods: Aims of the research are to know the difference of effectiveness of health education methods between conventional classical method and dasawisma or peer group in (1) improvement of knowledge of leptospirosis disease prevention; (2) effectiveness in prevention of leptospirosis. Research is Quasi-Experimental research with a two-group control trial design. The sample consisted of 40 respondents treated by health education through dasawisma using a leptospirosis module as a media of Health Education, and 40 control group respondents who were given education using conventional method. Sampling technique used purposive sampling. Data were statistically analyzed with Independent T-Test. Results: (1) Meaning of treatment group = 21.77 higher than control group = 19.62 (2) Mean prevention effort of leptospirosis disease treatment group = 54.35 better than control group = 48.15 (3) Health education through dasawisma was effective to increase knowledge prevention of leptospirosis (t = 2.943; p = 0.004) (4) Health education through dasawisma was effective for increasing prevention effort of leptospirosis (t=4.695; p=0.001). Conclusion: Health education through dasawisma and leptospirosis module is significantly effective to improve knowledge of leptospirosis disease and in prevention efforts of leptospirosis.

Jurnal Ners, 2018

Introduction: Nursing documentation is an integral part that cannot be separated from healthcare ... more Introduction: Nursing documentation is an integral part that cannot be separated from healthcare as a responsibility and accountability of nurses. High education and motivation are needed to achieve good nursing documentation. The aim of this study was to know the correlation between education and motivation of nurses towards Intensive Care nursing documentation. Methods: The design used was an analytical survey with a cross-sectional approach. The population was nurses in intensive care of Palembang BARI Hospital with as many as 46 nurses and 44 samples obtained with total sampling. Data were collected by questionnaire and observational and were analyzed by Chi-Square. Independent variables are education and motivation of nurses and the dependent variable is nursing documentation. Results: There was a correlation between education (p=0.035) and motivation (p=0.040) of nurses towards nursing documentation. Conclusion: High education and motivation of nurses influenced towards the quality of nursing education. The nursing manager of the hospital is recommended affording the opportunity to support human resources in the hospital, especially for nurses to participate in education, in accordance with the demands of legislation in nursing education, and to organize the training of nursing documentation.

Introduction: Family perceptions on the role of parents and the growth of infants must be serious... more Introduction: Family perceptions on the role of parents and the growth of infants must be seriously considered by healthcare workers since they can affect the role of family development in taking care of the babies. A family that has optimally understood the role of their development as a parent will be able to give the appropriate care for the babies. Methods: The study aimed to find out the effects of a family-based Maternal Sensitivity Models (MSM) strategy for family perception optimization on the role of parents and the growth of infants. It used a quasi-experimental design with the samples of 50 families. The samples were obtained using purposive sampling technique. The data were analyzed using dependent t-test. Results: It confirmed that the Family-Based Maternal Sensitivity Models (MSM) strategy significantly affects family perceptions on the role of parents with t-value 5.915 and p-value 0.000. MSM also significantly affects family perceptions on the growth infants with the t-value -11.257 and p-value 0.000. Conclusion: Maternal Sensitivity Models (MSM) can be well applied as one of the health models provided by healthcare workers to optimize parents’ perceptions and infants’ growth as well as to develop a competent family in giving care for their babies.

Introduction: The physical condition of a child with physical disabilities makes them dependent o... more Introduction: The physical condition of a child with physical disabilities makes them dependent on others. Carers are the closest to children with physical disability and must have the ability to assist and teach children to do self-care activities. This study was aimed to determine the effect of self-care training on the knowledge, attitudes and skills of caregivers about the care of children with physical disability. Methods: The experiment was pre-experimental with one group pre-test-post-test design. The study was conducted on 23 caregivers who experienced caring of children with physical disability. The research instruments are Knowledge and Attitude of Self Care on Children with Physical Disability Questionnaire and Observation Sheet of Self Care on Children with Physical Disability, which have tested the validity and reliability to measure knowledge and attitude. Skill observation uses a check list with the validity test of expert opinion. Training on self-care using lecture, audiovisual, practice and discussion methods was conducted in two sessions on different days with 120 minutes per session. Data analysis used Paired Sample T-Test with significance level <0.05. Results: Self-care training significantly influenced caregivers’ attitude (p = 0.038) and skill (p = 0.002), but training has no effect on caregivers’ knowledge (p = 0.225). Conclusion: Self-care training improved attitudes and skills of caregivers for children with physical disability, but did not affect caregivers’ knowledge.

The improvement of nursing student competency currently is still an issue for the majority of nur... more The improvement of nursing student competency currently is still an issue for the majority of nursing education institutions in Indonesia. This is due to their partnership with hospitals having not been supported by adequate policies and other factors. Objectives: The purpose of this study is to identify the appropriate model for improving student competency in a clinical study. The design used in this study was an observational study with cross-sectional approach. Methods: The research design used a cross-sectional approach involving five hospitals and five Universities. Three hundred and eighty-four participants were recruited from these sites. The data was analysed using multiple logistic regression. Results: The results showed that the partnership contributed 3.36 times, the patient variations 2.96 times, the job description of the clinical educator 2.30 times, a role model 2.28 times, and the expertise of the faculty educator 2.08 times towards the achievement of student competency in the clinical study. Conclusions: It can be concluded that the partnership aspect, patient variation, job description of the clinical educator, role model, the expertise of the faculty educator, and the level of education has a significant role to improve the achievements coming from the level of student competency in the clinical study. The results of this study can be used by nursing educational institutions, hospitals and the government to organise a nursing education model for the more optimal achievement of the student's competencies.

Introduction: Nursing documentation is an important aspect of nursing practice so that should be ... more Introduction: Nursing documentation is an important aspect of nursing practice so that should be assessed comprehensively. The objective of the study was to analyze the causing factor of nursing care documentation at Rumah Sakit Jiwa Menur Surabaya through balanced scorecard. Method: This research was an analytical descriptive conducted out on January 2010 at Rumah Sakit Jiwa Menur Surabaya that measured nursing care documentation through four perspectives of balanced scorecard by distributing quisioner to 55 nurses and 69 customers (patient families) using inclusion criteria, and holding personal interview to 3 structural offi cial, 2 functional offi cial, and 6 ward supervisors. Data of nurse education, percentage of trained nurse was gained by checklist. Data were analyzed using content analysis to fi nd the causing factor of nursing documentation within balanced scorecard. Result: The result showed that fi nancial, internal business processes, and learning and growth perspectives had causal relationship with nursing care documentation at Rumah Sakit Jiwa Menur Surabaya, but customer perspective didn't have direct causal relationship with it. Discussion: It can be concluded that impractical nursing documentation form especially in dimension of time on assessment, implementation, and evaluation, and comprehension on assessment, absence of physical nursing standards, limited knowledge on nursing documentation evoked by absence of inhouse training about nursing documentation, ineffective supervision and audit were factors which affecting nursing documentation at Rumah Sakit Jiwa Menur Surabaya. The researcher recommended that the hospital manager should modifi cate the nursing documentation form using NIC & NOC of NANDA and computerized system, compose physical nursing standards, carry out advanced nursing education and inhouse training about nursing care documentation, improve supervision program, and nursing documentation audit.

Jurnal Ners, 2018

Jurnal Ners, 2013

Jurnal Ners, 2018

Judul Ners , 2018

Jurnal Ners, 2018

Results: The results showed that men had 28% higher random blood glucose compared to woman. People living in Bangsring had 31% higher random blood glucose compared to those in Buluagung.

Conclusion: Local health care services should put extra effort into include men and those living in Bangsring in programs to prevent Diabetes Mellitus in coastal areas.

Jurnal Ners, 2018