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"Purpose: The aims of the study was to describe Indonesian nurses’ attitudes and beliefs toward providing sexuality care with cancer patients using the Sexual Attitudes and Beliefs Survey (SABS).Methods: The study had a descriptive and correlative design. A convenience sample of 135 oncology nurses were enrolled from three hospital in Jakarta.Results: Over 85% of nurses have attitudes and beliefs that discussing sexuality with patients is a taboo and is too private an issue. More than 90% of nurses giving a patient permission to talk about sexual concerns is a nursing responsibility. About 73.3% nurses had beliefs that most hospitalized patients are too sick to be interested in sexuality and agreed that sexuality should be discussed only if initiated by the patient. However, more than 70% of the nurses beliefs that patients expect nurses to ask about their sexual concerns.Conclusions: The findings can help to identify nurses’ barriers to addressing patients’ sexuality. Educational programs for nurses are needed to help the nurses overcome their barriers and improve nurses’ ability to give patients the holistic care."

"Despite the increasing complexity of the tasks and responsibilities in providing nursing care to patients, many Indonesian nurses may not possess adequate knowledge and skills to discuss sexuality with their patients. The purpose of this study is to explore the experience of Indonesian nurses in providing nursing care to patients regarding sexual problems. This research adopted a descriptive qualitative design to explore the experiences of Indonesian nurses in solving their patient’s sexual problems. Ten nurses working in a general hospital in Indonesia participated in this work. These nurses were interviewed extensively, and the data were transcribed and analyzed thematically. Four main themes were identified in this study: (1) Nurses believe that discussing a patient's sexual problems as part of their professional responsibility, (2) discomfort and embarrassments are barriers to providing adequate solutions to help resolve a patient's sexual problems, (3) nurses assume that most patients are not interested in discussing sexual problems because of illness, and (4) nurses do not have the confidence to discuss the patient's sexual problems. The findings of this study confirm that many nurses feel hesitant and uncomfortable when addressing patients' sexual problems. Thus, Indonesian nurses require more training related to providing nursing care to patients with sexual problems."

"Objectives: This study aimed to gain insight into the unmet care needs and health care service barriers experienced by Indonesian gynecological cancer survivors after cancer therapy.Data Sources: Twenty purposively selected women who had completed gynecological cancer therapy for at least 1 year participated in a descriptive qualitative study. Data were collected through in-depth interviewsand thematically analyzed.Conclusion: The analysis constructed two themes and seven subthemes: (a) unmet care needs (subthemes: late side effects; cancer recurrence; stigma of cancer transmission; social-economic concerns), (b) deficientfunctions of health care services (subthemes: short consultation time; unempathetic health professionals; and inefficient time and cost for the health care services). The gynecological cancer survivors experiencedshortages of informational, psychological, and socioeconomic support after cancer therapy because of the deficient quality of the health care services.Implication for Nursing Practice: Nursing interventions couldmitigate the unmet care needs of gynecological cancer survivors after cancer therapy through patient-centered care services and multidisciplinary collaboration."

"Perubahan aspek seksualitas yang dihadapi mulai diagnosis, terapi, dan pascaterapi pada penyintas kanker ginekologi berbeda-beda. Eksplorasi yang mendalam pada penyintas kanker ginekologi dibutuhkan untuk diketahui secara kronologis aspek seksualitas mulai terdiagnosis, terapi, dan pasca terapi. Studi ini menggunakan metode naratif untuk mengeksplorasi secara kronologis aspek seksualitas pada penyintas kanker ginekologi. Studi ini penting untuk diteliti lebih lanjut sehingga dapat diperoleh data aspek seksualitas pada setiap tahapan trajektori penyintas kanker ginekologi. Partisipan dalam studi ini berjumlah lima orang yang divariasikan berdasarkan jenis kanker ginekologi, pendidikan, pekerjaan. Analisa yang digunakan dalam studi ini adalah analisa tematik. Hasil studi ini terdapat sepuluh tema tema. Tema yang ditemukan saat terdiagnosis: (1) kehilangan rasa percaya diri; (2) tidak melakukan hubungan seksual saat terdiagnosis sampai menjalani terapi; (3) tidak menjalankan peran sebagai istri. Tema ketika menjalani terapi kanker antara lain: (1) vagina menjadi lecet, bengkak, sempit dan kering; (2) Komunikasi dengan suami menjadi lebih baik ketika menjalani terapi, (3) hubungan intimasi dengan suami meningkat saat menjalani terapi; (4) suami menjalani peran caregiver. Tema saat pascaterapi: (1) menghindari melakukan hubungan seksual; (2) kembali berperan sebagai istri; (3) menjadi tidak sempurna sebagai perempuan. Penyintas kanker ginekologi membutuhkan dukungan dari pasangan dan tim kesehatan untuk menentukan mekanisme koping aspek seksualitas sehingga dapat meningkatkan kualitas hidup dan kehidupan pernikahan. Konseling pasangan direkomendasikan untuk penyintas kanker ginekologi dan suami untuk meningkatkan kualitas kehidupan pernikahan

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The changes in sexuality aspect faced from diagnosis, therapy and post-therapy among gynecological cancer survivors are different. In-depth exploration of gynecological cancer survivors is needed to chronologically know the aspects of sexuality from diagnosis, therapy, and post-therapy. This study uses the narrative method to chronologically explore the aspects of sexuality in gynecological cancer survivors. This study is important to be researched further so that data can be obtained on aspects of sexuality at each stage of the trajectory of gynecological cancer survivors. Participants in this study amounted to five people who varied based on the type of gynecological cancer, education, occupation. The analysis used in this study is thematic analysis. The results of this study contained ten thematic themes. Themes found at diagnosis: (1) loss of self-confidence; (2) not having sexual intercourse when diagnosed until undergoing therapy; (3) not carrying out the role as a wife. Themes when undergoing cancer therapy included: (1) vaginal blisters, swelling, narrowness and dryness; (2) communication with husband became better when undergoing therapy, (3) intimacy with husband increased when undergoing therapy; (4) husband as caregiver. Post-therapy themes: (1) avoiding sexual intercourse; (2) returning to the role of wife; (3) becoming imperfect as a woman. Gynecological cancer survivors need support from their spouse and health team to determine coping mechanisms for sexuality aspects so as to improve quality of life and married life. Couples counseling is recommended for gynecological cancer survivors and husbands to improve the quality of married life."

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Pendahuluan: Perawat sebagai pemberi asuhan keperawatan holistik berperan penting dalam membantu pasien kanker mengatasi permasalahan seksual yang mereka hadapi. Namun, sikap dan keyakinan perawat pada aspek seksual berpotensi menghambat pelaksanaannya. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor apa yang bisa memengaruhi sikap dan keyakinan perawat pada aspek seksual. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional di tiga rumah sakit yang melayani pasien kanker di Kota Palembang. Sebanyak 218 perawat diambil dengan metode acak sederhana. Karakteristik demografi, instrumen SHKS, SHCS-A dan SABS digunakan dalam penelitian ini. Hasil: Pengetahuan (p = 0,02), ketidaknyamanan (p = < 0,001) dan ketidakpastian (p = 0,04) merupakan faktor penentu sikap dan keyakinan perawat pada aspek seksual, dimana ketidaknyamanan sebagai prediktor dominan. Kesimpulan: Perawat membutuhkan dukungan dari Institusi untuk mengatasi hambatan saat memberikan asuhan keperawatan aspek seksual. Rekomendasi: Pendidikan dan pelatihan diperlukan perawat untuk meningkatkan pengetahuan, sikap dan rasa percaya diri perawat saat memberikan asuhan keperawatan aspek seksual.

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Introduction: Nurses, as providers of holistic nursing care, play a crucial role in helping cancer patients overcome the sexual problems they face. However, nurses’ attitudes and beliefs about sexual aspects have the potential to hinder its implementation. Objective: This study aims to identify factors that can influence nurses’ attitudes and beliefs regarding sexual aspects. Methods: This study uses a quantitative method with a cross sectional design at three hospitals that serve cancer patients in Palembang City. A total of 218 nurses were selected using simple random sampling. Demographic characteristics, SHKS, SHCS-A and SABS instruments were used in this study. Results: Knowledge (p = 0,02), discomfort (p < 0,001) and uncertainty (p = 0,04) are determinants of nurses’ attitudes and beliefs about sexual aspects, with discomfort being the dominant predictor. Conclusion: Nurses need institutional support to overcome barriers when providing nursing care for sexual aspects. Recomendation: Education and training are necessary for nurses to enhance their knowledge, attitudes and confidence when providing nursing care for sexual aspects."

"Tujuan: Mengetahui awareness dan hambatan yang dirasakan mahasiswa Fakultas Kedokteran Gigi Indonesia dalam memberikan konseling untuk berhenti merokok bagi pasien beserta variabel yang berkontribusi terhadapnya. Metode: Studi analisis cross-sectional berupa kuesioner pada 1.288 mahasiswa kedokteran gigi se-Indonesia. Hasil: Mahasiswa sudah aware (3,98 dari 5,00) terkait konseling untuk pasien perokok, namun tetap disertai dengan hambatan (3,03 dari 5,00) yang dirasakan. Seluruh variabel tidak berhubungan dengan rerata hambatan mahasiswa. Tidak terdapat hubungan yang bermakna untuk variabel jenis kelamin, status pendidikan, wilayah perguruan tinggi, jenis perguruan tinggi, dan status merokok keluarga mahasiswa terhadap rerata awareness mahasiswa. Namun, terdapat hubungan yang bermakna antara status merokok mahasiswa dengan rerata awareness mahasiswa dimana mahasiswa yang tidak merokok memiliki awareness yang lebih baik terhadap konseling untuk membuat pasien berhenti merokok daripada mahasiswa yang merokok atau pernah merokok (OR: 2,878, 95% CI: 1,473—5,621; p= 0,002). Hambatan yang paling dirasakan mahasiswa adalah banyak pasien yang merokok tidak memiliki motivasi untuk berhenti. Kesimpulan: Mahasiswa sudah aware terkait konseling untuk pasien perokok, namun tetap disertai dengan hambatan yang dirasakan. Hal ini membutuhkan intervensi lebih pada pendidikan mahasiswa sehingga kelak, ketika menjadi dokter gigi, mahasiswa dapat memberikan konseling berhenti merokok dengan baik.

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Objective: To identify awareness and barriers felt by students of the Indonesian Dental Student in providing Tobacco Cessation Counseling and the variables that contribute. Method: An analytic cross-sectional study in the form of questionnaire on 1288 dental students throughout Indonesia. Result: Students were aware (3.98 of 5.00) about Tobacco Cessation Counseling, but still accompanied by perceived barriers (3.03 out of 5.00) they felt. All variables are not related to barriers’ mean. There is no significant relationship for gender, education status, university location, type of university, and family smoking status to the mean of awareness. However, there is a significant relationship between the students’ smoking status and the mean of awareness in which non-smoking students have better awareness of Tobacco Cessation Counseling than students who smoke or have smoked (OR: 2,878, 95% CI: 1,473-5,621 ; p = 0.002). Many patients who smoke do not have the motivation to quit is the barrier that most felt by students. Conclusion: Students are already aware about Tobacco Cessation Counseling, but still accompanied by perceived barriers. This requires more intervention on education so that later, when becoming a dentist, students can provide Tobacco Cessation Counseling properly."

"ABSTRAKAsuhan keperawatan spiritual akan memberikan aspek positif bagi kualitas hidup pasien tahap akhir kehidupan. Perawat merupakan salah satu pemberi asuhan yang berperan dalam memberikan asuhan spiritual yang bermutu. Penelitian ini bertujuan untuk mengekplorasi pengalaman perawat dalam memberikan asuhan spiritual pada pasien tahap akhir kehidupan disebuah rumah sakit tipe A di propinsi Aceh. Penelitian ini menggunakan desain kualitatif fenomenologi, metode wawancara mendalam semi struktur, durasi 30-50 menit dengan partisipan berjumlah sepuluh orang yang terdiri dari 1 orang kepala ruangan, 3 ketua tim dan 6 perawat pelaksana. Analisis tematik menggunakan metode Colaizzi menghasilkan 181 pernyataan signifikan, 36 subkategori, 12 kategori dan 6 tema, yaitu; (1) perubahan fungsi fisiologis, (2) caring, (3) proses keperawatan berfokus pada pemenuhan kebutuhan dasar henderson; kebutuhan rasa nyaman dan terapi spiritual, (4) perawat menjadi advokatdalam menguatkan support sistem keluarga, (5) interkolaborasi, (6) fungsi manajemen kepala ruangan. Rekomendasi yang diberikan peneliti yaitu peningkatan kompetensi perawat dalam asuhan melalui Continuing Professional Development (CPD), melakukan review terhadap kebijakan rumah sakit dalam hal pendampingan keluarga bagi pasien tahap akhir kehidupan.

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ABSTRACTSpiritual care is an essensial part of end of life patients, provide a positive aspect to the quality of life. This study aims to explore nurses' experience in providing spiritual care to patients in the end of life in hospital in Aceh. This study used a phenomenological qualitative approach, indepth interview lasting for 30-50 minutes to 10 participants. Colaizzi analysis was utilized to derive 181 quotes, 36 subcategory, 12 category and six theme; (1) changes in physiological functions in end of life, (2) caring, (3) the nursing process focuses on basic needs; Henderson‟s, (4) nurses become advocates in strengthening family system support, (5) inter-collaboration in care, (6) management function of head nurse. It is recommended to increasing nurses' competence in nursing care through Continuing Professional Development CPD, to conduct a review of hospital policies in terms of family assistance for end-of-life patients.

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"Intervensi posisi prone penting bagi pasien yang mengalami Acute Respiratory Distress Syndrome (ARDS), sehingga perawat ICU yang menangani pasien ini harus memiliki pengetahuan dan motivasi untuk menerapkan posisi prone dengan benar. Desain penelitian yang digunakan adalah metode deskriptif. Responden berjumlah 101 perawat ICU di Jakarta yang dipilih dengan teknik random sampling menggunakan rumus Lemeshow. Hasil penelitian menunjukkan bahwa mayoritas perawat memiliki pengetahuan yang baik tentang posisi prone (97%) dan motivasi yang baik dalam memberikan posisi prone (86,1%). Sebagian besar dari mereka berusia antara 21 hingga 35 tahun, memiliki pendidikan Vokasi (D3), dan memiliki pengalaman kerja selama 1 hingga 10 tahun. Namun, penelitian juga mengungkapkan adanya kendala dalam memberikan posisi prone, seperti kurangnya tenaga perawat dan beberapa prosedur yang tidak berjalan secara maksimal. Hasil penelitian ini diharapkan dapat menjadi data dasar gambaran perawat ICU dalam upaya memberikan pelayanan keperawatan yang efektif dengan memberikan posisi prone kepada pasien ARDS di unit ICU.

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Prone positioning intervention is important for patients suffering from Acute Respiratory Distress Syndrome (ARDS), ICU nurses should have the knowledge and motivation to apply prone positioning correctly. The research design used was a descriptive method. Respondents totaled 101 ICU nurses in Jakarta who were selected by random sampling technique using the Lemeshow formula. The results showed that the majority of nurses had good knowledge about prone position (97%) and good motivation in providing prone position (86.1%). Most of them were between 21 to 35 years old, had a vocational education (D3), and had work experience for 1 to 10 years. However, the study also revealed obstacles in providing the prone position, such as nursing shortage and some procedures that did not run optimally. The results of this study are expected to serve as basic data for ICU nurses in an effort to provide effective nursing services by giving prone positions to ARDS patients in the ICU unit."

"ABSTRAKKanker serviks menempati urutan keempat di dunia. Menurut WHO, kasus baru kanker serviks tahun 2018 sebanyak 570.000 dengan angka kematian sebanyak 311.000. Di Indonesia, berdasarkan data Globocan tahun 2018, kasus baru kanker serviks sebanyak 32.469 menempati urutan kedua setelah kanker payudara. Angka kematian kanker serviks di Indonesia mencapai 18.279 per tahun. Salah satu faktor yang membuat tingginya angka kejadian kanker serviks dikarenakan terlambatnya penemuan kasus kanker serviks. 70% kasus kanker serviks yang ditemui di rumah sakit berada pada stadium lanjut sehingga angka kematian kanker serviks menjadi tinggi. Skrining kanker serviks bertujuan mengurangi angka kejadian dan angka kematian kanker serviks. Jika kanker serviks terdeteksi sejak awal tahap pra kanker, maka dapat diberikan tindak lanjut pengobatan sehingga tidak berkembang menjadi kanker serviks. Namun, kenyataannya cakupan skrining kanker serviks masih rendah. Tujuan penelitian ini untuk mengetahui gambaran pengetahuan, sikap, dan hambatan terkait dengan perilaku pemanfaatan skrining kanker serviks. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Pengumpulan data melalui wawancara mendalam. Informan penelitian terdiri dari 5 orang yang sudah pernah skrining kanker serviks dan 5 orang yang belum pernah skrining kanker serviks. Hasil penelitian menunjukkan bahwa informan yang pernah skrining kanker serviks memiliki pengetahuan yang lebih baik, sebagian besar informan memiliki sikap positif terhadap skrining kanker serviks. Ketakutan merupakan faktor yang menjadi hambatan melakukan skrining kanker serviks. Alasan informan tidak melakukan skrining kanker serviks karena takut, tidak ada gejala, dan kurangnya informasi. Hampir semua informan yang pernah melakukan skrining kanker serviks karena motivasi diri sendiri. Pengetahuan yang baik, sikap yang positif, serta tidak adaya hambatan memungkinkan informan untuk melakukan skrining kanker serviks.

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ABSTRACT

Cervical cancer ranks fourth in the world. According to WHO, new cases of cervical cancer in 2018 were 570,000 with a death rate of 311,000. In Indonesia, based on Globocan data in 2018, 32,469 new cases of cervical cancer rank second after breast cancer. Cervical cancer mortality rate in Indonesia reaches 18,279 per year. One of the factors that make the high incidence of cervical cancer is due to the late discovery of cervical cancer cases. 70% of cervical cancer cases found in hospital are at an advanced stage so that the cervical cancer mortality rate is high. Cervical cancer screening aims to reduce the incidence and mortality rate of cervical cancer. If cervical cancer is detected early in the pre-cancer stage, follow-up treatment can be given so that it does not develop into cervical cancer. However, the reality is that cervical cancer screening coverage is still low. The purpose of this study was to describe the knowledge, attitudes, and barriers associated with cervical cancer screening behavior. This study uses a qualitative method with a case study approach. Data collection through indepth interviews. The research informants consisted of 5 people who had been screened for cervical cancer and 5 people who had never been screened for cervical cancer. The results showed that the informants who had cervical cancer screening had better knowledge, most of the informants had a positive attitude towards cervical cancer screening. Fear is a factor that hinders cervical cancer screening. The reason the informants did not do cervical cancer screening was because of fear, no symptoms, and lack of information. Almost all informants who had cervical cancer screening were self-motivated. Good knowledge, a positive attitude, and no obstacles allowed the informants to do cervical cancer screening."