Eka Mishbahatul Mar’ah Has

Early weaning food for infants (0-6 months old) in madurese people based on transcultural nursing theory

The World Health Organization recommend weaning food is given to infants aged 624 months. In Madura culture still exist the practice of giving weaning food before infants reach six months old. The purpose of this study was to analyze the factors of giving weaning food for infants (0-6 months old) based on transcultural nursing theory. Design used was descriptive with cross-sectional approach. Population was Madurese mothers who have infants (0-6 months old) who has been given early weaning food. A total of 61 respondents were chosen by cluster sampling method. Variables in this study were education, economic, political and legal, cultural values and lifestyles, kinship and social, religious and philosophical, and technology. Data were collected by using structured interview and described by using frequency and percentage distribution. The results had showed educational mostly were primary and middle education (92%). Economic mostly come from low economic status (70%). Political and legal mostly positive (54%). Cultural values and lifestyles mostly negative (62%). Kinship and social mostly negative (64%). Religious and philosophical mostly positive (64%). Technology factor dominantly low (56%). Based on transcultural nursing theory it is shown a diversity in positive and negative values. Further research was suggested to reduce the practice of giving weaning food behavior of Madurese mothers which suits with local culture.

Developing Format of Clinical Pathway Using Nursing Diagnosis Based on Indonesian Nursing Diagnosis Standart (Standar Diagnosis Keperawatan Indonesia: SDKI)

Clinical Pathway is an integrated service planning concept that summarizes each step are given to patients according to the standard of service, the standard of nursing care, and other health personnel service standards, based on evidence with results that can be measured and within a certain period (Depkes, 2014). Problems that occur in the hospital, nurses do not know what should be included in the template of clinical pathways because they do not know what should be documented. Most of nurses just do and write as documentation from other professions e.g., (1) taking a blood sample, (2) access IV-line, (3) administered drugs (4) Catheterization, and (5)measure vital signs. The aim of this study was developing format of clinical pathway using standard nursing diagnosis based on Indonesian Nursing Diagnosis Standart (SDKI). Method of this study was analytical descriptive study that conducted to 50 health record for tracer study, 10 nurses at ward and 25 articles for literature review. The result showed that the appropriate nursing diagnosis based on SDKI for clinical pathway of Diabetic Mellitus were : unstable glucose level, activity intolerance, deficit of nutrition. For thrombotic Stroke were : decrease of adaptive intracranial capacity, physical mobility impairment, ineffective breathing pattern. For pneumonia were : ineffective airway clearance, activity intolerance, hyperthermia. For acute myocardial infarction were decreased of cardiac output, activity intolerance, spontaneous, circulation impairment. The next study will be good for issued not only diagnosis but also intervention on nursing Keywords—clinical pathway; nursing diagnosis; SDKI